Ingaba kukukrazuka kwe "bucket handle" edolweni? (I-Bucket Handle Meniscus Tear) Masiqaphele oku!

Ngaba wakha waziva iintlungu zedolo ngequbuliso, uzive ngathi idolo lakho liyatshixa? Mhlawumbi ngelixa udlala imidlalo okanye usenza umsebenzi oqhelekileyo, usenokuba nesandi sokuqhuma njengoko idolo lakho liqina. Enye imeko enzima enokwenzeka ngamaxesha anjalo yinto ebizwa ngokuba yi-'bucket handle meniscus tear'. Nangona igama lisenokuvakala lingaqhelekanga, le yintlungu eqhelekileyo yedolo.

Yintoni "iBucket Handle Meniscus Tear"?

Ngamafutshane, oku kukukrazuka okuthile kwinxalenye yedolo lakho ebizwa ngokuba yi-meniscus . Cinga ngako, ngaphakathi kwamadolo ethu, phakathi kwethambo lethanga (i-Femur) kunye nethambo le-shin (i-Tibia), kukho iziqwenga ezibini ze-cartilage eqinileyo, efana nerabha esebenza 'njenge-shock absorbers'. Yiloo nto siyibiza ngokuba yi-meniscus . Ezi zimile njengenyanga eqaqambileyo, okanye unobumba u-C.

Le meniscus inemisebenzi emibini ephambili:

1. Ukuthintela ukothuka kunye noxinzelelo edolweni (njengesixhobo sokufunxa ukothuka emotweni).

2. Ukunceda ukugcina idolo lizinzile.

Ngoko ke, 'ukukrazulwa kwesibambo sebhakethi' kuxa kukho ukukrazulwa okukhulu ngaphakathi kwe-meniscus, kwaye isiqwenga esikrazukileyo sigoba phakathi kwedolo njengesibambo sebhakethi. Igama laso livela kuba imiphetho emibini ye-meniscus isanamathele kwi-joint, kwaye umqolo ugobile. Ibonakala ngathi sisibambo esiwele kwibhakethi. Oku kudla ngokuthathwa njengokukrazulwa okukhulu.

Ngaba kukho iintlobo zokukrazuka kwe-meniscus kwezi ziphatho zebhakethi?

Ewe, sinee-menisci ezimbini kwidolo ngalinye.

• I-Medial Meniscus: Le ikwicala langaphakathi ledolo (kwicala lomnye umlenze wakho).
• I-Lateral Meniscus: Le ifumaneka ngaphandle kwedolo.

Ukukrazuka kwesiphatho sebhakethi kunokwenzeka kuyo nayiphi na kwezi meniscus. Nangona kunjalo, oku kubonakala kakhulu kwi-medial meniscus.

Ngubani onokuthi akrazuke ngakumbi kwesi siphatho sebhakethi?

Nangona olu hlobo lokwenzakala lunokwenzeka nakubani na, luqheleke kakhulu kubadlali okanye kwabo bazilolonga rhoqo . Oku kunokwenzeka ngakumbi ukuba idolo lijijekile ngelixa ubaleka, utsiba, okanye ujika ngequbuliso. Kuqhelekile phakathi kwabo badlala imidlalo efana ne-netball, i-volleyball, ibhola ekhatywayo, kunye ne-cricket.

Oku kuqhelekile kangangokuba xa kuthelekiswa nezinye izilonda zamadolo, iinyembezi ze-meniscus ziqhelekile kakhulu. Nangona kunjalo, malunga ne-10% yazo zonke iinyembezi ze-meniscus ziinyembezi ezifakwe kwibhakede. Le meko ixhaphake kakhulu phakathi kwamadoda aselula .

Kuza kwenzeka ntoni emzimbeni wam ngenxa yokukrazuka?

Ukuba ayinyangwa kakuhle, ukukrazuka kwesibambo sebhakethi kunokubangela isifo samathambo edolweni lakho.Nokuba imeko iyenzeka, ekuhambeni kwexesha, kunokubakho iintlungu ezingapheliyo edolweni. Kwakhona, xa i-meniscus ikrazukile, ukuzinza kwedolo kuyehla. Xa idolo lilahlekelwa kukuzinza, amathuba okwenzakala kwedolo okufana nokukrazuka kwe-ACL nawo aphezulu. Ke ngoko, kubaluleke kakhulu ukunyamekela oku.

Zithini iimpawu zokukrazuka kwe-meniscus ephethe ibhakede?

Ukuba unezi mpawu zokukrazula, ungabona enye okanye ezingaphezulu kwezi:

• Ukungakwazi ukolula umlenze ngokupheleleyo: Olu luphawu oluthile, kwaye lunokuvakala ngathi idolo "litshixiwe."
• Intlungu yedolo: Intlungu inokwanda, ingakumbi xa ugoba okanye ujikeleza idolo.
• Idolo libanjiwe okanye libanjwe: Usenokuziva ngathi kukho into ebambeke ngaphakathi edolweni lakho.
• Isandi 'sokunqakraza' sivakala xa kusenzeka ingozi.
• Ukuqina kwamadolo nokudumba.

Kodwa nantsi into, xa i-meniscus yakho ikrazukile, usenokungaziva ntlungu ingako ngoko nangoko. Usenokude ucinge ukuba ungaqhubeka nokuhamba nokudlala. Kodwa emva kweentsuku ezimbini okanye ezintathu, idolo lakho liza kuqala ukudumba, liqine, kwaye liqale ukuba buhlungu ngakumbi.

Kubalulekile: Ukuvaleka kwamadolo (ukungakwazi ukululama umlenze) luphawu olukhulu lokukrazuka kwemisipha yethanga. Ukuba oku kuyenzeka, funa uncedo lwezonyango ngokukhawuleza.

Yintoni ebangela ukuba esi siphatho sebhakethi siqhekeke?

Ezi inyembezi zihlala zibangelwa kukujika okanye ukugoba kwedolo ngequbuliso ngexesha lemidlalo okanye umthambo. Le ngozi iphezulu kakhulu kwimidlalo efuna utshintsho olukhawulezileyo kwicala (ii-pivots) okanye ukuma nokubaleka ngequbuliso.

Kwakhona, ukuba uyatyibilika uze uwe, okanye ukuba unyathela kwindawo engalinganiyo, ungayikrazula i-meniscus. Abanye abantu bajika idolo ngempazamo ngexesha lemisebenzi yemihla ngemihla, njengokuvuka ebhedini okanye ukuvuka esitulweni, kwaye oku kwenzakala kwenzeka.

Oogqirha bayixilonga njani le nto?

Okokuqala, ugqirha wakho uza kwenza uvavanyo lomzimba. Chaza ngokucacileyo ukuba uziva njani edolweni lakho kunye nendlela eziqale ngayo iimpawu zakho.

Ugqirha unokwenza uvavanyo olukhethekileyo, olufana novavanyo lweMcMurray okanye uvavanyo lweThessaly . Kwezi, ugqirha ugoba aze ajike umlenze wakho ngononophelo kwiindlela ezahlukeneyo. Olu vavanyo lunokukunika umbono wokuba loluphi uhlobo lwengxaki yedolo onalo.

Loluphi uhlobo lovavanyo oluqinisekisa oku kanye?

Emva kovavanyo lomzimba, kuya kufuneka wenze iimvavanyo ezininzi zokuthatha imifanekiso . Ezi zinokuthatha imifanekiso yangaphakathi edolweni kwaye zijonge i-meniscus kunye nezinye izicubu.

• Ii-X-reyi: Ii-X-reyi zibonisa amathambo kunye nezakhiwo eziqinileyo kakuhle. Ukukrazuka kwe-meniscus akuyi kubonakala ngqo kwi-X-reyi. Nangona kunjalo, i-osteoarthritisOku kunceda ukuqinisekisa ukuba akukho ezinye iimeko ezinokubangela iintlungu edolweni.
• I-MRI (Magnetic Resonance Imaging) Scan: I-MRI scan ingayibona ngokucacileyo i-meniscus kunye nezinye izicubu ezithambileyo edolweni (ezifana ne-ligaments). Kwiimeko ezininzi, ukukrazuka kwe-meniscus kunye nezinye iingozi zedolo zinokuchongwa ngokuchanekileyo nge-MRI.

Uyiphatha njani i-meniscus ekrazukileyo ngenxa yesibambo sebhakethi?

Ukuba une-meniscus ekrazukileyo kwisiphatho sebhakethi, kukho iindlela ezahlukeneyo zonyango.

1. Utyando lweMeniscus

Unyango oluqhelekileyo noluphumeleleyo kakhulu lokukrazulwa kwe-meniscus lutyando. Oku kukwabizwa ngokuba yi -knee arthroscopy . Ngexesha lale nkqubo, ugqirha ufaka ikhamera encinci kakhulu (i-arthroscope) edolweni lakho aze ajonge ngaphakathi. Imifanekiso evela kule khamera ikhuliswa kwiscreen, ukuze ugqirha akwazi ukubona nokulungisa i-meniscus ngaphandle kokwenza umsikelo omkhulu.

Ngenxa yokuba iinyembezi ezikwisiphatho sebhakethi zihlala zinegazi elilungileyo, zinokulungiswa ngotyando. Ngexesha lotyando, ugqirha uza kutshintsha indawo ye-meniscus "yesiphatho sebhakethi" aze ayithunge kwakhona ngeestitshi ezincinci. Olu tyando lungathatha naphi na ukusuka kwiiveki ezi-6 ukuya kwiinyanga ezi-3 ukuze luphiliswe.

2. Ukufakelwa kweMeniscal

Ngamanye amaxesha, i-meniscus yonakele kangangokuba utyando lodwa alunakukwazi ukuyilungisa. Ukuba kunjalo, ugqirha wakho angathetha nawe ngokufakelwa i-meniscal . Oku kuquka ukutshintsha i-meniscus eyonakeleyo nge-meniscus ephilileyo evela kumntu oswelekileyo. Oku kungaba lukhetho kubantu abaye basuswa i-meniscus yabo ngokupheleleyo kutyando lwangaphambili.

Ukufakelwa i-meniscus kunokunciphisa umngcipheko we-osteoarthritis kunye neentlungu zedolo kwixesha elizayo. Ungafanelekela olu tyando ukuba:

• Ezinye iindlela zonyango akufanele zikwazi ukulungisa i-meniscus yakho.
• Ezinye iindawo zedolo lakho (amathambo, ii-ligaments) kufuneka zibe sempilweni, kwaye akunakubakho arthritis.
• Kufuneka ube ungaphantsi kweminyaka engama-50 ubudala kwaye uyasebenza.

3. Unyango lwePlasma etyebileyo ngeePlasma (PRP)

I-PRP lunyango olusebenzisa igazi lakho ukukhawulezisa ukuphiliswa kwenxeba. Ugqirha wakho unokucebisa unyango lwe-PRP emva kotyando lwe-meniscus. Iiplatelets kunye ne-plasma, eziyinxalenye yegazi lakho, zinceda ukulungisa izicwili ezikrazukileyo okanye ezonakeleyo. Olu nyango lubandakanya ukugxila kwezi nxalenye kunye nokuzifaka kwindawo eyonzakeleyo.

Nantsi into eyenzekayo ngexesha lonyango lwe-PRP:

• Inaliti iya kuthatha igazi elingalweni yakho.
• Igazi lifakwa kumatshini okhethekileyo wokwahlula iiplatelets kunye neplasma kwezinye iinxalenye zegazi.
• Esi sisombululo se-PRP esilungisiweyo emva koko sifakwa edolweni lakho ngenaliti.

4. Unyango lomzimba

Emva kotyando, ugqirha wakho uya kukunika unyango lomzimba , okwaziwa ngokuba yi-physiotherapy. Oku kuquka ukwenza imithambo ethile eyenzelwe imeko yakho neemfuno zakho. Le mithambo inokunceda ukuphucula amandla kunye nokuguquguquka kwedolo lakho. Ingcali yakho yonyango lomzimba iya kukufundisa indlela yokwenza le mithambo, kwaye eminye yayo ungayenza ekhaya. Ukulandela isicwangciso sakho sonyango lomzimba ngokufanelekileyo kukunika ithuba elihle lokuchacha ngempumelelo.

Ndingayinciphisa njani ingozi yokukrazuka kwesibambo sebhakethi?

Akukho siqinisekiso sokuba awusoze ukrazuke ngolu hlobo. Kodwa ukuba ukhuthele kwaye udlala imidlalo, ukulandela la manyathelo kunokunceda ukunciphisa umngcipheko wokwenzakala edolweni:

• Xa uqala umthambo omtsha, musa ukwenza yonke into ngaxeshanye. Yandisa ixesha kunye nobunzima kancinci kancinci.
• Mamela umzimba wakho. Ukuba uziva iintlungu, yeka loo msebenzi uze uthethe nogqirha.
• Yenza umthambo oqinisa izihlunu zomzimba wakho ongezantsi (imilenze, iimpundu) rhoqo. Izihlunu ezomeleleyo zibonelela ngenkxaso elungileyo kunye nokuzinza kwamadolo.
• Ukuba uvakalelwa kukuba idolo lakho alizinzanga okanye libuthathaka, nxiba i-deep brace.
• Nxiba izihlangu ezifanelekileyo kunye nezixhobo zokuzikhusela xa udlala imidlalo.

Ungathemba njani ukuba i-meniscus ikrazukile ngelixa uphethe ibhakethi?

Emva kokulungiswa kwe-meniscus ngempumelelo, imeko intle kakhulu. Abantu abaninzi abaye batyandwa i-meniscus ngempumelelo babuyela kwimisebenzi yabo yesiqhelo kunye nemidlalo emva kokuchacha. Xa i-meniscus ilungiswa okanye itshintshiwe, umngcipheko wokuba ne-osteoarthritis edolweni kwixesha elizayo nawo uyancitshiswa.

Ngaba le bhakethi iza kuzibamba zodwa ukuze iinyembezi ziphinde ziphole?

Ezinye iinyembezi ezincinci ze-meniscus zinokuphola ngokwazo ngokuphumla nangononophelo ekhaya. Nangona kunjalo, uninzi lweziinyembezi ezifakwe kwibhakethi azipholi ngokwazo. Oku kungenxa yokuba isiqwenga esikrazukileyo sinamathele embindini wedolo. Isiqwenga asinakubuyela endaweni yaso okanye siphole ngokwaso. Ke ngoko, ugqirha kufuneka asibuyisele endaweni yaso aze asilungise.

Ndifanele ndimbone nini ugqirha?

Ukuba uneempawu zokukrazuka kwe-meniscus, okanye ukuba uva isandi sokukrazuka edolweni lakho, qiniseka ukuba ubona ugqirha. Nokuba ukukrazuka kwe-meniscus kusenokungabi buhlungu kakhulu, kodwa ukuba akuphathwanga kakuhle, kunokukhokelela kwi-osteoarthritis kunye nezinye iingxaki zamadolo kamva ebomini.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Emva kwalo naluphi na utyando, kufuneka uqaphele iingxaki ezingaqhelekanga ezinokubakho. Ukuba usandul' utyando lwedolo, funa unyango olungxamisekileyo ngokukhawuleza ukuba unenye yezi mpawu:

• Iintlungu zesifuba.
• Ukukhohlela igazi.
• Ifiva.
• Ukuba uziva ubushushu xa uchukumisa idolo lakho.
• Ukukhupha okugqithisileyo (igazi, ubomvu, ulwelo) okuvela kwiminxeba.
• Ukuba intlungu okanye ukudumba kuyanda nasemva kokuphumla, nokuba umlenze uphakanyisiwe.
• Ubomvu okanye imicu ebomvu kwindawo yedolo.
• Ubunzima bokuphefumla.

Ukukrazuka kwe-meniscus kwisibambo sebhakethi kunokukugcina ungasebenzi kangangeeveki okanye iinyanga. Nangona kunjalo, oku kwenzakala akukuthinteli ekubeni ukonwabele ukuzilolonga kunye nemidlalo kwakhona. Emva konyango oluphumeleleyo, uninzi lwabantu lubuyela kubomi babo obuqhelekileyo. Thetha nogqirha wakho malunga nonyango olungcono lokulungisa i-meniscus oluhambelana neemfuno zakho kunye nendlela yakho yokuphila.

Izinto ekufuneka uzazi (Umyalezo oya nawo ekhaya)

Ukukrazuka kwe-meniscus edolweni "njengesiphatho sebhakede" akuyonto yokoyika, kodwa akuyonto yokungayinanzi.

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* Ukuba ufumana iimpawu ezinje ngokutshixa kwamadolo, iintlungu ezikhawulezileyo, okanye ukudumba ngesandi esithi 'pop', funa ingcebiso kagqirha ngokukhawuleza.

* Utyando ludla ngokuba lolona nyango lubalaseleyo, kwaye iziphumo ziyaphumelela.

* Unyango olufanelekileyo lomzimba emva kotyando lubalulekile ukuze uphile ngokukhawuleza.

* Emva konyango olufanelekileyo kunye nokuvuselelwa, ungabuyela kubomi obusebenzayo.

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Khumbula, ukunyamekela amadolo akho kuya kukukhusela kwiingxaki ezinkulu kwixesha elizayo.

Iintlungu zeDolo , Ukukrazulwa kweMeniscus, Ukukrazulwa kweMeniscus yeSiphatho seBhakethi, Ukulimala kweDolo, Utyando lweMeniscus, Ukutshixa iDolothi, I-Arthroscopy, Ukulimala kweMidlalo, Ukutshixa iDolothi, Ukukrazulwa kweMeniscus yeSiphatho seBhakethi, Ukulimala kweDolo, Utyando lweMeniscus, Ukutshixa iDolothi