Bondo Lanu ndi Chidebe Chogwirira Misozi

Zamkati

• Kodi Zizindikiro Zogwirira Chidebe Zimang'ambika?
• Kodi zimayambitsa chiani chidebe?
• Kodi muyenera kuwona liti dokotala?
• Kodi mankhwala a chidebe chogwira ntchito ndi otani?
• Zosankha za opaleshoni
• Maganizo ake ndi otani?

Kodi chidebe chogwirira ndi chiyani?

Chidebe chogwiritsira ntchito ndi mtundu wa meniscus misozi yomwe imakhudza bondo lanu. Malingana ndi magazini yotchedwa Arthroscopy Techniques, pafupifupi 10 peresenti ya misozi yonse ya amuna ndi misozi imagwira misozi. Mitundu ya misozi imeneyi imakhudza anyamata kwambiri. Ngakhale pali mitundu ingapo ya misozi ya meniscus, chidebe chogwiritsira ntchito misozi nthawi zambiri chimakhala chovuta (koma motsimikizika sichingatheke) kuchiza.

Kodi Zizindikiro Zogwirira Chidebe Zimang'ambika?

Muli ndi ma menisci awiri pa bondo lanu: apakatikati komanso ofananira nawo. Meniscus yanu yapakati ndi yofanana ndi C ndipo imateteza gawo lamkati la bondo lanu. Meniscus yanu yotsatira ndi yofanana ndi U ndipo imakhala kunja kwa theka la bondo lanu. Meniscus iliyonse imathandiza kuchepetsa kupsyinjika konse kwa bondo lanu. Komabe, menisci amatha kugwetsa misozi.

Chidebe chogwirira ndikung'ambika kwathunthu kwa meniscus komwe kumachitika nthawi zambiri mkatikati mwa meniscus yanu yapakatikati. Malinga ndi Wheeless ’Textbook of Orthopedics, misozi imagwira misozi imachitika katatu mu meniscus yamankhwala kuposa yotsatira. Dzinalo "chidebe chogwirira" limatanthawuza momwe gawo la meniscus limalira ndipo limatha kudumphadumpha ngati chogwirira pachidebe. Nthawi zina, gawo logawanika la meniscus limatha kudumpha ndikumangirira bondo limodzi.

Chizindikiro chachikulu cha misozi yopweteka ndikumva kuwawa komanso kusapeza bwino. Nthawi zina ululuwo umatha kugwiridwa ndi bondo lanu kapena m'mbali mwa bondo lanu. Chizindikiro china chomwe nthawi zambiri chimatsagana ndi chidebe chogwira ndikung'amba makamaka ndi bondo lotsekedwa. Izi zimachitika pomwe cholumikizira chanu sichingawongoleke bwinobwino pambuyo poti chikopindidwe.

Zizindikiro zina zomwe mungakumane nazo ndikung'amba ndowa ndi:

• kuuma
• zolimba
• kutupa

Misozi ya chidebe nthawi zambiri imatsagana ndi misozi ya anterior cruciate ligament (ACL). Zizindikiro zina zomwe zitha kuwonetsa kulira kwa ACL ndi izi:

• zovuta kunyamula kulemera pa bondo
• Kusakhazikika kwa mawondo
• kutulutsa kotulutsa poyenda bondo
• kupweteka kwambiri

Zonsezi zimafuna chithandizo cha dokotala kuti athandizire kuchira ndikubwerera ku mayendedwe.

Kodi zimayambitsa chiani chidebe?

Ngakhale mutha kukhala ndi vuto la meniscal ndi chidebe misozi iliyonse, zimachitika makamaka kwa achinyamata omwe amachita nawo masewera othamanga. Misozi ya Meniscal nthawi zambiri imakhala chifukwa chovulala, monga kubzala bondo ndi phazi mwamphamvu ndikusintha kunenepa kapena kutembenuka mwachangu. Meniscus nthawi zambiri imayamba kufooka mukakhala zaka 30, ndikupangitsa anthu azaka izi komanso achikulire kukhala pachiwopsezo chovulala.

Njira zina zomwe mungagwiritsire ntchito chidebe ndikung'amba ndizo:

• kukwera masitepe
• kupunduka
• kutenga cholakwika poyenda ndikupotoza bondo

Nthawi zina, mumatha kukhala ndi chidebe chong'ambika chifukwa chakusokonekera kwa bondo lanu. Matenda a nyamakazi akamayambitsa mafupa a mawondo anu kugwiranagwirana, madera amatha kukhala osakhazikika komanso owuma m'malo mosalala. Kusintha kumeneku kumapangitsa kukhala kosavuta kuti chidebe chogwirira ndowa chichitike.

Kodi muyenera kuwona liti dokotala?

Mukamva pop mosiyanasiyana mukamachita masewera olimbitsa thupi, kapena mukumva kupweteka, kutupa, kapena kutseka pabondo, muyenera kuwona dokotala wanu. Afunsa za zizindikilo zanu ndipo angakulimbikitseni maphunziro azithunzi. Izi nthawi zambiri zimaphatikizapo kujambula kwamagnetic resonance imaging (MRI). Dokotala wanu nthawi zambiri amatha kuzindikira chidebe chong'ambika chifukwa ali ndi chikwangwani chodziwika bwino cha "PCL" iwiri, pomwe posterior cruciate ligament (PCL) imawoneka kawiri chifukwa cha kuvulala kwa meniscus.

Kodi mankhwala a chidebe chogwira ntchito ndi otani?

Madokotala amalimbikitsa opareshoni kuti akonze chogwirira chidebe, kupatula zochepa. Choyamba, ngati muli ndi chidebe chosasunthika chomwe sichimayambitsa matenda, dokotala wanu samalimbikitsa opareshoni.Chachiwiri, ngati muli ndi vuto la nyamakazi (monga grade 3 kapena grade 4 arthritis), chidebe chogwiritsira ntchito kukonza misozi sichingathetsere matenda anu.

Chithandizo chodziletsa komanso nthawi ikhoza kukhala njira yabwino kwambiri, makamaka pakung'amba pang'ono, kapena kutengera komwe, mu meniscus, kuvulala kwanu kuli. Izi zikutanthauza kupuma, kuziziritsa nthawi zonse, ndipo mwina kumwa mankhwala osagwiritsa ntchito zotupa ngati bondo lanu likuchira.

Chithandizo china chomwe madotolo ena agwiritsa ntchito kutulutsa misozi ndi mankhwala a platelet rich plasma (PRP). Imeneyi ndi njira yopanda chithandizo. adanenanso kuti "kuchira kwadzidzidzi" kwa chidebe chogwira misozi mwa bambo wazaka 43 atalandira mankhwala atatu a PRP jakisoni. Ngakhale zikulonjeza, zotsatira sizingakhale zotheka nthawi zonse. Ofufuzawo akupitiliza kufufuza njira zopanda chithandizo ngati izi.

Zosankha za opaleshoni

Momwemo, dokotala adzatha opaleshoni meniscus yanu yong'ambika. Nthawi zambiri amachita izi kudzera pamagetsi. Izi zimaphatikizapo kupangika pang'ono ndikulowetsa zida pamagawo ofikira bondo ndikukonzanso malo owonongeka. Asoka ziwalo zowonongekazo, ngati zingatheke.

Nthawi zina, dokotala sangathe kukonza zomwe zawonongeka. Poterepa, achotsa gawo lomwe lakhudzidwa. Ngakhale izi zitha kuchepetsa zizindikilo zapompopompo, mutha kukhala pachiwopsezo cha matenda a osteoarthritis oyambirira.

Pambuyo pa opareshoni, adokotala amalimbikitsa kuti musalemetse mwendo wanu womwe wakhudzidwa kwa milungu isanu ndi umodzi. Mutha kuyenda ndi ndodo ndi kuvala chitsulo cholumikizira chapadera chotchedwa knee immobilizer kuti mupeze nthawi yochira. Anthu nthawi zambiri amalimbikitsidwa kuti azichita nawo masewera olimbitsa thupi kapena kuchita masewera olimbitsa thupi, monga kungoyenda pang'ono.

Malinga ndi magazini ya Arthroscopy Techniques, anthu ambiri amabwerera kumasewera ndi zochitika zina zakuthupi pafupifupi miyezi inayi kapena isanu atachitidwa opaleshoni.

Maganizo ake ndi otani?

Chifukwa misozi yambiri imagwira misozi imachitika mwa achinyamata, athanzi, kukonza maopareshoni kumatha kukuthandizani kuti mukhale otakataka komanso opanda ululu. Ngakhale kuchira kumatha kutenga miyezi ingapo, nthawi zambiri mumatha kubwereranso kuzolimbitsa thupi ndi nthawi komanso masewera olimbitsa thupi.