Ngezinye izikhathi, lapho sigijima, sigxuma, noma sidlala umdlalo ofana nekhilikithi noma ibhola nabangani, idolo lethu liyaqhuma ngokuzumayo. Ubuhlungu obuhambisana nomsindo othi "chofoza" abubekezeleleki. Ingabe lokhu kuye kwenzeka nakuwe? Uma uya kudokotela onesifo sedolo, enye yezivivinyo ezahlukahlukene azozenza ukuhlolwa kwe-Apley. Nakuba igama lingase lizwakale njengento enkulu, liwukuhlolwa okulula kakhulu . Ake sibone ukuthi kuyini, kwenziwa kanjani, nokuthi yini elingayithola.
Kalula nje, iyini i-Apley Test?
Ukuhlolwa kwe-Apley kuwukuhlolwa okulula ngokomzimba okwenziwa udokotela uma esola ukuthi une-meniscus edabukile edolweni lakho. Ngezinye izikhathi kubizwa nangokuthi ukuhlolwa kwe-Apley grind noma ukuhlolwa kokucindezela kwe-Apley. Wonke amagama amathathu abhekisela ekuhlolweni okufanayo.
Lokhu kuyinto engenziwa ehhovisi. Lokho kusho ukuthi akudingeki ukuthi uze ngosuku oluhlukile noma ubekwe ngaphansi komshini omkhulu. Ulala ngesisu sakho etafuleni lokuhlolwa bese udokotela ephendula kancane kancane umlenze wakho ongezansi. Uzokulalela ngokucophelela nganoma yibuphi ubuhlungu noma ukungakhululeki okungenzeka ukuthi ubhekene nakho.
Lokhu ngokuvamile kungenye yezivivinyo zokuqala udokotela azozenza uma ubona udokotela olimele edolweni. Kodwa-ke, lokhu kukodwa akuqedi ukuxilongwa. Ngokuvamile, ngemva kwalokhu kuhlolwa, uzothunyelwa ukuze uhlolwe ukuze kuqinisekiswe ukulimala.
Ingabe kukhona ukuhlolwa kwe-Apley kwehlombe?
Yebo, kodwa kuwukuhlolwa okuhluke ngokuphelele. Kungenzeka ukuthi uke wezwa ngokuhlolwa kokuklwebha kwe-Apley. Nakuba igama lifana, lenzelwa ukubheka izinkinga ehlombe . Ukunyakaza okusetshenziswayo kuhlukile ngokuphelele. Ngakho-ke uma unenkinga yedolo, awudingi ngisho nokucabanga ngokuhlolwa kokuklwebha kwe-Apley ehlombe lakho.
Ingabe kukhona ezinye izivivinyo ezifana ne-Apley Test?
Yebo, kunezinye izivivinyo eziningana ezinjengalezi ezisetshenziselwa ukubheka umonakalo ngaphakathi kwedolo. Ukuhlolwa kweMcMurray kanye nokuhlolwa kweThessaly yizo ezimbili eziyinhloko. Nakuba inhloso yazo zonke ezintathu ifana, indlela ezenziwa ngayo, okungukuthi, isikhundla okudingeka ube kuso kanye nokunyakaza okwenziwa udokotela, kuhlukile. Ake sibone ukuthi umehluko uyini.
| Igama lokuhlolwa | Indlela ofuna ukuba yiyo. | Lokho okwenziwa udokotela |
|---|---|---|
| Ukuhlolwa kwe-Apley | Lala ngesisu sakho embhedeni (uthambekele) | Goba idolo ngama-degree angu-90 bese uzungeza umlenze ongezansi uye ohlangothini. |
| Ukuhlolwa kweMcMurray | Ukulala embhedeni | Goba amadolo akho bese welula imilenze yakho ngenkathi uyiphendula. |
| Ukuhlolwa kweThessaly | Ukuma | Ukuma ngomlenze owodwa, ukugoba idolo kancane nokuzungezisa umzimba. |
Lapho enza zonke lezi zivivinyo ezintathu, udokotela uzolalela imisindo efana nokuthi “ukuchofoza” kanye nokuthi “ukuchofoza” edolweni lakho, futhi uzobuza ngokucophelela ngobuhlungu obuzwayo.
Ngidinga nini i-Apley Test?
Udokotela cishe uzokwenzela lolu vivinyo uma esola ukuthi une -meniscus crack . Lokhu kungenye yezingozi ezivame kakhulu edolweni, ikakhulukazi kubadlali.
Iyini le meniscus?
Cabanga nje, ngaphakathi kwejoyinti lakho ledolo, phakathi kwethambo lethanga (i-Femur) kanye nethambo lesifuba (i-Tibia), kunezingcezu ezimbili ze-cartilage enerabha efana no-C. Yilokho okubizwa ngakho i-meniscus. Kalula nje, ifana ne- shock absorber emotweni. Umsebenzi wayo ukuvimbela amathambo amabili ukuthi angahlangani kanye nokumunca ingcindezi efika ejoyintini lapho sigijima futhi sigxuma.
Le meniscus ingadabuka noma yikuphi ukunyakaza okungazelelwe kwedolo. Ukulimala kwezemidlalo kuyimbangela eyinhloko. Ngaphandle kwalokho, kungenzeka nasezintweni ezifana nokuwa nezingozi zezimoto.
Izimpawu ezivamile zokudabuka kwe-meniscus:
- Uma ulimele , ungase uzwe noma uzwe umsindo othi "click" uvela edolweni lakho.
- Idolo lizwakala sengathi alinampilo , kanti idolo lizwakala sengathi "liyagoba" uma limile.
- Ubuhlungu edolweni.
- Ukuqina kwamadolo.
- Ukuvuvukala .
- Ngeke ukwazi ukugoba noma ukwelula idolo lakho ngokugcwele ngendlela evamile.
Uma unezimpawu ezinjengalezi, udokotela wakho uzokwenza isivivinyo se-Apley ukuze ahlole umonakalo emithanjeni yedolo ngaphezu kwe-meniscus.
I-Apley Test yenziwa kanjani ngempela?
Inqubo yalolu vivinyo ilula kakhulu. Akukho okufanele ukhathazeke ngakho. Nansi inqubo yesinyathelo ngesinyathelo:
1. Okokuqala, uzocelwa ukuba ulale ugobile etafuleni lokuhlolwa.
2. Udokotela uzobeka idolo lakhe ngemuva kwethanga lakho bese elicindezela kancane phansi. Gcina umlenze wakho unganyakazi futhi unganyakazi.
3. Manje goba amadolo akho abe ngama-degree angu-90 , okufana ncamashi nesimo sencwadi ethi 'L'.
4. Okulandelayo, bamba umlenze wakho ongezansi bese uwudonsela phezulu kancane (ukuphazamisa), uphendule umlenze ngaphakathi nangaphandle, eceleni kuya eceleni .
5. Bese, esikhundleni sokudonsa umlenze phezulu, bamba umlenze ongezansi bese uwucindezela kancane (ukucindezela), ngenkathi uwuzungeza usuka kolunye uhlangothi uye kolunye ngendlela efanayo.
Ngesikhathi wenza lokhu kunyakaza, udokotela uvame ukukubuza, "Ingabe uzwa ubuhlungu?", "Ingabe idolo lakho lizwakala liqinile?", futhi uzolalela nemisindo evela edolweni lakho.
Into ebalulekile ukuthi udokotela uvame ukwenza lolu vivinyo emlenzeni wakho ophilile ongalimele kuqala ukuze athole umbono webanga lakho elijwayelekile lokunyakaza. Kulapho-ke kuphela lapho umlenze olimele uzohlolwa khona.
Kwenzekani ngemva kokuhlolwa?
Ngemva kokuhlolwa kwe-Apley, udokotela uzoba nombono othile ngenkinga edolweni lakho. Kodwa ukuze baqiniseke ngokuphelele ngokuxilongwa, bavame ukukuthumela ukuze uyohlolwa .
Izinhlobo ezivame ukusetshenziswa kakhulu zokuskena kulokhu yilezi:
- I-MRI (Magnetic Resonance Imaging) Scan: Lena yindlela engcono kakhulu yokubona izicubu ezithambile edolweni, njenge-meniscus, i-cartilage, kanye ne-ligaments.
- Ukuskena nge-ultrasound: Lokhu kunganikeza nokubona ngeso lengqondo izicubu ezithambile zedolo.
- Ama-X-ray: Nakuba lawa engakwazi ukukhombisa i-meniscus, angahlola ukuthi awekho yini amanxeba noma ezinye izinkinga emathanjeni edolo.
Kwezinye izimo, i-arthroscopy yamadolo ingenziwa ukuhlola noma ukulungisa umonakalo edolweni. Lokhu kuhilela ukwenza ukusikwa okuncane edolweni nokufaka ikhamera. Lokhu ngokuvamile akuyona inqubo enkulu, futhi ungaya ekhaya ngalolo suku.
Ziyini izingozi noma indlela yokufunda imiphumela ye-Apley Test?
Azikho izingozi ezinkulu zokwenza lokhu kuhlolwa. Ungase uzizwe ungakhululekile noma ubuhlungu obuncane ngesikhathi sokuhlolwa. Kodwa-ke, uma ubuhlungu bukhulu kakhulu ukuba ungabubekezelela, kungcono ungezi.
Uma sikhuluma ngemiphumela, lokhu akulona ukuhlolwa okuza nenombolo ethile njengenkinga yezibalo. Kuhlukaniswe ngokuthi 'kuhle' noma 'kubi'.
- Umphumela omuhle: Uma uzwa ubuhlungu ngesikhathi sokuhlolwa, ikakhulukazi uma ucindezela phansi umlenze wakho (ukucindezela) bese uwuphendula, noma uma uzwa umsindo othi "chofoza" edolweni lakho, lowo umphumela 'omuhle'. Kusho ukuthi ungase ube ne-meniscus edabukile.
- Umphumela ongemuhle: Uma ungazizwa ubuhlungu noma ukungakhululeki, umphumela 'ongemuhle'. Kodwa akusho ukuthi akukho ukulimala okungu-100%. Kungaba khona enye inkinga. Yingakho ukuskena kubalulekile.
Kufanele ngimbone nini udokotela noma ngiye ku-ETU?
Kubaluleke kakhulu ukwazi ukuthi yini okufanele uyenze uma ulimele edolweni.
| Isimo | Okufanele ngikwenze |
|---|---|
| Bona udokotela wakho. | |
| Uma ubuhlungu noma ukuvuvukala kunganciphi ngemva kwezinsuku ezimbalwa futhi kukhuphuka kancane kancane . | Bona udokotela womndeni wakho noma udokotela ohlinza amathambo ngokushesha okukhulu. |
| Yiya e-Emergency Treatment Unit (ETU) ngokushesha. | |
| Lokhu kungaba izimpawu zokulimala okukhulu. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. |
Ukuhlolwa kwe-Apley kuwukuhlolwa okuwusizo okungasiza udokotela ukuthi asheshe athole umbono wokuthi kwenzekani edolweni lakho, ikakhulukazi uma usola ukudabuka kwe-meniscus. Nakuba kungafanele kukubangele ubuhlungu, ungesabi ukutshela udokotela wakho uma uzizwa ungakhululekile. Ulwazi olunikezayo luzoba usizo olukhulu ekumsizeni ukuthi athole ukuxilongwa okunembile.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Apley kuwukuhlolwa okulula ngokomzimba okwenziwa udokotela ukuhlola i-meniscus edabukile edolweni.
- Kulesi sivivinyo, uphendulwa ngesisu, amadolo akho agobile, nemilenze yakho ijikeleziswa.
- Lokhu kuhlolwa kungase kubangele ukungakhululeki okuthile, kodwa akufanele kube buhlungu kakhulu. Uma uzizwa ngale ndlela, tshela udokotela wakho ngokushesha.
- Lokhu kumane nje kuwukuhlolwa kokuqala. Ukuqinisekisa indawo eqondile yokulimala, kwenziwa ukuhlolwa okufana ne-MRI.
- Uma unesihlungu esinzima edolweni, ukuvuvukala okwanda ngokushesha, noma ukungakwazi ukuhambisa idolo lakho, bona udokotela ngokushesha noma uye ku-ETU ngokushesha.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho