Ukungajwayelekile kwe-Meniscus Yomunye Wase-Knee Joint
I-meniscus yokuthola i-disco-lateral i-meniscus engavamile ngokwemvelo ngaphakathi kwehlangothini lamadolo. I- meniscus iyinqaba efana ne-C ye-cartilage esiza ukusekela futhi inamathele ndawonye. Emadolweni ngalinye kunamadoda amabili , elinye ngaphakathi (eliphakathi) nelinye ngaphandle (lateral) lamadolo ahlangene. Kwamanye abantu i-menalus lateral ifakwe ngaphezulu njenge-diski eqinile kune-C-shape evamile.
Abantu abaningi abane-meniscus ye-discoid abazi ukuthi banokungajwayelekile. Kulinganiselwa ukuthi phakathi kwabantu abangu-3-5% bane-meniscus yokuthola i-discoid lateral. Abantu abaningi baphila ngokujwayelekile, ukuphila okusebenzayo nge-meniscus ye-discoid - ngisho nabagijimi bezinga eliphezulu. Ngakho-ke, uma udokotela wakho ethola ukuthi une-meniscus ye-discoid, kodwa ayibangeli noma iyiphi inkinga, kufanele ishiywe yedwa. Isibonelo, ngezinye izikhathi phakathi kwe- knee arthroscopy i-meniscus i-discoid ibonakala lapho kunenkinga ehlukile yokwelapha - lezi kufanele zivele zodwa, zingelashwa ngokuhlinzwa.
Izizathu ezimbili ezivame kakhulu abantu abathola ukuthi bane-meniscus ye-discoid yilezi zinhlobo ze-MRI ezibonisa ukungavamile, noma zisebenza ngokuhlinzwa kwamadolo e-arthroscopic futhi zitholakala ngaleso sikhathi ukuze zithole i-meniscus yokutholakala. Nakulokhu, kuzo zombili lezi zimo, i-discoid meniscus yangasese ihamba kahle yedwa.
Izimpawu Zenkinga Yezinkinga Zokuthola I-Discoid Problematic Discoid
Kwamanye abantu, i-meniscus i-discoid ingabangela izinkinga, ngokuvamile kuvame ukuzwa ngezinhlungu ngaphezu kwengxenyana engaphandle yamadolo.
Yingakho abanye abantu basebenzisa igama elithi 'popping knee syndrome' lapho bekhuluma nge-meniscus yokuthola. Izimpawu ze-meniscus ye-discoid zingabandakanya:
- Popping izinzwa of knee
- Ukuvuvukala kwe-Knee
- Ubuhlungu eceleni komnyango wamadolo
- Ubuhlungu nge-squatting / kneeling
Ukuxilongwa kwe-meniscus etholakalayo kwenziwa ngokujwayelekile lapho ubheka i-MRI yamadolo.
I-meniscus evamile evamile ayitholakali, futhi ezinye izicubu ezingaphezu kwejwayelekile zibonakala kwi-MRI. Uma kukhona izinyembezi kule meniscus etholakalayo, okuvame ukubonakala kuMRI.
Ukwelashwa kwe-Meniscus ye-Discoid
Uma iziguli zitholakala ukuthi zine-meniscus yokuthola, kodwa ayibangeli izimpawu, akukho ukwelashwa okufanele kwenziwe.
Ezigulini ezinezinambuzane ezibuhlungu zokuthola i-meniscus, ukwelashwa okulula okubandakanya ukuvivinya ngamadolo nokwelula kungenziwa. Imithi yokulwa nokuvuvukala noma ukudubula kwe-cortisone ingacatshangwa, kodwa abantu abaningi abane-meniscus ye-discoid ephawulekayo bayokhetha ukuthi babe nokuhlinzwa kwe-arthroscopic .Le nqubo yenziwa ngokufaka ikhamera encane engxenyeni ngokukhipha okuncane, besebenzisa izinsimbi ezingakwazi ukusika, ukuluma nokugcoba izicubu ezingavamile noma eziqhekekile.
Uma i-meniscus etholakalayo idwenguliwe, kunezinyathelo eziningana zokuphatha le-arthroscopically. Ngokomlando, yonke i-meniscus isusiwe ngesikhathi sokuhlinzwa kwe-arthroscopic. Kodwa-ke, ukususa yonke i-meniscus kwaba nomphumela wokuholela amathuba okwanda kwe-arthritis emadolweni ehlangene ngenxa yokususwa kwe-meniscus cartilage. Le nqubo yokuhlinzwa ibizwa ngokuthi i-meniscectomy ephelele.
Ngokuvamile, i-meniscus i-discoid ingahle ihlolwe ibe yinto ejwayelekile yokuvela e-meniscus, inqubo ebizwa ngokuthi i-saucerization ye-meniscus.
Ngaphezu kokuphathwa kwesigaba esinqunyiwe samadoda, abantu abaningi abane-meniscus e-discoid banempawu ezifana nokuvela ngenxa yokungazinzi kwe-meniscus cartilage. Ngakho-ke, ngesikhathi sokuphathwa kwabahlinzeki lapho kwenziwa i-saucerization ye-meniscus, ukulungiswa kwensalela engaqinisekisiwe ye-meniscus kungenziwa futhi ukuze kuvinjelwe ukuphindaphindiwe kwemizwa emadolweni. Ekugcineni, ezinye ze-meniscus zingasuswa futhi ezinye zingalungiswa.
Ngemuva kwe-Meniscus Surgery
Ukubuyiselwa okuvela ekwelapheni okuhlinzekwa kwe-meniscus i-discoid cishe amasonto ayisithupha ukuze kuphinde kutholakale amandla okugcwele nokuhamba kwesibambisene. Iziguli eziningi azidingi ukukhulelwa, nemikhawulo elinganiselwe yokuthwala isisindo. Kuyinto evamile kubantu abahlinzwa ukuhlinzeka ngemithi yokwelashwa , futhi bagweme imisebenzi yomsebenzi wokuzivocavoca ngenkathi bephuluka enkonzweni yokuhlinzwa.
Nakuba kukhona ubufakazi obuncane bokubonisa ukuthi iziguli ezine-discoiscus zithole ukuthi zikhona ithuba eliphakeme lokuthuthukisa i- arthritis yegciwane kamuva ekuphileni, kukhona ubufakazi bokuthi iziguli eziqeda i-meniscus yazo zingaba nezinkinga zesikhathi eside. Noma yisiphi isiguli esisekela i-meniscus izinyembezi kufanele sithathe izinyathelo zokusiza ukuvimbela noma yikuphi ukuqhuma kwe-arthritis emathangeni abo.
Imithombo:
> Kocher MS, i-Logan CA, i-Kramer DE. "Ukungcola i-Meniscus Yomtholampilo Ezinganeni: Ukuxilongwa, Ukuphathwa, Nemiphumela" J Am Acad Orthop Surg. 2017 Nov; 25 (11): 736-743.