Iintlungu zangaphambili zamadolo

Intlungu yangaphambi kwedolo yintlungu eyenzeka ngaphambili nakwiziko lamadolo. Ingabangelwa ziingxaki ezininzi ezahlukeneyo, kubandakanya:

• I-Chondromalacia ye patella - ukuthamba kunye nokonakala kwethishu (intlala) emazantsi e-kneecap (patella)
• Idolo lomgijimi-ngamanye amaxesha abizwa ngokuba yi-patellar tendinitis
• I-lateral compression syndrome - i-patella ilandelela ngakumbi kwinxalenye engaphandle kwedolo
• I-Quadriceps tendinitis - iintlungu kunye nokuthantamisa kwi-quadriceps tendon eqhotyoshelweyo patella
• Ukuphathwa kakubi kukaPatella-ukungazinzi kwepatella emadolweni
• I-Patella arthritis - ukuphuka kwe-cartilage phantsi kwe-kneecap yakho

I-kneecap yakho (i-patella) ihleli phambi kwedolo elihlangeneyo. Njengoko ugoba okanye uqondise idolo lakho, ngaphantsi kwepatella kuhamba phezu kwamathambo enza idolo.

Imisipha eyomeleleyo inceda ukunamathisela idolo emathanjeni nakwimisipha ejikeleze idolo. Ezi tendon zibizwa ngokuba:

• Ithenda patellar (apho idolo linamathela kwithambo le-shin)
• Ithenda ye-quadriceps (apho izihlunu zethanga zinamathele phezulu kwi-kneecap)

Intlungu yangaphambi kwedolo iqala xa i-kneecap ingashukumi kakuhle kwaye ihlikihle emazantsi ethambo lethanga. Oku kunokwenzeka ngenxa yokuba:

• I-kneecap isendaweni engaqhelekanga (ekwabizwa ngokuba lulungelelwaniso olubi lwendibaniselwano ye-patellofemoral).
• Kukho ukuqina okanye ubuthathaka bemisipha ngaphambili nangasemva kwethanga lakho.
• Wenza umsebenzi omninzi obeka uxinzelelo olongezelelekileyo kwi-kneecap (enjengokubaleka, ukutsiba okanye ukujija, ukuskiya, okanye ukudlala ibhola).
• Imisipha yakho ayilingani kwaye izihlunu zakho ezingundoqo zinokuba buthathaka.
• I-groove kulayini apho idolo elihlala kulo ngokuqhelekileyo liphumle kakhulu.
• Unenyawo ezisicaba.

Iintlungu zangaphambili zamadolo zixhaphake kakhulu:

• Abantu batyebe kakhulu
• Abantu abaye basuswa, baphuka, okanye balimala kwi-kneecap
• Iimbaleki, abaxhumaxhuma, ukutyibilika emkhenkceni, abakhweli bebhayisikile, kunye nabadlali bebhola ekhatywayo abenza umthambo rhoqo
• Ulutsha kunye nabantu abadala abasempilweni, amaxesha amaninzi amantombazana

Ezinye izinto ezinokubangela iintlungu zedolo zangaphambili zibandakanya:

• Isifo samathambo
• Ukucofa umgca wangaphakathi wedolo ngexesha lokuhamba (okubizwa ngokuba yi-synovial impingement okanye i-plica syndrome)

Iintlungu zangaphambi kwedolo yintlungu ebuthathaka, ebuhlungu edla ngokuziva:

• Emva kwekneecap (patella)
• Ngaphantsi kwe-kneecap
• Kumacala omadolo

Olunye uphawu oluqhelekileyo kukujija okanye ukugaya xa idolo liguquka (xa iqatha lisondezwa ngasemva kwethanga).

Iimpawu zinokubonakala ngakumbi nge:

• Amadolo agobileyo
• Ukuhla ngezinyuko
• Ukuhla ukwehla
• Ukuma emva kokuhlala ixeshana

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Idolo linokuba lithambile kwaye lidumbile. Kwakhona, i-kneecap ayinakulinganiswa ngokufanelekileyo kunye nethambo lethanga (i-femur).

Xa uguqula idolo lakho, unokuziva uziva usila ngaphantsi kwe-kneecap. Ukucinezela i-kneecap xa idolo lilula kunokuba buhlungu.

Umboneleli wakho unokufuna ukuba wenze i-squat yomlenze omnye ukujonga ukungalingani kwemisipha kunye nozinzo lwakho olusisiseko.

IX-reyi zihlala ziqhelekile. Nangona kunjalo, umbono okhethekileyo we-x-ray we-kneecap unokubonisa iimpawu zesifo samathambo okanye ukuthambisa.

Ukuvavanywa kweMRI kunqabile ukuba kufuneke.

Ukuphumla emadolweni ixesha elifutshane kunye nokuthatha iziyobisi ezingezizo ezokulwa nokudumba (i-NSAID) ezinje nge-ibuprofen, naproxen, okanye i-aspirin inokunceda ekunciphiseni iintlungu.

Ezinye izinto onokuzenza ukunciphisa iintlungu zedolo zangaphambili zibandakanya:

• Guqula indlela owenza umthambo ngayo.
• Funda ukuzilolonga kokubini ukomeleza kunye nokwolula i-quadriceps kunye nemisipha yomsipha.
• Funda ukuzilolonga ukomeleza undoqo wakho.
• Ukunciphisa umzimba (ukuba utyebe kakhulu).
• Sebenzisa okokufaka izihlangu okhethekileyo kunye nezixhobo zenkxaso (ii-orthotic) ukuba uneenyawo ezisicaba.
• Tape idolo lakho ukuze uhlengahlengise i-kneecap.
• Nxiba ukubaleka okufanelekileyo okanye izihlangu zemidlalo.

Ngokuqhelekileyo, ukuhlinzwa kwintlungu emva kwe-kneecap kuyadingeka. Ngexesha lotyando:

• I-Kneecap cartilage eyonakalisiweyo ingasuswa.
• Utshintsho lunokwenziwa kwimisipha ukunceda i-kneecap ihambe ngokulinganayo.
• I-Kneecap inokuphinda ilungiswe kwakhona ukuvumela ukuhamba okungcono ngokudibeneyo.

Iintlungu zangaphambili zamadolo zihlala ziphucuka notshintsho kwimisebenzi, ukusebenzisa unyango, kunye nokusetyenziswa kwee-NSAID. Uqhaqho olunqabileyo alufuneki.

Tsalela umnikezeli wakho ukuba unempawu zolu gulo.

Isifo sePatellofemoral Chondromalacia patella; Idolo lembaleki; Patellar tendinitis; Idolo leJumper

• I-Chondromalacia yepatella
• Imbaleki idolo

I-DeJour D, i-Saggin PRF, iKuhn VC. Ukuphazamiseka kwendibaniselwano ye patellofemoral. Ku: Scott WN, ed. Utyando lwe-Insall kunye ne-Scott lweKnee. Umhla wesi-6. IPhiladelphia, PA: Elsevier; I-2018: isahluko 65.

UMcCarthyM, uMcCarty EC, uFrank RM. Intlungu kaPatellofemoral. Ku: Miller MD, Thompson SR, ii-eds. UDeLee, uDrez, kunye neMiller's Orthopedic Sports Medicine. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahluko 106.

ITeitge RA. Ukuphazamiseka kwePatellofemoral: ukulungiswa kokungalunganga kokujikeleza kwesiphelo esisezantsi. Ku: I-Noyes FR, iBarber-Westin SD, ii-eds. Ukuphazamiseka kwamadolo eNoyes: Uqhaqho, Ukubuyisela kwimo yesiqhelo, Iziphumo zeKlinikhi. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 36.