Ukuqothula iKartilage kwi-Knee
I-meniscus eqhekekileyo ingenzeka ngenxa yokulimala okanye inkqubo yokuguga njengokuba uguga. I-meniscus yinto enokuthi i-cartilage emadolweni akho. I-meniscus ihlala phakathi kweengxube zomzimba zethambo ukusabalalisa ubunzima kunye nokuphucula ukuzinza kokubambisana. Oku kubalulekile njengoko udibaniso lwamadolo lisetyenziswe kwimisebenzi emininzi. Funda into eyenzekayo xa ukhankanya i-meniscus yakho nendlela ezilawuleka ngayo.
Sibanzi
Ibhokisi elihlangene lenziwe ngamathambo amathathu: i-femur (ithambo lesithambo), i-tibia (ithambo lesithambo) kunye ne patella (i-cap cap). Imihlaba yale mathambo ngaphakathi kwendibano ihlanganiswe ngoluhlu lwe-cartilage. Lo mgangatho obalulekileyo uvumela amathambo ukuba ahlasele ngokuthe ngqo ngaphandle kokudala umonakalo kwithambo. Kukho amadoda amabili emadolweni; ngamnye uhlala phakathi kwe-femur ne-tibia. I-meniscus ephakathi yecala lakho langaphakathi lamadolo kunye ne-meniscus yangasemva yecala lakho.
I-meniscus yenziwe nge-cartilage enobuhlungu kwaye iyahambelana neendawo ezihlala kuzo. Imisebenzi ye-meniscus ukusabalalisa umzimba wakho emadolweni. Ngaphandle kwe-meniscus yangoku, ubunzima bomzimba wakho buya kufakwa ngokungahambisani namathambo kwimilenze yakho (i-femur ne-tibia). Ukusabalalisa ubukhulu obungalinganiyo kunokubangela amandla amaninzi kwiindawo ezithile zethambo ezikhokelela kwisifo samathambo esasemva kwexolo .
Ngoko ke, umsebenzi we-meniscus ubaluleke kakhulu kwimpilo yakho.
I-meniscus ifakwe ngu-C kwaye ineprofayile edibeneyo. Iphrofayili edibeneyo inceda ukugcina uzinzo lwentsebenziswano ngokugcina umgangatho wesimo se-femur ukususela kwindawo ehamba ngayo. I-meniscus inondliwa yimilambo encinci yegazi, kodwa i-meniscus inendawo enkulu kwindawo leyo engenalo igazi ngqo (avascular).
Oku kubangela ingxaki xa kukho ukulimala kumadoda e-meniscus njengoko iindawo ze-avascular zithenga ukuphilisa. Ngaphandle kwezondlo ezibalulekileyo ezinikezwa yimivenge yegazi, ukuphiliswa kwe-meniscus akunakwenzeka.
Iintlobo
Izimbini ezibini eziqhelekileyo zokubamba i-meniscus zibangelwa ukulimala okubuhlungu (okudla ngokubonakalayo kumathamli) kunye neenkqubo ezichithwayo (kubonwa kwizigulane ezithe zadala zine-cartilage).
Akuqhelekanga ukuba i-meniscus ikhalezi kunye neyomnye umonakalo ngaphakathi kwamadolo. Ukulimala ngokuqhelekileyo kuvela kwizakhiwo kuquka i- anterior cruciate ligament (ACL) kunye ne -collateral ligament (MCL). Xa zonke ezi zintathu zenzakala ndawonye, ziyaziwa njengeyintathu engonwabileyo , umzekelo wokulimala obonwayo kwimidlalo enjengebhola lebhola xa umdlali ehlaselwa ngaphandle kwamadolo.
I-Meniscus Inyembezi okanye Inyembezi yeKartilage?
Bobabini isifuba sethambo ngaphakathi kunye kunye ne-meniscus zenziwe nge-cartilage. Nangona kunjalo, ziintlobo ezahlukeneyo ze-cartilage. Abantu badla ngokuthi i-cartilage ithetha ukuba i-meniscus (i-wedges of cartilage phakathi kwethambo) okanye ithetha indawo edibeneyo (okubizwa ngokuba yi-articular cartilage eyenza iziphelo zethambo).
Xa abantu bethetha ngeengqumbo zentabana, ngokuqhelekileyo bathetha nge- meniscus .
Xa abantu bethetha nge-arthritis kunye ne-cartilage egugile, bathetha ngokuqhelekileyo malunga neengqungquthela ze-articular kwi-ends of bone.
Iimpawu
Abantu abafumana i-meniscus izinyembezi bavame ukuva ubuhlungu kunye nokuvuvukala njengempawu zabo eziphambili. Esinye isikhalazo esiqhelekileyo sivalelwa ngokukhawuleza , okanye ukungakwazi ukulungelelanisa ngokupheleleyo. Oku kubangelwa i-cartilage ekhuniweyo ekukhuseleni ukunyakaza okuqhelekileyo kwamadolo.
Iimpawu eziqhelekileyo zeziqhwaba ze-meniscus zi:
- Iintlungu zesisu
- Ukuvuvukala kwamadolo
- Ukunyamezela xa ucinezela kwi-meniscus
- Popping okanye ukucofa phakathi kweedolo
- Ukunyanzeliswa okukodwa kwamadolo
Ukuxilongwa
Nasiphi na isigulane esineentlungu ezidoloya siya kuhlolisiswa ngenjongo yokuqhekeka kwamadoda. Imbali eqwalaselekileyo kunye nokuhlolwa komzimba kunokunceda ukuhlula izigulane ezinezintlu zezidumbu ezigulini ezinamahlombe emadolo kwezinye iimeko. Uvavanyo oluthile lunokwenziwa ngugqirha wakho ukufumana iindlebe ze-meniscus.
I-ray-ray kunye nee- MRIs ziimvavanyo ezimbini eziqhelekileyo ezisetyenziswa kwizigulane ezinezinyembezi zamadoda. I-X-ray ingasetyenziselwa ukuchonga ukuba kukho ubungqina be-arthritis emadolweni. I-MRI iluncedo ukubona ngokwenene i-meniscus eqhekekileyo. Nangona kunjalo, ukubona nje i-meniscus ehluthiweyo kwi-MRI ayithethi ukuba unyango oluthile lufunekayo. Ukunyangwa kwamayembezi e-meniscus kuxhomekeke kwizinto eziliqela, kungekhona zonke iindlebe ze-meniscus zidinga ukuhlinzwa.
Unyango
Unyango lwe-meniscus izinyembezi kuxhomekeke kwizinto eziliqela eziquka uhlobo lokulila, izinga lomsebenzi wesigulane, kunye nempendulo kumanyathelo oonyango olulula. Xa unyango lwe-meniscus lugqirha lugqityiweyo, unyango oluqhelekileyo lukunciphisa isahluko esinqabileyo se-meniscus , inkqubo ebizwa ngokuba yi-meniscectomy. Ukulungiswa kweMeniscus kunye nokutshintshwa kwamadoda kunye nokukhethwa kwonyango. Ukuchonga unyango olugqithiseleyo lwe-meniscus yinto enokuxoxa ngayo nodokotela wakho.
Umthombo:
> Maher SA, uRodeo SA, iWarren RF. I-Meniscus. J Am Acad Orthop Surgery. 2017 Jan; 25 (1): e18-e19.