Okugulu kwo kubuuka wano ne wali? (Patellar Subluxation) Ka twogere ku nsonga eno!

Wali owuliddeko ng’okugulu kwo kuva mu kifo ng’odduka, ng’olinnya amadaala oba ng’oyimiridde buyimiridde? Kino kiyinza okukuleetera okugulu okukuluma, okuzimba n’okukaluubiriza okutambula. Kino kiyinza okuba ekizibu ennyo ebiseera ebimu. Kale, leero tugenda kwogera ku kneecap popping eno, embeera eyitibwa ``Patellar Subluxation''.

Kiki kino eky’okugulu ekiseerera wano ne wali (Patellar Subluxation)?

Mu ngeri ennyangu, ``Patellar Subluxation'' bwe buba ng'okugulu kwo, ekitundu kye tuyita mu by'obujjanjabi ``Patella'', okusengulwa ekitundu okuva mu kifo kyakyo ekituufu. Kino ``Patellar Dislocation'', totabulwa na kuseeseetula ddala kw'okugulu. Mu ``Dislocation'', ekikuta ky'okugulu kiva ddala mu socket yaakyo.

Teebereza nti ekitundu ky’okugulu oba ekitundu ekiyitibwa patella ekiri wakati w’eggumba lyo ery’ekisambi (Femur) n’eggumba ly’ekisambi (Tibia), mu budde obutuufu kiseeyeeya waggulu ne wansi mu kifo ekiyimiridde ekiyitibwa trochlear groove. Kiba ng’eggaali y’omukka egenda ku luguudo. Mu patellar subluxation, kneecap eseerera okuva mu groove eno okumala akaseera n’oluvannyuma n’edda we yali . Ebiseera ebisinga, enkokola y’okugulu eseerera n’egenda ebweru w’ekigere, naye oluusi esobola okuseerera n’egenda munda.

Kino kiyinza okukuluma ennyo n’okukaluubiriza okutambula. Okuddiŋŋana okukulukuta kw’amagumba (patellar subluxation) kuyinza okuvaako okulwala endwadde z’enkizi, okwonooneka kw’amagumba, n’okugulu okutwalira awamu obutabeera mu ntebenkevu . Kino kiyinza okuvaako obuzibu obulala mu kugulu. Ne bwe kiba nti ekitundu ky’omugongo (patellar dislocation) kidda mu kifo kyaakyo, kikulu okulaba omusawo okufuna obujjanjabi.

Bubonero ki obw'obulwadde bwa ``Patellar Subluxation''?

Ensigo bw’okugulu bw’efuluma, oyinza okulaba obubonero nga buno:

• Obulema obulabika okuva ebweru w’okugulu (oluusi enkokola y’okugulu esobola okulabibwa ng’ewanise ku ludda olumu).
• Obulumi obw'amaanyi mu kugulu .
• Okuzimba kw'okugulu .
• Okuwulira oba okuwulira eddoboozi lya "click" oba "pop" nga liva mu kugulu.
• Okuwulira ng'okugulu kusibira, oba "kusibye" .
• Knee instability , nga okugulu "kuwuguka".
• Obuzibu okulinnya n’okukka amadaala, oba okufukamira .
• Okuwulira ng'okugulu "kugenda okuzimba" oba "okulekulira."

Bw'oba olina ``Patellar Subluxation'', okugulu kwo kukyatambula munda mu socket okutuuka ku ddaala eritali limu, osobole okutambula. Naye kiyinza okuwulira nga tekinyuma nnyo era nga tekitebenkedde. Oyinza n'okuwulira eddoboozi lya "click" ng'okugulu kwo kutambula.

Bizibu ki oba ebiva mu mbeera eno okumala ebbanga eddene?

Embeera eno eyitibwa ``Patella Subluxation``Kintu ekiyinza okuddamu emirundi mingi. Era, emirundi mingi kiyinza okugenda mu maaso okutuuka ku ``Dislocation`` enzijuvu, ekitegeeza nti enkokola y'okugulu evudde ddala mu kifo. Okugatta ku ekyo, obutabeera butebenkevu buno obw’okugulu buyinza okwonoona eggumba . Ekiseera bwe kigenda kiyitawo, kino kiyinza okuvaako obulwadde bw’amagumba mu kugulu.

Teebereza, waliwo omuwala omuto ayitibwa Nisal, ali ku ttiimu y’essomero ey’omupiira gw’akatimba. Olunaku lumu, bwe yali yeegezaamu, yakyusakyusa okugulu kwe katono mu bwangu, era n'eddoboozi lya "click", yawulira ng'okugulu kwe kwasengudde ku bbali. Oluvannyuma lw’akaseera, yawulira ng’alinga azzeeyo mu mbeera eya bulijjo, naye okugulu ne kutandika okumuluma n’okuzimba. Teyafaayo nnyo ku nsonga eyo. Naye oluvannyuma, okugulu kwe kwatandika "okugenda" buli kiseera, era nga tasobola na kuzannya. Bwe yakiraga omusawo lwe yakizuula nti kyali ``Patellar Subluxation'', era nti waliwo okwonooneka kw'amagumba.

Biki ebivaako `(Patellar Subluxation)`?

Emirundi egisinga, ensonga enkulu eviirako okugulu okuvaamu bwe kuti bwe buvune . Okugeza, okukuba obutereevu ku kugulu. Embeera eno esinga kubaawo mu bantu abazannya emizannyo egy’amaanyi, gamba ng’omupiira . Era kiyinza okubaawo singa ekigere kyo ekya wansi kiba kisimbye bulungi ku ttaka ate okugulu ne kukyuka mu bwangu okudda munda oba ebweru.

Okugatta ku ekyo, singa wabaawo okusannyalala okwa bulijjo mu misuwa n’emisuwa mu kinywa ky’okugulu (patellar instability) , era kiyinza okuleetawo okukulukuta kw’amagulu (patellar subluxation).

Biki ebiyinza okuvaako obulwadde bwa Patellar Subluxation?

Wadde ng’embeera eno esobola okukwata omuntu yenna, esinga kubeera mu bantu abalina ebinywa by’amagulu ebinafu n’okusannyalala kw’emisuwa . Era kisinga kubeera mu bantu bano wammanga:

• Abantu abali wakati w’emyaka 10 ne 20 (naddala bannabyamizannyo abato).
• Abantu abakola emirimu gy'omubiri .
• Abakyala (abawala batera okufuna embeera eno katono).
• Abazannyi oba abo abatera okwenyigira mu mizannyo.
• Abantu abawanvu okusinga ku ba bulijjo .

Bw’oba ​​omaze okulongoosebwa olw’okukutuka oba okukutuka ekitundu ku kugulu kwo, otera okuddamu okufuna embeera eno.

Ozuula otya obulwadde bwa `(Patellar Subluxation)`?

Bw’olaba omusawo, bajja kukukebera omubiri . Zijja kufukamira ne zigolola okugulu kwo era ziwulire nga zeetoolodde okugulu kwo. Bajja kukubuuza ku bubonero bwo n’ebyo ebyabaddewo ng’okugulu tekunnasengulwa.

Omusawo ayinza n’okukola ebigezo eby’enjawulo (subluxation tests) ku kugulu kwo. Bayinza n’okukola ebigezo ebimu eby’okukuba ebifaananyi , gamba nga:

• X-ray y’okuguluEkigezo.
• Okukebera kwa MRI `(MRI Scan)` .
• Okukebera CT (CT scan) kwe kukebera.

Patellar Subluxation ejjanjabwa etya?

Omusawo ajja kusooka kugezaako nkola ezitali za kulongoosa okujjanjaba kino naddala nga guno gwe mulundi ogusoose ekintu nga kino okukutuukako. Obujjanjabi obutali bwa kulongoosa mulimu:

• Enkola ya RICE: Kino kitegeeza nti:
• `Okuwummula`: Okuwummuza okugulu.
• `Ice`: Okusiiga ice okukendeeza ku kuzimba n'obulumi.
• Okunyigiriza: Bandagi ennywevu okwetooloola okugulu okusobola okufuga okuzimba.
• Okusitula: Okukuuma ekigere nga kiwanvuye okukendeeza ku kuzimba.
• NSAIDs: Zino ddagala eriziyiza okuzimba eritali lya steroid (NSAIDs), nga lino ddagala eriweweeza ku bulumi n’okuziyiza okuzimba. Okugeza, eddagala lya ibuprofen (Advil®).
• Okuziyiza okutambula: Okusinziira ku buzibu bw’obuvune, oyinza okukozesebwa ekyuma ekinyweza okugulu oba ekyuma ekikuba okugulu okukuuma okugulu nga tekutambula.
• Ebiyamba okutambula/okutambula: Oyinza okusabibwa okukozesa emiggo, omuggo oba ekyuma ekitambula okukendeeza ku buzito ku maviivi go. Oyinza n’okusabibwa okukozesa ekyuma ekinyweza okugulu ekikola, gamba nga J-brace, oba sleeve enyweza patella.
• Orthotics (engatto ez’enjawulo): Oyinza okuweebwa amagezi okukozesa engatto oba insoles ezikoleddwa mu ngeri ey’enjawulo okukendeeza ku puleesa ku kugulu.
• Obujjanjabi bw’omubiri: Kino kikulu nnyo okunyweza n’okugolola ebinywa okwetoloola okugulu, wamu n’okulongoosa bbalansi (proprioception).

Singa obubonero bwo tebutereera oluvannyuma lw’emyezi egiwerako, oba bw’oba ​​ofunye eddagala erisukka mu limu erya ‘patellar subluxation’, omusawo ayinza okukuwa amagezi okulongoosebwa . Enkola z’okulongoosa mulimu:

• Lateral Release: Kino kizingiramu okusala ekitundu ky'okugulu ekiyitibwa ``Lateral Retinaculum'' n'okutereeza ekifo ky'okugulu (``Patella Positioning''). Kino kitera okukolebwa nga kikwataganye n’enkola endala ez’okuddamu okuzimba.
• Medial Patellofemoral Ligament (MPFL) Repair: Okulongoosa okuddaabiriza n’okunyweza emisuwa egiyamba okukuuma enkovu y’okugulu mu kifo kyayo.
• MPFL Reconstruction: Kuno kulongoosa kwa arthroscopic, ekitegeeza nti kukolebwa nga bayita mu bitundu ebitonotono nga bakozesa kkamera. Mu kino, ekitundu ky’ekinywa kyo eky’omugongo kiggyibwa emabega w’ekisambi kyo era omusuwa gw’omugongo ogw’omu makkati ne guddamu okuzimbibwa.
• Okusala amagumba:Kino kizingiramu okusala eggumba lyo ery’ekisambi (Tibia) mu nkoona ezimu n’okuddamu okuteeka eggumba ly’ekisambi, eggumba ly’okugulu, eggumba ly’ekisambi n’ebitundu ebiyunga.

Ddi lwe nnina okulaba omusawo?

Bwoba olowooza nti oyinza okuba n'obulwadde bwa ``Patellar Subluxation'', ekitegeeza nti olina obubonero nga buno, olina okulaba omusawo ddala:

• Obulumi n'okuzimba .
• Obutasobola kwetikka buzito ku ttaka n'ebigere .
• Eddoboozi "okunyiga" oba okuwulira "okusiba" mu kugulu.
• Ensigo y'okugulu eyinza okulabika oba okuwulira ng'efuluma mu socket .

Jjukira nti ne bw’oba ​​olowooza nti okugulu kwo kuzzeemu okusenguka, kikyali kikulu okugenda ew’omusawo. Singa tebujjanjabwa bulungi, kino kiyinza okutera okubaawo ne kivaamu ebizibu ebinene oluvannyuma.

Bibuuzo ki bye nnina okubuuza omusawo?

Bw’ogenda okulaba omusawo osobola okubuuza ebibuuzo nga bino:

• Bujjanjabi ki bw’okuwa amagezi?
• Nnaaba nneetaaga okulongoosebwa?
• Emikisa ki egy’okuddamu okufuna embeera eno?
• Kiki kye nnyinza okukola okutangira okugulu kwange okuddamu okufuluma bwe kiti?

Kitwala bbanga ki okuwona okuva ku ``Patellar Subluxation''?

Ekiseera ekitwala okuwona embeera eno kisinziira ku bintu ebiwerako:

• Kino subluxation yo esooka, oba okuddamu ?
• Obuzibu bw'embeera yo .
• Bujjanjabi bwa kika ki bwe wafuna ?

Bw’oba ​​nga guno gwe gusooka okuweebwa subluxation, si kwa maanyi nnyo, era nga teweetaaga kulongoosebwa, olina okuwona mu bujjuvu mu wiiki nnya oba mukaaga . Omusawo wo ajja kutera okukuwa amagezi ku bujjanjabi bw’omubiri. Omusawo wo asobola okukuwa ekiseera ekigere.

Bw’oba ​​obadde ofunye subluxation ezisukka mu emu, obuvune obw’amaanyi, oba okulongoosebwa, ekiseera kyo eky’okuwona kijja kuba kiwanvu . Olina okusobola okuddamu okukola emirimu emitonotono mu wiiki mukaaga oba munaana. Kyokka kiyinza okutwala omwaka mulamba oba okusingawo nga tonnaddamu kutandika mizannyo.

Nsobola ntya okuziyiza Patellar Subluxation?

Patellar subluxations ezisinga ziva ku buvune, kale tetusobola kuziziyiza zonna. Naye waliwo ebintu by’osobola okukola okukuuma ebitundu ebiyunga okwetooloola okugulu kwo nga binywevu. Bino bye bimu ku bintu by’oyinza okukola okuziyiza okugulu kwo okufuluma:

• Weenyigira mu mirimu gy'omubiri eginyweza buli kinywa mu magulu go .
• Okwambala paadi z’okugulu ng’ozannya emizannyo egy’okukwatagana.
• Bw’oba ​​wali ofunye obuvune mu kugulu, okwambala ekyuma ekiziyiza okugulu kiyinza okuyamba obutaddamu kufuna buvune.
• Omusawo bw’aba akuwadde obujjanjabi bw’omubiri, goberera ebiragiro ebyo ddala .

Obubaka Obutwala Awaka

Patellar subluxation eyinza okuba embeera enyiiza ennyo era eruma. Kiyinza okuleetera okugulu kwo okuwulira nga tekunywevu. Oyinza okusobola okuzzaawo enkokola yo mu kifo kyayo, naye ddala wandibadde olaba omusawo . Kubanga, okumala ekiseera, ebika bino ebya subluxations bisobola okuvaako okusengulwa okujjuvu. Omusawo asobola okukuyamba okuziyiza kino okubaawo. Asobola okukuwa amagezi ku bujjanjabi obusinga obulungi okunyweza okugulu n’okukuzza ku mulamwa. N’olwekyo, bw’oba ​​olina ekizibu ky’okugulu, tokibuusa maaso, kiba kya magezi okunoonya amagezi amangu ddala mu basawo!

` patellar subluxation, kneecap dislocation, okulumwa okugulu, obutabeera mu ntebenkevu mu kugulu, obuzibu mu kugulu, obujjanjabi bw’omubiri, okulongoosa okugulu