Ese ni "umufuka w'indobo" wacitse mu ivi? (Umufuka w'indobo Meniscus Tear) Reka tubimenye!

Ese wigeze ugira ububabare butunguranye mu ivi, ukumva ivi ryawe ririmo gufunga? Wenda mugihe ukina siporo cyangwa ukora akazi gasanzwe, ushobora kumva urusaku rusaku mu gihe ivi ryawe rigenda rifunga. Imwe mu ndwara zikomeye zishobora kubaho muri ibyo bihe ni icyo bita 'gutemba kw'ivi mu ntoki'. Nubwo izina rishobora kumvikana nk'aho ritangaje, iki ni imvune isanzwe mu ivi.

"Irira ry'umuheto w'indobo" ni iki?

Mu magambo make, iyi ni icika ryihariye mu gice cy'ivi ryawe cyitwa meniscus . Tekereza nawe, mu mavi yacu, hagati y'igufwa ry'ikibero (Femur) n'igufwa ry'uruti rw'umugongo (Tibia), hari ibice bibiri bikomeye bya cartilage ikora nk'ibifata shock. Ibyo ni byo twita meniscus . Ibi bikora nk'ukwezi kw'icyiciro cya mbere, cyangwa inyuguti ya C.

Iyi meniscus ifite imirimo ibiri y'ingenzi:

1. Kwihanganira shock n'umuvuduko ku ivi (nk'icyuma gifata shock mu modoka).

2. Gufasha kugira ngo ingingo y'ivi ikomeze gukomera.

Rero, 'gucika kw'umugozi w'indobo' ni igihe hari igisebe kinini imbere muri meniscus, maze igice cyacitse kigapfukama hagati mu ivi nk'umugozi w'indobo. Izina ryacyo ryamenyekanye kubera ko impande ebyiri za meniscus zigifatanye n'ingingo, kandi inyuma hameze nk'aho ari umugozi. Usa n'umugozi waguye mu ndobo. Ibi bikunze gufatwa nk'igisebe kinini.

Ese hari ubwoko bw'amarira ya meniscus muri iyi mifuka y'indobo?

Yego, dufite menisci ebyiri muri buri ivi.

• Meniscus yo hagati: Iyi iherereye imbere mu ivi (ku ruhande rw'ukuguru kwawe ukundi).
• Meniscus yo mu ruhande: Iyi iherereye inyuma y'ivi.

Umushumi w'indobo ushobora gucika muri meniscus imwe muri izi. Ariko, akenshi ugaragara muri meniscus yo hagati.

Ni nde ushobora gucika muri uyu mufuka w'indobo kurusha iyindi?

Nubwo ubu bwoko bw'imvune bushobora kugera kuri buri wese, bukunze kugaragara cyane ku bakinnyi cyangwa abakora imyitozo ngororamubiri buri gihe . Ibi bishobora kubaho cyane cyane iyo ivi rigoramye mu gihe wiruka, usimbuka, cyangwa uhindagurika mu buryo butunguranye. Bikunze kugaragara ku bakina siporo nka netball, volleyball, football, na cricket.

Ibi bikunze kugaragara cyane ku buryo iyo ugereranije n'izindi mvune zo mu ivi, amarira ya meniscus akunze kugaragara cyane. Ariko, hafi 10% by'amarira yose ya meniscus aba ari amarira yo mu ijosi. Iyi ndwara ikunze kugaragara cyane mu basore bakiri bato .

Bizagenda bite ku mubiri wanjye kubera ubu burwayi?

Iyo idavuwe neza, gucika kw'umushumi w'indobo bishobora gutera rubagimpande mu ivi ryawe.Nubwo iyo ndwara yaba ibaye, uko igihe kigenda gihita, hashobora kubaho ububabare buhoraho mu ivi. Nanone, iyo meniscus yacitse, ivi riguma rihagaze neza. Iyo ivi ritakaje ihumure, amahirwe yo kugira ibindi bikomere byo mu ivi nka ACL ricika na yo aba menshi. Kubwibyo, ni ngombwa cyane kubyitaho.

Ni ibihe bimenyetso by'uko meniscus yo mu gikoresho cyo mu ndobo yacitse?

Niba ufite ubwoko bw'ubu bwoko bw'amarira, ushobora kubona kimwe cyangwa byinshi muri ibi bimenyetso:

• Kudashobora kunagura ukuguru kose: Iki ni ikimenyetso cyihariye cyane, kandi gishobora kumva nk'aho ivi "rifunze".
• Ububabare bw'ivi: Ububabare bushobora kwiyongera, cyane cyane iyo upfukamye cyangwa uzunguruka ivi.
• Kumva ivi rifashe cyangwa rifashe: Ushobora kumva nk'aho hari ikintu gifatiriye mu ivi ryawe.
• Iyo habayeho imvune, ijwi ryumvikana "ricuramye".
• Kubabara ivi no kubyimba.

Ariko dore ikibazo, iyo meniscus yawe yacitse, ushobora kutababara cyane ako kanya. Ushobora no gutekereza ko ushobora gukomeza kugenda no gukina. Ariko nyuma y'iminsi ibiri cyangwa itatu, ivi ryawe rizatangira kubyimba, rigakomera, kandi rigatangira kubabara cyane.

Icy'ingenzi: Gufunga ivi (kudashobora kugorora ukuguru) ni ikimenyetso gikomeye cy'uko imitsi yo mu kanwa yacitse. Ibi nibibaho, shaka ubufasha bwa muganga byihutirwa.

Ni iki gituma uyu mukingo w'indobo ucika?

Aya marira akunze guterwa no kwizunguza cyangwa kunama kw'ivi mu gihe cy'imikino cyangwa imyitozo ngororamubiri. Ibi byago biri hejuru cyane cyane mu mikino isaba impinduka zitunguranye mu cyerekezo (pivots) cyangwa guhagarara no kwiruka bitunguranye.

Nanone, iyo unyerera ukagwa, cyangwa ukandagiye ahantu hatameze neza, ushobora gucika meniscus. Hari abantu bagonga ivi ryabo mu mirimo isanzwe ya buri munsi, nko kuva mu buriri cyangwa kubyuka ku ntebe, maze iyi mvune ibaho.

Abaganga bapima iki kibazo gute?

Ubwa mbere, muganga wawe azagusuzuma. Sobanura neza icyo wumva mu ivi ryawe n'uko ibimenyetso byawe byatangiye.

Nyuma yaho, muganga ashobora gukora ibizamini byihariye, nka McMurray Test cyangwa Thessaly Test . Muri ibyo, muganga akubita akaguru kawe neza mu byerekezo bitandukanye. Ibi bizamini bishobora kuguha igitekerezo cy'ubwoko bw'ikibazo cy'ivi ufite.

Ni ubuhe bwoko bw'ibizamini byemeza ibi neza?

Nyuma yo gusuzumwa umubiri, uzakenera gupimwa inshuro nyinshi. Izi zishobora gufata amafoto y'imbere mu ivi no kureba meniscus n'izindi nyama.

• Imirasire ya X: Imirasire ya X igaragaza neza amagufwa n'imiterere ikomeye. Gucika kwa meniscus ntibizagaragara neza kuri X-ray. Ariko, osteoarthritisIbi bifasha kwemeza ko nta zindi ndwara zishobora gutera ububabare mu ivi.
• MRI (Magnetic Resonance Imaging) Scan: MRI scan irashobora kubona neza meniscus n'izindi nyama zoroshye mu ivi (nk'imitsi). Akenshi, meniscus fractures n'izindi mvune zo mu ivi bishobora gupimwa neza hakoreshejwe MRI.

Wavura ute meniscus icika mu ndobo?

Niba ufite meniscus yacitse mu mufuka w'indobo, hari uburyo butandukanye bwo kuvura.

1. Kubaga Meniscus

Uburyo bukunze kugaragara kandi bugira ingaruka nziza ku gucika kwa meniscus ni ukubaga. Ibi kandi byitwa arthroscopy yo mu ivi . Muri iki gikorwa, umuganga ubaga ashyira kamera nto cyane (arthroscope) mu ivi ryawe akareba imbere. Amashusho y'iyi kamera ashyirwa hejuru kuri ecran, kugira ngo umuganga abone kandi asane meniscus adakoze incision nini.

Kubera ko amarira y'umugozi w'indobo akenshi aba afite amaraso meza, ashobora gusanwa no kubagwa. Mu gihe cyo kubagwa, muganga azashyira igice cya meniscus "umugozi w'indobo" mu mwanya wacyo hanyuma agidodere hamwe akoresheje uduti duto. Ubu buryo bwo kubaga bushobora gufata ibyumweru 6 kugeza ku mezi 3 kugira ngo bukire.

2. Gutera igitsina cy'umugabo (Meniscal Transplantation)

Hari igihe meniscus yangiritse cyane ku buryo kubagwa byonyine bitashobora kuyisana. Niba ari uko bimeze, muganga wawe ashobora kukubwira ibijyanye no gutera meniscus . Ibi bisaba gusimbuza meniscus yangiritse n'iy'umuntu wapfuye. Ibi bishobora kandi kuba amahitamo ku bantu bakuweho meniscus yabo burundu mu gihe cyo kubagwa mbere.

Gutera meniscus bishobora kugabanya ibyago byo kurwara osteoarthritis no kubabara mu ivi mu gihe kizaza. Ushobora kuba wemerewe kubagwa niba:

• Ubundi buryo bwo kuvura ntibugomba kuba bushobora gusana meniscus yawe.
• Ibindi bice by'ivi ryawe (amagufwa, imitsi) bigomba kuba bifite ubuzima bwiza, kandi ntibishobora kubaho rubagimpande.
• Ugomba kuba uri munsi y'imyaka 50 kandi ukora akazi gakomeye.

3. Uburyo bwo kuvura plasma irimo plaquette nyinshi (PRP)

PRP ni uburyo bwo kuvura bukoresha amaraso yawe bwite kugira ngo wihutishe gukira kw'ibikomere. Muganga wawe ashobora kukugira inama yo kuvura PRP nyuma yo kubagwa meniscus. Platelets na plasma, ari byo bigize amaraso yawe, bifasha gusana ingingo zacitse cyangwa zangiritse. Ubu buryo bwo kuvura burimo gushyira ibi bice mu gice cyakomeretse no kubyitera mu gice cyakomeretse.

Dore uko bigenda mu gihe cyo kuvurwa na PRP:

• Urushinge ruzakura amaraso mu kuboko kwawe.
• Amaraso ashyirwa mu mashini yihariye kugira ngo itandukane plaquettes na plasma n'ibindi bice by'amaraso.
• Iyi PRP yateguwe iterwa mu ivi ryawe ikoresheje urushinge.

4. Ubuvuzi bw'umubiri

Nyuma yo kubagwa, muganga wawe azaguha uburyo bwo kuvura indwara z'umubiri , buzwi kandi nka physiotherapy. Ibi bikubiyemo gukora imyitozo ngororamubiri yihariye ijyanye n'imiterere yawe n'ibyo ukeneye. Iyi myitozo ishobora gufasha kongera imbaraga n'ubushobozi bw'ivi ryawe. Umuganga wawe w'umubiri azakwigisha uburyo bwo gukora iyi myitozo, kandi imwe muri yo ushobora kuyikorera mu rugo. Gukurikiza gahunda yawe yo kuvura indwara z'umubiri neza biguha amahirwe menshi yo gukira neza.

Nigute nagabanya ibyago byo gucika kw'umuhini w'indobo?

Nta gihamya cy'uko utazigera ugira ikibazo nk'iki. Ariko niba ukora siporo kandi ukina siporo, gukurikiza izi ntambwe bishobora kugufasha kugabanya ibyago byo gukomereka mu ivi:

• Mu gihe utangiye gahunda nshya y'imyitozo ngororamubiri, ntukayikore yose icyarimwe. Ongera igihe n'imbaraga buhoro buhoro.
• Umva umubiri wawe. Niba wumva ububabare, hagarika icyo gikorwa maze uganire na muganga.
• Kora imyitozo ikomeza imitsi yo hasi y'umubiri wawe (amaguru, amatako) buri gihe. Imitsi ikomeye itanga inkunga nziza kandi ikagira uburinzi ku mavi.
• Niba wumva ko ivi ryawe ridafite imbaraga cyangwa ridafite imbaraga, ambara igitambaro cyo gukingira ivi.
• Ambara inkweto zikwiye n'ibikoresho byo kwirinda mu gihe ukina siporo.

Ni gute wakwiringira ko meniscus yacitse mu gihe urimo gukora ku ndobo?

Nyuma yo gusana meniscus neza, icyizere kiba cyiza cyane. Abantu benshi babazwe meniscus neza basubira mu mirimo yabo isanzwe no mu mikino nyuma yo gukira. Iyo meniscus isana cyangwa igasimbuzwa, ibyago byo kurwara osteoarthritis mu ivi mu gihe kizaza nabyo biragabanuka.

Ese iyi ndobo izakira amarira ubwayo?

Amarira mato mato ya meniscus ashobora gukira ubwayo iyo umuntu aruhutse kandi yitaweho neza mu rugo. Ariko, amarira menshi yo mu gikoresho cy'indobo ntabwo gukira ubwayo. Ibi biterwa nuko igice cyacitse kiba cyafashe hagati mu ivi. Igice ntigishobora gusubira mu mwanya wacyo cyangwa ngo gikire cyonyine. Kubwibyo, umuganga w'inzobere agomba kugisubiza mu mwanya wacyo akagikosora.

Ni ryari ngomba kujya kwa muganga?

Niba ufite ibimenyetso by'uko meniscus yacitse, cyangwa niba wumvise urusaku rwo gucika mu ivi ryawe, menya neza ko wagiye kwa muganga. Ndetse n'uko meniscus yacitse bishobora kutababaza cyane, ariko iyo idavuwe neza, ishobora gutera osteoarthritis n'ibindi bibazo by'amavi mu gihe kizaza.

Ni ryari nkwiye kujya mu ishami rishinzwe ubuvuzi bwihutirwa (ETU) ?

Nyuma yo kubagwa, ugomba kumenya ingorane zidasanzwe zishobora kubaho. Niba uherutse kubagwa ivi, shaka ubufasha bwihutirwa vuba niba ufite kimwe muri ibi bimenyetso:

• Kubabara mu gituza.
• Gukorora amaraso.
• Umuriro.
• Niba wumva ubushyuhe iyo ukoze ku ivi ryawe.
• Amaraso menshi (amaraso, amabyi, amazi) ava mu gucibwamo.
• Iyo ububabare cyangwa kubyimba byiyongera ndetse na nyuma yo kuruhuka, ndetse n'ukuguru kwazamuwe.
• Imirongo itukura cyangwa itukura mu gice cy'ivi.
• Kugorwa no guhumeka.

Gucika kwa meniscus mu gikoresho cy'indobo bishobora gutuma udakora neza mu gihe cy'ibyumweru cyangwa amezi. Ariko, iyi mvune ntikubuza kongera kwishimira siporo no gukora siporo. Nyuma yo kuvurwa neza, abantu benshi basubira mu buzima bwabo busanzwe. Vugana na muganga wawe uburyo bwiza bwo gusana meniscus bujyanye n'ibyo ukeneye n'ubuzima bwawe.

Ibintu ukeneye kumenya (Ubutumwa bwo kujyana mu rugo)

"Umugozi w'indobo" wa meniscus mu ivi nta cyo ugomba gutinya, ariko si ikintu cyo kwirengagiza.

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* Niba ugize ibimenyetso nko gufunga ivi, kubabara mu buryo butunguranye, cyangwa kubyimba ukoresheje ijwi rya 'pop', shaka ubufasha bwa muganga byihutirwa.

* Kubaga akenshi ni bwo buryo bwiza bwo kuvura, kandi ibisubizo biratanga umusaruro.

* Ubuvuzi bw'umubiri bukwiye nyuma yo kubagwa ni ingenzi kugira ngo umuntu akire vuba.

* Nyuma yo kuvurwa neza no kuvurwa neza, ushobora gusubira mu buzima busanzwe.

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Wibuke ko kwita ku mavi yawe bizakurinda ibibazo bikomeye mu gihe kizaza.

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