So wo kotodwe yɛ wo yaw bere nyinaa? Momma yɛnka McMurray Sɔhwɛ no ho asɛm nnɛ!

So worehyia ɔhaw wɔ akwantu mu anaasɛ wobɛyɛ wo da biara da dwumadi ahorow a wo kotodwe yɛ wo yaw? Ebia wohwee ase bere a woredi agumadi, wunyaa akwanhyia, anaasɛ wo kotodwe pirapirae ara kwa. Sɛ wowɔ kotodwe ho haw te sɛ eyi a, oduruyɛfo bi bɛyɛ nhwehwɛmu bi a ɛnyɛ den nanso ɛho hia yiye a wɔfrɛ no McMurray Test de ahwɛ wo kotodwe. Ɛnnɛ, yɛbɛka eyi ho asɛm akɔ akyiri kakra sɛnea ɛbɛyɛ a wobɛte ase.

Dɛn ankasa ne McMurray Sɔhwɛ no?

Sɛ yɛbɛka no tiawa a, eyi yɛ nipadua mu nhwehwɛmu a oduruyɛfo bi kotow wo kotodwe ne wo nan, ɔtrɛw mu, na ɔkyinkyim no wɔ mmeae ahorow . Titiriw no, wɔyɛ nhwehwɛmu yi de kyerɛ sɛ ebia ntini a ɛwɔ kotodwe no mu a wɔfrɛ no ``meniscus'' no asɛe, atetew, anaasɛ ɛwɔ ɔhaw foforo biara anaa. Ɛho nhia sɛ wɔde nnwinnade a ɛyɛ fɛ biara di dwuma. Oduruyɛfo no betumi ayɛ wɔ n’adwumayɛbea. Oduruyɛfo no betie wo yiye na wabɔ mmɔden sɛ ɔbɛte ɛyaw biara, "klik" nnyigyei, anaa ɔhaw foforo biara a ebia worehyia no nka.

Dɛn nti na ɛsɛ sɛ meyɛ McMurray Sɔhwɛ yi? / Bere bɛn na wɔtaa yɛ sɔhwɛ yi?

Sɛ wokɔ oduruyɛfo nkyɛn a wo kotodwe mu yɛ wo yaw, wo ho ahonhon, anaasɛ ɛyɛ den sɛ wobɛkotow anaa wobɛteɛteɛ wo kotodwe, na wosusuw sɛ ebia wo meniscus a atetew a, ɛda adi sɛ wɔbɛyɛ McMurray Sɔhwɛ no. Wɔtaa yɛ eyi sɛ sɔhwɛ a edi kan, de boa ma wohu nea ɔhaw no yɛ ankasa.

Afei, momma yɛnhwɛ nea saa `(Meniscus)` yi yɛ. Ɛte sɛ ntini abien a ɛte sɛ "C", te sɛ rɔba, ɛyɛ den kakra wɔ yɛn kotodwe mu, wɔ asen dompe (`(Femur)`) ne asen dompe (`(Tibia)`) ntam. Ɛte sɛ shock absorber a ɛwɔ kar mu, ɛmma nnompe a ɛwɔ yɛn kotodwe mu no ntumi nkɔbɔ wɔn ho wɔn ho, ɛtwetwe nhyɛso a ɛwɔ kotodwe no so na ɛbɔ nkwaa no ho ban. Ɛboa nso ma nkwaa no gyina pintinn.

Fa no sɛ, sɛ wohwe ase mpofirim, wohwe ase, anaasɛ wobɔ wo denneennen wɔ kar akwanhyia mu bere a woredi agumadi bi te sɛ kriket anaa bɔɔlbɔ a, saa `(Meniscus)` yi betumi atetew, abubu, anaasɛ apirapira. Eyi yɛ opira a abu so kɛse wɔ agumadifo mu. Afei nso, bere a worenyin no, saa ntini no afã horow yi de nkakrankakra sɛe na ɛnyɛ den sɛ ɛbɛsɛe.

Sɛ meniscus mu tetew a, mpɛn pii no, nea ɛka ho ne:

• Nnyigyei a "ɛbɔ" a efi kotodwe mu ba: Wɔ nnipa binom fam no, ɛyaw a emu yɛ den betumi aka saa nnyigyei yi ho. Susuw sɛnea ɛbɛyɛ hu sɛ mpofirim ara wote sɛ biribi rebubu wo kotodwe mu.
• Sɛ wote nka sɛ ontumi nnyina na wontumi nni so: Ebia kotodwe no bɛte nka sɛ "ɛrema kwan" anaasɛ "ɛkotow" a ensoa emu duru. Eyi betumi ama nantew, mmirikatu, anaa antweri foro ayɛ nea ɛnyɛ dɛ koraa na ɛyɛ hu.
• Yeaw:Eyi ne ade titiriw. Ɛtɔ mmere bi a, ɛyaw no tumi yɛ kɛse bere a wokotow, wotrɛw mu, anaa wode adesoa to ne kotodwe so no. Ɛyaw no nso betumi aba anadwo bere a wɔada no. Ebia nnipa binom bɛte ɛyaw no nka wɔ kotodwe no mu anaa akyi.
• Nkotodwe a ɛyɛ den: Sɛ wosɔre anɔpa anaa wugyina hɔ kakra a, wo kotodwe betumi ayɛ den na ayɛ den sɛ wobɛkeka wo ho.
• Ɔhonhon: Ebia kotodwe no befi ase ahonhon wɔ nnɔnhwerew kakraa bi mu anaa da koro anaa nnanu wɔ opira no akyi.
• Kotodwe a wontumi nkotow na ɛntrɛw sɛnea ɛsɛ: Ebia kotodwe no rentumi nkotow anaasɛ ɛnteɛ koraa. Ebia ɛbɛyɛ te sɛ nea biribi akɔhyɛ mu (`locking`).

Enti, sɛ woapira wo kotodwe na worenya saa sɛnkyerɛnne ahorow yi a, oduruyɛfo no bɛyɛ McMurray Sɔhwɛ no na ama wanya adwene a ɛyɛ den sɛ ebia ɛnyɛ meniscus no nko na asɛe bi, na mmom kotodwe no afã afoforo a ɛho hia te sɛ ntini no nso.

Hena na ɔyɛ McMurray Sɔhwɛ no?

Eyi yɛ mmerɛw yiye. W’abusua oduruyɛfo nso betumi ayɛ nhwehwɛmu yi. Nanso, mpɛn pii no, nnompe ho oduruyɛfo (`(Nnompe ho Oduruyɛfo)`) bɛyɛ nhwehwɛmu yi na wasi ayaresa foforo ho gyinae. Wɔyɛ saa sɔhwɛ yi wɔ n’ayaresabea, wɔ n’adwumayɛbea. Ɛho nhia sɛ wɔde nnwinnade titiriw biara anaa kɔ baabi a ɛyɛ soronko.

Ɔkwan bɛn so ankasa na wɔyɛ McMurray Sɔhwɛ no? Momma yɛnkyerɛkyerɛ mu kakra.

McMurray Sɔhwɛ no hwehwɛ sɛ wo duruyɛfo de wo nan ne wo kotodwe keka wo ho toatoa so. Eyi yɛ sɛ wobɛhwɛ sɛ sɛnkyerɛnne bi wɔ wo kotodwe mu ne baabi a wubetumi akotow na woateɛteɛ wo kotodwe (`range of motion`). Ɛyɛ mmerɛw yiye:

1. Nea edi kan no, wɔde wo bɛto mpa a wɔde yɛ sɔhwɛ so, a w’ani kyerɛ soro.

2. Afei, oduruyɛfo no bɛkotow wo nan a wɔayɛ mu nhwehwɛmu no kotodwe akodu digrii 90, te sɛ nea wote akongua so. Ɔde ne nsa baako bɛkura wo kotodwe na ɔde baako nso akura wo nan ase.

3. Afei, dannan wo kotodwe no nkakrankakra kɔ mu (kɔ wo nipadua so - `(mfinimfini ɛkyinkyini)`) ne abɔnten (kɔ akyirikyiri fi wo nipadua ho - `(akyi ɛkyinkyini)`).

4. Bere a oduruyɛfo no redi akɔneaba wɔ saa kwan yi so no, ɔde nkakrankakra teɛ wo nan.

5. Wobetumi ayɛ saa anammɔn yi mpɛn pii, afi mmeae ahorow.

Sɛ wode wo kotodwe kɔ anim ne akyi saa a, nhyɛso bi ba wo `(Meniscus)` so. Ɛne sɛ, nhyɛso no te sɛ nhyɛso a yɛte nka wɔ yɛn nkotodwe so bere a yɛyɛ adwuma, nantew, na yɛkotow yɛn nkotodwe wɔ yɛn da biara da asetra mu no.

Bere a oduruyɛfo no tu wo nan ne wo kotodwe wɔ saa kwan yi so no, obebisa wo sɛ wote ɛyaw bi nka anaa. Oduruyɛfo no de ahwɛyiye kɛse bɛyɛ eyi, a ɔrempira wo a ɛho nhia.Ɔsan nso tie "clicking" nnyigyei biara a efi wo kotodwe mu, anaasɛ nkate biara a ɛyɛ nwonwa, a ɛyɛ den wɔ wo nsa mu. Eyi bɛma oduruyɛfo no ahu baabi a wo meniscus no wɔ ne sɛnea ebia asɛe no kɛse. Sɛ wote nka sɛ wo ho nyɛ wo dɛ a, nsuro sɛ wobɛka akyerɛ no ntɛm ara, ɛyɛ?

So ɛsɛ sɛ misiesie biribiara ansa na McMurray Sɔhwɛ no aba?

Dabi, enhia sɛ woyɛ biribi titiriw biara de asiesie wo ho ama McMurray Sɔhwɛ no. Ade a ɛho hia sen biara ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛ wo kotodwe apira anaasɛ wowɔ sɛnkyerɛnne foforo bi a. Saa kwan no so no, wubetumi anya ano aduru ansa na ɔhaw no mu ayɛ den.

Mɛte nka dɛn wɔ sɔhwɛ no mu? Dɛn na ɛsɛ sɛ mehwɛ kwan?

Sɛ oduruyɛfo no yɛ McMurray Sɔhwɛ no a, bɔ mmɔden sɛ wobɛma wo ho adwo wo na wo ho atɔ wo sɛnea wubetumi bere a wo nan ne wo kotodwe retu no. Sɛ wohyɛ wo ntini mu den a, ebetumi ayɛ den sɛ wobɛyɛ sɔhwɛ no yiye na ebetumi ama woanya atoro.

Esiane sɛ eyi yɛ nipadua mu nhwehwɛmu nti, nea ɛho hia sen biara ne sɛ wobɛka biribiara a wote nka akyerɛ oduruyɛfo no, ɛmfa ho sɛnea ɛyɛ ketewaa no. Titiriw no, sɛ wote ɛyaw anaa wo ho nyɛ wo dɛ bere a woreyɛ kankyee biara a, hwɛ hu sɛ wobɛka akyerɛ wɔn.

Ɛyaw, adwenem naayɛ, anaa sɛnkyerɛnne afoforo (te sɛ "klik" nnyigyei) a wunya wɔ McMurray Sɔhwɛ no mu no bɛboa wo duruyɛfo ma wahu baabi pɔtee a wo meniscus apira, anaasɛ opira foforo a ebia woanya. Enti nsuro sɛ wobɛka biribiara akyerɛ wɔn.

Dɛn na ɛba wɔ sɔhwɛ no akyi? Dɛn na wobɛyɛ akyi?

Mpɛn pii no, McMurray sɔhwɛ no yɛ ade a edi kan a wɔde sa wo kotodwe ho haw no ara kwa. Sɛ wo duruyɛfo te biribi a ɛyɛ soronko nka wɔ wo kotodwe mu (e.g., ɛyaw, "klik") anaasɛ ɔte nnyigyei bi bere a wɔreyɛ nhwehwɛmu no a, obetumi akamfo nhwehwɛmu foforo akyerɛ anaasɛ obefi ase ayɛ ayaresa na ama wo sɛnkyerɛnne ahorow no so atew.

McMurray sɔhwɛ no akyi no, ɛda adi sɛ ebehia sɛ woyɛ mfoninitwa nhwehwɛmu foforo biako anaa nea ɛboro saa. Saa sɔhwɛ ahorow yi twa wo kotodwe mu mfonini de hwɛ sɛ ebia biribi asɛe ne dodow a asɛe. Mfoninitwa sɔhwɛ ahorow a wɔtaa yɛ ne:

• X-ray: Eyinom betumi ahwɛ sɛ nnompe no asɛe, te sɛ nea abubu. Ɛwom sɛ wontumi nhu meniscus no tẽẽ de, nanso wobetumi aboa ma wɔahu sɛ ɔhaw afoforo wɔ hɔ anaa.
• MRI (Magnetic Resonance Imaging - MRI): Eyi ne sɔhwɛ a eye sen biara a wɔde hwehwɛ ntini a ɛyɛ mmerɛw a asɛe, te sɛ meniscus a atetew ne ligament opira.
• Ultrasound: Ɛtɔ mmere bi a wɔde eyi hwɛ ntini a ɛyɛ mmerɛw.

Wo duruyɛfo bɛkyerɛkyerɛ nhwehwɛmu ahorow a ɛsɛ sɛ woyɛ ne opira ko a wɔrehwehwɛ mu akyerɛ wo.

Ebia ɛho behia sɛ woyɛ wo kotodwe mu ntini mu nhwehwɛmu na ama woahu nea ɛwɔ wo kotodwe mu pɛpɛɛpɛ na woasiesie. Eyi yɛ adeyɛ a ɛnyɛ den pii a ɛhwehwɛ sɛ wotwa ketewaa bi na wode mfoninitwa afiri ketewaa bi hyɛ mu de hwɛ wo kotodwe mu. Mpɛn pii no, wɔyɛ kotodwe mu ntini mu nhwehwɛmu yi sɛ ayaresa a wɔde kɔ ayaresabea, a ɛkyerɛ sɛ wubetumi akɔ fie da koro no ara a ɛho nhia sɛ wotra ayaresabea.

So asiane bi wɔ McMurray Sɔhwɛ yi mu?

Dabi, asiane kɛse biara nni wo kotodwe so sɛ wobɛma oduruyɛfo ayɛ McMurray Sɔhwɛ yi. Eyi yɛ sɔhwɛ a ahobammɔ wom yiye.

Ebia wobɛte ɛyaw bi anaasɛ wo ho nyɛ wo dɛ bere a woreyɛ nhwehwɛmu no, titiriw sɛ wo meniscus a atetew a. Nanso, sɛ wo meniscus no mu atetew mpo a, ɛnsɛ sɛ wote ɛyaw biara a ɛho hia a wuntumi nnyina ano bere a oduruyɛfo no keka wo kotodwe ne wo nan no, efisɛ nnuruyɛfo no yɛ eyi brɛoo paa.

Nhwehwɛmu binom ada no adi sɛ ebia McMurray Sɔhwɛ no nkutoo rennyɛ pɛpɛɛpɛ 100% wɔ sɛnea wobɛkyerɛ sɛ ebia wowɔ meniscus a atetew anaasɛ enni bi no mu. Eyi kyerɛ sɛ ɛtɔ mmere bi a ebia sɔhwɛ no renhu sɛ nusu bi wɔ meniscus no mu (atoro a ɛkyerɛ sɛ ɛyɛ papa), anaasɛ ɛbɛyɛ te sɛ nea nusu biara nni hɔ (atoro a ɛkyerɛ sɛ ɛyɛ papa). Nanso, mpɛn pii no, eyi yɛ ade a edi kan a wo duruyɛfo bɛyɛ de ahu wo opira no nkutoo. Mfoninitwa nhwehwɛmu (titiriw MRI) yɛ nea ɛyɛ nokware kɛse. Eyi nti na ɛda adi sɛ anyɛ yiye koraa no ebehia sɛ woyɛ mfoninitwa sɔhwɛ biako bio wɔ McMurray Sɔhwɛ no akyi no.

Dɛn ne nea efi mu ba a minya? Dɛn na ɛka?

Nea efii McMurray Nhwehwɛmu no mu ba no nte sɛ nhwehwɛmu ahorow bi a ebia woayɛ pɛn (te sɛ mogya mu nhwehwɛmu). Ɛne sɛ, ɛmma bo pɔtee bi anaasɛ ɛmma baabi a ɛbɛkɔ. Mmom no, McMurray Sɔhwɛ no ma oduruyɛfo no nya ayaresabea adwene pa wɔ opira ko a ebia woapira wɔ wo kotodwe mu no ho.

Eyi nyɛ sɔhwɛ a ɛma mmuae a ɛyɛ pintinn, na mmom ɛyɛ asɛmmisa "yiw" anaa "dabi". Sɛ oduruyɛfo no hu ɛyaw, "klik" nnyigyei, anaa sɛnkyerɛnne afoforo a ɛkyerɛ sɛ wo meniscus no mu atetew a, wobu nhwehwɛmu no sɛ "ɛyɛ papa." Nea efii mu bae "a enye" ​​kyerɛ sɛ oduruyɛfo no ante nka anaasɛ ante biribi a ɛyɛ soronko wɔ sɔhwɛ no mu.

Nanso, "negative" result nkyerɛ sɛ worenhia sɔhwɛ foforo biara. Ɛtɔ mmere bi a, sɛ nusu ketewaa bi tetew meniscus no mu mpo a, ebia McMurray nhwehwɛmu no renhu. Anaasɛ ebia ɔhaw foforo bi wɔ kotodwe no mu, sɛ nhwɛso no, opira ketewaa bi a ɛwɔ ntini bi mu. Ɛno nti na oduruyɛfo no bɛhwɛ wo yare no ho sɛnkyerɛnne ahorow na sɛ ɛho hia a, ɔhyɛ sɛ wɔnyɛ nhwehwɛmu foforo no. Sɛ wunya "positive" result a, ɛkyerɛ sɛ hokwan kɛse wɔ hɔ sɛ wobɛtetew meniscus no mu.Afei ɛda adi sɛ oduruyɛfo no bɛhyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ MRI mfa nkyerɛ sɛ wɔahu yare no, na afei wasi ayaresa a wɔde bedi dwuma ho gyinae. Ebia wobetumi de nnuru, nipadua mu ayaresa, anaa oprehyɛn ketewaa bi mpo (arthroscopy) asa tebea no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn? Bere bɛn na ɛsɛ sɛ mekɔ ayaresabea ntɛm ara?

Sɛ wowɔ kotodwe mu yaw anaasɛ ɛho wosow a ɛnkɔ yiye wɔ nna kakraa bi akyi denam ofie ayaresa a ɛnyɛ den (te sɛ ahomegye ne nsukyenee) so , anaasɛ sɛ ɛte sɛ nea ɛreyɛ kɛse a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Afei nso, sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ mu ntɛm ara:

• Ɛyaw a emu yɛ den yiye, a wontumi nnyina ano.
• Ɔhonhon no renya nkɔanim ntɛmntɛm yiye.
• Nsakrae a ɛba kotodwe anaa nan no kɔla mu (sɛ nhwɛso no, ɛdan bruu tuntum, kɔkɔɔ, bruu).
• Sɛ wuntumi ntutu wo kotodwe koraa, anaasɛ wuntumi nnyina hɔ mpo a wo mu duru wɔ wo nan so a.
• Ayɛ a ɛyɛ mmerɛw wɔ baabi a opira no anaasɛ atenka a ɛyera wɔ nan ase.
• Atiridiinini a obi wɔ.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

McMurray Sɔhwɛ no yɛ sɔhwɛ a ɛyɛ ntɛm, ɛnyɛ den, na ahobammɔ wom a oduruyɛfo bedi kan ayɛ de ahu sɛ ebia wo meniscus a atetew anaa ɔhaw foforo anaa. Wɔtaa yɛ bere a wokɔ oduruyɛfo nkyɛn bere a woapira wo kotodwe akyi no.

Nea ɛho hia sen biara ne sɛ, sɛ wo kotodwe yɛ wo yaw, ɛho ahonhon, anaasɛ wuntumi mfa nni dwuma sɛnea ɛsɛ a, mmu w’ani ngu so na wo ne oduruyɛfo nkasa ntɛm ara sɛnea wubetumi. Ɛno ansa na wubetumi ahu nea ɛhaw wo ankasa, afi ayaresa a ɛho hia no ase ntɛm, na wo kotodwe asan akɔ ne kwan so. Ate aseɛ? Mepɛ sɛ wo ho tɔ wo ntɛm!

` McMurray sɔhwɛ, kotodwe mu yaw, meniscus tetew, cartilage tete, kotodwe mu yare, agumadi mu opira, kotodwe nhwehwɛmu, kotodwe mu nhwehwɛmu, meniscus opira