Ingabe ukudabuka "kwesibambo sebhakede" edolweni? (I-Bucket Handle Meniscus Tear) Masiqaphele lokhu!

Wake wabhekana nobuhlungu obungazelelwe edolweni, umuzwa wokuthi idolo lakho liyakhinya? Mhlawumbe ngenkathi udlala imidlalo noma wenza umsebenzi ojwayelekile, ungase uzwe umsindo wokuqhuma njengoba idolo lakho liqina. Esinye isimo esibi esingase senzeke ngezikhathi ezinjalo yilokho okubizwa ngokuthi 'ukudabuka kwe-meniscus handle'. Nakuba igama lingase lizwakale lingavamile, lokhu ukulimala kwedolo okuvamile.

Kuyini "I-Bucket Handle Meniscus Tear"?

Kalula nje, lokhu kuwukudabuka okuthile engxenyeni yedolo lakho ebizwa ngokuthi i-meniscus . Cabanga ngakho, ngaphakathi kwamadolo ethu, phakathi kwethambo lethanga (i-Femur) kanye nethambo lesifuba (i-Tibia), kunezingcezu ezimbili ze-cartilage eqinile, enerabha esebenza 'njengezinciphisi zokushaqeka'. Yilokho esikubiza ngokuthi i-meniscus . Lezi zibunjwe njengenyanga ecwebezelayo, noma uhlamvu u-C.

Le meniscus inemisebenzi emibili eyinhloko:

1. Ukwamukela ukushaqeka kanye nokucindezeleka edolweni (njengento yokudambisa ukushaqeka emotweni).

2. Ukusiza ukugcina idolo lizinzile.

Ngakho-ke, 'ukudabuka kwesibambo sebhakede' kwenzeka lapho kukhona ukudabuka okukhulu ngaphakathi kwe-meniscus, futhi ingxenye edabukile igoba phakathi kwejoyinti ledolo njengesibambo sebhakede. Iqanjwa ngokuthi ngoba imiphetho emibili ye-meniscus isanamathele esibambweni, kanti umhlane ugobile. Kubukeka njengesibambo esiwele ebhakedeni. Lokhu kuvame ukubhekwa njengokudabuka okukhulu.

Ingabe kukhona izinhlobo zokudabuka kwe-meniscus kulezi ziphatho zamabhakede?

Yebo, sinezitho ezimbili zangasese edolweni ngalinye.

• I-Medial Meniscus: Lokhu kutholakala ngaphakathi kwedolo (ohlangothini lomlenze wakho omunye).
• I-Lateral Meniscus: Lokhu kutholakala ngaphandle kwedolo.

Ukudabuka kwesibambo sebhakede kungenzeka kunoma iyiphi yalezi meniscus. Kodwa-ke, kuvame ukubonakala kakhulu kumeniscus ephakathi.

Ubani onamathuba amaningi okudabuka kulesi siphatho sebhakede?

Nakuba lolu hlobo lokulimala lungenzeka kunoma ubani, luvame kakhulu kubasubathi noma kulabo abazivocavoca njalo . Lokhu kungenzeka ikakhulukazi uma idolo lijijekile ngenkathi ugijima, ugxuma, noma ujika ngokuzumayo. Kuvamile kulabo abadlala imidlalo efana ne-netball, i-volleyball, ibhola likanobhutshuzwayo kanye nekhilikithi.

Lokhu kuvame kakhulu kangangokuthi uma kuqhathaniswa nezinye ukulimala kwamadolo, ukudabuka kwe-meniscus kuvame kakhulu. Kodwa-ke, cishe u-10% wazo zonke izinyembezi ze-meniscus ziyizinyembezi ezifakwe esibambweni. Lesi simo sivame kakhulu phakathi kwabesilisa abasebasha .

Kuzokwenzekani emzimbeni wami ngenxa yalokhu kudabuka?

Uma kungelashwa kahle, ukudabuka kwesibambo sebhakede kungabangela isifo samathambo edolweni lakho.Ngisho noma lesi simo sivela, ngokuhamba kwesikhathi, kungase kube nobuhlungu obuqhubekayo edolweni. Futhi, lapho i-meniscus idabukile, ukuqina kwedolo kuncipha. Lapho idolo lilahlekelwa ukuqina, amathuba okulimala kwedolo okunye njengokudabuka kwe-ACL nawo aphezulu. Ngakho-ke, kubaluleke kakhulu ukunakekela lokhu.

Ziyini izimpawu zokudabuka kwe-meniscus ephethe ibhakede?

Uma unalolu hlobo lokudabuka, ungase uqaphele eyodwa noma ngaphezulu yalezi zimpawu:

• Ukungakwazi ukwelula umlenze ngokugcwele: Lokhu kuyimpawu ethile, futhi kungazwakala sengathi idolo "livaliwe."
• Ubuhlungu bedolo: Ubuhlungu bungakhula, ikakhulukazi lapho ugoba noma uphendula idolo.
• Ukuzizwa ubambekile noma ubambekile: Ungase uzizwe sengathi kukhona okubambekile ngaphakathi edolweni lakho.
• Umsindo 'wokuchofoza' uzwakala lapho kwenzeka ukulimala.
• Ukuqina kwamadolo nokuvuvukala.

Kodwa nansi into, uma i-meniscus yakho idabukile, ungase ungazizwa ubuhlungu obukhulu ngokushesha. Ungase ucabange nokuthi ungaqhubeka nokuhamba nokudlala. Kodwa ngemva kwezinsuku ezimbili noma ezintathu, idolo lakho lizoqala ukuvuvukala, liqine, futhi liqale ukubuhlungu kakhulu.

Okubalulekile: Ukukhiya amadolo (ukungakwazi ukuqondisa umlenze) kuwuphawu olukhulu lokudabuka kwe-hamstring. Uma lokhu kwenzeka, funa usizo lwezokwelapha ngokushesha.

Yini ebangela ukuthi lesi siphatho sebhakede siqhekeke?

Lezi zikhathi zokudabuka zivame ukubangelwa ukugoba noma ukugoba kwedolo ngokuzumayo ngesikhathi semidlalo noma ukuzivocavoca. Le ngozi iphezulu kakhulu kwezemidlalo ezidinga ushintsho oluzumayo endleleni (ama-pivot) noma ukuma nokugijima ngokuzumayo.

Futhi, uma ushelela futhi uwe, noma uma unyathela endaweni engalingani, ungadabula i-meniscus. Abanye abantu bajika idolo labo ngengozi ngesikhathi semisebenzi evamile yansuku zonke, njengokuvuka embhedeni noma ukuvuka esihlalweni, bese kuba khona lokhu kulimala.

Odokotela bakuthola kanjani lokhu?

Okokuqala, udokotela wakho uzokwenza ukuhlolwa ngokomzimba. Chaza ngokucacile ukuthi uzizwa kanjani edolweni lakho nokuthi izimpawu zakho zaqala kanjani.

Udokotela angase enze izivivinyo ezikhethekile, njengeMcMurray Test noma iThessaly Test . Kulezi, udokotela ugoba ngokucophelela futhi aphendule umlenze wakho ngezindlela ezahlukene. Lezi zivivinyo zingakunikeza umbono wokuthi hlobo luni lwenkinga yamadolo onalo.

Hlobo luni lokuhlolwa oluqinisekisa lokhu ngqo?

Ngemva kokuhlolwa ngokomzimba, kuzodingeka wenze izivivinyo eziningana zezithombe . Lokhu kungathatha izithombe zengaphakathi ledolo bese kubheka i-meniscus nezinye izicubu.

• Ama-X-ray: Ama-X-ray abonisa amathambo nezakhiwo eziqinile kangcono. Ukudabuka kwe-meniscus ngeke kubonakale ngqo ku-X-ray. Kodwa-ke, i-osteoarthritisLokhu kusiza ukuqinisekisa ukuthi azikho ezinye izimo ezingase zibangele ubuhlungu edolweni.
• I-MRI (Magnetic Resonance Imaging) Scan: I-MRI scan ingayibona kahle i-meniscus nezinye izicubu ezithambile edolweni (njengemisipha). Ezimweni eziningi, ukudabuka kwe-meniscus kanye nokunye ukulimala kwamadolo kungahlolwa ngokunembile nge-MRI.

Ukwelapha kanjani ukudabuka kwe-meniscus ephethe ibhakede?

Uma une-meniscus edabukile esibambweni sebhakede, kunezindlela eziningana zokwelapha.

1. Ukuhlinzwa Kwe-Meniscus

Ukwelashwa okuvamile nokuphumelela kakhulu kokudabuka kwe-meniscus ukuhlinzwa. Lokhu kubizwa nangokuthi i-knee arthroscopy . Phakathi nale nqubo, udokotela ohlinzayo ufaka ikhamera encane kakhulu (i-arthroscope) edolweni lakho bese ebheka ngaphakathi. Izithombe ezivela kule khamera zikhuliswa esikrinini, ukuze udokotela akwazi ukubona nokulungisa i-meniscus ngaphandle kokwenza i-incision enkulu.

Ngenxa yokuthi ukudabuka kwesibambo sebhakede kuvame ukuba negazi eliningi, kungalungiswa ngokuhlinzwa. Ngesikhathi sokuhlinzwa, udokotela uzobeka kabusha ingxenye ye-meniscus "yesibambo sebhakede" bese eyithunga futhi ngokuthunga okuncane. Lokhu kuhlinzwa kungathatha noma yikuphi kusukela emavikini ayisithupha kuya ezinyangeni ezintathu ukuze kuphole.

2. Ukufakelwa Kwe-Meniscal

Ngezinye izikhathi, i-meniscus yonakele kakhulu kangangokuthi ukuhlinzwa kukodwa akukwazi ukuyilungisa. Uma kunjalo, udokotela wakho angakhuluma nawe ngokufakelwa i-meniscus . Lokhu kuhilela ukufaka esikhundleni se-meniscus eyonakele nge-meniscus enempilo evela kumuntu oshonile. Lokhu kungaba futhi inketho kubantu abasuswe i-meniscus yabo ngokuphelele ekuhlinzweni kwangaphambilini.

Ukufakelwa i-meniscus kunganciphisa ingozi ye-osteoarthritis kanye nobuhlungu bedolo esikhathini esizayo. Ungase ufanelekele lokhu kuhlinzwa uma:

• Ezinye izindlela zokwelapha akufanele zikwazi ukulungisa i-meniscus yakho.
• Ezinye izingxenye zedolo lakho (amathambo, imisipha) kumele zibe ziphilile, futhi akufanele kube khona isifo samathambo.
• Kumelwe ube ngaphansi kweminyaka engama-50 ubudala futhi ukhuthele.

3. Ukwelashwa nge-Plasma Ecebile Nge-Plasma (PRP)

I-PRP iwukwelashwa okusebenzisa igazi lakho ukusheshisa ukuphulukiswa kwenxeba. Udokotela wakho angase ancome ukwelashwa kwe-PRP ngemva kokuhlinzwa kwe-meniscus. Ama-platelet kanye ne-plasma, okuyizingxenye zegazi lakho, kusiza ukulungisa izicubu ezidabukile noma ezonakele. Lokhu kwelashwa kuhilela ukugxila kwalezi zingxenye nokuzijova endaweni elimele.

Nakhu okwenzekayo ngesikhathi sokwelashwa kwe-PRP:

• Inaliti izokhipha igazi engalweni yakho.
• Igazi lifakwa emshinini okhethekile ukuze kuhlukaniswe ama-platelet kanye ne-plasma kwezinye izingxenye zegazi.
• Lesi sixazululo se-PRP esilungisiwe sibe sesifakwa edolweni lakho ngenaliti.

4. Ukwelashwa Komzimba

Ngemva kokuhlinzwa, udokotela wakho uzokunikeza ukwelashwa ngokomzimba , okwaziwa nangokuthi i-physiotherapy. Lokhu kuhilela ukwenza izivivinyo ezithile ezifanelana nesimo sakho nezidingo zakho. Lezi zivivinyo zingasiza ekuthuthukiseni amandla nokuguquguquka kwedolo lakho. Udokotela wakho wezokwelapha ngokomzimba uzokufundisa ukuthi ungazisebenzisa kanjani lezi zivivinyo, kanti ezinye zazo ungazisebenzisa ekhaya. Ukulandela uhlelo lwakho lokwelapha ngokomzimba kahle kukunikeza ithuba elihle kakhulu lokululama ngempumelelo.

Ngingayinciphisa kanjani ingozi yokudabuka kwesibambo sebhakede?

Akukho siqinisekiso sokuthi awusoze wadabuka kanje. Kodwa uma umatasa futhi udlala ezemidlalo, ukulandela lezi zinyathelo kungasiza ekunciphiseni ingozi yokulimala edolweni:

• Uma uqala isimiso esisha sokuzivocavoca, ungakwenzi konke ngesikhathi esisodwa. Khulisa kancane kancane isikhathi namandla.
• Lalela umzimba wakho. Uma uzwa ubuhlungu, yeka umsebenzi bese ukhuluma nodokotela.
• Yenza izivivinyo eziqinisa imisipha yomzimba wakho ongezansi (imilenze, izinqe) njalo. Imisipha eqinile inikeza ukwesekwa okuhle kanye nokuqina kwamadolo.
• Uma unomuzwa wokuthi idolo lakho alizinzile noma libuthakathaka, gqoka i-brace yamadolo.
• Gqoka izicathulo ezifanele kanye nezingubo zokuzivikela uma udlala imidlalo.

Ungathemba kanjani ukuthi i-meniscus edabukile ngenkathi uphatha ibhakede?

Ngemva kokulungiswa kwe-meniscus ngempumelelo, umbono uba muhle kakhulu. Abantu abaningi abaye bahlinzwa i-meniscus ngempumelelo babuyela emisebenzini yabo evamile kanye nezemidlalo ngemva kokululama. Lapho i-meniscus ilungiswa noma ishintshwa, ingozi yokuthola i-osteoarthritis edolweni esikhathini esizayo nayo iyancipha.

Ingabe leli bhakede lizophatha izinyembezi ngokwalo?

Ezinye izinyembezi ezincane ze-meniscus zingaphola zodwa ngokuphumula nokunakekelwa ngokucophelela ekhaya. Kodwa-ke, izinyembezi eziningi ezifakwe esibambweni azipholi zodwa. Lokhu kungenxa yokuthi ingxenye edabukile inamathele phakathi kwedolo. Ingxenye ayikwazi ukubuyela endaweni yayo yodwa noma iphole yodwa. Ngakho-ke, udokotela ohlinzayo kumele ayibuyisele endaweni yayo futhi ayilungise.

Kufanele ngimbone nini udokotela?

Uma unezimpawu zokudabuka kwe-meniscus, noma uma uzwa umsindo wokuqhuma edolweni lakho, qiniseka ukuthi ubona udokotela. Ngisho nokudabuka kwe-meniscus kungase kungabi buhlungu kakhulu, kodwa uma kungelashwa kahle, kungaholela ku-osteoarthritis nezinye izinkinga zamadolo kamuva ekuphileni.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Ngemva kwanoma yikuphi ukuhlinzwa, kufanele uqaphele izinkinga ezingavamile ezingase zenzeke. Uma usanda kuhlinzwa idolo, funa usizo oluphuthumayo ngokushesha uma unezinye zalezi zimpawu:

• Ubuhlungu besifuba.
• Ukukhwehlela igazi.
• Imfiva.
• Uma uzwa ukushisa uma uthinta idolo lakho.
• Ukuphuma kwegazi ngokweqile (igazi, ubomvu, uketshezi) okuvela ekusikeni.
• Uma ubuhlungu noma ukuvuvukala kukhula ngisho nangemva kokuphumula, ngisho noma umlenze uphakanyisiwe.
• Ubomvu noma imicu ebomvu endaweni yamadolo.
• Ubunzima bokuphefumula.

Ukudabuka kwe-meniscus esibambweni sebhakede kungakuvimbela ukuthi ungasebenzi amasonto noma izinyanga. Kodwa-ke, lokhu kulimala akukuvimbeli ukuthi ujabulele ukuzivocavoca nezemidlalo futhi. Ngemva kokwelashwa okuphumelelayo, abantu abaningi babuyela ekuphileni kwabo okuvamile. Khuluma nodokotela wakho mayelana nenketho engcono kakhulu yokulungisa i-meniscus evumelana nezidingo zakho nendlela yakho yokuphila.

Izinto okudingeka uzazi (Umyalezo Wokuya Nawe Ekhaya)

Ukudabuka kwe-meniscus "esibambo sebhakede" edolweni akufanele ukwesabe, kodwa futhi akuyona into okufanele uyishaye indiva.

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* Uma uzwa izimpawu ezifana nokukhiya kwamadolo, ubuhlungu obungazelelwe, noma ukuvuvukala ngomsindo othi 'pop', funa iseluleko sezokwelapha ngokushesha.

* Ukuhlinzwa ngokuvamile kuyindlela engcono kakhulu yokwelapha, futhi imiphumela iyaphumelela.

* Ukwelashwa ngokomzimba okufanele ngemva kokuhlinzwa kubalulekile ukuze umuntu alulame ngokushesha.

* Ngemva kokwelashwa okufanele kanye nokuvuselelwa, ungabuyela empilweni esebenzayo.

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Khumbula, ukunakekela amadolo akho kuzokuvikela ezinkingeni ezinkulu esikhathini esizayo.

Ubuhlungu Bedolo , Ukudabuka Kwe-Meniscus, Ukudabuka Kwe-Meniscus Yesibambo Sebhakede, Ukulimala Kwedolo, Ukuhlinzwa Kwe-Meniscus, Ukukhiya Kwedolo, I-Arthroscopy, Ukulimala Kwezemidlalo, Ukukhiya Kwedolo, Ukudabuka Kwe-Meniscus Yesibambo Sebhakede, Ukulimala Kwedolo, Ukuhlinzwa Kwe-Meniscus Yesibambo Sebhakede