Ukuhlukaniswa kwemadolo - ukunakekelwa ngemuva

I-kneecap yakho (i-patella) ihleli ngaphezu kwengaphambili lamadolo akho. Njengoba ugoba noma uqondisa idolo lakho, ingaphansi ledolo lakho liwela phezu komgudu emathanjeni akha ukuhlangana kwamadolo akho.

• I-kneecap ephuma kuma-groove partway ibizwa ngokuthi yi-subluxation.
• I-kneecap ehamba ngokugcwele ngaphandle kwe-groove ibizwa ngokuthi i-dislocation.

I-kneecap ingakhishwa emgodini lapho idolo lishaywa eceleni.

I-kneecap nayo ingashelela ngaphandle kwe-groove ngesikhathi sokunyakaza okujwayelekile noma lapho kunokunyakaza okujikayo noma ukujika okungazelelwe.

Ukuxoshwa kwe-kneecap noma ukuhlukaniswa kungenzeka kaningi. Izikhathi ezimbalwa zokuqala ezenzekayo zizoba buhlungu, futhi ngeke ukwazi ukuhamba.

Uma ukuhlukunyezwa kuqhubeka ukwenzeka futhi kungaphathwa, ungazizwa ubuhlungu obuncane lapho benzeka. Kodwa-ke, kungaba khona umonakalo omkhulu ekuhlanganyeleni kwamadolo akho njalo lapho kwenzeka.

Kungenzeka ukuthi ube ne-x-ray emadolweni noma i-MRI ukuqinisekisa ukuthi ithambo lakho le-kneecap alizange liphule futhi bekungekho monakalo kuqwanga noma emathanjeni (ezinye izicubu ezisehlangothini lamadolo akho).

Uma izivivinyo zibonisa ukuthi awunawo umonakalo:

• Idolo lakho lingabekwa ku-brace, splint, noma cast for amasonto ambalwa.
• Kungase kudingeke usebenzise izinduku ekuqaleni ukuze ungabeki isisindo esiningi edolweni lakho.
• Uzodinga ukulandela umhlinzeki wakho wokunakekela oyinhloko noma udokotela wamathambo (orthopedist).
• Ungadinga ukwelashwa ngokomzimba ukuze usebenze ekuqiniseni nasekulungiseni isimo.
• Iningi labantu lilulama ngokuphelele phakathi kwamasonto ayisithupha kuya kwayisishiyagalombili.

Uma i-kneecap yakho ilimele noma ingazinzile, ungadinga ukuhlinzwa ukuze uyilungise noma uyiqinise. Umhlinzeki wakho wezokunakekelwa kwempilo uvame ukukudlulisela kudokotela ohlinzayo wamathambo.

Hlala uphakamise idolo okungenani amahlandla ama-4 ngosuku. Lokhu kuzosiza ukunciphisa ukuvuvukala.

Ice idolo lakho. Yenza iphakethe leqhwa ngokufaka izingcezu zeqhwa esikhwameni sepulasitiki bese usonga indwangu kulo.

• Ngosuku lokuqala lokulimala, faka ipakethe yeqhwa njalo ngehora imizuzu eyi-10 kuye kwengu-15.
• Ngemuva kosuku lokuqala, qeda indawo njalo emahoreni ama-3 kuya kwayi-4 izinsuku ezi-2 noma ezi-3 noma kuze kuphele ubuhlungu.

Imithi yezinhlungu efana ne-acetaminophen, ibuprofen (Advil, Motrin, neminye), noma i-naproxen (i-Aleve, iNaprosyn, neminye) ingasiza ekunciphiseni ubuhlungu nokuvuvukala.

• Qiniseka ukuthi uthatha lokhu njengokuyalelwa kuphela. Funda ngokucophelela izexwayiso ezikulebula ngaphambi kokuzithatha.
• Khuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, isifo sesibindi, noma uke waba nezilonda zesisu noma ukopha ngaphakathi esikhathini esedlule.

Uzodinga ukushintsha umsebenzi wakho ngenkathi ugqoke i-splint noma i-brace. Umhlinzeki wakho uzokweluleka mayelana:

• Ungabeka isisindo esingakanani emadolweni akho
• Lapho ungasusa i-splint noma i-brace
• Ukuhamba ngebhayisikili esikhundleni sokugijima ngenkathi usalulama, ikakhulukazi uma umsebenzi wakho ojwayelekile usebenza

Ukuzivocavoca umzimba okuningi kungasiza ukwelula nokuqinisa imisipha ezungeze idolo, ithanga, nesinqe. Umhlinzeki wakho angakukhombisa lokhu noma kungenzeka ukuthi usebenze nomelaphi womzimba ukuze uzifunde.

Ngaphambi kokubuyela kwezemidlalo noma emsebenzini okhandlayo, umlenze wakho olimele kufanele uqine njengomlenze wakho ongalimele. Kufanele futhi ukwazi uku:

• Gijima ugxume emlenzeni wakho olimele ngaphandle kobuhlungu
• Qondisisa ngokugcwele bese ugoba idolo lakho elilimele ngaphandle kobuhlungu
• Jog futhi ugijime uqonde phambili ngaphandle kokuxhuga noma ukuzwa ubuhlungu
• Ukwazi ukusika ama-45- no-90-degree lapho usebenza

Shayela umhlinzeki wakho uma:

• Idolo lakho lizizwa lingazinzile.
• Ubuhlungu noma ukuvuvukala kubuya ngemuva kokuhamba.
• Ukulimala kwakho akubonakali kuzoba ngcono ngokuhamba kwesikhathi.
• Unobuhlungu lapho idolo lakho libamba futhi likhiya.

I-Patellar subluxation - ukunakekelwa kwangemuva; I-Patellofemoral subluxation - ukunakekelwa ngemuva; I-kneecap subluxation - ukunakekelwa kwangemva kokunakekelwa

UMiller RH, u-Azar FM. Ukulimala kwamadolo. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier Mosby; 2017: isahluko 45.

ITan EW, iCosgarea AJ. Ukungazinzi kwePatellar. Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 104.

• Ukuhlukaniswa
• Ukulimala KwamaKnee Nokukhubazeka