Ingabe idolo lakho lihlala libuhlungu? Ake sixoxe ngokuhlolwa kweMcMurray namuhla!

Ingabe unenkinga yokuhambahamba noma ukwenza imisebenzi yakho yansuku zonke ngenxa yobuhlungu bedolo? Mhlawumbe uwile ngenkathi udlala imidlalo, waba nengozi, noma usanda kulimala idolo lakho. Uma unenkinga yedolo efana nale, udokotela uzokwenza ukuhlolwa okulula kodwa okubaluleke kakhulu okubizwa ngokuthi iMcMurray Test ukuhlola idolo lakho. Namuhla, sizoxoxa ngalokhu ngemininingwane ethe xaxa ukuze ukwazi ukukuqonda.

Iyini ngempela iMcMurray Test?

Kalula nje, lokhu ukuhlolwa ngokomzimba lapho udokotela egoba, elula, futhi ejika idolo lakho nomlenze wakho ngezindlela ezahlukene . Ngokukhethekile, lokhu kuhlolwa kwenzelwa ukuthola ukuthi i-cartilage engaphakathi kwedolo, ebizwa ngokuthi "i-meniscus", yonakele, idabukile, noma inezinye izinkinga. Akudingi mishini esezingeni eliphezulu. Udokotela angakwenza ehhovisi lakhe. Udokotela uzokulalela ngokucophelela futhi azame ukuzwa noma yibuphi ubuhlungu, imisindo "yokuchofoza", noma okunye ukungakhululeki okungenzeka ukuthi ubhekene nakho.

Kungani ngidinga ukwenza lokhu kuhlolwa kweMcMurray? / Lokhu kuhlolwa kuvame ukwenziwa nini?

Uma uya kudokotela onesihlungu sedolo, ukuvuvukala, noma ubunzima bokugoba noma ukuqondisa idolo lakho, futhi besola ukuthi kungenzeka ukuthi une-meniscus edabukile, banamathuba amaningi okwenza iMcMurray Test. Lokhu kuvame ukwenziwa njengokuhlolwa kokuqala, ukusiza ekutholeni ukuthi inkinga iyini ngempela.

Manje, ake sibheke ukuthi iyini le `(Meniscus)`. Ifana nezingcezu ezimbili ze-"C" ezimise okwerabha, ezijiyile kancane ngaphakathi kwe-kneecap yethu, phakathi kwethambo lethanga (`(Femur)`) kanye nethambo le-shin (`(Tibia)`). Ifana ne-shock absorber emotweni, ivimbela amathambo edolweni lethu ukuthi angashayisani, imunca ingcindezi edolweni futhi ivikele ijoyinti. Iphinde isize ukugcina ijoyinti lizinzile.

Cabanga nje, uma ngokuzumayo ukhubeka, uwe, noma ushayeka kakhulu engozini yemoto ngenkathi udlala umdlalo ofana nekhilikithi noma ibhola, le `(Meniscus)` ingadabula, iphuke, noma ilimale. Lokhu ukulimala okuvamile kakhulu phakathi kwabadlali. Futhi, njengoba ukhula, lezi zingxenye ze-cartilage ziyaguga kancane kancane futhi zingalimala kalula.

Uma i-meniscus idabukile, izimpawu zivame ukuba:

• Umsindo "wokuchofoza" ovela edolweni: Kwabanye abantu, lo msindo ungahambisana nobuhlungu obukhulu. Cabanga ukuthi kungaba yinto eyesabekayo kanjani uma ungazwa into ethile iphuka ngaphakathi edolweni lakho ngokuzumayo.
• Ukuzizwa ungazinzile futhi ungalawuleki: Idolo lingase lizizwe sengathi "liyayeka" noma "liyagoba" ngaphandle kokuthwala isisindo. Lokhu kungenza ukuhamba, ukugijima, noma ukukhuphuka izitebhisi kungakhululeki futhi kwesabise.
• Ubuhlungu:Lokhu kuyinto eyinhloko. Ngezinye izikhathi ubuhlungu bungakhula uma ugoba, welula, noma ubeka isisindo edolweni. Ubuhlungu bungavela nasebusuku uma ulele. Abanye abantu bangase bezwe ubuhlungu ngaphakathi noma ngaphandle kwedolo.
• Ukuqina kwedolo: Uma uvuka ekuseni noma ngemva kokuma isikhashana, idolo lakho lingase lizizwe liqinile futhi kunzima ukulinyakazisa.
• Ukuvuvukala: Idolo lingase liqale ukuvuvukala zingakapheli amahora ambalwa noma usuku noma amabili ngemva kokulimala.
• Ukungakwazi ukugoba nokwelula idolo ngendlela evamile: Idolo lingase lingakwazi ukugoba noma ukuqondisa ngokuphelele. Kungase kuzwakale sengathi kukhona okubambeke ngaphakathi (`ukukhiya`).

Ngakho-ke, uma ulimele edolweni futhi ubhekene nalezi zimpawu, udokotela uzokwenza iMcMurray Test ukuze athole umbono ocacile wokuthi kukhona yini umonakalo hhayi kuphela ku-meniscus, kodwa nakwezinye izingxenye ezibalulekile zedolo, njengemisipha.

Ubani owenza iMcMurray Test?

Lokhu kulula kakhulu. Udokotela wakho womndeni angenza nalokhu kuhlolwa. Kodwa-ke, isikhathi esiningi, udokotela wamathambo (`(Udokotela Wamathambo)`) uzokwenza lokhu kuhlolwa futhi anqume ukwelashwa okwengeziwe. Lokhu kuhlolwa kwenziwa emtholampilo wakhe, ehhovisi lakhe. Akudingi mishini ekhethekile noma ukuya endaweni ehlukile.

Kwenziwa kanjani ngempela ukuhlolwa kweMcMurray? Ake sichaze kancane.

Ukuhlolwa kweMcMurray kuhilela udokotela wakho eshukumisa umlenze nedolo lakho ngochungechunge lweminyakazo. Lokhu kwenzelwa ukuhlola izimpawu edolweni lakho nokuthi ungaligoba futhi uliqondise kangakanani idolo lakho ('ububanzi bokunyakaza'). Kulula kakhulu:

1. Okokuqala, uzolaliswa embhedeni wokuhlolwa, ubheke phezulu.

2. Ngemuva kwalokho, udokotela uzogoba idolo lomlenze wakho ohloliwe liye kuma-degree angu-90, njengokungathi uhleli esihlalweni. Uzobamba idolo lakho ngesandla esisodwa kanye nesithende sakho ngesinye.

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

4. Ngesikhathi ujikeleza ngale ndlela, udokotela uqondisa umlenze wakho kancane kancane.

5. Lesi sinyathelo singenziwa izikhathi eziningana, ngezindlela ezahlukene.

Uma uhambisa idolo lakho emuva naphambili kanje, kufakwa ingcindezi ethile ku-`(Meniscus)` yakho. Okusho ukuthi, ingcindezi ifana nengcindezi esiyizwayo emadolweni ethu lapho sisebenza, sihamba, futhi sigoba amadolo ethu ekuphileni kwethu kwansuku zonke.

Ngesikhathi udokotela eshukumisa umlenze nedolo lakho ngale ndlela, uzokubuza ukuthi uzwa ubuhlungu yini. Udokotela uzokwenza lokhu ngokucophelela, ngaphandle kokukulimaza ngokungadingekile.Uzolalela ngokucophelela noma yimiphi imisindo "yokuchofoza" evela edolweni lakho, noma yimiphi imizwa engavamile, eqinile esandleni sakho. Lokhu kuzonikeza udokotela umbono wokuthi i-meniscus yakho ikuphi nokuthi ingakanani umonakalo ebangelwe yiyo. Uma uzizwa ungakhululekile, ungesabi ukumtshela ngokushesha, kulungile?

Ingabe kukhona engikudingayo ukulungiselela ngaphambi kokuhlolwa kweMcMurray?

Cha, awudingi ukwenza noma yini ekhethekile ukuze ulungiselele ukuhlolwa kweMcMurray. Into ebaluleke kakhulu ukubona udokotela ngokushesha okukhulu uma ulimele edolweni noma uma unezimpawu ezintsha. Ngaleyo ndlela, ungathola ikhambi ngaphambi kokuba inkinga ibe yimbi kakhulu.

Ngizozizwa kanjani ngesikhathi sokuhlolwa? Yini okufanele ngiyilindele?

Uma udokotela enza iMcMurray Test, zama ukuhlala ukhululekile futhi ukhululekile ngangokunokwenzeka ngenkathi umlenze nedolo lakho kunyakaza. Uma uqinisa imisipha yakho, kungaba nzima ukwenza ukuhlolwa kahle futhi kunganikeza imiphumela engamanga.

Njengoba lokhu kuwukuhlolwa komzimba, into ebaluleke kakhulu ukutshela udokotela konke okuzwayo, kungakhathaliseki ukuthi kuncane kangakanani. Ikakhulukazi, uma uzwa ubuhlungu noma ukungakhululeki lapho wenza noma yikuphi ukunyakaza, qiniseka ukuthi uyamtshela.

Ubuhlungu, ukungakhululeki, noma ezinye izimpawu (njengomsindo "wokuchofoza") ozizwayo ngesikhathi sokuhlolwa kweMcMurray kuzosiza udokotela wakho ukuthi anqume ukuthi i-meniscus yakho ilimele kuphi, noma ukuthi yiluphi olunye uhlobo lokulimala ongase ube nalo. Ngakho ungesabi ukumtshela konke.

Kwenzekani ngemva kokuhlolwa? Uzokwenzenjani ngokulandelayo?

Ukuhlolwa kweMcMurray kuvame ukuba yisinyathelo sokuqala sokwelapha inkinga yakho yedolo. Uma udokotela wakho ezwa noma yini engavamile edolweni lakho (isib. ubuhlungu, "ukuchofoza") noma ezwa umsindo ngesikhathi sokuhlolwa, angase ancome ukuhlolwa okwengeziwe noma aqale ukwelashwa ukuze anciphise izimpawu zakho.

Ngemva kokuhlolwa kweMcMurray, cishe kuzodingeka wenze olunye noma olunye ukuhlolwa kwezithombe. Lokhu kuhlolwa kuthatha izithombe zangaphakathi kwedolo lakho ukuze kubonakale ukuthi kukhona yini umonakalo nokuthi kungakanani umonakalo okhona. Ukuhlolwa kwezithombe okuvame kakhulu yile:

• Ama-X-ray: Lokhu kungabheka umonakalo emathanjeni, njengokuphuka kwamathambo. Nakuba i-meniscus ingabonakali ngqo, ingasiza ekuboneni ukuthi kukhona yini ezinye izinkinga.
• I-MRI (I-Magnetic Resonance Imaging - I-MRI): Lesi isivivinyo esingcono kakhulu sokubheka umonakalo wezicubu ezithambile, njengokudabuka kwe-meniscus kanye nokulimala kwemisipha.
• I-Ultrasound: Lokhu ngezinye izikhathi kusetshenziselwa ukubheka izicubu ezithambile.

Udokotela wakho uzochaza ukuthi yiziphi izivivinyo okudingeka uzenze kanye nohlobo luni lokulimala abalufunayo.

Kungase kudingeke ukuthi wenze i-arthroscopy yamadolo ukuze ubone kahle ukuthi yini engaphakathi kwedolo lakho bese uyilungisa. Lena inqubo encane kakhulu ehilela ukwenza ukusika okuncane kakhulu nokufaka ikhamera encane ukuze ubheke ngaphakathi kwedolo lakho. Esikhathini esiningi, le-arthroscopy yamadolo yenziwa njengenqubo yokulaliswa esibhedlela, okusho ukuthi ungaya ekhaya ngalolo suku ngaphandle kokuhlala esibhedlela.

Ingabe zikhona izingozi ngalolu vivinyo lweMcMurray?

Cha, akukho bungozi obukhulu edolweni lakho ngokuba udokotela enze lolu vivinyo lweMcMurray. Lolu vivinyo luphephile kakhulu.

Ungase uzwe ubuhlungu noma ukungakhululeki ngesikhathi sokuhlolwa, ikakhulukazi uma une-meniscus edabukile. Kodwa-ke, noma ngabe i-meniscus yakho idabukile, akufanele uzwe ubuhlungu obukhulu, obungabekezeleleki lapho udokotela eshukumisa idolo nomlenze wakho, ngoba odokotela bakwenza lokhu ngobumnene kakhulu.

Ezinye izifundo zibonise ukuthi i-McMurray Test iyodwa ingase ingabi neqiniso eliphelele ekunqumeni ukuthi unayo yini i-meniscus edabukile noma cha. Lokhu kusho ukuthi ngezinye izikhathi ukuhlolwa kungase kungaboni ukudabuka ku-meniscus (i-negative engamanga), noma kungase kuzwakale sengathi akukho ukudabuka (i-positive engamanga). Kodwa-ke, lokhu ngokuvamile kuyisinyathelo sokuqala udokotela wakho azosithatha ukuze ahlole ukulimala kwakho. Ukuhlolwa kwezithombe (ikakhulukazi i-MRI) kuqondile kakhulu. Yingakho cishe kuzodingeka ube nokuhlolwa okukodwa kwezithombe okungenani ngemva kwe-McMurray Test.

Ithini imiphumela engiyitholayo? Ithini?

Imiphumela yokuhlolwa kweMcMurray ayifani nezinye zezivivinyo ongase ube nazo ngaphambili (njengokuhlolwa kwegazi). Okusho ukuthi, ayinikezi inani elithile noma ububanzi. Esikhundleni salokho, ukuhlolwa kweMcMurray kunikeza udokotela umbono omuhle wezokwelapha wokuthi hlobo luni lokulimala ongase ube nalo edolweni lakho.

Lokhu akulona ukuhlolwa okunikeza impendulo eqondile, kodwa kunombuzo othi "yebo" noma "cha". Uma udokotela ethola ubuhlungu, umsindo othi "chofoza", noma ezinye izimpawu zokuthi i-meniscus yakho idabukile, ukuhlolwa kubhekwa "njengokuqinisekile." Umphumela "ongemuhle" usho ukuthi udokotela akezwanga noma akezwanga lutho olungavamile ngesikhathi sokuhlolwa.

Kodwa-ke, umphumela "ongemuhle" awusho ukuthi ngeke udinge ukuhlolwa okwengeziwe. Ngezinye izikhathi, noma ngabe kukhona ukudabuka okuncane ku-meniscus, kungase kungatholakali ngokuhlolwa kwe-McMurray. Noma kungase kube nenye inkinga ngaphakathi kwedolo, isibonelo, ukulimala okuncane kumsipha. Yingakho udokotela ezobheka izimpawu zakho bese eyala ukuhlolwa okwengeziwe uma kudingeka. Uma uthola umphumela "ongemuhle", kusho ukuthi kunethuba elikhulu lokuthi uklebhukile ku-meniscus.Udokotela cishe uzoyala ukuhlolwa okufana ne-MRI ukuqinisekisa ukuxilongwa, bese enquma ukuthi yiluphi uhlobo lokwelashwa okufanele alusebenzise. Kungenzeka ukwelapha lesi simo ngemithi, i-physiotherapy, noma ngisho nokuhlinzwa okuncane (i-arthroscopy).

Kufanele ngibone nini udokotela? Kufanele ngifune nini usizo lwezokwelapha ngokushesha?

Uma ubuhlungu edolweni noma ukuvuvukala okungathuthuki ngemva kwezinsuku ezimbalwa ngemithi elula yasekhaya (njengokuphumula neqhwa) , noma uma kubonakala sengathi kuya kuba kubi kakhulu, kufanele nakanjani ubone udokotela.

Futhi, uma unezinye zezimpawu ezilandelayo, iya ekamelweni lezimo eziphuthumayo esibhedlela ngokushesha:

• Ubuhlungu obukhulu kakhulu, obungabekezeleleki.
• Ukuvuvukala kukhula ngokushesha okukhulu.
• Ukushintsha kombala wedolo noma umlenze (isib., ukuba luhlaza okwesibhakabhaka, onsomi, okhanyayo).
• Uma ungakwazi nhlobo ukushukumisa idolo lakho, noma uma ungakwazi ngisho nokuma isisindo sakho sisemlenzeni wakho.
• Ukuba ndikindiki endaweni yokulimala noma ukulahlekelwa umuzwa emlenzeni ongezansi.
• Ukuba nomkhuhlane.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Ukuhlolwa kwe-McMurray kuyindlela esheshayo, elula, nephephile udokotela azoyenza kuqala ukuze anqume ukuthi une-meniscus edabukile noma enye inkinga. Ngokuvamile kwenziwa uma ubona udokotela ngemva kokulimala edolweni.

Into ebaluleke kakhulu ukuthi uma idolo lakho libuhlungu, livuvukile, noma ungakwazi ukulisebenzisa ngendlela evamile, ungalishayi indiva bese ukhuluma nodokotela ngokushesha okukhulu. Kulapho-ke kuphela lapho ungathola khona ukuthi yini ngempela engalungile, uqale ukwelashwa okudingekayo ngokushesha, bese ubuyisela idolo lakho endleleni efanele. Uyaqonda? Ngikufisela ukululama okusheshayo!

Ukuhlolwa kweMcMurray , ubuhlungu bedolo, ukudabuka kwe-meniscus, ukudabuka kwe-cartilage, izinkinga zedolo, ukulimala kwezemidlalo, ukuhlolwa kwedolo, ukuhlolwa kwedolo, ukulimala kwe-meniscus