Momma yensua Apley Sɔhwɛ a wɔde hwɛ kotodwe mu yaw no ho ade. (Apley Sɔhwɛ) .

Ɛtɔ mmere bi a, sɛ yɛne yɛn nnamfo tu mmirika, huruw, anaa yɛbɔ agoru bi te sɛ kriket anaa bɔɔl a, yɛn kotodwe bɔ mpofirim. Ɛyaw a ɛde "click" nnyigyei ba no yɛ nea wontumi nnyina ano. So eyi ato wo nso? Sɛ wokɔ oduruyɛfo nkyɛn a ne kotodwe yɛ no yaw a, nhwehwɛmu ahorow a ɔbɛyɛ no mu biako ne Apley nhwehwɛmu no. Ɛwom sɛ ebia edin no bɛyɛ te sɛ asɛm kɛse de, nanso ɛyɛ sɔhwɛ a ɛnyɛ den koraa . Ma yɛnhwɛ nea ɛyɛ, sɛnea wɔyɛ, ne nea ebetumi ahu.

Sɛ yɛbɛka no tiawa a, dɛn ne Apley Sɔhwɛ no?

Apley sɔhwɛ no yɛ nipadua mu nhwehwɛmu a ɛnyɛ den a oduruyɛfo yɛ bere a wosusuw sɛ wo kotodwe mu meniscus atetew no. Ɛtɔ da bi nso sɛ wɔfrɛ no Apley grind test anaa Apley compression test. Edin abiɛsa no nyinaa kyerɛ sɔhwɛ koro.

Eyi yɛ biribi a wobetumi ayɛ wɔ adwumayɛbea. Ɛno kyerɛ sɛ ɛnsɛ sɛ woba mu da a ɛyɛ soronko anaasɛ wode wo bɛto afiri kɛse bi ase. Woda wo yafunu so wɔ nhwehwɛmu pon so na oduruyɛfo no de nkakrankakra dannan wo nan ase. Obetie wo yiye wɔ ɛyaw anaa ɔhaw biara a ebia worehyia ho.

So Apley sɔhwɛ bi wɔ hɔ ma mmati no?

Yiw, nanso ɛyɛ sɔhwɛ soronko koraa. Ebia woate Apley scratch sɔhwɛ no ho asɛm. Ɛwom sɛ edin no te sɛ nea ɛwɔ hɔ de, nanso wɔyɛ de hwehwɛ ɔhaw ahorow wɔ mmati no mu . Ɛsono sɛnea wɔde kankyee di dwuma no koraa. Enti sɛ wowɔ kotodwe ho haw a, ɛho nhia mpo sɛ wususuw Apley scratch test a wɔde bɛyɛ wo mmati ho no ho.

So sɔhwɛ afoforo te sɛ Apley Sɔhwɛ no wɔ hɔ?

Yiw, sɔhwɛ afoforo pii te sɛ eyi wɔ hɔ a wɔde hwehwɛ sɛ kotodwe no mu asɛe. McMurray sɔhwɛ ne Thessaly sɔhwɛ no ne abien titiriw. Ɛwom sɛ atirimpɔw a ɛwɔ abiɛsa no nyinaa yɛ ade koro de, nanso ɔkwan a wɔfa so yɛ, kyerɛ sɛ, gyinabea a ɛsɛ sɛ wotra mu ne sɛnea oduruyɛfo no keka ne ho no yɛ soronko. Ma yɛnhwɛ nsonsonoe a ɛwɔ mu.

Sɛ woreyɛ nhwehwɛmu abiɛsa yi nyinaa a, oduruyɛfo no betie nnyigyei te sɛ "klik" ne "klik" a efi wo kotodwe mu ba, na obebisa wo ɛyaw a wote no nso yiye.

Bere bɛn na ɛsɛ sɛ meyɛ Apley Sɔhwɛ?

Ɛda adi kɛse sɛ oduruyɛfo bɛyɛ wo nhwehwɛmu yi sɛ wosusuw sɛ wo meniscus atetew a . Eyi yɛ nkotodwe mu opira a ɛtaa ba no mu biako, titiriw wɔ agumadifo mu.

Dɛn ne saa meniscus yi?

Fa no sɛ, wɔ wo kotodwe nkwaa mu, wɔ asen dompe (Femur) ne asen dompe (Tibia) ntam no, ntini abien a ɛte sɛ C wɔ hɔ a ɛte sɛ rɔba. Saa na wɔfrɛ meniscus no. Sɛ yɛbɛka no tiawa a, ɛte sɛ ade a ɛma obi ho popo wɔ kar mu. N’adwuma ne sɛ ɛremma nnompe abien no ntumi nwene na ɛtwetwe nhyɛso a ɛba nkwaa no so bere a yetu mmirika na yehuruw no.

Saa meniscus yi betumi atetew bere a kotodwe no keka ne ho mpofirim no. Agumadi mu opira ne ade titiriw a ɛde ba. Sɛ ɛno da nkyɛn a, ebetumi asi wɔ nneɛma te sɛ asehwe ne kar akwanhyia nso mu.

Nsɛnkyerɛnne a ɛtaa ba a ɛkyerɛ sɛ meniscus tetew:

• When injured , ebia wobɛte anaa wobɛte "click" nnyigyei bi a efi wo kotodwe mu reba.
• Kotodwe no te nka sɛ nkwa nni mu , na kotodwe no te nka sɛ "ɛkotow" bere a egyina hɔ no.
• Nkotodwe mu yaw .
• Nkotodwe a ɛyɛ den .
• Rehono .
• Worentumi nkotow anaasɛ worentrɛw wo kotodwe mu koraa sɛnea ɛsɛ.

Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom a, wo duruyɛfo bɛyɛ Apley nhwehwɛmu no de ahwɛ sɛ ebia kotodwe no ntini asɛe de aka meniscus no ho.

Ɔkwan bɛn so ankasa na wɔyɛ Apley Sɔhwɛ no?

Ɔkwan a wɔfa so yɛ sɔhwɛ yi yɛ mmerɛw yiye. Wunni biribiara a ɛsɛ sɛ wohaw wo ho wɔ ho. Adeyɛ a wɔyɛ no anammɔn anammɔn ni:

1. Nea edi kan no, wɔbɛka akyerɛ wo sɛ da sɔhwɛ pon no so .

2. Afei oduruyɛfo no de ne kotodwe bɛto w’asen akyi na wamia so brɛoo. Ma wo nan ntra hɔ dinn na nhinhim.

3. Afei kotow wo nkotodwe kɔ digrii 90 , a ɛte sɛ nkyerɛwde ‘L’ no nsusuwii pɛpɛɛpɛ.

4. Afei, fa wo nan ase na twe no nkakrankakra kɔ soro (adwene a ɛtwetwe adwene), dannan nan no kɔ mu ne akyi, ɔfã biako kɔ ɔfã foforo .

5. Afei, sɛ́ anka wobɛtwe nan no akɔ soro no, kura nan a ɛwɔ fam no mu na mia no nkakrankakra kɔ fam (compression), bere a woredi akɔneaba afi ɔfã biako akɔ ɔfã foforo wɔ ɔkwan koro no ara so no.

Bere a woreyɛ saa kankyee ahorow yi no, oduruyɛfo no bɛtaa abisa wo sɛ, "So wote ɛyaw bi nka?", "So wo kotodwe te nka sɛ ɛyɛ den?", na obetie nnyigyei a efi wo kotodwe mu ba nso.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Sɛ wɔyɛ Apley nhwehwɛmu wie a, oduruyɛfo no benya wo kotodwe ho haw no ho adwene bi. Nanso sɛnea ɛbɛyɛ na wɔagye adi 100% sɛ wɔahu yare no, wɔbɛtaa de wo akɔma wɔnkɔyɛ scan .

Scan ahorow a wɔtaa de yɛ eyi ne:

• MRI (Magnetic Resonance Imaging) Scan: Eyi ne ɔkwan a eye sen biara a wobɛfa so ahu ntini a ɛyɛ mmerɛw wɔ kotodwe no mu, te sɛ meniscus, cartilage, ne ligaments.
• Ultrasound scan: Eyi nso betumi ama woahu kotodwe no mu ntini a ɛyɛ mmerɛw no kakra.
• X-ray: Ɛwom sɛ eyinom ntumi nkyerɛ meniscus no de, nanso etumi hwɛ sɛ nkotodwe nnompe no mu abubu anaa ɔhaw afoforo bi wɔ hɔ anaa.

Wɔ tebea horow bi mu no, wobetumi ayɛ kotodwe mu ntini mu nhwehwɛmu de ahwɛ sɛ kotodwe no asɛe anaa asiesie. Nea ɛka eyi ho ne sɛ wɔbɛtwa kotodwe no mu ketewaa bi na wɔde mfoninitwa afiri ahyɛ mu. Mpɛn pii no, eyi nyɛ oprehyɛn kɛse, na wubetumi akɔ fie da koro no ara.

Asiane bɛn na ɛwɔ mu anaa ɔkwan a wɔfa so kenkan nea efii Apley Sɔhwɛ no mu bae?

Asiane kɛse biara nni sɔhwɛ yi a wɔbɛyɛ mu. Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ anaa ɛyaw kakra wɔ sɔhwɛ no mu. Nanso, sɛ ɛyaw no mu yɛ den dodo a, ɛbɛyɛ papa sɛ woremma.

Sɛ yɛreka nea efi mu ba ho asɛm a, eyi nyɛ sɔhwɛ a ɛde nɔma pɔtee bi ba te sɛ akontaabu mu ɔhaw. Wɔakyekyɛ mu sɛ ‘papa’ anaa ‘negative’.

• Nea efi mu ba pa: Sɛ wote ɛyaw nka wɔ sɔhwɛ no mu, titiriw bere a wo mia wo nan so (compression) na wodannan no, anaasɛ wote "click" nnyigyei wɔ wo kotodwe mu a, ɛno yɛ nea efi mu ba a ɛyɛ 'pa'. Ɛkyerɛ sɛ ebia wo meniscus a atetew.
• Nea efi mu ba a enye: Sɛ woante ɛyaw anaasɛ wo ho nyɛ wo dɛ biara a, ɛyɛ nea efi mu ba a ‘ɛyɛ bɔne’. Nanso ɛnkyerɛ sɛ 100% na opira biara nni hɔ. Ɔhaw foforo betumi aba. Ɛno nti na scan ho hia no.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn anaasɛ mekɔ ETU?

Ɛho hia paa sɛ wuhu nea ɛsɛ sɛ woyɛ bere a woapira wo kotodwe no.

Apley sɔhwɛ no yɛ sɔhwɛ a ɛsom bo a ebetumi aboa oduruyɛfo ma wanya nea ɛrekɔ so wɔ wo kotodwe mu ho adwene ntɛm, titiriw sɛ wususuw sɛ meniscus atetew a. Ɛwom sɛ ɛnsɛ sɛ ɛma wote yaw biara de, nanso sɛ wote nka sɛ wo ho yeraw wo a, nsuro sɛ wobɛka akyerɛ wo duruyɛfo. Nsɛm a wode bɛma no bɛyɛ mmoa kɛse a ɛbɛboa no ma wahu yare no pɛpɛɛpɛ.