I-Varus Knee

-Delile

• Ziyini izimpawu?
• Kubangelwa yini?
• Kutholakala kanjani?
• Ilashwa kanjani?
• Okubalulekile

Kuyini i-varus knee?

I-Varus knee yisimo esivame ukubizwa nge-genu varum. Yikho okwenza ukuthi abanye abantu baphume ebholeni.

Kwenzeka lapho i-tibia yakho, ithambo elikhudlwana ku-shin yakho, liphendukela ngaphakathi esikhundleni sokuqondanisa ne-femur yakho, ithambo elikhulu ethangeni lakho. Lokhu kubangela ukuthi amadolo akho aphendukele ngaphandle.

Okuphambene nedolo le-varus idolo le-valgus, elenza abanye abantu bangqongqoze. Kwenzeka lapho i-tibia yakho iphumela ngaphandle maqondana ne-femur yakho.

Ubudlelwano phakathi kwezikhundla ze-femur ne-tibia yakho bubizwa ngokuthi ukuqondanisa kwe-tibiofemoral. Ngokufanelekile, la mathambo kufanele enze ukuqondanisa okungama-180-degree. Uma besuswe ngamadigri ambalwa, ungahle ungaboni zimpawu zeminyaka.

Ziyini izimpawu?

Uphawu olusobala kakhulu lwamadolo e-varus ukukhishwa ngamabhande. Abantu abadala bangase bezwe ubuhlungu engxenyeni yangaphakathi yedolo. Izingane ezincane ezinamadolo e-varus kungenzeka zingabi nazimpawu.

Ngokuhamba kwesikhathi, i-varus knee engalashwa ingadala izinhlungu ezihlangene, ikakhulukazi lapho uhamba. Kubuye kudale ukuwohloka okungajwayelekile kuqwanga lwamadolo lwakho, okungaholela ku-osteoarthritis.

Kubangelwa yini?

Idolo le-Varus livamile ezinganeni ezisanda kuzalwa. Amajoyinti abo amadolo asakhula futhi amathambo abo amaningi awakafiki endaweni yawo unomphela. Kodwa-ke, ezinye izingane ezincane ziba ne-varus knee ngenxa yama-rickets, isifo esihambisana namazinga aphansi kavithamini D abangela amathambo athambile.

Kubantu abadala, i-osteoarthritis ingaba umphumela kanye nembangela ye-varus knee. Uma uqwanga olungaphakathi kwehlangothini lamadolo akho luyehla, kungadala ukuthi umlenze wakho ugobele ngaphandle. Ngaphezu kwalokho, isikhathi eside ukuqondanisa kwakho kwe-tibiofemoral kuvaliwe, umonakalo omkhulu ongawenza emadolweni akho.

Ezinye izimbangela zamadolo e-varus zifaka:

• ukutheleleka kwamathambo
• izicubu zamathambo
• ukulimala
• Isifo sikaPaget sethambo
• isifo samathambo esibuhlungu
• achondroplasia
• Isifo sikaBlount

Kutholakala kanjani?

Udokotela wakho ngokuvamile angenza ukuxilongwa kokuqala kwe-varus knee ngokuhlola imilenze yakho futhi akubuke uhamba. Bangabuye ba-ode i-X-ray yomlenze wakho othintekile ukuze ubuke kangcono isakhiwo sethambo laso.

Uma udokotela wakho eqinisekisa ukuthi une-varus knee, bangasebenzisa futhi ithuluzi elibizwa nge-goniometer ukukala izinga umlenze wakho ojika ngalo ubheke ngaphandle.

Uma unengane ene-bowlegs, udokotela wezingane wakho angase ahlole ukuhlola amazinga abo kavithamini D ukukhipha ama-rickets.

Ilashwa kanjani?

Ukwelapha idolo le-varus kuya ngesizathu. Uma kubangelwa ama-rickets, ingane yakho ingahle nje idinge ukuthatha amavithamini D noma izithako ze-calcium uma lesi sifo sisesezingeni laso lokuqala. Kwesinye isikhathi, izithasiselo zanele ukuqinisa amathambo nokwenza ngcono isimo.

Iningi lezinye izimbangela, kufaka phakathi ama-rickets athuthuke kakhulu, adinga ukuhlinzwa. Ezimweni ezimnene ezingabangeli ubuhlungu obukhulu, ukwelashwa ngokomzimba nokuqeqeshwa kwesisindo kungasiza ekuqiniseni imisipha ezungeze amathambo omlenze wakho. Kodwa-ke, ngeke aqondise amathambo akho.

Uhlobo oluvame kakhulu lokuhlinzwa olusetshenziselwa ukwelapha i-varus knee ngaphandle kwe-osteoarthritis ebalulekile, ikakhulukazi ezigulini ezisencane, yi-tibial osteotomy ephezulu. Le nqubo ihlela kabusha i-tibia ngokusika ethanjeni iphinde ilibumbe kabusha. Lokhu kukhulula ingcindezi edolweni lakho ebangelwe ukuqondanisa okungalungile kwe-tibiofemoral.

Uma unedolo le-varus, ukuhlinzwa kwe-osteotomy nakho kungasiza ukuvimbela, noma okungenani ukubambezeleka, isidingo sokuhlinzwa ngokuphelele kwamadolo phansi komugqa.

Ukulandela inqubo ephezulu ye-tibial osteotomy, kuzodingeka ulinde izinyanga ezintathu kuya kweziyisishiyagalombili ngaphambi kokubuyela ezingeni lakho elijwayelekile lomsebenzi. Uzodinga futhi ukugqoka izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane okungenani inyanga noma ezimbili. Uma lesi sikhathi sokululama sizwakala sinzima, khumbula ukuthi inani lokuhlinzwa okufakwa esikhundleni samadolo, okungahlinzwa nokuhlinzwa kwe-osteotomy kwesinye isikhathi, kudinga kuze kube unyaka wokululama.

Okubalulekile

Uma ingane yakho ibonakala inedolo le-varus, khumbula ukuthi iningi lezingane liphuma ngaphandle kwalesi simo futhi lithuthukise ukuqondanisa okunempilo kwe-tibiofemoral. Kodwa-ke, uma kubonakala sengathi abakhuli kuwo, xhumana nodokotela wezingane. Kubantu abadala abanedolo le-varus, kubalulekile ukuthi uhambe ngezindlela zokwelashwa nodokotela wakho ngokushesha okukhulu. Uma usheshe watholakala futhi uqala ukwelashwa, umonakalo omncane ozowenza emadolweni akho.