Uye wavelisa ubuhlungu emadolweni , kwaye unzima ukuhamba nokunyuka izitebhisi ngaphandle kwentlungu. Utyelele ugqirha wakho, kwaye kwenziwe i-MRI ebonisa ukuba idolo le-meniscus lilila . Uphando luyacetyiswa. Kubonakala kunengqiqo, kodwa ngaba kuyimfuneko ngempela?
Uphando olutshanje lubonisa ukuba uphando lwezonyango luyakwazi ukuvelisa umphumo ofanayo kunye nokuhlinzwa okwenziwe nge-meniscus ephukileyo emadolweni.
I-Meniscus
I-meniscus-okanye i-meniscii xa uthetha ngabo ngobuninzi-isakhiwo esincinci se-knetilaginous emadolweni. Unamabini emadolweni onke, omnye kumbindi ongaphakathi kunye nomnye ongaphandle. Le meniscii yenza njengendlela yokutshitshiswa kwamancinci emadolweni; bayanceda ukufumana impembelelo ngokudityaniswa kwedolo. I-meniscus inceda kwakhona ukuvumela idolo lakho lidibanise kwaye lilayishe ngokufanelekileyo njengoko ligoba.
Ngamanye amaxesha ukuxhuma kunye nokufika endaweni ephazamisayo okanye ukuguqa phezu kwedolo lakho unyawo olutshalwa phantsi luyakucasula i-meniscus yakho. I-meniscus inokutshabalaliswa okanye idwengulwe. Ngamanye amaxesha, ukugqoka kunye nokugqabhuka kwiimeko eziphazamisayo ezifana ne-arthritis kunokubangela ukuba i-meniscus igubude emadolweni. Xa oko kwenzeka, intlungu emadolweni inokuphumela. Ukudibana kwamadolo kungaphinda kuvuvuke, kwaye inokubamba okanye ikhuse xa ihamba kwiindawo ezithile. Oku kungabangela ukulahleka okukhulu kokuhamba.
Izibonakaliso ze-meniscus eziqabileyo emadolweni zingabandakanya:
- Iintlungu zesisu
- Ukuvuvukala kwe-Knee
- Ukulitshitshilwa kwamadolo akho
- Ukulahleka kweendonga zesondo (iROM)
- Amandla amancinci kwii- quadriceps zakho okanye i- hamstrings kunye nezihlunu ezijikelezayo
- Unzima ukuphakama ukuhlala, ukuhamba nokugijima, okanye ukunyuka nokuhla kwamanyathelo
Ukuba unayo nayiphi na le mpawu, jonga ngogqirha wakho ngokukhawuleza. Ugqirha wakho unokuyalela iimvavanyo ezikhethekileyo ngamadolo akho, kwaye unokuncoma ukuba ubone umphathiswa wezinto eziphathekayo kwi-meniscus yakho eqhekekileyo.
Ulwaphulo lweMpilo kunye ne-Menorn
Ukuba unododa oluqhekekileyo, ugqirha wakho unokukuthumela kwipilisi yonyango. Ungakwazi kwakhona ukubona i- PT ngokufikelela ngqo ngaphandle kokugqithiswa kwegqirha. Amava akho okwelapha okwenyama kufuneka abe ngumntu ngamnye kwiimfuno zakho ezithile, nangona kukho iinjongo eziqhelekileyo xa uhlaziya i-meniscus.
Iinjongo zonyango lomzimba lwe-meniscus eliqhekekileyo ziquka:
- Ukuphucula iROM ngamadolo
- Ukuphucula amandla akho emisipha emadolweni
- Ukunciphisa ukuguqa kwamadolo
- Ukunciphisa ubuhlungu emadolweni
- Ukuphucula ukuhamba kakuhle kwamadolo akho kunye nomgca osezantsi
- Funda izicwangciso zokuthintela iingxaki zamadolo ezizayo
Ngaba wonke umntu onesihlunu esiyidliwayo uyadinga ukuhlinzwa?
Nantsi into ehlekisayo malunga neentambo ze-meniscus emadolweni akho: abantu abaninzi banabo kwaye abanalo buhlungu . Uphando lubonisa ukuba abaninzi abantu abangenawo ubuhlungu beendolo kwaye akukho ukulahleka okusebenzayo emadolweni abo banomsoco wokuqhawula imifanekiso ye-MRI. Ngaba ezi zi gulane zidinga ukuhlinzwa? Mhlawumbi akunjalo. Ugqirha wakho akayi kuthi, okanye akafanelekanga, enze utyando kwisigulane esingenakho ukulahleka komsebenzi, akukho ntlungu, kwaye akukho kupholelwa kwamandla okanye ukunyakaza.
Imifanekiso kwi-MRI ingaba nzima ukubona, kwaye ngamanye amaxesha le mifanekiso ayiboni ibali elipheleleyo. Ngokuqinisekileyo, iziphumo ze-MRI zingaba luncedo ekukhokeleni izigqibo zakho emva kokulimala kwamadolo, kodwa i-MRI kufuneka ibe yinto enye encinci yokhathalelo lwakho. Uvavanyo lwakho lwekliniki kunye neentlungu zakho kunye neendondo kunye nomsebenzi nazo ziyimpawu eziyimfuneko ukuba ziqwalaselwe xa ukhetha ukuhlinzwa okanye kungenayo i-meniscus yakho.
Ukuba unomntu oqhekekileyo, udolo lwakho alukwazi ukuhamba ngokufanelekileyo, kwaye lungaba buhlungu kwaye luvuvuke. Kodwa ezi zimpawu zingaphantsi kwexesha, kwaye zingaphumelela ngekhosi yonyango.
Uphando: Ulwaphulo lweMpilo Vs. Uphando lwe-Meniscus ehlulwe
Ingaba utyando luyadingeka ngokwenene kwi-meniscus eqhekekileyo emadolweni? Mhlawumbi hayi, kwaye yile nto: uphando lubonisa ukuba umphumo wexesha elide lotyando ngokubhekiselele kwonyango lomzimba lwe-meniscus izinyembezi unakho ukuvelisa umphumo ofanayo kwezinye izigulane.
Uphando olupapashwe kwi-New England Journal of Medicine luhlolisise umphumo wenkqubo yokwelapha ngokwenyama kunye nokuhlinzwa kunye ne-post-operative PT kubantu abane- knee osteoarthritis (OA) kunye ne-meniscus. Isi sifundo sasiquka izigulane ezingama-351 ngeedolo ze-OA kunye ne-meniscus. Isigulane ngasinye sasikhethwe ngokukhethiweyo ukuba senziwe ngugqirha lwe-meniscus lwamadolo lulandelwe ngu-rehab okanye ukuba luye kwiyeza lonyango ngaphandle kokuhlinzwa. Utyando olwenziweyo lwaluyi-meniscectomy ye-knee, inqubo eqhelekileyo yokuhlinzwa eyenziwa ukulungisa i-meniscus eqhekekileyo.
Izigulane zavunyelwa ukuba ziwele kwiqela ngalinye; abo baseqenjini lotyando banokukhetha ukuba bangenalo utyando, kwaye abo beqela le-PT kuphela banokukhethwa ukuba baguqule ngamadolo ukuba bacebisa ngugqirha wabo.
Iziphumo eziphambili zeziphumo zafunyanwa kwi-Western Ontario naseMcMasters University i-Osteoarthritis Index (WOMAC), uvavanyo lomsebenzi wamadolo. Amanqaku aphakamileyo kwi-WOMAC alingana neempawu zamagciwane ezinzima. Amanqaku atholakala ekuqaleni kwesi sifundo kwaye emva kwe-3, 6 kunye neenyanga ezili-12. Oku kwenziwa ukwenzela ukufumana ulwazi lwexesha elide malunga nomsebenzi wegolo.
Iziphumo zovavanyo zibonisa ukuba akukho mvelaphi ephawulekayo kwimisebenzi yedolo emva kweenyanga ezili-6 emva kokungena kwi-group or surgery group. Ukufa omnye kwenzeka kwiqela ngalinye-esinye isigulane kwisigqeba sokugqitywa sasine-pulmonary embolism eyayibulala, kwaye isigulane esithile kwiqela le-PT lalinesihlungu esibulalayo.
Kufuneka kuphawulwe ukuba iipesenti ezingama-30 zezigulane ezabelwe kuqala kwiqela elonyango lonyango liwela kwiqela lokuhlinzwa, ngelixa iipesenti ezi-5 zalabo abacwangciselwe ukuhlinzwa ziye zagqiba ukunyuka kwiqela leyeza. Oku kuyahambelana nokuqhubeka kwendalo-ukuba uqala unyango lomzimba lwe-meniscus eliqhekekileyo kunye neentlungu zakho ezidololayo ziyaqhubeka, unako ukukhethwa ukuba utyunjwe. Kuye indlela enye, kodwa; awukwazi ukuguqula ukuguqulwa kwamadolo xa sele kwenziwe.
Ngaphantsi: uphando lubonisa ukuba unokufumana isiphumo esihle ngonyango lomzimba we-meniscus eliqhekekileyo, kwaye unyango luyakunceda xa lufunekayo.
Sebenzisana ne-PT yakho kunye noDokotela ukuba wenze ukhetho olulungileyo kwizondo zakho
Uyazi njani ukuba ufuna ukuhlinzwa ngendoda yakho ehlanjulweyo okanye ukuba uya kuxhamla kwiyeza? Ingaba isisigqibo esinzima sokwenza, ngoko ke ukuba unamahlombe emadolweni esuka kwi-OA kunye ne-meniscus eqhekekileyo, sebenze ngokusondeleyo kunye nogqirha wakho ukuba wenze isigqibo esona sigqibo sokuba ingaba utyando. Kunokukunceda ukuqonda ukuba abaninzi abantu abanezinyembezi ze-meniscus baneempembelelo eziphumelelayo zokuphepha ukuhlinzwa kunye nokusebenza nomgulana womzimba. Ukuba izinto azihambelani ngokufanelekileyo ngonyango, unako ukhetha ukhetho lokuguqulwa ngamadolo ukuba lunconywe ngugqirha wakho.
Uyazi njani ukuba lixesha lokuyeka unyango lomzimba kwaye ucinge ukuhlinzwa? Kukho impawu kunye neempawu ezingabonisa isidingo sokuhlinzwa, kubandakanywa:
- Ukubuhlungu kweendolo eziqhubekayo ezihlala emva kweiveki ezi-3 ukuya kwi-4 ze-rehab
- Ukulahleka kokuhamba kwamadolo okungabuyiswanga kunye ne-PT
- Unzima ukuhamba, ukunyuka ukuhlala, okanye ukunyuka kwezitebhisi
- Ukuguqa kwamadolo okuqhubekayo
Indlela efanelekileyo yokukwazi ukuba ufuna ukuhlinzwa ngukusebenza ngokusondeleyo kunye nodokotela wakho ogqirha kunye nomzimba wakho wegciwane.
Iintlungu ze-Kne ngenxa ye-OA kunye ne-meniscus izinyembezi kunokunciphisa amandla akho okwenza umsebenzi wakho wemihla ngemihla kunye nemisebenzi yokuzonwabisa. Ukuba unamahlombe emadolweni ukusuka kwintsizi ye-meniscus, ugqirha wakho unokuncoma ukuba ubone udokotela ogqirha kwiimeko zakho, okanye unokukubhekisela kwisifo somzimba. Uphando lubonisa ukuba ungaphinda uhlawule ngokuqhelekileyo, ukungazinzi iintlungu kunye neyonyango kunye nangaphandle kwemfuneko yokuhlinzwa. Ukuba i-PT ayiphumelelanga ekukuncedeni ukuba uphinde ufumane, unokuhlala ukhetha ukulandela umendo oguqayo wamadolo.
Ulwaphulo lwangokwenyama kufuneka lube lukhetho lokuqala xa ulawula intlungu kunye nokunciphisa okusebenzayo okunokuthi kufike ngamadolo. Ingcali yakho inokukunceda ukuba uphinde ukhuthaze kwaye uyancedisa ukubuyela kwinqanaba lakho langaphambili lomsebenzi.
> Umthombo:
> Katz, JN, et al. Ugqirha ngokubhekiselele kwiThythrapi yePhysical Wear Meniscal Tear and Osteoarthritis. N Engl J Med, 2013; 368: 1675-84.