Ese ivi ryawe rihora ribabara? Reka tuvuge ku ikizamini cya McMurray uyu munsi!

Ese ufite ikibazo cyo kugenda cyangwa gukora imirimo yawe ya buri munsi urwaye ivi? Wenda waguye ukina siporo, wagize impanuka, cyangwa wakomeretse ivi. Iyo ufite ikibazo nk'iki cy'ivi, muganga azakora ikizamini cyoroshye ariko cy'ingenzi cyane cyitwa McMurray Test kugira ngo asuzume ivi ryawe. Uyu munsi, turaganira kuri ibi mu buryo burambuye kugira ngo ubyumve.

Ikizamini cya McMurray ni iki mu by'ukuri?

Mu magambo make, iki ni isuzuma ry’umubiri aho umuganga agupfukamisha, akarambura, akanazunguza ivi ryawe n’ukuguru mu buryo butandukanye . By’umwihariko, iki kizamini gikorwa kugira ngo harebwe niba agatsiko k’ivi imbere mu ivi, kitwa "meniscus", karangiritse, karacitse, cyangwa se kafite ikindi kibazo. Ntibisaba ibikoresho bidasanzwe. Umuganga ashobora kubikora mu biro bye. Umuganga azagutega amatwi witonze kandi agerageze kumva ububabare ubwo aribwo bwose, amajwi "akomanga", cyangwa ubundi buryo bwo kubabara ushobora kuba ufite.

Kuki ngomba gukora iki kizamini cya McMurray? / Iki kizamini gikunze gukorwa ryari?

Iyo ugiye kwa muganga ufite ububabare bw'ivi, kubyimba, cyangwa ufite ingorane zo kunama cyangwa kugorora ivi ryawe, kandi bakeka ko ushobora kuba ufite meniscus yacitse, bashobora gukora ikizamini cya McMurray. Ibi akenshi bikorwa nk'ikizamini cy'ibanze, kugira ngo bifashe kumenya neza ikibazo.

Noneho, reka turebe icyo iyi `(Meniscus)` ari cyo. Imeze nk'ibice bibiri bya "C" bifite ishusho y'urudodo, binini gato mu ivi ryacu, hagati y'igufwa ry'ikibero (`(Femur)`) n'igufwa ry'uruti rw'umugongo (`(Tibia)`). Ni nk'icyuma gifata impanuka mu modoka, kibuza amagufwa yo mu ivi ryacu kugongana, kikwinjiza igitutu ku ivi kandi kikarinda ingingo. Binafasha ingingo kugumana ihamye.

Tekereza, niba uguye mu buryo butunguranye, ukagwa, cyangwa ugakubitwa bikomeye mu mpanuka y'imodoka ukina siporo nka cricket cyangwa umupira w'amaguru, iyi '(Meniscus)' ishobora gucika, kuvunika, cyangwa gukomereka. Iki ni imvune ikunze kugaragara mu bakinnyi b'imikino ngororamubiri. Nanone, uko ugenda usaza, ibi bice by'imitsi bigenda bishira buhoro buhoro kandi bishobora kwangirika byoroshye.

Iyo meniscus yacitse, ibimenyetso bisanzwe birimo:

• Ijwi "rikubita" riva mu ivi: Kuri bamwe, iri jwi rishobora guherekezwa n'ububabare bukomeye. Tekereza ukuntu byaba biteye ubwoba uramutse ubyumvise ikintu gicitse mu ivi ryawe.
• Kumva udakomeye kandi udafite ubushobozi bwo kwifata: Ivi rishobora kumva risa n'aho "rigiye kurekura" cyangwa "rikunama" ridafite uburemere. Ibi bishobora gutuma kugenda, kwiruka, cyangwa kuzamuka ingazi bibabaza kandi biteye ubwoba.
• Ububabare:Iki ni cyo kintu cy'ingenzi. Hari igihe ububabare bushobora kwiyongera iyo umuntu apfukamye, arambuye, cyangwa ashyira ibiro ku ivi. Ububabare bushobora no kubaho nijoro iyo asinziriye. Hari abantu bashobora kumva ububabare imbere cyangwa hanze y'ivi.
• Kugorama kw'ivi: Iyo ukangutse mu gitondo cyangwa umaze guhagarara akanya gato, ivi ryawe rishobora kumva rikomeye kandi rikugora kwimuka.
• Kubyimba: Ivi rishobora gutangira kubyimba mu masaha make cyangwa umunsi umwe cyangwa ibiri nyuma y'imvune.
• Kudashobora kunama no kongera ivi mu buryo busanzwe: Ivi rishobora kudashobora kunama cyangwa kugororoka burundu. Rishobora kumva nk'aho hari ikintu cyafatiwemo imbere (`locking`).

Rero, niba ufite imvune mu ivi kandi ukaba ufite ibi bimenyetso, muganga azakora ikizamini cya McMurray kugira ngo amenye neza niba hari icyangiritse kitari kuri meniscus gusa, ahubwo no ku bindi bice by'ingenzi by'ivi, nk'imitsi.

Ni nde ukora ikizamini cya McMurray?

Ibi biroroshye cyane. Umuganga wawe w’umuryango nawe ashobora gukora iki kizamini. Ariko, akenshi, umuganga w’amagufwa (`(Umuganga w’amagufwa)`) ni we uzakora iki kizamini maze agafata icyemezo cy’ubundi buryo bwo kuvura. Iki kizamini gikorerwa mu ivuriro rye, mu biro bye. Ntigisaba ibikoresho bidasanzwe cyangwa kujya ahandi hantu.

Ikizamini cya McMurray gikorwa gute neza? Reka dusobanure gato.

Ikizamini cya McMurray gisaba ko muganga wawe agusunika ukuguru no ku ivi mu buryo butandukanye. Ibi ni ukureba ibimenyetso biri mu ivi ryawe n'urugero ushobora kunama no kugorora ivi ryawe (`urwego rw'imikorere`). Biroroshye cyane:

1. Ubwa mbere, uzaryamishwa ku buriri bwo gusuzumwa, ureba hejuru.

2. Hanyuma, umuganga azapfukama ivi ry'ukuguru kwawe kwasuzumwe kugeza kuri dogere 90, nk'aho wicaye mu ntebe. Azagufata mu ivi n'ukuboko kumwe n'agatsinsino kawe n'ukundi.

3. Hanyuma, zunguza ivi ryawe buhoro buhoro imbere (yerekeza ku mubiri wawe - `(kuzunguruka imbere)`) no hanze (kure y'umubiri wawe - `(kuzunguruka inyuma)`).

4. Mu gihe uzenguruka muri ubu buryo, muganga agorora ukuguru kwawe buhoro buhoro.

5. Iyi ntambwe ishobora gukorwa inshuro nyinshi, mu mpande zitandukanye.

Iyo uhinduye ivi ryawe utya, hari igitutu gishyirwa kuri '(Meniscus)' yawe. Ni ukuvuga ko igitutu gisa n'igitutu twumva ku mavi yacu iyo dukora, tugenda, kandi tuvunika amavi mu buzima bwacu bwa buri munsi.

Mu gihe muganga aguhindura ukuguru n'ivi muri ubu buryo, azakubaza niba wumva ububabare. Muganga azabikora yitonze cyane, atagukomeretsa bitari ngombwa.Azatega amatwi yitonze amajwi yose "akomanga" ava mu ivi ryawe, cyangwa se ikintu cyose kidasanzwe kiri mu kiganza cyawe. Ibi bizaha muganga igitekerezo cy'aho meniscus yawe iri n'ingano y'ibyangiritse byayo. Niba wumva umerewe nabi, ntutinye kubimubwira ako kanya, sibyo?

Ese hari icyo nkeneye gutegura mbere y'ikizamini cya McMurray?

Oya, ntabwo ukeneye gukora ikintu kidasanzwe kugira ngo witegure ikizamini cya McMurray. Icy'ingenzi ni ukubonana na muganga vuba bishoboka niba ufite imvune mu ivi cyangwa niba ufite ibimenyetso bishya. Muri ubwo buryo, ushobora kubona igisubizo mbere yuko ikibazo kirushaho gukomera.

Nzumva meze nte mu gihe cy'ikizamini? Ni iki nkwiye kwitega?

Iyo umuganga akoze ikizamini cya McMurray, gerageza kuguma utuje kandi umerewe neza uko bishoboka kose mu gihe ukuguru kwawe n'ivi byawe birimo kugenda. Iyo ufashe imitsi yawe, bishobora kugorana gukora ikizamini neza kandi bishobora gutanga ibisubizo bitari byo.

Kubera ko iki ari ikizamini cy’umubiri, icy’ingenzi ni ukubwira muganga ibyo wumva byose, uko byaba bingana kose. Cyane cyane, niba wumva ububabare cyangwa umerewe nabi iyo urimo gukora ikintu icyo ari cyo cyose, menya neza ko umubwiye.

Ububabare, kumererwa nabi, cyangwa ibindi bimenyetso (nk'ijwi ryo "gukanda") uhura nabyo mu gihe cyo gupima McMurray bizafasha muganga wawe kumenya neza aho meniscus yawe yakomeretse, cyangwa ubundi bwoko bw'imvune ushobora kugira. Rero ntutinye kubabwira byose.

Bigenda bite nyuma y'ikizamini? Uzakora iki nyuma yaho?

Ikizamini cya McMurray ubusanzwe ni intambwe ya mbere mu kuvura ikibazo cyawe cyo mu ivi. Niba muganga wawe yumva ikintu kidasanzwe mu ivi ryawe (urugero: ububabare, "gukanda") cyangwa yumvise urusaku mu gihe cyo gupimwa, ashobora kukugira inama yo gukomeza gupimwa cyangwa gutangira kuvurwa kugira ngo agabanye ibimenyetso by'indwara yawe.

Nyuma y'ikizamini cya McMurray, ushobora gukenera gukora ikindi kizamini kimwe cyangwa byinshi byo gupima. Ibi bizamini bifotora imbere mu ivi ryawe kugira ngo harebwe niba hari ibyangiritse n'ingano y'ibyangiritse. Ibizamini bikunze gufotora ni ibi bikurikira:

• Imirasire ya X: Iyi ishobora kureba niba amagufwa yangiritse, nko kuvunika. Nubwo meniscus idashobora kugaragara neza, ishobora gufasha kureba niba hari ibindi bibazo.
• MRI (Ishusho ya Magnetic Resonance - MRI): Iki ni cyo kizamini cyiza cyo kureba niba ingingo zoroshye zangiritse, nko gucika kwa meniscus no gukomereka kw'imitsi.
• Ultrasound: Ibi rimwe na rimwe bikoreshwa mu kureba ingingo zoroshye.

Muganga wawe azagusobanurira ibizamini ugomba gukora n'ubwoko bw'imvune ashaka.

Ushobora gukenera gukorerwa arthroscopy yo mu ivi kugira ngo urebe neza ibiri mu ivi ryawe no kurisana. Ubu buryo ni uburyo budakunze kugaragara burimo gukata gato cyane no gushyiramo kamera nto kugira ngo urebe imbere mu ivi ryawe. Akenshi, ubu buryo bwo gupima arthroscopy bwo mu ivi bukorwa nk'uburyo bwo kuvura hanze, bivuze ko ushobora gutaha uwo munsi utagomba kuguma mu bitaro.

Ese hari ingaruka zishobora guterwa n'iki kizamini cya McMurray?

Oya, nta ngaruka zikomeye zishobora guterwa n'ivi ryawe bitewe no kuba muganga agukorera iki kizamini cya McMurray. Iki kizamini ni cyiza cyane.

Ushobora kumva ububabare cyangwa kutamererwa neza mu gihe cyo gupimwa, cyane cyane niba ufite meniscus yacitse. Ariko, nubwo meniscus yawe yacitse, ntugomba kumva ububabare bukabije kandi budashobora kwihanganira iyo muganga akunyujije ivi n'ukuguru, kuko abaganga babikora buhoro cyane.

Ubushakashatsi bumwe na bumwe bwagaragaje ko ikizamini cya McMurray cyonyine gishobora kuba kidatanga ukuri 100% mu kumenya niba ufite meniscus yacitse cyangwa utayifite. Ibi bivuze ko rimwe na rimwe ikizamini gishobora kutabona ko meniscus yacitse (igaragaza ko nta kibazo), cyangwa se umuntu akabona ko nta kibazo cyacitse (igaragaza ko nta kibazo cyacitse). Ariko, iyi ni yo ntambwe ya mbere muganga wawe azatera kugira ngo amenye imvune yawe. Ibizamini byo gufata amashusho (cyane cyane MRI) ni byo byumvikana neza. Niyo mpamvu ushobora gukenera nibura ikindi kizamini cyo gufata amashusho nyuma y’ikizamini cya McMurray.

Ni ibihe bisubizo mbona? Bivuga iki?

Ibisubizo by'ikizamini cya McMurray ntabwo bisa na bimwe mu bizamini ushobora kuba warigeze gukora mbere (nk'ikizamini cy'amaraso). Ni ukuvuga ko bitatanga agaciro runaka cyangwa urwego runaka. Ahubwo, ikizamini cya McMurray giha muganga igitekerezo cyiza cy'ubwoko bw'imvune ushobora kugira mu ivi ryawe.

Iki si ikizamini gitanga igisubizo gihamye, ahubwo ni ikibazo cya "yego" cyangwa "oya". Iyo muganga abonye ububabare, urusaku rwa "click", cyangwa ibindi bimenyetso bigaragaza ko meniscus yawe yacitse, ikizamini gifatwa nk'icya "positive". Igisubizo cya "negative" bivuze ko muganga atagize icyo yumva cyangwa ngo yumve kidasanzwe mu gihe cyo gupimwa.

Ariko, igisubizo "kidahagije" ntibivuze ko utazakenera ikindi gipimo. Hari igihe, nubwo haba hari agace gato k'umugongo muri meniscus, gashobora kutaboneka hakoreshejwe ikizamini cya McMurray. Cyangwa hashobora kubaho ikindi kibazo mu ivi, urugero, akabazo gato k'imitsi. Niyo mpamvu muganga azareba ibimenyetso byawe kandi agategeka ko hakorwa ibindi bipimo nibiba ngombwa. Iyo ubonye igisubizo "kidahagije", bivuze ko hari amahirwe menshi ko wagira agace gato k'umugongo muri meniscus.Muganga ashobora gutegeka ko hakorwa ikizamini nka MRI kugira ngo yemeze ko indwara ihari, hanyuma agahitamo uburyo bwo kuvura. Birashoboka ko iyo ndwara ishobora kuvura hakoreshejwe imiti, physiotherapy, cyangwa se kubagwa gato (arthroscopy).

Ni ryari nkwiye kujya kwa muganga? Ni ryari nkwiye kwihutira gushaka ubuvuzi?

Niba ufite ububabare bw'ivi cyangwa kubyimba bitagenda neza nyuma y'iminsi mike ukoresheje uburyo bworoshye bwo kuvura mu rugo (nk'ikiruhuko n'urubura) , cyangwa niba bisa nkaho birushaho kwiyongera, ugomba kujya kwa muganga.

Nanone, niba ufite kimwe muri ibi bimenyetso, jya mu cyumba cy’ubutabazi bw’ibanze cy’ibitaro vuba:

• Ububabare bukomeye cyane, budashobora kwihanganira.
• Kubyimba biri kwiyongera vuba cyane.
• Ihinduka ry'ibara ry'ivi cyangwa ukuguru (urugero: guhinduka ubururu bwijimye, umuhengeri, ibara ry'umukara).
• Niba udashobora kwimura ivi ryawe na gato, cyangwa niba udashobora no guhagarara ufite uburemere bwawe ku kuguru kwawe.
• Kubura ibyiyumvo aho byakomeretse cyangwa kubura ibyiyumvo mu kaguru ko hasi.
• Kugira umuriro.

Amaherezo, ibintu byo kwibuka (Ubutumwa bwo kujyana mu rugo)

Ikizamini cya McMurray ni ikizamini cyihuse, cyoroshye kandi cyizewe muganga abanza gukora kugira ngo amenye niba ufite meniscus yacitse cyangwa ikindi kibazo. Akenshi bikorwa iyo ugiye kwa muganga nyuma yo gukomereka mu ivi.

Igikuru ni uko niba ivi ryawe rikubabaza, ribyimbye, cyangwa udashobora kurikoresha nk'uko bisanzwe, ntubyirengagize kandi uganire na muganga vuba bishoboka. Icyo gihe ni bwo ushobora kumenya neza ikibazo, ugatangira kuvurwa vuba, hanyuma ugasubiza ivi ryawe mu buryo bwiza. Urabyumva? Ndakwifurije gukira vuba!

Ikizamini cya McMurray , ububabare bw'ivi, gucika kwa meniscus, gucika kwa cartilage, ibibazo by'ivi, imvune za siporo, gusuzuma ivi, gusuzuma ivi, imvune ya meniscus