Tuma dɔw la, k’an to tulonkɛ la, boli la, ka yele ɛrɛzɛnsunw kan, walima hali ka taama cogo bɛnnen na, dimi jugumanba bɛ se ka kɛ an gɛnɛgɛnɛ na yɔrɔnin kelen. Tuma dɔw la, an bɛ se ka ‘click’ mankan yɛrɛ mɛn. O la, gɛnɛgɛnɛ dimi in sababu bɛ se ka kɛ tiɲɛni ye i gɛnɛgɛnɛ yɔrɔ la min bɛ wele ko ‘meniscus’. Bi, an bɛna kuma sɛgɛsɛgɛli nɔgɔman dɔ kan, dɔgɔtɔrɔ bɛ min kɛ walasa ka nin bana in sɛgɛsɛgɛ ka ɲɛ, k’a sɔrɔ minɛn kɛrɛnkɛrɛnnen si tɛ a la.
Nin McMurray ka sɛgɛsɛgɛli ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, McMurray ka sɛgɛsɛgɛli ye farikolo sɛgɛsɛgɛli kɛrɛnkɛrɛnnen ye, dɔgɔtɔrɔ bɛ min kɛ walasa ka a lajɛ ni i gɛnɛgɛnɛ kɔnɔbara tigɛra, ni a tiɲɛna, walima ni a tiɲɛna cogo wɛrɛ la. O ye fɛn ye min bɛ se ka kɛ dɔgɔtɔrɔso la. A tɛ tile danfaralen walima masinba de wajibiya.
Nin sɛgɛsɛgɛli in senfɛ, dɔgɔtɔrɔ bɛna aw sen ni aw gɛnɛgɛnɛ kɔrɔta ka a biri cogo caman na. K’o kɛ, a bɛna a janto kosɛbɛ ni dimi dɔ bɛ aw la, ni aw gɛnɛgɛnɛ bɛ kirinni mankan bɔ, walima ni a bɛ kɛ i n’a fɔ a sirilen don.
A ka ca a la, ni aw taara dɔgɔtɔrɔso la ni gɛnɛgɛnɛ dimi bɛ aw la, McMurray ka sɛgɛsɛgɛli bɛ kɛ i n’a fɔ sɛgɛsɛgɛli fɔlɔ. Nka, nin sɛgɛsɛgɛli in dɔrɔn tɛ se ka bana in sɛgɛsɛgɛ. Ni kunnafoni minnu bɛ sɔrɔ nin sɛgɛsɛgɛli in na, dɔgɔtɔrɔ bɛ se fana k’a fɔ aw ye ko aw ka fɛn dɔ kɛ i n’a fɔ sɛgɛsɛgɛli ni a mago bɛ a la.
Tuma jumɛn na ne mago tun bɛna kɛ McMurray ka sɛgɛsɛgɛli la?
Ni dɔgɔtɔrɔ dɔ bɛ sigasiga ko aw ka `(Meniscus)` tiɲɛna, a bɛna nin sɛgɛsɛgɛli in kɛ. Nin `(Meniscus)` ye jiribolo ye min bɛ kɛ ni lastikuw ye an ka gɛnɛgɛnɛ kɔnɔ. Ni an b’a fɛ ka tiɲɛ fɔ, a bɛ i n’a fɔ `shock absorber’ an ka cɛya kolo (`(Femur)`) ni senkɔni kolo (`(Tibia)`) cɛ. O de bɛ kolotugudaw tanga degun ma min bɛ sɔrɔ n’an bɛ boli ka pan.
Miiri k’a filɛ i y’i gɛnɛgɛnɛ wuli k’i to kirikirimasiyɛn na, k’i barika ka wuli ka taa fan kelen fɛ. Walima i binna. O lamaga barikama ni nɛrɛmuguma in bɛ se ka ɲɛgɛnɛsira tigɛ.
Taamaʃyɛn dɔw bɛ yen minnu ka teli ka kɛ ni ɲɛgɛnɛsira ɲɛjibɔ ye. An k’a lajɛ u ye min ye.
| Taamaʃyɛn | Cogojirali |
|---|---|
| ‘click’ walima ‘pop’ mankan mɛnni | Popping mankan mɛnni walima a ye ka bɔ gɛnɛgɛnɛ kɔnɔ joginda waati. |
| Gɛnɛgɛnɛw basigibaliya | Ni i b’a ye ko i gɛnɛgɛnɛ bɛ ‘kɔrɔta’ walima ka ‘pan’ i yɛrɛ ma k’a sɔrɔ i jɔlen don walima n’i bɛ taama. |
| Dimi ni funu | Gɛnɛgɛnɛ dimi ni funu bɛ caya, kɛrɛnkɛrɛnnenya la ni a bɛ gɛnɛgɛnɛ kɔrɔta ani ka a wuli. |
| Gɛnɛgɛnɛw gɛlɛyali | A bɛ kɛ i n’a fɔ aw gɛnɛgɛnɛ sirilen don, aw tɛ se ka biri pewu walima ka a tilennen to. |
Ni nin taamasiɲɛ ninnu bɛ aw la, a ka ca a la ni aw taara dɔgɔtɔrɔso la, u bɛ McMurray ka sɛgɛsɛgɛli kɛ.
Nin McMurray ka sɛgɛsɛgɛli in bɛ kɛ cogo di?
Nin ye fɛn ye min bɛ se ka kɛ ni fɛɛrɛ damadɔw ye minnu ka nɔgɔn kosɛbɛ. I tɛna gɛlɛya foyi sɔrɔ.
1. Fɔlɔ, a bɛna kɛ sababu ye ka i da dilan kan. Aw bɛna a ɲini ka da ka ɲɛ, ka aw bolokɔniw ɲɛsin san fɛ.
2. O kɔfɛ, dɔgɔtɔrɔ bɛna i gɛnɛgɛnɛ kɔrɔta fo ka se degere 90 ma, i n’a fɔ i gɛnɛgɛnɛ bɛ kɛ cogo min na ni i sigilen bɛ sigilan kan.
3. Sisan a bɛna i gɛnɛgɛnɛ kɔrɔtalen wuli ka taa kɔnɔna na (ka taa kɔkili fan fɛ) ani kɛnɛma (ka bɔ kɔkili la ka taa kɛnɛma) ɲɔgɔn kɔ.
4. A laban na, a bɛ i senw sɛnsɛn dɔɔni dɔɔni tuguni.
Ni aw bɛ aw sen lamaga o cogo la, dɔgɔtɔrɔ bɛna a bolo da aw gɛnɛgɛnɛ kan. Ni meniscus tiɲɛna, a bɛna ‘click’ walima gɛnɛgɛnɛ gɛnɛgɛnɛ ye ni o lamaga ninnu ye. A bɛna aw ɲininka fana ni dimi dɔ bɛ aw la. A nafa ka bon kosɛbɛ ka i dusukunnataw fɔ tigitigi.
Nin sɛgɛsɛgɛli in bɛ kɛ ni degun dɔɔni kɛli ye aw ka cɛya la walasa ka a dɔn ni kojugu bɛ a la. Aw kana aw hakili ɲagami, o tɛna tiɲɛni wɛrɛ kɛ aw gɛnɛgɛnɛ na.
Mun bɛ kɛ kɔrɔbɔli kɔfɛ?
McMurray ka sɛgɛsɛgɛli ye gɛnɛgɛnɛ furakɛli taama fɔlɔ dɔrɔn ye. Ni dɔgɔtɔrɔ ye fɛn dɔ ye walima ni a ye fɛn dɔ mɛn min tɛ deli ka kɛ nin sɛgɛsɛgɛli in senfɛ, a bɛna a fɔ aw ye aw ka kan ka min kɛ kɔfɛ.
Tuma caman na, aw bɛna a ɲini ka sɛgɛsɛgɛli caman wɛrɛw kɛ walasa ka bana in sɛgɛsɛgɛ.
- X-ray sɛgɛsɛgɛli : Aw bɛ a lajɛ ni kolo tiɲɛna.
- MRI sɛgɛsɛgɛli (Imagerie magnétique de résonance):O ye fɛɛrɛ ɲuman ye walasa ka tiɲɛni ye ka jɛya farikolo yɔrɔ nɔgɔlenw na i n’a fɔ ɲɛgɛnɛsira ni ɲɛgɛnɛsiraw.
- Ultrason scan (sɛgɛsɛgɛli min bɛ kɛ ni ultrasound) ye.
Tuma dɔw la, opereli fitinin dɔ bɛ se ka kɛ min bɛ wele ko gɛnɛgɛnɛw lajɛ walasa ka gɛnɛgɛnɛ kɔnɔna tiɲɛniw lajɛ walima k’u labɛn. O ye ka kamera fitinin dɔ don gɛnɛgɛnɛ na. Nin ye fɛɛrɛ nɔgɔman ye min ka teli ka kɛ sababu ye ka taa so o don kelen na.
Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?
Ni fɛn dɔ i n’a fɔ gɛnɛgɛnɛdimi walima funu bɛ to senna tile damadɔ kɔfɛ ka juguya, aw bɛ aw jija ka taa dɔgɔtɔrɔso la.
Nka, ni nin taamasiɲɛ juguman ninnu dɔ bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la joona joona dɔgɔtɔrɔso la (ETU).
- Dimi min tɛ se ka muɲu.
- Funu min bɛ caya joona.
- Gɛnɛgɛnɛ kulɛri jiginni (bulu, bulama).
- Sebaliya ka gɛnɛgɛnɛ lamaga hali dɔɔnin walima a tɛ se k’a lamaga cogo la min bɛ kɛ cogo la.
Take-Home cikan
- McMurray ka sɛgɛsɛgɛli ye farikolo sɛgɛsɛgɛli nɔgɔman ye, dɔgɔtɔrɔ bɛ min kɛ ni siga bɛ a la ko gɛnɛgɛnɛ jogin na.
- Minɛn kɛrɛnkɛrɛnnen si man kan ka kɛ o kama. A nafa ka bon aw ka aw dusukunnataw fɔ dɔgɔtɔrɔ ye tigitigi (dimi, ‘click’ mankan) n’a bɛ aw sen lamaga.
- Nin ye sɛgɛsɛgɛli ye min tɛ mɔgɔ tɔɔrɔ pewu, nka a ye bana sɛgɛsɛgɛli fɛɛrɛ fɔlɔ dɔrɔn de ye.
- Ni sɛgɛsɛgɛli y’a jira ko meniscus jogin na, sɛgɛsɛgɛli wɛrɛw bɛna kɛ, i n’a fɔ MRI scan, walasa ka a jira.
- Ni gɛnɛgɛnɛ dimi jugumanba bɛ aw la, ni funu bɛ aw la, walima ni aw tɛ se ka aw gɛnɛgɛnɛ lamaga, aw bɛ taa kɛnɛyaso kɔrɔtɔlen dɔ la (ETU) k’a sɔrɔ aw ma mɛn.

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