Isizathu Esingavamile Sokuhlunguphaza Okuhlangene Knee
I-Plica syndrome, ngezinye izikhathi ebizwa ngokuthi "i-synovial plica syndrome," yisimiso sokucasula kwamathambo okuyizinsimbi zangaphakathi zamadolo. I-Synovium yiluhlobo lwezincubu ezakha ukwakha okuhlangene. Izicubu ze-synovial ziqukethe isikhala esihlangene futhi kusiza ukwenza uketshezi olujwayelekile olugcoba ukujoyina.
I-pnolica ye-synovial yizinambuzane ezihlukanisa amadolo emakamelweni ngesikhathi sokukhula komntwana.
Lezi zingxenyana zezingulube zivame ukwehla ngosayizi ngesikhathi se-trimester yesibili yentuthuko ye-fetal. Kubantu abadala, zikhona njengemikhono yezicubu ezibizwa ngokuthi "ama-synovial folds" noma i-plica. Kwamanye abantu, i-synovial plica iyabonakala futhi ijwayele ukucasuka. Ayikho umsebenzi owaziwayo we-plica, nje kuphela ukuhluka kwe-anatomic okusele kwabanye abantu hhayi kwabanye.
I-Plica Syndrome
Umdwebo ohlangothini lwangaphakathi lwamadolo, olubizwa ngokuthi i-plica, liyisisindo se-synovial esivame ukucasula nokulimala. Uma idolo ligobile, i-pelican medial ivulekele ukulimala okuqondile, futhi ingalimala nakwe-syndromes ngokweqile . Lapho lo mkhuba ucasuka futhi uvutha, isimo sibizwa ngokuthi imiphumela ye-plica syndrome.
Ukuxilongwa kwe-plica syndrome kwenziwa ngokuhlolwa ngokomzimba noma ngesikhathi sokuhlinzwa kwe-arthroscopic. I-Plica syndrome inezici ezifanayo ezinyembezini ezingenayo kanye ne- patellar tendonitis , futhi lezi zimo zingase zidideke.
Izimpawu ezivamile kakhulu ze-plica syndrome zifaka:
- Ubuhlungu bomunwe ohlangothini lwangaphakathi lohlangene
- Ukubonisa ubuqotho ngokuqondile phezu kwesikhashana
- Ukuvuvukala nokufudumala nxazonke
- Ukunciphisa nokuchofoza lapho idolo ligobile
I-X-ray yama knee ngokuvamile evamile esigulini nge-plica syndrome. I-MRI ingenziwa ukusiza ngokuxilongwa, kodwa lokhu kuhlolwa akuyona indlela ephelele yokuthola lesi simo.
Ukwelashwa kwe-Plica Syndrome
I-Plica syndrome iphathwe kangcono ngokuphumula ngamadolo futhi kuvumela ukuvuvukala ukuba kuncishiswe. Ukwelashwa ukunciphisa ukuvuvukala kufaka isicelo se-ice nemithi elwa nokuvuvukala . Lezi zinyathelo ngokuvamile zanele ukuvumela isicathulo esicasulayo sokuhlala. Ngezinye izikhathi, umjovo we-cortisone emadolweni uzosiza.
Uma lezi zinyathelo zinganciphisi izimpawu, khona-ke ukususwa kokuhlinzwa kwe-plica kungadingeka. Le nqubo yokuhlinzwa yenziwa ngokusebenzisa ukuhlinzwa kwamathambo e-arthroscopic , noma ikhamera encane, efakwe emadolweni kanye nezinsimbi zokususa izicubu ezivuthayo. I-arthroscopic plica resection inemiphumela emihle ngokucabanga ukuthi i-plica iyimbangela yezimpawu. Ngokuvamile i-plica ibonakala ekuhlolweni kwe-arthroscopic. Ngaphandle kokuthi izimpawu zesiguli zihambisana ne-plica syndrome, futhi ama-plica abukeka evulekile futhi ecasulwa, i-plica ivame ukushiya yedwa. I-plica resection ngesikhathi se-arthroscopy iyenziwa kuphela uma i-plica ibhekwa ukuthi iyimvelaphi yezimpawu.
Ingabe Ingabe Iyinkinga?
Kukhona ukuphikisana ngokuthi ngabe i-plica syndrome noma ikhona yini noma cha. Abantu abaningi banesisindo, kanti abanye babonakala bebuhlungu kuleso simo ngenkathi abanye bengaboni.
Abanye odokotela bakholelwa ukuthi i-bandage band ingaba umthombo wobuhlungu kuyilapho abanye benomuzwa wokuthi ubuhlungu bungabangela enye inkinga efana ne-patellofemoral pain syndrome, noma i-meniscus tear.
Odokotela abaningi abahlinzayo bayavuma ukuthi nakuba ukuvuvukala kwe-synovial kungaba umthombo wezinhlungu ezingase zenzeke emadolweni, kungavamile futhi kufanele kubhekwe njengomthombo wobuhlungu lapho ezinye, izimo ezivame kakhulu zikhishiwe. Ngokuqinisekile, imizamo yokuphatha izimpawu ngezokwelapha okungenasidingo kufanele izame ngaphambi kokucubungula ukuhlinzwa ukuze kulungiswe lesi simo.
> Umthombo:
> Ewing JW, "I-Plica: Pathologic noma Cha?" J. Am. I-Acad. I-Ortho. Ukuhlinzwa., Nov 1993; 1: 117 - 121.