Ngamanye amaxesha, xa sibaleka, sitsiba, okanye sidlala umdlalo ofana nekhilikithi okanye ibhola ekhatywayo nabahlobo, idolo lethu liyaqhawuka ngequbuliso. Intlungu eza nesandi esithi "click" ayinyamezeleki. Ngaba oku kuye kwenzeka nakuwe? Xa usiya kugqirha oneentlungu zedolo, olunye lovavanyo aza kulwenza luvavanyo lwe-Apley. Nangona igama lisenokuvakala ngathi yinto enkulu, luvavanyo olulula kakhulu . Makhe sibone ukuba yintoni, yenziwa njani, kwaye yintoni enokufunyanwa yiyo.
Ngamafutshane, yintoni i-Apley Test?
Uvavanyo lwe-Apley luvavanyo olulula lomzimba oluqhutywa ngugqirha xa ecinga ukuba une-meniscus ekrazukileyo edolweni lakho. Ngamanye amaxesha lubizwa ngokuba luvavanyo lwe-Apley grind okanye uvavanyo lwe-Apley compression. Onke amagama amathathu abhekisela kuvavanyo olufanayo.
Le yinto enokwenziwa eofisini. Oko kuthetha ukuba akufuneki ufike ngosuku olwahlukileyo okanye ufakwe phantsi komatshini omkhulu. Ulala ngesisu sakho etafileni yovavanyo kwaye ugqirha ujika umlenze wakho ongezantsi kancinci. Uza kukuphulaphula ngononophelo malunga nayo nayiphi na intlungu okanye ukungakhululeki onokuba nakho.
Olu luvavanyo lokuqala oluza kwenziwa ngugqirha xa ubona ugqirha onzakele edolweni. Nangona kunjalo, oku kukodwa akuphelelisi ukuxilongwa. Rhoqo, emva kolu vavanyo, uza kuthunyelwa kwi-scan ukuqinisekisa ukwenzakala.
Ngaba kukho uvavanyo lwe-Apley egxalabeni?
Ewe, kodwa luvavanyo olwahluke ngokupheleleyo. Usenokuba ukhe weva ngovavanyo lwe-Apley lokukrwela. Nangona eli gama lifana, lenzelwe ukukhangela iingxaki egxalabeni . Iintshukumo ezisetyenziswayo zahlukile ngokupheleleyo. Ngoko ke ukuba unengxaki yedolo, akufuneki nokuba ucinge ngovavanyo lwe-Apley lokukrwela egxalabeni lakho.
Ngaba kukho ezinye iimvavanyo ezifana novavanyo lwe-Apley?
Ewe, kukho ezinye iimvavanyo ezininzi ezifana nale ezisetyenziselwa ukukhangela umonakalo ngaphakathi edolweni. Uvavanyo lweMcMurray kunye novavanyo lweThessaly zezona zimbini ziphambili. Nangona injongo yazo zontathu ifana, indlela ezenziwa ngayo, oko kukuthi, indawo ekufuneka ube kuyo kunye neentshukumo ezenziwa ngugqirha, zahlukile. Makhe sibone ukuba yintoni umahluko.
| Igama lovavanyo | Indlela ofuna ukuba yiyo. | Oko kwenziwa ngugqirha |
|---|---|---|
| Uvavanyo lwe-Apley | Lala ngesisu ebhedini (uthambekele) | Goba idolo ngee-degrees ezingama-90 uze ujikelezise umlenze ongezantsi uye ecaleni. |
| Uvavanyo lweMcMurray | Ukulala ebhedini | Goba amadolo akho uze wolule imilenze yakho ngelixa uyijikelezisa. |
| Uvavanyo lwaseThessaly | Ukuma | Ukuma ngomlenze omnye, ukugoba idolo kancinci nokujikelezisa umzimba. |
Xa esenza zonke ezi vavanyo zintathu, ugqirha uya kumamela izandi ezinje "ngokucofa" kunye "nokucofa" ezivela edolweni lakho, aze akubuze ngononophelo malunga nentlungu oyivayo.
Ndiludinga nini uvavanyo lwe-Apley?
Ugqirha unokukwenza olu vavanyo ukuba ukrokrela ukuba une -meniscus krazukile . Le yenye yezona zinto zixhaphakileyo edolweni, ingakumbi kubadlali.
Yintoni le meniscus?
Khawuthelekelele, ngaphakathi kwedolo lakho, phakathi kwethambo lethanga (iFemur) kunye nethambo leshin (iTibia), kukho iziqwenga ezibini ze-cartilage enemilo ka-C. Yiyo loo nto ibizwa ngokuba yi-meniscus. Ngamafutshane, ifana ne- shock absorber emotweni. Umsebenzi wayo kukuthintela amathambo amabini ukuba angadibani kunye nokufunxa uxinzelelo oluza kwilungu xa sibaleka kwaye sitsiba.
Le meniscus inokukrazuka xa kukho ukushukuma kwedolo ngequbuliso. Ukulimala kwezemidlalo yeyona nto iphambili. Ngaphandle koko, kusenokwenzeka nakwizinto ezifana nokuwa kunye neengozi zeemoto.
Iimpawu eziqhelekileyo zokukrazuka kwe-meniscus:
- Xa wenzakele , usenokuva okanye uve isandi esithi "click" siphuma edolweni lakho.
- Idolo livakala ngathi alinabomi , kwaye idolo livakala ngathi "liyagoba" xa lime.
- Intlungu yedolo.
- Ukuqina kwamadolo.
- Ukudumba .
- Awuyi kukwazi ukugoba okanye ukolula idolo lakho ngokupheleleyo ngokuqhelekileyo.
Ukuba uneempawu ezinje, ugqirha wakho uza kwenza uvavanyo lwe-Apley ukujonga umonakalo kwimisipha yedolo ukongeza kwi-meniscus.
Lwenziwa njani kanye kanye uvavanyo lwe-Apley?
Inkqubo yolu vavanyo ilula kakhulu. Akukho nto umele uyixhalabele. Nantsi inkqubo yenyathelo ngenyathelo:
1. Okokuqala, uza kucelwa ukuba ulale ugobile etafileni yovavanyo.
2. Ugqirha uza kubeka idolo lakhe emva kwethanga lakho aze alicinezele kancinci. Gcina umlenze wakho ungashukumi.
3. Ngoku goba amadolo akho ukuya kuma-90 degrees , afana ngqo nonobumba u-'L'.
4. Okulandelayo, bamba umlenze wakho ongezantsi uze uwutsale kancinci (uphazamiseko), ujikelezise umlenze ngaphakathi nangaphandle, ecaleni ukuya kwelinye .
5. Emva koko, endaweni yokutsala umlenze phezulu, bamba umlenze ongezantsi uze uwucinezele kancinci (ucinezelo), ngelixa uwujikelezisa ukusuka kwelinye icala ukuya kwelinye ngendlela efanayo.
Ngethuba esenza ezi ntshukumo, ugqirha uza kukubuza rhoqo athi, "Ngaba uziva iintlungu?", "Ngaba idolo lakho livakala liqinile?", aze amamele nezandi ezivela edolweni lakho.
Into ebalulekileyo kukuba ugqirha uya kuqala enze olu vavanyo kumlenze wakho ongonzakalanga ophilileyo ukuze afumane umbono wendlela ohamba ngayo rhoqo. Kulapho ke kuphela apho umlenze owenzakeleyo uya kuvavanywa khona.
Kwenzeka ntoni emva kovavanyo?
Emva kovavanyo lwe-Apley, ugqirha uya kuba nolwazi ngengxaki edolweni lakho. Kodwa ukuze baqiniseke ngokupheleleyo ngesi sifo, baya kukuthumela kwi-scan .
Iindidi zeskeni ezisetyenziswa kakhulu koku zezi:
- I-MRI (Magnetic Resonance Imaging) Scan: Le yeyona ndlela ilungileyo yokubona izicubu ezithambileyo edolweni, ezifana ne-meniscus, i-cartilage, kunye ne-ligaments.
- I-ultrasound scan: Oku kunokubonelela nangomfanekiso othile wezicubu ezithambileyo zedolo.
- Ii-X-reyi: Nangona ezi zingenakuyibonisa i-meniscus, zinokujonga ukuba azinazo na izaphuko okanye ezinye iingxaki emathanjeni edolo.
Kwezinye iimeko, i-orthoscopy yamadolo inokwenziwa ukujonga okanye ukulungisa umonakalo edolweni. Oku kuquka ukwenza umngxuma omncinci edolweni nokufaka ikhamera. Olu ayilotyando lukhulu, kwaye ungaya ekhaya ngaloo mini inye.
Zithini iingozi okanye indlela yokufunda iziphumo zovavanyo lwe-Apley?
Akukho mngcipheko mkhulu wokuba nolu vavanyo. Ungaziva ungakhululekanga okanye iintlungu ezincinci ngexesha lovavanyo. Nangona kunjalo, ukuba iintlungu zinzima kakhulu ukuba unganyamezela, kungcono ungezi.
Ukuthetha ngeziphumo, olu ayilovavanyo oluza nenani elithile njengengxaki yezibalo. Luhlelwe ngokweendidi 'ezilungileyo' okanye 'ezingalunganga'.
- Iziphumo ezilungileyo: Ukuba uziva iintlungu ngexesha lovavanyo, ingakumbi xa ucinezela umlenze wakho (uxinzelelo) uze uwujikelezise, okanye ukuba uva isandi esithi "click" edolweni lakho, eso sisiphumo 'esilungileyo'. Oku kuthetha ukuba usenokuba une-meniscus ekrazukileyo.
- Iziphumo ezingezizo: Ukuba awuziva ntlungu okanye ukungakhululeki, iziphumo 'ezingezizo'. Kodwa oko akuthethi ukuba akukho monakalo nge-100%. Kunokubakho enye ingxaki. Yiyo loo nto i-scan ibalulekile.
Ndingambona nini ugqirha okanye ndiye kwi-ETU?
Kubaluleke kakhulu ukwazi ukuba wenze ntoni xa unesilonda edolweni.
| Imeko | Kwenziwe ntoni |
|---|---|
| Bona ugqirha wakho. | |
| Ukuba intlungu okanye ukudumba akupheli emva kweentsuku ezimbalwa kwaye kuyanda kancinci kancinci . | Bona ugqirha wosapho lwakho okanye ugqirha wamathambo ngokukhawuleza. |
| Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) ngoko nangoko. | |
| Ezi zisenokuba ziimpawu zokwenzakala okukhulu. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngaphandle kokulibazisa. |
Uvavanyo lwe-Apley luvavanyo oluxabisekileyo olunokunceda ugqirha ukuba afumane umbono ngokukhawuleza wokuba kwenzeka ntoni edolweni lakho, ingakumbi ukuba ukrokrela ukuba kukho ukukrazuka kwe-meniscus. Nangona kungafanele kukubangele iintlungu, ungoyiki ukuxelela ugqirha wakho ukuba uziva ungakhululekanga. Ulwazi olunika lona luya kuba luncedo olukhulu ekumncedeni ukuba afumane uxilongo oluchanekileyo.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-Apley luvavanyo olulula lomzimba olwenziwa ngugqirha ukujonga ukuba kukho i-meniscus ekrazukileyo edolweni.
- Kolu vavanyo, ujikwa ngesisu, amadolo akho agobile, kwaye imilenze yakho ijikelezwe.
- Olu vavanyo lunokubangela ukungakhululeki, kodwa akufuneki lube buhlungu kakhulu. Ukuba uziva ngolu hlobo, xelela ugqirha wakho ngoko nangoko.
- Olu luvavanyo lokuqala nje. Ukuqinisekisa indawo echanekileyo yokwenzakala, kwenziwa iskeni efana ne-MRI.
- Ukuba uneentlungu eziqatha edolweni, ukudumba okwanda ngokukhawuleza, okanye ukungakwazi ukuhambisa idolo lakho, bona ugqirha ngaphandle kokulibazisa okanye uye kwi-ETU ngoko nangoko.
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