Ingaba ukukhetha indawo ye-meniscus yinto enhle kuwe
Ukuba unoluhlobo oluthile lweentlungu zokuguqa kwaye uhlangabezane neendlela ezifanelekileyo, ukufakelwa kwe-meniscus kunokukhethwa nguwe. Ukufakelwa kwe-Meniscus kubandakanya ukubeka i-cartilage kwi-cadaver umnikezeli kwisigulane.
Kutheni i-Meniscus Ukususwa kuGqirha lokugqibela
I-meniscus isakhiwo esiyinkimbinkimbi esinika ukukhupha nokuzinza emadolweni. Ngaphandle kwe-meniscus ekhoyo, unako ukuhlakulela utshintsho olukhawulezayo oluya kuguqa ngamadolo.
Njengoko le nto yenzeka, i- cartilage esele ihlanganisa iziphelo zethambo, ebizwa ngokuba yi-cartilage ye-articular, igugile, kwaye ithambo libonakala.
Ngenxa yalesi sizathu, oogqirha bamazinyo bazama ukulondoloza i-meniscus xa betyhola i- meniscus eqhekekileyo . Ngexesha lotyando, kuphela isahluko esonakalisiwe se-meniscus isuswe, okanye ugqirha wakho uza kwenza ukulungiswa kwamadoda xa kunokwenzeka. Ngelishwa, nangona uphumelele kwi-arthroscopy, akusiyo yonke i-meniscus izinyembezi ezikwazi ukulungiswa. Kwezinye iimeko, ukwenzela ukuba uphathise kakuhle i-meniscus eyonakalisiwe, yonke i-meniscus kufuneka isuswe.
Iingxaki emva kweMeniscus Ukususwa
Xa i-meniscus isuswe, ushiywe ngaphandle kwenqwaba yomtya. Ekuqaleni, oku akuthethi ukuba yingxaki. Kodwa ekuhambeni kwexesha, intlungu ihlala ikhula apho i-meniscus isuswe khona, kwaye unokuqhubeka nokuhlakulela i-arthritis ekhawulezileyo kuloo nxalenye yexolo.
Injongo yento yokutshintshwa kwe-meniscus kukubuyisela ukuxhaswa ngokuqhelekileyo kunye nokunyanzelisa i-meniscus ukwenzela ukuba intlungu iya kuncitshiswa.
Nangona kunjalo, nangona kunceda ekunciphiseni ubuhlungu, uphando lubonisa ukuba ukuhamba kwe-meniscus akuyithinteli okanye kuthintele i-osteoarthritis emadolweni kunye nokuhlinzwa okungakumbi kunye / okanye i-knee prosthesis kuya kufuneka ukuba ekugqibeleni ifuneka.
Xa ukutshintshwa kuyindlela
Umviwa ofanelekileyo wokutshintshwa kwe-meniscus ngumntu osele wayesebenzela i-meniscus yakhe kodwa emva koko uqala ukuphucula ubuhlungu bamadolo; usemncinci kwaye unomsebenzi wokuqwalaselwa ngokubambisana , kodwa ke zonke ezinye iindlela zonyango ezifana neyeza- anti-inflammatory , unyango lomzimba , i-Synvisc, i-cortisone, kunye ne- supplementary joint , nje kuphela abakwenzi ukukhohlisa intlungu.
Ungumgqatswa omhle wokufakelwa kwe-meniscus ukuba oku kulandelayo kusebenza kuwe:
- Uneminyaka engama-55 ubudala
- Uye wafumana i-meniscectomy yangaphambili (ukususwa kwe-meniscus) kwaye akukho okanye ngaphantsi kwesiqingatha se-meniscus yakho
- Unomonakalo oqhelekileyo okanye olinganiselwe kwi-carticlage ye-articular (i-bone lining) yomxube
- Unentlungu okanye ukungazinzi emadolweni
- Izimpawu zakho zihambelana nokungabikho kwe-meniscus
- Ulungele ukubuyiswa kanzima
Xa ukutshintshwa akuyiyo Inketho
Izigulane ezininzi ziye zafumana i-meniscectomy yangaphambili (ukuhlinzwa kwabasebenzi be- meniscus ) kwaye ezininzi zezi gulane zinengxaki eziqhubekayo ezinxulumene nokususwa kwe-meniscus. Uninzi lwabantu ababa zizibonakaliso ngenxa yokungabikho kwe-meniscus sele benomonakalo kwi-cartilage ehlala emadolweni. Izigulane ezinokuguqulwa okukhawulezileyo kwinguqu emadolweni abo abaxhamli abalungileyo kwi-meniscus ukutyunjwa kokutshala. Ezinye izizathu ezenza ukuba ukufakelwa kwe-meniscus kungayi kusebenza kuwe kubandakanya:
- Usenayo inxalenye ebalulekileyo ye-meniscus eseleyo (le nkqubo kuphela yezigulane ezinezikhulu ezidityaniswe ne-meniscus)
- Unenguqu yokuguqulwa komzimba ngaphakathi kokubambisana (i -arthritis yokuqala )
- Unokungazinzi okanye ukulungiswa kwamadolo
- Uphelile
- Awunqweneli ukwenza ulungiso olude oluvela kumsebenzi wokuguqulwa kwamadoda
- Unelindelo elingenangqiqo
Ukulindela okungenangqiqo kwe-Meniscus Transplant
Ukuqhubeka ukuchaza eli nqaku lokugqibela: Ezinye izigulane zifuna izisombululo abagqirha abakwazi ukuzenza. Injongo yesifo sokuguqulwa kwe-meniscus kukunciphisa intlungu ehambelana nemisebenzi eqhelekileyo. Injongo ayikukunika "idolo" eliqhelekileyo, kodwa kunokuba lenze ngcono. Kungenzeka ukuba ungeke ukwazi ukuhlaziya i-athletics yokuncintisana naphezu kokupakishwa kwe-meniscus. Ukuba ulindele ngaphezu kokunciphisa intlungu, unokufuna ukujonga ezinye iinketho njengoko unokuba udaniwe kwimiphumo yokufakelwa kwe-meniscus.
Imithombo:
Medline Plus. Meniscal Allograft Transplantation. ILayibrari yeSizwe ka-US yamayeza. Ukuhlaziywa kwe-Apreli 18, 2017.
Ukuguqulwa kweeMeniscal Transplant. Johns Hopkins Medicine.
> Van Der Straeten C, Byttebier P, Eeckhoudt A, UVictor J. Meniscal Allograft Ukutshintshwa akuthinteli okanye ukuyeka ukunyuka kwe-Knee Osteoarthritis. Zhao C, ed. PLoS ONE . 2016; 11 (5): e0156183. i-doi: 10.1371 / iphephandaba.pone.0156183.