Kodi chipewa chanu cha bondo chimagwedezeka apa ndi apo? (Patellar Subluxation) Tiyeni tikambirane za izi!

Kodi munayamba mwamvapo ngati chipewa chanu cha bondo chikutuluka pamalo ake pamene mukuthamanga, kukwera masitepe, kapena kungoyimirira? Izi zingayambitse kupweteka, kutupa, ndikupangitsa kuti kuyenda kukhale kovuta. Izi nthawi zina zimakhala zovuta kwambiri. Chifukwa chake, lero tikambirana za kutuluka kwa chipewa ichi cha bondo, matenda otchedwa ``Patellar Subluxation''.

Kodi chipewa cha bondo ichi chikutsetsereka apa ndi apo (Patellar Subluxation) n'chiyani?

Mwachidule, ``Patellar Subluxation'' ndi pamene chipewa chanu cha bondo, chomwe timachitcha kuti ``Patella'', chimasamutsidwa pang'ono pamalo ake oyenera. Uku ndi ``Patellar Dislocation'', osati kusokonezedwa ndi kusokonekera kwathunthu kwa chipewa cha bondo. Mu ``Dislocation'', chipewacho chimatuluka kwathunthu m'malo mwake.

Tangoganizirani kuti chipewa cha bondo, kapena patella, pakati pa fupa la ntchafu yanu (Femur) ndi fupa la shin (Tibia), nthawi zambiri chimatsetsereka mmwamba ndi pansi mu mzera wowongoka wotchedwa trochlear groove. Zili ngati sitima yoyenda panjira. Mu patellar subluxation, chipewa cha bondo chimatuluka mu mzera uwu kwa kanthawi kenako n’kubwerera komwe chinali . Nthawi zambiri, chipewa cha bondo chimatsetsereka kupita kunja kwa mwendo, koma nthawi zina chimatsetsereka kupita mkati.

Izi zitha kukhala zopweteka kwambiri ndipo zimapangitsa kuti kuyenda kukhale kovuta. Kubwerezabwereza kwa patellar subluxation kungayambitse nyamakazi, kuwonongeka kwa cartilage, komanso kusakhazikika kwa bondo . Izi zitha kuyambitsa mavuto ena a bondo. Ngakhale kusokonekera kwa patellar kubwereranso m'malo mwake, ndikofunikira kuwona dokotala kuti akalandire chithandizo.

Kodi zizindikiro za "Patellar Subluxation" ndi ziti?

Pamene bondo likutuluka, mukhoza kuona zizindikiro monga izi:

• Chilema chomwe chimawonekera kuchokera kunja kwa bondo (nthawi zina chivundikiro cha bondo chimaoneka ngati chapendekeka mbali imodzi).
• Kupweteka kwambiri kwa bondo.
• Kutupa kwa bondo.
• Kumva kapena kumva phokoso la "click" kapena "pop" kuchokera pa bondo.
• Kumva ngati bondo likukakamira, kapena "kutsekeka" .
• Kusakhazikika kwa bondo, ngati kuti bondo "likugwedezeka".
• Kuvuta kukwera ndi kutsika masitepe, kapena kudzuka pansi .
• Kumva ngati bondo "likutha mphamvu" kapena "kusiya."

Mukakhala ndi "Patellar Subluxation", bondo lanu limasunthabe mkati mwa socket mpaka pamlingo winawake, kotero mutha kuyenda. Koma limakhala losasangalatsa komanso losakhazikika. Muthanso kumva phokoso la "click" bondo lanu likasuntha.

Kodi mavuto kapena zotsatira zake za nthawi yayitali ndi ziti?

Vutoli limatchedwa ``Patella Subluxation```Ndi chinthu chomwe chingabwerezedwenso mobwerezabwereza. Komanso, nthawi zambiri chimatha kukhala ``Dislocation`` yokwanira, zomwe zikutanthauza kuti chivundikiro cha bondo sichili pamalo ake. Kuphatikiza apo, kusakhazikika kwa chivundikiro cha bondo kumeneku kumatha kuwononga cartilage . Pakapita nthawi, izi zingayambitse matenda a osteoarthritis a bondo.

Tangoganizani, pali mtsikana wina dzina lake Nisal, yemwe ali mu timu ya netiboli ya kusukulu. Tsiku lina, pamene ankachita masewera olimbitsa thupi, mwadzidzidzi anapotoza bondo lake pang'ono, ndipo ndi phokoso la "click", anamva ngati bondo lake lasunthira kumbali. Patapita kanthawi, anamva ngati labwerera mwakale, koma bondo lake linayamba kupweteka ndi kutupa. Sanasamale kwambiri. Koma pambuyo pake, bondo lake linayamba "kuchoka" nthawi zonse, ndipo sankatha ngakhale kusewera. Anali atangowonetsa dokotalayo ndipo anapeza kuti ndi "Patellar Subluxation", ndipo panali kuwonongeka kwina kwa cartilage.

Kodi zimayambitsa `(Patellar Subluxation)` ndi ziti?

Nthawi zambiri, chifukwa chachikulu chomwe chipewa cha bondo chimatuluka motere ndi kuvulala . Mwachitsanzo, kumenyedwa mwachindunji kwa chipewa cha bondo. Vutoli limapezeka kwambiri mwa anthu omwe amasewera masewera amphamvu, monga mpira . Zitha kuchitikanso ngati mwendo wanu wam'munsi wakhazikika pansi ndipo bondo lanu lagwedezeka mwadzidzidzi mkati kapena kunja.

Kuphatikiza apo, ngati pali kufooka kwa minofu ndi minyewa m'mabondo (kusakhazikika kwa patellar) , kungayambitsenso kusokonezeka kwa patellar.

Kodi ndi zinthu ziti zomwe zimayambitsa matenda a Patellar Subluxation?

Ngakhale kuti vutoli lingakhudze aliyense, limapezeka kwambiri kwa anthu omwe ali ndi minofu yofooka ya miyendo komanso kufooka kwa tendon . Limapezekanso kwambiri kwa anthu awa:

• Anthu azaka zapakati pa 10 ndi 20 (makamaka achinyamata othamanga).
• Anthu ochita masewera olimbitsa thupi .
• Akazi (atsikana ali ndi mwayi wochuluka wopeza vutoli).
• Othamanga kapena omwe amachita masewera nthawi zambiri.
• Anthu omwe ndi aatali kuposa apakati .

Ngati mudachitidwapo opaleshoni kale chifukwa cha kusokonekera kwa bondo kapena kusokonekera pang'ono, muli ndi mwayi woti mudzakhalanso ndi vutoli.

Kodi mumazindikira bwanji `(Patellar Subluxation)`?

Mukapita kwa dokotala, adzakuyesani thupi . Adzapinda ndi kuwongola mwendo wanu ndipo adzakhudza chipewa chanu cha bondo. Adzakufunsani za zizindikiro zanu ndi zomwe zinachitika chipewa chanu chisanatuluke.

Dokotala angachitenso mayeso ena apadera (mayeso a subluxation) pa bondo lanu. Angachitenso mayeso ena ojambula zithunzi , monga:

• X-ray ya bondoMayeso.
• Mayeso a MRI scan `(MRI Scan)` .
• Kujambula kwa CT ndi mayeso.

Kodi Patellar Subluxation imachiritsidwa bwanji?

Dokotala wanu adzayesa kaye njira zopanda opaleshoni kuti athetse vutoli, makamaka ngati iyi ndi nthawi yoyamba kuti zinthu ngati izi zikuchitikireni. Njira zina zothandizira popanda opaleshoni ndi izi:

• Njira ya RICE: Izi zikutanthauza:
• `Mpumulo`: Kupumula bondo.
• `Ayisi`: Kupaka ayezi kuti muchepetse kutupa ndi ululu.
• Kukanikiza: Bandeji yolimba yozungulira bondo kuti muchepetse kutupa.
• Kukweza mwendo: Kusunga mwendo mmwamba kuti muchepetse kutupa.
• NSAIDs: Izi ndi mankhwala oletsa kutupa omwe si a steroidal (NSAIDs), omwe ndi mankhwala ochepetsa ululu komanso oletsa kutupa. Mwachitsanzo, ibuprofen (Advil®).
• Kulephera kuyenda: Kutengera ndi kuopsa kwa kuvulala, chogwirira cha bondo kapena choyikapo chingagwiritsidwe ntchito kuti bondo likhale losasuntha.
• Zothandizira kuyenda/kusuntha: Mungapemphedwe kugwiritsa ntchito ndodo, ndodo, kapena choyendera kuti muchepetse katundu wa mawondo anu. Mungapemphedwenso kugwiritsa ntchito chothandizira mawondo, monga J-brace, kapena sleeve yokhazikika pa patella.
• Zovala za Orthotics (nsapato zapadera): Mungalangizidwe kugwiritsa ntchito nsapato kapena zophimba nkhope zapadera kuti muchepetse kupanikizika pa chivundikiro cha bondo.
• Kuchiza ndi Thupi: Izi ndizofunikira kwambiri pakulimbitsa ndi kutambasula minofu yozungulira bondo, komanso kukonza bwino (proprioception).

Ngati zizindikiro zanu sizikuyenda bwino patatha miyezi ingapo, kapena ngati mwakhala ndi patellar subluxation yoposa imodzi, dokotala wanu angakulangizeni opaleshoni . Njira zina zochitira opaleshoni ndi izi:

• Kutulutsa Mbali: Izi zimaphatikizapo kudula gawo la bondo lotchedwa ``Lateral Retinaculum'' ndikukonza malo a chivundikiro cha bondo (``Patella Positioning''). Izi nthawi zambiri zimachitika limodzi ndi njira zina zomangiranso.
• Kukonza Medial Patellofemoral Ligament (MPFL): Opaleshoni yokonza ndi kulimbitsa mitsempha yomwe imathandiza kuti bondo likhale pamalo ake.
• Kukonzanso MPFL: Iyi ndi opaleshoni ya arthroscopic, zomwe zikutanthauza kuti imachitika kudzera m'mabala ang'onoang'ono pogwiritsa ntchito kamera. Pa izi, gawo la minofu yanu ya hamstring limatengedwa kumbuyo kwa ntchafu yanu ndipo ligament ya medial patellofemoral imamangidwanso.
• Kuchotsa mafupa:Izi zimaphatikizapo kudula fupa lanu la shin (Tibia) m'makona enaake ndikuyikanso fupa la shin, chivundikiro cha bondo, fupa la ntchafu, ndi minofu yolumikizana.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi "Patellar Subluxation", zomwe zikutanthauza kuti muli ndi zizindikiro ngati izi, muyenera kuwona dokotala:

• Ululu ndi kutupa .
• Kulephera kunyamula katundu pansi ndi mapazi .
• Phokoso la "kudina" kapena "kugwedezeka" m'bondo.
• Chipewa cha bondo chingawoneke kapena kumveka ngati chikutuluka m'malo olumikizirana .

Kumbukirani, ngakhale mutaganiza kuti chipewa chanu cha bondo chabwerera m'malo mwake, ndikofunikirabe kuonana ndi dokotala. Ngati simulandira chithandizo choyenera, izi zitha kuchitika pafupipafupi ndipo zingayambitse mavuto akulu mtsogolo.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala?

Mukapita kwa dokotala, mungafunse mafunso monga awa:

• Kodi ndi njira ziti zochiritsira zomwe mumalimbikitsa?
• Kodi ndikufunika opaleshoni?
• Kodi pali mwayi wotani woti ndikhalenso ndi vutoli?
• Kodi ndingatani kuti bondo langa lisatulukenso chonchi?

Kodi zimatenga nthawi yayitali bwanji kuti munthu achire ndi ``Patellar Subluxation''?

Nthawi yomwe imatenga kuti munthu achire matendawa imadalira zinthu zingapo:

• Kodi iyi ndi subluxation yanu yoyamba, kapena ndi kubwereranso ?
• Kuopsa kwa vuto lanu .
• Kodi munalandira chithandizo chamtundu wanji ?

Ngati iyi ndi nthawi yanu yoyamba ya subluxation, si yoopsa kwambiri, ndipo simukufunika opaleshoni, muyenera kuchira mokwanira mkati mwa milungu inayi kapena isanu ndi umodzi . Dokotala wanu nthawi zambiri amakulangizani chithandizo cha physiotherapy. Wothandizira wanu physiotherapy angakupatseni nthawi yeniyeni.

Ngati mwakhalapo ndi subluxation yoposa imodzi, kuvulala kwakukulu, kapena opaleshoni, nthawi yanu yochira idzakhala yayitali . Muyenera kuyambiranso kuchita zinthu zopepuka mkati mwa milungu isanu ndi umodzi mpaka isanu ndi itatu. Komabe, zingatenge chaka chimodzi kapena kuposerapo musanayambenso kusewera masewera.

Kodi ndingapewe bwanji Patellar Subluxation?

Matenda ambiri a patellar subluxations amayamba chifukwa cha kuvulala, kotero sitingathe kupewa kuvulala konse. Koma pali zinthu zomwe mungachite kuti minofu yolumikizana yozungulira bondo lanu ikhale yolimba. Nazi zinthu zina zomwe mungachite kuti bondo lanu lisatuluke:

• Chitani masewera olimbitsa thupi omwe amalimbitsa minofu yonse ya miyendo yanu .
• Kuvala mapewa a bondo mukamasewera masewera olimbitsa thupi.
• Ngati mudavulalapo bondo lanu kale, kuvala chogwirira cha bondo kungathandize kupewa kuvulalanso.
• Ngati dokotala wanu wakupatsani chithandizo chamankhwala, tsatirani malangizo amenewo molondola .

Uthenga Wopita Nawo Kunyumba

Kuchepetsa ululu wa bondo kungakhale vuto losasangalatsa komanso lopweteka kwambiri. Kungapangitse kuti bondo lanu likhale losakhazikika. Mutha kubwezeretsanso bondo lanu pamalo pake, koma muyenera kuonana ndi dokotala . Chifukwa, pakapita nthawi, mitundu iyi ya kukulitsa ululu imatha kubweretsa kusokonekera kwathunthu. Dokotala wanu angakuthandizeni kupewa izi. Angakupatseni njira zabwino kwambiri zochiritsira bondo lanu ndikukubwezeretsani panjira. Chifukwa chake, ngati muli ndi vuto la bondo, musanyalanyaze, ndi bwino kufunsa upangiri wa dokotala nthawi yomweyo!

Kutupa kwa bondo, kusokonekera kwa mawondo, kupweteka kwa bondo, kusakhazikika kwa bondo, matenda a bondo, chithandizo cha thupi, opaleshoni ya bondo