Wake waba nobuhlungu obungazelelwe, obubukhali edolweni lakho ngenkathi udlala, ugijima, noma ugxuma? Noma ingabe idolo lakho livuvukele futhi kunzima ukugoba noma ukuqondisa? Isizathu esiyinhloko salokhu kungaba ukulimala kwengxenye ebalulekile yedolo lakho ebizwa ngokuthi i-meniscus. Abantu abaningi bahlushwa yilobu buhlungu isikhathi eside. Kodwa namuhla sizokhuluma ngesisombululo esiphumelelayo salokhu, okuwukuhlinzwa ukuze kufakwe i-meniscus entsha esikhundleni sayo.
Kuyini ukufakelwa kwe-Meniscal?
Kalula nje, ukufakelwa i-meniscus kuwukuhlinzwa okususa i-meniscus eyonakele, edabukile edolweni lakho bese kufakwa i-meniscus enempilo esikhundleni sayo.
Manje ungase uzibuze, "Kuyini lokhu kuhlangana kwe-meniscus?" Cabanga nje, ngaphakathi kwedolo lakho, lapho i-femur ne-tibia kuhlangana khona, kunezingcezu ezimbili ze-cartilage enerabha ngesimo sohlamvu "C" ezivimbela lawo mathambo amabili ukuthi angagudlani. Yilokho esikubiza ngokuthi i-meniscus. Lezi zifana 'nezimbozi zokushaqeka' zemoto. Umsebenzi wazo oyinhloko ukumunca ingcindezi edolweni nokuvikela ilunga lapho sihamba, sigijima, futhi sigxuma.
Kulokhu kuhlinzwa, i-meniscus enempilo itshalwa kusuka kumuntu oshonile onikelayo (isidumbu) . Lokhu kubizwa ngokuthi i-Meniscal Allograft Transplantation (MAT) kwisayensi yezokwelapha. Lokhu kunganciphisa ubuhlungu bedolo futhi kubuyisele ukusebenza kwedolo. Futhi, lokhu kuhlinzwa kusiza ukuvimbela ukuguguleka kwedolo, okungukuthi i-osteoarthritis, esemncane.
Ubani ongenza lokhu kuhlinzwa?
Lokhu kuhlinzwa akulona olwawo wonke umuntu. Udokotela wakho uzocabangela izici eziningana ukuze anqume ukuthi uyakufanelekela yini le nqubo.
| Ukucabangela | Incazelo |
|---|---|
| Ubudala kanye nomsebenzi | Lokhu kuhlinzwa kuvame ukwenziwa kubantu abangaphansi kweminyaka engama-40-50 abaphila impilo esebenzayo. Ikakhulukazi abadlali. Nakuba kungenziwa ezinganeni ezincane, odokotela batusa ukulinda kuze kube yilapho amathambo abo esekhule ngokugcwele. Abantu abalawula isisindo sabo futhi abaphilile banamathuba amaningi okuhlinzwa. |
| Isimo sedolo | Uma ingxenye enkulu ye-meniscus yakho isusiwe noma uma yonakele kakhulu , ungase ufanelekele lokhu. Kodwa into ebaluleke kakhulu ukuthi akukho monakalo omkhulu kwezinye izingxenye zedolo, okungukuthi, ezinye izinhlayiya kanye nemisipha. Idolo kumele lizinze. |
| Isimo se-arthritis | Uma usuvele une-arthritis edolweni lakho (i-knee osteoarthritis), lokhu kuhlinzwa kungase kungabi kuhle kuwe. Lokhu kungenxa yokuthi uma i-cartilage edolweni lakho igugile kakhulu, ukuhlinzwa ngeke kuphumelele ngisho noma kufakwa i-meniscus entsha. |
Ukulimala edolweni kuvame kakhulu, ikakhulukazi phakathi kwabadlali abasebasha. Ukujika okungazelelwe edolweni kungalimaza i-meniscus. Uma umonakalo umkhulu, ingxenye edabukile kungadingeka isuswe (i-meniscectomy). Ukuphila ngaphandle kwe-meniscus kwandisa ingozi yokuguguleka nokudabuka kwedolo esikhathini esizayo kanye nobuhlungu obungapheli.
Lokhu kuhlinzwa akugcini nje ngokunciphisa ubuhlungu bedolo futhi kuthuthukisa ukusebenza kwedolo, kodwa futhi kusiza ekuvimbeleni ukuthuthukiswa kwe-osteoarthritis esemncane.
Kwenzekani ngaphambi kokuhlinzwa?
Njengoba lokhu kuhlinzwa kusebenzisa i-meniscus evela kumuntu oshonile, ihlolwa ngokucophelela ngaphambi kokuhlinzwa.
- Ukuhlolwa kwesifo: I-meniscus yomnikeli iyahlolwa ukuthi ayinaso yini isifo.
- Usayizi nesimo: Kukhethwa i-meniscus enobukhulu nesimo esiqondile sedolo lakho. Bese igcinwa efrijini elikhethekile.
Njengoba ulungiselela ukuhlinzwa, udokotela wakho uzokutshela lezi zinto:
- Tshela udokotela wakho nganoma yimiphi imithi oyithathayo, ikakhulukazi imithi yokunciphisa igazi, njengoba ingase icelwe ukuba iyekwe ezinsukwini ezimbalwa ngaphambi kokuhlinzwa.
- Bazokucela ukuthi ubheke kahle ingaphakathi ledolo lakho bese wenza i-MRI noma i-X-ray .
- Uzokwaziswa ukuthi uyeke ukudla nokuphuza ngemva kwesikhathi esithile ngobusuku obandulela ukuhlinzwa.
Lokhu kuhlinzwa kwenziwa egumbini lokuhlinza esibhedlela. Ngaphambi kokuba ukuhlinzwa kuqale, uzofakwa ngaphansi kwe-anesthesia ejwayelekile. Ngakho ngeke uzwe ubuhlungu ngesikhathi sokuhlinzwa.
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa i-dolo arthroscopy.Lokhu ukuhlinzwa 'okwenziwa ngembobo yokhiye'. Lokho kusho ukuthi akukho ukusikwa okukhulu okwenziwe.
1. Udokotela ufaka ikhamera encane ngembobo encane kakhulu edolweni. Le khamera ivumela ingaphakathi ledolo ukuthi libonakale kahle esikrinini egumbini lokuhlinza.
2. Uma ubheka lezo zithombe, amathuluzi okuhlinza amancane afakwa ngesinye isilonda esincane.
3. Kusetshenziswa la mathuluzi, izingcezu ezisele ze-meniscus eyonakele ziyasuswa edolweni bese kufakelwa i-meniscus entsha, enempilo endaweni yayo.
4. Kusetshenziswa ama-suture noma izikulufo ezikhethekile ukunamathisela le meniscus entsha esikhumbeni sedolo nakwezinye izingxenye zedolo.
5. Ekugcineni, izimbobo ziyahlanzwa bese idolo limbozwa ngebhandeji.
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Ungase ukwazi ukuya ekhaya ngosuku olufanayo ngemva kokuhlinzwa, noma kungase kudingeke uhlale esibhedlela usuku olulodwa noma ngaphezulu. Lezi yizinto okudingeka uzinakekele ngesikhathi ululama.
- Ukusebenzisa izinduku zokusikeka: Kuzodingeka usebenzise izinduku zokusikeka cishe amasonto amane kuya kwayisithupha .
- I-Backing Yamadolo: Kufanele ugqoke i-support ekhethekile ukuze ugcine idolo lakho liqinile futhi livimbele ukuthi linganyakazi.
- Ukwelashwa Kokuphumula Nomzimba (PT): Ukwelashwa ngokomzimba kuyingxenye ebalulekile yenqubo yokuphulukiswa. Udokotela wakho uzoncoma uhlelo lwe-PT olukufanele ngesikhathi esifanele. Lokhu kuzivocavoca kuqinisa imisipha ezungeze idolo lakho futhi kwandisa kancane kancane ububanzi bokunyakaza kwakho.
Into ebaluleke kakhulu ukunikeza i-meniscus esanda kufakelwa isikhathi sokululama kahle. Ngakho-ke, kuzodingeka uhlale kude nemidlalo enzima kanye nomsebenzi onzima izinyanga eziyisithupha kuya onyakeni .
Izinto okufanele uziqaphele ngemva kokuhlinzwa
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Izinkinga azivamile. Kodwa-ke, kufanele uqaphele lezi zimpawu ezilandelayo. Uma ubona noma yikuphi kwalokhu, xhumana nodokotela wakho ngokushesha.
| Isici okufanele usiqaphele | Incazelo |
|---|---|
| Ukopha | Uma amanxeba eqhubeka nokopha. |
| Ubuhlungu obukhulu | Uma unezinhlungu ezinzima ezingenakulawuleka ngisho nangemva kokuthatha imithi yobuhlungu. |
| Izimpawu zokutheleleka | Izimpawu ezinjengomkhuhlane , ukuvuvukala okukhulu kwedolo, kanye nobomvu obuphuma emanxebeni. |
Akuvamile ukuthi kube nomonakalo ezinzwa noma emithanjeni yegazi edolweni, ukuqina kwedolo, noma izinkinga zokuphulukiswa. Ngezinye izikhathi kungase kudingeke ukuhlinzwa kwesibili. Ngakho-ke, kubaluleke kakhulu ukulandela imiyalelo kadokotela ngqo.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kokufakelwa i-meniscus kuyindlela enhle yokwelapha esiza intsha ekhuthele enomonakalo omkhulu we-meniscus edolweni ukuthi ibuyele empilweni evamile ngaphandle kobuhlungu.
- Lokhu kuhlinzwa kunganciphisa ingozi ye-osteoarthritis yamadolo esikhathini esizayo.
- Lokhu akulona ukuhlinzwa kwawo wonke umuntu. Uma une-arthritis, lokhu kungase kungabi yindlela enhle kuwe. Udokotela wakho uzonquma ukuthi lokhu kulungile yini kuwe.
- Ukuze ukuhlinzwa kuphumelele, ukwelashwa ngokomzimba kumele kwenziwe kahle futhi kunikezwe isikhathi esidingekayo sokuphulukiswa.
- Uma uhlangabezana nanoma yiziphi izimpawu ezingavamile (ubuhlungu obukhulu, ukuvuvukala, umkhuhlane) ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
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