So ɛyɛ "bokiti nsa" a ɛtetew wɔ kotodwe mu? (Bucket Handle Meniscus Tear) Momma yɛnhwɛ eyi!

So woanya nkotodwe mu yaw mpofirim pɛn, te sɛ nea wo kotodwe retoto? Ebia bere a woredi agumadi anaa woreyɛ adwuma a ɛfata no, ebia wobɛte nnyigyei bi a ɛrepaapae bere a wo kotodwe rebɔ no. Tebea biako a emu yɛ den a ebetumi aba wɔ mmere a ɛtete saa mu ne nea wɔfrɛ no ‘bokiti nsa meniscus tear’. Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛyɛ nwonwa kakra de, nanso eyi yɛ kotodwe mu opira a ɛtaa ba.

Dɛn ne "Bokiti Nsa Meniscus Tear"?

Sɛ yɛbɛka no tiawa a, eyi yɛ tetew pɔtee bi a ɛba wo kotodwe fã bi a wɔfrɛ no meniscus . Susuw ho hwɛ, yɛn nkotodwe mu, wɔ asen dompe (Femur) ne asen dompe (Tibia) ntam no, ntini abien a ɛyɛ den a ɛte sɛ rɔba a ɛyɛ adwuma te sɛ ‘shock absorbers’ wɔ hɔ. Ɛno ne nea yɛfrɛ no meniscus . Eyinom nsɛso te sɛ ɔsram a ɛyɛ ɔsram a ɛyɛ ɔsram, anaa nkyerɛwde C.

Saa meniscus yi wɔ dwumadi atitiriw abien:

1. Ahodwiriw ne nhyɛso a efi kotodwe mu a ɛtwetwe (te sɛ nea wɔde twetwe ahodwiriw a ɛwɔ kar mu no ara pɛ).

2. Boa a wɔboa ma kotodwe nkwaa no gyina pintinn.

Enti, ‘bokiti nsa tetew’ yɛ bere a tetew kɛse bi wɔ meniscus no mu, na asinasin a atetew no kotow wɔ kotodwe nkwaa no mfinimfini te sɛ bokiti nsa. Enya ne din efisɛ meniscus no ano abien no da so ara bata nkwaa no ho, na akyi no yɛ kurukuruwa. Ɛte sɛ nsa a atɔ bokiti mu. Wɔtaa bu eyi sɛ nusu kɛse.

So meniscus tetew ahorow bi wɔ saa bokiti nsa yi mu?

Yiw, yɛwɔ menisci abien wɔ kotodwe biara mu.

• Medial Meniscus: Eyi wɔ kotodwe no mu (wɔ wo nan foforo no nkyɛn).
• Lateral Meniscus: Eyi wɔ kotodwe no akyi.

Bokiti nsa a atetew betumi aba wɔ saa meniscus abien yi mu biara mu. Nanso, wɔtaa hu no kɛse wɔ medial meniscus no mu.

Hena na ɛda adi sɛ ɔbɛtetew bokiti nsa yi mu?

Ɛwom sɛ opira a ɛte sɛɛ betumi ato obiara de, nanso ɛtaa ba agumadifo anaa wɔn a wɔteɛteɛ wɔn apɔw mu daa no so . Eyi betumi aba titiriw sɛ kotodwe no kyinkyim bere a ɔretu mmirika, ɔrehuruw, anaasɛ ɔredannan mpofirim a. Ɛtaa ba wɔn a wɔbɔ agumadi te sɛ netball, volleyball, bɔɔlbɔ, ne kriket no mu.

Eyi abu so araa ma sɛ wɔde toto nkotodwe mu opira afoforo ho a, meniscus mu nusu abu so kɛse. Nanso, bɛyɛ 10% wɔ meniscus nusu nyinaa mu yɛ bokiti-nsa nusu. Saa tebea yi abu so wɔ mmerante mu titiriw .

Dɛn na ɛbɛto me nipadua esiane saa ntetewmu yi nti?

Sɛ wɔansa no yiye a, bokiti nsa a ɛtetew betumi ama wo kotodwe ayɛ ntini mu yare.Sɛ tebea no ba mpo a, bere kɔ so no, ebia ɛyaw a ɛkɔ so wɔ kotodwe no mu. Afei nso, sɛ meniscus no mu tetew a, sɛnea kotodwe no gyina pintinn no so tew. Sɛ kotodwe no ntumi nnyina pintinn a, hokwan a ɛwɔ hɔ sɛ kotodwe no bepira afoforo te sɛ ACL tetew nso yɛ kɛse. Enti, ɛho hia paa sɛ yɛhwɛ eyi so.

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ bokiti nsa meniscus tetew?

Sɛ wowɔ nusu a ɛte sɛɛ a, ebia wubehu sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa:

• Sɛ wontumi ntrɛw nan no mu koraa: Eyi yɛ sɛnkyerɛnne pɔtee bi, na ebetumi ayɛ te sɛ nea "wɔatoto kotodwe no mu."
• Nkotodwe mu yaw: Ɛyaw no betumi ayɛ kɛse, titiriw bere a wokotow anaa wodannan kotodwe no.
• Kotodwe a wɔte nka sɛ akɔka wo ho anaasɛ wɔakyere no: Ebia wobɛte nka te sɛ nea biribi akɔhyɛ wo kotodwe mu.
• Wɔte nnyigyei a ‘ɛbɔ’ bere a opira no aba no.
• Nkotodwe a ɛyɛ den na ɛho ahonhon.

Nanso ade no ni, sɛ wo meniscus no mu tetew a, ebia worente ɛyaw pii nka ntɛm ara. Ebia wubesusuw mpo sɛ wubetumi akɔ so anantew na woadi agoru. Nanso nna abien anaa abiɛsa akyi no, wo kotodwe befi ase ahohoro, ayɛ den, na afi ase ayɛ wo yaw kɛse.

Nea ɛho hia: Nkotodwe a ɛtow (antumi anteɛteɛ nan no) yɛ sɛnkyerɛnne titiriw a ɛkyerɛ sɛ ne nan ase atetew. Sɛ eyi ba a, kɔ ayaresabea ntɛm ara.

Dɛn na ɛma bokiti nsa yi mu paapae?

These tears are often caused by sudden twisting or bending of the knee during sports or exercise. Saa asiane yi sõ titiriw wɔ agumadi a ɛhwehwɛ sɛ wɔsakra ɔkwan a wɔfa so kɔ baabiara mpofirim (pivots) anaasɛ wogyina mpofirim na wotu mmirika no mu.

Afei nso, sɛ wohwe ase na wohwe ase, anaasɛ wotiatia baabi a ɛnsɛ so a, wubetumi atetew meniscus no mu. Nnipa binom twitwiw wɔn kotodwe wɔ akwanhyia mu wɔ da biara da dwumadi ahorow a wɔtaa yɛ, te sɛ mpa so a wɔsɔre anaasɛ wɔsɔre fi nkongua so no mu, na saa opira yi ba.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Nea edi kan no, wo duruyɛfo no bɛyɛ wo nipadua mu nhwehwɛmu. Kyerɛkyerɛ nea wote nka wɔ wo kotodwe mu ne sɛnea wo sɛnkyerɛnne ahorow no fii ase no mu pefee.

Afei oduruyɛfo no betumi ayɛ nhwehwɛmu titiriw te sɛ McMurray Sɔhwɛ anaa Thessaly Sɔhwɛ . Wɔ eyinom mu no, oduruyɛfo no de ahwɛyiye kotow wo nan na ɔkyinkyim no kɔ mmeae ahorow. Saa sɔhwɛ ahorow yi betumi ama woahu kotodwe ho haw ko a wowɔ.

Sɔhwɛ ahorow bɛn na esi eyi so dua ankasa?

Sɛ woyɛ nipadua mu nhwehwɛmu wie a, ɛho behia sɛ woyɛ mfoninitwa ho sɔhwɛ ahorow pii . Eyinom tumi twa kotodwe no mu mfonini na wɔhwɛ meniscus ne ntini afoforo.

• X-ray: X-ray kyerɛ nnompe ne nneɛma a ɛyɛ den yiye. Meniscus mu tetew renda adi tẽẽ wɔ X-ray so. Nanso, nnompe mu yareEyi boa ma wɔhwɛ hu sɛ tebea foforo biara nni hɔ a ebetumi ama nkotodwe ayɛ no yaw.
• MRI (Magnetic Resonance Imaging) Scan: MRI scan tumi hu meniscus ne ntini afoforo a ɛyɛ mmerɛw wɔ kotodwe no mu (te sɛ ligaments) pefee. Mpɛn pii no, wobetumi de MRI ahu meniscus mu nusu ne nkotodwe mu apirakuru afoforo pɛpɛɛpɛ.

Woyɛ dɛn sa bokiti nsa a meniscus tetew?

Sɛ wowɔ meniscus a atetew wɔ bokiti-handle mu a, ayaresa ahorow pii wɔ hɔ.

1. Meniscus Oprehyɛn a Wɔyɛ

Ayaresa a wɔtaa yɛ na edi mu sen biara a wɔde sa meniscus tetew ne oprehyɛn. Wɔsan frɛ eyi kotodwe mu ntini mu nhwehwɛmu . Wɔ saa oprehyɛn yi mu no, oduruyɛfo a ɔyɛ oprehyɛn no de mfoninitwa afiri ketewaa bi (arthroscope) hyɛ wo kotodwe mu na ɔhwɛ mu. Wɔma mfonini ahorow a efi mfoninitwa afiri yi mu no yɛ kɛse wɔ screen so, enti oduruyɛfo no betumi ahu meniscus no na wasiesie a ɔrentwitwa kɛse.

Esiane sɛ mpɛn pii no, bokiti mu nsatetew no nya mogya pa nti, wobetumi de oprehyɛn asiesie. Bere a wɔreyɛ oprehyɛn no, oduruyɛfo no bɛsan de "bokiti-nsa" meniscus asinasin no asi hɔ na ɔde nhama nketenkete asan apam no. Saa oprehyɛn yi betumi agye adapɛn 6 kosi asram 3 ansa na ayɛ yiye.

2. Meniscal Transplantation a wɔde ma obi foforo

Ɛtɔ mmere bi a, meniscus no sɛe araa ma oprehyɛn nkutoo ntumi nsiesie. Sɛ ɛte saa a, ebia wo duruyɛfo ne wo bɛkasa afa meniscal transplant ho . Nea ɛka eyi ho ne sɛ wɔde meniscus a ɛwɔ apɔwmuden a efi obi a wawu a ɔde mae hɔ besi meniscus a asɛe no ananmu. Ebia eyi nso yɛ ɔkwan a nnipa a wɔayi wɔn meniscus no koraa wɔ oprehyɛn bi a atwam mu betumi apaw.

Meniscus a wɔde bɛma obi foforo no betumi atew asiane a ɛwɔ hɔ sɛ daakye nnompe mu yare ne kotodwe mu yaw bɛba no so. Ebia wobɛfata ama oprehyɛn yi sɛ:

• Ɛnsɛ sɛ ayaresa afoforo tumi siesie wo meniscus no.
• Ɛsɛ sɛ wo kotodwe afã afoforo (nnompe, ntini) yɛ nea ɛte apɔw, na ntini mu yare ntumi mma.
• Ɛsɛ sɛ wunni mfe 50 na woyɛ nnam.

3. Platelet-Rich Plasma (PRP) ayaresa a wɔde sa yare

PRP yɛ ayaresa a wode w’ankasa mogya di dwuma ma kuru no sa ntɛmntɛm. Ebia wo duruyɛfo bɛkamfo PRP ayaresa akyerɛ wo bere a wɔayɛ meniscus oprehyɛn akyi. Ntini a ɛma mogya mu nkwammoaa ne plasma a ɛyɛ wo mogya mu nneɛma no boa ma wosiesie ntini a atetew anaa asɛe. Nea ɛka saa ayaresa yi ho ne sɛ wɔde saa nneɛma yi bɛhyɛ mu na wɔde ahyɛ baabi a apira no.

Nea ɛba bere a wɔreyɛ PRP ayaresa no ni:

• Nsu bi begye mogya bi afi wo basa mu.
• Wɔde mogya no gu afiri titiriw bi mu de tetew mogya nkwammoaa ne mogya mu nkwammoaa a ɛwɔ mogya mu no mu fi mogya no mu nneɛma afoforo no ho.
• Afei wɔde ade a wɔde twitwiw PRP aduru a wɔasiesie yi gu wo kotodwe mu.

4. Nipadua mu Ayaresa

Sɛ woyɛ oprehyɛn wie a, wo duruyɛfo bɛkyerɛw wo nipadua mu ayaresa , a wɔsan frɛ no nipadua mu ayaresa. Eyi hwehwɛ sɛ woyɛ apɔw-mu-teɛteɛ pɔtee bi a ɛne wo tebea ne w’ahiade hyia. Saa apɔw-mu-teɛteɛ yi betumi aboa ma wo kotodwe ahoɔden ne sɛnea ɛyɛ mmerɛw no atu mpɔn. Wo nipadua ho ɔyaresafo bɛkyerɛ wo sɛnea wobɛyɛ saa apɔw-mu-teɛteɛ yi, na emu bi nso wubetumi ayɛ wɔ fie. Sɛ wudi wo nipadua mu ayaresa nhyehyɛe no akyi yiye a, ɛma wunya hokwan a eye sen biara sɛ wo ho bɛtɔ wo yiye.

Mɛyɛ dɛn atumi atew asiane a ɛwɔ bokiti nsa a ɛbɛtetew mu no so?

Biribiara nni hɔ a ɛkyerɛ sɛ worennya nusu te sɛ eyi da. Nanso sɛ woyɛ nnam na wobɔ agumadi a, anammɔn yi a wubedi akyi no betumi aboa ma asiane a ɛwɔ hɔ sɛ wubepira wo kotodwe biara so atew:

• Sɛ worefi apɔw-mu-teɛteɛ nhyehyɛe foforo ase a, nyɛ ne nyinaa prɛko pɛ. Ma bere ne ahoɔden a wode yɛ adwuma no nkɔ soro nkakrankakra.
• Tie wo nipadua. Sɛ wote ɛyaw nka a, gyae dwumadi no na wo ne oduruyɛfo nkasa.
• Yɛ apɔw-mu-teɛteɛ a ɛhyɛ wo nipadua a ɛwɔ fam (nan, wo nan ase) ntini mu den daa. Ntini a ɛyɛ den ma nkotodwe no boa yiye na ɛma ɛyɛ den.
• Sɛ wote nka sɛ wo kotodwe ntumi nnyina anaasɛ ɛyɛ mmerɛw a, fa ade a wɔde hyɛ wo kotodwe mu.
• Hyɛ mpaboa a ɛfata ne nneɛma a wode bɔ wo ho ban bere a woredi agumadi no.

Wobɛyɛ dɛn anya anidaso sɛ meniscus bɛtetew bere a woredi bokiti ho dwuma no?

Bere a wɔasiesie meniscus no yiye akyi no, nea ɛbɛba no ye yiye. Nnipa pii a wɔayɛ wɔn meniscus oprehyɛn a edi mu no san kɔ wɔn dwumadi ne agumadi a wɔtaa yɛ no mu bere a wɔn ho atɔ wɔn no. Sɛ wosiesie meniscus no anaa wɔsesa a, asiane a ɛwɔ hɔ sɛ obi benya nnompe mu yare wɔ kotodwe no mu daakye nso so tew.

So bokiti yi di nusu ho dwuma no ankasa bɛsa?

Meniscus nusu nketenkete bi betumi asa wɔn ankasa yare denam ahomegye ne ahwɛyiye a wɔde hwɛ fie so. Nanso, nusu dodow no ara a wɔde bokiti yɛ no ankasa sa. Eyi te saa efisɛ asinasin a atetew no akɔhyɛ kotodwe no mfinimfini. Asinasin no ntumi nsan nkɔ baabi a ɛwɔ no ankasa anaasɛ n’ankasa ntumi nsa yare. Enti, ɛsɛ sɛ oduruyɛfo a ɔyɛ oprehyɛn san de si baabi na osiesie.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ meniscus atetew, anaasɛ wote nnyigyei bi a ɛrepue wɔ wo kotodwe mu a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn. Ebia meniscus tetew mpo renyɛ yaw kɛse, nanso sɛ wɔansa no yiye a, ebetumi ama obi anya nnompe mu yare ne kotodwe mu haw afoforo akyiri yi.

Bere bɛn na ɛsɛ sɛ mekɔ Emergency Treatment Unit (ETU) ?

Wɔ oprehyɛn biara akyi no, ɛsɛ sɛ wuhu nsɛnnennen a ɛntaa nsi a ebetumi aba. Sɛ wɔayɛ wo kotodwe oprehyɛn nnansa yi a, sɛ wowɔ saa sɛnkyerɛnne ahorow yi bi a, hwehwɛ ayaresa ntɛm ara:

• Koko mu yaw.
• Mogya a wɔfefe.
• Huraeɛ.
• Sɛ wote ɔhyew nka bere a wode wo nsa ka wo kotodwe no a.
• Nsu a ɛba dodo (mogya, akisikuru, nsu) a efi mmeae a wɔatwitwa mu.
• Sɛ ɛyaw anaa ɔfe no kɔ soro bere a woagye w’ahome mpo a, sɛ wɔama nan no so mpo a.
• Kɔkɔɔ anaa nsensanee kɔkɔɔ a ɛwɔ kotodwe no fã.
• Ɔhome a ɛyɛ den.

Meniscus a ɛtetew bokiti no nsa mu no betumi ama woanyɛ adwuma adapɛn anaa asram pii. Nanso, saa opira yi nsiw wo kwan sɛ wubenya apɔw-mu-teɛteɛ ne agumadi mu anigye bio. Sɛ wɔsa wɔn yare yie a, nnipa dodoɔ no ara san kɔ wɔn abrabɔ a na ɛteɛ no mu. Wo ne wo duruyɛfo nkasa mfa ɔkwan a eye sen biara a wobɛfa so asiesie meniscus a ɛfata w’ahiade ne w’asetra kwan ho.

Nneɛma a ɛsɛ sɛ wuhu (Take-Home Message) .

"Bokiti nsa" meniscus tetew wɔ kotodwe mu nyɛ biribi a ɛsɛ sɛ wosuro, nanso ɛnyɛ biribi a ɛsɛ sɛ wobu ani gu so nso.

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* Sɛ wuhu yare no ho sɛnkyerɛnne te sɛ wo kotodwe a ɛtow, ɛyaw a ɛba mpofirim, anaasɛ wo hohoro a ‘pop’ nnyigyei bi ka ho a, hwehwɛ aduruyɛfo afotu ntɛm ara.

* Mpɛn pii no, oprehyɛn ne ayaresa a eye sen biara, na nea efi mu ba no di yiye.

* Apɔw-mu-teɛteɛ a ɛfata wɔ oprehyɛn akyi ho hia na ama obi ho atɔ no ntɛm.

* Sɛ wosa wo yare yiye na wosan siesie wo a, wubetumi asan akɔ asetra a ɛyɛ nnam mu.

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Kae sɛ, sɛ wohwɛ wo nkotodwe so a, ɛbɛbɔ wo ho ban afi ɔhaw akɛse ho daakye.

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