Kodi mawondo anu nawonso amapweteka? Tiyeni tikambirane za Patellofemoral Pain Syndrome (PFPS)!

Kodi mumamvanso kuti 'o bondo langa' mukayimirira mutapinda bondo lanu kwa nthawi yayitali? Kapena mumamva kusasangalala kapena kupweteka mozungulira bondo mukakwera masitepe kapena kudzuka pansi? Simuli nokha, vutoli limakumana ndi anthu ambiri mdziko lathu. Lero tikulankhula za ululu wa bondo womwe umakhudza anthu ambiri, womwe umadziwika kuti Patellofemoral Pain Syndrome (PFPS) m'madokotala.

Mwachidule, kodi Patellofemoral Pain Syndrome (PFPS) ndi chiyani?

Musachite mantha ndi dzina lalikulu. Ndi losavuta. PFPS ndi vuto lomwe limayambitsa kupweteka pansi kapena kuzungulira bondo lanu (patella) . Madokotala nthawi zina amalitcha "bondo la wothamanga."

Taganizirani izi, bondo lathu ndi lokongola kwambiri. Chipewa ichi chili patsogolo pa fupa la ntchafu yanu (Femur). Chipewa ichi chimateteza bondo ngati chishango ndipo chimathandiza minofu yambiri yofunika, minyewa, ndi mitsempha yomwe imathandiza kuti miyendo yathu iziyenda.

Kawirikawiri, tikamapinda ndi kutambasula mawondo athu, chivundikiro cha bondochi chiyenera kuyenda bwino komanso popanda vuto lililonse pamalo ngati m'mphepete mwa fupa la ntchafu. Monga makina opaka mafuta ambiri. Koma mwa munthu amene ali ndi PFPS, chinachake chimasokoneza kuyenda kosalala kumeneku. Ndicho chifukwa chake ululu umachitika. Ululuwu ukhoza kuchitika pa bondo limodzi kapena m'mawondo onse awiri nthawi imodzi.

Kodi ululu uwu umamveka bwanji? Kodi zizindikiro zake ndi ziti?

Chizindikiro chachikulu cha PFPS ndi kupweteka kutsogolo kwa bondo, mozungulira patella. Anthu ena amamva kapena kumva phokoso la 'pop' m'bondo. Ululuwu umayamba pang'onopang'ono pakapita nthawi, m'malo modzidzimutsa.

Mutha kumvetsetsa bwino izi kuchokera patebulo lomwe lili pansipa.

N’chifukwa chiyani timamva kupweteka kwa bondo kotere? Kodi zimayambitsa chiyani?

N'zovuta kwambiri kuzindikira chifukwa chimodzi chokha cha izi, koma pali zinthu zingapo zazikulu zomwe zimapangitsa kuti izi zichitike.

• Kugwiritsa ntchito bondo mopitirira muyeso: Mukapitiriza kuchita mayendedwe omwewo mobwerezabwereza, mwachitsanzo, kulumpha pafupipafupi kapena kugwira ntchito pa mawondo anu (monga womanga), bondo lanu likhoza kugwiritsidwa ntchito mopitirira muyeso komanso kupweteka.
• Minofu yofooka kapena yolimba yozungulira bondo: Minofu yozungulira mawondo athu, makamaka minofu ya quadriceps , ili ngati 'zotengera mantha' a galimoto. Ngati minofu iyi yafooka, kupanikizika kwa bondo kumakhala kosapiririka. Komanso, ngati minofu iyi si yosinthasintha mokwanira, ndiko kuti, ngati yalimba, imaikanso kupsinjika kosafunikira pa bondo.
• Kuwonjezeka mwadzidzidzi kwa masewera olimbitsa thupi kapena ntchito: Tangoganizani mwayamba mwadzidzidzi kupita ku gym ndikuchita masewera olimbitsa thupi olemera, kapena mwadzidzidzi mwayamba kuyenda pansi mutasiya kuyenda kwa masiku ambiri. Mtundu uwu wa ululu ungachitike mukawonjezera mwadzidzidzi zochita zanu popanda kupatsa thupi lanu nthawi yoti lizolowere.
• Malo achilengedwe a bondo: Anthu ena amabadwa ndi mawonekedwe osiyana pang'ono a chipewa cha bondo. Izi zikachitika, sichilowa bwino m'chimake cha fupa la ntchafu. Si vuto lanu, ndi vuto lachilengedwe.

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Ngakhale aliyense angathe kukhala ndi PFPS, anthu ena ali pachiwopsezo chachikulu.

• Anthu omwe nthawi zambiri amachita masewera olimbitsa thupi monga kuthamanga, kulumpha, ndi kupinda mawondo awo.
• Anthu omwe amagwira ntchito zovuta kwambiri.
• Kwa akazi (chifukwa cha mawonekedwe a thupi ndi kusintha kwa mahomoni).
• Kwa ana aang'ono ndi akuluakulu azaka zapakati pa 20 ndi 40.

Kodi chimachitika ndi chiyani ngati izi sizikuchiritsidwa?

Ngati munyalanyaza ululu uwu, ukhoza kukulirakulira pakapita nthawi. Ululuwo sumangowonjezeka, komanso popanda kuzindikira, momwe mumayendera ndi kuyimirira (kaimidwe) zimayamba kusintha. Izi zitha kuyika kupsinjika kosafunikira m'malo monga m'chiuno, akakolo, ndi msana kuwonjezera pa bondo, zomwe zimayambitsa ululu watsopano. Chifukwa chake, ndikofunikira kwambiri kulabadira izi pachiyambi.

Kodi dokotala amapeza bwanji izi?

Mukapita kwa dokotala, chinthu choyamba chimene angachite ndikukufunsani za zizindikiro zanu. Adzakufunsani zinthu monga nthawi imene ululu unayamba, zochita zomwe zimawonjezera ululuwo, kenako adzakuyesani thupi .

Adzayesa bondo lanu ndi manja ake, adzakupemphani kuti muwerame, muwongole, ndikukhala pansi. Ngati mukumva kupweteka kulikonse panthawiyi, musaope kuuza dokotala.

Nthawi zina, ngati pali kukayikiridwa kuti pali vuto lina ndi mafupa a bondo, angapemphedwe kuti aone X-ray kapena MRI scan . Komabe, si aliyense amene amafunika mayeso amenewa.

Tiyeni tsopano tiwone momwe mankhwalawa alili.

Mankhwala a izi ndi osavuta. Nthawi zambiri, pali zinthu zomwe mungachite kunyumba.

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Mutha kutsatira njira iyi ya RICE ululu ukangoyamba.

Mankhwala ena

• Kuchiza ndi Thupi: Iyi ndi imodzi mwa njira zabwino kwambiri komanso zofunika kwambiri zothandizira PFPS. Katswiri wa physiotherapy adzakuphunzitsani masewera olimbitsa thupi omwe ali ndi vuto lanu lomwe lidzalimbitsa ndikulimbitsa minofu yozungulira bondo lanu, makamaka minofu ya hamstrings. Minofu imeneyi ikakhala yolimba, imapereka chithandizo chabwino pa bondo lanu.
• Mankhwala Ochepetsa Ululu: Mutha kumwa mankhwala ochepetsa ululu a NSAID monga Ibuprofen, Naproxen, kapena Paracetamol kwa masiku angapo, monga momwe dokotala wanu wanenera. Koma kumbukirani, musamwe mankhwalawa mosalekeza kwa masiku opitilira 10 popanda kufunsa dokotala wanu.
• Zothandizira pa bondo ndi mafupa: Nthawi zina dokotala wanu angakulangizeni kuvala zothandizira pa bondo kapena kugwiritsa ntchito ma insoles apadera (mafupa) omwe amaikidwa mkati mwa nsapato zanu.
• Opaleshoni: Izi zimachitika kawirikawiri. Opaleshoni imalimbikitsidwa kokha kwa anthu omwe ali ndi ululu waukulu komanso omwe sanalandire chithandizo china. Nthawi zambiri imachitika kudzera mu opaleshoni ya keyhole yotchedwa arthroscopy .

Kodi ululu uwu sungapewedwe?

Nthawi zina, chifukwa cha malo achilengedwe a bondo, izi sizingathe kupewedwa kwathunthu. Koma nthawi zambiri, tingachepetse chiopsezochi.

• Mukayamba kuchita masewera olimbitsa thupi kapena masewera olimbitsa thupi, yambani pang'onopang'ono. Musamavutitse thupi lanu kwambiri nthawi imodzi.
• Valani zida zoyenera zodzitetezera mukamasewera masewera kapena kuchita masewera olimbitsa thupi.
• "Musamasewere ngakhale ululu uli mkati." Ngati bondo lanu likupweteka, siyani kuchitapo kanthu nthawi yomweyo ndipo mupumule."
• Dzitenthetseni bwino musanachite masewera olimbitsa thupi, makamaka masewera olimbitsa thupi otambasula minofu ya ntchafu.
• Dziziritsani mtima mukamaliza kuchita masewera olimbitsa thupi.