We yu de rɔn, klaym stej, ɔ ivin jɔs waka, yu kin fil lɛk se yu ni ‘bɛn’ wantɛm wantɛm, yu nɔ ebul fɔ kɔntrol yu ɛn fɔdɔm na grɔn? I kin fil lɛk se yu ni (patella) de ‘slip’ to wan say? Bɔku pipul dɛn kin gɛt dis ɛkspiriɛns. dis na wetin wi de tכk bכt tide, di instability fכ di kneecap, כ di mεdikal tεm `Patellar Instability`. Nɔr wɔri, dis na wan sik wae kin pasmak. Lɛ wi ɛksplen ɔltin insay simpul wɔd dɛn.
Wetin rili na patɛl instability?
Fɔ tɔk am simpul wan, dis na we yu ni (patella) de muf bak ɛn go bifo frɔm usay i fɔ de.
Tink bɔt yu ni-kap lɛk tren. Na di ɛnd pan yu shɔl bon (femur), wan spɛshal rod de, we na wan grov, fɔ mek dis tren travul. wi kכl dis di ``trochlear groove.'' nכmal wan, we yu bεnd εn strεt yu kכn, dis tren we dεn kכl trochlear groove, de muv כp εn dכn insay da grov de in כda we.
Bɔt pan pɔsin we gɛt `Patellar Instability`, dis kneecap nɔ de muv fayn insay da grov de. I de jomp kɔmɔt na di rod. dis kin sכmtεm kכmplitli pop aut (kכmplit dislכkeshכn), כ i kin pop aut jכs sכmtεm εn afta dat i kin go bak insay (patכl dislokeshכn כ sכblכkshכn).
Wi kin yuz wi ni dɛn ɔl di de. Fɔ tinap, sidɔm, waka, rɔn, ɔltin nid ni. Na dat mek dɛn kayn prɔblɛm ya kin apin mɔ na di ni.
Wetin na di sayn dɛm fɔ dis sik?
We di kneecap kɔmɔt na di sɔkɛt, yu ni kin lɔs kɔntrol pan insɛf. Dis min se di kכn go ‘bεnd’ εn i nכ go ebul fכ sכpכt yu wet. Sɔntɛnde, yu nɔ go ebul fɔ stret yu ni ɔ waka.
Lɛ wi luk sɔm pan de men sayn dɛm wae kin no dis sik.
| Di sayn we de sho se di sik de | Fɔ tɔk am simpul wan... |
|---|---|
| Ni pen, stiff, ɛn swel | I kin pen bad bad wan rawnd di ni jɔyn, i nɔ kin izi fɔ bɛn di ni na mɔnin, ɛn i kin tan lɛk se di ni dɔn swel. |
| ‘Krak’ ɔ ‘pop’ sawnd dɛn | Klik sawnd, lɛk se bon de stɔp, we yu de go ɔp ɔ dɔŋ stej, ɔ we yu de bɛn yu ni. |
| Fɔ fil lɛk se yu ni dɛn de go sayd | Wan filin we nɔ de stebul, lɛk se sɔntin dɔn kech na di ni jɔyn ɔ i de muf frɔm wan say to di ɔda say. |
| Lɔs fɔ kɔntrol di ni (Buckling) . | Wantɛm wantɛm, di ni kin fil lɛk se i nɔ ebul fɔ sɔpɔt di wet we di bɔdi gɛt ɛn i de bɛn. |
Wetin mek mi ni dɛn de buk lɛk dis? Wetin na di tin dɛn we kin mek i apin?
Bɔku men rizin dɛn de fɔ dis.
- Shalo trochlear groove: sכm pipul dεn kin bכn wit shalo trochlear groove, we kin mek i izi fכ di trochlear bon fכ slip kכmכt.
- di ligament dεm we lכs: di ligament dεm we de rawnd di kכn lεk rop dεm we de ol di kכn tכgeda. Sɔm pipul dɛn gɛt wan ligament we nɔ gɛt bɛtɛ trɛnk bay dɛn nature. Wi de kɔl dɛn ‘dɔbul-jɔyn’. Pipul dɛn lɛk dat kin gɛt prɔblɛm bak wit dɛn ni.
- Aksidɛnt: If dɛn bit yu bad bad wan na yu ni we yu de ple spɔt, we yu de fɔdɔm, ɔ we yu gɛt ɔda aksidɛnt, i kin kɔmɔt na di say we yu de.
Udat dɛn de pan denja fɔ dis?
Pan ɔl we dis sik kin apin to ɛnibɔdi, sɔm pipul dɛn kin gɛt bɔku prɔblɛm.
- uman dεm: Uman dεm kin gεt dis kכndyushכn biכs dεn ligament dεm jεnarali kin lכs sכmtεm pas man dεm.
- Atlet dɛn: Dis risk kin bɔku fɔ di wan dɛn we de ple spɔt dɛn we nid fɔ chenj di dairekshɔn wantɛm wantɛm, fɔ ɛgzampul, sɔk, baskɛtbɔl, volibol, ɛn chia .
- Sɔm mεdikal kכndyushכn dεm: Dis prכblεm kin kכz bak frכm sכm mεdikal kכndyushכn dεm we kin mek di kכnektiv tisu dεm lכs. Fɔ ɛgzampul:
- Sɛribra palsi we pɔsin kin gɛt
- Sindrom we gɛt di sik we dɛn kɔl Down syndrome
- Ehlers-Danlos sindrom we gɛt di sik
Wetin kin apin if dɛn nɔ trit am?
If yu jɔs nɔ pe atɛnshɔn to dis, i kin mek yu gɛt prɔblɛm dɛn we go de fɔ lɔng tɛm. So if yu gɛt dɛn sik ya, yu go mɔs go to dɔktɔ.
di patεla instεbiliti we de kam bak kin mek komplikεshכn dεm lεk:
- Knee jerk ɔltɛm.
- Limitɛd knee function (inability fɔ rɔn ɔ jomp).
- Pen we nɔ de dɔn.
- Kɔndishɔn dɛn lɛk siriɔs knee arthritis.
Aw yu go fɛn dis, Dɔktɔ?
Ivin if yu ni-kap pop aut ɛn go bak insay in yon, yu fɔ rili go to dɔktɔ fɔ advays. Di dɔktɔ go aks yu fɔs aw i apin ɛn wetin yu bin de du we i apin. Dɔn i go chɛk yu ni.
- Wi kin chɛk aw di ni de luk ɛn si if ɛnitin de we swel.
- Dɛn kin tɔch di say wit dɛn an ɛn chɛk fɔ si if i de fil pen.
- Wi de luk di rεnj כf muvmεnt we yu kin bεnd εn strεt yu ni.
- Sɔntɛm yu kin ivin tray fɔ waka.
Test dɛn we dɛn kin nid
Dɛn kin du tɛst lɛk dis bak fɔ kɔnfɔm di kɔndishɔn kɔrɛkt wan.
- Knee X-ray: Chɛk fɔ si if yu gɛt dislɔkeshɔn ɔ ɔda fraktrɔs.
- MRI skan: fכ chεk fכ di damej pan di ligament dεm we de insay di kכn, lεk ACL tear εn meniscal tear, כ fכ lכs bon fragmεnt dεm.
- CT scan: Fɔ si di rayt we aw di ni jɔyn de.
Wetin na di tritmɛnt dɛn?
Dɛn kin sheb di tritmɛnt to tu men kategori: tritmɛnt we nɔ gɛt ɔpreshɔn ɛn ɔpreshɔn.
Tritmɛnt dɛn we Nɔ De Ɔspitul
Bɔku tɛm, dɛn kin tray dɛn tritmɛnt ya fɔs.
- Put yu ni-kap bak na in ples: If yu ni-kap dɔn pop kɔmɔt ɛn nɔ go go bak insay, go to dɔktɔ wantɛm wantɛm. Di dɔktɔ go tek tɛm put am bak na in ples. dis dεn kכl am ``klos rεdukshכn''. Dis kin mek yu fil pen smɔl, so dɛn kin gi yu mɛrɛsin fɔ mek yu fil pen.
- Knee brace: Dɛn kin wɛr dis fɔ mek di ni nɔ muv ɛn fɔ mek di kneecap kɔntinyu fɔ de. Yu go nid fɔ wɛr dis fɔ sɔm wiks. Yu kin nid fɔ yuz kruk bak insay dis tɛm.
- Di mɛrɛsin dɛn we de mek pɔsin fil pen: Di dɔktɔ kin tɛl yu fɔ yuz mɛrɛsin fɔ mek yu fil pen lɛk nɔ-stɛroyd anti-inflammatory drugs (NSAID) fɔ mek yu nɔ swel ɛn nɔ fil pen.
- Fizik tritmɛnt: Dis na di tin we impɔtant pas ɔl. If yu du ɛksɛsayz we de mek di mɔsul dɛn we de rawnd di ni strɔng, lɛk aw pɔsin we de mɛn di bɔdi tɛl yu, dat kin ɛp fɔ mek di ni jɔyn nɔ tinap tranga wan.
Di Tritmɛnt dɛn we Dɛn De Du fɔ Ɔpreshɔn
If yu ni de pop bɔku tɛm ɔ if fizik tritmɛnt nɔ ɛp, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Bɔku pan di ɔpreshɔn dɛn we dɛn kin du na di ni, dɛn kin du am wit atrɔskɔpik, we min se dɛn kin put kamɛra insay sɔm smɔl smɔl say dɛn we dɛn kɔt. Dis kin ridyus di tɛm we pɔsin kin gɛt fɔ wɛl. I kin tek 6 to 12 mɔnt fɔ mek i wɛl ɔl we dɛn du di ɔpreshɔn.
Na sɔm pan di men kayn ɔpreshɔn dɛn.
| Di Nem fɔ di ɔpreshɔn | Wetin dis de du? (Wetin i de du?) |
|---|---|
| MPFL Ripair | if di Medial Patellofemoral Ligament (MPFL), we na wan big ligament we de ol di kneecap in ples, dεn dכn pwεl, dεn de ripεr am. |
| MPFL Rikɔnstrɔkshɔn | if di ligament dεm bכku bכku wan, dεn de kכnstrכkt am bak bay we dεn de yuz tεndon frכm כda pat na di bכdi (e.g., hamstring tεndon) כ frכm wan dכna. |
| Tibial Tuberkul Transfεr | Dis min se dɛn fɔ mek di bon dɛn na di ni, di shɔl, ɛn di shinbon bak so dat dɛn go alaynɛd. Bɔku tɛm, dis na ɔpreshɔn we dɛn kin kɔt big wan. |
Aw fɔ protɛkt yusɛf frɔm dis kayn tin?
wans di knee sprain apin, di kכnektiv tisu we de rawnd de pwεl. Dis damej de mek di chans fɔ mek dɛn strɛch bak.
Di bɛst we fɔ mek yu nɔ gɛt am na bay we yu de du ɛksɛsayz fɔ mɛn yu bɔdi.
Dɛn ɛgzampul ya kin mek di mɔsul dɛn we de rawnd di ni strɔng. Dɔn dɛn mɔsul ya kin ol di kneecap na in ples. Sayklis na fayn ɛgzampul bak fɔ mek di ni strɔng. Yu dɔktɔ go advays yu fɔ wɛr knee brace we yu de du sɔm tin dɛn.
We yu rili nid fɔ go to dɔktɔ
If yu gɛt ɛni wan pan di sayn dɛn we de dɔŋ ya, go mɔs go to dɔktɔ.
- If yu nɔ ebul fɔ bɛn ɔ stret yu ni dɛn.
- If yu nɔ ebul fɔ tinap ɔ waka wit yu wet na yu leg.
- If yu gɛt siriɔs pen na yu ni ɔ yu nɔ de muv bɛtɛ we de mek yu nɔ ebul fɔ du tin dɛn we yu de du ɛvride.
- If di ni we nɔ kɔmɔn de rɛd ɔ swɛlin .
If yu ni de fil lɛk se i de pop ɔltɛm, nɔ ignore am. Ivin if i pop aut ɛn go bak na in ples, i bɛtɛ fɔ go to dɔktɔ ɛn mek dɛn chɛk am. Da we de, yu go ebul fɔ avɔyd prɔblɛm dɛn we go de fɔ lɔng tɛm.
Mɛsej we dɛn kin kɛr go na os
- Patellar instability na wan kכmכn kכndyushכn, bכt dεn nכ fכ ignore am.
- De men sayn dεm na wae yu de fil wan wan wae yu ni de bεnd, yu de fil pen, yu de swel, εn yu de ‘krak’ sawnd.
- Ivin if yu ni-kap pop aut ɛn go bak usay i bin de, yu fɔ rili go to dɔktɔ fɔ advays.
- Bɔrku pipul kin ebul fɔ mɛn dis sik wae dɛn nɔr gɛt ɔpreshɔn, wit fizik tritmɛnt ɛn ɛksesaiz.
- Fɔ mek di mɔsul dɛn we de rawnd di ni strɔng na di bɛst we fɔ mek dis sik nɔ apin ɛn kɔntrol di we aw i de kam bak.
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