25 lakh+
Iziguli Ezijabule
Abanolwazi futhi
odokotela abanekhono
17
Izikhungo Zokunakekela Ezempilo
Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi
I-Meniscectomy ibalwa njengokuhlinzwa okuvamile kwamathambo okwenziwa. Le nqubo yamadolo isiza ukudambisa ubuhlungu lapho odokotela besusa izingxenye ezilimele ze-meniscus. I-meniscus iyi-cartilage ebamba ukushaqeka evikela amadolo.
Abasubathi abadlala imidlalo yokuxhumana babhekana nezingozi ezinkulu. Abadlali bebhola nombhoxo abahamba phambili ohlwini, futhi u-85% weziguli ezinokulimala kwe-meniscal kanye ne-ACL zidinga ukwelashwa kwe-arthroscopic. Odokotela bacabangela izici eziningana zokukhetha phakathi kokulungiswa kwe-meniscal kanye ne-meniscectomy:
Ucwaningo lubonisa ukuthi ukulungiswa kwe-meniscal kuholela emiphumeleni engcono kanye nokusebenza okuthuthukisiwe. Ukuhlinzwa kwe-Meniscectomy kunerekhodi elikhethekile lokuphepha elinezinkinga ezincane.

Izibhedlela ze-CARE zihamba phambili njengenketho ephezulu ye-meniscectomy e-Hyderabad. Ukuzinikela kwabo ekwenzeni kahle kubenza babe yisinqumo esikhethwayo ezigulini ezidinga ukuhlinzwa kwedolo okungavamisile.
Izibhedlela ze-CARE zaziwa ngendlela yazo ehlanganisa konke ekunakekelweni kwamathambo. Lokhu kuqinisekisa ukwelashwa okusezingeni lomhlaba ngendlela oyifisayo ngokwezidingo eziqondile zesiguli ngasinye.
Izibhedlela ze-CARE zihlanganise ithimba lodokotela abahlinza amathambo abanolwazi olunzulu ngezinqubo eziyinkimbinkimbi zamadolo. Laba ngcweti bahlanganisa ukuqeqeshwa okubanzi nesipiliyoni seminyaka yomtholampilo ukuze kulethwe ukunakekelwa okukhethekile ezigulini ezidabula i-meniscus.
Ithimba lamathambo linikeza ukunakekela komuntu siqu kulo lonke ukwelashwa kwesiguli - kusukela ekuboniseni kokuqala ngokululama ngemva kokuhlinzwa. Le ndlela egxile esigulini, ehlangene nezinsiza zesimanje, isiza ukuletha ukunakekelwa kwekhwalithi ephezulu kakhulu.
Odokotela Abahlinzayo Abangcono Kakhulu eNdiya
Intuthuko yokuhlinzwa iwumgogodla wezinqubo eziphumelelayo ze-meniscus Ezibhedlela ze-CARE. Umnyango wamathambo usebenzisa ubuchwepheshe obuthuthukisiwe ukuze uthole imiphumela engcono kakhulu yokuhlinzwa:
Izindlela zokuhlinza ezihlasela kancane ziholela esikhathini esifushane sokululama, ubuhlungu obuncane, nokuhamba okungcono ngemva kokuhlinzwa. Umnyango wamathambo ugxile ekunakekelweni kokuvimbela nokuvuselela kanye nokungenelela kokuhlinzwa ukuze kuzuzwe imiphumela emihle yesiguli.
Udokotela wakho angase atuse ukuhlinzwa uma ukwelashwa okuvamile kungasizi nge-meniscus yakho edabukile. I-meniscectomy iba yisinqumo esifanele uma:
Akuwona wonke ama-meniscus izinyembezi adinga ukuhlinzwa. Izinyembezi ezincane "endaweni ebomvu" yangaphandle zivame ukuphulukisa ngokwemvelo ngenxa yokunikezwa kwegazi okuhle. Ukuphumula nokwelashwa ngokomzimba kusebenza kahle kulezi zimo. Izinyembezi "zendawo emhlophe" asondelene kakhulu nangokunokwenzeka ukuze ziphole ngoba ukugeleza kwegazi kunomkhawulo.
Uhlobo nobukhulu bezinyembezi bunquma ukuthi iyiphi inketho yokuhlinzwa esebenza kahle kakhulu:
Iminyaka yakho yobudala, indawo yokudabula, iphethini yezinyembezi, kanye nempilo yamadolo iyonke inquma inqubo engcono kakhulu kuwe.
Ukulungiselela kahle i-meniscectomy kuholela emiphumeleni engcono nokululama ngokushesha. Nakhu okufanele ukwazi mayelana nesinyathelo ngasinye sohambo lwakho lokuhlinzwa.
Uzodinga ukuhlolwa okuningana ngaphambi kokuhlinzwa kwe-meniscus, okuhlanganisa umsebenzi wegazi, i-EKG, i-X-ray yesifuba, i-X-ray yamadolo, futhi mhlawumbe ne-MRI.
Udokotela wakho ohlinzayo udinga ukwazi ngayo yonke imithi nezithasiselo ozithathayo njengoba ezinye zingadinga ukuyekwa okwesikhashana.
Kufanele uzile ukudla amahora ayi-12 ngaphambi kwenqubo yakho.
Ngemva kokunikeza i-anesthesia, udokotela ohlinzayo wenza izimbobo ezincane edolweni lakho ngesikhathi se-arthroscopic meniscectomy - ngaphansi kwengxenye ye-intshi. Basebenzisa ikhamera encane ebizwa ngokuthi i-arthroscope ukuze babone ukukhala.
Udokotela ohlinzayo ulungisa i-meniscus nge-sutures, asuse ingxenye eyonakele (ingxenye ye-meniscectomy), noma, ezimweni ezingavamile, asuse yonke i-meniscus (ingqikithi ye-meniscectomy).
Yonke inqubo ngokuvamile ithatha cishe ihora.
Indlela ye-RICE isebenza kangcono uma isetshenziswa ngemva nje kokuhlinzwa. Kuhlanganisa ukuphumula, iqhwa, ukucindezela, nokuphakama.
Cishe uzodinga izinduku cishe isonto lonke. Ukwelashwa ngokomzimba kubalulekile ukuze ubuyisele ukuhamba kwakho namandla. Izikhathi zokutakula zingahluka:
I-Meniscectomy ihlala iphephile ngezinkinga ezincane. Izingozi zihlanganisa:
Le nqubo isiza ukukhulula ubuhlungu, ithuthukise ukuzinza kwamadolo, futhi ibuyise umsebenzi ojwayelekile. Iziguli ngokuvamile zingabuyela emisebenzini yazo yansuku zonke nemidlalo. Ukulungiswa kwe-meniscus kubonisa imiphumela emihle yezinyembezi ezibuhlungu, kuyilapho i-meniscectomy eyingxenye isebenza kangcono ngezinyembezi eziwohlokayo.
Izinhlelo zomshuwalense wezempilo ngokuvamile zihlanganisa i-meniscectomy njengoba odokotela bebona kudingekile ngokwezokwelapha. Imali oyikhokhayo kufanele ihlanganise izindleko zesibhedlela, izindleko zikadokotela, ukuhlolwa kwezokwelapha, nezindleko zangaphambi nangemuva kokuya esibhedlela. Kufanele uhlole nomhlinzeki wakho mayelana nemininingwane ethile yokufakwa futhi uzilungiselele namafomu ezicelo, imiyalelo kadokotela, namarekhodi ezokwelapha.
Ukuthola omunye umbono wezokwelapha kunengqondo, ikakhulukazi uma kutuswa ukuhlinzwa. Ukubukeka kwesibili kusiza ukuqinisekisa ukuxilongwa kwakho, kubonisa ezinye izindlela zokwelapha, futhi kukunike ukuthula kwengqondo. Bheka ochwepheshe abazazi kahle izinqubo ze-meniscus, thola wonke amarekhodi akho ezokwelapha futhi ubhale phansi imibuzo mayelana nesimo sakho.
I-Meniscectomy iyisixazululo esiphephile nesisebenzayo sabantu abanezinyembezi ze-meniscus. Le nqubo isiza iziguli ukuthi ziphinde zikwazi ukuhamba futhi zibuyele ekuphileni okusebenzayo ngokushelela.
Izibhedlela ze-CARE zihlinzeka ngokwelashwa kwe-meniscus okuvelele ngobuchwepheshe obuphambili nodokotela abahlinzayo abanekhono. Indlela yabo yokuqala yesiguli izonikeza umuntu ngamunye ukunakekelwa okufanelana naye, kusukela ekuxilongweni kokuqala ngokuhlunyeleliswa.
Ukulungiselela kahle ngaphambi kokuhlinzwa kuthuthukisa kakhulu imiphumela yakho. Ukunakekelwa kwangemva kokuhlinzwa kubalulekile empumelelweni yokululama. Iziguli eziningi zibuyela emisebenzini evamile phakathi kwamaviki angu-4-6 ngemva kwe-meniscectomy eyingxenye. Ukulungisa i-meniscus kungathatha izinyanga ezintathu.
Uchwepheshe angakusiza unqume ukuthi ukuhlinzwa kuyindlela engcono kakhulu kuwe. Indlela esuka ekuxilongweni iye ekululameni okuphelele idinga ukuzinikezela, kodwa ukukhululeka ebuhlungwini nasekuhambeni okubuyiselwe kwenza le nqubo ifanele ukucatshangelwa ngayo.
Izibhedlela zeMeniscus Surgery eNdiya
Ukuhlinzwa kwe-Meniscus kulungisa uqwanga oludabukile endaweni yakho yamadolo. Udokotela ohlinzayo ulungisa ukudabuka ngokuthunga noma asuse ingxenye eyonakele (meniscectomy).
Ukuhlinzwa ngokuvamile kuthatha imizuzu engama-30 kuya kwengama-60. Isikhathi sokuhlinzwa siyahlukahluka kuye ngokulandelayo:
Ukuhlinzwa kwe-Meniscus akukona ukuhlinzwa okukhulu. Kuyinqubo yeziguli zangaphandle, ngakho iziguli ziya ekhaya ngalo lolo suku.
Ukubuyisela kuncike kwinqubo yakho:
Uma ungelapheki i-meniscus izinyembezi ngesikhathi, ingaba yimbi futhi iholele ezinkingeni ezimbalwa:
Ezinye izinyembezi zilulama ngokwemvelo, kodwa lokhu kuncike ekutheni zikuphi nokuthi ziba zimbi kangakanani. Iziguli ezincane ezinezinyembezi ezithambile ngezinye izikhathi ziba ngcono ngokuphumula kanye nokwelashwa okuyisisekelo. Ezimweni ezimbi kakhulu, udinga ukunakekelwa kochwepheshe ukuze uphulukise ngendlela efanele.
Yebo, odokotela basebenzisa izikena ze-MRI ukuze baqinisekise izinyembezi ze-meniscus. I-MRI ibonisa izithombe ezinemininingwane yohlobo lwezinyembezi, indawo, nobukhulu. Lezi zithombe zisiza udokotela wakho ohlinzayo ukuthi akhethe ukwelashwa okungcono kakhulu kwecala lakho elithile.
Kunezici ezimbalwa ezisebenza ndawonye ekwenzeni lokhu kukhetha:
Qaphela lezi zimpawu eziyisixwayiso ngemva kwenqubo yakho: