Ingabe idolo lakho lidabukile? Ake sixoxe ngakho!

Wake wazizwa umsindo oqhumayo edolweni lakho ngesikhathi udlala imidlalo noma uhamba? Noma wake wazizwa idolo lakho livuvukala, liqina, futhi liba buthaka kangangokuthi awukwazi ngisho nokuma? Kungenzeka ukuthi une -meniscus edabukile . Ake sixoxe ngalokhu namuhla.

Kuyini lokhu `(Meniscus)` edolweni?

Kulungile, manje ake sibheke ukuthi iyini le `(Meniscus)`. Kalula nje, siyibiza ngokuthi `(Meniscus )` izingcezu ezimbili ze-cartilage `(cartilage) ` ngaphakathi kwedolo lakho. Lezi zifana nezingcezu zezicubu eziqinile kancane njengerabha. Zitholakala phakathi kwethambo lakho lethanga (odokotela bayibiza ngokuthi `(Femur)`) kanye nethambo le-shin (bayibiza ngokuthi `(Tibia)`). Njenge `(shock absorbers)` emotweni, lezi zingcezu ezimbili ze-cartilage `(Meniscus)` zimunca ukushaqeka okuza edolweni lakho, zinciphise ukungqubuzana phakathi kwamathambo, futhi zivikele ilunga. Ngamanye amazwi, isebenza njenge `(cushion)` enhle edolweni.

Lokhu kudabukisa kanjani (i-Meniscus)?

Manje unombuzo othi, 'Pho lokhu kudabuka kanjani?' Kunezizathu eziningana eziyinhloko zokuthi kungani i-`(Meniscus)` ingadabuka.

• Ukujikijela idolo ngokuzumayo: Cabanga ukuthi udlala umdlalo ofana nekhilikithi, noma i-netball, noma ibhola likanobhutshuzwayo. Uma ngokuzumayo uphendukela ohlangothini olulodwa, ngenkathi ugcina unyawo lwakho lumile phansi, futhi umzimba wakho ongaphezulu ujikijela, idolo lakho lingajikijela ngokuzumayo futhi lidabule le `(Meniscus)`. Lokhu kwenzeka kakhulu kubantu bezemidlalo, ngisho nabantu abasha.
• Kwenzekani ngokuguga: Njengoba siguga, uqwanga emadolweni ethu, njengayo yonke eminye imizimba yethu, luyawohloka kancane kancane futhi lube buthaka. Khona-ke, ngisho nento encane kakhulu, mhlawumbe ngisho nokunyathela endaweni engalingani, ingabangela ukuba idabuke. Lokhu kubizwa ngokuthi 'izinyembezi eziwohlokayo '.
• I-Arthritis: Ukuba ne-arthritis edolweni kusho ukuthi i-cartilage iyaphela. Abantu abanalesi simo bangaba nobuhlungu be-meniscus kalula. Ngezinye izikhathi, ngisho noma kungekho ukulimala, kungadabuka ngenxa ye-arthritis.

Ingabe kukhona izinhlobo zokudabuka kwe-meniscus?

Yebo, kunezingcezu ezimbili ze-cartilage emadolweni akho (i-meniscus). Ngakho-ke, sikhuluma ngezinhlobo ezimbili eziyinhloko kuye ngokuthi ukudabuka kwenzeka kuphi:

• Ukwenyuka kwe-Medial Meniscus: Lokhu kwenzeka lapho ingxenye ye-cartilage engaphakathi kwedolo idabuka.
• Ukudabuka kwe-Meniscus eseceleni: Lokhu kwenzeka lapho ingxenye ye-cartilage engaphandle kwedolo idabuka.

Kunezinye izinhlobo ezisekelwe endleleni ezidabula ngayo, kodwa lezi ezimbili yizona eziyinhloko ezihlukaniswe ngokusekelwe endaweni.

Ziyini izimpawu ze-meniscus edabukile?

Ngokuvamile, lapho i-`(Meniscus)` idabukile, kungase kube nomsindo wokuqhuma ovela ngaphakathi edolweni. Kodwa lokhu akwenzeki kuwo wonke umuntu. Kungase kuhambisane nezimpawu ezifana nalezi:

• Ubuhlungu bamadolo, ukuqina, nokuvuvukalaLokhu kuvuvukala kungase kungabonakali ngokushesha ngemva kokulimala, kodwa kungase kubonakale emahoreni ambalwa kamuva noma ngosuku olulandelayo.
• Idolo lami lizwakala liqinile , sengathi likhiyiwe.
• Awukwazi ukugoba noma ukuqondisa umlenze wakho ngokuphelele .
• Ngesikhathi umile, idolo lakho lingase lizizwe sengathi liyayeka, sengathi ligxuma liye eceleni noma lilahlekelwa ukuzibamba .

'Ngakho-ke, ungakwazi yini ukuhamba ngemva kokudabula i-meniscus yakho?' ungase uzibuze. Ekuqaleni, ungase ukwazi ukuhamba unesisindo emhlane wakho. Kodwa ngemva kwezinsuku ezimbalwa, idolo lakho lizoqala ukuvuvukala futhi ubuhlungu buzokwanda.

Ubani osengozini enkulu?

Lezi zinyembezi ze-`(Meniscus)` zivamile kakhulu, ikakhulukazi kulabo abadlala imidlalo. Abantu abadlala imidlalo edinga ukujika okungazelelwe, ukuma, nokugxuma, njenge-tennis, ibhola lezinyawo, i-basketball, i-volleyball, i-netball, kanye nekhilikithi, basengozini enkulu. Futhi, emidlalweni yokuxhumana , uma othile ewa futhi eshaya othile, angajika idolo lakhe futhi adabule i-`(Meniscus)` yakhe. Lokhu kuvamile kubadlali abasebasha.

Kodwa, njengoba ngishilo ngaphambili, ukudabuka kwe-meniscus okuwohlokayo (okwenzeka ngenxa yokuguguleka kwe-cartilage njengoba ukhula) kungenzeka kunoma ubani, kungakhathaliseki ukuthi izinga lomsebenzi wakhe lingakanani.

Kwenzekani uma ukudabuka kwe-meniscus kungapholi kahle?

Lokhu kubaluleke kakhulu futhi. Uma ukudabuka kwe-meniscus kungapholi kahle, ungase uqhubeke nobuhlungu nokungakhululeki edolweni lakho. Hhayi lokho kuphela, kodwa kungabangela nokuthi ijoyinti ledolo liguge ngokushesha, okwandisa ingozi yakho yokuthola izimo ezifana ne-osteoarthritis esikhathini esizayo. Lokhu kusho ukuthi i-cartilage edolweni lakho ingaguga kakhulu futhi amathambo angaqala ukukhuhlana.

Udokotela ukubona kanjani lokhu?

Uma uya kudokotela, uzoqala ahlole idolo lakho ngokucophelela. Uzohlola ukuvuvukala, ubuhlungu, kanye nokunqwabelana koketshezi. Uzobe esekwenza izivivinyo ezimbalwa ezikhethekile (njengokuhlolwa kweMcMurray noma ukuhlolwa kweThessaly ) ukuze abone ukuthi ungakwazi yini ukugoba nokuqondisa idolo lakho, nokuthi lingahamba ibanga elingakanani. Lezi zivivinyo zingakunikeza umbono oqondile wokuthi i-meniscus yonakele yini.

Ngezinye izikhathi, i-X-ray ingayalwa ukuze kutholakale ubukhulu bokulimala. Kodwa-ke, i-X-ray ayikwazi ukukhombisa ukudabuka kwe-meniscus ngoba iyingcezu ye-cartilage. Kodwa-ke, i-X-ray ingasiza ekunqumeni ukuthi kukhona yini omunye umonakalo ethanjeni. I-MRI (Magnetic Resonance Imaging) scan ivame ukusetshenziswa ukubheka i-meniscus edabukile. I-MRI ingabonisa ngokucacile umonakalo ezicutshini ezithambile njenge-cartilage.

Kwezinye izimo, udokotela angenza inqubo ebizwa ngokuthi i-'Arthroscopy'.Kungenziwa futhi. Lokhu kuhilela ukufaka ikhamera encane (i-arthroscope) edolweni ngokusebenzisa ukusikwa okuncane kakhulu, ukubheka ngqo ukulimala okungaphakathi, nokunquma ukuthi kukhulu kangakanani. Lena indlela esetshenziselwa kokubili ukuxilongwa kanye nokwelashwa.

Yiziphi izindlela zokwelapha ezingcono kakhulu?

Kulungile, manje ake sibheke izindlela zokwelapha lokhu. Ukwelashwa kuncike ezintweni eziningi, okuhlanganisa ukuthi i-meniscus idabuke kangakanani, ukuthi ikuphi, iminyaka yakho, kanye nezinga lomsebenzi wakho. Ingase iphole ngaphandle kokuhlinzwa .

Ekuqaleni, udokotela wakho uzokutshela ukuthi uthathe i-NSAID (Nonsteroidal Anti-inflammatory Drug) ukuze unciphise ubuhlungu futhi ulawule ukuvuvukala. Ngaphezu kwalokho, uzotshelwa ukuthi ulandele indlela ye-RICE ezinsukwini ezimbalwa zokuqala ngemva kokulimala. I-RICE imele:

• R - Ukuphumula: Gwema ukubeka isisindo edolweni lakho elilimele ngangokunokwenzeka. Kungase kudingeke futhi usebenzise izinduku zokusibekela.
• I - Iqhwa: Beka iphakethe leqhwa (hhayi ngqo esikhumbeni, kodwa endwangwini) edolweni lakho imizuzu eyi-15-20 izikhathi eziningana ngosuku.
• C - Ukucindezela: Bopha idolo lakho ngebhandeji lokucindezela ukuze unciphise ukuvuvukala. Kodwa ungalibophi kakhulu.
• E - Ukuphakama: Ukuze unciphise ukuvuvukala, phumula umlenze wakho uphakeme ngaphezu kwenhliziyo yakho.

Ngaphezu kwalokho, kunganconywa ukusebenzisana nodokotela wezokwelapha ngokomzimba ukuze kuqiniswe imisipha yamadolo futhi kuthuthukiswe ukugoba kwamadolo kanye nokwelulwa kwawo. Ukwelashwa ngokomzimba kubaluleke kakhulu.

Ingabe udinga ukuhlinzwa edolweni?

Izinyembezi ezinkulu nezinzima ze-meniscus zingase zingapholi zodwa. Izinyembezi engxenyeni engaphandle ye-meniscus, lapho igazi lincane khona, kunzima kakhulu ukuzelapha. Uma indlela ye-RICE, ama-NSAID, kanye nokwelashwa ngokomzimba kungathuthuki, noma uma idolo lakho ligoba, noma uma ungumuntu osemusha okhuthele, udokotela wakho angase akuncome ukuhlinzwa kwe-meniscus .

Lokhu kuvame ukwenziwa ngenqubo ebizwa ngokuthi i-`Arthroscopy` , okuwukunqunywa okuncane kakhulu (njengokuhlinzwa kwe-keyhole`) okuvumela ukululama okusheshayo. Empeleni lokhu kuyindlela yokuhlinzwa evame kakhulu yamathambo. Ukuhlinzwa kungalungisa i-`(Meniscus)` edabukile noma kususwe ingxenye edabukile (`meniscectomy`) . Odokotela bazama ukulungisa i-`(Meniscus)` noma nini lapho kungenzeka, ngoba kungcono edolweni ngokuhamba kwesikhathi. Kodwa-ke, uma ukudabuka kukhulu kakhulu ukuba kungalungiswa, udokotela kungadingeka asuse ingxenye noma yonke i-`(Meniscus)`.

Uma usuphulukisiwe, cishe ngeke ube nezinkinga zedolo esikhathini esizayo.

Ingabe lezi inyembezi ze-`(Meniscus)` zingavinjelwa?

Kunzima ukuvimbela ingozi ukuthi yenzeke, kodwa kunezinto ezimbalwa ongazenza ukuze unciphise ingozi yokudabuka kwe-meniscus:

• Qinisa imisipha esekela futhi iqinise idolo lakho (ikakhulukazi imisipha yamathanga angaphambili nangemuva) .
• Uma wazi ukuthi amadolo akho abuthakathaka futhi awazinzile, gqoka i-knee brace uma udlala imidlalo.
• Uma uvivinya umzimba, ungasheshi ukuzivocavoca okunzima, fudumala kahle, bese ukhulisa kancane kancane amandla .
• Gqoka izicathulo zemidlalo ezinhle ezifanele umdlalo owudlalayo. Uma izicathulo zakho sezigugile, thenga ezintsha.
• Sebenzisa amasu afanele, ikakhulukazi lapho ugxuma, ufika, futhi ujika.

Kwenzekani ngemva kokululama? Uyini umbono?

Iningi labantu abanenkinga yokudabuka kwe-meniscus bayakwazi ukubuyela emisebenzini yabo evamile kanye nemidlalo. Uma uke wahlinzwa ukuze kulungiswe ukudabuka kwe-meniscus, idolo lakho kufanele liphulukiswe ngokuphelele ngemva kwezinyanga eziningana zokwelapha ngokomzimba. Kubaluleke kakhulu ukulandela imiyalelo enikezwe ngumelaphi wakho womzimba ngqo.

Kodwa-ke, uma uke wahlinzwa wasusa ingxenye noma yonke i-meniscus yakho, ungase ube sengozini enkulu yokuba nesifo samathambo esikhathini esizayo. Lokhu kungenxa yokuthi manje sekuncane ukugoba kwamalunga akho ukuze kuncishiswe ukushaqeka. Ngokuhamba kwesikhathi, amalunga angaguga.

Yiziphi izikhathi ezinhle kakhulu zokuya kudokotela?

Uma uzizwa kanje, qiniseka ukuthi ubona udokotela:

• Uma ungakwazi ukugoba noma ukwelula umlenze wakho ngokuphelele ngaphandle kobuhlungu edolweni.
• Uma ukuvuvukala kungapheli ngemva kwezinsuku ezimbalwa usebenzisa indlela ethi `RICE` futhi uthatha imithi ethi `(NSAID)`, noma uma ubuhlungu buba bubi kakhulu .
• Uma idolo lakho lizwa sengathi liyabhajwa noma liyaphuma ngokungalawuleki .
• Uma idolo libomvu futhi kukhona isimo esifana nomkhuhlane.

Imibuzo ebalulekile okufanele uyibuze udokotela

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• I-meniscus yami idabukile kabi kangakanani? Ikuphi?
• Kungenzeka yini ukuthi lokhu kudabuka kuziphole ngokwako? Noma ingabe kuzodingeka ukuhlinzwa?
• Ingabe ngizodinga ukwelashwa ngokomzimba? Isikhathi esingakanani?
• Uma uhlinzwa, ingabe kuzolungisa i-meniscus noma kususe ingxenye yayo?
• Ngizokwazi nini ukubuyela emsebenzini/kwezemidlalo ngokugcwele?
• Yiziphi izimpawu zokuthi inxeba liya liba libi kakhulu esikhundleni sokuphola?
• Iyini ingozi yokuthola isimo esifana `(Arthritis)` esikhathini esizayo?

Okokugcina, izinto okufanele uzikhumbule

Ukulimala okufana ne-meniscus edabukile edolweni lakho kubuhlungu kakhulu, futhi kungaba buhlungu kancane. Kungakuthulisa kancane, kukuvimbele ekuzivocavoceni, ekudlaleni ezemidlalo, futhi mhlawumbe ngisho nokuhambahamba endlini. Kodwa khumbula,Izinyembezi ezincane zivame ukuphola zodwa. Ezinye zingadinga ukuhlinzwa, njengokuhlinzwa kwe-arthroscopic.

Into ebaluleke kakhulu ukusebenzisana nodokotela wakho ukuze uthuthukise uhlelo lokwelashwa nokuvuselelwa olusebenza kahle kuwe, ukuze ukwazi ukubuyela emisebenzini oyithandayo ngokuphephile nangokungenabuhlungu. Iningi labantu liyalulama ngokuphelele ekudabukeni kwe-meniscus. Ngakho-ke ungesabi! Kungcono ukufuna iseluleko sezokwelapha ngokushesha okukhulu.

Ubuhlungu bedolo , ukudabuka kwe-meniscus, i-cartilage, ukulimala kwedolo, ukulimala kwezemidlalo, i-arthritis, ukuhlinzwa kwedolo, (Meniscus), (Arthroscopy), (Indlela ye-RICE)