Amaviivi go gasiba buli kiseera? Ka twogere ku Patellar Instability!

Bw’odduka, okulinnya amadaala, oba wadde okutambula kwokka, owulira ng’okugulu kwo ‘kufukamira’ mu bwangu, n’obulwa obuyinza n’ogwa wansi? Owulira ng’okugulu kwo (patella) ‘kuseerera’ ku ludda olumu? Abantu bangi balina obumanyirivu buno. Kino kye twogerako leero, obutabeera mu ntebenkevu bw’okugulu, oba ekigambo ky’obusawo `Patellar Instability`. Tofaayo, eno mbeera ya bulijjo nnyo. Katunnyonnyole buli kimu mu bigambo ebyangu.

Kiki ddala ekiyitibwa patellar instability?

Mu ngeri ennyangu, kino kye kiseera ekikuta kyo eky’okugulu (patella) we kitambula okudda n’okudda okuva we kirina okuba.

Lowooza ku kugulu kwo ng’eggaali y’omukka. Ku nkomerero y’eggumba ly’ekisambi kyo (femur), waliwo ekkubo ery’enjawulo, ekituli, eggaali y’omukka eno gy’esobola okutambula. Kino tukiyita ``trochlear groove.'' Mu budde obwabulijjo, bw'ofukamira n'ogolola okugulu kwo, eggaali y'omukka eno eyitibwa trochlear groove, etambula waggulu ne wansi munda mu groove eyo mu ngeri entegeke.

Naye mu muntu alina `Patellar Instability`, kneecap eno tetambula bulungi munda mu groove eyo. Kibuuka okuva mu kkubo. Kino oluusi kiyinza okuvaamu ddala (okuseeseetula okujjuvu), oba kiyinza okuvaamu katono ddala n’oluvannyuma n’edda mu (okuseeseetula ekitundu oba okusereba).

Tukozesa amaviivi gaffe olunaku lwonna. Okuyimirira, okutuula, okutambula, okudduka, buli kimu kyetaagisa amaviivi. Eno y’ensonga lwaki ebizibu eby’ekika kino bitera okubeera mu maviivi.

Bubonero ki obulaga embeera eno?

Ensigo y’okugulu bwe efuluma mu socket, okugulu kwo kuyinza okwefuga. Kino kitegeeza nti okugulu kujja ‘kufukamira’ era tekusobola kuwanirira buzito bwo. Oluusi, oyinza obutasobola kugolola kugulu kwo oba okutambula.

Ka tulabe obumu ku bubonero obukulu obuyinza okuzuula embeera eno.

Lwaki amaviivi gange gasiba bwe gati? Biki ebivaako?

Waliwo ensonga enkulu eziwerako eziviirako kino.

• Shallow trochlear groove: Abantu abamu bazaalibwa nga balina shallow trochlear groove, ekyanguyira eggumba ly’omugongo okuseerera okufuluma.
• Emisuwa egy’olubeerera: Emisuwa egyetoolodde okugulu giri ng’emiguwa egikwata okugulu. Abantu abamu balina omusuwa ogutambula obulungi mu butonde. Tuziyita ‘ebiyungo bibiri’. Abantu ng’abo nabo batera okunyiga okugulu.
• Akabenje: Singa ofuna ekikonde ekinene ku kugulu ng’ozannya emizannyo, ng’ogwa oba ng’ogwa mu kabenje akalala, kiyinza okukutuka.

Ani ali mu bulabe obw’amaanyi olw’ensonga eno?

Wadde embeera eno esobola okubaawo mu muntu yenna, abantu abamu bali mu bulabe bwa maanyi.

• Abakyala: Abakyala batera okufuna embeera eno kubanga okutwalira awamu emisuwa gyabwe giba gisumuluddwa katono okusinga egy’abasajja.
• Abazannyi: Obulabe buno buba bungi eri abo abazannya emizannyo egyetaagisa okukyusakyusa mu ngeri ey’amangu, okugeza, omupiira, basketball, volleyball, n’okusanyusa abantu .
• Embeera ezimu ez’obujjanjabi: Obuzibu buno era buyinza okuva ku mbeera z’obujjanjabi ezimu ezireetera ebitundu ebiyunga ebiyungo ebisumuluddwa. Okugeza nga:
• Obulwadde bw’okusannyalala kw’obwongo
• Obulwadde bwa Down syndrome
• Obulwadde bwa Ehlers-Danlos

Kiki ekiyinza okubaawo singa tekijjanjabwa?

Obutabeera mu ntebenkevu mu bitundu by’omubiri (patellar instability) okuddamu kiyinza okuleeta ebizibu nga:

• Okugulu okukankana ennyo.
• Okukola kw’okugulu okutono (obutasobola kudduka oba kubuuka).
• Obulumi obutawona.
• Embeera ng’endwadde z’enkizi ez’amaanyi mu kugulu.

Kino okisanga otya Omusawo?

Ne bwe kiba nti okugulu kwo kufuluma ne kudda mu kifo kyalwo ku bwakyo, mazima ddala wandibadde olaba omusawo akuwe amagezi. Omusawo ajja kusooka kukubuuza engeri gye kyaliwo ne kiki kye wali okola nga kituuse. Olwo ajja kwekebejja okugulu kwo.

• Tukebera endabika y’okugulu ne tulaba oba waliwo okuzimba.
• Bakwata ku kitundu ekyo n’emikono ne bakebera oba tewali bulumi.
• Tutunuulidde range of motion gy’osobola okufukamira n’okugolola okugulu kwo.
• Mpozzi oyinza n’okugezaako okutambula.

Ebigezo ebiyinza okwetaagisa

Okukebera nga kuno nakyo kisobola okukolebwa okukakasa obulungi embeera eno.

• X-ray z’okugulu: Kebera oba waliwo ebikutuse oba ebimenyese ebirala.
• MRI scan: Okukebera oba emisuwa egy’omunda mu kugulu eyonoonese, gamba ng’amaziga ga ACL n’amaziga ga meniscal, oba oba temuli bitundutundu by’amagumba ebiyitiridde.
• CT scan: Okulaba ddala engeri ekinywa ky’okugulu gye kiteekeddwamu.

Obujjanjabi bwe buruwa?

Obujjanjabi busobola okwawulwamu ebika bibiri ebikulu: obujjanjabi obutali bwa kulongoosa n’okulongoosa.

Obujjanjabi obutali bwa kulongoosa

Enzijanjaba zino zitera okusooka okugezesebwa.

• Okuzzaawo enkokola yo mu kifo kyayo: Singa enkokola yo evuddeyo era nga tegenda kudda mu, laba omusawo amangu ago. Omusawo ajja kugizza mu kifo kyayo n’obwegendereza. Kino kiyitibwa ``okukendeeza okuggaddwa''. Kino kiyinza okukuluma katono, n’olwekyo oyinza okuweebwa eddagala eriweweeza ku bulumi.
• Knee brace: Kino kyambalibwa okuziyiza okugulu n’okukuuma enkokola mu kifo kyayo. Kino ojja kwetaaga okwambala okumala wiiki eziwera. Oyinza n’okukwetaagisa okukozesa emiggo mu kiseera kino.
• Eddagala eriweweeza ku bulumi: Omusawo ayinza okukuwa amagezi eddagala eriweweeza ku bulumi ng’eddagala eriziyiza okuzimba (NSAIDs) okukendeeza ku kuzimba n’obulumi.
• Obujjanjabi bw’omubiri: Kino kye kintu ekisinga obukulu. Okukola dduyiro anyweza ebinywa ebyetoolodde okugulu, ng’omusawo akola ku by’omubiri bw’akulagira, kiyinza okuyamba okukuuma ekinywa ky’okugulu nga kinywevu.

Obujjanjabi bw’Okulongoosa

Singa okugulu kwo kukubuuka enfunda n’enfunda oba ng’obujjanjabi bw’omubiri tebuyamba, omusawo ayinza okukuwa amagezi okulongoosebwa. Okulongoosa okugulu okusinga kukolebwa mu ngeri ya arthroscopic, ekitegeeza nti kkamera eyingizibwa mu bitundu ebitonotono ebisala. Kino kikendeeza ku budde bw’okudda engulu. Kiyinza okutwala emyezi 6 ku 12 okuwona mu bujjuvu oluvannyuma lw’okulongoosebwa.

Bino bye bimu ku bika by’okulongoosa ebikulu.

Oyinza otya okwekuuma embeera eno?

Oluvannyuma lw’okunyiga okugulu, ebitundu ebiyunga ebibyetoolodde byonoonebwa. Okwonooneka kuno kwongera ku mikisa gy’okuddamu okunyigirizibwa.

Dduyiro zino zinyweza ebinywa ebyetoolodde okugulu. Ebinywa bino olwo ne bikwata enkokola y’okugulu mu kifo kyayo. Obugaali nakyo dduyiro munene nnyo okunyweza okugulu. Omusawo ayinza okukuwa amagezi okwambala ekyuma ekiziyiza okugulu ng’okola emirimu egimu.

Nga ddala weetaaga okulaba omusawo

Bw’oba ​​olina obubonero buno wammanga, mazima ddala laba omusawo.

• Bw’oba ​​tosobola kufukamira oba okugolola maviivi.
• Bw’oba ​​tosobola kuyimirira oba okutambula ng’obuzito bwo buli ku kigere.
• Bw’oba ​​olina obulumi obw’amaanyi mu kugulu oba obutatambula bulungi ekikulemesa okukola emirimu gya buli lunaku.
• Singa wabaawo okumyuuka oba okuzimba okutali kwa bulijjo mu kugulu.

Singa okugulu kwo owulira ng’okufuluma buli kiseera, tokibuusa maaso. Ne bw’efuluma n’edda mu kifo kyayo, kirungi ogende ew’omusawo n’ogikebera. Mu ngeri eyo, osobola okuziyiza ebizibu ebiwangaala.