Ingaba idolo lakho lihlala libuhlungu? Makhe sithethe ngovavanyo lweMcMurray namhlanje!

Ngaba unengxaki yokuhambahamba okanye ukwenza imisebenzi yakho yemihla ngemihla ngenxa yentlungu yedolo? Mhlawumbi uwile ngelixa udlala imidlalo, wenze ingozi, okanye wenzakele nje edolweni lakho. Xa unengxaki yedolo efana nale, ugqirha uza kwenza uvavanyo olulula kodwa olubaluleke kakhulu olubizwa ngokuba yiMcMurray Test ukuze ahlole idolo lakho. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha ukuze uyiqonde.

Yintoni kanye kanye iMcMurray Test?

Ngamafutshane, olu luvavanyo lomzimba apho ugqirha egoba, olula, aze ajije idolo lakho nomlenze wakho kwiindawo ezahlukeneyo . Ngokukodwa, olu vavanyo lwenziwa ukuze kuqinisekiswe ukuba i-cartilage engaphakathi kwedolo, ebizwa ngokuba yi-"meniscus", yonakele, ikrazukile, okanye inazo naziphi na ezinye iingxaki. Ayifuni zixhobo zintle. Ugqirha angayenza eofisini yakhe. Ugqirha uya kukuphulaphula ngononophelo aze azame ukuva nayiphi na intlungu, izandi "zokucofa", okanye okunye ukungakhululeki onokuba nakho.

Kutheni kufuneka ndibe novavanyo lweMcMurray? / Olu vavanyo ludla ngokwenziwa nini?

Ukuba uya kugqirha uneentlungu zedolo, ukudumba, okanye ubunzima bokugoba okanye ukulungisa idolo lakho, kwaye bacinga ukuba unokuba une-meniscus ekrazukileyo, banamathuba amaninzi okwenza uvavanyo lweMcMurray. Oku kudla ngokwenziwa njengovavanyo lokuqala, ukunceda ekufumaneni ukuba yintoni kanye kanye ingxaki.

Ngoku, makhe sijonge ukuba yintoni le `(Meniscus)`. Ifana neziqwenga ezibini ze-"C" ezimile okwerabha, ezijiyileyo kancinci ngaphakathi kwedolo lethu, phakathi kwethambo lethanga (`(Femur)`) kunye nethambo lesifuba (`(Tibia)`). Ifana nesixhobo sokufunxa uvalo emotweni, ithintela amathambo edolweni lethu ukuba angangqubani, ifunxa uxinzelelo edolweni kwaye ikhusele ilungu. Ikwanceda ukugcina ilungu lizinzile.

Khawuthelekelele, ukuba ngequbuliso ukhubeka, uwe, okanye ubethwe kakhulu kwingozi yemoto ngelixa udlala umdlalo ofana nekhilikithi okanye ibhola ekhatywayo, le `(Meniscus)` inokukrazula, yaphuke, okanye ikrweleke. Le yimeko eqhelekileyo phakathi kwabadlali. Kwakhona, njengoko ukhula, la malungu e-cartilage ayawohloka kancinci kancinci kwaye anokonakala lula.

Xa i-meniscus ikrazukile, iimpawu ziquka:

• Isandi "sokunqakraza" esivela edolweni: Kwabanye abantu, esi sandi sinokuhamba nentlungu enzima. Khawuthelekelele indlela ebekuya koyikisa ngayo ukuba ngequbuliso uve into eqhekekayo ngaphakathi edolweni lakho.
• Ukuziva ungazinzile kwaye ungalawuleki: Idolo lisenokuvakalelwa ngathi "liyayeka" okanye "liyagoba" ngaphandle kokuthwala ubunzima. Oku kunokwenza ukuhamba, ukubaleka, okanye ukunyuka izinyuko kungakhululeki kwaye koyike.
• Intlungu:Le yeyona nto iphambili. Ngamanye amaxesha intlungu inokwanda xa ugoba, usolula, okanye ubeka ubunzima edolweni. Intlungu inokubakho nasebusuku xa ulele. Abanye abantu banokuziva iintlungu ngaphakathi okanye ngaphandle kwedolo.
• Ukuqina kwedolo: Xa uvuka kusasa okanye emva kokuma okwethutyana, idolo lakho lisenokuvakala liqinile kwaye kunzima ukulishukumisa.
• Ukudumba: Idolo lingaqala ukudumba kwiiyure ezimbalwa okanye usuku okanye ezimbini emva kokwenzakala.
• Ukungakwazi ukugoba nokwandisa idolo ngokuqhelekileyo: Idolo lisenokungakwazi ukugoba okanye ukuma ngokupheleleyo. Lisenokuvakala ngathi kukho into ebambekileyo ngaphakathi ('locking').

Ngoko ke, ukuba wenzakele edolweni kwaye uhlangabezana nezi mpawu, ugqirha uza kwenza uvavanyo lweMcMurray ukuze afumane umbono ocacileyo wokuba kukho nawuphi na umonakalo kungekuphela nje kwi-meniscus, kodwa nakwezinye iindawo ezibalulekileyo zedolo, njengee-ligaments.

Ngubani owenza uvavanyo lweMcMurray?

Oku kulula kakhulu. Ugqirha wakho wosapho naye angenza olu vavanyo. Nangona kunjalo, uninzi lwexesha, ugqirha wamathambo (`(uGqirha wamathambo)`) uya kwenza olu vavanyo aze agqibe ngonyango olongezelelweyo. Olu vavanyo lwenziwa kwikliniki yakhe, eofisini yakhe. Akufuneki zixhobo zikhethekileyo okanye ukuya kwindawo eyahlukileyo.

Lwenziwa njani kanye kanye uvavanyo lweMcMurray? Masichaze kancinci.

Uvavanyo lweMcMurray lubandakanya ugqirha wakho eshukumisa umlenze nedolo lakho ngothotho lweentshukumo. Oku kukujonga iimpawu edolweni lakho kunye nokuba ungaligoba kwaye ululule kangakanani idolo lakho ('uluhlu lweentshukumo'). Kulula kakhulu:

1. Okokuqala, uza kulaliswa ebhedini yokuhlolwa, ujonge phezulu.

2. Emva koko, ugqirha uza kugoba idolo lomlenze wakho oxilongiweyo liye kuma-90 degrees, ngokungathi uhleli esitulweni. Uza kubamba idolo lakho ngesandla esinye nesithende sakho ngesinye.

3. Okulandelayo, jika idolo lakho kancinci liye ngaphakathi (libhekise emzimbeni wakho - `(ukujikeleza kwangaphakathi)`) nangaphandle (kude nomzimba wakho - `(ukujikeleza kwangaphandle)`).

4. Ngelixa ujikeleza ngale ndlela, ugqirha ulungisa umlenze wakho kancinci kancinci.

5. Eli nyathelo lingenziwa izihlandlo ezininzi, kwiikona ezahlukeneyo.

Xa uhambisa idolo lakho ngasemva nangaphambili ngolu hlobo, uxinzelelo oluthile lufakwa kwi-`(Meniscus)` yakho. Oko kukuthi, uxinzelelo lufana noxinzelelo esiluvayo emadolweni ethu xa sisebenza, sihamba, kwaye sigoba amadolo ethu kubomi bethu bemihla ngemihla.

Ngelixa ugqirha eshukumisa umlenze nedolo lakho ngale ndlela, uza kukubuza ukuba uziva na iintlungu. Ugqirha uza kukwenza oku ngononophelo olukhulu, ngaphandle kokukwenzakalisa ngokungeyomfuneko.Uza kumamela ngononophelo naziphi na izandi "zokunqakraza" ezivela edolweni lakho, okanye naziphi na iimvakalelo ezingaqhelekanga neziqinileyo esandleni sakho. Oku kuya kunika ugqirha umbono wokuba iphi i-meniscus yakho kunye nomonakalo ongakanani enokuba ubangelwe yiyo. Ukuba uziva ungakhululekanga, ungoyiki ukumxelela ngoko nangoko, kulungile?

Ngaba kukho into ekufuneka ndiyilungiselele ngaphambi kovavanyo lweMcMurray?

Hayi, akufuneki wenze nantoni na ekhethekileyo ukulungiselela uvavanyo lweMcMurray. Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza ukuba wenzakele edolweni okanye ukuba uneempawu ezintsha. Ngaleyo ndlela, unokufumana isisombululo ngaphambi kokuba ingxaki ibe mandundu.

Ndiza kuziva njani ngexesha lovavanyo? Ndimele ndilindele ntoni?

Xa ugqirha esenza uvavanyo lweMcMurray, zama ukuhlala ukhululekile kwaye ukhululekile kangangoko kunokwenzeka ngelixa umlenze nedolo lakho lishukuma. Ukuba uqinisa izihlunu zakho, kunokuba nzima ukwenza uvavanyo ngokufanelekileyo kwaye kunokubangela iziphumo ezingezizo.

Ekubeni olu luvavanyo lomzimba, eyona nto ibalulekileyo kukuxelela ugqirha yonke into oyivayo, nokuba incinci kangakanani na. Ingakumbi, ukuba uziva iintlungu okanye ukungakhululeki xa usenza nayiphi na intshukumo, qiniseka ukuba uyamxelela.

Intlungu, ukungakhululeki, okanye ezinye iimpawu (ezifana nesandi "sokunqakraza") ozifumanayo ngexesha lovavanyo lweMcMurray ziya kunceda ugqirha wakho ukuba aqonde ngqo apho i-meniscus yakho yenzakele khona, okanye loluphi olunye uhlobo lokulimala onokuba nalo. Ngoko ke ungoyiki ukubaxelela yonke into.

Kwenzeka ntoni emva kovavanyo? Uza kwenza ntoni emva koko?

Uvavanyo lweMcMurray ludla ngokuba linyathelo lokuqala kuphela ekunyangeni ingxaki yakho yedolo. Ukuba ugqirha wakho uva nantoni na engaqhelekanga edolweni lakho (umz., intlungu, "ukuklikha") okanye eva isandi ngexesha lovavanyo, unokucebisa uvavanyo olongezelelweyo okanye aqalise unyango ukunciphisa iimpawu zakho.

Emva kovavanyo lweMcMurray, kuya kufuneka wenze olunye uvavanyo okanye ezinye iimvavanyo zokuthatha imifanekiso. Olu vavanyo luthatha imifanekiso yangaphakathi kwedolo lakho ukuze kubonwe ukuba kukho monakalo na kunye nokuba monakalo mkhulu kangakanani. Uvavanyo lokuthatha imifanekiso oluqhelekileyo zezi:

• Ii-X-reyi: Ezi zinokujonga umonakalo emathanjeni, njengokuqhekeka kwamathambo. Nangona i-meniscus ingenakubonwa ngokuthe ngqo, zinokunceda ekuboneni ukuba kukho ezinye iingxaki.
• I-MRI (Umfanekiso weMagnetic Resonance - i-MRI): Olu lolona vavanyo lubalaseleyo lokujonga umonakalo wezicubu ezithambileyo, njengokukrazuka kwe-meniscus kunye nokwenzakala kwemisipha.
• I-Ultrasound: Ngamanye amaxesha oku kusetyenziswa ukujonga izicubu ezithambileyo.

Ugqirha wakho uza kukuchazela ukuba loluphi uvavanyo ekufuneka ulwenze kunye nohlobo lokulimala abakufunayo.

Kusenokufuneka wenze i-orthoscopy yamadolo ukuze ubone ukuba yintoni na ngaphakathi edolweni lakho kwaye uyilungise. Le yinkqubo engenelelayo kancinci equka ukwenza umngxuma omncinci kakhulu nokufaka ikhamera encinci ukuze ijonge ngaphakathi edolweni lakho. Uninzi lwexesha, le-arthoscopy yamadolo yenziwa njengenkqubo yokunyanga ngaphandle kwesibhedlele, oko kuthetha ukuba ungaya ekhaya ngaloo mini inye ngaphandle kokuhlala esibhedlele.

Ngaba kukho naziphi na iingozi ngolu vavanyo lweMcMurray?

Hayi, akukho mngcipheko mkhulu edolweni lakho ngenxa yokuba ugqirha enze olu Vavanyo lweMcMurray. Olu luvavanyo olukhuselekileyo kakhulu.

Usenokuziva iintlungu okanye ukungakhululeki ngexesha lovavanyo, ingakumbi ukuba une-meniscus ekrazukileyo. Nangona kunjalo, nokuba i-meniscus yakho ikrazukile, akufanele uzive iintlungu ezingathethekiyo xa ugqirha eshukumisa idolo nomlenze wakho, kuba oogqirha bakwenza oku ngobunono.

Ezinye izifundo zibonise ukuba uvavanyo lweMcMurray lulodwa lusenokungachaneki ngokupheleleyo ekuqinisekiseni ukuba unayo na i-meniscus ekrazukileyo okanye hayi. Oku kuthetha ukuba ngamanye amaxesha uvavanyo lusenokungafumani ukukrazuka kwi-meniscus (i-false negative), okanye lusenokuvakala ngathi akukho kukrazuka (i-false positive). Nangona kunjalo, eli linyathelo lokuqala kuphela eliya kuthatyathwa ngugqirha wakho ukuze axilonge ukwenzakala kwakho. Uvavanyo lomfanekiso (ingakumbi i-MRI) lucacile ngakumbi. Yiyo loo nto kuya kufuneka ukuba wenze olunye uvavanyo lomfanekiso emva kovavanyo lweMcMurray.

Zithini iziphumo endizifumanayo? Ithini?

Iziphumo zovavanyo lweMcMurray azifani nezinye zeemvavanyo osenokuba wakha wazenza ngaphambili (njengovavanyo lwegazi). Oko kukuthi, aziboneleli ngexabiso elithile okanye uluhlu oluthile. Endaweni yoko, uvavanyo lweMcMurray lunika ugqirha umbono olungileyo weklinikhi wokuba loluphi uhlobo lokulimala onokuba nalo edolweni lakho.

Olu asilovavanyo olunika impendulo ecacileyo, kodwa ngumbuzo othi "ewe" okanye "hayi". Ukuba ugqirha ufumana intlungu, isandi esithi "click", okanye ezinye iimpawu zokuba i-meniscus yakho ikrazukile, uvavanyo luthathwa njengoluthi "luhle." Iziphumo "ezingalunganga" zithetha ukuba ugqirha akazange azive okanye eve nantoni na engaqhelekanga ngexesha lovavanyo.

Nangona kunjalo, iziphumo "ezingalunganga" azithethi ukuba awuyi kufuna olunye uvavanyo. Ngamanye amaxesha, nokuba kukho ukukrazuka okuncinci kwi-meniscus, kusenokungabonwa ngovavanyo lweMcMurray. Okanye kunokubakho enye ingxaki ngaphakathi edolweni, umzekelo, ukwenzakala okuncinci kwi-ligament. Yiyo loo nto ugqirha eza kujonga iimpawu zakho aze acele olunye uvavanyo ukuba kuyimfuneko. Ukuba ufumana iziphumo "ezilungileyo", oko kuthetha ukuba kukho ithuba elikhulu lokuba ukrazuka kwi-meniscus.Ugqirha usenokuyalela uvavanyo olufana ne-MRI ukuqinisekisa ukuxilongwa, aze emva koko agqibe ukuba loluphi unyango oluza kusetyenziswa. Kunokwenzeka ukunyanga le meko ngamayeza, i-physiotherapy, okanye notyando oluncinci (i-arthroscopy).

Ndifanele ndimbone nini ugqirha? Ndifanele ndifune nini uncedo lwezonyango ngokukhawuleza?

Ukuba uneentlungu zedolo okanye ukudumba okungaphucukiyo emva kweentsuku ezimbalwa ngonyango olulula lwasekhaya (njengokuphumla kunye nomkhenkce) , okanye ukuba kubonakala ngathi kuya kusiba mandundu, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Kwakhona, ukuba unezinye zeempawu ezilandelayo, yiya kwigumbi likaxakeka esibhedlele ngokukhawuleza:

• Intlungu enzima kakhulu, enganyamezelekiyo.
• Ukudumba kuyanda ngokukhawuleza kakhulu.
• Ukutshintsha kombala wedolo okanye umlenze (umz., ukuba luhlaza okwesibhakabhaka, mfusa, okanye ube mthubi).
• Ukuba awukwazi ukushukumisa idolo lakho konke konke, okanye ukuba awukwazi nokuma nobunzima bakho emlenzeni wakho.
• Ukungaziva kakuhle kwindawo yokwenzakala okanye ukulahleka kwemvakalelo emlenzeni ongezantsi.
• Ukuba nomkhuhlane.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Uvavanyo lweMcMurray luvavanyo olukhawulezayo, olulula, nolukhuselekileyo oluza kwenziwa ngugqirha kuqala ukuze abone ukuba une-meniscus ekrazukileyo okanye enye ingxaki. Olu vavanyo lwenziwa xa ubona ugqirha emva kokwenzakala edolweni.

Eyona nto ibalulekileyo kukuba ukuba idolo lakho libuhlungu, lidumbile, okanye awukwazi ukulisebenzisa ngendlela eqhelekileyo, ungalityesheli kwaye uthethe nogqirha ngokukhawuleza. Kulapho kuphela apho unokufumanisa khona ukuba yintoni kanye kanye ingxaki, uqale unyango olufunekayo ngokukhawuleza, kwaye ubuyisele idolo lakho endleleni. Uyivile? Ndikunqwenelela ukuchacha ngokukhawuleza!

Uvavanyo lukaMcMurray , iintlungu zedolo, ukukrazuka kwe-meniscus, ukukrazuka kwe-cartilage, iingxaki zedolo, ukwenzakala kwezemidlalo, uvavanyo lwedolo, uvavanyo lwedolo, ukwenzakala kwe-meniscus