So wo kotodwe nso yɛ wo yaw? Ebia eyi ne bere a eye sen biara a ɛsɛ sɛ wusua Apley Sɔhwɛ no ho ade!

So wo kotodwe ayɛ wo yaw anaasɛ wo ho nyɛ wo dɛ pɛn? Anaasɛ ebia woapira wo kotodwe bere a woredi agumadi na wuntumi nkotow anaasɛ wonteɛ no yiye? Sɛ yɛkɔ oduruyɛfo nkyɛn a, ɔfa akwan horow so hwehwɛ yɛn kotodwe mu. Sɔhwɛ titiriw a ɛte saa biako a yɛbɛka ho asɛm nnɛ ne Apley sɔhwɛ no . Eyi boa ma wuhu sɛ ebia biribi asɛe wɔ wo kotodwe ho anaa.

Enti dɛn ne Appley sɔhwɛ yi?

Sɛ yɛbɛka no tiawa a, Apley nhwehwɛmu no yɛ ɔkwan a nnuruyɛfo fa so hu sɛ ebia meniscus, wo kotodwe mu ntini bi a ɛtetew anaasɛ asɛe anaa . Ebia woate nso sɛ wɔfrɛ no ‘Apley grind test’ anaa ‘Apley compression test’. Edin abien no nyinaa kyerɛ sɔhwɛ koro, a nsonsonoe kakra wɔ mu.

Fa no sɛ, eyi yɛ nipadua mu nhwehwɛmu a wɔyɛ wɔ adwumayɛbea hɔ a wobetumi ayɛ wɔ baabi a oduruyɛfo no wɔ pɛɛ, wɔ ne dan mu pɛɛ, a wonni nnwinnade titiriw biara. Nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛda pon so a wo yafunu da fam, kyerɛ sɛ, wobɛda fam (gyinabea a woda fam) . Afei oduruyɛfo no bɛkura wo nan ase na wadannan no afi ɔfã biako akɔ ɔfã foforo a ɛbɛn kotodwe no, ahwɛ sɛ ebia wowɔ ɛyaw bi anaa ɔhaw foforo biara. Obebisa nso sɛ wote nka sɛ biribi akɔhyɛ wo kotodwe mu, te sɛ nea akɔhyɛ anaasɛ ɛrenhinhim anaa.

Mpɛn pii no, sɛ wokɔ oduruyɛfo nkyɛn a ne kotodwe yɛ no yaw anaasɛ bere a woapira akyi a, nhwehwɛmu a wodi kan yɛ no mu biako ne Apley nhwehwɛmu. Nanso, eyi nkutoo ntumi nsi so dua ntɛm ara sɛ nusu anaa opira foforo bi wɔ meniscus no mu. Eyi betumi ama oduruyɛfo no anya adwene bi. Afei, nea ɛka ho a wobesi so dua no , ɛsɛ sɛ wɔyɛ mfoninitwa sɔhwɛ biako anaa abien bio, kyerɛ sɛ, sɔhwɛ ahorow a ɛhwɛ mu .

So Apley sɔhwɛ bi wɔ hɔ ma mmati no?

Yiw, eye sɛ wubehu. Te sɛ Apley sɔhwɛ a wɔde yɛ kotodwe no, sɔhwɛ soronko bi wɔ hɔ a wɔfrɛ no ‘Apley’ a wɔsan de hwehwɛ mmati mu haw ahorow. Wɔfrɛ no ‘Apley scratch sɔhwɛ.’ Ɛwom sɛ edin ahorow no di nsɛ de, nanso eyinom yɛ sɔhwɛ abien a ɛsono emu biara koraa, na ɛsono sɛnea wɔde kankyee di dwuma. Tebea horow a wɔrebɔ mmɔden sɛ wobehu no nso yɛ soronko. Enti sɛ wowɔ kotodwe mu haw a, enhia sɛ wɔyɛ Apley scratch test ma mmati no.

Nsonsonoe bɛn na ɛwɔ Apley, McMurray, ne Thessaly sɔhwɛ ahorow no ntam?

Apley sɔhwɛ no akyi no, sɔhwɛ afoforo wɔ hɔ a wɔde hu sɛnea kotodwe no asɛe, titiriw meniscus no mu nusu. McMurray sɔhwɛ ne Thessaly sɔhwɛ noSɔhwɛ atitiriw abien na ɛte sɛ eyi. Nea ɛka abiɛsa no nyinaa ho ne sɛ wɔbɛkanyan kotodwe no wɔ akwan horow so na wɔahwɛ sɛ ebia sɛnkyerɛnne ahorow no da adi anaa. Nanso, ɔkwan a wɔfa so tu nan no ne gyinabea a wowɔ no yɛ soronko wɔ sɔhwɛ biara mu.

• Bere a wɔreyɛ Apley nhwehwɛmu no: Oduruyɛfo no keka wo kotodwe bere a woada hɔ a woabɔ fam no.
• Wɔ McMurray sɔhwɛ no mu: Bere a woda w’akyi no, oduruyɛfo no kotow, ɔtrɛw wo kotodwe mu, na ɔdannan no.
• Wɔ Thessaly sɔhwɛ no mu: Ɛsɛ sɛ wugyina wo nan biako so, ma wo nan foforo no so kakra, kotow kotodwe no kakra, na wodannan saa nan no.

Wɔ nhwehwɛmu abiɛsa no nyinaa mu no, oduruyɛfo no betie nnyigyei a efi wo kotodwe mu (ɛrebɔ, ɛrepaapae) na wahwɛ nea ɔde ne nsa te nka nso. Ɛsɛ sɛ woka ɛyaw anaa ɔhaw biara a wote nka kyerɛ wo duruyɛfo ntɛm ara. Eyi ho hia yiye ma yare no a wobehu.

Bere bɛn na ɛsɛ sɛ meyɛ Apley sɔhwɛ?

Oduruyɛfo betumi ayɛ wo Apley nhwehwɛmu sɛ wosusuw sɛ wo meniscus atetew a . Meniscus tetew yɛ kotodwe mu opira a ɛtaa ba , titiriw wɔ agumadifo mu.

Dɛn ne saa meniscus yi?

Fa no sɛ, wɔ wo kotodwe mu, w’asen dompe (femur) ne w’asen dompe (tibia) ntam no, aduru bi a ɛte sɛ rɔba a ɛyɛ den kakra a wɔfrɛ no meniscus wɔ hɔ. Ɛte sɛ ade a ɛma obi ho popo wɔ kar mu. Dwuma titiriw a meniscus no yɛ ne sɛ ɛbɛtwe ahodwiriw ne nhyɛso a ɛba kotodwe so bere a yɛnantew, tu mmirika, na yehuruw no, na ɛbɔ nnompe ne nkwaa no ho ban.

Sɛ wɔbɔ kotodwe no mpofirim denneennen a, ebetumi atetew meniscus no mu. Agumadi mu opira na ɛtaa de ba, nanso ebetumi afi nneɛma te sɛ asehwe ne kar akwanhyia nso mu aba.

Nsɛnkyerɛnne a ɛtaa ba a ɛkyerɛ sɛ meniscus tetew:

• ‘Pop’ nnyigyei bi a efi kotodwe mu reba anaasɛ wobɛte.
• Kotodwe no ntumi nnyina pintinn , na ɛte sɛ nea nan no ntumi nni so.
• Ɛyaw a emu yɛ den .
• Nkotodwe a ɛyɛ den .
• Rehono .
• Kotodwe a wontumi nkotow koraa anaasɛ ntrɛw mu sɛnea ɛsɛ.

Sɛ wokɔ oduruyɛfo nkyɛn a wo kotodwe apira, titiriw sɛ wowɔ sɛnkyerɛnne ahorow a yɛaka ho asɛm wɔ atifi hɔ no a, ɛda adi sɛ ɔbɛyɛ Apley nhwehwɛmu. Eyi nso bɛma oduruyɛfo no anya adwene bi sɛ ebia ntini anaa ntini afoforo a ɛka bom wɔ wo kotodwe mu no asɛe anaa.

Afei nso, obi a ne meniscus tetew no betumi anya kotodwe mu nnompe mu yare, anaasɛ ne nkwaa a ɛyɛ hyew akyiri yi.Asiane kɛse nso wɔ hɔ sɛ obi benya ɔyare mmoawa.

Hena na ɔyɛ Apley sɔhwɛ no?

Wo duruyɛfo betumi ayɛ saa Appley nhwehwɛmu yi wɔ n’adwumayɛbea. Ɛnhwehwɛ sɛ wɔde nnwinnade anaa nneɛma titiriw biara di dwuma.

Ɔkwan bɛn so na wɔyɛ Apley sɔhwɛ no?

Apley sɔhwɛ no yɛ sɔhwɛ ahorow a wɔde hwɛ wo yare no ho sɛnkyerɛnne ne baabi a wo kotodwe tumi keka ne ho , a ɛyɛ baabi a wubetumi akotow, atrɛw, na woadannan wo kotodwe no. Ɛyɛ mmerɛw yiye. Anamɔn a wobɛfa so ayɛ no ni:

• Ɛho behia sɛ woda sɔhwɛ pon no so , prone , a ɛkyerɛ sɛ w’ani kyerɛ fam.
• Oduruyɛfo no bɛkura wo nan mu, na ɔde ne kotodwe abɔ w’asen akyi.
• Afei, oduruyɛfo no bɛkotow wo kotodwe digrii 90 , a ɛkyerɛ sɛ ɛne wo nan a aka no gyina hɔ.
• Afei bere a ɔretwe wo kotodwe akɔ soro kakra no, ɔdannan wo nan ase kɔ abɔnten ne mu fi wo nipadua no mfinimfini .
• Sɛ oduruyɛfo no yɛ eyi wie a, ebia ɔbɛdannan nan no bio wɔ ɔkwan koro no ara so sɛnea na ɔyɛ kan no. Nanso saa bere yi de, sɛ́ anka wɔbɛtwe akɔ soro no, wɔmia nan a ɛwɔ fam no so (compression) . Wɔsan frɛ eyi sɛ ‘Apley’s compression test’.

Mpɛn pii no, oduruyɛfo no bɛyɛ Apley nhwehwɛmu no wɔ nan abien no nyinaa so . Obedi kan ayɛ nan a enpira na ɛwɔ apɔwmuden no. Eyi bɛma wahu sɛnea wotumi keka ne ho sɛnea ɛsɛ ansa na wahwehwɛ nan a apira no mu.

Apley sɔhwɛ no fa saa kankyee ahorow yi ho, na ɛde adwennwen kakra ba wo meniscus no so. Eyi te sɛ adwennwen a wuhyia bere a wotaa de wo kotodwe di dwuma no.

Bere a oduruyɛfo no retu wo nan ne wo kotodwe no, obebisa wo sɛ wote ɛyaw bi, sɛ wo kotodwe te sɛ nea akɔhyɛ anaasɛ wɔatoto mu anaa . Ɔsan nso tie nneɛma te sɛ ‘pop’ nnyigyei a efi wo kotodwe mu ba, na ɔbɛhwɛ sɛ wo kotodwe no redan akɔ ɔfã biako anaa ɔfã foforo dodo anaa. Eyi nyinaa bɛma wahu baabi a ebia wo meniscus no atetew.

Ɔkwan bɛn so na wosiesie wo ho ma Apley sɔhwɛ?

Nokwarem no, ahosiesie titiriw biara nni hɔ a ɛsɛ sɛ woyɛ ma Apley sɔhwɛ. Nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi, sɛ́ woapira wo kotodwe anaasɛ sɛ wowɔ sɛnkyerɛnne foforo bi a.

Dɛn na wobɛhwɛ kwan bere a wɔreyɛ Apley sɔhwɛ no?

Bɔ mmɔden sɛ wobɛma wo ho adwo wo sɛnea wubetumi biara wɔ sɔhwɛ no mu. Sɛ wo ho yɛ wo hyew a, ebia ɛbɛyɛ den ama oduruyɛfo no sɛ ɔbɛyɛ nhwehwɛmu no pɛpɛɛpɛ.

Esiane sɛ Apley sɔhwɛ no yɛ nipadua mu kankyee a ɛtoatoa so nti, ka biribiara a wote nka kyerɛ wo duruyɛfo ntɛm ara – titiriw sɛ kankyee biara de ɛyaw anaa ahotɔ ba a.Eyi ho hia paa.

Ɛyaw, ɔhaw, anaa sɛnkyerɛnne foforo biara a wobɛte nka wɔ Apley nhwehwɛmu no mu no bɛboa wo duruyɛfo ma wahu baabi a wo meniscus no mu a wotetew anaasɛ opira foforo a ebia woanya.

Dɛn na ɛba bere a wɔayɛ Appley sɔhwɛ akyi?

Sɛ woyɛ Apley nhwehwɛmu no wie mpo a, ɛda adi sɛ wo duruyɛfo no bɛhyɛ sɛ wɔnyɛ mfoninitwa nhwehwɛmu pii bio na ama wɔahu sɛnea kotodwe no apirae no te ankasa.

Saa sɔhwɛ ahorow yi twa wo kotodwe mu mfonini na ebetumi asi biribiara a asɛe wɔ nkwaa no mu so dua. Mfoninitwa nhwehwɛmu a wɔtaa de hu sɛ meniscus atetew ne:

• Magnetic Resonance Imaging (MRI) a Wɔde Yɛ Nneɛma a Wɔde Yɛ Adwuma (MRI) .
• Ultrasound a wɔde yɛ nneɛma
• X-ray ahorow a wɔde yɛ

Oduruyɛfo no bɛkyerɛkyerɛ mfoninitwa nhwehwɛmu a wuhia ne ɔhaw ahorow a wɔrehwehwɛ mu akyerɛ wo.

Ɛtɔ da bi a, ebia ɛho behia sɛ woyɛ wo kotodwe mu ntini mu nhwehwɛmu na ama woahu anaa asiesie wo kotodwe mu nneɛma a asɛe. Knee arthroscopy yɛ oprehyɛn a ɛnyɛ den pii a wɔde mfoninitwa afiri ketewaa bi hwɛ wo kotodwe nkwaa mu. Nkotodwe mu ntini mu nhwehwɛmu dodow no ara yɛ ayaresa a wɔde kɔ ayaresabea. Eyi kyerɛ sɛ wubetumi akɔ fie da koro no ara.

So asiane ahorow bi wɔ Apley sɔhwɛ no mu?

Nokwarem no, asiane biara nni wo kotodwe so sɛ wobɛyɛ Apley nhwehwɛmu.

Ebia wobɛte ɛyaw bi anaasɛ wo ho nyɛ wo dɛ bere a woreyɛ nhwehwɛmu no, nanso sɛ wo meniscus no mu atetew mpo a, ɛnsɛ sɛ wote ɛyaw biara a wuntumi nnyina ano .

Nanso ade biako wɔ hɔ a ɛsɛ sɛ yɛma ɛtra yɛn adwenem. Nhwehwɛmu ahorow bi ada no adi sɛ Apley sɔhwɛ no nyɛ pɛpɛɛpɛ koraa wɔ sɛnea wohu meniscus a atetew mu. Nanso, mpɛn pii no, eyi yɛ ade a edi kan a wo duruyɛfo tu de hu wo opira no nkutoo . Mfoninitwa sɔhwɛ ahorow ne nea ɛyɛ nokware sen biara. Sɛ wo duruyɛfo susuw sɛ wo meniscus a atetew a, wɔn ne ɔkwan a edi mu sen biara a wobɛfa so asusuw ho.

Nea ebefi mu aba no bɛyɛ dɛn na dɛn na ɛkyerɛ?

Nea afi Apley sɔhwɛ no mu aba no nte sɛ sɔhwɛ ahorow bi a ebia woayɛ pɛn no. Ɛne sɛ, ɛmma kwan pɔtee bi anaa dodow pɔtee bi. Mmom no, Apley nhwehwɛmu no ma wo duruyɛfo no hu opira ko a ebia ɛwɔ wo kotodwe mu no yiye .

Eyi te sɛ asɛmmisa a ‘ɛteɛ anaa ɛnteɛ’., ɛnyɛ te sɛ akontaabu ho haw a ɛwɔ mmuae a ɛyɛ pintinn. Wo duruyɛfo no bɛkyekyɛ wo nhwehwɛmu no mu sɛ ɛyɛ papa sɛ wohu biribi a ɛkyerɛ sɛ wo meniscus atetew a. Nea efii mu bae a enye kyerɛ sɛ woannya ɛyaw, wo ho nyɛ wo dɛ, anaa sɛnkyerɛnne foforo biara wɔ sɔhwɛ no mu.

Nanso, sɛ nea efi mu ba a enye a, ɛnkyerɛ sɛ enhia sɛ wɔyɛ nhwehwɛmu foforo. Ebia wo meniscus no da so ara atetew, anaasɛ ebia nneɛma foforo asɛe wɔ wo kotodwe mu.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ kotodwe mu yaw ne ɔfe a ɛyɛ kɛse wɔ nna kakraa bi akyi a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Afei nso, sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, kɔ ayaresabea dwumadibea a wɔhwɛ ntɛmpɛ so ntɛm ara:

• Ɛyaw a emu yɛ den yiye.
• Sɛ ɔfe no reyɛ kɛse a.
• Sɛ wuhu sɛ wo honam ani kɔla sesa a.
• Sɛ wuntumi ntutu wo kotodwe koraa anaasɛ wuntumi ntutu sɛnea ɛsɛ a.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Apley sɔhwɛ no yɛ sɔhwɛ a ɛyɛ ntɛm na ɛnyɛ den a wo duruyɛfo betumi ayɛ de ahwɛ sɛ meniscus a atetew wo kotodwe mu anaa. Ɛda adi sɛ ɛho behia nso sɛ woyɛ mfoninitwa nhwehwɛmu te sɛ MRI. Nanso, Apley nhwehwɛmu no yɛ ɔkwan pa a wo duruyɛfo bɛfa so ate baabi pɔtee a wote ɛyaw nka, sɛnkyerɛnne afoforo a ebia wowɔ, ne baabi a ebetumi asɛe wo kotodwe no ase.

Ade a ɛho hia sen biara ne sɛ wobɛka ɛyaw anaa ɔhaw biara a wobɛte bere a woreyɛ nhwehwɛmu no ho asɛm akyerɛ wo duruyɛfo. Ɛwom sɛ ebia Apley sɔhwɛ no bɛma wo meniscus no adwennwen kakra de, nanso ɛnsɛ sɛ wote ɛyaw a wuntumi nnyina ano.

Enti, sɛ wowɔ kotodwe ho haw a, nsuro sɛ wobɛkɔ oduruyɛfo nkyɛn. Ɔbɛyɛ nhwehwɛmu a ɛho hia na wama wo ayaresa a eye sen biara.

` Apley sɔhwɛ, Apley sɔhwɛ, kotodwe mu yaw, meniscus tetew, meniscus tetew, kotodwe mu yare, kotodwe mu nhwehwɛmu