Ngaba idolo lakho nalo libuhlungu? Mhlawumbi eli lixesha elifanelekileyo lokufunda ngovavanyo lwe-Apley!

Ngaba wakha waba neentlungu okanye ukungakhululeki edolweni? Okanye mhlawumbi wakha walimala edolweni lakho ngelixa udlala imidlalo kwaye awukwazi ukuligoba okanye ukulilungisa ngokufanelekileyo? Xa siya kugqirha, usebenzisa iindlela ezahlukeneyo ukuhlola idolo lethu. Olunye uvavanyo olukhethekileyo esiza kuthetha ngalo namhlanje luvavanyo lwe-Apley . Oku kunceda ekuqinisekiseni ukuba kukho into engalunganga edolweni lakho.

Ngoko ke yintoni le Apley test?

Ngamafutshane, uvavanyo lwe-Apley yindlela oogqirha abayisebenzisayo ukufumanisa ukuba i-meniscus, isiqwenga se-cartilage edolweni lakho, ikrazukile okanye yonakele . Usenokuba ukhe wayiva ibizwa ngokuba yi-'Apley grind test' okanye 'uvavanyo lwe-Apley compression test.' Omabini la magama abhekisa kuvavanyo olufanayo, kodwa umahluko omncinci.

Khawucinge nje, olu luvavanyo lomzimba oluqhutywa eofisini olunokwenziwa kanye apho ugqirha akhoyo, kwigumbi lakhe, ngaphandle kwezixhobo ezikhethekileyo. Okufuneka ukwenze kukulala etafileni isisu sakho siphantsi, oko kukuthi, ubuso bakho bujonge phantsi (ukuma okuxhomekeke kwisimo) . Emva koko ugqirha uza kubamba umlenze wakho ongezantsi aze awujikelezise ukusuka kwelinye icala ukuya kwelinye kufutshane nedolo, ejonga ukuba unayo na intlungu okanye nayiphi na enye into ebuhlungu. Uza kubuza nokuba uziva na into ebambekileyo ngaphakathi edolweni lakho, ngokungathi ibambekile okanye ayishukumi.

Rhoqo, xa ubona ugqirha eneentlungu zedolo okanye emva kokwenzakala, olunye lovavanyo lokuqala olwenziweyo luvavanyo lwe-Apley. Nangona kunjalo, oku kukodwa akunakuqinisekisa kwangoko ukuba kukho ukukrazuka okanye olunye umonzakalo kwi-meniscus. Oku kunokunika ugqirha umbono othile. Emva koko, ukongeza ekuqinisekiseni oko , kuya kufuneka kwenziwe uvavanyo olunye okanye ezimbini zomfanekiso, oko kukuthi, uvavanyo olujonga ngaphakathi ,.

Ngaba kukho uvavanyo lwe-Apley egxalabeni?

Ewe, kulungile ukwazi oko. Njengovavanyo lwe-Apley lwedolo, kukho uvavanyo olwahlukileyo olubizwa ngokuba yi-'Apley' olukwasetyenziselwa ukuxilonga iingxaki zamagxa. Lubizwa ngokuba yi-'Apley scratch test.' Nangona amagama afana, la ngamava amabini ahlukeneyo ngokupheleleyo, kwaye iintshukumo ezisetyenziswayo zahlukile. Iimeko abazama ukuzixilonga nazo zahlukile. Ngoko ke ukuba unengxaki yedolo, awudingi uvavanyo lwe-Apley scratch lwegxala.

Yintoni umahluko phakathi kovavanyo lwe-Apley, McMurray, kunye neThessaly?

Ukongeza kuvavanyo lwe-Apley, kukho nezinye iimvavanyo ezisetyenziselwa ukubona umonakalo ngaphakathi edolweni, ingakumbi iinyembezi ze-meniscus. Uvavanyo lweMcMurray kunye novavanyo lweThessaly.Kukho iimvavanyo ezimbini eziphambili ezifana nale. Zonke ezintathu ziquka ukuhambisa idolo ngeendlela ezahlukeneyo nokujonga ukuba iimpawu ziyavela na. Nangona kunjalo, indlela umlenze oshukunyiswa ngayo kunye nendawo okuyo zahlukile kuvavanyo ngalunye.

• Ngexesha lovavanyo lwe-Apley: Ugqirha ushukumisa idolo lakho ngelixa ulele ugobile.
• Kuvavanyo lweMcMurray: Ngelixa ulele ngomqolo, ugqirha uyagoba, olule, aze ajikelezise idolo lakho.
• Kuvavanyo lwaseThessaly: Kufuneka ume ngomlenze omnye, uphakamise omnye umlenze kancinci, ugobe idolo kancinci, uze ujikelezise loo mlenze.

Kuzo zontathu ezi vavanyo, ugqirha uza kumamela izandi ezivela edolweni lakho (ukurhawuzelela, ukuqhawuka) kwaye uza kunikela ingqalelo kwinto ayivayo ngezandla zakhe. Ufanele uxelele ugqirha wakho ngoko nangoko malunga nayo nayiphi na intlungu okanye ukungakhululeki okuzivayo. Oku kubaluleke kakhulu ekuxilongweni.

Ndiludinga nini uvavanyo lwe-Apley?

Ugqirha angenza uvavanyo lwe-Apley kuwe ukuba ukrokrela ukuba une-meniscus ekrazukileyo . Ukukrazuka kwe-meniscus kukwenzakala okuxhaphakileyo edolweni , ingakumbi kubadlali bezemidlalo.

Yintoni le meniscus?

Khawuthelekelele, ngaphakathi edolweni lakho, phakathi kwethambo lakho lethanga (i-femur) kunye nethambo lakho lesifuba (i-tibia), kukho umqamelo oqinileyo nofana nerabha obizwa ngokuba yi-meniscus. Ifana nesixhobo sokufunxa uvalo emotweni. Umsebenzi ophambili we-meniscus kukufunxa uvalo kunye noxinzelelo oluza edolweni xa sihamba, sibaleka, kwaye sitsiba, kunye nokukhusela amathambo kunye namalungu.

Ukubetheka ngequbuliso, okubukhali edolweni kunokukrazula i-meniscus. Ukulimala kwezemidlalo yeyona nto ixhaphakileyo, kodwa kusenokubangelwa zizinto ezifana nokuwa kunye neengozi zeemoto.

Iimpawu eziqhelekileyo zokukrazuka kwe-meniscus:

• Ukuva okanye ukuva isandi esithi 'pop' sivela edolweni.
• Idolo liphelelwa kukuzinza , kwaye kuvakala ngathi umlenze uyaphulukana nolawulo.
• Intlungu ebuhlungu.
• Ukuqina kwamadolo .
• Ukudumba .
• Ukungakwazi ukugoba okanye ukwandisa idolo ngokuqhelekileyo.

Xa usiya kugqirha xa unesilonda edolweni, ingakumbi ukuba uneempawu ezichazwe apha ngasentla, kusenokwenzeka ukuba enze uvavanyo lwe-Apley. Oku kuya kunika ugqirha umbono wokuba kukho na umonakalo kwimisipha okanye kwezinye izicwili ezidityanisiweyo edolweni lakho.

Kwakhona, umntu one-meniscus rise kamva unokufumana i-osteoarthritis yedolo, okanye ukudumba kwamalungu.Kukwakho nomngcipheko omkhulu wokosuleleka.

Ngubani owenza uvavanyo lwe-Apley?

Ugqirha wakho angenza olu vavanyo lwe-Apley eofisini yakhe. Akufuneki zixhobo okanye izinto ezikhethekileyo.

Uvavanyo lwe-Apley lwenziwa njani?

Uvavanyo lwe-Apley luluhlu lweemvavanyo ezivavanya iimpawu zakho kunye nomgama wokunyakaza kwedolo lakho , nto leyo ebonisa ukuba ungagoba kangakanani, wolule, kwaye ujikelezise idolo lakho. Kulula kakhulu. Nazi iindlela:

• Kuya kufuneka ulale etafileni yovavanyo , ugobile , oko kuthetha ukuba ujonge phantsi.
• Ugqirha uza kubamba umlenze wakho ungashukumi, ecinezela idolo lakhe ngasemva kwethanga lakho.
• Okulandelayo, ugqirha uza kugoba idolo lakho ngama-90 degrees , oko kuthetha ukuba lithe nkqo kulo lonke umlenze wakho.
• Emva koko, ngelixa ephakamisa idolo lakho kancinci, ujikeleza umlenze wakho ongezantsi ngaphandle nangaphakathi ukusuka embindini womzimba wakho .
• Emva kokwenza oku, ugqirha angawujikelezisa umlenze kwakhona ngendlela efanayo nangaphambili. Kodwa ngeli xesha, endaweni yokutsala phezulu, umlenze ongezantsi uyacinezelwa phantsi (compression) . Oku kukwabizwa ngokuba 'luvavanyo lokucinezelwa kuka-Apley'.

Amaxesha amaninzi, ugqirha uya kwenza uvavanyo lwe-Apley kwimilenze yomibini . Uya kuqala enze umlenze ongonzakalanga nosempilweni. Oku kuya kumnika umbono wendlela ohamba ngayo rhoqo ngaphambi kokuba ahlole umlenze owenzakeleyo.

Uvavanyo lwe-Apley lubandakanya ezi ntshukumo, ezibeka uxinzelelo oluncinci kwi-meniscus yakho. Oku kufana noxinzelelo olufumanayo xa usebenzisa idolo lakho ngokuqhelekileyo.

Njengoko ugqirha eshukumisa umlenze nedolo lakho, uza kukubuza ukuba uziva na iintlungu, ukuba idolo lakho liziva ngathi liyabhajwa okanye liyatshixwa . Uza kumamela nezinto ezifana nesandi 'se-pop' esivela edolweni lakho, aze ajonge ukuba idolo lakho lijika kakhulu na kwelinye icala okanye kwelinye. Konke oku kuza kumnika umbono wokuba i-meniscus yakho inokukrazulwa phi.

Ungayilungiselela njani uvavanyo lwe-Apley?

Akukho lungiselelo likhethekileyo ekufuneka ulenze kuvavanyo lwe-Apley. Okufuneka ukwenze kukubona ugqirha ngokukhawuleza, nokuba wonzakele edolweni okanye ukuba uneempawu ezintsha.

Yintoni onokuyilindela ngexesha lovavanyo lwe-Apley?

Zama ukuhlala uphumle kangangoko unako ngexesha lovavanyo. Ukuba uxinezelekile, kunokwenza kube nzima kugqirha ukwenza uvavanyo ngokuchanekileyo.

Ekubeni uvavanyo lwe-Apley luluhlu lweentshukumo zomzimba, xelela ugqirha wakho ngoko nangoko nantoni na oyivayo – ingakumbi ukuba nayiphi na intshukumo ibangela intlungu okanye ukungakhululeki.Oku kubaluleke kakhulu.

Naziphi na iintlungu, ukungakhululeki, okanye ezinye iimpawu ozivayo ngexesha lovavanyo lwe-Apley ziya kunceda ugqirha wakho ukuba abone apho i-meniscus yakho ikrazukileyo khona okanye loluphi olunye uhlobo lokulimala onokuba nalo.

Kwenzeka ntoni emva kovavanyo lwe-Apley?

Kwanasemva kokwenza uvavanyo lwe-Apley, ugqirha wakho usenokuyalela ezinye iimvavanyo ezininzi zokuthatha imifanekiso ukuqinisekisa uhlobo oluchanekileyo lokwenzakala edolweni.

Olu vavanyo luthatha imifanekiso yangaphakathi kwedolo lakho kwaye lunokuqinisekisa nawuphi na umonakalo ngaphakathi kwelungu. Uvavanyo oluqhelekileyo olusetyenziswa ekuxilongeni i-meniscus krazukile zezi:

• Umzobo weMagnetic Resonance (MRI)
• I-ultrasound
• Ii-X-reyi

Ugqirha uza kukuchazela ukuba zeziphi iimvavanyo zokuthatha imifanekiso ozifunayo kunye neentlobo zeziphazamiso abazifunayo.

Ngamanye amaxesha, unokufuna i-dolo arthroscopy ukuze ufumane okanye ulungise umonakalo ngaphakathi edolweni lakho. I-dolo arthroscopy yinkqubo yotyando olungenamsebenzi kakhulu esebenzisa ikhamera encinci ukujonga ngaphakathi kwedolo lakho. Uninzi lweenkqubo ze-dolo arthroscopy ziinkqubo zokunyanga ngaphandle kwesibhedlele. Oku kuthetha ukuba ungaya ekhaya ngaloo mini inye.

Ngaba kukho naziphi na iingozi ngovavanyo lwe-Apley?

Enyanisweni, akukho mngcipheko edolweni lakho ngokwenza uvavanyo lwe-Apley.

Usenokuziva iintlungu okanye ukungakhululeki ngexesha lovavanyo, kodwa nokuba i-meniscus yakho ikrazukile, akufanele uzive iintlungu ezinganyamezelekiyo .

Kodwa kukho into enye ekufuneka uyikhumbule. Ezinye izifundo zifumanise ukuba uvavanyo lwe-Apley aluchanekanga ngokugqibeleleyo ekufumaneni ukukrazuka kwe-meniscus. Nangona kunjalo, eli linyathelo lokuqala elithathwa ngugqirha wakho ukuze afumanise ukwenzakala kwakho. Uvavanyo lomfanekiso yeyona nto icacileyo. Ukuba ugqirha wakho ukrokrela ukuba une-meniscus ekrazukileyo, yeyona ndlela ichanekileyo yokuyivavanya.

Ziza kuba njani iziphumo kum kwaye zithetha ukuthini?

Iziphumo zovavanyo lwe-Apley azifani nezinye zeemvavanyo osenokuba wakha wazenza ngaphambili. Oko kukuthi, aziniki luhlu oluthile okanye inani elithile. Endaweni yoko, uvavanyo lwe-Apley lunika ugqirha wakho umbono ongcono wohlobo lokulimala olunokuba lukhona edolweni lakho.

Oku kufana nombuzo othi 'kulungile okanye akulunganga'., ayifani nengxaki yezibalo enempendulo ecacileyo. Ugqirha wakho uza kubeka uvavanyo lwakho njengolulungileyo ukuba ufumana into ebonisa ukuba une-meniscus ekrazukileyo. Iziphumo ezingezizo zithetha ukuba awuzange uve ntlungu, ukungonwabi, okanye ezinye iimpawu ngexesha lovavanyo.

Nangona kunjalo, iziphumo ezingezizo azithethi ukuba awudingi kuvavanywa ngakumbi. I-meniscus yakho isenokuba isakrazukile, okanye kusenokubakho omnye umonakalo ngaphakathi edolweni lakho.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu ezifana neentlungu zedolo kunye nokudumba okuya kuba mandundu emva kweentsuku ezimbalwa, bonana nogqirha ngokukhawuleza.

Kwakhona, ukuba unezinye zeempawu ezilandelayo, yiya kwicandelo lezonyango ezingxamisekileyo esibhedlele ngokukhawuleza:

• Intlungu enzima kakhulu.
• Ukuba ukudumba kuya kusiba mandundu.
• Ukuba uqaphela ukutshintsha kombala wolusu.
• Ukuba awukwazi ukushukumisa idolo lakho kwaphela okanye awukwazi ukulishukumisa ngokuqhelekileyo.

Okokugqibela, izinto ekufuneka uzikhumbule

Uvavanyo lwe-Apley luvavanyo olukhawulezayo nolulula olunokwenziwa ngugqirha wakho ukujonga ukuba i-meniscus ikrazukile edolweni lakho. Kuya kufuneka wenze uvavanyo lomfanekiso, olufana ne-MRI. Nangona kunjalo, uvavanyo lwe-Apley yindlela elungileyo yokuba ugqirha wakho aqonde ngqo apho uziva khona iintlungu, zeziphi ezinye iimpawu onokuba nazo, kunye nokuba kungaphi apho kunokubakho umonakalo edolweni lakho.

Eyona nto ibalulekileyo kukuxelela ugqirha wakho ngayo nayiphi na intlungu okanye ukungakhululeki okuzivayo ngexesha lovavanyo. Nangona uvavanyo lwe-Apley lunokubangela uxinzelelo oluncinci kwi-meniscus yakho, akufanele uzive iintlungu ezinganyamezelekiyo.

Ngoko ke, ukuba unengxaki yedolo, ungoyiki ukuya kugqirha. Yena uza kwenza uvavanyo olufunekayo aze akunike unyango olungcono.

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