Ese ivi ryawe naryo rirababaza? Wenda iki ni cyo gihe cyiza cyo kumenya ibijyanye n'ikizamini cya Apley!

Ese wigeze ugira ububabare mu ivi cyangwa ukumva utameze neza? Cyangwa wenda wakomeretse mu ivi ryawe ukina siporo ntubashe kurigorora neza? Iyo tugiye kwa muganga, akoresha uburyo butandukanye bwo gusuzuma ivi ryacu. Kimwe mu bizamini byihariye tugiye kuvugaho uyu munsi ni ikizamini cya Apley . Ibi bifasha kumenya niba hari ikibazo mu ivi ryawe.

None se iki kizamini cya Apley ni iki?

Mu magambo make, ikizamini cya Apley ni uburyo abaganga bakoresha kugira ngo bamenye niba meniscus, igice cy'agatsiko k'ivi ryawe, cyacitse cyangwa cyangiritse . Ushobora kuba warumvise cyitwa 'Apley grind test' cyangwa 'Apley compression test'. Amazina yombi avuga ikizamini kimwe, gifite itandukaniro rito.

Tekereza, iki ni ikizamini cy’umubiri mu biro gishobora gukorerwa aho muganga ari, mu cyumba cye, nta bikoresho byihariye. Icyo ugomba gukora ni ukuryama ku meza inda yawe iri hasi, ni ukuvuga, ureba hasi (aho uhagaze) . Hanyuma muganga azafata ukuguru kwawe ko hepfo akakuzungurutsa kuva ku ruhande rumwe kugera ku rundi hafi y’ivi, akareba niba hari ububabare cyangwa ubundi burwayi ufite. Azakubaza kandi niba hari ikintu wumva cyafatiwe mu ivi ryawe, nk’aho cyafatiwe cyangwa kitagiye.

Akenshi, iyo ubonye umuganga ubabara mu ivi cyangwa nyuma yo gukomereka, kimwe mu bizamini bya mbere bikorwa ni ikizamini cya Apley. Ariko, ibi byonyine ntibishobora kwemeza ako kanya ko hari igikomere cyacitse cyangwa ikindi gikomere muri meniscus. Ibi bishobora guha umuganga igitekerezo. Hanyuma, uretse kubyemeza , hagomba gukorwa ibindi bizamini bimwe cyangwa bibiri, ni ukuvuga ibizamini bireba imbere .

Ese hari ikizamini cya Apley ku rutugu?

Yego, ni byiza kubimenya. Kimwe n'ikizamini cya Apley cyo ku ivi, hari ikindi kizamini cyitwa 'Apley' gikoreshwa no mu gusuzuma ibibazo by'amagufwa. Cyitwa 'ikizamini cya Apley cyo gushwanyagurika.' Nubwo amazina asa, ibi ni ibizamini bibiri bitandukanye rwose, kandi ingendo zikoreshwa ziratandukanye. Indwara bagerageza gusuzuma nazo ziratandukanye. Niba rero ufite ikibazo cy'ivi, ntukeneye ikizamini cya Apley cyo gushwanyagurika ku magufwa.

Ni irihe tandukaniro riri hagati y'ibizamini bya Apley, McMurray, na Thessaly?

Uretse ikizamini cya Apley, hari n'ibindi bizamini bikoreshwa mu gupima ibyangiritse imbere mu ivi, cyane cyane amarira ya meniscus. Ikizamini cya McMurray n'ikizamini cya ThessalyHari ibizamini bibiri by'ingenzi nk'ibi. Byose uko ari bitatu bikubiyemo kwimura ivi mu buryo butandukanye no kureba niba ibimenyetso bigaragara. Ariko, uburyo ukuguru gutwarwa n'aho uri biratandukanye muri buri kizamini.

• Mu gihe cyo gupimwa kwa Apley: Muganga agutembagaza ivi mu gihe uryamye uhagaze.
• Mu isuzuma rya McMurray: Mu gihe uryamye wumye, muganga arakunamira, arambura, kandi arazunguruka ivi ryawe.
• Mu kizamini cya Thessaly: Ugomba guhagarara ku kuguru kumwe, ukazamura ukuguru kumwe gato, ukananura ivi gato, hanyuma ukazengurutsa ukuguru.

Mu bizamini byose uko ari bitatu, muganga azatega amatwi amajwi ava mu ivi ryawe (avuza uburibwe, akubita cyane) kandi azitondera ibyo yumva akoresheje amaboko ye. Ugomba guhita ubwira muganga wawe ububabare ubwo aribwo bwose cyangwa kubabara wumva. Ibi ni ingenzi cyane mu gusuzuma indwara.

Ni ryari nkeneye ikizamini cya Apley?

Muganga ashobora kugukorera ikizamini cya Apley niba akeka ko ufite meniscus yacitse . Gucika kwa meniscus ni imvune ikunze kugaragara cyane mu ivi , cyane cyane mu bakinnyi b'imikino ngororamubiri.

Iyi meniscus ni iki?

Tekereza, mu ivi ryawe, hagati y'igufwa ry'ikibero cyawe (femur) n'igufwa ryawe ry'urushinge (tibia), hari umusego umeze nk'urushinge, ukomeye gato witwa meniscus. Ni nk'icyuma gifata impanuka mu modoka. Inshingano nyamukuru ya meniscus ni ukwimura umujinya n'igitutu biza ku ivi iyo tugenda, twiruka, kandi dusimbuka, no kurinda amagufwa n'ingingo.

Gukubitwa mu buryo butunguranye kandi bukabije ku ivi bishobora gucika meniscus. Ibikomere byo mu mikino ni byo bikunze kugaragara, ariko bishobora no guterwa n'ibintu nko kugwa no kugongana kw'imodoka.

Ibimenyetso bisanzwe by'icika ry'umugongo wa meniscus:

• Kumva cyangwa kumva ijwi rya 'pop' riva mu ivi.
• Ivi ritakaza ubushobozi bwo kuryifata , kandi wumva nk'aho ukuguru kwabuze uburyo bwo kwifata.
• Ububabare bukomeye.
• Kugorama kw'ivi .
• Kubyimba .
• Kudashobora kunama cyangwa kongera ivi mu buryo busanzwe.

Iyo ugiye kwa muganga ufite ikibazo cyo mu ivi, cyane cyane niba ufite ibimenyetso byavuzwe haruguru, ashobora gukora ikizamini cya Apley. Ibi bizanaha muganga igitekerezo cy'uko hari icyangiritse ku mitsi cyangwa izindi ngingo zo mu ivi ryawe.

Nanone, umuntu ufite meniscus rain nyuma ashobora kurwara osteoarthritis yo mu ivi, cyangwa kubyimba ingingo.Hari kandi ibyago byinshi byo kwandura.

Ni nde ukora ikizamini cya Apley?

Muganga wawe ashobora gukorera iki kizamini cya Apley mu biro bye. Ntibisaba ibikoresho cyangwa ibikoresho byihariye.

Ikizamini cya Apley gikorwa gute?

Ikizamini cya Apley ni urukurikirane rw'ibizamini bipima ibimenyetso byawe n'urwego rw'imikorere y'ivi ryawe , ari narwo rugero ushobora kunama, kurambura no kuzunguruka ivi ryawe. Biroroshye cyane. Dore intambwe:

• Uzakenera kuryama ku meza yo gusuzuma , ugaramye , bivuze ko ureba hasi.
• Muganga azagufata akaguru kawe kadahinduka, akandagize ivi rye inyuma y'ikibero cyawe.
• Hanyuma, muganga azagupfukamira ivi dogere 90 , bivuze ko rigororotse ku gice gisigaye cy'ukuguru kwawe.
• Hanyuma, mu gihe akurura gato ku ivi ryawe, azunguza ukuguru kwawe ko hasi agushyira hanze no imbere uhereye hagati mu mubiri wawe .
• Nyuma yo gukora ibi, muganga ashobora kongera kuzunguza ukuguru nk'uko byari bimeze mbere. Ariko kuri iyi nshuro, aho gukurura hejuru, ukuguru ko hasi kurakandagirwa hasi (compression) . Ibi kandi byitwa 'ikizamini cya Apley' cyo gukanda.'

Akenshi, muganga azakora ikizamini cya Apley ku maguru yombi . Abanza gukora ukuguru kutavunitse kandi kuzima. Ibi bizamuha igitekerezo cy'uburyo usanzwe ugenda mbere yo gusuzuma ukuguru kwakomeretse.

Ikizamini cya Apley gikubiyemo izi ngendo, zishyira stress nke kuri meniscus yawe. Ibi bisa n'umuhangayiko uhura nawo iyo usanzwe ukoresha ivi ryawe.

Mu gihe muganga agusunika ukuguru n'ivi, azakubaza niba wumva ububabare ubwo aribwo bwose, niba ivi ryawe rimeze nk'aho rigiye kugongana cyangwa rifunze . Azumva kandi ibintu nk'urusaku rw'ijwi rya 'pop' ruturuka mu ivi ryawe, kandi arebe niba ivi ryawe ririmo kuzenguruka cyane ku ruhande rumwe cyangwa urundi. Ibi byose bizamuha igitekerezo cy'aho meniscus yawe ishobora gucika.

Ni gute wakwitegura ikizamini cya Apley?

Nta myiteguro yihariye ukeneye gukora kugira ngo upime Apley. Icyo ukeneye gukora ni ukujya kwa muganga vuba bishoboka, waba warakomeretse mu ivi cyangwa niba ufite ibimenyetso bishya.

Ni iki wakwitega mu gihe cy'ikizamini cya Apley?

Gerageza kuruhuka uko bishoboka kose mu gihe cyo gupima. Iyo uhagaritse umutima, bishobora kugora muganga gukora ikizamini neza.

Kubera ko ikizamini cya Apley ari urukurikirane rw'ibikorwa by'umubiri, bwira muganga wawe ako kanya ikintu cyose wumva – cyane cyane niba hari ikintu icyo ari cyo cyose gitera ububabare cyangwa kubabara.Ibi ni ingenzi cyane.

Ububabare ubwo aribwo bwose, kumererwa nabi, cyangwa ibindi bimenyetso wumva mu gihe cyo gupima Apley bizafasha muganga wawe kumenya aho meniscus yawe yacitse cyangwa ikindi gikomere ushobora kugira.

Ni iki kibaho nyuma y'ikizamini cya Apley?

Ndetse na nyuma yo gukora ikizamini cya Apley, muganga wawe ashobora gutegeka ibindi bipimo byinshi byo gufata amashusho kugira ngo yemeze neza imiterere y'imvune yo mu ivi.

Ibi bizamini bifotora imbere mu ivi ryawe kandi bishobora kwemeza ko hari icyangiritse kiri imbere mu ngingo. Ibizamini bikunze gukoreshwa mu gusuzuma meniscus rain ni ibi bikurikira:

• Ishusho ya Magnetic Resonance (MRI)
• Ultrasound
• Imirasire ya X

Muganga azagusobanurira ibizamini byo gupima umubiri ukeneye n'ubwoko bw'indwara ashaka.

Hari igihe ushobora gukenera gukorerwa arthroscopy yo mu ivi kugira ngo umenye cyangwa ukosore ibyangiritse mu ivi ryawe. Arthroscopy yo mu ivi ni uburyo bwo kubaga budakoresha kamera nto kugira ngo urebe imbere mu ngingo y'ivi ryawe. Uburyo bwinshi bwo gukorerwa arthroscopy yo mu ivi ni uburyo bwo kwa muganga utaha uwo munsi. Ibi bivuze ko ushobora gutaha uwo munsi.

Ese hari ingaruka zishobora guterwa n'ikizamini cya Apley?

Mu by’ukuri, nta ngaruka zishobora guterwa n’ivi ryawe bitewe no gukora ikizamini cya Apley.

Ushobora kumva ububabare cyangwa kutamererwa neza mu gihe cyo gupimwa, ariko nubwo meniscus yawe yaba yacitse, ntugomba kumva ububabare bukabije .

Ariko hari ikintu kimwe ugomba kuzirikana. Ubushakashatsi bumwe bwagaragaje ko ikizamini cya Apley kidahuje neza n’ukuri mu kumenya meniscus yacitse. Ariko, iyi ni yo ntambwe ya mbere muganga wawe atera kugira ngo amenye imvune yawe. Ibizamini byo gufata amashusho ni byo by’ingenzi cyane. Niba muganga wawe akeka ko ufite meniscus yacitse, ni bwo buryo bwiza bwo kuyisuzuma.

Ibisubizo bizamera bite kuri njye kandi bivuze iki?

Ibisubizo by'ikizamini cya Apley ntabwo bisa na bimwe mu bizamini ushobora kuba warigeze gukora mbere. Ni ukuvuga ko bitatanga urwego runaka cyangwa umubare runaka. Ahubwo, ikizamini cya Apley giha muganga wawe igitekerezo cyiza cy'ubwoko bw'imvune ishobora kuba iri mu ivi ryawe.

Iki ni nk'ikibazo 'cy'ukuri cyangwa kibi'., ntabwo ari nk'ikibazo cy'imibare gifite igisubizo gihamye. Muganga wawe azashyira ikizamini cyawe mu byiciro bibiri niba abonye ikintu kigaragaza ko ufite meniscus yacitse. Igisubizo kibi bivuze ko nta bubabare, kubabara cyangwa ibindi bimenyetso wabonye mu gihe cy'ikizamini.

Ariko, igisubizo kibi ntibivuze ko udakeneye gupimwa ukundi. Meniscus yawe ishobora kuba ikiri gucika, cyangwa hashobora kuba hari ikindi cyangiritse mu ivi ryawe.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso nko kubabara mu ivi no kubyimba birushaho kwiyongera nyuma y'iminsi mike, hita ubonana na muganga.

Nanone, niba ufite kimwe muri ibi bimenyetso, jya mu bitaro byihutirwa vuba:

• Ububabare bukabije cyane.
• Niba kubyimba birushaho kwiyongera.
• Niba ubonye ibara ry'uruhu.
• Niba udashobora kwimura ivi ryawe na gato cyangwa udashobora kurihindura uko bisanzwe.

Amaherezo, ibintu byo kwibuka

Ikizamini cya Apley ni ikizamini cyihuse kandi cyoroshye muganga wawe ashobora gukora kugira ngo arebe niba meniscus yacitse mu ivi ryawe. Ushobora kandi gukenera ikizamini cyo gupima, nka MRI. Ariko, ikizamini cya Apley ni uburyo bwiza bwo gutuma muganga wawe asobanukirwa neza aho wumva ububabare, ibindi bimenyetso ushobora kugira, n'aho mu ivi ryawe hashobora kwangirika.

Igikuru ni ukubwira muganga wawe ububabare ubwo aribwo bwose cyangwa kumererwa nabi wumva mu gihe cyo gupimwa. Nubwo ikizamini cya Apley gishobora gutera stress ku meniscus yawe, ntugomba kumva ububabare budashobora kwihanganira.

Niba ufite ikibazo cy'ivi, ntugatinye kujya kwa muganga. Azagukorera ibizamini bikenewe kandi aguhe ubuvuzi bwiza.

Ikizamini cya Apley , Ikizamini cya Apley, ububabare bw'ivi, gucika kwa meniscus, gucika kwa meniscus, indwara z'ivi, ibizamini by'ivi