Ingabe ukulimala kwamadoda noma ukuhlinzwa kwamadoda kuyisici esiyingozi engozini ye-osteoarthritis?
Izinyembezi zezinyembezi zimele ukulimala ngamadolo. Ngokuvamile, uzwa ngabathile ababhekana nezinyembezi ezingenasidingo, kodwa empeleni, noma yimuphi umuntu kunanoma iyiphi indala angabhidliza i-meniscus.
Iyini i-Meniscus?
Amathambo amathathu ahlangana ndawonye ukuze ahlanganise idolo lakho-i-femur (ithanga), i-tibia (isibini), ne-patella (kneecap). Phakathi kwezingxenye zesifazane ne-tibial emadolweni, kunezicucu ezimbili zomzimba we- cartilage- enye kuthiwa i-meniscus.
I-meniscus ngayinye enzima kanye ne-rubbery isebenza ukugubha ngamadolo nokuyiqinisa.
Sibutsetelo sezinsizi ze-Meniscal
I-meniscus ingadabula. Ngokuvamile, izinyembezi ezingenasici zivele ngokuzumayo ngesikhathi somdlalo. Imidlalo yokuthintana (isibonelo, ibhola) ingabangela kalula izinyembezi-kodwa ungakwazi ukugcoba noma ukuguqa amadolo futhi ubangele izinyembezi. Kubantu asebekhulile, izinyembezi ezingenakwenzeka zingase zenzeke ngemuva kokuqothulwa komzimba. Uma i-menisci ibuthakathaka ngenxa yokuguga, noma yiluphi uhlobo lokunyakaza olungahle lungwanele ukudala izinyembezi.
Kunezinhlobo ezahlukene zezinyembezi ezingenasidingo: isibambo sebhakede, esingaphambene, isikhathi eside, i-flap, u-parrot-nophondo oluphukile. Igama lisekelwe lapho izinyembezi zenzeka khona kumadoda we-meniscus.
Izimpawu
Isibonakaliso sokuqala sezinyembezi ezingase zibe yilapho kungenzeka ukuthi uzizwa u "pop" emadolweni. Ezinye izimpawu ezivame ukuhlotshaniswa nezinyembezi ezingenasisindo zifaka ubuhlungu, ukuqina, ukuvuvukala, ukuvala ibhulo , umuzwa wendlela yokunikela ngamadolo, nokuhamba okukhawulelwe kokuhamba .
I-pieceisc of meniscus ingakwazi ukubona futhi ilahleke, okungase ibangele idolo lakho ukuba lifake, lifake, noma likhiye.
Ukuxilongwa
I-MRI ingasiza ekutholeni izinyembezi ezingenasidingo. I-X-ray ayibonisi izinyembezi ezingekho emzimbeni njengoba zikhona emthonjeni kunokuba ithambo. Odokotela bangasebenzisa ukuhlolwa kukaMcMurray ukusiza ukuxilonga ukukhala kwezinsizi.
Ngesivivinywa sikaMcMurray, udokotela wakho uzogoba futhi aqondise idolo lakho ngenkathi ephikisana ngephutha ngomzimba wakho. Ukuzwa noma ukuzwa ukuchofoza ezinhlangothini zamadolo akho kusikisela i-meniscus ephukile.
Ukwelapha
Ukwelashwa kwezinyembezi ezingenasidingo kuxhomeke ezintweni eziningana, kufaka phakathi indawo yezinyembezi, ubudala, nomsebenzi wakho. Ingaphandle yesithathu ye-meniscus inegazi elingaphezulu kunezingxenye ezimbili kwezintathu zangaphakathi. Izinyembezi ezingxenyeni zangaphandle, ezingaphezulu kwe-vascularized ze-meniscus zingase ziphulukise ngokwazo noma zingalungiswa ngokusebenzisa ukuhlinzwa kwe-arthroscopic . Inyembezi engxenyeni engaphakathi, engaphansi kwe-meniscus ivame ukuxotshwa kusukela emaphethelweni ezinyembezi ngokuvamile ayikwazi ukukhula ndawonye. Ukuvuselelwa ngokuvame ukulandela isikhathi esilandelayo sokuphulukiswa kwamadolo. Uma indlela yokuphulukisa engeyona yokuhlinzwa, ukuphumula, iqhwa, ukucindezela, nokuphakama (RICE) kubalulekile.
I-Meniscal Tear If You Have Osteoarthritis
Ngokombiko weMayo Clinic, kunezibalo ezingaphezu kuka-300,000 zamathambo ezenziwa ngamanye ama-arthroscopies ngonyaka ngamunye e-United States ngeziguli ezinezinsizi ezingenasisindo kanye ne-osteoarthritis egumbini elifanayo legolo-uma izidokotela zingase zikwazi ukulungisa izinkinga zombili ngesikhathi esisodwa. Nakuba i-arthroscopy ibhekwa njengendlela ephumelelayo yokwehlisa izinyembezi kuphela, ukusebenza kwayo kwe-osteoarthritis ehambisanayo akucaci kancane.
Akukaziwa ukuthi i-arthroscopy iphumelela ekwelapheni i- osteoarthritis yegciwane eliphakeme.
Ucwaningo lwe-MeTeOR (Meniscal Tear With Osteoarthritis Research), lwaqhutshwa ukuze luhlolwe umphumela we-arthroscopy ngokungahambi kokwelashwa eqenjini leziguli ezingaphezu kuka-300 ezinombili izinyembezi ezingenasisindo futhi ezinomthelela owenziwe nge-knee osteoarthritis. Izikhungo eziyisikhombisa zezinyosi e-US zibandakanyekile kulolu cwaningo, olwaluxhaswe yiNational Institutes of Health. Yaphetha ngokuthi kwakungekho ukungafani okuphawulekayo ekuthuthukiseni ukusebenza phakathi kwamaqembu okuhlinzeka nokungahlinzeki. Kodwa-ke, okwesithathu kweziguli ezaba nokwelapha ngokomzimba zodwa zahlinzwa phakathi nezinyanga eziyisithupha.
Ingabe Izinyembezi Zama-Meniscal Iziguli Ezidalwa Ngama-Predispose Zokuthuthukisa I-Osteoarthritis?
Ucwaningo oluthile luye lwaphetha ngokuthi ukungahlali kwezinyembezi kungaholela emadolweni e-osteoarthritis . Ehlangothini lwe-flip lalelo, i-knee osteoarthritis ingabangela ukukhala kwezinsizi okungahambi kahle ngokuhlukumeza nokwehlisa (ukuguga) kwe-meniscus. Isilonda esingaba yisisindo esiyingozi esitholakala kwi-MRI sikhuthaza i-osteoarthritis yokuqala. Ngisho nokuvuselela okuhlinzekwa ukukhipha izilonda ezishisayo, i-osteoarthritis ingase iqhubeke.
Ukuthengiswa komuntu okungahambisani nomzimba kuye kwahlotshaniswa ne-osteoarthritis ye-kneeling encane (okungukuthi, i-knee osteoarthritis ephawulwe nge-x-ray) kune- meniscectomy ephelele . Kukhona nobufakazi bokuthi ukulimala okungakahleleki okwenziwe ngendlela yokuhlinzwa kungalokhu kuyingozi enkulu ekuthuthukiseni i-osteoarthritis ye-kneographic.
Imithombo:
> Englund M, Guermazi A, uLohmander LS. I-Meniscus ku-Knee Osteoarthritis. Imitholampilo ye-Rheumatic Disease yaseNyakatho Melika . 2009; 35 (3): 579-590. i-doi: 10.1016 / j.rdc.2009.08.004.
> Englund M, Guermazi A, uLohmander SL. Indima Ye-Meniscus Knee Osteoarthritis: Isizathu Noma Umphumela? Imitholampilo ye-Radiologic yaseNyakatho Melika . 2009; 47 (4): 703-712. doi: 10.1016 / j.rcl.2009.03.003.
> Englund M, Guermazi A, Roemer FW, et al. Ukungazinzi emadolweni ngaphandle kokuhlinzwa nokuthuthukiswa kwe-osteoarthritis phakathi kwabantu abaneminyaka ephakathi nendawo asebekhulile: Ucwaningo oluningi lwe-osteoarthritis. I-arthritis ne-Rheumatism . 2009; 60 (3): 831-839. i-doi: 10.1002 / ubuciko.24383.
> Katz JN, et. al. Ukwelashwa ngokuhambisana nokuphathwa kweMithi ye-Meniscal Tear and Osteoarthritis. N Engl J Med 2013; 368: 1675-1684 Meyi 2, 2013 DOI: 10.1056 / NEJMoa1301408
> Izinyembezi ze-Meniscal. I-AAOS. https://orthoinfo.aaos.org/en/diseases-conditions/meniscus-tears.