Ukuthi indawo ye-meniscus ishintshiwe noma ayiyona inketho enhle kuwe
Uma unolwazi oluthile lwamadolo obude futhi uhlangabezana nemigomo efanele, ukufakelwa kwe-meniscus kungase kube inketho kuwe. Ukuguqulwa kwe-Meniscus kuhilela ukubeka uqakathekile emgqeni we-cadaver kuya kwesiguli.
Kungani i-Meniscus Ukususwa Kuyisiqhingi Sokugcina
I-meniscus iyisakhiwo esiyinkimbinkimbi esinikeza kokubili ukuhlenga nokuzinza emadolweni. Ngaphandle kwe-meniscus okwamanje, kungenzeka kakhulu ukuthuthukisa izinguquko eziphuthumayo ezishintshayo emadolweni.
Njengoba lokhu kwenzeka, i- cartilage esele ehlanganisa imikhawulo yethambo, ebizwa ngokuthi i-articular cartilage, igugile, futhi ithambo lidalulwe.
Ngenxa yalesi sizathu, odokotela bamazinyo bazama ukulondoloza i-meniscus uma behlinzwa nge- meniscus ephukile . Ngesikhathi sokuhlinzwa, ingxenye kuphela eyonakele ye-meniscus isusiwe, noma udokotela wakho ohlinzayo uzokwenza ukulungiswa kwemvelo uma kungenzeka. Ngeshwa, naphezu kwentuthuko e-arthroscopy, akuzona zonke izintambo zamadoda ezikwazi ukulungiswa. Kwezinye izimo, ukuze uphathe kahle kakhulu i-meniscus eyonakalisiwe, yonke i-meniscus kufanele isuswe.
Izinkinga ezingenzeka emva kokususwa kwe-Meniscus
Lapho i-meniscus isusiwe, ushiywe ngaphandle kwemikhumbi eminingi ehlangene. Ekuqaleni, lokhu akuvumi ukuba yinkinga. Kodwa ngokuhamba kwesikhathi, ubuhlungu buvame ukuqala lapho i-meniscus isuswe khona, futhi ungaqhubeka nokuthuthukisa i-arthritis esheshayo kuleyo ngxenye yamadolo.
Umgomo wokufakelwa kwe-meniscus ukubuyisela ukuxhaswa okujwayelekile okuhlangene nokuxhaswa kwamadoda ukuze ubuhlungu buyancishiswa.
Kodwa-ke, nakuba kusiza ekunciphiseni ubuhlungu, izifundo zibonisa ukuthi i-meniscus transplants ayinciphisi noma ivimbela i-osteoarthritis emadolweni kanye nokuhlinzwa okwengeziwe kanye / noma i-knee prosthesis cishe ekugcineni kuyadingeka.
Lapho Ukufakelwa Kuyisici
I-candidate ekahle yokufakelwa kwe-meniscus ngumuntu osevele esususwe ukuthi i-meniscus yakhe isuswe kepha kamuva iqala ukuthuthukisa ubuhlungu bamadolo; usemncane kakhulu futhi unomthelela kakhulu ukubhekwa njengengxenye yokujoyina , nokho zonke ezinye izindlela zokwelapha ezifana nemithi elwa nokuvuvukala , ukwelashwa ngokomzimba , i-Synvisc, i-cortisone, ne- supplements ehlangene , nje abenzi ukukhohlisa ukubhekana nobuhlungu.
Uyi-candidate omuhle wokufakelwa kwe-meniscus uma okulandelayo kusebenza kuwe:
- Uneminyaka engaphansi kwengu-55
- Uthole i-meniscectomy yangaphambili (ukususwa kwe-meniscus) futhi awunawo noma ngaphansi kwengxenye ye-meniscus yakho kwesokunxele
- Unomonakalo ovamile noma olinganiselwe ku-carticlage ye-articular (i-bone lining) ye-joint
- Unesihlungu noma ukungazinzi emadolweni akho
- Izimpawu zakho zihambisana nokungabi khona kwe-meniscus
- Ulungele ukuvuselela kanzima
Lapho Ukufakelwa Akuyona Inhlobo
Iziguli eziningi ziye zathola i-meniscectomy yangaphambili ( ukuhlinzwa kwe-meniscus ) futhi eziningi zalezi ziguli zinenkinga ephikisayo ehlobene nokususwa kwe-meniscus. Abantu abaningi ababa nezimpawu ngenxa yokungabi khona kwe-meniscus sebevele bahlasele umonakalo ku-cartilage ehlala emadolweni. Iziguli ezinalezi zinguquko eziphuthumayo ezishintshayo emadolweni abo azizona ezikhethiwe zokuhlinza ukuguqulwa kwamadoda. Ezinye izizathu zokuthi ukufakelwa kwe-meniscus ngeke kusebenze ngawe kufaka:
- Usenayo ingxenye ebalulekile ye-meniscus esele (le nqubo iwukuphela kweziguli ezabaningi be-meniscus zisusiwe)
- Unezinguquko eziguqukayo ngaphakathi kokujoyina (i- arthritis zakuqala )
- Unokungazinzi noma ukuguqulwa kwamadolo
- Ukhuluphele
- Awunqweneli ukwenza ukuvuselelwa isikhathi eside kusuka ekuhlinzekeni kokuguqulwa kwe-meniscus
- Unalindelo elingenangqondo
Ukulindela okungenangqondo kwe-Meniscus Ukufakelwa
Ukuqhubeka nokuchaza leli phuzu lokugcina: Ezinye iziguli zifuna izixazululo abahlinzeki abahlinzayo abakwazi ukunikela ngazo. Umgomo we-meniscus ukuguqulwa kokuhlinzwa ukunciphisa ubuhlungu obuhambisana nemisebenzi evamile. Umgomo awukuthi ukunikeze idolo "evamile", kodwa kunalokho ukwenza kube ngcono. Kungenzeka ukuthi ngeke ukwazi ukuqhubeka nomdlalo wokuncintisana naphezu kokufakelwa kwe-meniscus ephumelelayo. Uma ulindele ngaphezu kokunciphisa ubuhlungu, ungase uthande ukucabangela ezinye izinketho njengoba ungase udumale emiphumeleni yokufakelwa kwe-meniscus.
Imithombo:
I-Medline Plus. I-Meniscal Allograft Transplantation. Ilabhulali Kazwelonke Yezokwelapha yase-US. Kubuyekezwe ngo-Ephreli 18, 2017.
Ukwelashwa kwe-Meniscal Transplant. Johns Hopkins Medicine.
> I-Van Der Straeten C, i-Byttebier P, i-Eeckhoudt A, i-Victor J. Meniscal Allograft Ukutshalaliswa Akuvimbeli noma Ukuphuza Ukuqhubekela phambili Kwe-Knee Osteoarthritis. I-Zhao C, ed. PLoS ONE . 2016; 11 (5): e0156183. i-doi: 10.1371 / iphephandaba.pone.0156183.