Yintoni i-Patellar Subluxation?

Umxholo

• Ukulimala kweKneecap
• Ziintoni iimpawu?
• Yintoni ebangela ukuthotywa kwe patellar?
• Ifunyaniswa njani i-patellar subluxation?
• Zeziphi iindlela zonyango ezingafunekiyo?
• Zithini iindlela zonyango zotyando?
• I-ligal patellofemoral ligament (MPFL) yokwakha ngokutsha
• Ukutshintshwa kwesifo seTibial
• Ukukhululwa kamva
• Kuthatha ixesha elingakanani ukubuyela kwimeko yesiqhelo?
• Ngaphandle kotyando
• Ngoqhaqho
• Ungayikhusela njani i-patellar subluxation
• Imbonakalo

Ukulimala kweKneecap

I-Subluxation lelinye igama lokwahlukana ngokuthe ngqo kwethambo. I-Patellar subluxation kukusasazeka kwenxalenye ye-kneecap (patella). Kwakhona kwaziwa ngokuba yi-patellar stability okanye i-kneecap stability.

I-kneecap yithambo elincinci lokukhusela elifakela ngasezantsi kwethambo lakho lethanga (femur). Njengoko ugoba kwaye uqondise idolo lakho, i-kneecap yakho iyahla yenyuka kwi-groove ephantsi kwethanga, ebizwa ngokuba yi-trochlea.

Amaqela amaninzi emisipha kunye nemigqa ibambe i-kneecap endaweni. Xa ezi zenzakala, i-kneecap yakho inokuphuma ngaphandle kwe-groove, ibangele iintlungu kunye nobunzima bokuguqula idolo.

Ubungakanani bokususwa kugqiba ukuba kubizwa ngokuba yi-patellar subluxation okanye ukwahlukana.

Uninzi lokulimala lutyhala idolo ukuya ngaphandle kwedolo. Oku kunokonakalisa i-ligament ngaphakathi kwamadolo, eyaziwa njenge-medial patello-femoral ligament (MPFL). Ukuba i-MPFL ayiphilisi ngokufanelekileyo, inokubeka inqanaba lokwahlukana okwesibini.

Ziintoni iimpawu?

Unokufumana ezi mpawu zilandelayo nge-patellar subluxation:

• ukugoba, ukubamba okanye ukutshixa amadolo
• ukutyibilika kwedolo ukuya ngaphandle emadolweni
• iintlungu emva kokuhlala ixesha elide
• iintlungu ngaphambili kwedolo eziba mandundu emva komsebenzi
• ukuphuma okanye ukuqhekeka emadolweni
• ukuqina okanye ukudumba kwedolo

Nangona unokukwazi ukuzichonga ngokwakho, kuyakufuneka ubonane nonyango.

Yintoni ebangela ukuthotywa kwe patellar?

Nawuphi na umsebenzi ogqithileyo okanye umdlalo wezonxibelelwano unokubangela ukuthotywa kwe patellar.

I-Patellar subluxations kunye ne-dislocations zichaphazela ikakhulu abantu abancinci nabasebenzayo, ngakumbi phakathi kweminyaka eli-10 ukuya kwengama-20. Uninzi lokonzakala okokuqala kwenzeka ngexesha lezemidlalo.

Emva kokulimala kokuqala, amathuba okususwa kwesibini aphezulu kakhulu.

Ifunyaniswa njani i-patellar subluxation?

Ukuchonga i-patellar subluxation, ugqirha wakho uya kuguqa kwaye alungelelanise idolo elonzakeleyo kwaye uve indawo ejikeleze idolo.

I-ray-ray ingasetyenziselwa ukubona indlela i-kneecap ingena ngayo kwi-groove emazantsi epatella kunye nokuchonga nakuphi na ukonzakala kwethambo okunokwenzeka.

Imagnetic resonance imaging (MRI) inokusetyenziselwa ukubonakalisa imisipha kunye nezinye izicwili ezithambileyo ezijikeleze ipatella. Abantwana kunye nabantu abafikisayo ngamanye amaxesha abazi ukuba banokuphulukana ne patellar. I-MRI inokukunceda ukuyiqinisekisa.

Zeziphi iindlela zonyango ezingafunekiyo?

Unyango lwe-Nonsurgical luyacetyiswa kuninzi lwabantu abane-patellar subluxation okanye ukushenxiswa okokuqala.

Unyango lwe-Nonsurgical lubandakanya:

• RICE (ukuphumla, ukucoca, ukunyusa, nokuphakama)
• iziyobisi ezichasayo ezingasebenziyo (i-NSAID), ezinje nge-ibuprofen (Advil, Motrin)
• ulungiso lwenyama
• iintonga okanye intonga yokususa ubunzima edolweni
• iibhrashi okanye iintsimbi zokunyibilikisa idolo
• izihlangu ezizodwa ukunciphisa uxinzelelo kwi-kneecap

Emva kwe-patellar subluxation, unethuba lokuphinda uphinde.

Kwi-2007, yezifundo zangaphambili ezingama-70 zafumana umahluko omncinci kwiziphumo zexesha elide phakathi kwabo bathe benza utyando ngenxa yokusasazeka kwabo patellar kunye nabo bangenalo. Abo babenokwenziwa utyando babengenamathuba okuba baphinde basuswe okwesibini kodwa babe nokwenzeka ukuba babe nesifo samathambo emadolweni.

Kufunyenwe inqanaba elisezantsi lokuphindaphinda ukususwa ngokupheleleyo kwe-kneecap kubantu ababephethe unyango. Kodwa inqanaba lokuphindaphindeka kwe-patellar subluxation laliphantse lafana (i-32.7 xa ithelekiswa neepesenti ezingama-32.8), nokuba umntu uye wahlinzwa okanye hayi.

Zithini iindlela zonyango zotyando?

okokuqala patellar subluxation ziphathwa ngokufanelekileyo, ngaphandle kotyando. Unyango lotyando luyacetyiswa ukuba unesiqendu esiphindayo okanye kwiimeko ezizodwa.

Olunye uhlobo oluqhelekileyo lotyando lokuphinda iziqendu ze-patellar subluxation okanye dislocation zezi:

I-ligal patellofemoral ligament (MPFL) yokwakha ngokutsha

I-medial patellofemoral ligament (MPFL) itsala idolo ukuya ngaphakathi komlenze. Xa i-ligament ibuthathaka okanye yonakele, i-kneecap inokuphambukela ngaphandle komlenze.

Ukwakhiwa kwakhona kwe-MPFL lutyando lwe-arthroscopic olubandakanya iindlela ezimbini ezincinci. Kule ntsebenzo, i-ligament yakhiwe ngokutsha kusetyenziswa iqhekeza elincinci leetoni elithathwe kwimisipha yakho yomsipha okanye kumnikeli. Ithatha iyure enye. Uhlala ubuyela ekhaya kwangolo suku unxibe izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ukuzinzisa idolo lakho.

Izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana gcina umlenze wakho uthe nkqo ngelixa uhamba. Inxitywe iiveki ezintandathu. Emva kweeveki ezintandathu, uqala unyango lomzimba. Uninzi lwabantu lungaqala kwakhona imidlalo kunye nokudlala imisebenzi kwiinyanga ezine ukuya kwezisixhenxe emva kokwakhiwa kwakhona kweMPFL.

Ukutshintshwa kwesifo seTibial

I-tibia lelinye igama lethambo lakho. Isifo se-tibial tuberosity kukuphakama kwe-oblong, okanye i-bulge, kwi-tibia engaphantsi kwedolo lakho.

Ithenda ekhokela i-kneecap yakho njengoko inyuka isihla kwi-trochlear groove inamathela kwi-tuberosity ye-tibial. Ukulimala okubangele ukuba i-kneecap ihlukane nayo inokulimaza indawo yokudibanisa kule tendon.

Umsebenzi wokudlulisa i-tubial tubercle ufuna ukusikwa malunga nee-intshi ezintathu ubude ngaphezulu kwethambo le-shin. Kolu tyando, ugqirha wakho udlulisela isiqwenga se-tibial tuberosity ukuphucula isincamathelisi sethenda. Oku ke kunceda i-kneecap ukuba ihambe ngokufanelekileyo kumjelo wayo.

Ugqirha uya kubeka isikere esinye okanye ezibini ngaphakathi komlenze wakho ukukhusela ithambo elidlulisiweyo. Umsebenzi uthatha malunga neyure enye.

Uya kunikwa iintonga zokuzisebenzisa kwiiveki ezintandathu emva kotyando. Emva koko, unyango lomzimba luqala. Uninzi lwabantu luyakwazi ukubuyela emsebenzini okanye esikolweni kwiiveki ezimbini emva kotyando. Kuthatha malunga neenyanga ezilithoba ngaphambi kokuba ubuyele kwezemidlalo.

Ukukhululwa kamva

Kude kube malunga neminyaka eli-10 eyadlulayo, ukukhutshwa ngokulandelanayo yayilunyango oluqhelekileyo lonyango lwe-patellar subluxation, kodwa kunqabile kule mihla kuba inyusa umngcipheko wokuphindaphinda kokungazinzi kwi-kneecap.

Kule nkqubo, iigaments ngaphandle kwedolo zinqunyulwe inxenye ukubathintela ekutsaleni i-kneecap ecaleni.

Kuthatha ixesha elingakanani ukubuyela kwimeko yesiqhelo?

Ngaphandle kotyando

Ukuba awunatyando, ukubuyiswa kwakho kuya kuqala kunyango olusisiseko lweeleta ezine ezaziwa ngokuba yiRICE. Oku kumi

• phumla
• icing
• ucinezelo
• ukuphakama

Ekuqaleni, akufuneki uzityhale ukuze ujikeleze ngaphezu kokukhululeka. Ugqirha wakho unokuyalela iintonga okanye intonga yokuthatha ubunzima edolweni.

Uya kuphinda ubone ugqirha wakho kwakhona kwiintsuku ezimbalwa zokulimala. Baza kukuxelela xa ilixesha lokuqala ukwandisa umsebenzi.

Uya kunikwa unyango lomzimba kabini okanye kathathu ngeveki kwiiveki ezintandathu zokuqala. Umgqirha wakho uya kunceda ukuvavanya xa ulungele ukubuyela kwimidlalo nakweminye imisebenzi enzima.

Ngoqhaqho

Ukuba uye wahlinzwa, ukubuyiswa kwakhona yinkqubo ende. Kungathatha iinyanga ezine ukuya kwezilithoba ngaphambi kokuba uphinde uqalise ezemidlalo, nangona kufanelekile ukuba uphinde uqalise imisebenzi elula kwiiveki ezimbini ukuya kwezintandathu.

Ungayikhusela njani i-patellar subluxation

Ukuzivocavoca okuthile kunokunceda ukomeleza izihlunu zomlenze wakho kunye nokunciphisa amathuba okonzakala emadolweni, kubandakanya ne-patellar subluxation. Ukunciphisa umngcipheko kolu hlobo lokulimala, yongeza ezinye zeendlela ezilandelayo kwimithambo yakho:

• imithambo eyomeleza ii-quadriceps zakho, ezinje nge squats kunye nokuphakamisa umlenze
• ukuzilolonga ukomeleza amathanga akho angaphakathi nangaphandle
• Ukuzivocavoca i-hamstring curl

Ukuba sele unokwenzakala kwamadolo, ukunxiba izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana kunokunceda ukuthintela ukuphindaphinda.

Ukunxiba iimpahla ezifanelekileyo zokukhusela kwimidlalo yokunxibelelana yenye indlela ebalulekileyo yokuthintela zonke iintlobo zokulimala kwamadolo.

Imbonakalo

I-Patellar subluxation yinto eqhelekileyo yokulimala kwabantwana nakwishumi elivisayo, kunye nabantu abadala. Isiganeko sokuqala asidingi kuqhaqho. Ukuba utyando luyafuneka, inani leendlela ezintsha zenza ukuba ubuyise onke amandla okanye amandla akho angaphambili nomsebenzi.