Mhlawumbe ungumsubathi. Wake waba nobuhlungu obungazelelwe, obukhulu edolweni ngenkathi ugijima noma ugxuma? Noma wake waba nomsindo obuhlungu, osheshayo, oqhumayo ngenkathi wenza into evamile? Manje idolo lakho livuvukele, alikwazi ukugoba noma ukuqondisa, futhi lizwakala sengathi linamathele ngaphakathi? Imbangela enkulu yalezi zinto ukulimala kwe-cartilage engaphakathi edolweni lakho ebizwa ngokuthi i-meniscus. Ngakho-ke namuhla, ake sixoxe ngalokhu kanye nokuhlinzwa okwenziwa ngenxa yalo.
Kalula nje, kuyini ukuhlinzwa kwe-meniscus?
Kulungile, ake siqale sibheke ukuthi iyini i-meniscus. Cabanga ngethambo lethu ledolo. Phakathi kwethambo lethanga (i-Femur) phezulu kanye nethambo lesifuba (i-Tibia) phansi, kunezingcezu ezimbili ze-cartilage ezifana nomcamelo, ngesimo sohlamvu 'C'. Yilokho esikubiza ngokuthi i-meniscus. Njenge-'shock absorber' emotweni, le nto imunca ingcindezi efika ejoyintini lapho sihamba, sigijima, futhi sigxuma, igcina ijoyinti lizinzile futhi isize amathambo amabili ukuthi ahambe kahle ngaphandle kokushayisana.
Ngakho-ke, uma le meniscus idabukile, ubuhlungu obukhulu edolweni, ukuvuvukala, ukukhiya idolo, kanye nokungazinzi noma ukuyeka kungavela. Uma isimo singathuthuki ngemithi, ukuphumula, kanye nokwelashwa ngokomzimba, udokotela wakho wamathambo angase ancome lokhu kuhlinzwa. Kalula nje, lokhu kuhlinzwa kusetshenziselwa ukulungisa ingxenye edabukile ye-meniscus noma ukususa ingxenye eyonakele.
Kufanele ngilungiselele kanjani ngaphambi kokuhlinzwa?
Kunokulungiselela okuncane ngaphambi kokuhlinzwa. Udokotela wakho uzokuchazela lezi zinto.
Ukuhlolwa okuvame ukudingeka:
Ungase ucelwe ukuthi wenze okukodwa noma ngaphezulu kwalokhu kuhlolwa ukuze uhlole impilo yomzimba wakho jikelele.
| Ukuhlolwa | Kalula nje... |
|---|---|
| Ukuhlolwa komzimba | Udokotela uzohlola idolo lakho kanye nempilo yakho iyonke. |
| Ukuhlolwa kwegazi | Thola izinto ezifana nesimo segazi nokuthi ngabe kukhona yini ukutheleleka. |
| I-EKG (i-Electrocardiogram) | Hlola ukuthi inhliziyo isebenza kahle yini. |
| I-X-ray yesifuba | Hlola isimo samaphaphu nenhliziyo. |
| Ukuhlolwa kwe-X-ray kanye ne-MRI yamadolo | I-X-ray ingabonisa ngokucacile isimo samathambo, kanti i-MRI ingabonisa ngokucacile ukudabuka kwe-meniscus. |
Ezinye izinto ezimbalwa ezibalulekile:
- Tshela udokotela wakho nganoma yimiphi imithi oyithathayo: Qiniseka ukuthi utshela udokotela wakho ngayo yonke imithi, amavithamini, kanye nezithasiselo zamakhambi ozithathayo. Ungase ucelwe ukuthi uyeke ukuthatha imithi ethile (ikakhulukazi imithi yokunciphisa igazi) izinsuku ezimbalwa ngaphambi kokuhlinzwa.
- Ukuzila Ukudla: Udokotela wakho uzokutshela ukuthi kufanele uyeke ukudla nokuphuza isikhathi esingakanani ngosuku olwandulela ukuhlinzwa kwakho. Ngokuvamile, kuzodingeka uzile ukudla cishe amahora ayi-12.
- Ezokuthutha: Njengoba ungeke ukwazi ukushayela ngemva kokuhlinzwa, kubalulekile ukuhlela ukuba othile akushayele ekhaya.
Kwenzekani ngesikhathi sokuhlinzwa?
Ngosuku lokuhlinzwa kwakho, udokotela wezinzwa uzokunikeza i-anesthesia ukuze ungezwa ubuhlungu. Ungase unikezwe i-anesthesia ejwayelekile, ekwenza ulale ngokuphelele. Noma ungase unikezwe i-anesthesia yesifunda, eqeda kuphela indawo engaphansi kwesinqe. Uzonikezwa umuthi wokudambisa ukuze uphumule.
Lokhu kuhlinzwa kuvame ukwenziwa kusetshenziswa indlela ethi 'keyhole'. Lokhu kusho ukuthi kwenziwa imicu eminingana emincane esikhumbeni esizungeze idolo, lapho kufakwa khona ikhamera encane (i-arthroscope) kanye nezinsimbi ezithambile. Lokhu sikubiza ngokuthi ukuhlinzwa kwe -knee arthroscopy . Le ndlela ayibandakanyi imicu emikhulu futhi inciphisa isikhathi sokuphulukiswa.
Kunezinhlobo ezintathu eziyinhloko zokuhlinzwa kwe-meniscus.
| Uhlobo lokuhlinzwa | Wenzani? | Ubani ofaneleka kakhulu? |
|---|---|---|
| Ukulungiswa kwe-Meniscus | I-meniscus edabukile ithungwa ndawonye kusetshenziswa imicu ekhethekile (i-sutures). Ngokuhamba kwesikhathi, le micu iyancibilika emzimbeni. | Le ndlela iyasebenza uma ukudabuka kusendaweni enegazi eliningi futhi ukudabuka kungekubi kakhulu. |
| Ukususwa kwengxenye eyonakele (i-Partial meniscectomy) | Ingxenye eyonakele, edabukile, negobile ye-meniscus iyasikwa bese isuswa, bese ingxenye esele ephilile ilungiswa kahle. | Le ndlela isetshenziswa ezimweni lapho indwangu idabukile kakhulu futhi yonakele kakhulu kangangokuthi ayilungiseki. |
| Ukufakwa esikhundleni kwe-meniscus | Lena inqubo engavamile kakhulu. Ihilela ukususa i-meniscus eyonakele ngokuphelele bese ifakwa i-meniscus evela kumuntu oshonile (allograft). | Lokhu kuvame ukucatshangelwa kubantu abangaphansi kweminyaka engu-50, abane-arthritis edolweni, noma abanomonakalo omkhulu ku-meniscus. |
Kuthatha isikhathi esingakanani ukuhlinzwa? Kwenzekani ngemva kwalokho?
Ukuhlinzwa kwe-meniscus kuvame ukuthatha cishe ihora , kodwa isikhathi singahluka kuye ngohlobo lokuhlinzwa olwenzile, ubukhulu bokudabuka, kanye nokuthi unezinye izinkinga edolweni (njengokudabuka kwemisipha).
Lokhu kuvame ukuba inqubo yokulaliswa esibhedlela. Ngemva kokuhlinzwa, uzogcinwa egumbini lokululama uze ululame ngokuphelele ekubulaweni yizinzwa, futhi uzovunyelwa ukuya ekhaya uma usuphilile ngokwanele ukubuyela empilweni yakho evamile.
Ziyini izinzuzo zalokhu kuhlinzwa?
- Ukukwazi ukubuyela emidlalweni yakho noma kweminye imisebenzi yomzimba.
- Ukuthuthukisa ukuhamba kwakho.
- Amadolo ayaqina.
- Ubuhlungu bedolo nezinye izimpawu zinciphile noma ziphelile ngokuphelele.
Ingabe zikhona izingozi nezinkinga zokuhlinzwa?
Nakuba le inqubo iphephile kakhulu futhi iphumelela, njenganoma yikuphi ukuhlinzwa, kunezingozi ezithile ezihilelekile. Kodwa-ke, lezi azivamile.
- Amahlule egazi
- Ukopha ngaphakathi edolweni lakho
- Izifo
- Ukulimala kwemizwa noma i-neuropathy
- Ukuqina kwedolo ngisho nangemva kokululama
Ikakhulukazi ngemva kokuhlinzwa kwe-meniscectomy okungaphelele, kungase kube nengozi eyengeziwe kancane yokuba nesifo samathambo edolweni kulelo dolo esikhathini esizayo, njengoba ingcindezi emalungeni ikhula ngoba ingxenye ye-meniscus ayikho.
Kodwa kubantu abaningi, izinzuzo zokuhlinzwa zidlula kakhulu ubuhlungu bokuphila ne-meniscus edabukile. Xoxa ngalezi zingozi nodokotela wakho. Uzochaza inkambo engcono kakhulu yesenzo sakho.
Injani isikhathi sokululama?
Lena yinkinga enkulu kubantu abaningi. Isikhathi esithathwayo ukuze ululame ngokugcwele siyahlukahluka kuye ngohlobo lokuhlinzwa okwenzile.
- Uma ingxenye eyonakele isusiwe (i-Meniscectomy): Lokhu kunesikhathi esifushane sokululama. Ngokuvamile, ungalulama ngokuphelele emavikini angaba yi-6 .
- Uma i-meniscus ithungwe (ukulungiswa kwe-Meniscus): Lokhu kuthatha isikhathi eside. Ngoba ngaphezu kokuphulukiswa kwesilonda sokuhlinzwa, i-meniscus ethungwe ngaphakathi nayo idinga ukuphola. Lokhu kungathatha cishe izinyanga ezintathu .
- Uma uke wafakelwa i-meniscus (ukufakwa esikhundleni se-Meniscus): Lesi isikhathi eside kakhulu sokululama. Kuthatha izinyanga eziningana ukuze ululame ngokuphelele. Kungase kudingeke ulinde cishe unyaka ngaphambi kokuthi uqalise imisebenzi yomzimba enzima (njengezemidlalo).
Ngemva kokuhlinzwa, uzodinga okulandelayo:
- Izinduku Zokubambelela: Nciphisa isisindo emadolweni.
- I-Backing yamadolo: Gcina i-joint izinzile.
- Imithi yobuhlungu: Lawula ubuhlungu.
- Landela indlela ye-RICE: Ukuphumula, Iqhwa, Ukucindezela, kanye Nokuphakama.
- Ukwelashwa Komzimba (PT):Lokhu kubaluleke kakhulu. Udokotela wakho wezokwelapha uzokufundisa ukuzivocavoca ukuze akusize uphinde ushukumise, ukunyakaza okuhlukahlukene, kanye namandla edolweni lakho.
Ngizokwazi nini ukuhamba futhi? Ubuhlungu bunjani?
Uma uke wasuswa i-meniscus (i-meniscectomy), uzokwazi ukuhamba unesisindo edolweni lakho ngokushesha. Uzokwazi ukubuyela emisebenzini evamile cishe ngenyanga.
Uma i-meniscus ithungwe noma ixhunywe, kuzodingeka usebenzise izinduku zokusikeka amasonto ambalwa. Kulapho-ke kuphela lapho ungaqala khona kancane kancane ukuhamba ngokuthwala izinsimbi.
Kuvamile ukuzwa ubuhlungu izinsuku ezimbalwa ngemva kokuhlinzwa. Ungakhathazeki. Udokotela wakho uzokunikeza imithi yobuhlungu. Ungase unikezwe nemithi efana ne-NSAID. Kubalulekile ukuthatha imithi njengoba nje udokotela wakho ekutshelile.
Ingabe idolo lami lizophinde lifane ngemva kokuhlinzwa?
Iningi labantu lingabuyela emisebenzini yalo evamile (kufaka phakathi nemidlalo) ngemva kokululama. Kodwa-ke, ungaqali ukuzivocavoca okunzima kuze kube yilapho udokotela wakho ekunika imvume.
Ngezinye izikhathi, noma umzimba wakho ululama, ungase ube nokwesaba okuncane. "Ingabe kukhona okuzokwenzeka edolweni lakho futhi?" Ikakhulukazi uma bekuyingozi yezemidlalo, lokho kwesaba kukhulu nakakhulu. Lokhu kujwayelekile kakhulu. Khuluma nodokotela wakho noma uchwepheshe wezokwelapha ngokomzimba ngalokho okusengqondweni yakho. Bangakusiza ukuthi wakhe lokho kuzethemba futhi.
Kufanele ukhulume nini nodokotela?
Uma uzwa noma yikuphi ukungakhululeki ngesikhathi sokululama kwakho, kufanele ufune iseluleko sezokwelapha ngokushesha. Qaphela kakhulu lezi zimpawu ezilandelayo.
| Isibonakaliso Sesexwayiso | Incazelo |
|---|---|
| Imfiva | Uma izinga lokushisa lomzimba liphakeme kune-101 Fahrenheit (38 Celsius). |
| Ukumuncwa kwamanzi esilondeni | Uma isilonda siphuma igazi ngokweqile, noma uma kukhona uketshezi olunuka kabi njengobomvu. |
| Ubuhlungu noma ukuvuvukala okungapheli | Uma ubuhlungu noma ukuvuvukala kunganciphi naphezu kokuphumula nokuphakamisa umlenze. |
| Ubunzima bokuphefumula | Uma ubhekene nobunzima bokuphefumula, shesha uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze. |
Ukuhlinzwa kwe-meniscus kungaba yinto eyesabekayo. Kodwa-ke, kuyindlela ephephile nephumelelayo yokulungisa umonakalo edolweni lakho, ukukumisa, nokubuyela emisebenzini yakho evamile. Kungase kudingeke uhlale kude nemidlalo nokuzivocavoca isikhashana. Kodwa uma ululama kahle, ungabuyela ekwenzeni lezo zinto ngamandla.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Meniscus kuyindlela yokwelapha ephumelela kakhulu yobuhlungu, ukuqina kwedolo, kanye nokungazinzi okubangelwa yi-meniscus edabukile.
- Isikhathi sokululama sizohluka kuye ngohlobo lokuhlinzwa olwenzile (ukulungiswa noma ukususwa kancane).
- Ukwelashwa ngokomzimba kubalulekile ukuze kutholakale futhi kuqiniswe idolo ngokugcwele.
- Landela imiyalelo kadokotela wakho ngokucophelela ngemva kokuhlinzwa. Uma uthola noma yiziphi izimpawu eziyingozi njengomkhuhlane, ubuhlungu obukhulu, noma ukuvuvukala, yazisa udokotela wakho ngokushesha.
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