Kodi mwakhala mukuvutika ndi ululu wa bondo kwa nthawi yayitali? Mwina mwatopa ndi ululu wadzidzidzi womwe umabwera mukamasewera masewera kapena kukwera masitepe? Chifukwa chimodzi cha izi chingakhale kuwonongeka kwa gawo la bondo lanu lotchedwa 'meniscus'. Anthu ambiri sadziwa izi. Lero tikulankhula za chithandizo chamakono cha izi, chomwe ndi opaleshoni ya Meniscal Transplantation, yomwe imalowa m'malo mwa meniscus yowonongeka ndi yatsopano.
Choyamba, tiyeni tiwone, kodi meniscus iyi ndi chiyani?
Ganizirani bondo lanu ngati choletsa kugwedezeka m'galimoto. Meniscus ndi yomwe imayamwa kupsinjika konse ndi kugwedezeka komwe kumabwera pa bondo tikamayenda, kuthamanga, ndi kulumpha, ndipo imaletsa mafupa awiriwa kuti asakhudzene.
Mwachidule, ichi ndi chidutswa cha raba, chooneka ngati C mkati mwa bondo lanu. Pali ziwiri mwa izi mu bondo lililonse. Limodzi mkati ndi lina kunja. Popanda izi, mafupa a bondo (femur ndi tibia) amayamba kukandana. Pamenepo ndi pamene ululu umakhala wosapiririka ndipo pakapita nthawi chiwalocho chimayamba kufooka.
Kodi kuyika meniscal kumeneku n'chiyani?
Iyi ndi njira yosavuta kwambiri. Meniscus yanu yowonongeka, yong'ambika, kapena yomwe idachotsedwa kale opaleshoni imasinthidwa ndi meniscus yathanzi. Madokotala amatcha izi kuti meniscal allograft transplantation (MAT).
Allograft ndi minofu yomwe imatengedwa kuchokera kwa munthu wina. Opaleshoni iyi imagwiritsa ntchito meniscus yathanzi kuchokera kwa wopereka wakufa. Minofu iyi imayesedwa matenda osiyanasiyana, ndipo yatsimikiziridwa kuti ndi yotetezeka, ndipo kukula komwe kuli koyenera bondo lanu kumasankhidwa ndikugwiritsidwa ntchito pa opaleshoniyi.
Cholinga chachikulu cha opaleshoniyi ndikuchepetsa ululu wa bondo, kubwezeretsa ntchito ya bondo, ndikuletsa kukula kwa matenda a osteoarthritis, kuwonongeka ndi kung'ambika kwa mafupa ali aang'ono.
Kodi opaleshoni iyi ndi yoyenera kwa ndani?
Iyi si opaleshoni yomwe aliyense angachite. Dokotala wanu adzaganizira zinthu zingapo kuti adziwe ngati ndinu woyenera opaleshoniyi.
| Kuganizira | Kufotokozera |
|---|---|
| Zaka ndi zochita | Izi nthawi zambiri zimakhala zopambana kwambiri kwa anthu osakwana zaka 40-50 , omwe amakhala ndi moyo wokangalika, makamaka omwe amachita masewera olimbitsa thupi. Kusunga kulemera koyenera ndikofunikira kwambiri. |
| Matenda a bondo | Meniscus yambiri iyenera kuti ilibe kapena yang'ambika kwambiri, koma ndikofunikira kuti mbali zina za bondo (fupa, cartilage, ligaments) zikhale zathanzi. |
| Matenda a nyamakazi | Ngati muli kale ndi nyamakazi yoopsa ya bondo, zomwe zikutanthauza kuti chipolopolo chachikulu cha mafupa chatha, opaleshoniyi singapambane. Chifukwa chake, iyi ndi njira yochizira nyamakazi isanayambe. |
Kodi opaleshoniyi imachitidwa bwanji?
Opaleshoni iyi nthawi zambiri imachitika pogwiritsa ntchito njira yotchedwa bondo arthroscopy . Izi zimaphatikizapo kuchita opaleshoniyi kudzera m'mabala awiri kapena atatu ang'onoang'ono kwambiri pa bondo lanu, m'malo mochita kudula kwakukulu.
1. Kamera yaying'ono imayikidwa pa bondo kudzera m'mabowo amodzi ndipo zomwe zili mkati mwake zimawonedwa pazenera lalikulu.
2. Zipangizo zopangira opaleshoni zopyapyala kwambiri zimayikidwa kudzera m'mabowo ena ndipo mbali zowonongeka za meniscus zimachotsedwa.
3. Kenako, meniscus yathanzi yomwe idasankhidwa kale imayikidwa m'malo otseguka ndikumangiriridwa pabondo ndi suture yapadera kapena zomangira zazing'ono.
Njira imeneyi imapangitsa kuti nthawi yochira ikhale yochepa, ululu ukhale wochepa, komanso kuti palibe zipsera zazikulu.
Kodi chimachitika ndi chiyani pambuyo pa opaleshoni? Zimatenga nthawi yayitali bwanji kuti munthu achire?
Kuchira pambuyo pa opaleshoni kumafuna kuleza mtima pang'ono.
- Mukangomaliza: Muyenera kugwiritsa ntchito ndodo kwa milungu pafupifupi 4-6. Mudzapatsidwanso chogwirira chapadera kuti bondo lanu lisapinde mopitirira muyeso.
- Physiotherapy (PT): Iyi ndi gawo lofunika kwambiri. Muyenera kuchita masewera olimbitsa thupi monga momwe dokotala wanu ndi katswiri wa masewera olimbitsa thupi akukulangizirani. Izi zithandiza kulimbitsa minofu yozungulira bondo ndikulola bondo kuyenda bwino.
- Kubwerera ku zochita: Ngakhale kuti mutha kubwerera ku zochita zachizolowezi pakatha mwezi umodzi kapena iwiri, zochita zomwe zimaika mphamvu zambiri pa bondo, monga masewera, zingatenge miyezi 6 mpaka 12.Muyenera kupuma kwakanthawi. Kudzipatsa nthawi imeneyi n'kofunika kwambiri kuti meniscus yomwe yangobzalidwa kumene ichite bwino.
Kodi ubwino ndi zoopsa za opaleshoniyi ndi ziti?
Monga opaleshoni iliyonse, opaleshoni iyi ili ndi ubwino komanso zoopsa zina zazing'ono.
| Ubwino | Zoopsa |
|---|---|
| Kupweteka kwa bondo kwatha ndipo mutha kuyambanso kuchita zinthu mwachangu. | Monga momwe zimakhalira ndi opaleshoni iliyonse, pali chiopsezo cha kutuluka magazi ndi matenda. |
| Kuletsa kapena kuchedwetsa kuyamba kwa matenda a nyamakazi ali aang'ono. | Kuwonongeka kwa mitsempha kapena mitsempha yamagazi m'bondo (kosowa kwambiri). |
| Kuchira mwachangu kuposa opaleshoni yotseguka. | Kuuma kwa bondo. |
| Kubwezeretsa ntchito yachilengedwe ya bondo. | Meniscus yomwe yaikidwa m'malo ena ikhoza kusachira bwino kapena kung'ambikanso (izi zingafunike opaleshoni ina). |
Kodi ndiyenera kupita kwa dokotala liti ndikachita opaleshoni?
Ngati mukukumana ndi zizindikiro zotsatirazi mutachita opaleshoni, dziwitsani dokotala wanu nthawi yomweyo.
- Kutuluka magazi kosalekeza kapena madzi otuluka ngati mafinya kuchokera ku mabala.
- Kukhala ndi malungo aakulu .
- Kutupa kwambiri kwa bondo.
- Ululu waukulu womwe sungathetsedwe ngakhale ndi mankhwala ochepetsa ululu.
Uthenga Wopita Nawo Kunyumba
- Ngakhale opaleshoni yoika meniscus ndi njira yabwino yothetsera ululu wa bondo, si yoyenera aliyense.Dokotala wanu adzasankha ngati ndinu woyenera izi.
- Kuchiza ndi thupi ndikofunikira kwambiri kuti opaleshoniyi ipambane.
- Zimatenga pakati pa miyezi 6 ndi 12 kuti munthu achire bwino ndikubwerera ku zochitika monga masewera, choncho ndikofunikira kukhala oleza mtima.
- Kambiranani momasuka ndi dokotala wanu wa mafupa za chomwe chimayambitsa kupweteka kwa bondo lanu komanso njira zabwino kwambiri zochiritsira.
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