I-Meniscus iinyembezi ziyinto ebangela ukuba intlungu igule kwaye abantu abaninzi baphela ukuhlinzwa okwenziwa ngamathambo e-arthroscopic. Kodwa ngaba utyando luhlala lufunekayo? Ngaba zonke iindlebe ze-meniscus ziphathwa ngokufanayo?
Ngokwenza oko, kukho izinto ezahlukeneyo ezisetyenziselwa ukufumana unyango olungcono lwe-meniscus . Ezinye zezi zinto ziquka iminyaka yesigulane, iziphumo zonyango olungenasiphelo, kunye nokuba kukho omnye umonakalo kunokuba nje i-meniscus eqhekekileyo.
Ukongezelela, uhlobo oluthile lwe-meniscus tear can determine therapy. Ukuchazwa apha ziintandathu eziqhelekileyo zeentlobo zezinyembezi ze-meniscus.
- Intrasubstance / Incomplete Tear: I-tear-stance tear is a common find on a MRI report. Kubonakala kwinqona eliphezulu elingasekhohlo lomfanekiso, iinyembezi zengqumbo zibukeka ziqhelekileyo ngexesha lotyando. Ngokuqhelekileyo ezi zibonakaliso lweenguqu zokuguqulwa kokuqala kwee-meniscus tissue, kodwa ngokuqhelekileyo zibonakalisa ingxaki. Iinyembezi ezingapheliyo kunye neentrasubstance ze-meniscus zinokulimala ngokuzinzileyo, kwaye ngokubanzi azifunanga unyango oluphandwayo. Ngethuba ixesha abantu base-20s okanye 30s, utshintsho lwe-intrasubstances lwee-meniscus tissue lubonakala ngokuqhelekileyo kwi-MRI.
- Inyembezi yomsindo: Iinyembezi ezininzi ze-meniscus, ezifanekisiwe phakathi komgca ophezulu emfanekisweni, zihlobo oluqhelekileyo lwe-meniscus. Ezi iinyembezi ziphakathi kwendawo ye-avascular ye-meniscus, apho kungekho mali enikezelwa khona, ngoko ke akukho ncinane amandla okulalisa iinyembezi. Ngoko ke, xa iinyembezi zifika ekufuneni ukwelashwa, ngokuqhelekileyo ukhetho olulodwa lukunqumla isahlulo esonakalisiweyo se-meniscus .
- Iinyembezi ezimileyo: Iinyembezi ezingapheliyo ziintlungu eziqhelekileyo ezinokuthi zilungele ukulungiswa kwamadoda . Kubonakala kwinqona eliphezulu lasekunene lomfanekiso, iinyembezi ezinqamlezayo zihamba kunye nemibhobho ejikelezayo ye-meniscus. Esikhundleni sokususa isahluko esonakalisiweyo se-meniscus, iinyembezi ezingapheliyo ziyakwazi ukudibaniswa ndawonye. Isiphambili sokwenza unyango lwezinyembezi yindawo yabo. Ukuba kusekho kwingxande ye-vascular ye-meniscus (kufuphi nomda wangaphandle) koko kukho ukuphulukiswa kwamandla, kwaye ngoko ke ukulungisa. Xa zifumaneka ngaphezulu, iinyembezi aziyi kuphulukisa, nokuba zilungiswe.
- I-Flap Tear: I-flap ikhwebu ye-meniscus, eboniswe kwicala elingasese lekhohlo lomfanekiso, ngumzekelo ongaqhelekanga wokulila. Kwiimeko apho i-flap ibangela iimpawu zokubamba emadolweni, ngokuqhelekileyo i-flap ye-meniscus ingasuswa kuphela ngaphandle kokususa izicubu ezininzi.
- Ukuqhaqhaqhazela: Iintlungu ezinzima zibonisa ukuba kukho inhlanganisela yeendlela zokulila. Kuboniswe kumfanekiso ophakathi emgqeni ongaphantsi, iinyembezi ezinzima zidla ngokubandakanya iipateni zentsimbi kunye neengqumbo. Iinyembezi eziqhelekileyo aziphathwa nge-meniscus ukulungiswa ngenxa yobunzima bokulila. Kwezinye iimeko ezingavamile, ezinye ze-meniscus eziqhekekileyo zingasuswa, kanti ezinye iindawo zingalungiswa.
- Ukunyuka kwe-Bucket-Handle Ukukhawula : Ukubamba kwebhakethi yinto eninzi yokwaphula kwe-meniscus. Ezi nyembezi zisoloko zenza ukuba idolo lixhamle ngokubangela isahluko esiqhekekileyo se-meniscus ukuvimba ukuhamba kweendondo eziqhelekileyo. Iinyembezi zokubamba ibhakede zifuna ukuba unyango olungxamisekileyo ukuze uvumele idolo liqale ukuguqa kwakhona.
Indawo yeNyembezi
Ukongezelela ekuchazeni uhlobo lwenkqenkqenkqeza, i-MRI ezininzi kunye neengxelo zovavanyo zichaza indawo yokulila. Izinyembezi zangaphondo zincinci ziqhelekileyo kwaye zikhona phambi kwe-meniscus.
Iinyembezi zephondo zangasemva zixhaphake kakhulu kwaye zifumaneka emva kwe-meniscus. Iinyembezi eziphambili zifumaneka kwicala langaphakathi le-meniscus. Le nxalenye ye-meniscus ngaphandle kokunikezelwa kwegazi kunye negazi kwaye ngenxa yoko ayikwazi ukulungiswa. Iinyembezi zepheripher zifumaneka ngaphezu kwe-meniscus, kwaye ezi ziintlobo zezinyembezi ezinokuthi zilungiswe ngamanye amaxesha.
Umthombo:
Greis PE, et al. "I-Meniscal Injury: II." Ulawulo "J. Am. Acad. IOrn. Ugqirha, ngoMeyi / Juni 2002; 10: 177 - 187.