Isizathu Esingaqhelekanga Sobunzima Bobuhlungu Bokuhlangana
I-Plica syndrome, ngamanye amaxesha ebizwa ngokuthi "synovial plica syndrome," yimeko yokucaphukisa izicubu ezincinci zangaphakathi zamadolo. I-Synovium luhlobo lweetyhubhu ezenza idibanisi. Izicubu ze-synovial ziqulethe indawo edibeneyo kwaye zinceda ukwenza umbane oqhelekileyo ogcotyiweyo.
I-synovial plica iyimibumba eyahlula idolo kumacandelo ngexesha lokukhula komntwana.
Ezi ziqendu ze-plica ngokuqhelekileyo ziyancipha ngobukhulu ngelixa lesibini lentuthuko yokukhula komntwana. Kubantu abadala, zikhona njengemikhono yamathambo ebizwa ngokuthi "i-synovial folds" okanye i-plica. Kwamanye abantu, i-synovial plica iyabonakala kwaye iyancipha. Akukho ngokwenene owaziwayo umsebenzi we-plica, nje kuphela ukuhluka kohlobo lwe-anatomiki olukhoyo kwabanye abantu kwaye kungekhona kwabanye.
Plica Syndrome
I-plica engxenyeni yangaphakathi yamadolo, ebizwa ngokuba yi-plica, i-synovial tissue ixhomekeke ekukrakra nakwenzakalo. Xa idolo ligobile, i-plica yecala iyabonakalisa ukulimala ngokuthe ngqo, kwaye inokulimala ngokusetyenziswa kwe-syndromes . Xa i-plica ithukuthela kwaye ivuke, imeko ebizwa ngokuba yi-plica syndrome iziphumo.
Ukuxilongwa kwe-plica syndrome eyenziwa ngovavanyo lwangaphandle okanye ngexesha lotyando lwe-arthroscopic. I-Plica syndrome ineziganeko ezifanayo kwiinyembezi ezingapheliyo kunye ne- patellar tendonitis , kwaye le miqathango ingadideka.
Iimpawu eziqhelekileyo ze-plica syndrome ziquka:
- Intlungu ebuhlungu emacaleni angaphakathi
- Ukunyamezela ngokuthe ngqo kwi-plica
- Ukuvuvukala nokufudumala ngeenxa zonke
- Ukuqhafaza kunye nokuchofoza xa idolo ligobile
Ii-ray zasebusini ziqhelekile kwisigulane nge-plica syndrome. I-MRI ingenziwa ukwenzela ukuncedisa ukuxilongwa, kodwa olu vavanyo alona ndlela efanelekileyo yokufumanisa le meko.
Unyango lwePlica Syndrome
I-Plica syndrome iphathwa ngokugqithiseleyo ngokuphumla emadolweni kunye nokuvumela ukuvuvukala kuphephe. Amanyango okunciphisa ukuvuvukala afaka isicelo seqhwa kunye neyeza ezichasayo . Le miqathango isele ivumelekile ukuvumela i-plica ecasulayo ukuba ihlale phantsi. Ngamanye amaxesha, i- injection ye-cortisone emadolweni iya kuba luncedo.
Ukuba le miqathango ayinciphisi impawu, ukukhutshwa ngokukhawuleza kweplica kuyimfuneko. Le nkqubo yokucubungula iqhutyelwa kutyunjwa ngamathambo e-arthroscopic , okanye ikhamera encinane, efakwe emadolweni kunye nezixhobo zokususa izicubu ezivuthayo. I-arthroscopic plica resection ineempembelelo ezintle ekucingeni i-plica yimbangela yeempawu. Ngokuqhelekileyo i-plica ibonakala kwi-arthroscopic examination. Ngaphandle kokuba iimpawu zesigulane zihambelane ne-plica syndrome, kwaye i-plica ibonakala ibangele kwaye ikhutshwe, i-plica ihlala isodwa. I-plica resection ngexesha le-arthroscopy lenziwa kuphela xa i-plica icingelwa ukuba iyimvelaphi yeempawu.
Ingaba Ingxaki?
Kukhona ingxabano malunga nokuba ingaba i-plica syndrome ikhona. Abantu abaninzi banomdla, kwaye abanye babonakala bebuhlungu kuloo ndawo ngelixa abanye bengenzi.
Abanye oogqirha bakholelwa ukuba i-plica band ingabangela intlungu xa abanye becinga ukuba intlungu ibangelwa enye ingxaki ezifana ne-patellofemoral syndrome, okanye i-meniscus.
Uninzi lwagqirha luyavuma ukuba ngelixa i-synovial inflammation ingaba ngumthombo weentlungu ezidlulayo zamadolo, akuqhelekanga kwaye kufuneka kuthathelwe ingqalelo nje ingumthombo wentlungu xa ezinye iimeko eziqhelekileyo zikhutshwe. Ngokuqinisekileyo, iinzame zokulawula iimpawu ngezilwanyana ezingapheliyo kufuneka zizame ngaphambi kokuqwalasela unyango ukujongana nale meko.
> Umthombo:
> Ewing JW, "Plica: Pathologic okanye Not?" J. Am. Acad. IOrn. Ugqirha., Novemba 1993; 1: 117 - 121.