Traumatology. Ukulimala meniscus we ngokuhlanganyela amadolo

Joint amadolo yakhiwa le patella futhi tibia. Indawo yayo imbozwe uqwanga kokuba e isakhiwo eziningi nemisipha eqinile. Amadolo flexion nokwelulwa kuhambisana ngokuhlanganyela ukushelela inikezwa yi uketshezi lwamalunga kanye ulwelwesi. Ukuzinza ngokuhlanganyela phakathi ezinyakazayo olunikezwa nemisipha, imisipha kanye hryaschik ngaphakathi yayo (menisci). Hryaschiki umsebenzi ngokuthi "mfutho". Lapho uhamba, bona shwabanisa, kokushintsha isimo salo.

Ukulimala meniscus we ngokuhlanganyela amadolo baphakathi lwezinhlobo ezivame kakhulu yokulimala ngokuhlanganyela. Ngokuyinhloko, angaphansi abasubathi. Zimbili izinhlobo Meniscus. I yangaphakathi umsipha lateral lihlotshaniswa, kuba kuqhathaniswa static. Uqwanga ongaphandle siyisifiso mobile ngaphezulu. Ukuhlobana phakathi kwabo liqinisekiswa umsipha transverse. Ngokuvamile kwenzeka umonakalo meniscus sangaphakathi kwedolo. Kungaba oyingozi noma ezingamahlalakhona. Ngakho, ebonakaliswa izimpawu ohlobo.

Ukulimala meniscus ka kwedolo ephelezelwa ubuhlungu obuhlabayo endaweni amadolo Imininingwane. Khona-ke kwasendaweni yayo kwenzeka ngaphakathi noma ngaphandle (kuye ngokuthi uhlobo olimele uqwanga) ohlangothini. Motor ikhono isiguli iba elinganiselwe kakhulu. Akakwazi uzizwe noma ubuhlungu kancane emlenzeni wakhe insaliwe. Ubuhlungu buba bukhulu nakakhulu uma uzama ukuze usiqondise. Ezimweni lomonakalo meniscus we ngokuhlanganyela amadolo zingandiswa (zokuzikhukhumeza) ka kwedolo.

Sifo kusekelwe luhlolo yokulimala, futhi enemininingwane nesineke imibuzo. Ukuze siqhube-X-ray luhlolo ezimweni ezinjalo ngeke usebenze ngenxa uqwanga obala ukuze X-ray. Ukuthola umonakalo amadolo meniscus ezivezwa MRI noma arthroscopy endoscopic.

Usizo lokuqala for ukulimala kuhilela ukunqunywa uvala isondo, analgesia futhi bathuthe isiguli traumatologist.

umonakalo kwamadolo ukwelashwa meniscus kungaba olandelanayo noma kuhlinzwa.

Therapy olandelanayo kuhlanganisa nokususwa igazi (uma kunesidingo) ka endaweni elimele. Khona-ke isicelo usimende amasonto amane. Ngemva kususwe uqhutshwa yokwelapha okuzivuselela.

Kwezinye isebenzisa arthroscopy. Le ndlela yokuthola ongaphakeme Kwenhlekelele yokwelashwa kuze kube manje kubhekwe ngempumelelo kakhulu. Kuphethe arthroscopy kusivumela hhayi kuphela ukutadisha ezilimele ingaphakathi ngokuhlanganyela, kodwa futhi kungenzeka ukuba afeze cross-Ukuhlotshaniswa uqwanga abalimala. Uma lokhu kungeke kwenzeke, ukukhiqiza nokususa (ngokuphelele noma ingxenye). Ukususa kungenzeka ukuba afeze arthroscopy. Emacaleni angu-olunzima eyenziwa arthrotomy (ukuhlinzwa evulekile).

Kwezinye izimo, wokubhoboza ngokuhlanganyela, phakathi kwesikhathi lapho wenza ukwethulwa novocaine. Khona-ke, elele evundlile isiguli ukunciphisa uqwanga obonakele. Kulokhu, lo dokotela kwenziwa isenzo, ukubuyela kulabo okwaholela ukulimala. Uma uqwanga iwela indawo, zonke ukunyakaza ngokuhlanganyela abuyiselwe. Nokho, le ndlela yokwelapha alikapheli. Umlenze (izimisele engela ngokukhethekile) iduduzekile ukhonkolo.

Njengoba ukwelashwa kanye wawuphonsa ukususa isiguli kufanele kube uphumule amasonto amathathu.

Ngesikhathi kokuphela kwalesi sikhathi inikwe umsebenzi therapy ne Physiotherapy.

Ngokuba nokuvimbela ukulimala, odokotela batusa sokuqapha lapho senza ukunyakaza kungazelelwe, uhamba, ugijima, ekwehleni futhi ukugibela izitebhisi. Lapho ezemidlalo esebenzayo ofuna ukuyisebenzisa kokungathembeki kusaladi noma amabhandeshi. Abesifazane Kunconywa ukusebenzisa isichathule uzinze ngokwengeziwe.