An ka kuma i gɛnɛgɛnɛ kan!

Yala i delila ka miiri i gɛnɛgɛnɛw nafa ka bon cogo min na wa? An gɛnɛgɛnɛw b’an dɛmɛ ka taama, ka boli, ka pan, ka jɔ, ka sigi... nin ko ninnu bɛɛ. Tiɲɛ na, gɛnɛgɛnɛ ye an farikolo kolotuguda belebeleba ye . O la sa, an ka kuma gɛnɛgɛnɛ nafama kan ka ɲɛ dɔɔnin, tiɲɛ tɛ wa?

Gɛnɛgɛnɛ ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, gɛnɛgɛnɛ ye kolotuguda ye min bɛ i cɛmancɛ ni i sen duguma siri ɲɔgɔn na. A bɛ i n’a fɔ fɛn min bɛ da dɔ kan. O ye an ka kolotugudaw yɔrɔ dɔ ye . Nka gɛnɛgɛnɛ tɛ kɛ ni kolo dɔrɔn ye. A fana bɛ sɔrɔ kolotugudaw, farikolo yɔrɔw, sɔgɔsɔgɔninjɛw ani nɛrɛmuguma.

Aw gɛnɛgɛnɛw b’aw dɛmɛ ka aw farikolo girinya dɛmɛ, ka aw senw kɔrɔta ani ka aw farikolo lamaga. Aw bɛ lamaga fɛn o fɛn kɛ ni aw senw ye, o bɛ dɛmɛ de wajibiya ka bɔ aw gɛnɛgɛnɛw la. Ni gɛnɛgɛnɛ dimi bɛ aw la, aw ye aw jija ka taa dɔgɔtɔrɔso la. A bɛ se ka aw ka dimi sababu dɔn ani ka fura di aw ma aw mago bɛ min na walasa ka segin aw ka baara kɛcogo kɔrɔw la.

Gɛnɛgɛnɛ baara kunbabaw ye jumɛnw ye?

An gɛnɛgɛnɛw bɛ baara damadɔw kɛ minnu nafa ka bon kosɛbɛ. Aw ye a lajɛ:

• Senw lamagacogo: Aw gɛnɛgɛnɛw bɛ aw dɛmɛ ka aw senw kɔrɔta, ka u janya ani ka u wuli. I ka miiri i gɛnɛgɛnɛw bɛ baara hakɛ min kɛ ni i bɛ taama, ni i bɛ boli, walima ni i bɛ ka yele ɛrɛzɛnsunw kan.
• Farikolo dɛmɛni ni aw jɔlen don ani ka lamaga: Ni aw jɔlen don, aw gɛnɛgɛnɛw bɛ aw farikolo girinya bɛɛ lajɛlen yɔrɔba dɔ ta.
• Farikolo sabatili ani balansi sabatili: Gɛnɛgɛnɛw fana bɛ dɛmɛ ka farikolo balansi sabati ni a bɛ barika wuli walima ni a jɔra.

Gɛnɛgɛnɛ bɛ min?

Nin ye fɛn ye bɛɛ bɛ min dɔn. Gɛnɛgɛnɛ ye kolotuguda ye min bɛ i sen cɛmancɛ la. Walasa k’a fɔ tigitigi, gɛnɛgɛnɛ ye i cɛmancɛ kolo (an b’o wele ko `Femur` furakɛli siratigɛ la) ni i senkɔni kolo (`Tibia`) bɛ ɲɔgɔn sɔrɔ yɔrɔ min na.

Gɛnɛgɛnɛ ye kolotuguda sugu jumɛn ye?

Joli suguya caman bɛ an fari la. Dɔgɔtɔrɔw b’u tila ka kɛɲɛ n’u dilannen don ni fɛn min ye (o kɔrɔ ye k’u dabɔcogo) ani u lamagacogo (o kɔrɔ ye k’u baara).

gɛnɛgɛnɛ ye sɔgɔsɔgɔninjɛ ye . Sinkɔrɔkɛrɛdimi ye kolotugudaw ye minnu bɛ lamaga kosɛbɛ an farikolo la. U bɛ Sɔrɔ kolo kelen na min bɛ Bɛn ni kolo wɛrɛ ye. o kolo ninnu kunw bɛ datugu ni fɛn ye min bɛ wele ko hyaline cartilage . kolotugudaw ni ɲɔgɔn cɛ yɔrɔ la , sɔgɔsɔgɔninjɛ dɔ bɛ yen . O bɛ i n’a fɔ bɔrɔ min falen don ji la. O de bɛ kolotuguda tulu ni a lakana. O kurukuruni wɛrɛ in de bɛ a to sinoviyɛli kolotugudaw ka lamaga ni ɲɔgɔnkanu dɔɔni ye ni a bɛ se ka kɛ.

Baarakɛcogo la, gɛnɛgɛnɛ ye fɛnɲɛnɛma ye.. Miiri o la i n’a fɔ da dɔ ka fɛnɲɛnɛma. A yɔrɔ dɔw tɛ lamaga, nka a yɔrɔ dɔw bɛ taa yɔrɔ dɔ la walasa ka da wuli ani ka da tugu. I n’a fɔ gɛnɛgɛnɛ, kɔkolo joli bɛ tugu o sariya jɔnjɔn kelen in kɔ - a bɛ se ka da wuli ka datugu sira kelen fɛ.

Gɛnɛgɛnɛ jɔcogo bɛ cogo di?

Aw gɛnɛgɛnɛ bɛ kɛ nin yɔrɔ ninnu de la kosɛbɛ:

• Kolo
• Cartilage (Kɔnɔbara) (cartilage).
• Ligaments (Ligaments) minnu bɛ kɛ
• Farikolo yɔrɔw
• Nɛrɛmuguma

An ka o kelen-kelen bɛɛ lajɛ u danma.

Gɛnɛgɛnɛ kolotugudaw

Gɛnɛgɛnɛ kolotuguda bɛ Kɛ ni koloba saba ye:

• Senkɔni: Nin ye kolo ye min ka jan ani min barika ka bon i cɛmancɛ la.
• Tibia : Nin ye girinya ta koloba ye min bɛ i sen dugumayanfan kɔnɔna na.
• Patella: Nin ye gɛnɛgɛnɛ ye an bɛɛ b’a dɔn. O ye kolo fitini ye min bɛ kɛ kɛrɛ saba ye, a bɛ sɔrɔ gɛnɛgɛnɛ ɲɛfɛ.

o kolo ninnu bɛ ɲɔgɔn sɔrɔ yɔrɔ minnu na , olu bɛ wele ko articulations walima articulations surfaces . I gɛnɛgɛnɛ bɛ ni o ɲɔgɔnna articulation surface fila ye:

• Patellofemoral joint (Patellofemoral joint): O yɔrɔ de la gɛnɛgɛnɛ (patella) bɛ siri cɛya kolo (senkɔni) la.
• Tibiofemoral joint : Nin yɔrɔ in de la, senkɔni ni senkɔni bɛ ɲɔgɔn sɔrɔ.

Gɛnɛgɛnɛ sɔgɔsɔgɔninjɛ

Cartilage ye jɛɲɔgɔnya barikama ye min bɛ se ka wuli, min bɛ i kolotugudaw lakana ani ka kɛ i n’a fɔ sɔgɔsɔgɔninjɛlan i farikolo bɛɛ la.

Kɔnɔbara basigilen suguya fila bɛ i gɛnɛgɛnɛ na:

• Hyaline cartilage : Nin ye kolotuguda suguya ye min ka teli ka kɛ aw fari la. dɔgɔtɔrɔ dɔw fana b' a wele ko articulaire cartilage . A bɛ aw kolotugudaw lamini ani ka aw kolo dakunw datugu. Hyaline cartilage bɛ nɔgɔya kosɛbɛ ani a bɛ sɛgɛn. O de kama aw kolow bɛ se ka sɛgɛn ɲɔgɔn kan ka ɲɛ aw kolotugudaw kɔnɔ. Aw cɛmancɛ kolo, aw senkɔni kolo ani aw gɛnɛgɛnɛw bɛ ni nin kolosinsinnan hyaline in datugulen ye u magara yɔrɔ min na.
• Fibrocartilage : I n’a fɔ a tɔgɔ b’a jira cogo min na, nin ye cartilage suguya dɔ ye min bɛ kɛ ni fibres denses ye. A barika ka bon fo a bɛ se ka farikolo yɔrɔw minɛ ɲɔgɔn na ani ka sɔgɔsɔgɔninjɛ minɛ. Aw gɛnɛgɛnɛ na, meniscus (meniscus) bɛ kɛ ni o fibrocartilage (fibrocartilage) in kuru fila ye. O de bɛ cɛya kolo ni senkɔni kolo cɛ danfara nɔgɔya.

Miiri k’a filɛ nin cogo la, kolotuguda bɛ i n’a fɔ mobili pankurun. Ni pankurun dɔ tiɲɛna, mobili boli bɛ gɛlɛya, i n’a fɔ ni gɛnɛgɛnɛ kɔnɔ kolotuguda sɛgɛnna, a bɛ dimi ni i ye gɛnɛgɛnɛ lamaga.

Gɛnɛgɛnɛw (ligaments) minnu bɛ sɔrɔ gɛnɛgɛnɛ na

Gɛnɛgɛnɛw ye farikolo yɔrɔw ye minnu bɛ i cɛmancɛ kolo ni i sen duguma kolow cɛsiri. Olu de bɛ aw gɛnɛgɛnɛ minɛ ɲɔgɔn na ani k’a bali ka yaala-yaala kun tɛ.

Ligament suguya fila bɛ i gɛnɛgɛnɛ na:

• Ɲɛgɛnɛsiraw (colateral ligaments): Nin kolomayɔrɔ fila ninnu bɛ i n’a fɔ bandi fila minnu bɛ i gɛnɛgɛnɛ fan fila bɛɛ la.
• Medial Collateral Ligament (MCL): O bɛ sɔrɔ i gɛnɛgɛnɛ kɔnɔna na. A bɛ i cɛmancɛ kolo ni i senkɔni kolo siri ɲɔgɔn na.
• Lateral Collateral Ligament (LCL): O bɛ sɔrɔ gɛnɛgɛnɛ kɔkan. A bɛ i cɛmancɛ kolo siri fibula , kolo fitini min bɛ senkɔni kolo kɔkan dɔrɔn.

O kɛrɛfɛla sɔgɔsɔgɔninjɛw bɛ gɛnɛgɛnɛ bali ka wuli kojugu ka taa fan fila bɛɛ la.

• Kurukuruw : Nin kurukuru fila ninnu bɛ sɔrɔ gɛnɛgɛnɛ kɔnɔ. U bɛ cɛya kolo ni senkɔni kolo siri ɲɔgɔn na. U bɛ ɲɔgɔn Tɛmɛ ka ‘X’ cogoya Kɛ. O sɔgɔsɔgɔninjɛ kurulen ninnu bɛ gɛnɛgɛnɛ bɛ taa ɲɛfɛ ani kɔfɛ cogo min na, o de bɛ a ɲɛminɛ.
• Ligament crucié anterior (ACL): O bɛ sɔrɔ gɛnɛgɛnɛ ɲɛfɛ. N’a sɔrɔ aw y’a mɛn ko nin ``(ACL)`` in ka teli ka jogin farikoloɲɛnajɛ waatiw la.
• Posterior Cruciate Ligament (PCL): O bɛ sɔrɔ ACL kɔfɛ, gɛnɛgɛnɛ kɔfɛ.

Gɛnɛgɛnɛw farikolo yɔrɔw

Farikolo ye farikolo yɔrɔ nɔgɔlenw ye minnu dilannen don ni fiɲɛw ye minnu bɛ se ka wuli. U bɛ sɔgɔsɔgɔ (flexion) walasa ka farikolo yɔrɔw sama ani ka u lamaga. Farikolo caman minnu sirilen bɛ i senw na, olu bɛ i gɛnɛgɛnɛw lamagacogo ɲɛnabɔ.

farikolo minnu bɛ gɛnɛgɛnɛ kuru , olu bɛ wele ko flexors . Misali dɔw ye:

• `Articularis suguya`
• `Kɔnɔbara basigilen`
• `Vastus lateralis` ye
• `Vastus cɛmancɛla`
• `Vastus cɛmancɛla`

Gɛnɛgɛnɛw ye farikolo yɔrɔw ye minnu bɛ dɛmɛ ka gɛnɛgɛnɛ janya ani ka baara kɛ ni o sɔgɔsɔgɔninjɛ ninnu ye. Gɛnɛgɛnɛ kɔrɔtalen farikolo yɔrɔ dɔw ye:

• `Biceps femoris`
• `Semitendinosus`
• `Semimembranosus` ye
• `Gastrocnémius`
• `Plantaris`
• `Grasilis` ye
• `Popliteus`

Hali ni o farikolo yɔrɔw bɛ se ka kɛ i n’a fɔ u ka gɛlɛn dɔɔni, n’an y’a fɔ cogo nɔgɔman na, o farikolo yɔrɔ in nafa ka bon kosɛbɛ gɛnɛgɛnɛ kɔrɔtali ni a janya la, ka fara gɛnɛgɛnɛ sabatili kan.

Gɛnɛgɛnɛw ka nɛrɛw

Nɛrɛw bɛ i n’a fɔ kabali. U bɛ kuran-minɛnw Ta i hakili ni i farikolo tɔ cɛ. O dusukunnataw de bɛ dusukunnataw di i ma ani ka i farikolo yɔrɔw lamaga. I gɛnɛgɛnɛ na, farikolojidɛsɛ kunbaba dɔw ye:

• Senkɔni-nɛrɛmugu
• Nɛrɛ min bɛ wele ko Sciatic nerve
• Tibial nɛrɛmugu
• Nɛrɛmuguma min bɛ wele ko peroneal nerve

Ni tiɲɛni dɔ kɛra o nɛrɛmuguma ninnu na, o bɛ se ka kɛ sababu ye ka gɛnɛgɛnɛ dimi, ka kɛ sababu ye ka a sɔgɔsɔgɔ, walima ka senkɔni kɛ a la.

Gɛlɛya jumɛnw bɛ sɔrɔ tuma caman na minnu bɛ gɛnɛgɛnɛ degun?

Fɛn o fɛn bɛ aw kolo walima aw ka jɛɲɔgɔnya tiɲɛ, o bɛ se ka nɔ bila aw gɛnɛgɛnɛw la. I n'a fo:

• Jolidɛsɛ: O ye ni kolotugudaw bɛ funu.
• Kolotugudaw : Nin ye bana ye min na kolotugudaw la kolotugudaw bɛ sɛgɛn. A ka ca ni mɔgɔ si hakɛ ye.
• Burasi : Gɛnɛgɛnɛ na, bɔrɔ misɛnnin minnu falen don ji la, n’u bɛ wele ko bursa, olu fununi.
• Ɲɛgɛnɛsiraw (Tendinitis): Farikolo minnu bɛ farikolo ni kolo siri ɲɔgɔn na, olu funu.
• Koloci: O ye bana ye min na kolotugudaw bɛ barika dɔgɔya ani ka kari nɔgɔya la.

Spor joginw ye gɛnɛgɛnɛ joginni dɔw ye minnu ka teli ka kɛ:

• ACL ɲɛjibɔ
• MCL ɲɛjibɔ
• Meniscus ɲɛji bɛ bɔ
• Gɛnɛgɛnɛw janya kojugu
• A bɛ sɔgɔsɔgɔ
• Kolow karilenw
• Dislocations (Dɔgɔyali) (dislocations).
• Patellofemoral pain syndrome (PFPS): Dimi min bɛ sɔrɔ gɛnɛgɛnɛ na.

Taamasiɲɛ minnu bɛ se ka ye gɛnɛgɛnɛw la

Aw bɛ taamasiɲɛ minnu sɔrɔ, olu bɛna bɔ bana na min bɛ aw gɛnɛgɛnɛ degun. Nka, gɛnɛgɛnɛ gɛlɛya fanba bɛ ni taamasiɲɛ ninnu ye:

• Dimi (kɛrɛnkɛrɛnnenya la ni a bɛ lamaga) .
• Funu (funu) .
• Gɛnɛgɛnɛ lamini na, a ɲɛ bɛ yɛlɛma walima a bɛ bilen
• Ka a ye ko a ka suma walima ka funteni sɔrɔ
• Mankan walima dusukunnata min bɛ sɔgɔsɔgɔ
• "Pop" mankan walima dusukunnata dɔ

Ni nin taamasiɲɛ kelen walima caman bɛ aw la, aw kana aw ɲɛmajɔ u la. Aw bɛ taa dɔgɔtɔrɔso la joona.

Sɛgɛsɛgɛliw kɛ walasa ka gɛnɛgɛnɛ lajɛ

Ni aw ye dimi walima fɛn o fɛn ye aw gɛnɛgɛnɛ na, aw bɛ taa dɔgɔtɔrɔso la dɔrɔn. Dɔgɔtɔrɔw bɛ sɛgɛsɛgɛli minnu kɛ ka caya walasa ka gɛnɛgɛnɛ gɛlɛyaw sɛgɛsɛgɛ, olu dɔw filɛ nin ye:

• X-ray (X-ray) minnu bɛ kɛ
• Ultrasonw (ultrasons) minnu bɛ kɛ
• Joli fiyɛli : O ye fɛɛrɛ ye min bɛ kɛ ka ji dɔɔni bɔ kolotuguda la ka a sɛgɛsɛgɛ.
• CT scan (banakisɛfagalanw) bɛ kɛ
• MRIw (MRI)w

Tuma dɔw la dɔgɔtɔrɔ bɛna aw gɛnɛgɛnɛ lamaga, k’a kɔrɔta ani k’a janya, walasa ka a lajɛ ni meniscus walima ligament tiɲɛna. O sɛgɛsɛgɛli dɔw ye ninnu ye:

• `McMurray ka sɛgɛsɛgɛli`
• `Apley ka sɛgɛsɛgɛli`
• `Tesali ka sɛgɛsɛgɛli`
• ``Valgus ni varus degun sɛgɛsɛgɛliw''.

Hali ni nin tɔgɔ ninnu bɛ se ka kɛ kabako ye dɔɔni, dɔgɔtɔrɔw bɛ fɛɛrɛ minnu tigɛ walasa ka i gɛnɛgɛnɛ cogoya faamuya ka ɲɛ.

Aw bɛ se ka aw gɛnɛgɛnɛw to kɛnɛya la cogo di?

Aw bɛ se ka aw gɛnɛgɛnɛw ladon ka ɲɛ, o ye ka kɛnɛya bɛɛ lajɛlen sabati. O kɔrɔ ye ko:

• Ka tugu dumuni nafama dunni ni farikoloɲɛnajɛ kɛcogo la min bɛ bɛn aw ma.Fasa bɛ degun wɛrɛ lase gɛnɛgɛnɛw ma.
• Aw bɛ taa dɔgɔtɔrɔso la tuma bɛɛ ka taa dɔgɔtɔrɔso la ni aw ye fɛn o fɛn yera aw gɛnɛgɛnɛw na dɔrɔn.
• Aw bɛ aw tangalan bɛnnenw don aw ka baara, farikoloɲɛnajɛ walima baara o baara la. Misali la, aw bɛ fɛnw kɛ i n’a fɔ gɛnɛgɛnɛw ni aw bɛ farikoloɲɛnajɛ kɛ.

Fɛn min nafa ka bon kosɛbɛ ka to i hakili la (Take-Home Message) .

Aw gɛnɛgɛnɛw ye kolotugudaw belebelebaw ye aw fari la. Wa baaraba b’u bolo ka kɛ - k’i dɛmɛ ka jɔ, ka lamaga, ani ka baara kɛ ni i senw ye. I mana fɛn o fɛn kɛ, i bɛ baara kɛ ni i gɛnɛgɛnɛw ye kosɛbɛ i ka don o don baaraw la.

Ikomi an bɛ baara kɛ n’an gɛnɛgɛnɛw ye fɛn caman na, o ye an farikolo kolotugudaw dɔ ye minnu joginlen don kosɛbɛ. Bɛɛ bɛ se ka dimi dɔɔni sɔrɔ tuma ni tuma, nka aw kana aw janto gɛnɛgɛnɛ taamasiɲɛw la abada . Ni aw ye fɛn dɔ kɔlɔsi min tɛ deli ka kɛ, aw bɛ taa dɔgɔtɔrɔso la dɔrɔn. A bɛ se k’aw dɛmɛ ka fɛn min bɛ kɛ aw gɛnɛgɛnɛ kɔnɔ, o faamu ani ka furakɛli ɲuman sɔrɔ walasa aw gɛnɛgɛnɛw ka kɛnɛya, ka barika sɔrɔ ani ka baara kɛ ka ɲɛ. Aw ye aw janto aw gɛnɛgɛnɛw la, bawo u nafa ka bon aw bolo kosɛbɛ!

` Gɛnɛgɛnɛ, gɛnɛgɛnɛ, kolo, kolotuguda, sɔgɔsɔgɔninjɛ, gɛnɛgɛnɛ dimi, gɛnɛgɛnɛ banaw