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October 10, 2025
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Ukuqothuka kwe-meniscus kuyilitha eyenzeka kuma-cushion e-cartilage afana ne-C esigxotsheni sakho sezinhlungu. Lezi zingxenye ze-tissue ezifana ne-rubber zisebenza njenge-shock absorbers phakathi kwamathambo akho omilenze nomlenze, zikusiza ukuba uqonde kahle futhi uhlale uzinzile.
Lolu hlobo lokulimala kwezinhlungu luvela kaningi kunalokho ocabanga ngakho. I-meniscus yakho ingaqothuka ngokuphenduka okungazelelwe ngesikhathi sezemidlalo noma ngisho nasemizimbeni yansuku zonke njengoba ukhula. Izindaba ezinhle ukuthi iningi lokuqothuka kwe-meniscus lingaphathwa kahle, futhi abantu abaningi babuyela emisebenzini yabo evamile ngokunakekelwa okuhle.
Isici esivamile sokuqothuka kwe-meniscus ubuhlungu bezinhlungu obukhula uma uphendula noma uphendula umlenze wakho. Ungase futhi uqaphele ukukhula okuzungezile esigxotsheni sakho sezinhlungu ngosuku noma amabili ngemuva kokulima.
Nawa izimpawu ongazihlangabezana nazo, kusukela ezivamile kuya ezingekho njalo:
Ngezinye izikhathi, ungase ungazweli ubuhlungu obukhulu ngemuva kokuba ukuqothuka kwenzeke. Ukungakhululeki kuvame ukwakha ngosuku noma amabili alandelayo njengoba ukutheleleka kuqala. Lokhu kuphendula okulile kuyinto evamile futhi akusho ukuthi ukulimala kwakho kukhulu.
Ezimweni ezingavamile, ingxenye enkulu ye-meniscus eqothukile ingavimba isigxobo sakho sezinhlungu ekuhambeni kahle. Lokhu kudala “izinhlungu ezibambekile” lapho ungakwazi ukuqondisa umlenze wakho nhlobo. Uma lokhu kwenzeka, uzodinga ukunakekelwa kwezokwelapha ngokushesha.
Ukuphazamiseka kwemeniscus kuhlukaniswa ngamaqembu amabili amakhulu ngokusekelwe endleleni okwenzeka ngayo. Ukuphazamiseka okukhulu kwenzeka ngokuzumayo ngenxa yokulimala okuthile, kuyilapho ukuphazamiseka okubola kuqhubeka kancane kancane ngokuhamba kwesikhathi njengoba uthango luqala ukubola.
Ukuphazamiseka okukhulu kuvame ukwenzeka ngesikhathi sezemidlalo noma imisebenzi ehilela ukujikeleza, ukusika, noma ukushintsha kwezinkomba ngokuzumayo. Lokhu kuphazamiseka kuvame ukwenzeka kubantu abasebancane, abasebenza kakhulu futhi ngokuvamile kuhilela inyama yemeniscus enempilo ecindezelwe kakhulu.
Ukuphazamiseka okubola kuvame kakhulu kubantu abadlula u-40 futhi kwenzeka lapho imeniscus ihluleka ngokwemvelo njengoba iminyaka iqhubeka. Ngisho nezenzo ezilula njengokugqolozela phansi noma ukuvuka esihlalweni zingabangela lolu hlobo lokuphazamiseka kubantu abadala.
Odokotela bahlukanisa futhi ukuphazamiseka ngesimo nasoendawo yalo. Izindlela ezivamile zihlanganisa ukuphazamiseka okungqamuzayo, ukuphazamiseka okuqondile, nokuphazamiseka okukhulu okuya ngezindlela eziningi. Indawo ibalulekile futhi ngoba ingxenye yangaphandle yemeniscus inezondlo zegazi ezingcono futhi iphulukana kalula kunengxenye yangaphakathi.
Ukuphazamiseka okuningi kwemeniscus kwenzeka lapho ihlombe lakho liqhekeka kuyilapho unyawo lwakho luhlala luqine emhlabathini. Lesi simo esingavamile sibeka ukucindezela okukhulu kumeniscus, okubangela ukuba liqhekeke ngokulandelana kwamafayiba alo.
Izimbangela ezihlobene nezemidlalo ezingabangela ukuphazamiseka kwemeniscus zihlanganisa:
Izici ezihlobene nobudala zingase futhi zinikeze ukuphazamiseka kwemeniscus ngokuhamba kwesikhathi. Njengoba ukhula, imeniscus yakho iba yingqondo kakhulu futhi ibe lula ukuqhekeka ezenzweni zansuku zonke.
Ngesinye isikhathi, ukuklebuka kwemeniscus kwenzeka emisebenzini yansuku zonke efana nokutshala izitshalo, ukukhuphuka izitebhisi, noma ngisho nokuphuma embhedeni. Lokhu kuvame kakhulu kubantu abadlula u-50, lapho ukhondro aqhekezile ngokwemvelo ngokugqwala okuvamile.
Kufanele uxhumane nodokotela wakho uma ubuhlungu beqolo buhlala isikhathi esingaphezu kwamalanga ambalwa noma uma ungakwazi ukuthwala isisindo esinye oluhlangothini lwakho ngokunethezeka. Ngenkathi ezinye izikhungo ezincane ze-meniscus zingaphola zodwa, kubalulekile ukuthola ukwelashwa okulungile nokuqondiswa kokwelashwa.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi izimpawu zexwayiso ezilandelayo:
Ungalindi uma iqolo lakho livala ngokuphelele. Lokhu kwenzeka lapho ingxenye yemeniscus ephukile ivaleleke endaweni yomhlangano, ivimbela ukuhamba okuvamile. Lesi simo sidinga ukwelashwa kwezokwelapha ngokushesha futhi ngokuvamile ukwelashwa okusheshayo.
Ngisho noma izimpawu zakho zibonakala zingenamandla, kufanele uhlolwe uma zingathuthuki phakathi nesonto. Ukuxilongwa kwasekuqaleni nokwelashwa okulungile kungavimbela ukulimala kwakho ukuba kube kubi futhi kukusize ukubuyela emisebenzini ngokushesha.
Iminyaka yakho idlala indima enkulu engozini yokuklebuka kwemeniscus. Abantu abadlula u-40 babhekene nezingozi eziphezulu zokuklebuka ngoba ukhondro wabo uba mncane futhi ube buthakathaka ngokuhamba kwesikhathi.
Izici eziningi zingandisa amathuba akho okukhula kwe-meniscus ephukileyo:
Abagijimi bebhola bakhona ingozi enkulu ngesikhathi semisebenzi ethile. Imidlalo ehlanganisa ukugijima ngokuyeka okungazelelwe, ukuphenduka, nokuqhuma yenza izimo ezifanele zokulimaza i-meniscus. Noma kunjalo, abagijimi be-weekend abadlala ngamandla ngaphandle kokulungiswa okuvamile babhekene nengozi enkulu nakakhulu.
Ubulili bungadlala indima, ngokufunda okuthile okubonisa ukuthi abesifazane bangase babe sengozini enkulu kancane yezinye izinhlobo zokuqhekeka kwe-meniscus. Lokhu kungase kuhlobene nokuhlukahlukana kwamandla emisipha, ukukhululeka kwama-joint, noma izindlela zokunyakaza, yize ucwaningo olwengeziwe lufanele ukuqonda le miqondiso ngokugcwele.
Iningi lokuqhekeka kwe-meniscus liyaphola kahle ngokwelashwa okufanele, kepha ezinye izinhlanganisela zingase zikhule uma ukulimala kungaphathwa kahle. Ukukhathazeka okuvamile kwesikhathi eside yingozi enkulu yokuthuthukisa i-arthritis eqoleni elithintekayo.
Izinhlanganisela ezingase zenzeke zihlanganisa:
Uma ukuqhekeka kwe-meniscus kungapholi kahle, kungadala izinkinga eziqhubekayo zokusebenza eqoleni lakho. Izingcezu eziqhekekile ze-cartilage zingase ziqhubeke zibangele ukuthinta noma ukuvala imizwa, okuphazamisa imisebenzi yakho yansuku zonke.
Ezimweni ezingavamile, ukungaphathwa kwe-meniscus eyahlukile kungabangela ukonakala okukhulu kwamalunga. I-meniscus iyasiza ekuhlukaniseni isisindo ngokulinganayo kuhlanganisela lwakho lwezinyawo, ngakho-ke uma lilimele, ezinye izakhiwo ezifana ne-cartilage nethambo zingase zibhekane nokucindezeleka okukhulu futhi ziphele ngokushesha.
Kodwa-ke, kubalulekile ukukhumbula ukuthi abantu abaningi abane-meniscus eyahlukile bayenza kahle ngokwelashwa okufanele. Ukulandela izincomo zedokotela wakho nokuqeda ukuzivocavoca kokuvuselela kunciphisa kakhulu ingozi yokuthuthukisa lezi zinkinga.
Nakuba ungakwazi ukuvimba zonke i-meniscus eyahlukile, ikakhulukazi lezo ezihlobene nobudala, unganciphisa ngokuqinisekile ingozi yakho ngokuqeqeshwa okuhlakaniphile kanye nokuziphatha kokuphila. Ukugcina imisipha yakho yezinyawo inamandla nokugcina ukuqina okuhle kuyizikhali zakho ezinhle kakhulu.
Nazi izindlela ezisebenzayo zokulondoloza i-meniscus yakho:
Ukuqeqeshwa kokulinganisela nokuqeqeshwa kwe-proprioception kungasiza futhi ekuvimbeni ukulimala kwe-meniscus. Le mivivinyo ifundisa umzimba wakho ukulawula kangcono isikhundla sezinyawo ngesikhathi sokuhamba, kunciphisa amathuba okugoqa okungalungile okubangela ukuhlukana.
Uma uke waba nokulimala kwangaphambili kwezinyawo, ikakhulukazi ukuhlukana kwe-ACL, ukusebenza nodokotela wezokwelapha ngokuvivinya umzimba kokuvimbela ukulimala kuba kubaluleke kakhulu. Bangakusiza ukuthi ubone izindlela zokunyakaza ezingase zibeke i-meniscus yakho engozini.
Kubantu abadala, ukuhlala usebenzayo ngemisebenzi engenakuphazamisa njengokubhukuda, ukujika ibhayisikili, noma ukuhamba kusiza ekugcineni impilo yeqolo ngaphandle kokubeka uxinzelelo olukhulu ku-meniscus. Ukunyakaza okuvamile kugcina ijoyinti ilukhuni futhi imisipha esekelayo iqinile.
Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nokuthi ukulimala kwenzeke kanjani. Uzothanda ukwazi ukuthi uzwile umsindo wokuphazamiseka, ukuthi ubuhlungu beqale nini, nokuthi yini eyenza kube ngcono noma kubi.
Ngesikhathi sokuhlolwa komzimba, udokotela wakho uzoqapha izinto eziningi. Uzobuka ukukhuluphala, ahlole ubunzima bomzimba, azwe eduze nejoyinti leqolo ukuze athole izindawo ezibuhlungu. Izivivinyo ezikhethekile zisiza ekuqondeni ukuthi i-meniscus yakho iqhekeke yini.
I-McMurray test iyindlela evamile yokuhlola. Udokotela wakho uzoqonqosha iqolo lakho bese uqhumisa umlenze wakho ngenkathi uqonqosha, ezwa futhi azwe izikhonkwane noma iziphazamiseko ezingase zibonise ukuqhekeka kwe-meniscus. Lo mvivinyo awubuhlungu, yize ungase uzwe ukungakhululeki okuncane.
Uma udokotela wakho engabaza ukuqhekeka kwe-meniscus ngokuya ngezimpawu zakho nokuhlolwa, angase a-ode izivivinyo zokwenza izithombe. Ama-X-ray awabonisi i-meniscus ngokwayo kodwa angakwazi ukukhipha izinkinga ezihlobene nethambo noma isifo se-arthritis esingase sibangele izimpawu zakho.
I-MRI scan inikeza isithombe esicacile se-meniscus yakho futhi ingabonisa indawo nobukhulu banoma yikuphi ukuqhekeka. Noma kunjalo, akuwona wonke umuntu onebuhlungu emadolweni odinga i-MRI ngokushesha. Udokotela wakho angase aphakamise ukuzama ukwelashwa okuqondile kuqala, ikakhulukazi uma izimpawu zakho zingenamandla.
Ezimweni ezithile, udokotela wakho angase aphakamise i-arthroscopy, inqubo encane yokungena lapho ikhamera encane ifakwa khona ejoyintini leqolo lakho. Lokhu kuvumela ukubona ngqo i-meniscus futhi kungaba kokubili ukuhlola nokwelapha uma kuludingeka ukulungisa.
Ukwelashwa kwezicucu eziqhekekile ze-meniscus kuncike ezintweni eziningi ezihlanganisa ubukhulu nendawo yokuqhekeka, iminyaka yakho, amazinga omsebenzi, nokuphila komzimba kwamadolo akho. Izicucu eziningi ezincane, ikakhulukazi kubantu abadala, zingaphathwa ngempumelelo ngaphandle kokuhlinzwa.
Izindlela zokwelapha ezingenaso isikali zihlanganisa ngokuvamile:
Ukwelashwa komzimba kudlala indima ebalulekile ekululameni kwe-meniscus eyonakele. Uchwepheshe wakho uzokwakha imisebenzi yokuqinisa imisipha yakho ye-quadriceps, i-hamstrings, ne-calf ngenkathi uthuthukisa ukunyakaza kwamadolo akho. Le ndlela isebenza kahle ezicucwini eziningi eziwohlokile nezinye izikhathi zokulimaza okuqhakazile.
Ukuhlinzwa kuba yingqopha lapho ukwelashwa okungenaso isikali kungabi namphumela noma uma uneqhekeka elikhulu elibangela izimpawu zokusebenza njengokuvala. Ukuhlinzwa kwe-Arthroscopic kuyindlela evamile kakhulu, ehilela ukunqunywa okuncane nezinto ezikhethekile.
Kunezindlela ezimbili eziyinhloko zokwelapha. Ukulungisa i-meniscus kuhilela ukubopha izingxenye eziqhekekile ndawonye futhi kusebenza kangcono eziqhekekile ezingaphandle lapho ukunikezwa kwegazi kukuhle. I-Partial meniscectomy isusa kuphela ingxenye eyonakele ye-meniscus futhi isebenziselwa lapho ukulungisa kungenakwenzeka.
Udokotela wakho uzowuzama njalo ukulondoloza inyama enempilo ye-meniscus ngangokunokwenzeka njengoba idlala indima ebalulekile ekusebenzeni kwamadolo nasempilweni ende yokuhlangana. Ukususa okuphelele kwe-meniscus akudingeki futhi kubhekwa kuphela ezimweni eziqine kakhulu.
Ukwelapha ekhaya kungaba nomphumela omkhulu ekuphatheni izimpawu zokuzwakala kwemeniscus, ikakhulukazi emavikini ambalwa okuqala ngemva kokulimaza. Ukuthola ibhalansi efanele phakathi kokupumula nokuzivocavoca okuthambile ukuze kukhuthazwe ukululama kuyisihluthulelo.
Landela lezi zindlela zokunakekela ekhaya ukuze usekele ukululama kwakho:
Ukushisa kungaba usizo ngemva kokuba ukuvuvukala okuqala kuphele, ngokuvamile ngemva kwezinsuku ezingu-3-4. I-shower efudumele noma i-heating pad iminithi engu-15-20 ingasiza ekuphumuleni imisipha eqinile nokuthuthukisa ukugeleza kwegazi endaweni.
Lalela umzimba wakho ngesikhathi sokululama. Ukungakhululeki okuncane kuyinto evamile njengoba ukhulisa kancane kancane umsebenzi, kodwa ubuhlungu obukhulu noma ukuvuvukala okukhulu kusho ukuthi kufanele ubuyele emuva uphumule kakhulu. Lokhu akusho ukuthi awululami kahle.
Imisebenzi yokuzivocavoca ethambile njengokuphakamisa imilenze eqondile, ukuphakamisa izinkunzi, nokujika ibhayisikili elimiyo kungasiza ekuqinisiseni imisipha ngaphandle kokucindezela imeniscus yakho. Qala kancane bese uqhubeka kancane kancane ngokusekelwe endleleni iginu lakho eliphendula ngayo.
Gcina ulandelela izimpawu zakho encwadini elula. Qaphela ukuthi yimiphi imisebenzi eyenza iginu lakho lizizwe lilungile noma libi, ukuthi unemvuvukala kangakanani nsuku zonke, kanye nezinga lobuhlungu bakho. Lolu lwazi lusiza umhlinzeki wakho wezempilo ukulungisa uhlelo lwakho lokwelapha uma kudingeka.
Ukulungiselela ukuvakashela udokotela wakho kusiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu kanye nelenhlangano yokwelapha efanele. Cabanga ngezimpawu zakho nemininingwane yokulimaza ngaphambi kwesikhathi ukuze ukwazi ukunikeza ulwazi olucacile, olusizo.
Letha lemininingwane ebalulekile ekuhlanganyeleni kwakho:
Gqoka ama-shorts noma ibhulukwe elikhululekile elingaphakanyiswa kalula ukuze udokotela akwazi ukuhlola ihlombe lakho kahle. Uma usebenzisa izinti noma i-brace, zilethe ukuze kubonakale ukuthi zithinta kanjani indlela ohamba ngayo.
Cabanga ngokuletha ilungu lomndeni noma umngani ekuhlanganyeleni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi ubuze imibuzo ongaze uyikhohlwe. Ukuba nokwesekwa kusiza futhi uma uzizwa ukhathazekile ngokulimala kwakho.
Bhala phansi imibuzo yakho kusengaphambili. Ezivamile zihlanganisa ukubuza ngokunciphisa umsebenzi, isikhathi esilindelekile sokuphulukisa, izimpawu zokuqapha, nokuthi nini ungadinga ukuvakashela okulandelayo.
Tshela iqiniso ngezincomo zakho zobuhlungu, ukulinganiselwa kokusebenza, kanye nemigomo yokutakula. Udokotela wakho udinga ulwazi olunembile ukuze ancome indlela yokwelapha engcono kakhulu yesimo sakho esithile nendlela yokuphila.
I-meniscus ehlukumezekile yilima eliqheleke kakhulu futhi eliphulukiswayo lehlombe elithinta abantu bazo zonke izinsuku. Nakuba izimpawu zingadabukisa futhi zivinjelwe, abantu abaningi bayaphulile kahle ngokunakekelwa okufanele futhi babuyele emisebenzini yabo evamile.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa okufanele kwasekuqaleni kuholela emiphumeleni engcono. Kungakhathaliseki ukuthi ukukhuluphuka kwakho kudinga ukuhlinzwa noma kuphendula kahle ekwelapheni okungelona ukuhlinzwa, ukulandela izimiso zokunakekela kwempilo yakho nokuhlala uqine ngezenzo zokuvuselela kwenza umehluko omkhulu ekuphulukiseni kwakho.
Ungavumeli ukwesaba kukuvimbe ekuhlaleni usebenza ngemva kokulimaza imeniscus. Ngokwelashwa okufanele nokubuyela kancane kancane emisebenzini, abantu abaningi empeleni baqeda beqinile futhi beqaphela ngokusebenza kwemizimba yabo kunangaphambi kokulimaza kwabo.
Ukulimala kwakho kwe-meniscus akuchazi izinga lakho lemisebenzi yesikhathi esizayo. Nakuba kungenzeka kube khona ukuguqulwa okudingekayo, ikakhulukazi ezemidlalo ezinamandla amakhulu, abantu abaningi bathola izindlela zokuhlala bekhuthele futhi bajabulele imisebenzi abayithandayo ngezindlela ezifanele zokuqapha nokufaneleka.
Ukuqhekeka okuncane engxenyeni yangaphandle ye-meniscus ngezinye izikhathi kungaphola ngokwemvelo ngoba le ndawo inezondlo zegazi ezinhle. Noma kunjalo, ukuqhekeka engxenyeni yangaphakathi akunaphuli ngokwalo ngenxa yokuthi igazi lincane. Ukuqhekeka okuningi okubola kubantu abadala kungase kungapholi ngokuphelele kodwa kungaba namantombazane amancane ngokwelashwa okufanele kanye nokuqeqeshwa kokomelela.
Isikhathi sokuphulukana sihluka kakhulu kuye ngokubaluleka kokulimaza kwakho nendlela yokwelapha. Ukwelashwa okungelona ukucutshungulwa kuvame ukuthatha amasonto angu-6-8 ukuthuthukisa izimpawu, nakuba ukuphulukana okuphelele kungathatha izinyanga ezingu-3-4. Uma udinga ukuhlinzwa, linda amasonto angu-4-6 wemisebenzi eyisisekelo nezinyanga ezingu-3-6 zokubuyela ezemidlalo, kuye ngokusebenza okwenziwe.
Abantu abaningi bangahamba bequleke i-meniscus, nakuba ungase ube nobuhlungu, ukukhuluphala, noma ukuzwa ukuthi ihlombe lakho lingase liwe. Ukuhamba kuvame ukulungile uma ungakwenza ngaphandle kobuhlungu obukhulu, kodwa gwema imisebenzi ehilela ukuguqula, ukuhlala phansi okujulile, noma ukushintsha kwezinkomba ngokuzumayo kuze uhlolwe yisibhedlela.
Ukuba ne-meniscus tear kuyaandisa ingozi yokuthuthukisa isifo se-arthritis kamuva ekuphileni, kodwa akuyona into eqinisekile. Ingozi ixhomeke ezintweni ezifana nobukhulu nendawo yokuqhekeka kwakho, ubudala bakho, amazinga wemisebenzi, nokuthi ukweluka kahle kangakanani. Ukulandela ukwelashwa okufanele nokulondoloza imisipha yemilenze eqinile kungasiza ekuvikeleni impilo yengqondo yakho isikhathi eside.
Awudingi ukuyeka wonke umzimba, kodwa kufanele uguqule imisebenzi yakho ukuze ugweme ukunyakaza okubenza izimpawu zakho zibe zimbi. Imidlalo yomzimba ephansi njengokubhukuda, ukuhamba ngebhayisikili, nokuhamba ngezinyawo kuvame ukubekezeleleka kahle. Gwema imisebenzi enkulu, ukuhlala phansi okujulile, nemidlalo ehilela ukunqamula noma ukujikeleza kwaze kube yilapho umhlinzeki wakho wezinsizakalo zezempilo ekukhululela ukubuyela kule misebenzi.
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