I-Meniscus izinyembezi iyimbangela evamile yokuhlungu kwamadolo futhi abantu abaningi baphelela ukuhlinzwa kwamathambo e-arthroscopic ngesimo sabo. Kodwa ingabe ukuhlinzwa kuyadingeka njalo? Ingabe wonke ama-meniscus izinyembezi aphatha okufanayo?
Ngokwenzayo, kunezici ezihlukahlukene ezisetshenziselwa ukunquma ukwelashwa okuhle kwe-meniscus izinyembezi . Ezinye zalezi zici zihlanganisa iminyaka yesiguli, imiphumela yokwelashwa okungenasidingo, futhi uma kukhona omunye umonakalo kunokuba nje i-meniscus ephukile.
Ngaphezu kwalokho, uhlobo oluthile lwe-meniscus izinyembezi lunganciphisa ukwelashwa okufanele kakhulu. Okuchazwe lapha yizinhlobo eziyisithupha ezivamile zezinsizi zamadoda.
- Ukuphumula okungahambi kahle / ukungaqediki: Ukuqhaqhazela kwe-intrasubstance kuyinto ejwayelekile yokuthola umbiko we-MRI. Kubonakala ekhoneni elingenhla elingakwesokunxele lesithombe, izinyembezi zengqondo zibukeka zijwayelekile ngesikhathi sokuhlinzwa. Ngokuvamile lezi ziwuphawu lwezinguquko zokuqala ezishintshayo zesisindo samadoda, kodwa ngokuvamile akuzona uphawu lwephutha. Izinyembezi ezingaphelele nezingenasisindo ze-meniscus zilimala ngokuqinile, futhi ngokuvamile azidingi ukwelashwa okuhlinzekwayo. Ngesikhathi abantu besesimweni sabo sama-20 noma ama-30, izinguquko ze-intrasubstances zezintambo ze-meniscus zivame kakhulu kwi-MRI.
- Izinyembezi zomsindo: Izinyembezi zomsindo ze-meniscus, ezifanekiselwa phakathi komugqa ophezulu esithombeni, yilohlobo oluvame kakhulu lwe-meniscus izinyembezi. Lezi zindezi zingaphakathi kwendawo ye-avascular ye-meniscus, lapho kungekho khona igazi, ngakho-ke kunamandla amancane kulezi zikhala zokuphulukisa. Ngakho-ke, lapho lezi zindezi zifika ekudleni ukwelashwa, ngokuvamile okuwukuphela kokukhetha ukukhipha ingxenye eyonakele ye-meniscus .
- Izinyembezi ezizungezile : Izinyembezi eziqhamukayo yizinyembezi ezivame ukungenelela kumadoda ukulungisa . Kubonakala ekhoneni elingenhla elingakwesokudla lesithombe, izinyembezi ezinqamule zihamba ngezinkambo ezijikelezayo ze-meniscus. Esikhundleni sokususa isici esonakele se-meniscus, izinyembezi ezingezansi zingakwazi ukufakwa ndawonye. Isihluthulelo sokuthola ukwelashwa kwalezi zindezi yindawo yabo. Uma kutholakala engxenyeni ye-vascularus ye-meniscus (eduze nomngcele ongaphandle) khona-ke kukhona ukuphulukiswa okungenzeka, futhi ngaleyo ndlela kulungiswe. Uma itholakala ngaphezulu, lezi zindezi ngeke ziphulukise, ngisho noma zilungisiwe.
- I-Flap Tear: Inyembezi ye-flap ye-meniscus, efanekiselwa engxenyeni engezansi kwesokunxele yesithombe, ingumdwebo ongavamile wokukhala. Ezimweni lapho i-flap ibangela izimpawu zokubamba emadolweni, ngokuvamile i-meniscus ingasuswa kalula ngaphandle kokukhipha izicubu eziningi.
- Izinyembezi eziyinkimbinkimbi: Izinyembezi eziyinkimbinkimbi kusho ukuthi kukhona inhlanganisela yamaphethini ezinyembezi. Kuboniswe esithombeni esiphakathi emgqeni ongezansi, izinyembezi eziyinkimbinkimbi zivame ukubandakanya zombili amaphethini ezinyembezi ezihambayo. Izinyembezi eziyinkimbinkimbi ngokuvamile aziphathwa nge-meniscus ukulungiswa ngenxa yobunzima bezinyembezi. Kwezinye izimo ezingavamile, ezinye ze-meniscus ephukile zingasuswa, kanti ezinye izingxenye zingalungiswa.
- Izinyembezi ze-Bucket-Handle : I-bluetooth-handle-tear is a uhlobo olubanzi lwezinyembezi ezingezansi ze-meniscus. Lezinye izinyembezi zivame ukubangela ukuba idolo liqhubekele ngokubangela ingxenye ephukile ye-meniscus ukuvimbela ukuhamba komzimba okuvamile. Izinyembezi zokubamba ibhakede ngokuvamile zidinga ukwelashwa okuphuthumayo okuphuthumayo ukuze uvumele idolo liqale ukuguqa futhi.
Indawo Yezinyembezi
Ngaphezu kokuchaza uhlobo lwezinyembezi, imibiko eminingi ye-MRI kanye neyokuhlinzwa iyochaza indawo yokukhala. Uphondo lwama-anterior izinyembezi azivamile futhi zikhona ngaphambili kwe-meniscus.
Izinyembezi zamacilongo ezingenhla zivame kakhulu futhi zikhona ngemuva kwe-meniscus. Izinyembezi ezisemaphandleni zitholakala engxenyeni yangaphakathi ye-meniscus. Lokhu kuyingxenye ye-meniscus ngaphandle kokuhlinzekwa kwegazi ngamasongo ngakho-ke angeke ikwazi ukulungisa. Izinyembezi ezihamba phambili zitholakala ngaphezulu kwe-meniscus, futhi lezi yizinhlobo zezinyembezi ezingase zilungiswe ngezinye izikhathi.
Umthombo:
U-Greis PE, et al. "Ukulimala kwabantu: II. Ukuphathwa" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoMeyi / Juni 2002; 10: 177 - 187.