I-Cartilage eboshiwe e-Knee
I-meniscus ephukile ingenzeka ngenxa yokulimala noma inqubo eguqukayo njengokuguga. I-meniscus wuhlobo lwe-cartilage emadolweni akho. I-meniscus ihlezi phakathi kwezindawo ze-cartilage zethambo ukuze zisakaze isisindo futhi zithuthukise ukuzinza kokujoyina. Lokhu kubalulekile njengoba idolo elihlangene lisetshenziselwa imisebenzi eminingi. Funda ukuthi kwenzekani uma uqeda i-meniscus yakho nokuthi lezi zikhala ziphathwa kanjani.
Sibutsetelo
Ibhokisi elihlangene lakhiwa ngamathambo amathathu: i-femur (ithambo lesthanga), i-tibia (ithambo lesifuba), ne-patella (i-knee cap). Ukuphakama kwala mathambo ngaphakathi kokuhlanganiswa kuhlanganiswe ne-layer of cartilage. Le ndawo ebalulekile ivumela amathambo ukuba aqhubeke ngokumelene nomunye ngaphandle kokulimaza amathambo. Kunamadoda amabili emadolweni akho; Ukuhlala ngamunye phakathi kwe-femur ne-tibia. I-meniscus yangaphakathi ehlangothini lwangaphakathi lamadolo akho kanye ne-meniscus yangasese ehlangothini lwangaphandle lwamavi akho.
I-meniscus yenziwe nge-cartilage enzima futhi iyavumelana nendawo ehlala kuyo amathambo abaphumula kuyo. Imisebenzi ye-meniscus ukusabalalisa isisindo somzimba wakho emadolweni. Ngaphandle kwe-meniscus okwamanje, isisindo somzimba wakho singasetshenziswa ngokungafanele emathanjeni emilenzeni yakho (i-femur ne-tibia). Lokhu kusatshalaliswa kwesisindo okungalingani kungabangela amandla amakhulu ngokweqile ezindaweni ezithile zethambo eziholela ku- arthritis zakudala emadolweni .
Ngakho-ke, umsebenzi we-meniscus kubalulekile empilweni yamadolo akho.
I-meniscus iyimidwebo engu-C futhi iphrofayili ehlanganisiwe. Iphrofayili ehlanganisiwe iyasiza ukugcina ukuzinza kokuhlanganiswa ngokugcina ubuso be-femur ebusweni ukusuka ekuthungeni ubuso obunamathele. I-meniscus inondliwa yizitsha ezincane zegazi, kodwa i-meniscus nayo inendawo enkulu phakathi nendawo engenawo igazi eliqondile (avascular).
Lokhu kubonisa inkinga uma kunokulimala kumadoda we-meniscus njengoba izindawo ze-avascular zivame ukuphulukisa. Ngaphandle kwezakhi ezibalulekile ezihlinzekwa yimithambo yegazi, ukuphulukiswa kwe-meniscus akunakwenzeka.
Izinhlobo
Izimbangela ezimbili ezivame kakhulu zokudabuka kwe-meniscus zibangelwa ukulimala okubuhlungu (okuvame ukubonwa kubagijimi) nezinqubo ezishintshayo (kubonakala kuziguli ezindala ezine-cartilage engaphezulu).
Kuyinto engavamile ukuba i-meniscus izinyembezi zenzeke kanye nomunye umonakalo ngaphakathi kwamadolo. Ukulimala kuvame ukuvela ezakhiweni kubandakanya i- anterior cruciate ligament (ACL) kanye ne- ligament ye-collateral ligament (MCL). Lapho zonke lezi zingozi zivela ndawonye, ziyaziwa ngokuthi i- triad engathandeki , isibonelo sokulimala esibonakala emidlalweni efana nebhola lapho umdlali ehlaselwa ngaphandle kwamadolo.
I-Meniscus Inyembezi noma I-Cartilage Izinyembezi?
Kokubili ukumbozwa kwethambo ngaphakathi kwe-joint kanye ne-meniscus kwenziwa nge-cartilage. Nokho, zinhlobo ezahlukene ze-cartilage. Abantu bavame ukusho ukuthi u-cartilage usho ukuthi i-meniscus (i-wedges of cartilage emkhatsini wethambo) noma ukuthi usho ukuthi indawo ehlangene (okuthiwa i-articular cartilage efaka umkhawulo wethambo).
Lapho abantu bekhuluma ngezinyembezi zezinyosi, ngokuvamile baxoxa nge- meniscus izinyembezi .
Lapho abantu bekhuluma nge-arthritis kanye ne-cartilage egqamile, bakhuluma kaningi nge-carticlage ye-articular emaphethelweni wethambo.
Izimpawu
Abantu abathola i-meniscus izinyembezi bavame ukuzwa ubuhlungu nokuvuvukala njengezimpawu zabo eziyinhloko. Esinye isikhalazo esivamile ukukhiya okuhlangene , noma ukungakwazi ukuqondisa ngokuphelele ukujoyina. Lokhu kungenxa ye-cartilage eboshiwe ngokwenyama evimbela ukunyakaza okuvamile kwamadolo.
Izimpawu ezivame kakhulu ze-meniscus izinyembezi yizi:
- Ubuhlungu obukhulu
- Ukuvuvukala emadolweni
- Ubumnene lapho ucindezela kwi-meniscus
- I-Popping noma ukuchofoza ngaphakathi kwamadolo
- Ukunyakaza okulinganiselwe kwamadolo
Ukuxilongwa
Noma yisiphi isiguli esinomzimba wamadolo sizohlolwa nge-meniscus yokudabuka okungenzeka. Umlando oqaphile kanye nokuhlolwa komzimba kungasiza ukuhlukanisa iziguli ezinezinkinga zokuphumula ezigulini ezinamahlombe emadolweni kwezinye izimo. Ukuhlolwa okuqondile kungenziwa nodokotela wakho ukuthola izinsizi ze-meniscus.
Ama-X kanye nama- MRIs yizivivinyo ezimbili ezivame ukusetshenziswa ezigulini ezinezinyembezi. I-X-ray ingasetshenziselwa ukucacisa ukuthi kukhona yini ubufakazi be-arthritis emadolweni. I-MRI iyasiza empeleni ukubona i-meniscus ephukile. Kodwa-ke, ukubona nje i-meniscus ephukile ku-MRI akusho ukuthi ukwelashwa okuthile kuyadingeka. Ukwelashwa kwamadoda wezinyembezi kuncike ezintweni eziningana, ngoba akuzona zonke izinyembezi zamadoda ezidinga ukuhlinzwa.
Ukwelapha
Ukwelashwa kwe-meniscus izinyembezi kuncike ezintweni eziningana ezibandakanya uhlobo lwezinyembezi, izinga lomsebenzi wesiguli, kanye nokuphendula ezinyathelo ezilula zokwelashwa. Lapho ukwelashwa kokuhlinzwa kwe-meniscus izinyembezi kuyadingeka, ukwelashwa okuvamile ukunciphisa ingxenye ephukile ye-meniscus , inqubo ebizwa ngokuthi i-meniscectomy. Ukukhishwa kwe- Meniscus nokuguqulwa kwamanye amazwe nakho okukhethwa kukho ukwelashwa. Ukunquma ukwelashwa kwe-meniscus yezinwele ezifanele kakhulu into ongayifunda nodokotela wakho.
Umthombo:
> Maher SA, uRodeo SA, i-Warren RF. I-Meniscus. J Am Acad Orthop Surg. 2017 Jan; 25 (1): e18-e19.