Ukubuyisela Ngokugcwele Ngemva Kwokulimala Kwe-Meniscus
Uma unamahlombe emadolo ngenxa yezinsizi , ungase uzuze ekwelapheni okungokwenyama ukukusiza ukuthi uphinde uthole ukunyakaza okujwayelekile emadolweni akho futhi uthuthukise amandla akho jikelele nokuhamba. Umhlinzeki wakho ongokwenyama angakubonisa lokho okudingeka ukwenze-nokuthi yini okufanele uyigweme-ukukusiza ukuthi ululame ngokuphelele ngokulimala kwamadoda.
Ubuhlungu obukhulu bungathola indlela yemisebenzi yakho yansuku zonke.
Kungenza ukuhamba kube buhlungu, futhi kunganciphisa ikhono lakho lokukhuphuka futhi wehla izitebhisi noma uphakamise endaweni ehlezi. Kungakuvimbela futhi ukuba ujabulele umsebenzi wakho ojwayelekile noma imisebenzi yokuzilibazisa.
Kunezimbangela ezihlukahlukene zokuhlukunyezwa kwamadolo, kubandakanya:
- Knee osteoarthritis
- I-Ligament sprains
- Izinkinga zokulandelela i- Patellar (kneecap) noma i- patellofemoral stress syndrome
- Isiotibial band friction syndrome
- Meniscus izinyembezi
Uma i-meniscus izinyembezi ibangela ubuhlungu bakho emadolweni, ungabona izimpawu nezimpawu ezehlukene ezikhawulela ukuhamba kwakho okujwayelekile kokusebenza. Ukuqonda ukuthi i-meniscus iyini nokuthi i-PT ingakusiza kanjani ukuba ululame ngemva kokulimala kwe-meniscus kungakusiza wenze izinqumo ezingcono uma ulawula isimo sakho.
I-Meniscus Overview
I-meniscus iyisakhiwo esincane se-cartilaginous emadolweni akho aphakathi kwe-tibia yakho (ithambo lesifuba) ne-femur (ithambo lesithambo). Ibhande ngalinye linamadoda amabili (inqwaba ye-meniscus) -yodwa engxenyeni yangaphakathi neyodwa engxenyeni yangaphandle yamadolo akho.
I-meniscus yangaphakathi ibizwa ngokuthi i-meniscus yangaphakathi, kanti ingaphandle ibizwa ngokuthi i-lateral meniscus.
I-meniscii yakho yimizimba ehlotshisiwe ye-crescent ehlinzeka ngokuxakeka kokudabuka emadolweni akho, futhi basiza ukujoyina ukugoqa nokushelela kahle uma ugoba futhi uqondise idolo lakho.
Indlela Ethola Ukulimala
Kukhona ezinye izinto ezingabangela ukulimala kumadoda wakho.
Lokhu kungafaka:
- I-trauma ehlanganisa ukuguqula phezu kwedolo lakho ngenkathi unyawo lwakho selitshalwe
- Ukufakela phansi ibhande lakho
- Gqoka futhi uchithe izimo ezibuhlungu ezifana ne-knee osteoarthritis
- Asikho isizathu esicacile
Ngesinye isikhathi, abantu bazwa ubuhlungu begciwane obuya ngaphandle kokulimala, kanti ukuhlolwa kokulandela ukuhlola kuveza ukuthi i-meniscus ichitheka.
Izimpawu Nezibonakaliso
Uma unamahlombe emadolo, kufanele uhlole nodokotela wakho ukuze uphendule ngamadolo akho. Angenza izivivinyo ezikhethekile zamadolo ukuze abone imbangela yobuhlungu bakho, futhi izivivinyo zokuxilonga zingalawulwa.
Izimpawu nezimpawu zamadolozi amazinyo angabandakanya:
- Ubuhlungu obukhulu
- Ukuvuvukala emadolweni akho
- Ukuchofoza emadolweni akho
- Ukuzwa sengathi amadolo akho "ukuphawula"
- Ukukhiya okudabukisayo kwamadolo akho lapho uhamba ngokuya endaweni eqondisiwe
- Kunzima ngemisebenzi esebenza njengokwenyuka ekuhleleni, ukungena noma ukuphuma emotweni, noma ukukhuphuka nokunyuka izitebhisi
Uma udokotela wakho esolwa ukuthi i-meniscus izinyembezi ibangela ubuhlungu bakho emadolweni, angase ahlele ukuhlolwa kokuhlola. Ngokuvamile, i-x-ray elula ithathwa ngokujwayelekile ukuze ilahle noma iqinisekise ukuthi i-arthritis yamadolo. I-meniscus yakho ayikwazi ukuboniswa nge-x ray, ngakho-ke i-MRI ingahle ilandelwe ukubuka ngeso lengqondo ama-meniscii akho kanye nemigqa yegciwane futhi uhlole uma kukhona izinyembezi.
Isixwayiso: kuyilapho i-MRI ingaba usizo ekuqinisekiseni ukuthi i-meniscus iguqa ngamadolo, kufanele iphawule ukuthi inani elikhulu labantu abangenamahlombe emadolo banezinyembezi ezingekho emthethweni. Ukuba khona kwe-meniscus izinyembezi akulingani ngokulingana nobuhlungu bakho. I-MRI kufanele ibhekwe njengengxenye eyodwa ye-puzzle uma unakekelwa ubuhlungu bakho emadolweni.
Uma udokotela wakho esitholile ukulimala kwe-meniscus, angase akubhekise ekwelapheni ngokomzimba ukwelashwa. Uma kungenjalo, ungase uzuze ngokucela ukuhanjiswa, noma ungakwazi ukuya ku- PT ngaphansi kokufinyelela okuqondile .
Ukwelashwa Kwemvelo
Uma uqala ukuvakashela isifo somzimba we-meniscus izinyembezi, kufanele enze ukuhlolwa kokuqala ukuhlola isimo sakho nokuthuthukisa uhlelo lokunakekelwa.
Izingxenye zokuhlola kwakho zingabandakanya:
- Kuthatha umlando oningiliziwe wenkinga yakho
- Hlola ukuhlaziywa
- Ukuhlukaniswa
- Izinyathelo zokuhamba kwamadolo (ROM)
- Izinyathelo zamandla ezinyawo, amadolo, namaqhwa
- Ukuhlola ukulinganisela
- Ukuhlolwa kokuhamba kwakho kokusebenza
- Ukwenza ukuhlolwa okukhethekile kwamadolo akho
Ezinye izingxenye zokuhlolwa zingase zibuhlungu; Vumela ukuthi i-PT yakho ikwazi uma kukhona ubuhlungu noma ukunganaki, futhi angalungisa ukuhlolwa ngokufanele. Iseshini yakho nomthandi wakho kufanele uzizwe njengobudlelwane bezokwelapha; bobabili nisebenzisana ndawonye ukukusiza ukuba uhambe kangcono futhi uzizwe ungcono.
Uma ukuhlolwa kokuqala sekuphelile, i-PT yakho ingasebenza nawe ukuthuthukisa imigomo yokuvuselela. Ukwelashwa kungase kuqalwe ngesikhathi sesigaba sokuqala. Ukwelashwa ngokwemithi yokwelashwa kwamadoda okudabuka ngamadolo kungabandakanya:
Ukuzivocavoca
- Ukuzivocavoca okuningi: Ukuzivocavoca kungenziwa ukusiza ukuthuthukisa indlela idolo lakho elihamba ngayo. I-heel slide elula ingathuthukisa i-ROM flexion, futhi ukuzivocavoca okulindelekile kungase kuthuthukise isandiso se-ROM.
- Ukuqinisa umzimba: I-PT yakho ingahle ibeke izivivinyo eziqondile zokuqinisa imisipha emadolweni akho. Lokhu kungasiza ekusekeleni ukujoyina kwakho futhi ugcine ingcindezi ngokweqile ku-meniscus yakho emele. Ukuzivocavoca kungabandakanya iziqu ze-arc ezincane , umlenze oqondile uyaphakamisa , futhi ugxilile ukuqiniswa neqembu lokumelana. I-PT yakho ingase igweme ukuzivocavoca okuthuthukisiwe okufana nama-squats noma amaphaphu, ngoba lokhu kungabeka ukucindezeleka ngokweqile nokucindezela emadolweni akho.
- Ukuzivocavoca umzimba : Uma i-PT yakho izwa ukuthi ibhalansi yakho ayiphumelelanga ngenxa yemilenze yakho, angase abeke ama-exercises ukuze athuthukise ukutholakala kwempahla . Ukuzivocavoca kungabandakanya isimo esisodwa somlenze noma ibhodi le- BAPS . Ngokwenza ngcono ibhalansi yakho, ungakwazi ukugcina idolo lakho endaweni efanele ngesikhathi sokusebenza, ukunciphisa ukucindezeleka nokucindezela kumadoda wakho.
Khumbula, hhayi konke ukuvivinya umzimba kulungile kuwo wonke umuntu onokulimala kwe-meniscus, ngakho-ke sebenzisana eduze ne-PT yakho ukuthi wazi ukuthi yiziphi izivivinyo ezisebenza kahle emzimbeni wakho othize.
Ukuqeqeshwa kokuhamba
- Ukuhamba ngokusebenzayo: Ukulimala kwe-meniscus kungabangela ubunzima ngokuhamba okuyisisekelo kokusebenza njengokunyuka kwezitebhisi noma ukuphakama esihlalweni. I-PT yakho ingase imisele imisebenzi ethile yokuthuthukisa ikhono lakho lokwenza lezi zinto ngenkathi unciphisa ukucindezeleka kumadoda wakho.
- Ukuqeqesha okuzuzwayo: Ubuhlungu obunzima obuvela e-meniscus izinyembezi kungabangela ukuba uhambe nge-limp, igama elibizwa nge-antalgic gait. I-PT yakho ingenza imizimba nemisebenzi ekhethekile ukusiza ukubuyisela ubuhlungu bukhululekile. Ukuhlaziywa kwe-video gait kungenziwa ukuhlaziya indlela ohamba ngayo futhi uqondise ukwelashwa kwe-gait yakho.
Izindlela zokulawula ubuhlungu, ukuvuvukala, noma ukuvuvukala
- Ukuvuselela kagesi: Izinhlobo ezihlukahlukene zokuvuselela kagesi zingasetshenziswa ngesikhathi sokuvuselela i-meniscus izinyembezi. I-TENS ingasetshenziselwa ukusiza ukunciphisa ubuhlungu, futhi i- NMES ingasetshenziselwa ukuthuthukisa indlela imisipha yakho ejikeleza ngayo isivumelwano sakho semadolo.
- Ukushisa noma iqhwa: I-PT yakho ingafaka ukushisa emadolweni ukuthuthukisa ukugeleza kwegazi lendawo, futhi iqhwa lingasetshenziswa ukunciphisa ukuvuvukala nobuhlungu.
- I-Ultrasound : I-Ultrasound isetshenziswe ku-PT ukusiza ukuthuthukisa ukujikeleza nokugeleza kwegazi jikelele, futhi ingasetshenziswa yi-PT yakho ngesikhathi sokuguqa kwamadolo.
- I-Kinesiology ethinta : Abanye abahlinzayo basebenzisa i-kinesiology tape ukusiza ukuthuthukisa ukusebenza komzimba wonke. I-PT yakho ingasebenzisa i-tape ukuze ithuthukise indlela imisipha yakho ejikeleza ngayo isivumelwano sakho sokuguqa, noma ingasetshenziswa ukunciphisa ubuhlungu nokuvuvukala.
Uma i-PT yakho isebenzisa izindlela zomzimba ezifana nalezi, ukuqapha kufanele kusetshenziswe. Lezi zindlela zokwelapha ezidinga usizo oluthile engxenyeni yakho. Eziningi zalezi zonyango azizange zitholwe ukuthi zineziphumo ezizuzisa kakhulu zezintambo zamadoda. Uma i-PT yakho ikhetha ukusebenzisa noma iyiphi indlela yokuziphatha engakapheli ngesikhathi sokuvuselela kabusha, qiniseka ukuthi uyaqonda ukuthi yini ongayilindela ekwelapheni. Izinhlelo zokuphumelela ze-PT zigxila kakhulu ekuzibandakanyeni okusebenzayo nokuzivocavoca futhi kancane kunokwelapha okungahambi kahle njenge-ultrasound, ukushisa noma iqhwa.
Imfundo
- Imfundo ngesimo sakho: Umhlinzeki wakho wenyama kufanele anikeze ulwazi mayelana nesimo sakho njengengxenye yocwaningo lwakho lwezokwelapha. Kungenzeka ukuthi unemibuzo mayelana ne-meniscus izinyembezi nokubikezela kwakho konke. I-PT yakho kufanele ikwazi ukuphendula noma yimiphi imibuzo onayo mayelana ne-rehab ye-knee meniscus izinyembezi.
- Amasu okuvimbela izinkinga zesikhathi esizayo: Enye yezinto ezibaluleke kakhulu ongayenza ku-PT ufunde ukuvimbela izinkinga zesikhathi esizayo ngamadolo akho. Lokhu kuhilela ukufunda ukuqeqeshwa okufanele ukwenze njengengxenye yohlelo lokuzivocavoca ekhaya noma isimiso somzimba esingasisiza ukugcina amadolo akho-nemisipha ebasekelayo-ehamba kahle.
Indlela ejwayelekile yokwelashwa kwamadolo okubangelwa ngamadolo okubangelwa i-meniscus izinyembezi ihlala cishe amasonto amane kuya kwangu-6. Ungalindela ukufeza iROM egcwele emadolweni kanye namandla futhi uphinde ubuye ubuhlungu obukhulu bokuhamba komsebenzi. Khumbula ukuthi wonke umuntu kanye nokulimala konke kuhlukile, futhi inkambo yakho ye-PT ingaba mfushane noma ende. Amanye ama-meniscus izinyembezi anzima, futhi ungadinga ukwelashwa okungenayo okungajwayelekile, njengezijovo noma ukuhlinzwa, ukuxazulula ngokuphelele isimo sakho.
Ukucatshangelwa kokuhlinzwa
Uma uthola ukuthi unesifo sokuqothulwa kwamadolo, udokotela wakho angakutjela kudokotela wezinyosi ukuthi uhlole ukuhlinzwa. Ezinye izinyembezi zidinga ukuhlinzwa, kodwa hhayi zonke. Inani elibalulekile labantu linemisindo yezinsizi ngaphandle kokubuhlungu kwamadolo , ngakho-ke ukumane ube ne-meniscus izinyembezi akusho ukuthi udinga ukuhlinzwa. Ngaphezu kwalokho, ucwaningo luye lwabonisa ukuthi ukwelashwa ngokomzimba nokuzivocavoca kungakusiza ukuba ugweme ukuhlinzeka uma unesihenqo sezinsizi .
Uma ubamba iqhaza ekwenzeni i-PT ye-meniscus yakho yezinyembezi futhi usaqhubeka nokuzwa ubuhlungu nokusebenza okulinganiselwe kokusebenza, udokotela wakho angase ancome ukuhlinzwa. Uma kunjalo, sebenzani nodokotela wakho ukuthola indlela enhle kakhulu yokunakekela.
Izinyathelo Zokuqala Zokuthatha
Uma uhlakulela ubuhlungu begciwane futhi uzizwa ungase ube ne-meniscus izinyembezi, kunezinyathelo ezithile okufanele uthathe ukuze uqalise ukwelashwa okufanele. Ungesabi; ngokuvamile ungabuyela ngokushesha emsebenzini wakho ovamile, ubuhlungu obukhulu. Vakashela udokotela wakho ukuze uthole ukuxilongwa okunembile, futhi uhlanganyele ohlelweni lwe-PT olusebenzayo olwenzelwe wena ngqo. Ungathola ukuthi uyakwazi ukubuyisela ukunyakaza okuvamile namandla emadolweni ukuze ukwazi ukubuyela ezingeni lakho eliphezulu lokusebenza komsebenzi kanye nomsebenzi.
> Umthombo:
> Katz, JN, etal. Ukuhlinzwa ngokuphikisana noPhyiscal Therapy for Meniscal Izinyembezi kanye ne-Osteoarthritis. I-NEngl J Med, 2013; 368: 1675-84.