Ðe wò klonu dona le afisia kple afima? (Patellar Subluxation) Mina míaƒo nu tso esia ŋu!

Ðe nèse le ɖokuiwò me kpɔ be yeƒe klonu le dodom le teƒe si nèle esime nèle du ƒum, nèle atrakpuiwo liam, alo nèle tsitrenu ko? Esia ate ŋu ana wò klo nave, avuvu, eye wòana azɔlizɔzɔ nasesẽ. Esia ate ŋu anye nuteƒekpɔkpɔ si me dziɖeleameƒo le ŋutɔ ɣeaɖewoɣi. Eyata, egbea míele nu ƒom tso klo ƒe ʋuʋu sia ŋu, nɔnɔme si woyɔna be ``Patellar Subluxation''.

Nukae nye klonu sia si le ʋuʋum le afisia kple afima (Patellar Subluxation)?

Kpuie ko la, ``Patellar Subluxation'' nye ne wò klo, akpa si míeyɔna le atikewɔwɔ me be ``Patella'', ƒe akpa aɖe ʋu tso eƒe teƒe nyuitɔ. Esia nye ``Patellar Dislocation'', mele be woatɔtɔe kple klo ƒe ʋuʋu keŋkeŋ o. Le ``Dislocation'' me la, klo ƒe nugbɔ dona tso eƒe socket me keŋkeŋ.

Tsɔe be klo ƒe akpa si le wò akɔtaƒu (Femur) kple afɔkpodziƒu (Tibia) dome la ƒua du yia dzi kple anyime le do si le tsitrenu si woyɔna be trochlear groove me. Ele abe keteke aɖe si le mɔ aɖe dzi yim ene. Le patellar subluxation me la, klo ƒe nugbɔ dona le do sia me hena ɣeyiɣi aɖe eye emegbe wòtrɔna yia afisi wònɔ . Zi geɖe la, klonua ƒuna yia afɔa ƒe gota, gake ɣeaɖewoɣi la, ate ŋu adze ɖe eme.

Esia ate ŋu ave ame ŋutɔ eye wòana azɔlizɔzɔ nasesẽ. Patellar subluxation enuenu ate ŋu ana ƒunukpeƒetetedɔ, ƒunukpeƒetetedɔ, kple klo bliboa ƒe malikenyenye nadze ame dzi . Esia ate ŋu ahe klo ƒe kuxi bubuwo vɛ. Ne afɔkpodzi ƒe ʋuʋu gatrɔ yi teƒea gɔ̃ hã la, ele vevie be woayi ɖɔkta gbɔ be woawɔ atike nɛ.

Nukae nye ``Patellar Subluxation'' ƒe dzesiwo?

Ne kloa do la, àte ŋu ade dzesi dzesiwo abe esiawo ene:

• Nuwɔametɔ si wokpɔna tso kloa ƒe gota gome (ɣeaɖewoɣi la, woate ŋu akpɔ klo ƒe nugbɔ wòbɔbɔ ɖe axa ɖeka).
• Klo ƒe vevesese sesẽ .
• Klo ƒe vuvu .
• Seselelãme alo sese be "click" alo "pop" gbeɖiɖi aɖe tso klo me.
• Seselelãme abe ɖe kloa le xɔxlɔ̃m, alo "wotu" ene .
• Knee instability , abe ɖe kloa le "ʋuʋum" ene.
• Atrakpuiwo dzi yiyi kple wo ɖiɖi sesẽ, alo afɔdzidede .
• Seselelãme abe klo ene "le dzodzom" alo "na ta."

Ne ``Patellar Subluxation'' le ŋuwò la, wò klo ƒe nugbɔ gakpɔtɔ ʋãna le socket la me vaseɖe afi aɖe, ale be nàte ŋu azɔ. Gake ate ŋu ase le eɖokui me be yemele dedie kura o eye yemeli ke o. Àte ŋu ase "click" gbeɖiɖi hã ne wò klo ƒe akɔta le ʋuʋum.

Nukawoe nye nɔnɔme sia ƒe kuxiwo alo nusiwo wògblẽna le ame ŋu ɣeyiɣi didi?

Nɔnɔme sia si woyɔna be ``Patella Subluxation``Enye nusi ate ŋu agadzɔ enuenu. Azɔ hã, ate ŋu ayi ŋgɔ zi geɖe va ɖo ``Dislocation`` bliboe, si fia be kloa ƒe nugbɔ mele teƒe aɖeke kura o. Tsɔ kpe ɖe eŋu la, klonu ƒe malike sia ate ŋu agblẽ nu le ƒunukpeƒea ŋu . Le ɣeyiɣi aɖe megbe la, esia ate ŋu ana klo ƒe ƒunukpeƒetetedɔ nadze ame dzi.

Bu eŋu kpɔ, nyɔnuvi sue aɖe li si ŋkɔe nye Nisal, si le sukua ƒe netball bɔlƒoha me. Gbeɖeka, esime wònɔ kame dem la, kasia etrɔ eƒe klo vie, eye kple gbeɖiɖi aɖe si nye "click" la, ese le eɖokui me abe ɖe yeƒe kloa ʋu yi axadzi ene. Le ɣeyiɣi aɖe megbe la, ese le eɖokui me abe ɖe wògava nɔ nɔnɔme si me wònɔ tsã ene, gake eƒe klo te veve hevuvu. Metsɔ ɖeke le eme boo o. Gake emegbe la, eƒe klo te "dzo" ɣesiaɣi, eye mete ŋu ƒoa fefe gɔ̃ hã o. Esi wòtsɔe fia ɖɔktaa ko hafi wòva kpɔe be ``Patellar Subluxation'' ye, eye be nu gblẽ le ƒunukpeƒea ŋu vie.

Nukae nye nusiwo gbɔ `(Patellar Subluxation)` tsona?

Zi geɖe la, nu vevitɔ si ta klonua dona aleae nye abi . Le kpɔɖeŋu me, ƒoƒo ɖe klo dzi tẽ. Nɔnɔme sia ate ŋu adzɔ ɖe amesiwo ƒoa kamedefefe siwo kpɔa ŋusẽ ɖe ame dzi ŋutɔ, abe bɔlƒoƒo ene, dzi wu . Ate ŋu adzɔ hã ne wodo wò afɔ si le anyime ɖe anyigba sesĩe eye wò klo trɔ kpata yi eme alo yi gota.

Tsɔ kpe ɖe eŋu la, ne lãmekawo kple lãkusi siwo le klo ƒe ƒunukpeƒewo me le gbadzaa le goawo katã me (patellar instability) , ate ŋu ana patellar subluxation hã.

Nukae nye afɔku siwo le Patellar Subluxation me?

Togbɔ be nɔnɔme sia ate ŋu adze ame sia ame dzi hã la, ebɔ ɖe amesiwo ƒe afɔ ƒe lãmekawo gbɔdzɔ eye woƒe lãkusiwo me mekɔ o me wu . Ebɔ ɖe ame siwo gbɔna hã me wu:

• Ame siwo xɔ tso ƒe 10 va ɖo ƒe 20 (vevietɔ sɔhɛ kamedefefewɔlawo).
• Ame siwo le kame dem .
• Nyɔnuwo (nyɔnuviwo ate ŋu axɔ nɔnɔme sia vie).
• Kamedefefewɔlawo alo amesiwo ƒoa wo ɖokui ɖe kamedefefewo me enuenu.
• Ame siwo kɔkɔ wu mamã dedie .

Ne wowɔ dɔ na wò va yi be wò klo ƒe akpa aɖe vuvu alo eƒe akpa aɖe vuvu la, anɔ eme be nɔnɔme sia agadze dziwò ake.

Aleke nàwɔ anya `(Patellar Subluxation)`?

Ne èyi ɖɔkta gbɔ la, woado wò ŋutilã kpɔ . Woabɔbɔ eye woaɖɔ wò afɔ ɖo eye woase le wo ɖokui me be yeƒo xlã wò klo. Woabia wò tso wò dzesiwo kple nusi dzɔ hafi wò kloa vuvu ŋu.

Ðɔktaa ate ŋu awɔ dodokpɔ tɔxɛ aɖewo (subluxation dodokpɔwo) hã le wò klo ŋu. Woate ŋu awɔ nɔnɔmetatawo dodokpɔ aɖewo hã , abe:

• Klo ƒe X-ray-mɔ̃Dodokpɔ aɖe.
• MRI scan `(MRI Scan)` dodokpɔ.
• CT scan nye dodokpɔ.

Aleke wowɔa atike na Patellar Subluxation?

Wò ɖɔkta ate mɔnu siwo menye amekoko o la kpɔ gbã atsɔ ada esia, vevietɔ ne esiae nye zi gbãtɔ si nane sia tɔgbe dzɔ ɖe dziwò. Atikewɔwɔ siwo menye amekoko o ƒe tiatia aɖewoe nye:

• RICE mɔnu: Esia fia be:
• `Gbɔɖeme`: Gbɔɖeme klo.
• `Ice`: Ice sisi ɖe eŋu be wòaɖe abi kple vevesese dzi akpɔtɔ.
• Compression: Woblaa klo sesĩe be woatsɔ axe mɔ ɖe abi nu.
• Kɔkɔme: Afɔa dodo ɖe dzi be wòaɖe abi dzi akpɔtɔ.
• NSAIDs: Esiawo nye nonsteroidal anti-inflammatory drugs (NSAIDs), siwo nye vevesesenutsitikewo kple dɔlékuiwutikewo. Le kpɔɖeŋu me, wozãa ibuprofen (Advil®).
• Mɔmaɖemaɖeɖenuŋu: Le abi si wòxɔ ƒe sesẽme nu la, woate ŋu azã klo ƒe akɔtaɖonu alo akɔtaɖonu atsɔ ana kloa nagaʋuʋu o.
• Azɔlizɔzɔ/ʋuʋu ƒe kpekpeɖeŋunuwo: Woate ŋu abia tso asiwò be nàzã atizɔti, atikplɔ, alo azɔlizɔnu atsɔ aɖe agba si le wò klowo dzi dzi akpɔtɔ. Woate ŋu abia tso asiwò hã be nàzã klo ƒe akɔtaɖonu si wɔa dɔ, abe J-kɔtaɖonu ene, alo abɔtaɖonu si naa abɔta nɔa te.
• Orthotics (afɔkpa tɔxɛwo): Woate ŋu aɖo aɖaŋu na wò be nàzã afɔkpa alo afɔkpa siwo ŋu wotrɔ asi le etɔxɛe be wòaɖe klo ƒe nyaƒoɖeamenu dzi akpɔtɔ.
• Lãmesẽfefewɔwɔ: Esia le vevie ŋutɔ be woado ŋusẽ lãmeka siwo ƒo xlã kloa ahakeke wo, eye woana woada asɔ nyuie wu (proprioception).

Ne wò dzesiwo meva nyo ɖe edzi le ɣleti geɖe megbe o, alo ne èwɔ patellar subluxation si wu zi ɖeka la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò . Amekoko ƒe tiatia aɖewoe nye:

• Lateral Release: Esia bia be woalã klo ƒe akpa si woyɔna be ``Lateral Retinaculum'' eye woaɖɔ klo ƒe nɔnɔme ɖo (``Patella Positioning''). Zi geɖe la, wowɔa esia kpe ɖe nuwo gbugbɔgatu ƒe mɔnu bubuwo ŋu.
• Medial Patellofemoral Ligament (MPFL) Dzadzraɖo: Amekoko si wowɔna tsɔ dzraa lãkusi siwo kpena ɖe klo ƒe ta ŋu be wòanɔ teƒea ɖo ahado ŋusẽ wo.
• MPFL Gbugbɔgatu: Esia nye ƒunukpeƒetetedɔ ƒe amekoko, si fia be wozãa fotoɖemɔ̃ tsɔ toa ƒunukpeƒetetedɔ suewo me. Le esia me la, woɖea wò ŋutɔ wò akɔta ƒe lãmeka ƒe akpa aɖe tso wò ata ƒe megbe eye wogbugbɔa titina ƒe afɔkpodzi ƒe lãkusia wɔa.
• Ƒumeŋuɖui:Esia bia be nàlã wò afɔkpodziƒu (Tibia) le dzogoe aɖewo dzi eye nàgbugbɔ afɔkpodziƒu, klo, ataƒu, kple kadodoŋusẽwo aɖo teƒe bubu.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne èsusu be ɖewohĩ ``Patellar Subluxation'' le ye ŋu, si fia be dzesiwo abe esiawo ene le ye ŋu la, ele be nàkpɔ ɖɔkta godoo:

• Vevesese kple vuvu .
• Ŋutete manɔamesi be woatsɔ afɔwo atsɔ kpekpeme le anyigba .
• Gbeɖiɖi si nye "clicking" alo "buckling" ƒe seselelãme le klo me.
• Kloa ate ŋu adze alo ase le eɖokui me abe ɖe wòdo go tso socket la me ene .

Ðo ŋku edzi be ne èsusu be yeƒe klonu trɔ yi teƒe si wòle gɔ̃ hã la, ele vevie kokoko be nàyi ɖɔkta gbɔ. Ne womewɔ atike na esia nyuie o la, esia ate ŋu ava bɔ eye wòahe kuxi gãwo vɛ emegbe.

Nya kawoe wòle be mabia ɖɔktaa?

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo tɔgbe:

• Atikewɔwɔmɔnu kawoe nèkafu?
• Ðe wòahiã be woawɔ dɔ nam?
• Mɔnukpɔkpɔ kawoe li be nɔnɔme sia nagadze dzinye ake?
• Nukae mate ŋu awɔ be nye klonu nagado ɖe gota alea ake o?

Ɣeyiɣi didi kae wòxɔna hafi wodaa gbe le ``Patellar Subluxation'' me?

Ɣeyiɣi si wòxɔna hafi wòhaya tso nɔnɔme sia me nɔ te ɖe nu geɖe dzi:

• Ðe esia nye wò subluxation gbãtɔa, alo ɖe wònye gbugbɔgadzɔa ?
• Alesi wò nɔnɔmea nu sẽe .
• Atikewɔwɔ ka ƒomevie nèxɔ ?

Ne esiae nye wò subluxation gbãtɔ, mesẽ akpa o, eye mehiã be woawɔ dɔ na wò o la, ele be nàhaya bliboe le kwasiɖa ene va ɖo ade me . Zi geɖe la, wò ɖɔkta aɖo aɖaŋu na wò be nàzã kamedede. Wò ŋutilãmedɔdala ate ŋu ana ɣeyiɣi aɖe koŋ wò.

Ne wowɔ subluxation, abi gã aɖe, alo amekoko na wò wu zi ɖeka la, ɣeyiɣi si nàhaya adidi wu . Ele be nàte ŋu adze dɔ siwo mesẽ o gɔme le kwasiɖa ade va ɖo enyi me. Gake ate ŋu axɔ ƒe ɖeka alo esi wu nenema hafi nàgadze kamedefefewo gɔme ake.

Aleke mawɔ axe mɔ ɖe Patellar Subluxation nu?

Patellar subluxations akpa gãtɔ tsoa abixɔxɔ gbɔ, eyata míate ŋu axe mɔ ɖe wo katã nu o. Gake nanewo li nàte ŋu awɔ be kadodoŋusẽ si ƒo xlã wò klo nasẽ. Nu aɖewo siwo nàte ŋu awɔ be wò klonu nagado o lae nye esi:

• Ƒo ɖokuiwò ɖe kamedede siwo doa ŋusẽ wò afɔwo ƒe lãmeka ɖesiaɖe me .
• Klonu ƒe afɔkpa dodo ne èle kamedefefe siwo me wodoa ka kple ame nɔewo le wɔm.
• Ne ède abi wò klo ŋu va yi la, klonu si wotsɔna blaa kloe dodo ate ŋu akpe ɖe ŋuwò be màgaxɔ abi ake o.
• Ne wò ɖɔkta ŋlɔ kamedede na wò la, wɔ ɖe mɔfiame mawo dzi pɛpɛpɛ .

Gbedasi si Wotsɔ Yi Aƒeme

Patellar subluxation ate ŋu anye nɔnɔme si doa dziku ŋutɔ eye wòvea ame. Ate ŋu ana wò klo nase le eɖokui me be yemeli ke o. Ðewohĩ àte ŋu agbugbɔ wò klonu aɖo teƒea, gake ele be nàkpɔ ɖɔkta godoo . Elabena le ɣeyiɣi aɖe megbe la, subluxations siawo ƒomevi ate ŋu ana woaʋuʋu keŋkeŋ. Wò ɖɔkta ate ŋu akpe ɖe ŋuwò be esia nagadzɔ o. Ate ŋu akafu atikewɔmɔnu nyuitɔwo kekeake si ana nàdo ŋusẽ wò klo eye wòana nàgadze mɔ nyuitɔ dzi. Eya ta, ne klo ƒe kuxi aɖe le ŋuwò la, mègaŋe aɖaba ƒu edzi o, nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake!

` patellar subluxation, klo ƒe ʋuʋu, klo ƒe vevesese, klo ƒe malikenyenye, klo ƒe dɔléle, kamedede, klo ƒe dɔwɔwɔ