Ukusasazeka kwamadolo - ukhathalelo lwamva

I-kneecap yakho (i-patella) ihleli phambi kwedolo elihlangeneyo. Njengoko ugoba okanye uqondise idolo lakho, ngaphantsi kwe-kneecap yakho ihamba phezu kwe-groove emathanjeni enza idolo lakho.

• I-kneecap ehamba kwi-groove kwinqanaba elibizwa ngokuba yi-subluxation.
• I-kneecap ehamba ngokupheleleyo ngaphandle kwe-groove ibizwa ngokuba yi-dislocation.

I-kneecap inokukhishwa ngaphandle kwe-groove xa idolo libetha ukusuka kwicala.

I-kneecap inokuphinda ilayishe ngaphandle kwe-groove ngexesha lokuhamba okuqhelekileyo okanye xa kukho ukunyakaza okuphazamisayo okanye ukujika ngokukhawuleza.

I-Kneecap subluxation okanye i-dislocation ingenzeka ngaphezu kweyodwa. Amaxesha okuqala okwenzekileyo aya kuba buhlungu, kwaye awuyi kuba nakho ukuhamba.

Ukuba i-subluxations iyaqhubeka ukwenzeka kwaye ayinyangwa, unokuziva ungaphantsi kweentlungu xa zisenzeka. Nangona kunjalo, kunokubakho monakalo ongaphezulu kwidolo elihlangeneyo ngalo lonke ixesha kusenzeka.

Unokuba ne-x-ray okanye i-MRI ukuze uqiniseke ukuba ithambo lakho le-kneecap alizange liphule kwaye akukho monakalo kwi-cartilage okanye i-tendon (ezinye izicubu kwidolo lakho).

Ukuba iimvavanyo zibonisa ukuba awuna monakalo:

• Idolo lakho linokubekwa kwindawo yokuhombisa, yokuqhekeza, okanye yokuphosa iiveki ezininzi.
• Kusenokufuneka usebenzise iintonga ekuqaleni ukuze ungabeki ubunzima obuninzi edolweni.
• Kuya kufuneka ulandele umboneleli wakho wokuqala okanye ugqirha wamathambo (ugqirha wamathambo).
• Unokufuna unyango lomzimba ukuze usebenze ekomelezeni nakwimeko ezithile.
• Uninzi lwabantu luyachacha ngokupheleleyo kwiiveki ezi-6 ukuya kwezi-8.

Ukuba i-kneecap yakho yonakele okanye ayizinzanga, unokufuna utyando ukulungisa okanye ukuzinzisa. Umboneleli wakho wezononophelo lwempilo uhlala ekuhambisa kugqirha wamathambo.

Hlala kunye nedolo eliphakanyiswe ubuncinci amaxesha ama-4 ngosuku. Oku kuya kunceda ukunciphisa ukudumba.

Umkhenkce edolweni. Yenza ipakethe yomkhenkce ngokufaka iityhubhu zomkhenkce engxoweni yeplastiki uze uwusongele ngelaphu.

• Ngosuku lokuqala lokwenzakala, faka ipakethe yomkhenkce iyure nganye kangangemizuzu eli-10 ukuya kweli-15.
• Emva kosuku lokuqala, umkhenkce ummandla rhoqo emva kweeyure ezi-3 ukuya kwezi-4 iintsuku ezi-2 okanye ezi-3 okanye de iintlungu ziphele.

Amayeza eentlungu afana ne-acetaminophen, ibuprofen (Advil, Motrin, kunye nezinye), okanye naproxen (Aleve, Naprosyn, kunye nezinye) inokunceda ukunciphisa iintlungu kunye nokudumba.

• Qiniseka ukuba uzithatha kuphela njengoko kuyalelwe. Funda ngononophelo izilumkiso kwileyibhile ngaphambi kokuba uzithathe.
• Thetha nomboneleli wakho ngaphambi kokusebenzisa la mayeza ukuba unesifo sentliziyo, uxinzelelo lwegazi oluphezulu, isifo sezintso, isifo sesibindi, okanye unezilonda esiswini okanye ukopha ngaphakathi ngaphambili.

Uya kudinga ukutshintsha umsebenzi wakho ngelixa unxibe isplint okanye izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana. Umboneleli wakho uya kukucebisa malunga:

• Ubunzima obungakanani onokubeka emadolweni
• Xa ungasusa ubuqaqawuli okanye isibiyeli
• Ukuhamba ngebhayisikile endaweni yokubaleka ngelixa uphilayo, ngakumbi ukuba umsebenzi wakho wesiqhelo uyasebenza

Ukuzilolonga okuninzi kunokunceda ukolula kunye nokomeleza izihlunu ezijikeleze idolo, ithanga kunye nethanga. Umboneleli wakho angakubonisa ezi zinto okanye usenokusebenza nonyango olusebenzayo ukuze uzifunde.

Ngaphambi kokubuyela kwezemidlalo okanye umsebenzi onzima, umlenze wakho owenzakeleyo kufuneka womelele njengomlenze wakho ongonzakalanga. Kuya kufuneka ukwazi:

• Baleka uze utsibe emlenzeni owenzakeleyo ngaphandle kwentlungu
• Yolule ngokupheleleyo kwaye ugobe idolo lakho elonzakeleyo ngaphandle kwentlungu
• Joga uze ubaleke uqonde ngqo ngaphandle kokuqhwalela okanye uve iintlungu
• Uyakwazi ukwenza i-45- kunye ne-90-degree cut xa usebenza

Fowunela umnikezeli wakho ukuba:

• Idolo lakho liziva lingazinzanga.
• Intlungu okanye ukudumba kubuya emva kokuhamba.
• Ukulimala kwakho kubonakala kungangcono ngokuhamba kwexesha.
• Unentlungu xa idolo libamba kwaye litshixa.

I-Patellar subluxation -okhathalelo lwamva; I-Patellofemoral subluxation - inkathalo emva; I-Kneecap subluxation - emva kononophelo

UMiller RH, uAzar FM. Ukulimala kwamadolo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier Mosby; Ngo-2017: isahluko 45.

ITan EW, iCosgarea AJ. Ukungazinzi kwePatellar. Ku: Miller MD, Thompson SR, ii-eds. UDeLee kunye neDrez's Orthopedic Sports Medicine. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 104.

• Ukwahlukana
• Ukulimala kwamadolo kunye nokuphazamiseka