Idolo Lakho Lesibambo Sedolo Nebhakede

-Delile

• Ziyini izimpawu zesibambo sebhakede izinyembezi?
• Yiziphi izimbangela zezinyembezi zokubamba ibhakede?
• Kufanele ubone nini udokotela?
• Yiziphi izindlela zokwelashwa zezinyembezi zokubamba ibhakede?
• Izinketho zokuhlinzwa
• Uyini umbono?

Yini ukukhala kwebhakede izinyembezi?

Ukubamba ibhakede izinyembezi uhlobo lwe-meniscus izinyembezi ezithinta idolo lakho. Ngokusho kwephephabhuku i-Arthroscopy Techniques, amaphesenti alinganiselwa ku-10 azo zonke izinyembezi zokungahambi kahle emzimbeni yizinyembezi zokubamba ibhakede. Lezi zinhlobo zezinyembezi ze-meniscus zivame ukuthinta izinsizwa. Ngenkathi kunezinhlobo ezahlukahlukene zezinyembezi ze-meniscus, ukukhala kwebhakede izinyembezi ngokwesiko kunzima kakhulu (kepha nakanjani akunakwenzeka) ukwelashwa.

Ziyini izimpawu zesibambo sebhakede izinyembezi?

Unama-menisci amabili emadolweni akho: aphakathi nendawo nawalandelayo. I-meniscus yakho yangaphakathi imise okwe-C futhi ivikela ingxenye engaphakathi yamadolo akho. I-meniscus yakho yangemuva ifane ne-U futhi ihlala engxenyeni engaphandle yokuhlangana kwamadolo akho. I-meniscus ngayinye isiza ukunciphisa ingcindezi ephelele ekuhlanganyeleni kwamadolo akho. Kodwa-ke, ama-menisci angakhalwa.

Ukubamba ibhakede izinyembezi ukukhala okugcwele kwe-meniscus okuvame ukwenzeka engxenyeni yangaphakathi ye-meniscus yakho yangaphakathi. Ngokwe Whe Wheel ’Textbook of Orthopedics, izinyembezi zokubamba amabhakede zenzeka izikhathi eziphindwe kathathu kwi-meniscus yangaphakathi kunaleyo eseceleni. Igama elithi "isibambo sebhakede" lisho ukuthi ingxenye yezinyembezi ze-meniscus futhi ingaphenduka kanjani njengesibambo ebhakedeni. Ngezinye izikhathi, ingxenye ye-meniscus edabukile ingaphenduka futhi ibhajwe emadolweni.

Uphawu oluyinhloko lwezinyembezi ze-meniscal ubuhlungu nokungahambi kahle. Ngezinye izikhathi ubuhlungu bungase benziwe emadolweni akho noma emaphethelweni ngamunye wokuhlangana kwamadolo akho. Esinye isibonakaliso esivame ukuhambisana nesibambo sebhakede izinyembezi ikakhulukazi ukuhlangana ngamadolo kukhiyiwe. Lokhu kwenzeka lapho ukujoyina kwakho kungeke kuqonde ngokuphelele ngemuva kokugoba.

Ezinye izimpawu ongazithola ngesibambo sebhakede izinyembezi zifaka:

• ukuqina
• ukuqina
• ukuvuvukala

Izinyembezi zokubamba ibhakede nazo zivame ukuhambisana nezinyembezi zangaphakathi ze-ligament (ACL). Ezinye zezimpawu ezingakhombisa izinyembezi ze-ACL zifaka:

• ubunzima bokuthwala isisindo emadolweni
• ukungazinzi kwamadolo
• ukuphuma kwesimo lapho unyakazisa idolo
• ubuhlungu obukhulu

Zombili lezi zimo zidinga ukwelashwa kukadokotela ukusiza ekululameni nasekubuyiseleni ekuhambeni.

Yiziphi izimbangela zezinyembezi zokubamba ibhakede?

Ngenkathi ungathola i-meniscal kanye nebhakede lokuphatha izinyembezi nganoma yisiphi isikhathi, zivame ukwenzeka kubantu abasha ababamba iqhaza kwezemidlalo ejwayelekile. Izinyembezi ze-Meniscal zivame kakhulu ngenxa yokulimala okusontekile, njengokutshala idolo nezinyawo phansi ngamandla nokushintsha isisindo noma ukuguquka ngokushesha okukhulu. I-meniscus ngokuvamile iqala ukuba buthakathaka lapho uneminyaka engama-30, okwenza abantu kule minyaka nangaphezulu babe sengozini yokulimala.

Ezinye izindlela ongathola ngazo izinyembezi zokubamba ibhakede zifaka:

• ukukhuphuka izitebhisi
• ukucobhoza
• ukuthatha isinyathelo esingesihle lapho uhamba futhi usonta idolo

Kwesinye isikhathi, ungaba nesibambo sebhakede esingelapheki ngenxa yezinguquko eziwohlozayo ekuhlanganyeleni kwamadolo akho. Lapho isifo samathambo senza amathambo edolo lakho ahlangane, izindawo zingaba ngokungalingani futhi zibe lukhuni esikhundleni sokubushelelezi. Lezi zinguquko zenza kube lula ukuthi izinyembezi zokubamba ibhakede zenzeke.

Kufanele ubone nini udokotela?

Uma uzwa i-pop ehlukile ngenkathi uzivocavoca, noma uzwa ubuhlungu, ukuvuvukala, noma ukukhiywa kwamadolo, kufanele ubone udokotela wakho. Bazobuza ngezimpawu zakho futhi bangancoma izifundo zokuthwebula izithombe. Lokhu kuvame ukufaka ukuskena kwe-magnetic resonance imaging (MRI). Udokotela wakho uvame ukukhomba isibambo sebhakede izinyembezi ngoba inophawu olucacile lwe- “PCL”, lapho i-posterior cruciate ligament (PCL) ibukeka iphindwe kabili ngenxa yokulimala kwe-meniscus.

Yiziphi izindlela zokwelashwa zezinyembezi zokubamba ibhakede?

Odokotela ngokujwayelekile bancoma ukuhlinzwa ukulungisa isibambo sebhakede izinyembezi, ngaphandle okumbalwa. Okokuqala, uma unezinyembezi zokubamba ibhakede ezingapheli ezingabangeli izimpawu, udokotela wakho ngeke avame ukutusa ukuhlinzwa.Okwesibili, uma unomlando wesifo samathambo esibi (njengebanga lesi-3 noma ibanga lesi-4), ukulungiswa kwebhakede ukukhipha izinyembezi kungenzeka kungazinciphisi izimpawu zakho.

Ukwelashwa okulondolozayo kanye nesikhathi kungaba yindlela engcono kakhulu yokwenza, ikakhulukazi esimweni sokukhala okuncane, noma kuya ngokuthi ukuphi, e-meniscus, ukulimala kwakho. Lokhu kusho ukuphumula, uqweqwe lukashukela olujwayelekile, futhi ngokunokwenzeka uthatha imishanguzo yokulwa nokuvuvukala njengoba idolo lakho liphulukisa.

Olunye ukwelashwa abanye odokotela abalusebenzisele izinyembezi zesilisa ukwelashwa kwe-platelet rich plasma (PRP). Le yindlela yokwelashwa engahlinzi. kubika "ukuphulukiswa okuzenzekelayo" kwebhakede lesibambo sebhakede endodeni eneminyaka engu-43 ngemuva kwezindlela ezintathu zokwelashwa ngomjovo we-PRP. Ngenkathi kuthembisa, imiphumela ingahle ingabi njalo njalo. Abaphenyi bayaqhubeka nokuhlola izinketho ezingezona zokwenziwa njengalezi.

Izinketho zokuhlinzwa

Ngokufanelekile, udokotela uzokwazi ukulungisa ngokucophelela i-meniscus yakho edabukile. Imvamisa lokhu bakwenza nge-arthroscopy yamadolo. Lokhu kuhilela ukwenza ukusikeka okuncane nokufaka amathuluzi kuzimbobo zokufinyelela ukuhlangana kwamadolo nokulungisa indawo eyonakele. Bazothunga izingxenye ezonakele babuyelane, uma kungenzeka.

Kwesinye isikhathi, udokotela akakwazi ukulungisa umonakalo. Kulokhu, bazosusa ingxenye ethintekile. Ngenkathi lokhu kunganciphisa izimpawu ezisheshayo, ungahle ube sengozini yokuthola i-osteoarthritis yokuqala.

Ngemuva kokuhlinzwa, udokotela uzoncoma ukuthi ungathwali isisindo emlenzeni wakho othintekile cishe amasonto ayisithupha. Ungahle uhambe ngezinduku bese ufaka izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene ezikhethekile ezibizwa ngokuthi i-knee immobilizer ukuvumela isikhathi sokuphulukiswa. Abantu bavame ukukhuthazwa ukuthi babambe iqhaza ekwelashweni ngokomzimba noma bahlanganyele ekuzivocavoca umzimba, njengobubanzi bokuzilolonga.

Ngokusho kwephephabhuku i-Arthroscopy Techniques, abantu abaningi babuyela kwezemidlalo nakwezinye izinto zomzimba cishe ezinyangeni ezine kuya kwezinhlanu ngemuva kokuhlinzwa.

Uyini umbono?

Ngoba izinyembezi eziningi zokubamba amabhakede zenzeka kubantu abasha, abanempilo, ukulungiswa kokuhlinzwa kungakusiza ukuthi uhlale usebenza futhi ungabi nezinhlungu. Ngenkathi ukwelulama kungathatha izinyanga ezimbalwa, ungahle ubuyele emisebenzini yakho ephelele yomzimba ngesikhathi nangokomzimba wokwelapha umzimba.