Mbibi nke mberede ma ọ bụ ịwa ahụ meniscus bụ ihe kpatara ọnya osteoarthritis?
Mgbu anya Meniscal bụ mmerụ ikpere. Ọtụtụ mgbe, ị na-anụ banyere ndị na-eme egwuregwu na-enwe anya mmiri meniscal, ma n'eziokwu, onye ọbụla ọ bụla nọ n'afọ ọ bụla nwere ike ịkwa ákwá.
Gịnị bụ Meniscus?
Ọkpụkpụ atọ jikọtara ọnụ iji mepụta nkwonkwo ikpere gị - ụbụ ụkwụ (thighbone), tibia (shinbone), na patella (kneecap). N'etiti etiti etiti nke femoral na tibial, a na-enwe okpukpu abụọ nke osisi cartilage - a na-akpọ otu nwoke mencuscus.
Onye ọ bụla meniscus siri ike na rubbery na-eme ka nkwonkwo ikpere ụkwụ kwado ya.
Isi nke Mgbu Meniscal
A meniscus nwere ike ịkwa ákwá. Mgbe mgbe, a na-akwa ụda mberede mgbe ọ na-eme egwuregwu. Egwuregwu ịkpọtụrụ (dịka ọmụmaatụ, ịgba chaa chaa) nwere ike ime ka ọ daa mbà-ma ị nwere ike ịkpụ ma gbuo ikpere ma mee ka ọ daa. N'ebe ndị okenye nọ, anya mmiri nke anya mmiri nwere ike ime mgbe cartilage na-etinyerị ahụ. Ọ bụrụ na osisisci adịghị ike n'ihi ịka nká, ụdị ọ bụla nke na-agagharị agagharị nwere ike iji zuo oke.
E nwere ụdị anya mmiri dị iche iche: ịba ahụ, transverse, longitudinal, flap, perrot-beak, na mpi mpi. Aha ahụ dabeere na ebe mmiri dọwara n'elu meniscus.
Mgbaàmà
Ihe ịrịba ama mbụ nke akwa akwa nwere ike ịbụ na ị na-eche "pop" na ikpere. Ihe mgbaàmà ndị ọzọ na-ejikọta na akwa mberede gụnyere ihe mgbu, nkasike, ọzịza, ikperechichi ikpere , mmetụta nke ikpere gị na-enye aka, machibido ọtụtụ ihe mgbochi.
Otu mpempe nke mpi na-adọkpụ nwere ike iwepụ ma tọpụ gị, nwere ike ime ka ikpere gị gbadaa, gbapụ, ma ọ bụ mkpọchi.
Nchoputa
MRI nwere ike inyere aka chọpụta ihe mberede. Ejighị ọkụ elee anya na-egosi na anya mmiri dị ka ha na-arụ ọrụ mmanu kama ọkpụkpụ. Ndị dọkịta nwekwara ike iji nyocha nke McMurray nyere aka chọpụta ọnyá akwa.
Site na ule McMurray, dọkịta gị ga-ehulata ma gbanye ikpere gị ka ọ na-agbaji ọkpụkpụ gị. Mmetụta ma ọ bụ ọbụna nụ otu pịa n'akụkụ akụkụ nke ikpere gị na-atụ aro mịsiscus dị ọcha.
Ọgwụgwọ
Ngwọta nke ịkwa akwa na-adabere n'ọtụtụ ihe, gụnyere ọnọdụ nke akwa, afọ gị, na ọkwa gị. N'ihu nke atọ nke meniscus nwere ọbara karịa nke abụọ n'ime ụzọ atọ. Na-agbaji n'elu, akụkụ ndị ọzọ vascularized nke meniscus nwere ike ịgwọ ya n'onwe ya maọbụ ọ nwere ike idozi ya site na iji ịwa arthroscopic . A na-agbaji nke ọma n'ime ime, obere akụkụ nke mịsiscus na-emekarị ka ọ bụrụ ebe ọ bụ na akụkụ aka nke akwa adọkaghị enwe ike ịlaghachi azụ. Nmeghachi omume na-esitekarị mgbe ọ na-arụ ọrụ mgbe a na-ahụ maka ịwa ahụ. Ọ bụrụ na ịgakwuru ọgwụgwọ abụghị ọrịa, izu ike, ice, mkpakọ, na elu (RICE) dị mkpa.
Ọkpụkpụ Meniscal Ọ bụrụ na Ị Nwere Osteoarthritis
Dika Mayo Clinic si kwuo, e nwere ihe karịrị 300th arthroscopies ikpere na-eme kwa afọ na United States na ndị ọrịa na-akwa mgbu na osteoarthritis n'otu akụkụ ikpere- ọ bụrụ na ndị dọkịta na-awa nwere ike idozi ma nsogbu ozugbo. Ọ bụ ezie na a na-ele arthroscopy dị ka ihe dị irè maka anya mmiri nke anya mmiri, naanị irè ya maka ọrịa osteoarthritis dị na ya adịghị mfe.
A mabeghị na arthroscopy dị irè maka ịgwọ ọrịa ikiri ụkwụ na-egbuke egbuke .
Nnyocha MeTeOR (Nyocha Menuscal na Osteoarthritis Research), e duziri iji nyochaa mmetụta nke ọrịa arthroscopy nke na-abụghị ọgwụgwọ na otu ìgwè nke ihe karịrị mmadụ 300 na-arịa ọrịa ma ọ bụ nke na-adịghị ala ala. Ebe a na-amụ akwụkwọ asaa dị na United States na-etinye aka na ọmụmụ ihe ahụ, bụ nke National National Institute of Health na-akwado. O kwubiri na enweghi uzo di iche di iche iche n'etiti ndi ogwugwu na ndi ozo. Otú ọ dị, otu ụzọ n'ụzọ atọ nke ndị ọrịa nwere ọgwụgwọ anụ ahụ na-arụ ọrụ nanị n'ime ọnwa isii.
Mgbu Meniscal Ọ Na - eme Ka Ndị Ọrịa Na - arịa Ọrịa Osteoarthritis?
Ọtụtụ nchọpụta kwubiri na ịkwa ákwá akwa nwere ike iduga ikiri ogbu na nkwonkwo . N'ihe dị n'akụkụ nke ahụ, ikpere osteoarthritis nwere ike iduga na mberede nke na-agbaji ma na-eme ka ike gwụ (degeneration) nke meniscus. Otu ọnya a na-agwọ ọrịa na-eme ka ọ dị njọ na MRI na-atụ aro nke mmalite osteoarthritis. Ọbụna na ụdị ịwa ahụ iji wepụ ọnya degenerative, ọrịa ogbu na nkwonkwo ka nwere ike ịga n'ihu.
Ejikọtara nlezianya na-eme ka ndị mmadụ na-egbuke egbuke na-adịchaghị na redio ikpere osteoarthritis (ya bụ, ikpere osteoarthritis ikiri na x-ray) karịa mpempe akwụkwọ niile . Enwerekwa ihe akaebe na mmebi ahụ meniscal anaghị emeso ahụike na-anọgide na-abụ ihe dị ize ndụ dị mkpa maka mmepe nke redio ikpere osteoarthritis.
Isi mmalite:
> Englund M, Guermazi A, Lohmander LS. Mkpụrụ Meniscus na Osteoarthritia Knee. Ọrịa Rheumatic Disease nke North America . 2009; 35 (3): 579-590. doi: 10.1016 / j.rdc.2009.08.004.
> Englund M, Guermazi A, Lohmander SL. Ọrụ nke Meniscus na Knee Osteoarthritis: Ihe kpatara maọbụ ihe kpatara ya? Radiologic Clinics nke North America . 2009; 47 (4): 703-712. Echiche: 10.1016 / j.rcl.2009.03.003.
> Englund M, Guermazi A, Roemer FW, et al. Meniscal na-agbanye ikpere na-enweghị ịwa ahụ na mmepe nke osteoarthritis redio n'etiti ndị agadi na ndị agadi: Nchọpụta ọtụtụ ọrịa osteoarthritis. Arthritis & Rheumatism . 2009; 60 (3): 831-839. nke a: 10.1002 / art.24383.
> Katz JN, et. al. Ịwa ahụ na ọgwụgwọ anụ ahụ maka Mkpụrụ Meniscal na Osteoarthritis. N Engl J Med 2013; 368: 1675-1684 Mee 2, 2013 DOI: 10.1056 / NEJMoa1301408
> Mmiri Meniscal. AAOS. https://orthoinfo.aaos.org/en/donases--conditions/meniscus-tears.