Uma sekutholakala ukuthi i- meniscus yezinyembezi , kufanele kwenziwe isinqumo mayelana nokuphathwa kwalenkinga. Izinyembezi eziningi, ikakhulukazi izinyembezi ezingapheli, zingelashwa ngaphandle kokusebenza. izindlela zokwelashwa ezingekho kokusebenza zingabandakanya:
Kodwa-ke, ezinye izinyembezi ze-meniscus zingadinga ukwelashwa.
Kungani Ukulungisa I-Meniscus Kungase Kudingeke
Udokotela wakho ohlinzayo anganikeza ukulungiswa kwe-meniscus njengendlela yokwelashwa okungenzeka kungenzeka ye-cartilage eyonakalisiwe noma eboshiwe. Eminyakeni eyedlule, uma isiguli sigqunywe i-cartilage, futhi ukuhlinzeka kwakudingeka, yonke i-meniscus yasuswa. Lezi ziguli empeleni zenza kahle ngemva kokuhlinzwa. Inkinga yukuthi ngokuhamba kwesikhathi, i-cartilage emaphethelweni wethambo yayigqoke ngokushesha. Lokhu kucatshangwa ukuthi kungenxa yokulahlekelwa komthelela wokuhlaselwa kanye nokuzinza kokunciphisa kwamadolo okubambisana okubonakala ngemva kokuqeda i-meniscus kususiwe.
Lapho ukuhlinzwa kwe-arthroscopic kwathandwa kakhulu, odokotela abahlinzayo abaningi benza ukukhishwa kwamadoda okungenangqondo - kwacaca ukuthi i-meniscectomy eyingxenye. I-meniscectomy eyingxenye eyenziwa ukuze isuse kuphela ingxenye ephukile ye-meniscus. Lokhu kusebenza kahle kakhulu, futhi isikhathi eside uma i-meniscus izinyembezi isincane. Kodwa ngezinye izinyembezi ezinkulu zezinyembezi, ingxenye eyanele ye-meniscus isuswe njengokuthi izinkinga zingaphinda zikhuphuke emgwaqweni.
Ubani Okudingekayo Ukulungisa?
Izinyembezi ze-meniscus ezibangela okuthiwa "izimpawu zomshini" zivame ukusabela kangcono ukwelashwa okuhlinzayo. Isibonakaliso somzimba sibangelwa i-meniscus ekuvimbeleni ngokomzimba ukunyakaza okuvamile kwamadolo. Izimpawu "ezivamile" zihlanganisa:
- Ukukhiywa kwamadolo (akakwazi ukugoba)
- Ukungakwazi ukuqondisa ngokugcwele amadolo
- Umsindo noma ukuchofoza umsindo noma ukuzwa
Ekamelweni lokusebenza, udokotela ohlinzayo unezinketho ezimbili eziyinhloko, noma asuse i-meniscus ephukile (i-meniscectomy eyingxenye) noma enze ukulungiswa kwe-meniscus ukubeka imiphetho kanye ne-sutures noma izintambo.
Ingabe i-Meniscus ilungisa kangcono?
I-meniscus iyisiqeshana se-cartilage negazi layo elivela emgqeni wangaphandle. Ukuze i-meniscus yokulungisa ikwazi ukuphulukisa, izinyembezi kumele zibe eduze nalokhu kunqamulela engaphandle endaweni yokunikezwa kwegazi elihle (izakhi ezivela emithanjeni yegazi ziyadingeka ukuze ziphulukiswe) - yilokho okubizwa ngokuthi obomvu (isisulu) -futhi ( non-vascular) isifunda se-meniscus.
Izinyembezi ezingxenyeni eziphakathi kwe-meniscus ngeke ziphulukise ngisho noma ukulungiswa kwe-meniscus kwenziwa. Le ngxenye ye-meniscus ayinayo igazi. Uma ubheka le ngxenye engeyona ingxube ye-meniscus, ibonakala imhlophe, ngakho-ke izinyembezi kule ndawo ye-meniscus azilungiswa. Lezi zindezi zingaphakathi kwendawo emhlophe emhlophe lapho kungekho khona igazi elibhekene necala lezinyembezi kumadoda. Lezi zinyembezi eziphakathi zizosuswa udokotela wakho ohlinzayo. Kodwa-ke, ukuhlola kubonakala kubonisa ukuthi uma ukulungiswa kwe-meniscus kunokwenzeka, umphumela wesikhathi eside ungcono isiguli ngenxa yokunciphisa ingozi ye-arthritis kamuva ekuphileni.
Ukwenza Ukuhlinzwa
Izindlela zokukhanda kwe-meniscus zifaka phakathi ukusebenzisa ama-arthroscopically ebekwe eceleni noma ukuxuba imiphetho eboshiwe. Zombili izinqubo zisebenza ngokuphindaphinda emaphethelweni aqhekekile we-meniscus ukuze avumele baphulukise endaweni yabo efanele futhi bangabanjwa emadolweni abangela izimpawu ezichazwe ngenhla.
Impumelelo yokulungisa i-meniscus incike kakhulu ezintweni ezimbili. Okokuqala, uma ukukhanda kwe-meniscus kuzama ukukhala phakathi kwengxenyana ye-cartilage (lapho igazi lingekho khona), kungenzeka ukuthi lihluleke. Okwesibili, iziguli kumele zihambisane nokuvuselelwa emva kokusebenza emva kokulungiswa kwe-meniscus.
Uma ukulungiswa kwe-meniscus kwehluleka (okungukuthi i-meniscus elungisiwe ayiphilisi), okwenzeka kuma-20 kuya kwangu-40% wesikhathi, ukuhlinzekwa kwesibili kungadingeka ukususa i-meniscus ephindiwe kabusha.
Ukulungiswa Ngemuva Kokubuyisa
I-Rehab elandela ukuhlinzekwa kwe-meniscus ukukhanda kuningi kakhulu kune-rehab ngemuva kwe-meniscectomy eyingxenye (ukuhlinzwa ukukhipha i-meniscus izinyembezi). Ngenxa yokuthi kufanele uvumele i-meniscus ephukile ukuba iphulukise, imisebenzi ethile kumelwe ivinjelwe ukuze igweme ukucindezeleka ngokweqile kumadoda okuphulukisa.
Ngokuyinhloko, i-flexion ejulile (ukuguqa) kwamadolo kufanele igwenywe njengoba lokhu kuhamba kuyaziwa ukubeka ukucindezeleka okuphezulu kumadoda elungisiwe. Ngenxa yalesi sizathu, iziguli eziningi ezihlinzekwa ngokuhlinzwa kwe-meniscus zifakwa esikhwameni sezinyanga ezimbalwa emva kwenqubo yabo.
Imithombo:
I-Laible C, et al. "Ukulungiswa Kwemvelo" J Am Acad Orthop Surg April 2013 vol. 21 cha. 4 204-213