ibhanile

Ukwenzakala kweMeniscus

Ukulimala kweMeniscusyenye yezona zinto zixhaphakileyo zokulimala kwamadolo, zixhaphake kakhulu kubantu abadala abancinci kunye namadoda amaninzi kunabasetyhini.

I-meniscus yi-C-shaped cushion structure ye-elastic cartilage ehlala phakathi kwamathambo amabini aphambili enzaidolo ngokubambisana.I-meniscus isebenza njenge-cushion ukukhusela umonakalo kwi-articular cartilage kwimpembelelo.Ukwenzakala kweMeniscal kunokubangelwa kukwenzakala okanye ukuwohloka.Ukulimala kweMeniscusokubangelwa yintlungu enzima kunokuba nzima ngenxa yokulimala kwezicubu ezithambileyo zamadolo, njengokulimala kwe-collateral ligament, ukulimala kwe-cruciate ligament, ukulimala kwe-capsule edibeneyo, ukulimala kwendawo ye-cartilage, njl., kwaye idla ngokuba yimbangela yokuvuvukala emva kokulimala.

seed (1)

Ukwenzakala kweMeniscal kusenokwenzeka ukuba kwenzeke xa i-meniscal isenzekaidolo ngokubambisanaishukuma ukusuka ekujikeni ukuya kulwandiso ikhatshwa kukujikeleza.Eyona nto ixhaphakileyo yokulimala kwe-meniscus yi-meniscus yangaphakathi, eyona nto ixhaphake kakhulu kukulimala kophondo lwangasemva lwe-meniscus, kwaye eyona nto ixhaphakileyo kukugqabhuka kwe-longitudinal.Ubude, ubunzulu, kunye nendawo yokukrazula kuxhomekeke kubudlelwane be-meniscus angle yangasemva phakathi kwe-condyles ye-femal kunye ne-tibial.Ukungaqhelekanga kokuzalwa kwe-meniscus, ngakumbi i-lateral discoid cartilage, kunokwenzeka ukuba kubangele ukuhla okanye umonakalo.I-Congenital joint laxity kunye nezinye iziphazamiso zangaphakathi nazo zinokunyusa umngcipheko wokulimala kwe-meniscus.

Kwi-articular surface ye-tibia, kukhoamathambo e-meniscus aphakathi kunye ne-lateral, ebizwa ngokuba yi-meniscus, ezityebileyo emaphethelweni kwaye zixhunywe ngokuqinileyo kunye ne-capsule edibeneyo, kwaye zincinci kwiziko, ezikhululekile.I-meniscus ye-medial i-"C"-shaped, kunye nophondo lwangaphambili oluqhotyoshelwe kwindawo yokunamathisela i-anterior cruciate ligament, uphondo olungasemva olufakwe phakathii-tibiali-intercondylar eminence kunye ne-posterior cruciate ligament attachment point, kunye nombindi womda wayo wangaphandle uxhumeke ngokusondeleyo kwi-medial collateral ligament.I-meniscus esecaleni "i-O" imile, uphondo lwayo lwangaphambili lufakwe kwindawo yokunamathisela i-ligament yangaphambili, uphondo lwangasemva lufakwe kwi-meniscus yangaphakathi ukuya kwiphondo elingasemva, umgca walo wangaphandle awuxhunyiwe kwi-lateral collateral ligament, kwaye uluhlu lwalo lokunyakaza lungaphantsi kwe-meniscus yangaphakathi.enkulu.I-meniscus inokuhamba kunye nokunyakaza kwedolo ukuya kwinqanaba elithile.I-meniscus iqhubela phambili xa idolo landiswa kwaye lihamba ngasemva xa idolo liguquguquka.I-meniscus yi-fibrocartilage engenalo igazi ngokwayo, kwaye isondlo sayo ngokuyinhloko sivela kwi-synovial fluid.Kuphela yinxalenye yeperipheral edityaniswe kwi-joint capsule efumana unikezelo lwegazi kwi-synovium.

Ngoko ke, ngaphezu kokuzilungisa emva kokulimala kwenxalenye yomda, i-meniscus ayikwazi ukulungiswa ngokwayo emva kokuba i-meniscus isuswe.Emva kokuba i-meniscus isusiwe, i-fibrocartilaginous, i-meniscus encinci kunye nencinci inokuvuselelwa kwi-synovium.I-meniscus eqhelekileyo inokunyusa ukudandatheka kwe-condyle ye-tibial kunye ne-cushion i-condyles yangaphakathi nangaphandle ye-femur ukunyusa ukuzinza kwe-joint and buffer shock.

Izizathu zokulimala kwe-meniscus zinokuthi zihlulwe ngokubanzi zibe ngamacandelo amabini, enye ibangelwa yintlungu, kwaye enye ibangelwa utshintsho olubi.Owangaphambili udla ngobundlobongela emadolweni ngenxa yokulimala okukhulu.Xa idolo elidibeneyo liguquguqukayo, lenza i-valgus enamandla okanye i-varus, ukujikeleza kwangaphakathi okanye ukujikeleza kwangaphandle.Umphezulu ophezulu we-meniscus uhamba kunye ne-condyle ye-femoral ukuya kumlinganiselo omkhulu, ngelixa i-shear friction force force ejikelezayo yenziwa phakathi kwendawo ephantsi kunye ne-tibial plateau.Amandla okunyakaza ngokukhawuleza makhulu kakhulu, kwaye xa amandla ajikelezayo kunye nokutyumza kudlula uluhlu oluvumelekileyo lokuhamba kwe-meniscus, kunokubangela umonakalo kwi-meniscus.Ukulimala kwe-meniscus okubangelwa utshintsho oluguquguqukayo lungenayo imbali ecacileyo yokulimala okukhulu.Ngokuqhelekileyo ngenxa yesidingo esiqhelekileyo sokusebenza kwindawo ye-semi-squatting okanye i-squatting position, kunye nokuguqa ngokuphindaphindiweyo kwamadolo, ukujikeleza kunye nokwandiswa kwexesha elide.I-meniscus igxininiswe ngokuphindaphindiweyo kwaye igugile.kukhokelela kwiminxeba.

seed (2)

Uthintelo:

Ekubeni i-meniscus yecala ayixhunyiwe kwi-lateral ligament collateral ligament, uluhlu lwentshukumo likhulu kunolo lwe-meniscus ephakathi.Ukongezelela, i-meniscus esecaleni ihlala ine-congenital discoid deformities, ebizwa ngokuba yi-congenital discoid meniscus.Ngoko ke, kukho amathuba amaninzi omonakalo.

Ukulimala kweMeniscuszixhaphake kakhulu kubadlali bebhola, abasebenzi basezimayini, kunye nabalindi.Xa ukudibanisa kwamadolo kwandiswa ngokupheleleyo, i-medial kunye ne-lateral collateral ligaments iqinile, idibeneyo iqinile, kwaye ithuba lokulimala kwe-meniscus lincinci.Xa umlenze ophantsi unzima, unyawo luqinisiwe, kwaye idolo elihlangeneyo likwi-semi-flexion position, i-meniscus ihamba ngasemva.ikrazukileyo.

Ukuthintela ukulimala kwe-meniscus, ngokukodwa ukubeka ingqalelo kwintlungu edibeneyo yamadolo kubomi bemihla ngemihla, ukufudumala ngaphambi kokuzivocavoca, ukusebenzisa ngokupheleleyo ukudibanisa, kunye nokuphepha ukulimala kwezemidlalo ngexesha lokuzivocavoca.Abantu abadala bacetyiswa ukuba banciphise imidlalo enzima yokujongana, efana ne-basketball, ibhola ekhatywayo, umbhoxo, njl., ngenxa yokuncipha kokulungelelaniswa komzimba kunye nokuqina kwemisipha yemisipha.Ukuba kufuneka uthathe inxaxheba kwimidlalo enzima yokujongana, kufuneka unike ingqwalasela kwinto onokuyenza kwaye uphephe ukwenza iintshukumo ezinzima, ngakumbi iintshukumo zokugoba amadolo kunye nokujika.Emva kokwenza umthambo, kufuneka wenze umsebenzi olungileyo wokuphumla ngokupheleleyo, nikela ingqalelo ekuphumleni, uphephe ukudinwa, kwaye uphephe ukubanda.

Unokuphinda uqeqeshe imisipha ejikeleze idolo ukuze uqinise ukuzinza kwamadolo kunye nokunciphisa umngcipheko we-knee meniscus umonakalo.Ukongezelela, izigulane kufuneka ziqwalasele ukutya okunempilo, zidle imifuno eluhlaza kunye neprotheyini ephezulu kunye nokutya okuphezulu kwe-calcium, ukunciphisa ukutya okunamafutha, kunye nokunciphisa umzimba, ngenxa yokuba ubunzima obugqithisileyo kuya kunciphisa ukuzinza kwamadolo.


Ixesha lokuposa: Oct-13-2022