Ukufakelwa kabusha kwe-Meniscal allograft

Ukufakelwa kabusha kwe-Meniscal allograft kungukuhlinzwa lapho i-meniscus - uqwanga olumise u-c emadolweni - ibekwa khona emadolweni akho. I-meniscus entsha ithathwa kumuntu oshonile (i-cadaver) futhi wanikela ngezicubu zakhe.

Uma udokotela wakho ethola ukuthi ungumuntu ofanelekayo wokufakelwa kwe-meniscus, ama-x-ray noma i-MRI yamadolo akho avame ukuthathwa ukuthola i-meniscus ezolingana namadolo akho. I-meniscus enikelwayo ihlolwa elebhu kunoma yiziphi izifo nokutheleleka.

Okunye ukuhlinzwa, okufana nokulungiswa kwe-ligament noma i-cartilage, kungenziwa ngesikhathi sokufakwa kwe-meniscus noma ngokuhlinzwa okuhlukile.

Ngokuqinisekile uzothola i-anesthesia ejwayelekile ngaphambi kwalokhu kuhlinzwa. Lokhu kusho ukuthi uzobe ulele futhi ungakwazi ukuzwa ubuhlungu. Noma, ungahle ube ne-anesthesia yesifunda. Indawo yakho yomlenze nedolo izobanjwa izinzwa ukuze ungezwa buhlungu. Uma uthola i-anesthesia yesifunda, uzophinde unikezwe umuthi ozokukwenza uzele kakhulu ngesikhathi sokuhlinzwa.

Ngesikhathi sokuhlinzwa:

• Ukufakelwa kwe-meniscus kuvame ukwenziwa kusetshenziswa i-knee arthroscopy. Udokotela ohlinzayo usika kabili noma kathathu amancane emadolweni akho. Amanzi kasawoti (usawoti) azofakwa emadolweni akho ukuze kufuthwe idolo.
• I-arthroscope ifakwa emadolweni akho ngokusika okuncane. Ububanzi buxhunywe esibonelweni sevidiyo egumbini lokusebenza.
• Udokotela ohlinzayo uhlola uqwanga nemisipha yamadolo akho, eqinisekisa ukuthi ukufakelwa kwe-meniscus kufanelekile, nokuthi awunaso isifo samathambo esinzima samadolo.
• I-meniscus entsha ilungiselelwe ukulingana kahle idolo lakho.
• Uma noma yiziphi izicubu ezisele ku-meniscus yakho endala, ziyasuswa.
• I-meniscus entsha ifakwe emadolweni akho futhi ihlanganiswe (ithungiwe) endaweni. Izikulufu noma amanye amadivayisi angasetshenziswa ukubamba i-meniscus endaweni.

Ngemuva kokuhlinzwa sekuqediwe, ukusikeka kuvaliwe. Ukugqoka kubekwa phezu kwesilonda. Ngesikhathi se-arthroscopy, odokotela abahlinzayo abaningi bathatha izithombe zenqubo kusuka kumqapha wevidiyo ukukhombisa ukuthi yini okutholakele nokuthi kwenziwe ini.

Amasongo amabili e-cartilage asenkabeni yedolo ngalinye. Enye ingaphakathi (i-medial meniscus) kanti enye ingaphandle (i-lateral meniscus). Lapho i-meniscus idabukile, ivame ukususwa nge-arthroscopy yamadolo. Abanye abantu basengaba nobuhlungu ngemuva kokuthi i-meniscus isuswe.

Ukufakelwa kwe-meniscus kufaka i-meniscus entsha emadolweni lapho i-meniscus ilahlekile khona. Le nqubo yenziwa kuphela lapho izinyembezi ze-meniscus zinzima kangangokuba yonke noma cishe yonke inqwaba ye-meniscus idabukile noma kufanele isuswe. I-meniscus entsha ingasiza ngobuhlungu bamadolo futhi mhlawumbe ivimbele isifo samathambo esizayo.

Ukufakwa kwe-Meniscus allograft kunganconywa ngezinkinga zamadolo njenge:

• Ukuthuthukiswa kwe-arthritis yokuqala
• Ukungakwazi ukudlala ezemidlalo noma eminye imisebenzi
• Ubuhlungu emadolweni
• Amadolo avumela indlela
• Idolo elingazinzile
• Ukuvuvukala okuqhubekayo kwedolo

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga ukuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zokuhlinzwa kokufakelwa kwamadoda yilezi:

• Ukulimala kwemizwa
• Ukuqina kwamadolo
• Ukwehluleka ukuhlinzwa ukukhulula izimpawu
• Ukwehluleka kwe-meniscus ukuphulukisa
• Izinyembezi ze-meniscus entsha
• Izifo ezivela ku-meniscus etshalwe kabusha
• Ubuhlungu emadolweni
• Ubuthakathaka bamadolo

Tshela umhlinzeki wakho wezempilo ukuthi yimiphi imithi oyiphuzayo. Lokhu kufaka phakathi imithi, izithasiselo, noma amakhambi owathengile ngaphandle kwemithi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha okwesikhashana izinciphisi zegazi. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kanye neminye imithi.
• Buza umhlinzeki wakho ukuthi imiphi imithi okufanele uyithathe ngosuku lokuhlinzwa kwakho.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubone udokotela wakho okuphatha ngalezi zimo.
• Tshela umhlinzeki wakho uma uphuze kakhulu utshwala, ngaphezu kweziphuzo ezi-1 noma ezi-2 ngosuku.
• Uma ubhema, zama ukuyeka. Cela usizo kumhlinzeki wakho. Ukubhema kunganciphisa ukuphulukiswa kwamanxeba namathambo.
• Tshela udokotela wakho ohlinzayo uma uba nomkhuhlane, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma esinye isifo ngaphambi kokuhlinzwa kwakho. Inqubo ingadinga ukuhlehliswa.

Ngosuku lokuhlinzwa:

• Landela imiyalelo yokuthi uyeke nini ukudla nokuphuza ngaphambi kokuhlinzwa.
• Thatha imithi umhlinzeki wakho akutshele ukuthi uyiphuze ngesiphuzo esincane samanzi.
• Landela imiyalo yokuthi uzofika nini esibhedlela. Qiniseka ukuthi ufika ngesikhathi.

Landela noma imiphi imiyalo yokukhipha nokunakekela onikezwa yona.

Ngemuva kokuhlinzwa, cishe uzogqoka okokubopha idolo amaviki ayisithupha okuqala. Uzodinga izinduku ezingamasonto ayisithupha ukuvimbela ukubeka isisindo esigcwele emadolweni akho. Cishe uzokwazi ukuhambisa idolo ngemuva kokuhlinzwa. Ukwenza kanjalo kusiza ukuvimbela ukuqina. Ubuhlungu buvame ukuphathwa ngemithi.

Ukwelashwa ngokomzimba kungakusiza ukuthi uphinde uthole ukunyakaza namandla edolo lakho. Ukwelashwa kuhlala isikhathi esiphakathi kwezinyanga ezine nezingu-6.

Ungabuya ngokushesha kangakanani emsebenzini kuya ngomsebenzi wakho. Kungathatha kusuka emavikini ambalwa kuye ezinyangeni ezimbalwa. Kungathatha izinyanga eziyisithupha kuya onyakeni ukubuyela ngokugcwele emisebenzini nakwezemidlalo.

Ukufakelwa kabusha kwe-Meniscus allograft kungukuhlinzwa okunzima, futhi ukululama kunzima. Kepha kubantu abalahlekile i-meniscus futhi abanezinhlungu, kungaphumelela kakhulu. Iningi labantu linezinhlungu ezingaphansi kwamadolo ngemuva kwale nqubo.

Ukufakelwa kweMeniscus; Ukuhlinzwa - ukufakelwa kwamadolo - i-meniscus; Ukuhlinzwa - idolo - uqwanga; I-arthroscopy - idolo - ukufakelwa kwe-meniscus

• I-arthroscopy yamadolo - ukukhishwa

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URuzbarsky JJ, Maak TG, Rodeo SA. Ukulimala kwamadoda. Ku: Miller MD, Thompson SR, ama-eds. UDeLee, uDrez & Miller's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 94.