I-meniscus wuhlobo lwe-cartilage emadolweni . Emadolweni ngalinye, kunamadoda amabili, enye engxenyeni yangaphakathi yamadolo (i-meniscus yangaphakathi), kanti enye engxenyeni yangaphandle yamadolo (i-menalus lateral). Imisebenzi ye-meniscus ukusiza ukusabalalisa amandla kuwo wonke ama-joint futhi kubalulekile ekukhuliseni nasekuvikeleni i-cartilage yamadolo. Noma kunjalo, abantu abaningi abakaze bazi ukuthi bane-meniscus.
Kuze kube yilapho belimaza i-meniscus yabo. I-Meniscus izinyembezi zilimaza ngokuvamile emadolweni futhi zibangela ubuhlungu, ukuvuvukala nokuhamba okulinganiselwe. Enye yezinhlobo ezimbi kakhulu zezinsizi ze-meniscus zibizwa ngokuthi i-meniscus izinyembezi.
Iyini Inyembezi Nezibonakaliso Zaso
Ibhakede isibambo sezinsizi ze-meniscus livela engxenyeni yangaphandle ye-meniscus cartilage futhi ibangela uhlangothi oluqondile ngokusebenzisa i-meniscus. Izinamathiselo ze-meniscus zihlala zingaguquki, futhi ingxenye ehluthiwe ye-meniscus idonsela phakathi nendawo yokujoyina. Isizathu esibizwa ngokuthi isibambo se-bhakethe sinqamuke ukuthi ingxenye ehlanjululweyo ye-meniscus idonsela kude yenza ingxenye yesibambo esakhiwe ngezinsizi ze-meniscus tissue.
Izimpawu zesibambo sebhekthe izinyembezi zifana ne-meniscus izinyembezi ezivamile, kodwa futhi ngokuvamile kubangele ukuxubana kwamadolo avaliwe. Ibhokisi elikhiyiwe livela lapho amadolo akwazi ukuqondisa ngokugcwele endaweni egobile. Ngenxa yokuthi ibhakede isingatha i-fragment ye-meniscus cartilage iyahamba phambi kwe-joint, ivimbela amadolo ukuba aqonde ngokugcwele.
Ngokuvamile, umhloli onamakhono anganquma ukuthi i-meniscus izinyembezi kungenzeka yini ngokuhlola ibhande lakho. Ngokuvamile i-MRI yenzelwa ukucacisa uhlobo nendawo ye-meniscus izinyembezi. I-Bucket ibamba izinyembezi ibonakala ngokucacile kuma-MRIs, futhi ngokuvamile ibonisa isibonakaliso se-classic 'kabili se-PCL' lapho isiqephu se-meniscus sihlala eceleni kwe-PCL esibangela ukuthi igoli libukeke liphindwe.
Ibhakede isingatha i-meniscus izinyembezi ngokuvamile ihlotshaniswa nokulimala kwangaphambili kwe-ligament (i- ACL izinyembezi ). Kulo lokulimala kwezemidlalo okuvamile, elinye lamagciwane amakhulu amadolo awonakele, futhi ngesikhathi esifanayo, ibhakede liphethe i-meniscus izinyembezi zenzeka.
Izinketho zokwelapha
Ukwelashwa okuvamile kuhlinzekwa ngamadolo e-arthroscopic . Ngenkathi ngezinye izikhathi udokotela wakho angasebenzisa izinyembezi endaweni efanele, ukuhlinzekwa kusadingeka ukulungisa umonakalo. Ukuhlinzwa akuyona isimo esiphuthumayo kodwa kufanele kwenziwe ngokushesha ngangokunokwenzeka ukuze amadolo aguqe futhi aqondise ngokujwayelekile. Kunezinketho ezimbili zokuphatha kanjani i-meniscus ephukile:
- I-Meniscectomy ehlukile : Lokhu kwenziwa ukuhlinzwa ukuze kususwe ingxenye eyonakele ye-meniscus. I-meniscus eboshiwe isusiwe ekuhlanganyeleni eyenza i-meniscus esele ibe encane kunejwayelekile. Uma kunamakhono okuphulukiswa okuncane e-meniscus, lokhu kuyindlela yokwelapha engcono kakhulu. Enye inzuzo yokukhipha i-meniscus ephukile yukuthi ukutakula kuyashesha kakhulu kubadlali abaningi ababuyela emisebenzini yemidlalo kungakapheli amasonto ayisithupha.
- Ukulungiswa kwe-Meniscus : Ukulungiswa kwe- meniscus kwenziwa ukugoqa ndawonye ingxenye ephukile ye-meniscus emuva kwesimo sayo esifanele. Le nqubo iyenzeka kuphela uma kukhona ukunikezwa kwegazi okuhle endaweni yokulimala okuvumela ukuphulukiswa kwezinyembezi. Ukuphulukiswa kwe-meniscus ukulungisa kudinga ukuvuselelwa isikhathi eside okuvame ukudinga izinyanga ezintathu noma ngaphezulu ukuze ubuyele emisebenzini yezemidlalo.
Ukuhlinzwa okulandelayo, iziguli eziningi zizokwelapha kanye nokuvuselelwa ukuze ziphinde zilahlekelwe ukuhamba komzimba kanye namandla emkhawulweni. Isikhathi sokuhlinzwa ngemuva kokuhlinzwa sizoxhomeka eziningana zezici kuhlanganise nokwelashwa okhethiwe. Kunezinkinga ezinokwenzeka zokuhlinzeka nge-arthroscopic emadolweni. Yize lezi zingavamile, kunezinyathelo ongazenza ukuze uqinisekise ukuthi imiphumela engcono kakhulu kungenzeka.
> Umthombo:
> Luks HJ, MD. I-Bucket Handle I-Meniscus Tear. 2017.