Inqubo elula, e-office cishe inembile njenge-MRI
Ukulimala kona kungenzeka nganoma yisiphi isibalo sezizathu , okwenza ubuhlungu nokuvuvukala okungaphazamisa ukuhamba, ukuzivocavoca, noma ukwenza imisebenzi yansuku zonke. Ukuphawula inkinga kungaba nzima. Ezimweni eziningi, kulula ukuchaza uma kwenzeka ubuhlungu - ngokwesibonelo, lapho uhamba ngezinyathelo noma usebenza-kunokuba kwenzekani emadolweni.
Enye yezinto ezivame ukulimala ngamadolo zazibandakanya ukukhwabanisa kwe-cartilage yangaphakathi ezungeze ukujoyina. Ngalolu hlobo lwesimo, ukuxilongwa kungenziwa kube lula ngokukwenza lokho esikubiza ngokuthi ukuhlolwa kukaMcMurray.
Lokho ukuhlolwa kweMcMurray kusitshela
Ukuhlola kukaMcMurray (owaziwa nangokuthi ukuhlolwa kwe-McMurray circumduction) kusetshenziselwa ukubona izinyembezi zangaphakathi emhlangeni wegolo. Yinkqubo lapho amadolo ajikelezwa khona ukuze abone lapho izinyembezi emthonjeni (okuthiwa i- meniscus ) kungenzeka ukuthi zenzeke noma zenzeke.
I-meniscus ephukile ingozi ejwayelekile ebangelwa ukuguqulwa kwamandla emadolweni ngesikhathi semidlalo, lapho isebenza, noma ngesikhathi sokuwa noma ukuwayeka.
Nakuba abantu abaningi bacabanga ukuthi ukuskena kwe- MRI (i-magnetic resonance imaging) kungaba yisinyathelo sokuqala ekuhloleni lolu hlobo lokulimala, ukuhlolwa kukaMcMurray kuvame ukunikeza ukuxilongwa okucacile.
Ukuhlolwa koMcMurray Kwenziwe kanjani
Isivivinyo seMcMurray senziwa ehhovisi likadokotela nesiguli esingaphansi kwezingubo zakhe zangaphansi.
Uma ungagqoki, lowo muntu uzocelwa ukuba alale phansi etafuleni lokuhlola.
Inqubo ngokwayo ihilela ezinyathelweni ezimbili, kanje:
- Udokotela uguqa ngamadolo ngakwesinye isandla futhi inyawo lenye kwelinye.
- Amadolo aphethwe ngokugcwele futhi ahanjiswe ngaphandle ngenhloso "yokugwedla".
- Phakathi naleso sikhathi, udokotela uzoqala ukujikeleza unyawo ngaphakathi ngenkathi ephakamisa amadolo.
- Noma yibuphi ubuhlungu noma "ukuchofozwa" kusebenza njengesifo sokuhlunga kwe-meniscus.
Ingxenye yesibili yokuhlolwa iqhubeka ngokufanayo:
- Udokotela uguqa ngamadolo ngakwesinye isandla futhi inyawo lenye kwelinye.
- Ibhande ligobile ngokugcwele futhi lihanjiswe ngaphandle ngenhla "isikhundla somnsalo".
- Udokotela uzoqala ukujikeleza unyawo ngaphandle ngenkathi ephakamisa amadolo.
- Noma yibuphi ubuhlungu noma "ukuchofozwa" kusebenza njengesifo sokuhlunga kahle kwezinyembezi zomuntu we-meniscus.
Ukuhlolwa kubhekwa okulungile lapho ukuchofoza kuzwakala phezu kwe-meniscus njengoba idolo lilethwa kusuka e- flexion egcwele (egobile ngokuphelele) kuya kuma-degree angu-90.
Izinzuzo Nezimo Zesivivinyo seMcMurray
Ukuhlolwa kwe-McNurrary kuyasiza kakhulu ekutholeni izinyembezi kwisici se-posterior (emuva) semadolo. Ngezinye izikhathi izinyembezi eziphakathi zitholakale ngale ndlela.
Ngokuphambene nalokho, izinyembezi zangaphambili (ngaphambi kwamadolo) azitholakali kalula futhi zingadinga uphenyo lwe-MRI noma i- arthroscopic ukukhomba umonakalo.
Ngokubanzi, ukuhlolwa kukaMcMurray kuboniswe ukuthi kunemininingwane ye-78.5% (iphesenti lemiphumela eyiyo engalungile) kanye nokuzwela okungamaphesenti angu-79.7 (iphesenti lemiphumela ngendlela efanele) ekutholeni izinyembezi ezingekho emthethweni. I-MRI, ngokuphambene nalokho, yayinezici eziyi-85.7 zamaphesenti kanye nokuzwela kwamaphesenti angu-78.3.
> Umthombo:
> Rinonapoli, G .; I-Carraro, A .; noDelcogliano, A. "Ukuhlola ukuhlolwa kwemithi ngokungahambi kahle akulula. Ukuthembeka kokuhlolwa kwemithi emibili emitholampilo kanye nokucabangela kwamagnetic resonance." I-Int J Immunopathol Pharmacol. 2011; 24 (1 Suppl 2): 39-44.