Ukushiswa ngamadolo

-Delile

• Ukusha emadolweni kubanga
• Ukusha emadolweni ebusuku
• Ukushisa ukwelashwa kwamadolo
• Imisipha yomgogodla izinyembezi
• Izinyembezi ze-cartilage (ukulimala ebusweni obuhlangene)
• I-osteoarthritis emadolweni
• I-Chondromalacia
• I-Patellofemoral pain syndrome (PFS)
• I-patellar tendinitis
• ITBS
• Ukuthatha

Ukushisa izinhlungu zamadolo

Ngoba idolo elinye lamajoyinti asetshenziswe kakhulu emzimbeni womuntu, ubuhlungu kulelijoyinti akusona isikhalazo esingajwayelekile. Yize ubuhlungu bamadolo bungathatha izinhlobo eziningi, ubuhlungu obuvuthayo emadolweni bungaba yinkomba yezinkinga ezahlukahlukene.

Ungaba nomuzwa ovuthayo obonakala uhlanganisa idolo eligcwele, kepha imvamisa lizwakala endaweni ethile - imvamisa ngemuva kwedolo naphambi kwedolo (i-kneecap). Kwabanye, umuzwa ovuthayo ugxile ezinhlangothini zamadolo.

Ukusha emadolweni kubanga

Kunezimbangela eziningana zokusha emadolweni. Lapho uzwa khona ukuthi umuzwa ovuthayo uhlobene kakhulu nokuthi yini edala inkinga.

Ukushisa ngemuva kwedolo kuvame ukubangelwa:

• imisipha yezinyembezi
• uqwanga izinyembezi
• ukulimala ngokweqile
• i-osteoarthritis

Ukushisa phambi kwamadolo kuvame ukubangelwa ukulimala ngokweqile okwaziwa ngokuthi idolo lomgijimi - okubizwa nangokuthi i-chondromalacia noma i-patellofemoral pain syndrome (PFS). Futhi, kungaba yi-tendonitis ebangelwa ukuvuvukala kwethenda ye-patellar.

Ukushisa ngaphandle kwamadolo kuvame ukubangelwa i-iliotibial band syndrome (ITBS).

Ukusha emadolweni ebusuku

Abanye abantu babhekana nobuhlungu emadolweni obukhuphukile ebusuku. Lokhu kungadalwa yizizathu eziningi:

• Imithambo yegazi inyuka ngobubanzi ngesikhathi sokulala, ibeka ingcindezi ezinzini.
• Ukucabanga ngobuhlungu bakho bomzimba ngaphandle kweziphazamiso zosuku kubangela ukwanda okuqhutshwa ngokwengqondo.
• Izimpawu zeHormone ziyancipha ngenkathi ulele, okuvumela amasiginali amaningi okuzwa ubuhlungu angene ebuchosheni.

Ukushisa ukwelashwa kwamadolo

Ukwelashwa kwedolo elivuthayo kuya ngesizathu.

Imisipha yomgogodla izinyembezi

Uma kutholakala ukuthi i-ligament ligingqa izinyembezi njengengxenye, ukwelashwa kungafaka:

• izivivinyo zokuqinisa imisipha
• ukuzivikela emadolweni, okuzosetshenziswa lapho uvivinya umzimba
• imikhawulo yomsebenzi ongadala umonakalo omkhulu

Izinyembezi eziphelele zamadolo kungadingeka ukuthi zilungiswe ngokuhlinzwa.

Izinyembezi ze-cartilage (ukulimala ebusweni obuhlangene)

Isigaba sokuqala sokwelashwa kwe-cartilage ukukhipha izinyembezi asihlinzekwanga futhi singafaka:

• ukuvivinya umzimba okuqinisa imisipha njengokwelashwa okubukiwe noma uhlelo lokuzivocavoca ekhaya
• ukukhululeka kobuhlungu, imishanguzo ejwayelekile yokulwa nokuvuvukala (ama-NSAID)
• imijovo ye-steroid emadolweni

Kulabo isimo sabo esingathuthuki ngokwelashwa okulondolozwa ngokwengeziwe, isigaba esilandelayo ukuhlinzwa. Kunezinketho eziningi zokuhlinza kufaka phakathi:

• I-chondroplasty yamadolo. Uqwanga olimele lubushelelezi ukunciphisa ukungqubuzana ngokuhlangene.
• Ukukhishwa ngamadolo. Izicucu ezikhululekile ze-cartilage ziyasuswa, bese ilunga lifakwa ngesisombululo se-saline (lavage).
• Ukufakelwa kabusha kwe-Osteochondral autograft (OATS). Uqwanga olungonakalisiwe luthathwa endaweni engathathi isisindo bese luyiswa endaweni eyonakele.
• Ukufakwa kwe-Autologous chondrocyte. Ucezu lwe-cartilage luyasuswa, lutshalwe elabhoratri, lubuyiselwe edolweni, lapho lukhula lube uqwanga oluthambile lokushintsha.

I-osteoarthritis emadolweni

I-osteoarthritis ayikwazi ukuhlehliswa, ngakho-ke okungcono kakhulu okungenziwa ukuphathwa kwezimpawu, okungabandakanya:

• ukuphathwa kobuhlungu ngemithi ye-over-the-counter (OTC) efana ne-acetaminophen (Tylenol), ibuprofen (Advil, Motrin IB) kanye ne-naproxen sodium (Aleve)
• ukwelashwa ngokomzimba nangokomsebenzi
• imijovo ye-cortisone

Ekugcineni, ukuhlinzekwa kokujoyina okuhlangene (i-arthroplasty) kungadingeka.

I-Chondromalacia

Eyaziwa nangokuthi idolo lomgijimi, i-chondromalacia ukuwohloka kwe-cartilage ngaphansi kwe-patella (kneecap). Ukwelashwa kokuqala kwe-chondromalacia kufaka:

• iqhwa ukunciphisa ukuvuvukala kulandela ukuzivocavoca umzimba
• ukukhululeka kobuhlungu ngemithi ye-OTC
• ukuphumula ngokuhlangana kwamadolo, okubandakanya ukugwema ukuqubuka nokuguqa
• ukuqondaniswa kwepatella nge-brace, tape, noma umkhono wokulandelela i-patellar

Uma ukwelashwa kokuqala kokuhlinzwa kungaphumeleli, udokotela wakho angaphakamisa ukuhlinzwa kwe-arthroscopic ukubhebhethekisa izingqimba ze-cartilage ezingazinzile kanye ne-trochlear groove (inkatho ngaphezulu kwe-femur).

I-Patellofemoral pain syndrome (PFS)

Ngamacala amancane, i-PFS iphathwa nge:

• ukuphumula kwedolo, okubandakanya ukugwema ukukhuphuka izitebhisi nokuguqa
• Imithi yezinhlungu ze-OTC
• izivivinyo zokuvuselela, kufaka phakathi lezo ze-quadriceps, imisipha, kanye nabathumbi be-hip
• izinduku zokubopha ezisekelayo

Ngezimo ezinzima kakhulu, udokotela wakho angancoma i-arthroscopy, inqubo yokuhlinza ukususa izingcezu ze-cartilage eyonakele.

I-patellar tendinitis

I-patellar tendinitis ukulimala okuvamile kokusebenzisa ngokweqile i-tendon exhuma i-kneecap (patella) yakho ku-shinbone yakho. Imvamisa iphathwa nge:

• ukuphumula, ikakhulukazi ukugwema ukugijima nokugxuma
• iqhwa ukunciphisa ukuvuvukala
• Ukuphathwa kobuhlungu ngokuqeda izinhlungu ze-OTC
• ukuzivocavoca kugxile emisipheni yomlenze neyethanga
• ukunweba ukwelula iyunithi yemisipha yamadolo
• i-patellar tendon strap yokusabalalisa amandla kusuka kuthenda kuya ku-strap

Uma izindlela zokwelapha ezilandelanayo, ezingezona ezokuhlasela zingasebenzi, udokotela wakho angancoma:

• umjovo weplasma ocebile ngeplatelet
• inqubo yenaliti ekhangayo

ITBS

I-ITBS ukulimala okuphindaphindiwe kwamadolo okutholwa ikakhulukazi ngabagijimi. Yize ngalesi sikhathi ingekho indlela eqondile yokwelashwa kwayo, abagijimi bavame ukwelulekwa ukuba babambelele kulolu hlelo lwezinyathelo ezine ezilandelayo:

1. Yima ukugijima.
2. Isitimela esinqamulelayo esingenawo umthelela wokuzivocavoca njengokuhamba ngebhayisikili nokugijima echibini.
3. Massage ama-quads, glutes, hamstrings, ne-iliotibial band.
4. Qinisa umnyombo wakho, i-glutes, nendawo ye-hip.

Ukuthatha

Ukushisa ubuhlungu bamadolo kungabonisa inkinga ngokuhlangana noma izicubu ezithambile ezizungeze idolo njengemigudu kanye nemisipha. Uma ubuhlungu obuvuthayo emadolweni akho bubonakala buhlotshaniswa nendawo ethile yamadolo - ngaphambili, emuva, noma ezinhlangothini - ungakwazi ukunciphisa izimbangela ezingaba khona zobuhlungu.

Uma ubuhlungu buqhubeka noma buphazamisa imisebenzi yakho yansuku zonke noma ukulala, kufanele ubonane nodokotela wakho.