Ukuhlinzwa kwe-meniscus okudabukile akukhona ukuhlinzwa okukodwa. Kuye ngezinyembezi nesiguli, ukwelashwa kungase kuhilele ukulungiswa kwe-arthroscopic, ukususwa okulinganiselwe kwezicubu ezilimele, ukwelashwa kokulimala kwezimpande ze-meniscus noma ukuhlinzwa nhlobo. Ukuthatha izinqumo kwesimanje ngokuvamile kuhlose ukulondoloza izicubu ze-meniscal ezisebenzayo noma nini lapho ukulungiswa okuhlala isikhathi eside kubonakala kungenzeka.
Lo mhlahlandlela uchaza ukuthi izinyembezi ze-meniscal zihlolwa kanjani, ukuthi ukuhlinzwa kungase kucatshangelwe nini, ukuthi ukulungiswa kwangaphakathi, ngaphakathi nangaphandle kwehluka kanjani, nokuthi kungani ukululama kungenakubikezelwa emgqeni wesikhathi owodwa ojwayelekile.
Okuthathwayo Okubalulekile
Akuwona wonke ama-meniscus izinyembezi adinga ukuhlinzwa; izimpawu, ukuzinza kwezinyembezi, ikhwalithi yezicubu, ukulimala okuhlobene nemigomo yesiguli konke kubalulekile.
Ukulungiswa kwe-meniscus kulondoloza izicubu kodwa ngokuvamile kudinga isikhathi eside sokuvikelwa kanye nokuvuselelwa kune-meniscectomy eyingxenye.
Amasu angaphakathi, angaphakathi nangaphandle ngalinye linezinhlelo zokusebenza eziwusizo kanye nemikhawulo. Ayikho indlela eyodwa engcono kakhulu kuzo zonke izinyembezi.
Amazinga okuhluleka ashicilelwe akufanele asetshenziswe njengezinga elilula ngoba izifundo ziyehluka ngohlobo lwezinyembezi, inani lesiguli, idivayisi, isikhathi sokulandelela kanye nencazelo yokwehluleka.
Ukuthwala isisindo, ukuqiniswa kwezinyawo, imithi, uhla lokunyakaza kanye neziyalezo zokubuyela emdlalweni kufanele zivele kudokotela ohlinzayo owelaphayo kanye nethimba lokuhlunyeleliswa.
Iyini I-Meniscus Ephukile?
Idolo ngalinye line-meniscus emaphakathi kanye ne-lateral meniscus. Lezi zakhiwo ze-fibrocartilage zisakaza umthwalo, zifaka isandla ekuzinzeni kwamalungu, zisiza ukugcoba futhi zisize ukuvikela i-articular cartilage. Izinyembezi zingenzeka ngesikhathi sokulimala okusontekile, okunomthelela oqondile noma kancane kancane njengoba izicubu zishintsha ngokuhamba kwesikhathi.
I-menisci emaphakathi ne-lateral inamaphethini ahlukene okuhamba kanye nokulayisha. Amandla okuphulukisa nawo ayahluka ngendawo edabukile, ikhwalithi yezicubu kanye nokutholakala kwegazi.
I-Acute vs Degenerative Meniscus Tears
Ukukhala okukhulu ngokuvamile kulandela ukulimala okungachazeki futhi kungase kwenzeke kumuntu omncane noma okhuthele. Izinyembezi eziwohlokayo ziqala ezicutshini eziye zashintsha ngokuhamba kwesikhathi futhi zingase zihlangane ne-osteoarthritis. Lawa maqembu akufanele aphathwe njengashintshashintshayo: ubufakazi obusekela ukuphathwa kwezinyembezi ezingasodwa kakhulu kungase kungasebenzi ekudabukeni okungapheli okuwohlokayo, ukudabuka kwempande noma ukudabuka okuhambisana nokulimala kwe-ACL.
I-Vascular Zones kanye Namandla Okuphulukisa
Ingxenye ye-peripheral ye-meniscus inokunikezwa kwegazi okungcono kunengxenye yangaphakathi. Odokotela abahlinzayo bavame ukuchaza izindawo ezibomvu-bomvu, ezimhlophe-ezimhlophe nezimhlophe, kodwa indawo yemithambo iyodwa ayinqumi ukuthi unyembezi lungalungiseka yini. Iphethini yokudabula, ubude, ukuzinza, ukungaguquguquki, ikhwalithi yezicubu, ukuqondanisa kanye nezinqubo ezihambisanayo nazo zithonya amandla okuphulukisa.
Amaphethini Okukhala Okujwayelekile
Izinyembezi ze-Meniscal zingaba ubude, isibambo sebhakede, i-radial, i-horizontal, i-flap, inkimbinkimbi noma ihlobene nezimpande. Ukudabula kwesibambo sebhakede kungase kuvimbe ukunwetshwa kwedolo, kuyilapho ukudabuka kwempande kungaphazamisa ukudluliswa komthwalo ngisho nalapho unyembezi olubonakalayo luncane. Ilebula ebanzi njengokuthi 'i-meniscus edabukile' ayanele ukukhetha ukwelashwa.
Izimpawu kanye Nokuxilongwa
Izimpawu Ezivamile
Izimpawu ezingaba khona zihlanganisa ubuhlungu bomugqa ohlangene, ukuvuvukala, ukuqina, ukubamba, ukuchofoza, umuzwa wokuyeka noma ubunzima bokugoba ngokugcwele noma ukuqondisa idolo. Lezi zimpawu aziqondile ukulimala kwe-meniscal futhi zingase zenzeke nge-ligament, cartilage noma izimo ze-arthritic.
Ukuhlolwa Komzimba Nokufanekisa
Udokotela ubheka ukuthi ukulimala kwenzeke kanjani, indawo kanye nobude besikhathi sezimpawu, ububanzi bokunyakaza, ukuzwela kanye nokuhlolwa okuvusa inkanuko. Ama-X-ray awabonisi ngokuqondile i-meniscus kodwa angakwazi ukubona ukuphuka, ukuqondanisa kanye nezinguquko ze-arthritic. I-MRI ngokuvamile iyindlela ethandwayo yokuthwebula ethuthukisiwe yezinyembezi ezisolisayo ze-meniscal ezisoleka kakhulu, kuyilapho isidingo sokuthwebula sincike esimweni somtholampilo.
Lapho Idolo Elikhiyiwe Lidinga Ukuhlolwa Ngokushesha
Idolo elingakwazi ukunwebeka ngokugcwele ngemva kokulimala kanzima lingase libe nezinyembezi ezisusiwe noma okunye ukuvinjelwa komshini. Isiqondiso se-AAOS siphawula ukuthi ukunyakaza okuvimbela izinyembezi ezisusiwe noma ezikhiphayo kungase kuzuze ekuhloleni okufika ngesikhathi futhi kungase kucatshangelwe ukungenelela kwangaphambi kwesikhathi.
Ingabe Zonke Izinyembezi Ze-Meniscus Zidinga Ukuhlinzwa?
Cha. Ukwelashwa kuncike ekutheni izinyembezi zibuhlungu noma ziyawohloka yini, zizinzile noma azishintshile, ukuthi izimpawu ziba ngcono yini lapho kuvuselelwa nokuthi isicubu sinamathuba angempela okulungiseka yini.
Ukwelashwa Okungasebenzi
Ukuguqulwa komsebenzi, ukuphathwa kwezimpawu kanye nokwelashwa ngokomzimba okuhlelekile kungase kucatshangelwe izinyembezi ezikhethiwe. Umgomo ungase ube ubuhlungu obuthuthukisiwe, ukunyakaza, amandla kanye nomsebenzi; lokhu akusho ngempela ukuthi izinyembezi ziyanyamalala ku-MRI. Izilonda eziwohlokayo zivame ukusondela ekuqaleni ngaphandle kokuhlinzwa, kuyilapho izinyembezi ezibuhlungu zidinga ukuhlolwa okukhethekile.
Lapho Ukuhlinzwa Kungase Kucatshangelwe
Izizathu ezingaba khona zihlanganisa ukunyakaza okuvimbela izinyembezi okususiwe, izimpawu eziqhubekayo naphezu kokunakekelwa okufanele okungahlinzeki, ukukhala okukhulu okungalungiseka lapho ukubambezeleka kunganciphisa amandla okulungisa, noma iphethini yokudabula efana nokulimala kwezimpande okushintsha ukusebenza kwe-meniscal. Ukuhlinzwa akufanele kunconywe kuphela ngoba i-MRI ibika ukukhala.
Izici Ezithonya Ukulungiseka
Factor
Kungani Kubalulekile
Iphethini yezinyembezi
I-Longitudinal, i-radial, izimpande nezinyembezi eziyinkimbinkimbi zidinga amasu okukhanda ahlukene.
Indawo
Izicubu ezizungezile ngokuvamile zinegazi elingcono, kodwa izinyembezi ezikhethiwe zendawo yangaphakathi zisengahlolwa ukuze zilungiswe.
Ikhwalithi yezicubu
Izicubu ezintekenteke noma eziwohlokayo zingase zingawabambeli ngokuthembekile ama-suture.
Ukufuduka nokuzinza
Ukudabula okugudlukile noma okungazinzile ngokwemishini kungase kudinge ukuhlolwa kusenesikhathi.
Ukulimala okuhambisanayo
Ukulimala kwe-ACL, ukulimala kwe-cartilage, ukungahambi kahle noma ukuphuka kungashintsha kokubili ukuhlinzwa nokuvuselelwa.
Izici zesiguli
Izimpawu, izinhloso zomsebenzi, iminyaka, impilo kanye nekhono lokulandela ukuvuselelwa kunomthelela ohlelweni.
Ububanzi obubalulekile: umhlahlandlela we-2024 AAOS we-meniscal pathology we-2024 awufaki izinyembezi ezingapheli noma eziwohlokayo, izinyembezi zezimpande ze-meniscus, izinyembezi eziphindayo noma ukulimala kwe-meniscal kuhlanganiswe ne-ACL, ukuphuka noma i-cartilage pathology. Izincomo kufanele zisetshenziswe eqenjini lesiguli elilungile.
Ukulungiswa Kwe-Meniscus vs I-Meniscectomy Eyingxenye
Ukulungisa i-Meniscus
Lungisa izindawo zokuthunga noma idivayisi yokulungisa egunyaziwe phakathi kwezinyembezi ukuze ubuyisele ukuqhubeka kwezicubu futhi ugcine i-meniscus eningi ngangokunokwenzeka. Ngokuvamile kuyathandeka lapho izinyembezi zinamandla okuphulukisa futhi ukulungiswa okuzinzile kungafinyelelwa. I-tradeoff iyisikhathi eside, esivikela kakhulu sokubuyisela esimweni kanye nobungozi bokuthi ukulungiswa kungase kungapholi noma kudabuke kabusha.
I-Meniscectomy Eyingxenye
I-meniscectomy eyingxenye isusa kuphela ingxenye engazinzile noma engalungiseki kuyilapho igcina izicubu eziningi ezisebenzayo ngangokunokwenzeka. Ukubuyisela kungase kusheshe ngoba asikho isixhumi esibonakalayo esilungisiwe sokuvikela, kodwa ukususa izicubu ze-meniscal kunciphisa umthamo wokusabalalisa umthwalo futhi kungase kuhlotshaniswe nokuwohloka kwamalunga kamuva. Inani nendawo yokukhishwa kabusha kunendaba.
Ingabe Ukulungisa Kuhlala Kungcono?
Ukulondolozwa kuwumgomo omkhulu, kodwa akuzona zonke izinyembezi ezingalungiseka ngempumelelo. Isiqondiso se-AAOS sinikeza ukusekela okulinganiselwe okunamandla okuthi ukulungisa kungase kuthuthukise imiphumela uma kuqhathaniswa nengxenye ye-meniscectomy ezinyembezini ezizimele ezingazodwa ezinamandla okuphulukisa. Akusho ukuthi ukulungiswa kuphakeme kuzo zonke izinyembezi eziwohlokayo, eziyinkimbinkimbi noma ezinwebekayo.
Ukucatshangelwa kwe
-Meniscus Repair
Partial Meniscectomy
Umgomo oyinhloko
Londoloza futhi uphulukise izicubu ze-meniscal.
Susa ingxenye engazinzile noma engalungiseki ngenkathi ulondoloza okusele.
Ukubuyisela
Imvamisa ivikela kakhulu futhi ibe yinde.
Ngokuvamile kuvumela ukuqhubeka okusheshayo, kuye ngokunye okutholakele.
Umkhawulo oyinhloko
Ingozi yokuphulukiswa okungaphelele noma ukudabuka kabusha.
Ukulahlekelwa unomphela kwezinye izicubu ze-meniscal.
Ukukhetha
Kuncike ekulungiseni nasekulungiseni isu.
Kungase kucatshangelwe uma ukulungiswa okuhlala isikhathi eside kungenzeki.
Izindlela Zokulungisa I-Meniscus
Ukulungiswa kwe-arthroscopic kwenziwa ngezingosi ezincane kusetshenziswa ikhamera nezinsimbi ezikhethekile. Ukukhethwa kwesu kuncike endaweni edabukile, ukufinyelela, i-neurovascular anatomy, ikhwalithi yethishu kanye nolwazi lukadokotela ohlinzayo ngedivayisi nephethini yokulungisa.
Ukulungisa i-Meniscal kungasebenzisa amadivaysi angaphakathi, izinaliti zangaphakathi, ama-suture angaphandle noma isu elixubile. Lo mfanekiso uyafundisa futhi awuwona umhlahlandlela wenqubo.
Ukulungisa Konke Kwangaphakathi
Ukulungisa konke kwangaphakathi kusebenzisa ukulungiswa okuvela ngaphakathi kwesihlanganisi futhi ngokuvamile kugwema ukusika okungemuva okwengeziwe. Ingase inciphise izinyathelo zenqubo ezindaweni ezifanele, kodwa idizayini yokufakelwa, ukujula kokuthunyelwa, ukuthwebula kwezicubu kanye ne-anatomy ezungezile kudinga ukucatshangelwa ngokucophelela. 'Konke okungaphakathi' akuqinisekisi ukululama okusheshayo ngoba ukubuyisela esimweni ngokuyinhloko kunqunywa ukudabuka nokulungisa, hhayi kuphela idivayisi yokulethwa.
Ukulungisa Kwangaphakathi
Ukulungisa kwangaphakathi kudlula i-sutures kusuka ejoyintini nge-capsule futhi kubophe ngaphandle. Inikeza ukuguquguquka ekubekweni kwe-suture futhi ihlala iyinketho emisiwe yezinyembezi zomzimba nezimpondo zangemuva. Ukusika insiza nokuvikelwa kwezakhiwo zangemuva ze-neurovascular kungase kudingeke.
Ukulungisa Kwangaphandle
Ukulungiswa kwangaphandle kuqondisa izinaliti ezivela ngaphandle kwedolo ukuya esihlanganyelwe futhi kuvame ukubhekwa njengezinyembezi zangaphambili-uphondo noma izinyembezi zangaphambili. Izinzuzo nezingozi zayo zincike ekuhleleni ingosi, indlela yenaliti nokucushwa kwe-suture.
I-Meniscus Root Repair
Izinyembezi zezimpande zibalulekile ngokwe-biomechanical futhi zingase zelashwe nge-transtibial pullout noma izindlela ezisekelwe kuhange ezigulini ezikhethiwe. Ukulungiswa kwezimpande kunezinkomba ezihlukile kanye nemikhawulo evame ukuhluka ngemuva kokuhlinzwa kusukela ekulungisweni okujwayelekile kwe-peripheral longitudinal.
Ukulungisa Ingxubevange
Ezinye izinyembezi zidlula indawo eyodwa noma zidinga izikhombisi-ndlela zokulungisa eziningi. Indlela ehlanganisiwe ihlanganisa amasu okubhekana nokukhala ngenkathi ulawula ukufinyelela nokuphepha. Ama-implants amaningi noma ama-suture awakhiqizi umphumela ongcono ngokuzenzakalelayo; ukuthunjwa kwezicubu kanye nomklamo wokwakha kuhlala kubalulekile.
Ukuze uthole ukubuka kabanzi kwezobuchwepheshe okuhloselwe abafundi abangochwepheshe, bheka isihloko se-XC Medico kokuthi amasu we-meniscal suture .
Buthini Ubufakazi Ngokuhluleka Kokulungisa?
Kungani Izilinganiso Zokuhluleka Zihluka
Izifundo zichaza ukwehluleka ngendlela ehlukile. Abanye babala ukuhlinzwa okuphindaphindiwe, abanye babala izimpawu eziqhubekayo, kanti abanye bahlanganisa okutholwe yi-MRI. Imiphumela nayo iyahlukahluka ngobude besikhathi sokulandelela, uhlangothi lwe-meniscus, iphethini yokudabula, ukwakhiwa kabusha kwe-ACL, isikhathi sokuhlinzwa, idivayisi kanye nephrothokholi yokuvuselela.
Ukubuyekezwa okukodwa kwesikhathi eside kubike izinga lokwehluleka elihlanganisiwe elingaba ngu-19% futhi kwathola ukuhluka okukhulu phakathi kwezifundo. Okunye ukubuyekezwa kokulungisa okungenani okuneminyaka emihlanu yokulandelela kubike izilinganiso zokungaphumeleli ezifanayo zokulungiswa kwesimanje kwangaphakathi kanye nesimanje konke kwangaphakathi. Lokhu okutholakele akumele kuhlanganiswe kube yishadi lebha elilinganisa amadivayisi ngaphandle kokuqhathanisa amanani nezindlela.
Indlela yokuchaza ubufakazi: amaphesenti ashicilelwe achaza amaqembu, hhayi isiguli ngasinye. Umehluko phakathi kwezilinganiso ezimbili ezihlanganisiwe awufakazi ukuthi idivayisi iyodwa ebangele umehluko. Ukukhethwa kwezinyembezi, ikhwalithi yezicubu, ukwakhiwa kabusha kwe-ACL ehambisanayo, ukuvuselelwa kanye nobude bokulandelela konke kungathinta umphumela.
Izingozi Nezinkinga Ezingenzeka
Izingozi ezingaba khona zokuhlinzwa kwe-meniscal zihlanganisa ukwehluleka ukulungisa noma ukudabuka kabusha, ukutheleleka, ukuqina, amahlule egazi, ukulimala kwe-cartilage, ukucasuka ngenxa yokufakelwa noma i-suture, kanye nokulimala kwenzwa noma imithambo yegazi. Amaphrofayili engcuphe ahluka phakathi kwamasu okulungisa kanye ne-meniscectomy eyingxenye.
Ukulungisa Ukwehluleka noma Ukudabula kabusha
I-meniscus elungisiwe ingase ingapholi noma ingase idabuke futhi ngesikhathi sokuvuselela noma umsebenzi wakamuva. Ukwehluleka kungenzeka ngaphezu konyaka wokuqala wangemva kokuhlinzwa, ngakho ukulandela okufushane akufanele kuhunyushwe njengobufakazi bempumelelo yesikhathi eside.
Ukuqina Nokulahlekelwa Amandla
Ukuvikelwa kokulungiswa kufanele kulinganiswe nokubuyiselwa kokuhamba nokusebenza kwemisipha. Ukuqhubekela phambili okunolaka kakhulu kungase kugcwalise izicubu eziphulukisayo, kuyilapho ukuvinjelwa isikhathi eside okungadingekile kungabangela ubuthakathaka noma ukuqina.
Izingozi Ezithize Zesu
Izindlela yenaliti zangaphakathi nangaphandle zidinga ukunakwa kwemizwa eseduze nemikhumbi. Amadivayisi angaphakathi kwawo wonke adinga ukujula okulungile kokusebenza kanye nendawo yokufaka. Ukulungiswa kwezimpande kwethula ukucatshangelwa okuhlobene nomhubhe noma ihange. Lezi yizizathu zokuqeqeshwa okusemthethweni kanye nemiyalelo eqondene nedivayisi.
I-Meniscus Repair Recovery
Ukubuyisela ngemva kokulungiswa kwe-meniscus kokubili kusekelwe esikhathini futhi kusekelwe kumbandela . Ukulungisa kudinga isikhathi sokuphulukiswa kwezinto eziphilayo, kodwa ukuqhubeka kubuye kuncike ekuvuvukeni, uhla lokunyakaza, amandla, ikhwalithi yokunyakaza nokuhlolwa kokusebenza.
Ukuthwala Isisindo Nokuqinisa
Okunye ukulungisa kuvumela ukuthwala isisindo kusenesikhathi, kuyilapho ukulungiswa kwezimpande, i-radial noma okuyinkimbinkimbi kungase kudinge ukuvikeleka okukhulu. Ukuma kwe-brace nobude besikhathi nakho kuyahluka. Iziguli akufanele zikopishe iphrothokholi yomunye umuntu noma ishejuli evela ku-athikili evamile.
Ibanga Lokunyakaza namandla
Ukuvuselelwa kuvame ukubhekana nokuvuvukala, ukusebenza kwe-quadriceps, ukunyakaza kwamadolo namandla aqhubekayo. Isikhathi sokujula kwamadolo, uku-squatting, ukuzulazula kanye nomsebenzi womthelela sincike endaweni elungisiwe kanye nephrothokholi yeqembu elilaphayo.
Buyela Emsebenzini
Umsebenzi wedeski, ukuma isikhathi eside, ukukhuphuka, ukuguqa kanye nomsebenzi wezandla osindayo kubeka izidingo ezihlukene emadolweni. Isiqondiso sesiguli se-AAOS siphawula ukuthi isikhathi ungekho emsebenzini singaba isikhathi eside ngemva kokulungiswa kunangemva kwe-meniscectomy ingxenye, kodwa izidingo zomuntu ngamunye ziyahlukahluka kakhulu.
Buyela Kwezemidlalo
Ulwazi lwe-AAOS lubonisa ukuthi abasubathi bangase badinge cishe izinyanga ezine kuya kweziyisikhombisa ngemva kokuhlinzwa ngenxa yokulimala okukhulu okukodwa kwe-meniscal. Ukulungiswa kwezimpande, izinyembezi eziyinkimbinkimbi, ukwakhiwa kabusha kwe-ACL okuhlanganisiwe noma ukulibaziseka kokuthola amandla kungase kudinge umugqa wesikhathi ohlukile. Ukusula kufanele kucabangele izimfuno zezemidlalo, hhayi ikhalenda lodwa.
Indawo Yokubuyisela
Yini Ethonya Ukuqhubeka
Ukuthwala isisindo
Iphethini yezinyembezi, ukuzinza kokulungiswa, ukubandakanyeka kwezimpande, izinqubo ezihambisanayo kanye nephrothokholi kadokotela ohlinzayo.
Ibanga lokunyakaza
Indawo yokulungisa, ukucindezelwa kwezicubu ekuguqukeni, ukuvuvukala nokunyakaza.
Ukuqeqeshwa kwamandla
Ubuhlungu, ukuphuma, ukulawulwa kwe-quadriceps, ikhwalithi yokunyakaza kanye nesiteji sokuphulukisa.
Ukugijima nokujikeleza
Ukuhlola okusebenzayo, ukulingana kwamandla, ukubekezelela umthelela kanye nezidingo eziqondene nezemidlalo ezithile.
Ukubuyela ngokugcwele kwezemidlalo
Isikhathi sokuhlinzwa kanye nemibandela yomtholampilo, amandla, ukunyakaza kanye nemibandela yokulungela ngokwengqondo.
Thola iseluleko sezokwelapha ngokushesha ngedolo elivalekayo, ukungakwazi ukuthwala isisindo ngemva kokulimala kabi, ukuvuvukala okwandayo, umkhuhlane, ukuphuma kwenxeba, ubomvu obandayo, ubuhlungu obukhulu bethole noma ukuvuvukala, ubuhlungu besifuba noma ukuphefumula. Ubuhlungu besifuba noma ukuphefumula kanzima kungase kudinge ukuhlolwa okuphuthumayo.
Izisetshenziswa Zokulungisa I-Meniscus Namadivayisi
I-XC Medico ihlinzeka ngemikhiqizo yokugeleza kokusebenza okukhethiwe kokulungisa i-meniscal, okuhlanganisa a i-meniscus surgical staple system , a inaliti yokulungisa i-meniscus ephindwe kabili kanye nebanzi isethi yensimbi yokulungisa i-meniscus .
Amakhasimende akha iphothifoliyo ye-arthroscopy futhi angabuyekeza i-XC Medico's isethi yezinsimbi ze-arthroscopy , ama-arthroscopic blades nama-burrs futhi aphelele uhlelo lwemithi yamathambo nezemidlalo .
Ukukhethwa kwedivayisi, ukuhambisana, imikhawulo yokusebenzisa, isimo esiyinyumba, ukusetshenziswa okuhlosiwe kanye nokutholakala kokulawula kufanele kuqinisekiswe kusukela kumadokhumenti omkhiqizo asebenzayo. Isici somkhiqizo akufanele sihunyushwe njengesiqinisekiso sokuphulukiswa, ukululama ngokushesha noma izinga eliphansi lezinkinga.
Xhumana ne-XC Medico ukuze uthole ukucaciswa komkhiqizo, ukulungiselelwa kwamathuluzi, ulwazi lwekhathalogi kanye nemibhalo eqondene nemakethe yezinhlelo zokulungisa i-meniscus.
Xhumana ne-XC Medico
imibuzo ejwayelekile ukubuzwa
Ingabe i-meniscus edabukile ingaphola ngaphandle kokuhlinzwa?
Ezinye izinyembezi zingalawuleka ngaphandle kokuhlinzwa, ikakhulukazi uma zizinzile futhi izimpawu ziba ngcono ngokuhlunyeleliswa. Amandla okuphulukisa kanye nokuthuthukiswa kwezimpawu akufani, ngakho ukwelashwa kufanele kusekelwe esithombeni esigcwele somtholampilo.
Kucatshangelwa nini ukuhlinzwa kwe-meniscus edabukile?
Ukuhlinzwa kungase kucatshangelwe izinyembezi eziye zasuswa ezivimbela ukunyakaza, izimpawu eziqhubekayo ngemva kokwelashwa okufanele okungahlinzeki, izinyembezi ezibukhali ezikhethiwe ezilungisekayo noma amaphethini okudabula aphazamisa kakhulu ukusebenza kwe-meniscal.
Ingabe ukulungiswa kwe-meniscus kungcono kune-meniscectomy?
Ukulungisa kulondoloza izicubu futhi kungase kunconywe uma ukuphulukiswa okuhlala isikhathi eside kungokoqobo. I-meniscectomy eyingxenye ingase icatshangelwe lapho izicubu ezonakele zingakwazi ukulungiswa ngokuthembekile. Ayikho inketho ehamba phambili ngokuzenzakalelayo kuzo zonke izinyembezi.
Kuthatha isikhathi esingakanani ukulungiswa kwe-meniscus?
Ukululama kuyahlukahluka ngohlobo lwezinyembezi, indlela yokulungisa, ukuhlinzwa okuhambisanayo nokuqhubeka kokusebenza. Ukubuyela kwezemidlalo ngemva kokulungiswa okukhethekile okukhethekile kungase kuthathe izinyanga ezimbalwa, kodwa ukulungiswa kwezimpande noma okuyinkimbinkimbi kanye nezinqubo ezihlanganisiwe zingalandela amashejuli ahlukene.
Ingabe imiphumela yokulungisa yonke ngaphakathi nangaphakathi iyafana?
Ucwaningo luxubile futhi luncike kubantu abahloliwe kanye nokukhala. Amasu esimanje angase abe nemiphumela yesikhathi eside eqhathanisekayo kwezinye izibuyekezo, kuyilapho amanye amaqembu akhethiwe ebonisa umehluko. Isu kufanele liqhathaniswe nokukhala esikhundleni sokukhethwa kwephesenti elilodwa elihlanganisiwe.
Umuntu angabuyela nini ekusebenzeni ngemva kokulungiswa kwe-meniscus?
Ukugijima kufanele kuqale kuphela ngemva kokuba ithimba elelaphayo seliqinisekise ukuphulukiswa okwanele, ukunyakaza, amandla, ukulawula kanye nokubekezelela umthelela. Usuku lwekhalenda lulodwa alwanele ukugunyazwa.
Izithenjwa
I-American Academy of Orthopedic Surgeons. I-Clinical Practice Guideline for Management of Acute Isolated Meniscal Pathology. Funda umhlahlandlela we-AAOS .
I-American Academy of Orthopedic Surgeons. Isifinyezo Semihlahlandlela Yokuzilolonga Komtholampilo kanye nolwazi lwesiguli lwe-acute ehlukile ye-meniscal pathology. Buyekeza insiza ye-AAOS .
Pujol N, et al. I-EU-US Meniscus Rehabilitation 2024 Consensus, Ingxenye I: Ukuphathwa Kokubuyisela Ngemva Kokuhlinzwa Kwe-Meniscus. Funda ukuvumelana kombhalo ogcwele .
Pujol N, et al. I-EU-US Meniscus Rehabilitation 2024 Consensus, Ingxenye II: Ukwelashwa Okungasebenzi kanye Nokubuyela Kwezemidlalo. Funda ukuvumelana kombhalo ogcwele .
Schweizer C, et al. Amaphesenti ayishumi nesishiyagalolunye okulungiswa kwe-meniscus abuyekezwa futhi ukwehluleka kungase kwenzeke ngemva konyaka wesibili wangemva kokuhlinzwa. Funda isibuyekezo esihlelekile .
Imiphumela Yokulungisa I-Meniscal Eminyakeni Emikhulu Kuneminyaka engu-5: Ukubuyekezwa Okuhlelekile nokuhlaziywa kwe-Meta. Buka irekhodi le-PubMed .
Isaziso solwazi lwezokwelapha: Lesi sihloko sihlinzeka ngemfundo evamile ezigulini, ochwepheshe bezokunakekelwa kwempilo kanye nabasabalalisi bedivayisi yezokwelapha. Ayihloli ukulimala kwe-meniscal, incoma ukuhlinzwa, inikeze imithi noma inikeze iphrothokholi yokubuyisela umuntu ngamunye. Imiyalo yokwelashwa nokululama kufanele ivele kochwepheshe bezempilo abaqeqeshiwe abajwayelene nesiguli kanye nenqubo ethile.
