Ingabe idolo lakho nalo libuhlungu? Mhlawumbe lesi yisikhathi esihle kakhulu sokufunda nge-Apley Test!

Wake waba nobuhlungu edolweni noma ukungakhululeki? Noma mhlawumbe ulimele edolweni lakho ngenkathi udlala imidlalo futhi awukwazi ukuligoba noma ukuliqondisa kahle? Uma siya kudokotela, usebenzisa izindlela ezahlukene ukuhlola idolo lethu. Ukuhlolwa okukhethekile esizokhuluma ngakho namuhla ukuhlolwa kwe-Apley . Lokhu kusiza ekunqumeni ukuthi kukhona yini okungahambi kahle edolweni lakho.

Ngakho-ke luyini lolu vivinyo lwe-Apley?

Kalula nje, ukuhlolwa kwe-Apley kuyindlela odokotela abayisebenzisayo ukuthola ukuthi i-meniscus, ucezu lwe-cartilage edolweni lakho, idabukile noma yonakele . Kungenzeka ukuthi uke wezwa ibizwa ngokuthi 'ukuhlolwa kwe-Apley grind' noma 'ukuhlolwa kokucindezela kwe-Apley.' Womabili amagama abhekisela ekuhlolweni okufanayo, ngomehluko omncane.

Cabanga nje, lokhu ukuhlolwa ngokomzimba ehhovisi okungenziwa lapho udokotela ekhona, ekamelweni lakhe, ngaphandle kwemishini ekhethekile. Okudingeka ukwenze nje ukulala etafuleni isisu sakho siphansi, okungukuthi, sibheke phansi (isimo esithambekele) . Udokotela uzobamba umlenze wakho ongezansi awujikelezise kusukela ohlangothini kuya kolunye eduze kwedolo, ehlola ukuthi unazo yini izinhlungu noma okunye ukungakhululeki. Uzobuza nokuthi ngabe uzizwa yini ukuthi kukhona okubambeke ngaphakathi kwedolo lakho, njengokungathi libambeke noma alinyakazi.

Ngokuvamile, uma ubona udokotela obuhlungu edolweni noma ngemva kokulimala, olunye lokuhlolwa kokuqala okwenziwa ukuhlolwa kwe-Apley. Kodwa-ke, lokhu kukodwa akukwazi ukuqinisekisa ngokushesha ukuthi kukhona ukudabuka noma okunye ukulimala ku-meniscus. Lokhu kunganikeza udokotela umbono othile. Ngemuva kwalokho, ngaphezu kokuqinisekisa lokho , kuzodingeka kwenziwe ukuhlolwa okukodwa noma okubili kwezithombe, okungukuthi, ukuhlolwa okubheka ngaphakathi .

Ingabe kukhona ukuhlolwa kwe-Apley kwehlombe?

Yebo, kuhle ukwazi lokho. Njengokuhlolwa kwe-Apley kwedolo, kukhona ukuhlolwa okuhlukile okubizwa ngokuthi i-'Apley' okusetshenziselwa futhi ukuxilonga izinkinga zamahlombe. Kubizwa ngokuthi 'ukuhlolwa kokuklwebheka kwe-Apley.' Nakuba amagama afana, lokhu kuyizilingo ezimbili ezihlukene ngokuphelele, futhi ukunyakaza okusetshenziswayo kuhlukile. Izimo abazama ukuzixilonga nazo zihlukile. Ngakho-ke uma unenkinga yedolo, awudingi ukuhlolwa kokuklwebheka kwe-Apley kwehlombe.

Uyini umehluko phakathi kokuhlolwa kwe-Apley, McMurray, kanye neThessaly?

Ngaphezu kokuhlolwa kwe-Apley, kunezinye izivivinyo ezisetshenziselwa ukuthola umonakalo ngaphakathi kwedolo, ikakhulukazi ukudabuka kwe-meniscus. Ukuhlolwa kwe-McMurray kanye nokuhlolwa kwe-ThessalyKunezivivinyo ezimbili eziyinhloko ezifana nalezi. Zonke ezintathu zihilela ukuhambisa idolo ngezindlela ezahlukene nokubona ukuthi izimpawu ziyavela yini. Kodwa-ke, indlela umlenze oshukunyiswa ngayo kanye nendawo okuyo kuhlukile esivivinyweni ngasinye.

• Ngesikhathi sokuhlolwa kwe-Apley: Udokotela ushukumisa idolo lakho ngenkathi ulele ugobile.
• Esivivinyweni sikaMcMurray: Ngesikhathi ulele ngomhlane, udokotela uyagoba, elule, futhi ajikeleze idolo lakho.
• Esivivinyweni saseThessaly: Kufanele ume ngomlenze owodwa, uphakamise omunye umlenze kancane, ugobe idolo kancane, bese uphendula lowo mlenze.

Phakathi nazo zonke izivivinyo ezintathu, udokotela uzolalela imisindo ephuma edolweni lakho (ukuklwebheka, ukuqhuma) futhi uzonaka nalokho akuzwayo ngezandla zakhe. Kufanele utshele udokotela wakho ngokushesha nganoma yibuphi ubuhlungu noma ukungakhululeki okuzwayo. Lokhu kubaluleke kakhulu ekuxilongweni.

Ngidinga nini ukuhlolwa kwe-Apley?

Udokotela angase akwenzele ukuhlolwa kwe-Apley uma esola ukuthi une-meniscus edabukile . Ukudabuka kwe-meniscus kuwukulimala okuvamile edolweni , ikakhulukazi phakathi kwabadlali.

Iyini le meniscus?

Cabanga nje, ngaphakathi kwedolo lakho, phakathi kwethambo lakho lethanga (i-femur) kanye nethambo lakho lesifuba (i-tibia), kukhona umcamelo oqinile, onjengerabha obizwa ngokuthi i-meniscus. Kufana ne-shock absorber emotweni. Umsebenzi oyinhloko we-meniscus ukumunca ukushaqeka kanye nokucindezela okufika edolweni lapho sihamba, sigijima, futhi sigxuma, kanye nokuvikela amathambo kanye namalunga.

Ukushaywa ngokuzumayo nangokubukhali edolweni kungadabula i-meniscus. Ukulimala kwezemidlalo kuyimbangela evame kakhulu, kodwa kungenzeka futhi ngenxa yezinto ezifana nokuwa nezingozi zezimoto.

Izimpawu ezivamile zokudabuka kwe-meniscus:

• Ukuzwa noma ukuzwa umsindo othi 'pop' uvela edolweni.
• Idolo lilahlekelwa ukuzinza , futhi kuzwakala sengathi umlenze ulahlekelwa ukuzibamba.
• Ubuhlungu obukhulu.
• Ukuqina kwamadolo .
• Ukuvuvukala .
• Ukungakwazi ukugoba noma ukwelula idolo ngokugcwele .

Uma uya kudokotela ngenxa yokulimala edolweni, ikakhulukazi uma unezimpawu ezishiwo ngenhla, cishe uzokwenza ukuhlolwa kwe-Apley. Lokhu kuzophinde kunike udokotela umbono wokuthi kukhona yini umonakalo emithanjeni noma kwezinye izicubu ezixhumene edolweni lakho.

Futhi, umuntu onenkinga yokudabuka kwe-meniscus angase abe ne-osteoarthritis yamadolo kamuva, noma ukuvuvukala kwamalunga.Kukhona futhi ingozi enkulu yokutheleleka.

Ubani owenza ukuhlolwa kwe-Apley?

Udokotela wakho angenza lolu vivinyo lwe-Apley ehhovisi lakhe. Akudingi mishini noma izinsiza ezikhethekile.

Ukuhlolwa kwe-Apley kwenziwa kanjani?

Ukuhlolwa kwe-Apley kuwuchungechunge lwezivivinyo ezihlola izimpawu zakho kanye nobubanzi bokunyakaza kwedolo lakho , okuwukuthi ungaligoba kangakanani, welule, futhi ujikelezise idolo lakho. Kulula kakhulu. Nazi izinyathelo:

• Kuzodingeka ulale etafuleni lokuhlolwa , ugobile , okusho ukuthi ubheke phansi.
• Udokotela uzobamba umlenze wakho ungashukumi, acindezele idolo lakhe ngemuva kwethanga lakho.
• Okulandelayo, udokotela uzogoba idolo lakho ngama-degree angu-90 , okusho ukuthi liqonde ngqo komunye umlenze wakho.
• Bese kuthi, ngenkathi edonsa kancane edolweni lakho, aphendule umlenze wakho ongezansi aphume nangaphakathi esuka phakathi nomzimba wakho .
• Ngemva kokwenza lokhu, udokotela angase aphinde ajikelezise umlenze ngendlela efanayo nangaphambili. Kodwa kulokhu, esikhundleni sokudonsela phezulu, umlenze ongezansi ucindezelwa phansi (ukucindezela) . Lokhu kubizwa nangokuthi 'ukuhlolwa kokucindezela kuka-Apley'.

Ngokuvamile, udokotela uzokwenza ukuhlolwa kwe-Apley emilenzeni yomibili . Uzoqala enze umlenze ophilile nongalimele. Lokhu kuzomnika umbono webanga lakho elijwayelekile lokunyakaza ngaphambi kokuhlola umlenze olimele.

Ukuhlolwa kwe-Apley kuhilela lokhu kunyakaza, okubeka ukucindezeleka okuncane ku-meniscus yakho. Lokhu kufana nokucindezeleka okutholayo uma usebenzisa idolo lakho ngokujwayelekile.

Njengoba udokotela enyakazisa umlenze nedolo lakho, uzokubuza ukuthi uzwa ubuhlungu, ukuthi idolo lakho lizwa sengathi liyabhajwa noma liyakhiywa . Uzolalela nezinto ezifana nomsindo 'we-pop' ovela edolweni lakho, futhi uzohlola ukuthi idolo lakho lijika kakhulu yini liye kolunye uhlangothi noma kolunye. Konke lokhu kuzomnika umbono wokuthi i-meniscus yakho ingadabuka kuphi.

Ungalungiselela kanjani ukuhlolwa kwe-Apley?

Akukho ukulungiselela okukhethekile okudingeka ukwenze ukuze uhlolwe i-Apley. Okudingeka ukwenze nje ukubona udokotela ngokushesha okukhulu, kungakhathaliseki ukuthi ulimele idolo lakho noma uma unezimpawu ezintsha.

Yini ongayilindela ngesikhathi sokuhlolwa kwe-Apley?

Zama ukuhlala uphumule ngangokunokwenzeka ngesikhathi sokuhlolwa. Uma ucindezelekile, kungenza kube nzima ngodokotela ukwenza ukuhlolwa ngendlela efanele.

Njengoba ukuhlolwa kwe-Apley kuwuchungechunge lokunyakaza ngokomzimba, tshela udokotela wakho ngokushesha noma yini oyizwayo - ikakhulukazi uma noma yikuphi ukunyakaza kubangela ubuhlungu noma ukungakhululeki.Lokhu kubaluleke kakhulu.

Noma yibuphi ubuhlungu, ukungakhululeki, noma ezinye izimpawu ozizwayo ngesikhathi sokuhlolwa kwe-Apley kuzosiza udokotela wakho ukuthi athole ukuthi kukuphi lapho ku-meniscus yakho lapho kudabuke khona noma ukuthi yiluphi olunye uhlobo lokulimala ongase ube nalo.

Kwenzekani ngemva kokuhlolwa kwe-Apley?

Ngisho nangemva kokwenza isivivinyo se-Apley, udokotela wakho cishe uzoyala ezinye izivivinyo eziningana zokuthatha izithombe ukuqinisekisa uhlobo oluqondile lokulimala kwedolo.

Lezi zivivinyo zithatha izithombe zengaphakathi ledolo lakho futhi zingaqinisekisa noma yimuphi umonakalo ngaphakathi kwejoyinti. Izivivinyo ezivame kakhulu zokubona izithombe ezisetshenziswa ukuxilonga ukudabuka kwe-meniscus yilezi:

• Isithombe Sokuzwakala Kwe-Magnetic (MRI)
• I-Ultrasound
• Ama-X-ray

Udokotela uzochaza ukuthi yiziphi izivivinyo zezithombe ozidingayo kanye nezinhlobo zezinkinga abazifunayo.

Ngezinye izikhathi, kungadingeka ukuthi wenze i-dolo arthroscopy ukuthola noma ukulungisa umonakalo ngaphakathi kwedolo lakho. I-dolo arthroscopy inqubo yokuhlinzwa engangenisi kakhulu esebenzisa ikhamera encane ukubheka ngaphakathi kwejoyinti lakho ledolo. Izinqubo eziningi ze-dolo arthroscopy ziyizinqubo zokulaliswa esibhedlela. Lokhu kusho ukuthi ungaya ekhaya ngalolo suku.

Ingabe zikhona izingozi ngokuhlolwa kwe-Apley?

Eqinisweni, akukho bungozi edolweni lakho ngokwenza isivivinyo se-Apley.

Ungase uzwe ubuhlungu noma ukungakhululeki ngesikhathi sokuhlolwa, kodwa noma ngabe i-meniscus yakho idabukile, akufanele uzwe ubuhlungu obungabekezeleleki .

Kodwa kukhona into eyodwa okufanele uyikhumbule. Ezinye izifundo zithole ukuthi ukuhlolwa kwe-Apley akunembile ngokuphelele ekutholeni ukudabuka kwe-meniscus. Kodwa-ke, lokhu ngokuvamile kuyisinyathelo sokuqala udokotela wakho asithathayo ukuze ahlole ukulimala kwakho. Ukuhlolwa kwezithombe yikona okuqinisekile kakhulu. Uma udokotela wakho esola ukuthi une-meniscus edabukile, kuyindlela enembile kakhulu yokuyihlola.

Imiphumela izobukeka kanjani kimi futhi isho ukuthini?

Imiphumela yokuhlolwa kwe-Apley ayifani nezinye zezivivinyo ongase ube nazo ngaphambili. Okusho ukuthi, ayinikezi ububanzi obuthile noma inombolo ethile. Kunalokho, ukuhlolwa kwe-Apley kunikeza udokotela wakho umbono ongcono wokuthi hlobo luni lokulimala olungase lube khona edolweni lakho.

Lokhu kufana nombuzo othi 'kulungile noma akulungile'., hhayi njengenkinga yezibalo enempendulo eqondile. Udokotela wakho uzohlela ukuhlolwa kwakho njengokuhle uma ethola okuthile okubonisa ukuthi une-meniscus edabukile. Umphumela ongemuhle usho ukuthi awuzange uzwe ubuhlungu, ukungakhululeki, noma ezinye izimpawu ngesikhathi sokuhlolwa.

Kodwa-ke, umphumela ongemuhle akusho ukuthi awudingi ukuhlolwa okwengeziwe. I-meniscus yakho ingase isadabukile, noma kungase kube nomunye umonakalo ngaphakathi kwedolo lakho.

Kufanele ngimbone nini udokotela?

Uma unezimpawu ezifana nobuhlungu edolweni kanye nokuvuvukala okuba kubi kakhulu ngemva kwezinsuku ezimbalwa, bona udokotela ngokushesha.

Futhi, uma unezinye zezimpawu ezilandelayo, iya esibhedlela ngokushesha:

• Ubuhlungu obukhulu kakhulu.
• Uma ukuvuvukala kuba kubi kakhulu.
• Uma ubona ukushintsha kombala wesikhumba.
• Uma ungakwazi nhlobo ukushukumisa idolo lakho noma ungakwazi ukulishukumisa ngendlela evamile.

Okokugcina, izinto okufanele uzikhumbule

Ukuhlolwa kwe-Apley kuyindlela esheshayo nelula udokotela wakho angayenza ukuhlola i-meniscus edabukile edolweni lakho. Cishe kuzodingeka futhi wenze ukuhlolwa kwesithombe, njenge-MRI. Kodwa-ke, ukuhlolwa kwe-Apley kuyindlela enhle yokuthi udokotela wakho aqonde kahle ukuthi uzizwa kuphi ubuhlungu, yiziphi ezinye izimpawu ongase ube nazo, nokuthi kukuphi lapho kungase kube nomonakalo edolweni lakho.

Into ebaluleke kakhulu ukutshela udokotela wakho nganoma yibuphi ubuhlungu noma ukungakhululeki okuzwayo ngesikhathi sokuhlolwa. Nakuba ukuhlolwa kwe-Apley kungabangela ukucindezeleka okuncane ku-meniscus yakho, akufanele uzizwe ubuhlungu obungabekezeleleki.

Ngakho-ke, uma unenkinga yedolo, ungesabi ukubona udokotela. Uzokwenza izivivinyo ezidingekayo futhi akunikeze ukwelashwa okungcono kakhulu.

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