Uzwa ubuhlungu obungavamile noma ukuqina lapho ukhuphuka izitebhisi, uvuka ngemva kokuhlala isikhashana, noma ugoba futhi uqondisa idolo lakho? Ingabe ngezinye izikhathi uzwa umsindo othi 'click' noma 'click' uvela ngaphakathi kwedolo lakho? Abantu abaningi abanaki kakhulu lokhu, becabanga ukuthi kumane kuyibuhlungu obuvamile bedolo noma amalunga. Kodwa mhlawumbe imbangela yalokhu yisimo ongakaze uzwe ngaso, kodwa esivame kakhulu, esibizwa ngokuthi 'i-Plica Syndrome.' Ungakhathazeki, namuhla sizokhuluma ngalokhu kalula nangendlela ongayiqonda.
Kalula nje, iyini i-Plica Syndrome?
Kulungile, ake siqale kusukela ekuqaleni. Ilungu lethu ledolo liyisakhiwo esiyinkimbinkimbi kakhulu. Ngaphakathi kwaleli lungu, kukhona i-membrane yokulivikela nokulisiza lisebenze kahle. Leli lungu linochungechunge lwemigoqo eyenzeka ngokwemvelo. Kwezokwelapha, sibiza lawo magoqo ngokuthi 'i-plica'. Ngokuvamile, wonke umuntu unamagoqo amane anjalo emadolweni akhe.
Ukuba nalezi zinto akuyona inkinga. Kodwa-ke, ngezinye izikhathi, ikakhulukazi i-medial plica, etholakala phakathi kwedolo, iyalimala bese iqala ukuvuvukala ngenxa yokuhlikihla njalo noma ingozi ethile. Ubuhlungu nokunye ukungakhululeki okuhambisana nalokho kuvuvukala yilokho esikubiza ngokuthi i-Plica Syndrome . Uma sikhuluma iqiniso, lena yingxenye yemvelo yedolo eqala ukusikhathaza.
Lokhu kuhluke kanjani ku-Torn Meniscus?
Lona umbuzo abantu abaningi abanawo. Ngoba lapho bezwa ubuhlungu edolweni, abantu abaningi bacabanga ukuthi i-cartilage edolweni ebizwa ngokuthi 'i-Meniscus' idabukile. Isizathu salokhu ukuthi izimpawu zazo zombili lezi zimo zifana kakhulu. Kodwa-ke, kunomehluko ocacile phakathi kwalezi ezimbili.
Umehluko omkhulu ukuthi ubuhlungu buzwakala kuphi. Ku-meniscus edabukile, ubuhlungu buvela phakathi kwejoyinti ledolo, ngaphezu nje komugqa wejoyinti. Ku-Plica Syndrome, ubuhlungu buvame ukuzwakala ngaphezu kwalokho.
Udokotela wakho uzozama ukuhlukanisa phakathi kwalezi zimo ezimbili lapho ehlola idolo lakho. Kodwa-ke, i-MRI ivame ukunconywa ukusiza ukuhlukanisa phakathi kwalezi zimo ezimbili nokuqinisekisa ukuthi azikho ezinye izinkinga. Ngakho-ke uma unesifo sedolo, kungcono ukubona udokotela kunokuqagela wedwa.
Ubani onamathuba amaningi okuthola lesi simo?
Nakuba lesi simo singaba khona kunoma ubani, abanye abantu basengozini enkulu.
- Abasubathi: Lokhu kuvame kakhulu kulabo abahlanganyela emidlalweni ehilela ukugoba nokuvuleka kwedolo njalo, njengokugijima nokugibela ibhayisikili, ngoba ulwelwesi lwe-plica luhlala luhlikihlwa phakathi naleyo misebenzi.
- Izisulu zengozi: Lesi simo singase senzeke nangemva kwengozi engazelelwe, njengokushaya idolo kudeshibhodi engozini yemoto, noma ukushaya idolo kanzima lapho uwe.
- Isimo sokuma emsebenzini: Eminye imisebenzi idinga ukuthi abantu basebenze amadolo abo agobile usuku lonke (isib., abathungi bethayela), futhi nabo basengozini.
Cabanga nje, umuntu okhuphuka futhi ehla izitebhisi ehhovisi izikhathi eziningana ngosuku, noma umuntu ogibela ibhayisikili njalo, angathola lolu hlobo lokulimala. Ngakho lokhu akuyona into ekhawulelwe kubadlali.
Yiziphi izimpawu eziyinhloko ze-Plica Syndrome?
Uma usola ukuthi unalesi simo, qaphela izimpawu ezingezansi. Lezi yizimpawu ezivame kakhulu ze-Plica Syndrome.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bedolo | Ubuhlungu obungacacile, obubuhlungu ngaphambili noma phakathi kwedolo. Lobuhlungu bungaba bubi nakakhulu lapho ukhuphuka izitebhisi, uguqa, noma ugoba. |
| Umsindo othi 'Tock' noma 'click' | Ukuzwa noma ukuzwa umsindo 'wokuchofoza' ovela ngaphakathi kwedolo lapho ugoba noma welula idolo. Ngezinye izikhathi lo msindo uhambisana nobuhlungu. |
| Ukubamba Imizwa | Umuzwa wokuqina edolweni uma usukuma ngemuva kokuhlala isikhashana. Njengokungathi kukhona okubambeke ngaphakathi. |
| Ukuvuvukala | Ungase uqaphele ukuvuvukala okuncane eduze kwedolo, ikakhulukazi lapho kubuhlungu khona. |
| Ukungazinzi | Ukuzizwa sengathi awukwazi ukulawula amadolo akho futhi usuzoshelela lapho wehla izitebhisi noma ethambekeni. |
| Ubunzima bokuhlala isikhathi eside | Ubuhlungu obuba bubi kakhulu uma uhleli endaweni efanayo isikhathi eside, ikakhulukazi lapho amadolo egobile. |
Udokotela ukubona futhi akwelaphe kanjani lokhu?
Uma uya kudokotela onalezi zimpawu, uzoqala ngokukubuza ngezimpawu zakho, ukuthi ziqale kanjani, nokuthi ubuhlungu buba bubi kangakanani. Ngemuva kwalokho bazohlola idolo lakho. Uma kukhona i-plica evuvukile, ungase ukwazi ukuyizwa uma ucindezela i-kneecap.
Ngemuva kwalokho, njengoba kushiwo ngaphambili, bazo-oda i-X-ray noma i-MRI scan ukuqinisekisa ukuthi azikho ezinye izinkinga zamadolo (njenge-tendinitis noma i-meniscus tear).
Uma kukhulunywa ngokwelashwa, izindaba ezinhle ukuthi isikhathi esiningi, akudingi ukuhlinzwa okukhulu . Kungaphathwa ngokwelashwa okulula.
| Indlela yokwelapha | Wenzani? |
|---|---|
| Ukwelashwa Okungeyona Eyokuhlinzwa | |
| Ukuphumula | Ukumisa okwesikhashana umsebenzi obangele ubuhlungu (njengokugijima, ukukhuphuka izitebhisi). |
| Ukuncibilika kweqhwa | Faka iqhwa endaweni ebuhlungu nokuvuvukala cishe imizuzu eyi-15 ngesikhathi, izikhathi eziningana ngosuku. |
| Ama-Painkiller | Udokotela wakho angase akunike imithi (ama-NSAID) yokunciphisa ukuvuvukala nobuhlungu. |
| Imijovo ye-steroid | Uma ubuhlungu nokuvuvukala kukhulu, udokotela angase anikeze umjovo we-corticosteroid ngqo ejoyintini. |
| Ukwelashwa ngokomzimba | Lokhu kubaluleke kakhulu. Ukuzivocavoca okuqinisa nokwelula imisipha engaphambili kwethanga (ama-Quadriceps) kanye nangemuva kwethanga (ama-Hamstrings) kunganciphisa ingcindezi emadolweni. |
Kunini lapho kudingeka khona ukuhlinzwa?
Ezimweni eziningi, izinto ezishiwo ngenhla zingasiza ekulawuleni lesi simo zingakapheli izinyanga ezimbalwa. Kodwa-ke, uma kungekho ngcono naphezu kwalezi zinyathelo, futhi ubuhlungu buqhubeka nokuphazamisa imisebenzi yansuku zonke, udokotela wakho angase akuncome ukuhlinzwa.
Ukuhlinzwa kwalokhu kubizwa ngokuthi 'ukususwa kwe-arthroscopic'. Ungakhathazeki, lokhu akuyona indlela enkulu yokuhlinzwa lapho usika khona idolo ngokuphelele. Okwenziwa lapha ukuthi kwenziwe ukusika okuncane, kufakwe ikhamera, bese kwenziwa okunye ukusika okuncane, bese kufakwa amathuluzi amancane ukuze kunqunywe futhi kususwe i-Plica enenkinga, evuvukele. Ngemva kwalokhu kuhlinzwa, ngokuvamile ungabuyela esimweni esijwayelekile cishe emavikini ayi-6.
Ungakugwema kanjani lesi simo?
Nakuba lokhu kungenakuvinjelwa ngokuphelele, kunezinto eziningana esingazenza ukuze sinciphise ingozi.
- Gwema ukukhandleka kakhulu emadolweni akho. Gwema ukwenza umsebenzi ofanayo njalo ngaphandle kokuphumula.
- Uma uqala isimiso esisha sokuzivocavoca, qala kancane. Ungabeki isisindo esiningi emadolweni akho ngesikhathi esisodwa. Nika umzimba wakho isikhathi sokuzivumelanisa nezimo.
- Gcina imisipha yemilenze yakho iqinile. Ukuzivocavoca okuqinisa imisipha yethanga lakho (ama-quadriceps nama-hamstrings) kuzokwandisa ukwesekwa okunikezwayo edolweni lakho.
- Gqoka izicathulo ezifanele. Ukugqoka izicathulo ezifanele umsebenzi wakho nakho kuhle emadolweni akho.
Kufanele ngimbone nini udokotela?
Uma unobuhlungu obungapheli, ukuvuvukala, noma ukuqina edolweni lakho, sicela ungakushayi indiva. Qiniseka ukuthi ubonana nodokotela.
Ukucabanga ukuthi lokhu kumane kuyilungu elibuhlungu kuzokwenza izinto zibe zimbi kakhulu. Uma uthola imbangela eqondile futhi uthola ukwelashwa okufanele kanye neseluleko, uzokwazi ukuqeda lobu buhlungu futhi uqhubeke nemisebenzi yakho yansuku zonke njengenjwayelo, ngaphandle kwezithiyo.
Umlayezo Wokuya Nawe Ekhaya
- I-Plica Syndrome yisimo esivamile lapho ukugoqana kwemvelo kwezicubu ngaphakathi kwedolo kuvuvukala futhi kube buhlungu.
- Izimpawu eziyinhloko ubuhlungu lapho ukhuphuka izitebhisi, umsindo 'wokuchofoza' lapho ugoba idolo, kanye nokuqina.
- Nakuba lezi zimpawu zifana nokudabuka kwe-meniscus, zingahluka kuye ngokuthi ubuhlungu bukuphi. I-MRI ingasetshenziswa ukuqinisekisa ukuxilongwa.
- Ukwelashwa okulula njengokuphumula, iqhwa, kanye nokuzivocavoca umzimba ngokuvamile kungayelapha ngokuphelele lesi simo.
- Uma unobuhlungu obungapheli noma ukungakhululeki edolweni lakho, ungakushayi indiva futhi nakanjani funa iseluleko sezokwelapha.
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