Ubuhlungu bamadolo angaphambili

Ubuhlungu bamadolo angaphambili ubuhlungu obenzeka ngaphambili nasenkabeni yamadolo. Kungabangelwa izinkinga eziningi ezahlukahlukene, kufaka phakathi:

• I-Chondromalacia ye-patella - ukuthamba nokonakala kwezicubu (uqwanga) ngaphansi kwe-kneecap (patella)
• Idolo lomgijimi - kwesinye isikhathi libizwa nge-patellar tendinitis
• I-lateral compression syndrome - i-patella ilandelela kakhulu engxenyeni engaphandle yamadolo
• I-Quadriceps tendinitis - ubuhlungu nobumnene kokunamathiselwe kwethenda ye-quadriceps ku-patella
• I-Patella maltracking - ukungazinzi kwe-patella emadolweni
• I-Patella arthritis - ukuphuka kwe-cartilage ngaphansi kwe-kneecap yakho

I-kneecap yakho (i-patella) ihleli ngaphezu kwengaphambili lamadolo akho. Njengoba ugoba noma uqondisa idolo lakho, ingaphansi le-patella liwela phezu kwamathambo akha idolo.

Imisipha enamandla isiza ukunamathisela i-kneecap emathanjeni nasemisipheni ezungeze idolo. Lezi tendon zibizwa ngokuthi:

• Ithenda patellar (lapho i-kneecap inamathela ethanjeni le-shin)
• Ithenda ye-quadriceps (lapho imisipha yethanga inamathela phezulu kwe-kneecap)

Ubuhlungu bamadolo angaphambili buqala lapho i-kneecap ingahambi kahle futhi ihlikihla ngengxenye engezansi yethambo lethanga. Lokhu kungenzeka ngoba:

• I-kneecap isesimweni esingajwayelekile (esibizwa nangokuthi ukungahambisani kahle kwe-patellofemoral joint).
• Kukhona ukuqina noma ubuthakathaka bemisipha ngaphambili nangemuva kwethanga lakho.
• Wenza umsebenzi omningi kakhulu obeka ingcindezi eyengeziwe ku-kneecap (njengokugijima, ukugxuma noma ukusonteka, ukushushuluza, noma ukudlala ibhola).
• Imisipha yakho ayilinganisiwe futhi imisipha yakho eyinhloko mhlawumbe ibuthakathaka.
• I-groove esethangeni lapho i-kneecap ivame ukuhlala khona ayijulile kakhulu.
• Unezinyawo eziyisicaba.

Ubuhlungu bamadolo angaphambili buvame kakhulu ku:

• Abantu abakhuluphele ngokweqile
• Abantu abaye basuswa, baphuka, noma balimala kwenye i-kneecap
• Abagijimi, abagibeli, abagibeli bokushibilika eqhweni, abagibeli bamabhayisikili nabadlali bebhola abazivocavoca umzimba kaningi
• Intsha kanye nabantu abadala abanempilo, imvamisa amantombazane

Ezinye izimbangela zezinhlungu zangaphambili zamadolo zifaka:

• Isifo samathambo
• Ukuncina ulwelwesi lwangaphakathi lwamadolo ngesikhathi sokunyakaza (okubizwa nge-synovial impingement noma i-plica syndrome)

Ubuhlungu bamadolo angaphambili ubuhlungu obubuhlungu, obuhlungu obuvame ukuzwakala:

• Ngemuva kwe-kneecap (patella)
• Ngezansi kwe-kneecap
• Ezinhlangothini ze-kneecap

Olunye uphawu oluvamile umuzwa wokugaya noma wokugaya lapho idolo liguquguquka (lapho iqakala lisondezwa ngemuva kwethanga).

Izimpawu zingabonakala kakhulu nge:

• Idolo elijulile liyagoba
• Ehla ngezitebhisi
• Ukugijima ekwehleni
• Esukuma ngemuva kokuhlala isikhashana

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Idolo kungenzeka lithambile futhi livuvuke kancane. Futhi, i-kneecap ingahle ingahanjiswa kahle ngethambo lethanga (femur).

Uma uguqula idolo lakho, ungazizwa umuzwa wokugaya ngaphansi kwe-kneecap. Ukucindezela i-kneecap lapho idolo liqonde kungaba buhlungu.

Umhlinzeki wakho angafuna ukuthi wenze isikwele esisodwa somlenze ukubheka ukungalingani kwemisipha nokuzinza kwakho okuyisisekelo.

Ama-X-ray ajwayelekile kakhulu. Kodwa-ke, umbono okhethekile we-x-ray we-kneecap ungakhombisa izimpawu zesifo samathambo noma sokutsheka.

Izikimu ze-MRI azidingeki kakhulu.

Ukuphumula emadolweni isikhathi esifushane nokuthatha izidakamizwa ezingezona ukuvuvukala (ama-NSAID) ezinjenge-ibuprofen, naproxen, noma i-aspirin kungasiza ekunciphiseni ubuhlungu.

Ezinye izinto ongazenza ukuze unciphise ubuhlungu bamadolo angaphandle zifaka:

• Shintsha indlela ozivocavoca ngayo umzimba.
• Funda ukuzivocavoca kokubili ukuqinisa nokwelula imisipha ye-quadriceps neye-hamstring.
• Funda ukuzivocavoca ukuqinisa umnyombo wakho.
• Yehlisa isisindo (uma ukhuluphele ngokweqile).
• Sebenzisa okokufaka izicathulo okukhethekile namadivayisi wokusekela (ama-orthotic) uma unezinyawo eziyisicaba.
• Tape idolo lakho ukuze uqondise kabusha i-kneecap.
• Gqoka izicathulo ezifanele zokugijima noma ezemidlalo.

Imvamisa, ukuhlinzekwa kobuhlungu ngemuva kwe-kneecap kuyadingeka. Ngesikhathi sokuhlinzwa:

• I-kneecap cartilage eyonakalisiwe ingasuswa.
• Izinguquko zingenziwa kumathenda ukusiza i-kneecap ihambe ngokulinganayo.
• I-kneecap ingahle ihlelwe kabusha ukuvumela ukunyakaza okungcono okuhlangene.

Ubuhlungu bamadolo angaphambili buvame ukuba ngcono ngoshintsho emsebenzini, ukwelashwa ngokuvivinya umzimba, kanye nokusetshenziswa kwama-NSAID. Ukuhlinzwa akuvamile ukudingeka.

Shayela umhlinzeki wakho uma unezimpawu zalesi sifo.

Patellofemoral syndrome; Chondromalacia patella; Idolo lomgijimi; I-patellar tendinitis; Idolo likaJumper

• I-Chondromalacia ye-patella
• Abagijimi baguqe ngamadolo

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UMcCarthyM, uMcCarty EC, uFrank RM. Ubuhlungu bePatellofemoral. Ku: Miller MD, Thompson SR, ama-eds. UDeLee, uDrez, noMiller's Orthopedic Sports Medicine. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.

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