Ingozi yomntu okanye ukuhlinzwa okwenziwe ngamadoda kungumngcipheko we-osteoarthritis?
Iindlebe zezintlungu zixhaphake ngamadolo. Ngokuqhelekileyo, uva malunga nabadlali abafumana iinyembezi, kodwa ngokwenene, nawuphi na umntu nawuphi na umdala unokudiliza i-meniscus.
Yintoni iMeniscus?
Amathambo amathathu ahlanganisene ukuze adibanise idolo-i- femur (ithanga), i-tibia (i-shinbone) kunye ne-patella (i-kneecap). Phakathi kwamacandelo ama-femoral kunye ne-tibial emadolweni, kukho iziqwenga zombini zengqumbo-inye enye ibizwa ngokuba yi-meniscus.
I-meniscus nganye enzima kunye ne-rubbery isebenza ukugubungela idolo kunye nokuzinzisa.
Ubume bemihlathi yeMeniscal
I-meniscus iyakrazula. Ngokuqhelekileyo, iinyembezi ze-meniscal zivela ngokukhawuleza ngexesha lomsebenzi wezemidlalo. Imidlalo yokudibanisa (umzekelo, ibhola) inokubangela ukuba kube lula ukulila-kodwa unokwazi ukukrazula okanye ukuguqa ngamadolo kwaye ubangele intlungu. Abantu asebekhulile, iinyembezi ezingenakwenzekayo zenzeka emva kokuba i-cartilage igqoke kwaye ibuthathaka. Ukuba i-menisci iyancipha ngenxa yokuguga, naluphi na uhlobo lokunyakaza olwenziwe lunokwanela ukuba kubangele.
Kukho iintlobo ezahlukeneyo zezinyembezi zamadoda: ibhakethi yebhakethi, i-transverse, i-longitudinal, i-flap, i-parrot-horn kunye nophondo oluqhekekileyo. Eli gama lisekelwe apho iinyembezi zenzeke kwi-meniscus.
Iimpawu
Umqondiso wokuqala weentsizi ezinokuba ngumntu onokuthi uvakalelwa kukuba "u-pop" emadolweni. Ezinye iimpawu eziqhelekileyo ezihambelana neendoda ezinjengezintlu ziquka intlungu, ukuqina, ukuvuvukala, ukuguqa idolo , ukuvalelwa kweendlela zakho zokuguqa, kunye nenqanaba lokuhamba .
Isiqwenga se-meniscus sinokutshintshela kwaye sikhululeke, sinokubangela ukuba idolo lakho liqhube, lifake, okanye likhiye.
Ukuxilongwa
I-MRI inokukunceda ukufumanisa intlungu. I-ray-ray ayibonisi iinyembezi ezinjengoko zihlala kwi-cartilage kunokuba ithambo. Oogqirha bangasebenzisa uvavanyo lukaMcMurray ukuze bancedise ukuxilonga i-meniscal.
Ngovavanyo lukaMcMurray, ugqirha wakho uya kuguqa aze aguqe idolo lakho ngelixa ephosakele ngokuphambanisa i bone bone yakho. Ukuva okanye ukuva ucofa kunye namacala omdolo wakho ubonisa i-meniscus eqhekekileyo.
Unyango
Ukunyangwa kwenkxwaleko ye-meniscal kuxhomekeke kwimibandela emininzi, kubandakanywa indawo yokulila, ubudala, kunye nomgangatho wakho womsebenzi. Ingxenye yesithathu ye-meniscus inegazi elingaphezulu kunezibini ezithathu zangaphakathi. Ingqungquthela engxenyeni yangaphandle, ininzi ye-meniscus ingaphilisa ngokwayo okanye iyakulungiswa ngokusebenzisa utyando lwe-arthroscopic . Ingqungquthela engxenyeni yangaphakathi, encinci ye-vascularized ye-meniscus ivame ukuhlanjululwa kuba iimazi zokulila kaninzi ayikwazi ukukhula ndawonye. Ukuvuselelwa ngokuqhelekileyo kulandelwa ixesha lokugqibela lokugungxulwa kwamadolo. Ukuba indlela yokuphulukisa ayinanto yokucoca, ukuphumla, icebo, ukunyanzelisa, kunye nokuphakama (RICE) kubalulekile.
I-Meniscal Tear If You Have Osteoarthritis
Ngokutsho kweklinikhi yaseMayo, kukho i-arthroscopy i-knee ehamba phambili engama-300,000 ngonyaka owenziwa eUnited States kwizigulane ezinezintlungu kunye ne-osteoarthritis kwindawo enye yegolo-kuba ukuba oogqirha bangakwazi ukulungisa iingxaki zombini kanye. Nangona i-arthroscopy ithathwa njengento ephumelelayo kwiinyembezi zodwa, ukuphumelela kwayo kwi-osteoarthritis ayicacile.
Akusaziwa ukuba i-arthroscopy iyasebenza ekuphatheni i- knee osteoarthritis .
Ucwaningo lwe-MeTeOR (i-Meniscal Tear ne-Osteoarthritis Research), lwaqhutyelwa ukuphonononga umphumo we-arthroscopy ngokubhekiselele kwonyango olungaphangeliyo kwiqela lezigulane ezingaphezu kwe-300 kunye neendoda ezingaphezu kwama-300 kunye neengcambu ze-knee osteoarthritis. Amaziko emathambo ama-7 ase-US abandakanyeka kwisifundo, esiye saxhaswa ngamaziko eZiko lezeMpilo. Yaphetha ukuba akukho mvelaphi ephawulekayo ekuphuculweni komsebenzi phakathi kwamaqela okugqirha kunye nonogqirha. Nangona kunjalo, okwesithathu kwezigulane ezazinyango lonyango kuphela zenziwa unyango zingangeenyanga ezintandathu.
Ngaba iinyembezi zeMeniscal Zizigulane eziPredispose Patients to Develop Osteoarthritis?
Uphando oluninzi luye lwagqiba ukuba i-meniscal tear can lead to knee osteoarthritis . Kwiphepha le-flip yaloo, i-knee osteoarthritis inokukhokelela ekukhaleni kweentlungu ngokuphazamiseka nokunciphisa (ukuguga) kwe-meniscus. Isilonda esingumnxeba esingasweleki esicatshulwa kwi-MRI sichaza i-osteoarthritis yokuqala. Ngaphandle kokutyhutyha ukukhutshwa kwezilonda ezinokukhubazeka, i-osteoarthritis isenokuqhubeka.
Ukuthengiswa kwamanye amazwe okubandakanyekayo kudibene ne-radiographic knee osteoarthritis (oko kukuthi, i-knee osteoarthritis ibonwe kwi-x-ray) kune- meniscectomy epheleleyo. Kukho ubungqina bokuthi umonakalo ongapheliyo owenziwe unyango luhlala luyingxaki ebalulekileyo ekuphuhliseni i-osteoarthritis.
Imithombo:
> Englund M, uGermazi A, uLohmander LS. I-Meniscus kwi-Knee Osteoarthritis. Iikliniki zeRheumatic Diseases zaseNyakatho Melika . 2009; 35 (3): 579-590. i-doi: 10.1016 / j.rdc.2009.08.004.
> Englund M, uGermazi A, uLohmander SL. Indima ye-Meniscus kwi-Knee Osteoarthritis: Isizathu okanye isiphumo? Iikliniki zeRadioologics zaseNyakatho Melika . 2009; 47 (4): 703-712. i-doi: 10.1016 / j.rcl.2009.03.003.
> Englund M, Guermazi A, Roemer FW, et al. Ukuqhawula iindlebe emadolweni ngaphandle kokuhlinzwa kunye nokuphuhliswa kwe-osteoarthritis phakathi kwabantu abadala kunye nabantu abadala: Uphononongo oluninzi lwe-osteoarthritis. Arthritis & Rheumatism . 2009; 60 (3): 831-839. i-doi: 10.1002 / ubugcisa.24383.
> Katz JN, et. al. Ugqirha ngokubhekiselele kwiThythrapi yePhysical Wear Meniscal Tear and Osteoarthritis. N Engl J Med 2013; 368: 1675-1684 Meyi 2, 2013 INGA: 10.1056 / NEJMoa1301408
> Iindlebe zeMeniscal. AAOS. https://orthoinfo.aaos.org/en/diseases-conditions/meniscus-tears.