Ukuvuselelwa ngokulandela ukulungiswa kwe-meniscus kubaluleke nakakhulu kunokuba isiqeshana esiqothuliwe se-meniscus sisuswa kuphela ngenqubo ebizwa ngokuthi i- meniscectomy eyingxenye . Uma i-meniscus ephukile isusiwe, isiguli sivame ukuhamba futhi sihambe phakathi nosuku noma kokubili kokuhlinzwa, futhi siphindele emisebenzini evamile ngaphakathi kwamasonto amaningana. Ukulandela ukulungiswa kwe-meniscus, i-rehab isanda kakhulu.
Ngenxa yokuthi udokotela wakho ohlinzayo ngeke asazi ngokuqinisekile uma ukulungiswa kwe-meniscus kungenziwa ngaphambi kokuhlinzeka ngamathambo e- arthroscopic , iziguli kufanele ziqonde ukuthi ukulungiswa kwazo ngeke kuqiniseke kuze kube yilapho inqubo yokuhlinzwa eqondile yaziwa. Ngakho-ke, iziguli ezinezinqubo zokuhlinzwa ze-meniscus kufanele ziqaphele ukuthi i-rehab ingase ibe yinkimbinkimbi futhi ibenqabe uma ukukhishwa kwe-meniscus kwenziwa.
Ngokuqondile ukuthi ukuvuselelwa okudingekayo kuncike ezintweni eziningana, futhi kufanele uhlole njalo nodokotela wakho ngaphambi kokuqala noma ukuguqula kabusha i-rehab yakho yokuthutha nganoma iyiphi indlela. Lokhu kubaluleke kakhulu ngoba kunezinye izinqubo ezingase zenziwe ngesikhathi esifanayo njengendlela yokulungisa i-meniscus engashintsha isimiso sokujwayelekile sokuhlelwa kabusha kwe-post-operative.
Uhlelo Oluhlelekile Lwe-Rehab
Kunokuphikisana okunengi emkhakheni wezokwelapha wezemidlalo njengokuthi "ukulungiswa okuhle kakhulu" okuvela ekuhlinzekeni kwe-meniscus ukulungisa. Ngokwesiko, i-rehab yayiphuza kakhulu , nemisebenzi ivinjelwe izinyanga eziningi ngemva kokuhlinzwa.
Muva nje, ukuzama kabusha okusheshayo kuye kwazama. Kodwa-ke, akusekho ukuvumelanisa, futhi odokotela abaningi abahlinzayo bahluka ezincomo zabo. Njalo ulandele imiyalelo ethize yedokotela yakho ye-rehab-post rehab.
I-rehab ejwayelekile ngemva kokukhishwa kwe-meniscus ihlelwe lapha. Kuphathelene 'emkhatsini womgwaqo' phakathi kokuzimela kakhulu futhi okunamandla kakhulu.
- Ngokushesha Post-Operative
Lapho bevuswa ekamelweni lokutakula, iziguli zifakwa emgqeni wokuguqa. I-brace esetshenzisiwe ingase ibenze imbobo yokuguqula ibhande noma i- knee brace . I-knee immobilizer iguqa igulo ngokugcwele, kanti i-knee-brace enamathela ingavumela ukunyakaza okulawulwayo kwedolo. Uma i-knee brace enamathele isetshenzisiwe, ivaliwe ngamadolo ngokuqondile ngqo. Iziguli zinikezwa izikhonkwane, futhi ziyalwe ukuhamba ngezinsimbi . Ngokuvamile, iziguli zizovunyelwa ukuba zibeke isisindo emlenzeni oqhutshwayo uma nje idolo ligcinwe ngokuqondile (mhlawumbe nge-immobilizer yegciwane noma i-knee-braceed brace evalelwe ekwandiseni). - Amaviki Okuqala
Iziguli zingasusa i-knee brace noma immobilizer ngenkathi ingahambi, futhi iguqa ngamadolo. Udokotela wakho ohlinzayo ngokujwayelekile uyokhawulela inani ongayiguqa ngamadolo akho , ngoba ukucindezelwa kwimenyu ye-meniscus kwanda njengoba uguqa ngamadolo. Ngokuvamile i-brace izovumela ukuthi amadolo aguqe inani elithile, njengama-degrees angu-60 noma angu-90, kuye ngokuthi kunconywe ngophakamisi yakho. Iziguli kufanele ziqhubeke nokusebenzisa i-brace noma nini lapho zihamba, futhi zibeke isisindo kuphela emlenzeni uma idolo ligcinwe ngqo ngokuqondile. - Izinyanga Zokuqala
Ngemuva kwenyanga noma ngaphezulu, kugcizelelwe ekubuyiseleni ukuhamba okuningi . Iziguli zingavame ukuhamba ngamadolo ku-brace, kodwa ngokuvamile, kungakapheli amasonto ayisithupha amadolo avunyelwe ukugoba ngenkathi ehamba. Imisebenzi eqinile isalokhu ivinjelwe njengoba i-meniscus iqhubeka nokuphulukisa.
- 3-4 izinyanga
Ezinyangeni ezingu-3 kuya kwezingu-4, odokotela abaningi abahlinzayo bazovumela ukubuyela emisebenzini egcwele futhi abasayikuvikela amadolo. Iziguli kufanele zibuyele kancane emidlalweni nasemncintiswaneni, kodwa zisenayo imingcele yokunyakaza futhi ayidingi ukusetshenziswa kwe-brace.
Njengoba kushiwo ngaphambili, lokhu kungumzekelo wendlela yokwenza kabusha ye-rehab ngemuva kokuhlinzwa kwe-meniscus yokulungisa. Abahlinza abaningi abahlinzayo bahluke ekuthandweni kwabo futhi ngokuya komunye umsebenzi okungenzeka wenziwe ngesikhathi sokuhlinzwa i-rehab ingahluka ngokuphawulekayo. Abanye odokotela abahlinzayo bafuna ukuhlelwa kabusha kobuhlanga. Isizathu semingcele yukuthi ukuhlolwa kwe-biomechanics kubonisa ukucindezeleka okwenyukayo kwi-meniscus ngokuguqa (i-flexion) nokuguqula (ukuzungeza) kwamadolo.
Noma kunjalo, akubonakalwanga ngokucacile ukuthi la mabutho anqanda ukuphulukiswa kwe-meniscus elungisiwe. Lokho kusho ukuthi odokotela abaningi abahlinzayo bacabanga ukuthi bangathinta ukuphulukiswa, ngakho-ke babe nemingcele ekhonzwe ngenhla. Kumele ulandele njalo iziqondiso zakho zodokotela, futhi uma unemibuzo mayelana ne-rehab yakho buza umbono wakho udokotela.
Imithombo:
I-Laible C, et al. "Ukulungiswa Kwemvelo" J Am Acad Orthop Surg April 2013 vol. 21 cha. 4 204-213