So wo kotodwe no popa ha ne ha? (Patellar Subluxation) Momma yɛnka eyi ho asɛm!

So woate nka pɛn sɛ wo kotodwe no retu afi baabiara bere a woretu mmirika, woreforo antweri, anaasɛ woregyina hɔ ara kwa no? Eyi betumi ama wo kotodwe no ayɛ wo yaw, ahonhon, na ama ayɛ den sɛ wobɛnantew. Eyi betumi ayɛ osuahu a ɛnyɛ dɛ koraa wɔ mmere bi mu. Enti, ɛnnɛ yɛbɛka saa kneecap popping yi ho asɛm, tebea bi a wɔfrɛ no ``Patellar Subluxation''.

Dɛn ne saa kotodwe a ɛrehwe ase wɔ ha ne ha (Patellar Subluxation)?

Sɛ yɛbɛka no tiawa a, ``Patellar Subluxation'' yɛ bere a wo kotodwe, ɔfã a yɛfrɛ no wɔ aduruyɛ mu sɛ ``Patella'' no fã bi fi ne beae a ɛfata no. Eyi yɛ ``Patellar Dislocation'', ɛnsɛ sɛ wɔde frafra kotodwe no a abubu koraa. Wɔ ``Dislocation'' mu no, kotodwe no fi ne socket mu koraa.

Fa no sɛ nkotodwe a ɛwɔ w’asen dompe (Femur) ne w’asen dompe (Tibia) ntam no taa twetwe kɔ soro ne fam wɔ ɔkwan a ɛda hɔ gyina hɔ a wɔfrɛ no trochlear groove mu. Ɛte sɛ keteke a ɛnam keteke kwan bi so. Wɔ patellar subluxation mu no, kotodwe no fi saa abura yi mu kakra na afei ɛsan kɔ baabi a na ɛwɔ no . Mpɛn pii no, nkotodwe no hwe ase kɔ nan no akyi, nanso ɛtɔ mmere bi a, etumi hwe ase kɔ mu.

Eyi betumi ayɛ yaw paa na ama ayɛ den sɛ wobɛnantew. Sɛ wɔde patellar subluxation mpɛn pii di dwuma a, ebetumi ama obi anya ntini mu yare, ntini a ɛwɔ ntini no mu asɛe, na kotodwe no nyinaa ntumi nnyina . Eyi betumi ama nkotodwe ho haw afoforo aba. Sɛ patellar dislocation no san kɔ baabiara mpo a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ no.

Dɛn ne ``Patellar Subluxation'' ho sɛnkyerɛnne?

Sɛ kotodwe no popa a, ebia wubehu sɛnkyerɛnne ahorow te sɛ eyinom:

• Mfomso a wotumi hu fi kotodwe no akyi (ɛtɔ mmere bi a wotumi hu sɛ nkotodwe no akɔ ɔfã biako).
• Kotodwe mu yaw a emu yɛ den .
• Kotodwe a ɛho ahonhon .
• Nkate anaa te a wɔte sɛ "click" anaa "pop" nnyigyei bi fi kotodwe mu ba.
• Nkate a ɛte sɛ nea kotodwe no reyɛ akɔhyɛ, anaasɛ "wɔatoto" .
• Knee instability , te sɛ nea kotodwe no "wosow".
• Ɛyɛ den sɛ wobɛforo antweri na woasan asian, anaasɛ wobɛbɔ wo ho ase .
• Nkate a ɛte sɛ kotodwe no "rekɔ so ayɛ mmerɛw" anaasɛ "ɛregyae."

Sɛ wowɔ ``Patellar Subluxation'' a, wo nkotodwe da so ara tu wɔ socket no mu kodu baabi, enti wubetumi anantew. Nanso ebetumi ate nka sɛ ɛnyɛ dɛ koraa na entumi nnyina. Ebia wobɛte "click" nnyigyei nso bere a wo kotodwe no tu no.

Dɛn ne nsɛnnennen anaa nea efi tebea yi mu ba bere tenten?

Saa tebea yi a wɔfrɛ no ``Patella Subluxation``Ɛyɛ biribi a ebetumi asan aba mpɛn pii. Afei nso, ɛtaa tumi kɔ so kɔ ``Dislocation`` a edi mũ, a ɛkyerɛ sɛ kotodwe no afiri ne gyinabea koraa. Nea ɛka ho no, saa nkotodwe no a entumi nnyina yi betumi asɛe ntini a ɛwɔ ntini no mu no . Bere kɔ so no, eyi betumi ama obi anya kotodwe mu nnompe mu yare.

Fa no sɛ, abeawa kumaa bi wɔ hɔ a wɔfrɛ no Nisal, a ɔka sukuu no netball kuw no ho. Da bi, bere a ɔresuasua no, mpofirim ara ɔkyinkyim ne kotodwe kakra, na ɔde "klik" nnyigyei bi, ɔtee nka te sɛ nea ne kotodwe no akɔ nkyɛn. Bere bi akyi no, ɔtee nka te sɛ nea asan aba sɛnea na ɛte kan no, nanso ne kotodwe fii ase yɛɛ no ​​yaw na ɛhohoroo. Wamfa n’adwene ansi so kɛse. Nanso akyiri yi, ne kotodwe fii ase "kɔ" bere nyinaa, na wantumi anni agoru mpo. Ɛyɛ bere a ɔde kyerɛɛ oduruyɛfo no nkutoo na ohui sɛ ɛyɛ ``Patellar Subluxation'', na sɛ ntini no asɛe kakra.

Dɛn ne nneɛma a ɛde `(Patellar Subluxation)` ba?

Mpɛn pii no, ade titiriw nti a kotodwe no pue te sɛ eyi ne opira . Sɛ nhwɛso no, ɔhwe a wɔbɔ tẽẽ wɔ kotodwe no so. Saa tebea yi taa ba nnipa a wodi agumadi a ɛkanyan kɛse te sɛ bɔɔlbɔ so . Sɛ wode wo nan ase dua fam denneennen na wo kotodwe twitwiw mpofirim kɔ mu anaa akyi a, ebetumi aba.

Afei nso, sɛ ntini ne ntini a ɛwɔ kotodwe nkwaa no mu no yɛ mmerɛw wɔ baabiara (patellar instability) , ebetumi nso ama patellar subluxation aba.

Dɛn ne asiane ahorow a ɛwɔ Patellar Subluxation mu?

Ɛwom sɛ tebea yi betumi aka obiara de, nanso ɛtaa ba nnipa a wɔn nan ntini yɛ mmerɛw na wɔn ntini a ɛyɛ mmerɛw no so . Ɛtaa ba nnipa a wodi so yi nso mu kɛse:

• Nnipa a wɔadi fi mfe 10 kosi 20 (titiriw agumadifo nkumaa).
• Nnipa a wɔyɛ nnam wɔ apɔw-mu-teɛteɛ mu .
• Mmea (mmeawa taa nya saa tebea yi kakra).
• Agumadifo anaa wɔn a wɔtaa de wɔn ho hyɛ agumadi mu.
• Nnipa a wɔware sen sɛ wɔkyekyem pɛpɛɛpɛ a .

Sɛ woadi kan ayɛ wo oprehyɛn ama wo kotodwe no atutu anaasɛ atu fã bi a, ɛda adi sɛ wobɛsan anya saa tebea yi bio.

Wobɛyɛ dɛn ahu `(Patellar Subluxation)`?

Sɛ wokɔ oduruyɛfo nkyɛn a, wɔbɛyɛ nipadua mu nhwehwɛmu . Wɔbɛkotow na wɔateɛteɛ wo nan na wɔate nka sɛ wɔatwa wo kotodwe ho ahyia. Wobebisa wo wo yare no ho sɛnkyerɛnne ne nea esii ansa na wo kotodwe no retu no ho asɛm.

Oduruyɛfo no nso betumi ayɛ nhwehwɛmu titiriw bi (subluxation nhwehwɛmu) wɔ wo kotodwe so. Ebia wɔbɛyɛ mfoninitwa ho sɔhwɛ ahorow bi nso , te sɛ:

• Nkotodwe X-ray a wɔde yɛSɔhwɛ bi.
• MRI scan `(MRI Scan)` sɔhwɛ.
• CT scan yɛ nhwehwɛmu.

Ɔkwan bɛn so na wɔsa Patellar Subluxation?

Wo duruyɛfo bedi kan asɔ akwan a ɛnyɛ oprehyɛn ahwɛ de asa eyi, titiriw sɛ eyi ne bere a edi kan a biribi a ɛte sɛɛ ato wo a. Ayaresa a ɛnyɛ oprehyɛn a wobetumi apaw no bi ne:

• RICE kwan: Eyi kyerɛ sɛ:
• `Rest`: Kotodwe a wobɛhome.
• `Ice`: Nsukyenee a wɔde gu so de tew ɔfe ne ɛyaw so.
• Compression: Wɔde aduru a wɔde kyekyere kotodwe no ho denneennen de siw ɔfe ano.
• Nkɔ soro: Nan no a wobɛma akɔ soro na ama ɔfe no so atew.
• NSAIDs: Eyinom yɛ nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs), a ɛyɛ nnuru a wɔde kum ɛyaw ne nnuru a ekum ɔyare mmoawa. Sɛ nhwɛso no, ibuprofen (Advil®) no.
• Nkotodwe a wɔmma ɛnkɔ: Ɛdenam sɛnea opira no mu yɛ den so no, wobetumi de kotodwe a wɔde hyɛ mu anaasɛ wɔde akuturuku adi dwuma na ama kotodwe no antumi ankɔ baabiara.
• Nneɛma a ɛboa ma wo nantew/nantew: Ebia wɔbɛka akyerɛ wo sɛ fa poma, poma, anaa ade a wɔde nantew di dwuma na ama adesoa a ɛwɔ wo nkotodwe so no so atew. Ebia wɔbɛka akyerɛ wo nso sɛ fa kotodwe a wɔde hyɛ wo ho a ɛyɛ adwuma te sɛ J-brace, anaa nsateaa a ɛma patella gyina hɔ pintinn di dwuma.
• Orthotics (mpaboa soronko): Ebia wobetu wo fo sɛ fa mpaboa anaa nea wɔde hyɛ mu a wɔayɛ no titiriw di dwuma na ama nhyɛso a ɛba kotodwe no so no so atew.
• Nipadua mu Ayaresa: Eyi ho hia yiye na ama ntini a atwa kotodwe no ho ahyia no ayɛ den na atrɛw, na ama kari pɛ (proprioception) nso.

Sɛ wo yare no ho sɛnkyerɛnne no ankɔ yiye wɔ asram pii akyi, anaasɛ woanya patellar subluxation bɛboro biako a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ wo oprehyɛn . Oprehyɛn a wobetumi apaw bi ne:

• Lateral Release: Eyi hwehwɛ sɛ wotwitwa kotodwe no fã a wɔfrɛ no ``Lateral Retinaculum'' na wosiesie kotodwe no gyinabea (``Patella Positioning''). Wɔtaa yɛ eyi de ka akwan afoforo a wɔfa so san kyekye ho.
• Medial Patellofemoral Ligament (MPFL) Repair: Oprehyɛn a wɔyɛ de siesie ntini a ɛboa ma kotodwe no kɔ so tra hɔ no na ɛhyɛ no den.
• MPFL Reconstruction: Eyi yɛ oprehyɛn a wɔde ntini mu hwɛ, a ɛkyerɛ sɛ wɔde mfoninitwa afiri na ɛyɛ no. Wɔ eyi mu no, woyi w’ankasa w’asen mu ntini no fã bi fi w’asen akyi na wɔsan yɛ medial patellofemoral ligament no.
• Nnompe a wɔtwa: .Eyi hwehwɛ sɛ wutwitwa wo nan dompe (Tibia) no wɔ afã horow bi na wosan de wo nan dompe, kotodwe, asen dompe, ne ntini a ɛka bom no si baabi foforo.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wosusu sɛ ebia wowɔ ``Patellar Subluxation'', a ɛkyerɛ sɛ wowɔ sɛnkyerɛnne te sɛ eyinom a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn:

• Ɛyaw ne ɔfe .
• Sɛ obi ntumi mfa ne nan nsoa emu duru wɔ fam .
• "Klik" nnyigyei anaasɛ "buckling" nkate a ɛwɔ kotodwe mu.
• Ebia nkotodwe no bɛda adi anaasɛ ɛbɛyɛ te sɛ nea ɛrepue afi socket no mu .

Kae sɛ, sɛ wususuw sɛ wo nkotodwe no asan akɔ baabiara mpo a, ɛho da so ara hia sɛ wokɔ oduruyɛfo nkyɛn. Sɛ wɔansa eyi yiye a, eyi betumi ayɛ nea ɛtaa ba na ɛde ɔhaw akɛse aba akyiri yi.

Nsɛm bɛn na ɛsɛ sɛ mibisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• Ayaresa ahorow bɛn na wokamfo kyerɛ?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Hokwan ahorow bɛn na ɛwɔ hɔ sɛ menya saa tebea yi bio?
• Dɛn na metumi ayɛ na amma me kotodwe no anpue bio saa?

Bere tenten ahe na egye na obi asa yare afi ``Patellar Subluxation'' mu?

Bere a egye na obi anya ahoɔden afi tebea yi mu no gyina nneɛma pii so:

• So eyi yɛ wo subluxation a edi kan, anaasɛ ɛyɛ nea ɛsan ba bio ?
• Sɛnea wo tebea no mu yɛ den .
• Ayaresa bɛn na wonyae ?

Sɛ eyi ne wo subluxation a edi kan, ɛnyɛ aniberesɛm dodo, na enhia sɛ wɔyɛ wo oprehyɛn a, ɛsɛ sɛ wo ho tɔ wo koraa wɔ adapɛn anan kosi asia ntam . Mpɛn pii no, wo duruyɛfo bɛkamfo apɔw-mu-teɛteɛ ayaresa akyerɛ wo. Wo nipadua mu ɔyaresafo betumi ama wo bere pɔtee bi.

Sɛ woayɛ subluxation bɛboro pɛnkoro, opira kɛse, anaa oprehyɛn a, bere a wode bɛsan atɔ wo no bɛyɛ tenten . Ɛsɛ sɛ wutumi san fi dwumadi ahorow a emu nyɛ duru ase wɔ adapɛn asia kosi awotwe ntam. Nanso, ebia ebegye afe biako anaa nea ɛboro saa ansa na woatumi asan afi agumadi ase bio.

Mɛyɛ dɛn asiw Patellar Subluxation ano?

Patellar subluxations dodow no ara fi opira, enti yentumi nsiw ne nyinaa ano. Nanso nneɛma bi wɔ hɔ a wubetumi ayɛ na ama ntini a ɛka wo nkotodwe ho no ayɛ den. Nneɛma bi a wubetumi ayɛ na amma wo kotodwe no anpue ni:

• Fa wo ho hyɛ apɔw-mu-teɛteɛ a ɛhyɛ wo nan mu ntini biara den mu .
• Nkotodwe a wɔde kata wo ho bere a woredi contact sports no.
• Sɛ woadi kan apira wo kotodwe a, sɛ wohyɛ kotodwe a wɔde hyɛ wo ho a , ebetumi aboa ma woanpira bio.
• Sɛ wo duruyɛfo akyerɛw wo nipadua mu ayaresa ama wo a, di saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ .

Nkrasɛm a Wɔde Kɔ Fie

Patellar subluxation betumi ayɛ tebea a ɛyɛ yaw kɛse na ɛyɛ yaw. Ebetumi ama wo kotodwe no ate nka sɛ entumi nnyina. Ebia wubetumi de wo kotodwe no asan ahyɛ nea ɛwɔ hɔ, nanso akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn . Efisɛ, bere kɔ so no, saa subluxations ahorow yi betumi ama obi atutu koraa. Wo duruyɛfo betumi aboa wo ma eyi ansi. Obetumi akamfo ayaresa a eye sen biara a wobɛfa so ahyɛ wo kotodwe den na ama woasan akɔ ne kwan so no akyerɛ. Enti, sɛ wowɔ kotodwe ho haw a, mmu w’ani ngu so, nyansa wom sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara!

` patellar subluxation, kotodwe a ɛtwetwe, kotodwe mu yaw, kotodwe a entumi nnyina, kotodwe mu haw, nipadua mu ayaresa, kotodwe oprehyɛn