Yintoni iMeniscectomy?

Umxholo

• Kutheni isenziwa?
• Ngaba ikho into ekufuneka ndiyenzile ukulungiselela?
• Kwenziwa njani?
• Utyando lwearthroscopic
• Vula utyando
• Ngaba ikho into ekufuneka ndiyenzile emva kotyando?
• Kuthatha ixesha elingakanani ukuchacha?
• Ngaba kukho nayiphi na ingozi?
• Yintoni imbonakalo?

I-meniscectomy luhlobo lotyando olusetyenziselwa ukunyanga i-meniscus eyonakeleyo.

I-meniscus sisakhiwo esenziwe nge-cartilage esinceda ukuba idolo lakho lisebenze ngokufanelekileyo. Unezimbini kuzo zonke idolo:

• i-meniscus esecaleni, kufutshane nomda wangaphandle wedolo lakho
• I-meniscus yangaphakathi, kufutshane nomphetho ngaphakathi kwedolo lakho

I-menisci yakho inceda ukuhlangana kwamadolo ngoku:

• Ukuhambisa ubunzima bakho kwindawo enkulu, enceda idolo lakho ukuba liphakamise ubunzima bakho
• ukuzinzisa indibaniselwano
• Ukubonelela ukuthambisa
• ukuthumela imiqondiso yengqondo yakho ukuze wazi apho idolo lakho likhona kwisithuba esihambelana nomhlaba, esinceda ngokulinganisela
• esebenza njengesixhobo sokumothusa

I-meniscectomy iyonke ibhekisa ekususweni ngotyando kuyo yonke i-meniscus. Inxalenye ye-meniscectomy ibhekisa ekususweni kwenxalenye eyonakeleyo kuphela.

Kutheni isenziwa?

I-meniscectomy iqhele ukwenziwa xa une-meniscus eqhekekileyo, eyenzeka ngokulimala emadolweni. Phantse abangama-66 kubo bonke abantu abayi-100,000 bachitha i-meniscus ngonyaka.

Injongo yoqhaqho kukususa iziqwenga ze-meniscus ezinamathela kwi-joint. Ezi ziqwenga zingaphazamisa intshukumo edibeneyo kwaye zibangele ukuba idolo lakho litshixe.

Iinyembezi ezincinci zihlala zipholisa zodwa ngaphandle kotyando, kodwa iinyembezi ezinzima zihlala zifuna ukulungiswa kotyando.

Ugqirha phantse rhoqo luyafuneka xa:

• iinyembezi azinyangi ngonyango olulondolozayo, njengokuphumla okanye umkhenkce
• idolo lakho elihlangeneyo liyaphuma kulungelelwaniso
• liya kuvaleka idolo lakho

Xa kufuneka utyando, nokuba uyakufuna i-meniscectomy ekhethekileyo okanye epheleleyo ixhomekeke:

• iminyaka yakho
• ubungakanani bezinyembezi
• indawo yokukrazula
• Isizathu sokukrazuka
• iimpawu zakho
• inqanaba lomsebenzi wakho

Ngaba ikho into ekufuneka ndiyenzile ukulungiselela?

Kuyanceda ukuqala ukomeleza imithambo kwiiveki ezimbini ukuya kwezine ngaphambi kotyando. Ukomelela kwezihlunu ezijikeleze idolo lakho, kuya kuba lula kwaye ukhawuleze ubuye kwakhona.

Ezinye izinto onokuzenza ukulungiselela utyando lwakho zibandakanya:

• Ukuthetha nogqirha wakho malunga nento onokuyilindela ngexesha nasemva kotyando
• ukuxelela ugqirha wakho yonke into oyishelwayo kunye namayeza owathethayo
• ukubuza ugqirha wakho ukuba ngawaphi amayeza ekufuneka uyeke ngaphambi kotyando, anje ngala anokukwenza uphephe ngokulula
• Ukuqinisekisa ukuba unaye umntu okuqhubela ekhaya emva kotyando, ngakumbi xa ugoduka kwangolo suku

Ngomhla wotyando, uya kuthi uxelelwe ukuba ungabinanto ityiwayo okanye usele iiyure eziyi-8 ukuya kwezi-12 ngaphambi kwenkqubo.

Kwenziwa njani?

Zimbini iindlela eziphambili ezisetyenziselwa i-meniscectomy:

• Utyando lwe-arthroscopic luhlala lusenziwa kusetyenziswa i-spinal okanye i-anesthesia ngokubanzi njengotyando lwangaphandle, oko kuthetha ukuba ungagoduka kwangolo suku lunye lotyando
• utyando oluvulekileyo lufuna ukubulawa jikelele okanye umnqonqo kwaye mhlawumbi nokuhlala esibhedlele

Xa kunokwenzeka, utyando lwearthroscopic lukhethwa kuba lubangela ukonakala okungaphantsi kwezihlunu kunye nezicubu kwaye kukhokelela ekubuyiseleni ngokukhawuleza. Nangona kunjalo, ngamanye amaxesha iphatheni yeinyembezi, indawo, okanye ubungqongqo kwenza utyando oluvulekileyo luyimfuneko.

Utyando lwearthroscopic

Ngale nkqubo:

1. Ngokwesiqhelo, zintathu izinto ezenziwayo ezenziweyo edolweni.
2. Ubume obukhanyisiweyo ngekhamera bufakwa ngendlela enye kunye nezixhobo ezisetyenziselwa ukwenza inkqubo zifakiwe kwezinye.
3. Zonke izakhiwo emadolweni ziyavavanywa kusetyenziswa ikhamera.
4. Iinyembezi zifunyenwe kwaye iqhekeza elincinci (i-meniscectomy ekhethekileyo) okanye i-meniscus iyonke isuswe.
5. Izixhobo kunye nobubanzi ziyasuswa, kwaye ukusikwa kuvaliwe nge-suture okanye nge-tape strips.

Vula utyando

Kwi-meniscectomy evulekileyo:

1. Ukuqhekeka okukhulu kwenziwa ngaphaya kwedolo lakho ukuze idolo lakho lonke libonakaliswe.
2. Ilungu lakho liyavavanywa, kuze kuchongwe inyembezi.
3. Inxalenye eyonakeleyo okanye yonke i-meniscus isuswe.
4. Ukuqanjwa kuthungwe okanye kufakwe isitokhwe kuvaliwe.

Ngaba ikho into ekufuneka ndiyenzile emva kotyando?

Emva kotyando, uya kuba kwigumbi lokuchacha kangangeyure okanye ezimbini. Njengoko uvuka okanye umthambo uyaphela, idolo lakho liya kuba buhlungu kwaye lidumbe.

Ukudumba kunokulawulwa ngokunyusa kunye nokucofa idolo kwiintsuku ezimbalwa zokuqala emva kotyando.

Uya kuhlala unikwa amayeza eentlungu, kunokwenzeka ukuba yi-opioid, kwiintsuku ezimbini zokuqala ukuya kwezintathu. Idolo linokujojelwa nge-anesthetic yendawo okanye i-anesthetic yendawo esebenza ixesha elide enokuthi ithathe i-opioid encinci. Emva koko, iziyobisi ezichasayo ezingasebenziyo, ezinjenge-ibuprofen, kufuneka zanele ukunciphisa iintlungu.

Kuya kufuneka ubeke ubunzima emadolweni ukuze ume kwaye uhambe ngokukhawuleza xa uphuma kwigumbi lokubuyisela, kodwa uya kudinga iintonga zokuhamba malunga neveki enye. Ugqirha wakho uya kukuxelela ukuba bungakanani ubunzima bokubeka emlenzeni.

Uya kuthi unikwe imithambo yasekhaya ukunceda idolo lakho ukuba liphinde libe namandla kunye nokuhamba. Ngamanye amaxesha unokufuna unyango lomzimba, kodwa imithambo yasekhaya yanele.

Kuthatha ixesha elingakanani ukuchacha?

Ukuchacha kuya kuthatha iiveki ezine ukuya kwezintandathu, kuxhomekeka kwindlela esetyenzisiweyo yotyando. Ixesha lokubuyisela emva kotyando lwe-arthroscopic ihlala imfutshane kunaleyo yotyando oluvulekileyo.

Ezinye izinto ezichaphazela ixesha lokubuyisela zibandakanya:

• uhlobo lwe-meniscectomy (iyonke okanye iyinxalenye)
• ubuzaza bokwenzakala
• impilo yakho iyonke
• inqanaba lomsebenzi wakho oqhelekileyo
• impumelelo yonyango lwakho lomzimba okanye imithambo yasekhaya

Intlungu kunye nokudumba kuya kuba ngcono ngokukhawuleza. Malunga nosuku lwesibini okanye lwesithathu emva kotyando, kufanelekile ukuba wenze imisebenzi yemihla ngemihla, efana nemisebenzi elula yasekhaya. Kuya kufuneka ukwazi ukubuyela emsebenzini ukuba umsebenzi wakho awubandakanyi ukuma okuninzi, ukuhamba, okanye ukuphakamisa okunzima.

Kwiveki enye ukuya kwezimbini emva kotyando, kuya kufuneka ube noluhlu olupheleleyo lokuhamba emadolweni. Kuya kufuneka uphinde usebenzise umlenze wakho ukuqhuba emva kweveki enye okanye ezimbini, ukuba awuthathi iyeza leentlungu.

Uya kuphinda ubuyise amandla omzimba wakho wangaphambili emlenzeni kwiiveki ezimbini okanye ezintathu emva kotyando.

Kwiiveki ezine ukuya kwezintandathu emva kotyando, kufanelekile ukuba uqale ukudlala imidlalo kwaye ubuyele emsebenzini obandakanya ukuma okuninzi, ukuhamba, nokuphakamisa okunzima.

Ngaba kukho nayiphi na ingozi?

I-Meniscectomies ikhuselekile, kodwa kukho umngcipheko omkhulu ekufuneka uwazi:

• Usulelo. Ukuba ukubanjwa kwakho kungagcinwa kucocekile, iintsholongwane zinokungena ngaphakathi kwedolo lakho kwaye zibangele usulelo. Iimpawu zokukhangela zonyusa iintlungu, ukudumba, ukufudumala, kunye nokuhambisa amanzi kwi-incision.
• I-thrombosis enzulu yemithambo. Eli ligazi elenza emthanjeni wakho womlenze. Umngcipheko wakho uya phezulu emva kotyando lwedolo kuba igazi lihlala endaweni enye ukuba awuhambisi umlenze wakho rhoqo ngelixa ubuyisa amandla akho. Ithole elifudumeleyo, elidumbileyo nelithambileyo linokubonisa ukuba une-thrombosis. Isizathu esiphambili sokuba ugcine idolo kunye nomlenze uphakanyisiwe emva kotyando kukuthintela oku kungenzeki.

Ukuba uqaphela nayiphi na le miqondiso kunye neempawu, nxibelelana nogqirha wakho okanye umboneleli wezempilo kwangoko. Kubalulekile ukuqala amayeza okubulala iintsholongwane ngokukhawuleza ukuze usulelo lungabi lubi ngakumbi ekunyanzelweni kwesinye isibhedlele kwaye kungenjalo olunye utyando.

Amagqabantshintshi egazi kufuneka anyangwe nge-thinner yegazi ngokukhawuleza ngaphambi kokuba iqhekeza liphume lize liye emiphungeni yakho, nto leyo ebangela ukubola kwemiphunga.

Ukongeza, ukuba ne-meniscectomy iyonke kunokukushiya uthambekele ekuphuhliseni i-osteoarthritis emadolweni akho. Nangona kunjalo, ukushiya iinyembezi zinganyangwa kunokunyusa umngcipheko. Ngethamsanqa, iyonke i-meniscectomy ayifane iyimfuneko.

Yintoni imbonakalo?

I-meniscectomy inokukushiya ungasebenzi kancinci kunesiqhelo malunga nenyanga okanye njalo, kodwa kuya kufuneka ubuyele kwimisebenzi yakho emva kweeveki ezintandathu.

Nangona zozibini zineziphumo zexesha elifutshane ezilungileyo, i-meniscectomy ekhethekileyo inesiphumo sexesha elide esingcono kune-meniscectomy iyonke. Xa kunokwenzeka, i-meniscectomy ekhethekileyo yinkqubo ekhethiweyo.