Ingabe ubulokhu uhlushwa ubuhlungu edolweni isikhathi eside? Mhlawumbe ukhathele ubuhlungu obungazelelwe obuvela lapho udlala imidlalo noma ukhuphuka izitebhisi? Esinye isizathu salokhu kungaba ukulimala kwengxenye yedolo lakho ebizwa ngokuthi 'i-meniscus'. Abantu abaningi abakuqapheli lokhu. Ngakho-ke namuhla sikhuluma ngokwelashwa kwesimanje kwalokhu, okungukuhlinzwa kwe-Meniscal Transplantation, okuthatha indawo ye-meniscus eyonakele ngentsha.
Okokuqala, ake sibone, iyini le meniscus?
Cabanga ngedolo lakho njengento eqeda ukushaqeka emotweni. I-meniscus yileyo emunca yonke ingcindezi kanye nokushaqeka okufika edolweni lapho sihamba, sigijima, futhi sigxuma, futhi ivimbele amathambo amabili ukuthi angagudlani ndawonye.
Kalula nje, lokhu kuyisicucu se-cartilage esimise okwerabha, esinomumo ka-C ngaphakathi kwejoyinti lakho ledolo. Kunezimbili zalezi edolweni ngalinye. Elinye ngaphakathi nelinye ngaphandle. Ngaphandle kwalezi, amathambo edolo (i-femur ne-tibia) aqala ukugudlana. Yilapho ubuhlungu buba bungenakubekezeleleka futhi ngokuhamba kwesikhathi ijoyinti liqala ukuwohloka.
Ngakho-ke kuyini lokhu kufakelwa kwe-meniscal?
Lena inqubo elula kakhulu. I-meniscus yakho eyonakele, edabukile, noma ekhishwe ngokuhlinzwa ngaphambili ithathelwa indawo yi-meniscus enempilo. Odokotela bakubiza lokhu ngokuthi ukufakelwa kwe-meniscal allograft (MAT).
I-allograft iyisicubu esithathwe komunye umuntu. Lokhu kuhlinzwa kusebenzisa i-meniscus enempilo evela kumnikeli oshonile. Lesi sicubu esinikelayo sihlolwa izifo ezahlukahlukene, kuqinisekiswe ukuthi siphephile, futhi usayizi ofanele idolo lakho uyakhethwa futhi usetshenziswe ekuhlinzeni.
Umgomo oyinhloko walokhu kuhlinzwa ukunciphisa ubuhlungu bamadolo, ukubuyisela ukusebenza kwamadolo, nokuvimbela ukuthuthukiswa kwe-osteoarthritis, ukuguguleka nokuqhekeka kwamalunga esemncane.
Ubani lo kuhlinzwa ofaneleka kakhulu?
Lokhu akuyona indlela yokuhlinzwa wonke umuntu angayenza. Udokotela wakho uzocabangela izici eziningana ukuze anqume ukuthi uyakufanelekela yini le nqubo.
| Ukucabangela | Incazelo |
|---|---|
| Ubudala kanye nomsebenzi | Lokhu kuvame ukuphumelela kakhulu kubantu abangaphansi kweminyaka engama-40-50 , abaphila impilo esebenzayo, ikakhulukazi labo abadlala imidlalo. Ukugcina isisindo esinempilo nakho kubaluleke kakhulu. |
| Isimo sedolo | Iningi le-meniscus kumele ukuthi alikho noma lidabukile kakhulu, kodwa kubalulekile ukuthi ezinye izingxenye zedolo (ithambo, i-cartilage, i-ligaments) ziphile kahle. |
| Isifo samathambo | Uma usuvele unesifo samathambo esibi kakhulu edolweni, okusho ukuthi ingxenye enkulu ye-cartilage esijoyintini isigugile, lokhu kuhlinzwa kungase kungaphumeleli. Ngakho-ke, lokhu ukwelashwa okwenziwa ngaphambi kokuba isifo samathambo siqale. |
Kwenziwa kanjani ukuhlinzwa?
Lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa indlela ebizwa ngokuthi i-knee arthroscopy . Lokhu kuhilela ukwenza ukuhlinzwa ngokusika okuncane kakhulu okubili noma kathathu edolweni lakho, kunokwenza ukusika okukhulu.
1. Ikhamera encane ifakwa edolweni ngembobo eyodwa bese okuqukethwe kubukwa esikrinini esikhulu.
2. Izinto zokuhlinza ezincane kakhulu zifakwa ngezinye izimbobo bese izingxenye ezonakele ze-meniscus zisuswa.
3. Ngemuva kwalokho, i-meniscus enempilo ekhethiwe ngaphambilini ifakwa esikhaleni bese iboshelwa edolweni nge-sutures ekhethekile noma izikulufo ezincane.
Le ndlela iholela esikhathini esifushane sokuphulukiswa, ubuhlungu obuncane, futhi ayishiyi isilonda esikhulu.
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Inqubo yokuphulukiswa ngemva kokuhlinzwa idinga isineke esincane.
- Ngemva nje: Kuzodingeka usebenzise izinduku zokusibekela cishe amasonto angu-4-6. Uzophinde unikezwe i-brace ekhethekile ukuvimbela idolo lakho ukuthi lingagobi kakhulu.
- Ukwelashwa Ngomzimba (PT): Lena yingxenye ebaluleke kakhulu. Udinga ukwenza izivivinyo njengoba nje udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba bekunikeza. Lokhu kuzosiza ukuqinisa imisipha ezungeze idolo futhi kuvumele idolo linyakaze kangcono.
- Ukubuyela emisebenzini: Nakuba ungabuyela emisebenzini evamile ngenyanga eyodwa noma ezimbili, imisebenzi ebeka ingcindezi enkulu edolweni, njengezemidlalo, ingathatha izinyanga eziyi-6 kuya kweziyi-12.Udinga ukuphumula isikhashana. Ukuzinika lesi sikhathi kubalulekile ukuze i-meniscus esanda kufakelwa iphole kahle.
Yiziphi izinzuzo nezingozi zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezinzuzo kanye nezingozi ezincane kakhulu.
| Izinzuzo | Izingozi |
|---|---|
| Ubuhlungu bedolo sebuphelile futhi usungaphinde usebenze. | Njenganoma yikuphi ukuhlinzwa, kunengozi yokopha nokutheleleka. |
| Ukuvimbela noma ukubambezela ukuqala kwesifo samathambo esemncane. | Ukulimala kwemizwa noma imithambo yegazi edolweni (akuvamile kakhulu). |
| Ukululama okusheshayo kunokuhlinzwa okuvulekile. | Ukuqina kwamadolo. |
| Ukubuyisela umsebenzi wemvelo wedolo. | I-meniscus etshaliwe ingase ingaphili kahle noma ingase idabuke futhi (lokhu kungadinga ukuhlinzwa okunye). |
Kufanele ngimbone nini udokotela ngemva kokuhlinzwa?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemva kokuhlinzwa, yazisa udokotela wakho ngokushesha.
- Ukopha okuqhubekayo noma uketshezi olufana nobovu oluphuma emanxebeni.
- Ukuba nomkhuhlane omkhulu .
- Ukuvuvukala okukhulu kwedolo.
- Ubuhlungu obukhulu obungenakulawuleka ngisho nangemithi yobuhlungu.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba ukuhlinzwa kokufakelwa i-meniscus kuyisisombululo esihle sobuhlungu bedolo, akulungele wonke umuntu.Udokotela wakho uzonquma ukuthi uyakufanelekela yini lokhu.
- Ukwelashwa nge-physiotherapy kubalulekile ukuze ukuhlinzwa kuphumelele.
- Kuthatha phakathi kwezinyanga eziyi-6 neziyi-12 ukululama ngokuphelele nokubuyela emisebenzini efana nezemidlalo, ngakho-ke kubalulekile ukuba nesineke.
- Khuluma ngokukhululekile nodokotela wakho wamathambo ngembangela yobuhlungu bedolo lakho nokuthi yiziphi izindlela zokwelapha ezingcono kakhulu kuwe.
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