Ukukhomba Umphumela we-Ligament, iTendon, noma i-Meniscus Injury
I-imagery ye-resonance magnetic (i-MRI) ubuchwepheshe obuvame ukusetshenziselwa ukuphenya ngemithombo yezinkinga zamadolo. Isebenza ngokuhambisa amagagasi amagagasi akhipha izicubu, amathambo, nezitho ngezindlela ezahlukene. Lawa mafagesi abese ahunyushwe ezithombeni esingasisebenzisa ukuxilongwa.
I-MRIs ayisetshenziswanga yodwa ukuze ihlolwe kodwa ingase ihlinzeke ngobufakazi obunamandla bokusekela eyodwa.
Uma ubhekene nokulimala ngamadolo, ukutheleleka, noma ukuxilongwa okuhlangene, odokotela bazovame ukusebenzisa i-MRI hhayi kuphela ukukhomba imbangela kodwa ukusiza ukuqondisa uhlelo lokwelapha.
Ngenkathi abanye abantu bethola i-MRIs egxekayo, noma ngenxa yokuthi bayamemeza kakhulu, bayamathuluzi ayigugu ahlinzeka ngezindlela ezingenasisindo zokuxilongwa. Phakathi kokunye ukusetshenziswa okujwayelekile kwe-MRI ::
Ukuthola Izinyembezi ze-Meniscus
I- meniscus ingumkhawulo we-cartilage ngaphakathi kwamadolo esiza ukugada, ukuzinza, nokudlulisa isisindo emadolweni.
Uma ngabe i-meniscus idiliziwe, i-MRI ingayibonisa ukuthi isimo esivamile esingunxantathu cishe siyoshintshwa noma sishintshe. Kwezinye izimo, isabelo esikhishwe siyobe sesithuthele emkhatsini wehlangothini lamadolo (ngokuvamile okubhekwa ngokuthi "ibhakede isibambo izinyembezi").
Okunye okungajwayelekile kuyobe kubalwe embikweni we-MRI njenge "signal signal". Lokhu akusho ukuthi i-meniscus idabukile; usitshela ukuthi i-meniscus ayibonakali ngendlela efanele.
Kungaba umphumela wokuguga okuvamile noma ukuvuthwa okwenyuka okubonakalayo kubantwana nakubantu abadala. Uphenyo olwengeziwe luzodingeka ukuze kutholakale ukuxilongwa okucacile.
Ukuhlonza ukulimala kweLigament
Amagagasi emadolo amathanga amancane ama-flexible, fibrous tishu abamba amadolo ndawonye futhi ahlolisise ukunyakaza kwamadolo.
Kunezinhlobo ezine ze-ligament esizibukayo lapho senza uphenyo:
- I-Anterior cruciate ligament (ACL) evimbela isifuba shinti singasuki phambi kwamadolo
- I-posterior cruciate ligament (i-PCL) evikela isifuba se-shin ekuhambeni kakhulu
- I-medial ligamental colalateral (MCL) evimbela ukuvulwa kwamadolo
- I-latal collateral ligament (LCL) evimbela ukudlulela ngokweqile ngokuhlangene
Ngenkathi i-ACL ejwayelekile ivame ukuba nzima ukubona eMRI, noma yiliphi izinyembezi ze-ligament lizobonakala ngamaphesenti angama-90 wamacala (ngokuvamile avame ukuhambisana nokulimala nokuphuka kwamathambo). I-ACL yilapho iningi lokulimala komgogodla kwenzeka khona.
I-PCL, ngokuphambene, ibonakala kalula kwi-MRI ngoba cishe kabili ubukhulu be-ACL. Izinyembezi eziqhelile zivamile. Uma kwenzeka kwenzeka, ngokuvamile kuzobonakala njengokuphazanyiswa okucacile kwamagagasi e-ligament.
Okwamanje, ukulimala kwe-MCL kanye ne-LCL kuvame ukuhambisana nokuvuvukala emadolweni (okubizwa ngokuthi "amanzi emadolweni"). I-MRI ingasetshenziselwa ukuxilonga izinga lokulimala, elibhekwa ngokuba khona kwamanzi (iBanga I), ukuphazanyiswa kwamanzi nezigameko (iGreyidi II), noma ukuphazanyiswa okuphelele (iBanga III).
Ukulimala kweBanga III ngokuvamile kudinga ukuhlinzwa.
Ukubona Izinkinga Zethuba
I- tendon iyi-fiber elukhuni, enamandla ehlanganisa imisipha kuya ethambo. Ama-tendon amabili abonwe kwi-MRI yi-tendon quadriceps (ehlanganisa imisipha yamathanga kuya emadolweni) kanye ne- patellar tendon (ehlangene nesifuba lesifuba ku-kneecap).
I-MRI ingasetshenziselwa ukuthola i-tendinitis engapheli (ukuvuvukala kwethenda) noma i-tendon rupture (nakuba lokhu kuvame ukubonakala ekuhloleni ngokomzimba). Ezimweni ze-tendinitis-njengaleyo ebonwa "ngamadolo e-jumper" -I-MRI izovame ukuveza ukulimala kwegciwane okuqhubekayo ngendlela yokulahla, ukuvuvukala, nokulimala kwethenda.
> Umthombo:
> MacMahon, P. noPalmer, W. "Indlela Yokusebenza Ye-Biomechanical yeMRI ye-Acute Knee Accidents". 2011; 197 (3): 568-577.