Kuyini Ukuchithwa kwePatellar?

-Delile

• Ukulimala kwe-kneecap
• Ziyini izimpawu?
• Yini ebangela i-patellar subluxation?
• Kutholakalaphi ukutholwa kwe-patellar subluxation?
• Yiziphi izinketho zokwelashwa okungenasidingo?
• Yiziphi izinketho zokwelashwa okuhlinzekwayo?
• I-medial patellofemoral ligament (MPFL) yokwakhiwa kabusha
• Ukudluliswa kwesifo sofuba seTibial
• Ukukhululwa kamuva
• Kuthatha isikhathi esingakanani ukululama?
• Ngaphandle kokuhlinzwa
• Ngokuhlinzwa
• Ungayivimbela kanjani i-patellar subluxation
• Umbono

Ukulimala kwe-kneecap

I-Subluxation elinye igama lokususwa kwethambo ngokwengxenye. I-Patellar subluxation ukuhlukaniswa okuyingxenye ye-kneecap (patella). Kuyaziwa nangokuthi ukungazinzi kwe-patellar noma ukungazinzi kwe-kneecap.

I-kneecap iyithambo elincane lokuzivikela elinamathela ezansi kwethambo lakho lethanga (femur). Njengoba ugoba futhi uqondisa idolo lakho, i-kneecap yakho yehla yenyuka emgodini ophansi kwethanga, obizwa nge-trochlea.

Amaqembu amaningana emisipha nemisipha abamba i-kneecap yakho endaweni. Lapho lokhu kulimala, i-kneecap yakho ingahle iphume emgodini, ibangele ubuhlungu nobunzima bokuguqula idolo.

Ububanzi bokwehlukaniswa bunquma ukuthi kubizwa ngokuthi yi-patellar subluxation noma yi-dislocation.

Ukulimala okuningi kusunduza i-kneecap iye ngaphandle kwedolo. Lokhu kungalimaza i-ligament ngaphakathi kwamadolo, eyaziwa njenge-medial patello-femoral ligament (MPFL). Uma i-MPFL ingapholi kahle, ingabeka isiteji sokuhlukaniswa kwesibili.

Ziyini izimpawu?

Ungathola lezi zimpawu ezilandelayo nge-patellar subluxation:

• ukubhoboza, ukubamba, noma ukukhiya kwamadolo
• ukushelela kwe-kneecap iye ngaphandle kwedolo
• ubuhlungu ngemuva kokuhlala isikhathi eside
• Ubuhlungu ngaphambili kwamadolo obuba nzima ngemuva kokusebenza
• ukuqhuma noma ukuqhekeka emadolweni
• ukuqina noma ukuvuvukala kwedolo

Yize ukwazi ukuzihlola, uzodinga ukubona udokotela ukuze athole ukwelashwa.

Yini ebangela i-patellar subluxation?

Noma imuphi umsebenzi owedlulele noma umdlalo wokuxhumana ungadala ukuthinteka kwe-patellar.

Ukwehliswa nokuhlukaniswa kwePatellar kuthinta kakhulu abantu abasha nabakhuthele, ikakhulukazi abaphakathi kweminyaka eyi-10 kuye kwengama-20. Ukulimala kokuqala okokuqala kwenzeka ngesikhathi semidlalo.

Ngemuva kokulimala kokuqala, amathuba okususwa kwesibili aphezulu kakhulu.

Kutholakalaphi ukutholwa kwe-patellar subluxation?

Ukuhlonza i-patellar subluxation, udokotela wakho uzogobela futhi aqondise idolo elimele futhi ezwe indawo ezungeze i-kneecap.

Ama-X-ray angasetshenziswa ukubona ukuthi i-kneecap ingena kanjani emseleni ongezansi kwepatella nokukhomba noma yikuphi okunye ukulimala kwamathambo okungenzeka.

I-Magnetic resonance imaging (MRI) ingasetshenziselwa ukubona ngeso lengqondo imigqa nezinye izicubu ezithambile ezizungeze i-patella. Izingane kanye nentsha kwesinye isikhathi abazi ukuthi bake baba nokuhlukunyezwa kwe-patellar. I-MRI ingasiza ukukuqinisekisa.

Yiziphi izinketho zokwelashwa okungenasidingo?

Ukwelashwa okungasetshenziswanga kunconywa iningi labantu abane-patellar subluxation okokuqala noma ukuhlukaniswa.

Ukwelashwa okungenasisekelo kufaka phakathi:

• RICE (ukuphumula, uqweqwe lukashukela, ukucindezelwa, nokuphakama)
• izidakamizwa ezingezona ukuvuvukala (i-NSAID), njenge-ibuprofen (Advil, Motrin)
• ukwelashwa ngokomzimba
• izinduku noma uswazi wokususa idolo
• izinsimbi noma izinsimbi zokuqinisa idolo
• izicathulo ezikhethekile ukwehlisa ingcindezi ku-kneecap

Ngemuva kwe-patellar subluxation, cishe unethuba lokuphindeka.

Ku-2007, kwezifundo ezingama-70 zangaphambilini zathola umehluko omncane emiphumeleni yesikhathi eside phakathi kwalabo abahlinzwa ngokuhlukaniswa kwabo kwe-patellar nalabo abangazange. Labo abahlinzwe babencane amathuba okuthi baphinde bahlukaniswe okwesibili kodwa babe nethuba lokuthola isifo samathambo emadolweni.

Kutholakale inani eliphansi lokuphindaphinda kokuchithwa ngokuphelele kwe-kneecap kubantu abathola ukwelashwa okuhlinzwa.Kepha izinga lokuphindeka kokuthinteka kwe-patellar belicishe lifane (ama-32.7 ngokuqhathaniswa namaphesenti angama-32.8), noma ngabe umuntu wahlinzwa noma cha.

Yiziphi izinketho zokwelashwa okuhlinzekwayo?

kwe-patellar subluxation okokuqala kuphathwa ngokulondolozwa, ngaphandle kokuhlinzwa. Ukwelashwa ngokuhlinzwa kunconywa uma unesiqephu esiphindayo noma ezimweni ezikhethekile.

Ezinye izinhlobo ezijwayelekile zokuhlinzwa kweziqephu eziphindaphindwayo ze-patellar subluxation noma dislocation yilezi:

I-medial patellofemoral ligament (MPFL) yokwakhiwa kabusha

I-medial patellofemoral ligament (MPFL) idonsa i-kneecap iye ngaphakathi komlenze. Lapho i-ligament ibuthakathaka noma ilimele, i-kneecap ingasakazeka iye ngaphandle komlenze.

Ukwakhiwa kabusha kwe-MPFL kungukuhlinzwa kwe-arthroscopic okubandakanya ukusikeka okumbili. Kulokhu kusebenza, i-ligament yakhiwa kabusha kusetshenziswa ucezu oluncane lwethenda oluthathwe emsipheni wakho we-hamstring noma kumnikeli. Kuthatha cishe ihora elilodwa. Uvamise ukubuyela ekhaya ngalo lolo suku ugqoke izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane ukuze uzinze edolweni.

Izinsimbi ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane zigcina umlenze wakho uqonde ngenkathi uhamba Igqokwe amasonto ayisithupha. Ngemuva kwamasonto ayisithupha, uqala ukwelashwa ngokomzimba. Iningi labantu lingaqala kabusha imidlalo nezemidlalo izinyanga ezine kuya kweziyisikhombisa ngemuva kokwakhiwa kabusha kwe-MPFL.

Ukudluliswa kwesifo sofuba seTibial

I-tibia elinye igama lethambo lakho le-shin. Isifo sofuba se-tibial ukuphakama kwe-oblong, noma i-bulge, ku-tibia engaphansi kwamadolo akho.

Ithenda eqondisa i-kneecap yakho njengoba inyuka iye phansi naphansi ku-trochlear groove inamathela ku-tibial tuberosity. Ukulimala okubangele ukuthi i-kneecap ihlukane kungenzeka kulimaze iphoyinti lokuxhuma lale tendon.

Ukusebenza kokudluliswa kweshubhu ye-Tibial kudinga ukusikwa cishe ngamasentimitha amathathu ngaphezulu kwethambo le-shin. Kulokhu kusebenza, udokotela wakho udlulisa isiqeshana esincane sesifo sofuba se-tibial ukuze athuthukise okunamathiselwe kwethenda. Lokhu-ke kusiza i-kneecap ukuthi ihambe kahle emgodini wayo.

Udokotela ohlinzayo uzobeka isikulufu esisodwa noma ezimbili ngaphakathi komlenze wakho ukuze kuvikeleke isiqephu sethambo esidluliswayo. Ukuhlinzwa kuthatha cishe ihora elilodwa.

Uzonikezwa izinduku zokuzisebenzisa amasonto ayisithupha ngemuva kokuhlinzwa. Ngemuva kwalokho, kuqala ukwelashwa ngokomzimba. Iningi labantu liyakwazi ukubuyela emsebenzini noma esikoleni emasontweni amabili ngemuva kokuhlinzwa. Kuthatha cishe izinyanga eziyisishiyagalolunye ngaphambi kokuthi ubuyele kwezemidlalo.

Ukukhululwa kamuva

Kuze kube yiminyaka eyi-10 eyedlule, ukukhishwa kwe-lateral kwakuyindlela yokwelashwa ejwayelekile yokuhlinzekwa kwe-patellar subluxation, kepha akuvamile kulezi zinsuku ngoba kwandisa ingozi yokuphindeka kokungazinzi ku-kneecap.

Kule nqubo, imigqa engaphandle kwamadolo inqanyulwa kancane ukuyivimbela ekudonseni i-kneecap ohlangothini.

Kuthatha isikhathi esingakanani ukululama?

Ngaphandle kokuhlinzwa

Uma ungenakho ukuhlinzwa, ukululama kwakho kuzoqala ngomuthi oyisisekelo wezinhlamvu ezine owaziwa njenge-RICE. Lokhu kumi

• ukuphumula
• uqweqwe lukashukela
• ukucindezela
• ukuphakama

Ekuqaleni, akufanele uzicindezele ukuze uzungeze okungaphezu kokunethezeka. Udokotela wakho angakunikeza izinduku noma umhlanga ukuze ususe isisindo emadolweni akho.

Kungenzeka uphinde ubone udokotela wakho ezinsukwini ezimbalwa zokulimala. Bazokutshela uma sekuyisikhathi sokuqala ukwandisa umsebenzi.

Cishe uzonikezwa ukwelashwa ngokomzimba kabili noma kathathu ngesonto emasontweni ayisithupha okuqala. Udokotela wakho wezempilo uzokusiza ukuhlola lapho usukulungele ukubuyela kwezemidlalo nakweminye imisebenzi enzima.

Ngokuhlinzwa

Uma uke wahlinzwa, ukutakula kuyinqubo ende. Kungathatha izinyanga ezine kuya kweziyisishiyagalolunye ngaphambi kokuthi ukwazi ukuqala kabusha ezemidlalo, noma ngabe kufanele ukwazi ukuqala kabusha imisebenzi elula emasontweni amabili kuya kwayisithupha.

Ungayivimbela kanjani i-patellar subluxation

Ukuzivocavoca okuthile kungasiza ekuqiniseni imisipha yakho yomlenze futhi kunciphise nethuba lokulimala kwamadolo, kufaka phakathi i-patellar subluxation. Ukunciphisa ubungozi bakho kulolu hlobo lokulimala, engeza okunye kokuzivocavoca okulandelayo enkambisweni yakho:

• ukuzivocavoca okuqinisa ama-quadriceps akho, njengama-squats nokuphakamisa imilenze
• ukuzivocavoca ukuqinisa amathanga akho angaphakathi nangaphandle
• izivivinyo ze-hamstring curl

Uma usuvele ube nokulimala kwe-kneecap, ukugqoka i-brace kungasiza ukuvimbela ukuphindaphinda.

Ukugqoka izimpahla ezifanele zokuzivikela emidlalweni yokuxhumana kungenye indlela ebalulekile yokuvimbela zonke izinhlobo zokulimala kwe-kneecap.

Umbono

I-Patellar subluxation ukulimala okuvamile kwezingane nentsha, kanye nabanye abantu abadala. Ukwenzeka kokuqala akudingi ukuhlinzwa. Uma kudingeka ukuhlinzwa, amasu amasha amasha enza kube nokwenzeka ukuthi uphinde uthole wonke amandla noma amandla akho wangaphambilini nomsebenzi.