Ngaba wakha waba nentlungu ebukhali ngequbuliso edolweni lakho ngelixa udlala, ubaleka, okanye utsiba? Okanye idolo lakho lidumbile kwaye kunzima ukugoba okanye ukululula? Isizathu esiphambili soku kusenokuba kukonakala kwenxalenye ebalulekileyo yedolo lakho ebizwa ngokuba yi-meniscus. Abantu abaninzi babandezeleka yile ntlungu ixesha elide. Kodwa namhlanje siza kuthetha ngesisombululo esiphumeleleyo koku, esikukutyanda indawo ye-meniscus eyonakeleyo ngentsha.
Yintoni i-Meniscal Transplantation?
Ngamafutshane, ukufakelwa i-meniscus lutyando olususa i-meniscus eyonakeleyo, ekrazukileyo edolweni lakho kwaye luyithathele indawo nge-meniscus ephilileyo.
Ngoku usenokuba uzibuza, "Yintoni le meniscus?" Khawuthelekelele, ngaphakathi edolweni lakho, apho i-femur kunye ne-tibia zidibana khona, kukho iziqwenga ezibini ze-cartilage yerabha efana nonobumba "C" ezithintela loo mathambo mabini ukuba angakhuhlani. Yiloo nto siyibiza ngokuba yi-meniscus. Ezi zifana 'ne-shock absorbers' yemoto. Umsebenzi wazo ophambili kukufunxa uxinzelelo edolweni nokukhusela ilungu xa sihamba, sibaleka, kwaye sitsiba.
Kolu tyando, i-meniscus esempilweni ifakwa kumntu oswelekileyo (isidumbu) . Oku kubizwa ngokuba yi-Meniscal Allograft Transplantation (MAT) kwisayensi yezonyango. Oku kunokunciphisa iintlungu zedolo nokubuyisela ukusebenza kakuhle kwedolo. Kwakhona, olu tyando lunceda ekuthinteleni ukuguguleka kwedolo, oko kukuthi i-osteoarthritis, esemncinci.
Ngubani onokwenza olu tyando?
Olu tyando alulungelanga wonke umntu. Ugqirha wakho uza kuqwalasela izinto ezininzi ukuze abone ukuba ufanelekile na kule nkqubo.
| Uqwalaselo | Inkcazo |
|---|---|
| Ubudala kunye nomsebenzi | Olu tyando ludla ngokwenziwa kubantu abangaphantsi kweminyaka engama-40-50 abaphila ubomi obusebenzayo. Ingakumbi abadlali bezemidlalo. Nangona lunokwenziwa kubantwana abancinci, oogqirha bacebisa ukuba balinde de amathambo abo akhule ngokupheleleyo. Abantu abalawula ubunzima babo kwaye abasempilweni banamathuba amaninzi okwenza olu tyando. |
| Imeko yedolo | Ukuba ususwe inxalenye enkulu ye-meniscus yakho okanye ukuba yonakele kakhulu , ungakufanelekela oku. Kodwa eyona nto ibalulekileyo kukuba akukho monakalo mkhulu kwezinye iindawo zedolo, oko kukuthi, ezinye ii-cartilage kunye ne-ligaments. Idolo kufuneka lizinze. |
| Imeko yesifo samathambo | Ukuba sele une-arthritis edolweni lakho (i-knee osteoarthritis), olu tyando lusenokungakulungeli. Oku kungenxa yokuba ukuba i-cartilage edolweni lakho igugile kakhulu, olu tyando aluyi kuphumelela nokuba kufakwe i-meniscus entsha. |
Ukulimala edolweni kuxhaphake kakhulu, ingakumbi kubadlali abancinci. Ukujika ngequbuliso edolweni kunokonakalisa i-meniscus. Ukuba umonakalo mkhulu, inxalenye ekrazukileyo inokufuneka isuswe (i-meniscectomy). Ukuphila ngaphandle kwe-meniscus kwandisa umngcipheko wokuguguleka nokukrazuka kwedolo kwixesha elizayo kunye nentlungu engapheliyo.
Olu tyando alunciphisi nje kuphela iintlungu zedolo kwaye luphucula ukusebenza kwedolo, kodwa lukwanceda ekuthinteleni ukuphuhliswa kwe-osteoarthritis xa usemncinci.
Kwenzeka ntoni ngaphambi kotyando?
Ekubeni olu tyando lusebenzisa i-meniscus evela kumntu oswelekileyo, luhlolwa ngononophelo ngaphambi kotyando.
- Ukuhlolwa kwesifo: I-meniscus yomntu onikelayo iyahlolwa ukuba ayinaso na isifo.
- Ubungakanani kunye nokuma: Kukhethwa i-meniscus enobukhulu kunye nokuma okuchanekileyo kwedolo lakho. Emva koko igcinwa kwisikhenkcezisi esikhethekileyo.
Njengoko ulungiselela utyando, ugqirha wakho uza kukuxelela ezi zinto:
- Xelela ugqirha wakho ngayo nayiphi na imithi oyithathayo, ingakumbi imithi yokunciphisa igazi, kuba inokucelwa ukuba iyekwe kwiintsuku ezimbalwa ngaphambi kotyando.
- Baza kukucela ukuba ujonge kakuhle ingaphakathi ledolo lakho uze wenze i-MRI okanye i-X-ray .
- Uya kucetyiswa ukuba uyeke ukutya nokusela emva kwexesha elithile ebusuku ngaphambi kotyando.
Olu tyando lwenziwa kwigumbi lotyando esibhedlele. Ngaphambi kokuba utyando luqale, uza kufakwa phantsi kwe-anesthesia jikelele. Ngoko awuyi kuva ntlungu ngexesha lotyando.
Lwenziwa njani utyando?
Olu tyando ludla ngokwenziwa kusetyenziswa i-dolo arthroscopy.Olu lutyando 'oluqhutywa ngomngxuma ongundoqo'. Oko kuthetha ukuba akukho mingxunya mikhulu yenziweyo.
1. Ugqirha ufaka ikhamera encinci ngesithuba esincinci kakhulu edolweni. Le khamera ivumela ukuba ingaphakathi ledolo libonakale ngokucacileyo kwiscreen kwigumbi lotyando.
2. Xa ujonga loo mifanekiso, izixhobo zotyando ezincinci zifakwa ngesinye isigcawu esincinci.
3. Ngokusebenzisa ezi zixhobo, iziqwenga eziseleyo ze-meniscus eyonakeleyo ziyasuswa edolweni kwaye i-meniscus entsha, esempilweni ityalwe endaweni yayo.
4. Iisutures ezikhethekileyo okanye izikrufu ezincinci zisetyenziselwa ukuncamathisela le meniscus intsha kwi-kneecap nakwezinye iindawo zedolo.
5. Ekugqibeleni, amanxeba ayacocwa kwaye idolo ligqunywe ngebhandishi.
Kwenzeka ntoni emva kotyando? Kuthatha ixesha elingakanani ukuze umntu aphile?
Usenokukwazi ukuya ekhaya ngaloo mini inye emva kotyando, okanye usenokufuna ukuhlala esibhedlele usuku olunye okanye ngaphezulu. Ezi zizinto ekufuneka uzinyamekele ngexesha lokuchacha kwakho.
- Ukusebenzisa iinduku zokusila: Kuya kufuneka usebenzise iinduku zokusila kangangeeveki ezine ukuya kwezintandathu .
- Isixhasi sedolo: Kufuneka unxibe isixhasi esikhethekileyo ukuze idolo lakho lihlale liqinile kwaye lithintele ukuba linganyakazi.
- Unyango Lokuphumla Nomzimba (PT): Unyango lomzimba luyinxalenye ebalulekileyo yenkqubo yokuphiliswa. Ugqirha wakho uza kukucebisa inkqubo ye-PT ekulungeleyo ngexesha elifanelekileyo. Olu qheliselo luqinisa izihlunu ezijikeleze idolo lakho kwaye lunyuse kancinci kancinci uluhlu lwakho lokushukuma.
Eyona nto ibalulekileyo kukunika i-meniscus esandula ukufakelwa ixesha lokuba iphile kakuhle. Ngoko ke, kuya kufuneka uhlale kude nemidlalo enzima kunye nomsebenzi onzima kangangeenyanga ezi-6 ukuya kunyaka .
Izinto ekufuneka uziqaphele emva kotyando
Njengalo naluphi na utyando, kukho iingozi ezithile ezibandakanyekileyo. Iingxaki azixhaphakanga. Nangona kunjalo, kufuneka uqaphele ezi mpawu zilandelayo. Ukuba ubona nayiphi na kwezi, qhagamshelana nogqirha wakho ngoko nangoko.
| Uphawu ekufuneka luqwalaselwe | Inkcazo |
|---|---|
| Ukopha | Ukuba amanxeba aqhubeka nokopha. |
| Intlungu ebuhlungu | Ukuba unentlungu enzima engenakulawuleka nokuba sele usele amayeza okudambisa iintlungu. |
| Iimpawu zosulelo | Iimpawu ezinje ngomkhuhlane , ukudumba okukhulu kwedolo, kunye nokuphuma kobofu emanxebeni. |
Amaxesha amaninzi, umonakalo kwimithambo-luvo okanye kwimithambo yegazi edolweni, ukuqina kwedolo, okanye iingxaki zokuphiliswa zinokwenzeka. Ngamanye amaxesha utyando lwesibini lunokufuneka. Ke ngoko, kubaluleke kakhulu ukulandela imiyalelo kagqirha ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- Utyando lokufakelwa i-meniscus lukhetho olufanelekileyo lonyango olunceda abantu abaselula abakhutheleyo abanomonakalo omkhulu kwi-meniscus edolweni ukuba babuyele ebomini obuqhelekileyo ngaphandle kwentlungu.
- Olu tyando lunokunciphisa umngcipheko we-osteoarthritis yamadolo kwixesha elizayo.
- Olu asilotyando olulungele wonke umntu. Ukuba une-arthritis, olu khetho lusenokungabi lolona lufanelekileyo kuwe. Ugqirha wakho uya kugqiba ukuba olu tyando lufanelekile na kuwe.
- Ukuze utyando luphumelele, unyango lomzimba kufuneka lwenziwe ngokufanelekileyo kwaye kufuneka kunikwe ixesha elifanelekileyo lokuphiliswa.
- Ukuba ufumana naziphi na iimpawu ezingaqhelekanga (intlungu enzima, ukudumba, umkhuhlane) emva kotyando, yazisa ugqirha wakho ngoko nangoko.
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