Xa sele ufunyanwe ukuba neenkcenkceshe ze - meniscus , kufuneka kwenziwe isigqibo malunga nokunyangwa kwele ngxaki. Inyembezi ezininzi zeentlungu, ngokukodwa iinyembezi ezingapheliyo, zinokuphathwa ngoncedo. unyango olungasebenziyo lungabandakanya:
Nangona kunjalo, ezinye iinyembezi ze-meniscus zingafuna unyango.
Kutheni i-Meniscus Ukulungiswa Kungadingeka
Udokotela wakho ogqirha unokunikezela ukulungiswa kwe-meniscus njengendlela yokwenza unyango olwenziwe ngonyango okanye eyonakele. Kwiminyaka edlulileyo, ukuba isigulane sasiqwengile i-cartilage, kwaye ukuhlinzwa kwakufuneka, yonke i-meniscus yasuswa. Ezi gulane zenza kakuhle emva kokuhlinzwa. Ingxaki yayikukuba emva kwexesha, i-cartilage ekupheleni kwethambo yayiphelile ngokukhawuleza. Oku kucatshangelwa kukuba ngenxa yokulahlekelwa yintambo yokunyusa kunye nokuzinyelwa kwe-knee joint ebonakala emva kokuba i-meniscus isuswe.
Xa utyando lwe-arthroscopic lwaba luninzi, abagqirha abaninzi baphatha ukukhishwa kwe-meniscus kwinqanaba elithile-lugqithiselwa i-meniscectomy ekhethekileyo. I-meniscectomy encinci yenziwa ukuba isuse kuphela isigaba esiqhekekileyo se-meniscus. Oku kusebenza kakuhle ngexesha elifutshane, kunye nexesha elide ukuba i-meniscus isalula. Kodwa ngenxa yezinye iinyembezi ezinkulu zezinyembezi, inxalenye eyaneleyo ye-meniscus isuswa njengoko iingxaki zinokuphinda zinyuka phantsi kwendlela.
Ubani Abafuna Ukulungisa?
Iinyembezi ze-meniscus ezibangela ukuba kuthiwa "iimpawu zomatshini" zivame ukuphendula ngokugqithiseleyo unyango. Isibonakaliso somatshini sibangelwa yi-meniscus ngokunyanzelisa umzimba ngokuqhelekileyo. Iimpawu "eziqhelekileyo" ziquka:
- Ukulitshilwa kwamadolo (akakwazi ukugoba)
- Ukungakwazi ukuguqula ngokupheleleyo amadolo
- Ukuphuma okanye ukucofa isandi okanye uvakalelo
Kulo gumbi lokusebenza, ugqirha unecandelo elibini lokukhetha, ukususa i-meniscus (i-meniscectomy eyingxenye) okanye ukwenza ukulungiswa kwe-meniscus ukubeka imida kunye ne-sutures okanye i-tacks.
Ngaba i-Meniscus Ilungiselela ngcono?
I-meniscus yintsimbi yesetyhula kunye negazi layo elivela ngaphandle. Ukuze i-meniscus isilungise ukuphilisa, iinyembezi mazibe kufuphi nale mpu yangaphandle kwindawo yokunikezelwa kwegazi elifanelekileyo (izondlo ezisuka kwimida yegazi ziyimfuneko yokuphulukisa) - oku kubizwa kuthiwa obomvu (iisetyhula) engezona isetyhula) kwingingqi ye-meniscus.
Iinyembezi kwingxenye ephambili ye-meniscus ayiyi kuphulukisa nangona ukulungiswa kwe-meniscus kwenziwa. Le nxalenye ye-meniscus ayinayo igazi. Xa ukhangele le ngxenyeni engeyona ingxube ye-meniscus, ibonakala imhlophe, kwaye ngoko iinyembezi kule ndawo ye-meniscus ayilungiswa. Ezi iinyembezi ziphakathi kwendawo emhlophe emhlophe apho kungekho mali enikezelwayo kwinqanaba lokulila kwi-meniscus. Iinyembezi eziphambili ziya kususwa ngugqirha wakho. Nangona kunjalo, izifundo zibonakala zibonisa ukuba ukulungiswa kwe-meniscus kunokwenzeka, umphumo wexesha elide ungcono kwisigulane ngenxa yokunciphisa umngcipheko we-arthritis kamva ebomini.
Ukwenza Utyando
Iinkqubo zokulungisa i-meniscus ziquka ukusebenzisa i-arthroscopically packed tacks okanye i-suturing edges. Zombini iinkqubo zisebenza ngokuvuna iindawo ezidwenguliweyo ze-meniscus ukuze zivumele ukuba ziphilise kwindawo yazo kwaye zingabanjwanga emadolweni ezibangela iimpawu ezichazwe ngasentla.
Ukuphumelela kokulungiswa kwe-meniscus kuninzi kuncike kwizinto ezimbini. Okokuqala, ukuba ukulungiswa kwe-meniscus kuzama ukukrazula kwingxenyana ephambili ye-cartilage (apho ukunikezelwa kwegazi kuhlwempuzekileyo), mhlawumbi kungaphumeleli. Okwesibini, izigulane kufuneka zihambisane nokuvuselelwa emva kokusebenza emva kokulungiswa kwe-meniscus.
Ukuba ukulungiswa kwe-meniscus kwehluleka (oko kukuthi i-meniscus elungisweyo ayiphilisi), eyenzekayo ukuya kwi-20 ukuya kwi-40% yexesha, ukuhlinzwa okwesibini kunokuba kuyimfuneko ukususa i-meniscus.
Rehab Emva Ukulungiswa
I-Rehab emva kokuhlinzwa ngokugqithisa kwe-meniscus kukhulu kunokuba i-rehab emva kwe-meniscectomy eyingxenye (ukuhlinzwa ukuze kususwe i-meniscus tear). Ngenxa yokuba kufuneka uvumele i-meniscus ehlanjulweyo ukuba iphilise, imisebenzi ethile kufuneka ikhutshelwe ukuba ikhuphe uxinzelelo olunzulu kwi-meniscus yokuphulukisa.
Ngokukodwa, i-flexion deep (bending) yamadolo kufuneka igwenywe njengoko le ntshukumo iyaziwa ukubeka uxinzelelo oluphezulu kwi-meniscus elungiswe. Ngenxa yesi sizathu, uninzi lwezigulane ezithotyelwa ngophenyo lwe-meniscus zifakwe kwi-brace iinyanga eziliqela zilandela inkqubo yazo.
Imithombo:
I-Cible C, ne-al. "I-Meniscal Repair" J Am Acad Orthop Surg u-Apreli 2013 vol. 21 no. 4 204-213