Ebholeni elikhokhelwayo, a i-meniscus idabukile edolweni Ingashintsha ngokuphelele isizini yomdlali futhi, kwesinye isikhathi, nekusasa leqembu lonke. Ubuhlungu, ukungazinzi, kanye nokwenzeka kokuhlinzwa kuba yinkulumompikiswano lapho umdlali webhola enquma ukuthi aqhubeke nokuncintisana noma ayeke ukuze alulame.
Icala lakamuva lomgadli osezingeni eliphezulu no i-meniscus edabukile edolweni lesokunxeleYena, nokho oziqeqeshayo futhi aziphushe ukuze asize iqembu lakhe ngesikhathi esibucayi ku-ligi, uphakamisa umbuzo obucayi futhi: kungakanani okufanele udlale ngokuhlanganyela okulimele lapho izincomo zezokwelapha zicacile futhi zikhomba i-arthroscopy ephuthumayo.
Kuyini ukulimala kwe-meniscus futhi kungani kukhathaza kangaka ebholeni?
Ama-menisci a izakhiwo ze-cartilage Izakhiwo ezimise okwe-wedge ezitholakala ngaphakathi kwedolo, phakathi kwe-femur ne-tibia, zisebenza njengezinqamuli zokushaqeka nezinzinzisi. Emidlalweni efana nebhola likanobhutshuzwayo, ngokuphenduka okungazelelwe, ukushintsha kwejubane, nokuthintana njalo, lezi zingcezu ezincane zisengozini enkulu yokukhala nokuphuka.
Lapho i- i-meniscus izinyembeziUmsubathi uvame ukuqaphela ubuhlungu bendawo, ikakhulukazi lapho ebeka isisindo noma esonta idolo, ukuchofoza, ukukhiya, noma umuzwa wokuthi ukujoyina "akusebenzi kahle." Ezimweni ezinzima kakhulu, umdlali uze achaze idolo njengokubhajwa noma ukuzwa sengathi lizoxega ngaphansi kwanoma yisiphi isisindo esinzima.
Kumkhakha womsebenzi, lolu hlobo lokulimala luphathelene ngoba luthinta ngokuqondile ukuzinza kanye nekhono lokuphendukaLezi yizici ezimbili ezibalulekile zomdlali webhola ohlaselayo. Ngisho nangokwengeziwe uma kungumdlali onomlando omude wezinkinga zomzimba, okuthi ukugula okusha ngakunye kwenezela ohlwini olungaphazamisa ukusebenza kwakhe nomsebenzi wakhe wesikhathi eside.
Ngaphezu kokuhlolwa komtholampilo nokuhlolwa komzimba, odokotela bathembele ekuhlolweni kwe-imaging, okufana ne-magnetic resonance imaging (MRI), ukuze baqinisekise ukuthi isimo sikhona yini. ukukhala okukhulu kwe-meniscal futhi uhlole ukuthi ingabe ukwelashwa kungagcina (ukuphumula, i-physiotherapy) noma kudinga ukuhlinzwa nge-arthroscopy.
Izimpawu ezivamile: ubuhlungu obuqhubekayo nokungazinzi emadolweni
Esimeni esithile esivelile, izivivinyo zithole a i-meniscus edabukile yedolo lesokunxeleLokhu kuhambisana nesithombe esikude nesincane somtholampilo. Ngokolwazi olukhishwe abezindaba abakhethekile, umdlali webhola uhlushwa izinhlungu eziqhubeka nokuzivocavoca kanye nomuzwa ophawulekayo wokungazinzi lapho ebeka ingcindezi ejoyintini.
Lolu hlobo lokungaphatheki kahle luchazwa ngokuthi a Ubuhlungu obungapheli lapho uzivocavocaUbuhlungu abupheli ngokuphelele, ngisho nokuphumula okulinganiselwe. Kumdlali we-elite, lobu buhlungu obuqhubekayo bungakhawulela ukusheshisa, izinguquko zendlela, ngisho nesenzo esilula sokushaya ibhola ngokuzethemba.
Ukwengezwa kulokhu umuzwa wokuthi idolo "lingavuma" nganoma yisiphi isikhathi, into abanye ochwepheshe abaye bayichaza ngokuhlanganyela njengombono wokuthi ilunga "lizoqhuma" libe nomthelela onamandla noma ukusonteka okunolaka. Lokhu umuzwa wokungagxili edolweni Kuyingozi ikakhulukazi emdlalweni we-high-tension, ngokubhekana kanzima nokusekelwa onqenqemeni.
Lapho umsubathi esevele ehlukumezekile kaningi kulo lonke umsebenzi wakhe, isimo siba bucayi kakhulu. Ukuqongelela ama-sprains, izinkinga zemisipha, noma izinkinga zamadolo ezingapheli Lokhu kusho ukuthi noma yikuphi ukwehlukana okusha kungase kube utshani bokugcina, okulethe izinqumo ezinzima mayelana nokuba khona kwabo okuqhubekayo ezingeni eliphezulu kakhulu.
Ezimweni eziningi, ochwepheshe bezokwelapha batusa ukuyeka ngokushesha ukuvimbela izinyembezi ze-meniscal ukuthi zingaqhubeki, njengoba ukuphoqa kungaholela ezingxenyeni ezinkulu ezidabukile, ukulimala okuqhubekayo ku-articular cartilage, kanye nokulimala okungenzeka esikhathini esizayo. i-osteoarthritis kanye nobuhlungu besikhathi eside.
Ukuxilongwa kwezokwelapha kanye nezincomo ze-arthroscopy
Ngemuva kokuhlolwa okwenziwe, ithimba lezokwelapha lekilabhu liye laqinisekisa: yi-a ukudabula endaweni ye-meniscus Ngenxa yezici zayo, ukungenelela kokuhlinzwa nge-arthroscopy kunconywa. Le nqubo, evamile ku-traumatology yezemidlalo, ivumela ukulungiswa noma ukusikwa kwengxenye eyonakele ye-meniscus ngokusebenzisa izisindo ezincane.
Ongoti bayeluleke umgadli ukuthi angaphinde adlale kuze kuphele unyaka wokuqhudelana. Isiphakamiso sabo sibandakanya ukwenza a I-arthroscopy esheshayongenhloso yokuvikela ilunga kanye nokuhlela ukululama, okungase kudlulele onyakeni olandelayo wekhalenda.
Ukusebenza kwalolu hlobo, kuye ngohlobo lokudabuka nokuthi i-meniscus iboshiwe noma ikhishwe kancane, kungasho izinyanga ezimbalwa zokungabikho. Izilinganiso ezikhishwe yimithombo esondelene nalesi simo ziphakamisa ukuthi kungenzeka kubuyelwe enkundleni ekuqaleni kuka-2026, okugcizelela ukuthi ubukhulu bokulimala okungenzeka uma ingaphathwa kahle.
Kusukela kubaphathi beqembu kanye nethimba lomdlali, izincomo zezokwelapha bezivumelana ngazwi linye: ukubeka phambili impilo yesikhathi eside yedolo. Bobabili abasebenzi bezokwelapha kanye nomongameli weqembu basidlulisile isidingo sokuthi landela iziqondiso zodokotela bamathambo, kucatshangelwa umthelela wezemidlalo wokulahlekelwa ngomunye wabantu ababalulekile esigabeni sokugcina sesizini.
Yize kunjalo, lo mbono oqaphile uyashayisana neqiniso lokuncintisana leqembu, eligxile emzabalazweni wokugwema ukuhlehla. Futhi kulapho kanye kulempambano yezindlela, phakathi kwemithi kanye nokuphuthuma kwezemidlalo, lapho kuphakama khona iphuzu elikhulu lokungqubuzana: intando yomdlali ukuqhubeka nokuncintisana naphezu kokuxilongwa.
Isinqumo sokudlala naphezu kwe-meniscus edabukile
Ngaphandle kwemibiko yezokwelapha nezeluleko zokuthi ahlinzwe ngokushesha, umdlali webhola lezinyawo ukhethe indlela enolaka kakhulu: qeda izinketho zabo zokudlala emidlalweni emqoka yokusinda kweqembu lakhe. Kunokuba avele amukele isincomo se-arthroscopy, lo mgadli usenqume ukuzilolonga neqembu futhi azenze atholakale kumqeqeshi.
Lapho eneminyaka engu-33 ubudala, futhi ngemva kokuphazamiseka ngokomzimba izikhathi eziningi kuwo wonke umsebenzi wakhe, umdlali wamangaza wonke umuntu ngokuvela esimisweni sokuqeqesha nabanye ozakwabo. Uze wabamba iqhaza ekuzivivinyeni nabadlali abangase baqale, ezwele umdlalo futhi ahlole idolo elimele. ukulimala kwe-meniscus.
Ngokwemibiko yabezindaba yezemidlalo, ithimba labaqeqeshi limfake ohlwini lwesikhashana lwesikwati esizobhekana nomdlalo omqoka wokulwela ukugwema ukugawulwa yizembe. Umbono weqembu uthi linda kuze kube umzuzu wokugcina ukuze anqume ukuthi uyaya yini ensimini noma cha, ehlola intuthuko yakhe usuku nosuku kanye nezinga lobuhlungu abubekezelela.
Ezinkundleni zokuxhumana, umdlali ngokwakhe uye wabhebhethekisa okulindelekile ngemilayezo ebonakala ilungele ukuncintisana, ethumela imishwana efana nokuthi "ulungele ikusasa" ebonisa inhloso yakhe yokufaka isandla enkundleni. Lezi zinhlobo zezitatimende ziqinisa isithombe sakhe sokuzibophezela, kodwa futhi ziphakamisa ukungabaza mayelana ukulinganisela phakathi komhlatshelo kanye nobungozi bomzimba.
Ngokombono wezokwelapha oqinile, ukuqinisa idolo nge-meniscus edabukile kakhulu kwandisa amathuba kwandisa ukulimalaUkunyakaza okungalungile, umthelela oqinile, noma ukushuba okuphezulu kungase kuguqule ukuklebhuka okuyinkimbinkimbi kodwa okulawulekayo kube inkinga enkulu nakakhulu, enesikhathi esiningi sokuphumula kanye nemiphumela emibi kakhulu yokuzinza kwelunga.
Ingcindezi yokugwema ukwehliswa nokushayisana phakathi kwezempilo nemiphumela
Umongo wamanje wezemidlalo awukukhuthazi ukuqapha. Iqembu lalo mgadli lisenkingeni, ligajwe yizembe futhi liwadinga kakhulu amaphuzu ukuze libaleke. izikhundla zokudilikaWonke umdlalo uthathwa njengowamanqamu, futhi ukuba khona komdlali wabo oyisihlabani kuthathwa njengento ebalulekile.
Ezilinganisweni, leli qembu lihlezi endaweni ka-17, ngamaphuzu alo elibenza balibeke ethubeni lokugawulwa yizembe. Umdlalo wabo olandelayo, ngokumelene nembangi eqondile ekulweleni ukusinda, ubumba umdlalo obalulekile. Ukunqoba kuqinisekisiwe ngempela. Uma befuna ukuhlala bezimele. Lesi simo sokuphuthuma sidala ingcindezi esobala ethimbeni labaqeqeshi nakubadlali.
Kulo mongo, isibalo somgadli olimele sesiphenduke into engaphezulu nje kwensiza ehlaselayo: yi uphawu lokuqina kweqembuUkuphikelela kwakhe ekubeni khona, naphezu kokudatshulwa kwe-meniscus nezixwayiso zodokotela, kuhunyushwa njengokukhombisa ukuzibophezela kubalandeli neqembu, into ethakaselwa kakhulu egunjini lokushintshela lapho isimilo sisengozini.
Kodwa-ke, olunye uhlangothi lohlamvu lwemali luyingozi yangempela yokubeka engcupheni ikusasa lakhe lezemidlalo futhi, futhi, kuthinte ukubamba iqhaza kwakhe eqenjini lesizwe ekubizeni esikhathini esizayo. Ikilabhu ngokwayo iyakwesaba lokho qinisa idolo manje Lokhu kungase kuholele esikhathini eside sokululama, kuphazamise izinhlelo zesizini ezayo nemiqhudelwano yamazwe ngamazwe.
Lokhu kungaboni ngaso linye phakathi kwesidingo esisheshayo samaphuzu kanye nokugcinwa kwempilo yesikhathi eside yomdlali akuqali ebholeni elikhokhelwayo, kodwa kubonakala ikakhulukazi ezimeni I-Meniscus idabukile ngokutuswa kokuhlinzwaOkungase kube isenzo sobuqhawe kubalandeli, okungenani, ukugembula okuyingozi kakhulu kochwepheshe be-traumatology kanye nemithi yezemidlalo.
Izingozi zokuhlehlisa ukuhlinzwa kwe-meniscal
Ngokombono womtholampilo, ukubambezeleka a Kunconywa i-meniscal arthroscopy Akuyona into encane lena. Ukushiya izinyembezi zingalungisiwe ngenkathi uqhubeka nokubeka i-joint emazingeni aphezulu okucindezeleka kwandisa amathuba okuthi i-meniscus izodabula ngokuqhubekayo, ishintshe, noma ihlukane ibe yizicucu ezingavimba idolo.
Lesi simo singabangela iziqephu zokukhiya ngokuhlanganyela, lapho umlenze ungakwazi ukunweba noma ukuguquguquka ngokujwayelekile, ngaphezu kobuhlungu obuningi nokuvuvukala. Esikhathini esimaphakathi nesikhathi eside, i-meniscus eyonakele kakhulu inciphisa amandla ayo okubamba ukushaqeka, okukhuthaza ukuthintana okuqondile kwethambo futhi kusheshise ukuguga. Uqwanga lwe-articular.
Kubadlali be-elite, lokhu kuhumusha engozini enkulu yokuthuthukisa izinkinga zokuqala zokuwohloka, njenge i-knee osteoarthritisLokhu kulimala akuthinti kuphela ukusebenza kwezemidlalo kodwa futhi nekhwalithi yokuphila yonke ngemva kokuthatha umhlalaphansi. Ngakho-ke, ochwepheshe abaningi baphikelela ngokuthi lapho ukulimala kucacile futhi ukuhlinzwa kuboniswa kahle, inkambo yesenzo esinomthwalo wemfanelo iwukwelapha ngokushesha.
Odabeni oselukhona, imithombo yezokwelapha ikhombisa ukuthi ukuhlehlisa ukuhlinzwa kuze kuphele isizini kungaholela ekutheni a ukululama yinde kakhulu Uma ukudabuka kuba kubi phakathi nomentshisi, okungase kudinge izinyanga ezimbalwa zokuvuselelwa okulawulwayo kungase kube inqubo eyinkimbinkimbi kakhulu uma umonakalo ubhebhetheka kwezinye izakhiwo edolweni.
Akufanele futhi sikhohlwe umthelela walesi sinqumo ekubizeni amazwe ngamazwe. Iqembu liyazi ukuthi uma umdlali eziphusha isimo sakhe siba sibi, angase afike esesimweni esibi kakhulu ngezinsuku ezibhalwe ekhalendeni leqembu lesizwe, noma aphuthe ngisho kulawo mawindi aphesheya kwezilwandle. Yingakho ikilabhu izama ukulinganisa izifiso zomdlali webhola ngenqubo yodokotela kanye nokuhlelwa kwemidlalo yesikhathi esimaphakathi.
Yonke le mpikiswano ikhombisa iqiniso eliqhubeka liba khona emidlalweni yobungcweti: isidingo soku hlanganisa izwi lochwepheshe Kwezokwelapha kwezemidlalo, izifiso zomdlali kanye nezimfuno zokuncintisana zekilabhu ziyabhekwa, okuvimbela izinqumo zesikhashana ekubekeni engcupheni impilo ehlangene ngokungenakulungiseka.
Umlando wakamuva walokhu Ukulimala kwe-Meniscus kumdlali webhola lezinyawo osezingeni eliphezulu Lokhu kukhombisa izinga idolo elilimele elingathinta ngalo umphumela wemidlalo embalwa kuphela, kodwa umsebenzi wonke. Phakathi kobuhlungu obungapheli, umuzwa wokungahlaliseki, kanye nokutusa okuqinile kwe-arthroscopy, isilingo sokudlulela phambili ukuze usize iqembu empini yalo yokulwa nokwehla siba ukugembula lapho kokubili ukudlala kwamanje komdlali kanye nokuphila kahle ngokomzimba kwesikhathi esizayo kusengozini.