Ngaba wakha waziva 'uqhuma' edolweni lakho ngelixa udlala, udanisa, okanye ujika umlenze wakho ngequbuliso? Ngaba wakha waziva iintlungu ezibukhali ngokungathi idolo lakho liwele ecaleni? Ngaba wazifumana ungakwazi ukuhamba? Oku sikubiza ngokwezonyango ngokuba yi-patella dislocation. Nangona kunokuba ngamava othusayo, kulula kakhulu ukukulawula ukuba uyazi. Ngoko ke, masithethe ngako namhlanje.
Ngamafutshane, kuthetha ukuthini oku kutsiba ngedolo?
Ukuze sikuqonde oku, masiqale sijonge indlela elakhiwe ngayo idolo lethu. Kulula kakhulu. Idolo lethu lenziwe ngamathambo amathathu aphambili.
1. I-Femur: Eli lelona thambo lide kumlenze wakho ongasentla.
2. Ithambo lomlenze ongezantsi (i-tibia): Eli lithambo elingqindilili elingaphantsi kwedolo nangaphambili.
3. I-Kneecap (patella): Eli lithambo elincinci, elinxantathu embindini, phambi kwala mathambo mabini.
Cinga ngayo njengololiwe kumzila kaloliwe. Xa sigoba size silungise imilenze yethu, idolo (ipatella) lihamba phezulu nasezantsi kwi-groove (siyibiza ngokuba yi-'trochlear groove') ezantsi kwethambo lethanga (i-femur). Inethiwekhi yemisipha kunye ne-ligaments iyanceda ukuba ihlale kule groove.
Ukuqhekeka kwePatella kwenzeka xa idolo, ngesizathu esithile, liphuma emngxunyeni walo we-trochlear. Alikwazi ukuhamba ngokuqhelekileyo, kwaye idolo liqina kwaye livaleke. Uninzi lwexesha, lityibilika liye ngaphandle kwedolo. Njengayo nayiphi na i-joint dislocation, ibuhlungu kakhulu. Kodwa ngamanye amaxesha idolo linokuthi libuyele endaweni yalo lodwa.
Kubalulekile ukuqaphela ukuba ukukhubeka kwepatella kwahlukile kakhulu ekukhubekeni kwedolo. Ukukhubeka kwedolo kukwahlukana kwe-femur kunye ne-tibia. Yimeko enzulu kakhulu.
Kwakhona, xa idolo lingasekho ndawo, sibiza loo nto kancinci (patella subluxation) .
Kukho iindlela ezimbini eziphambili zokuvula i-kneecap.
Siyahlulahlula le meko ibe ziinxalenye ezimbini eziphambili.
- Ukuqhekeka kwePatella okubukhali: Olu lolona hlobo luqhelekileyo lokuqhekeka. Kwenzeka xa idolo liqhekeka ngequbuliso ngenxa yengozi, ukuwa, okanye ukungqubana. Idolo lisenokuba lingenamandla kangako kunezinye iijoyinti.
- Ukususwa kwePatella ezalwa nayo: Le yimeko engaqhelekanga kakhulu. Njengoko umntwana ekhula, idolo liyasuswa kwi-trochlear groove. Oku kubizwa ngokuba yi-trochlear dysplasia.Kwakhona kuthiwa.
Uyazi njani ukuba idolo lakho liphumile?
Xa idolo liphuma, uya kubona uphawu olunye okanye ezingaphezulu kwezi. Masizijonge ngale ndlela ukuze siziqonde kakuhle.
| Uphawu | Ithetha ntoni le nto? |
|---|---|
| Kuvakala isandi esithi 'khaba'. | Olu hlobo lwesandi lunokuviwa xa idolo liphuma kwindawo yalo eqhelekileyo. |
| Amadolo agoba ngokungalawulekiyo (Ukugoba) | Ngenxa yokuba ilungu lingazinzi, idolo lakho lisenokuqhawuka ngequbuliso xa uzama ukuma. |
| Intlungu enzima enganyamezelekiyo | Ukolula nokukrazula imisipha kunye nemisipha kubangela iintlungu eziqatha. |
| Ukudumba Kwamadolo (Ukukhuhla) | Ukulimala kubangela ukuba ulwelo luqokelele ngaphakathi kwilungu kwaye lubangele ukuba lidumbe ngokukhawuleza. |
| Uluhlaza okwesibhakabhaka/ukugruzuka | Ukonakala kwemithambo yegazi emincinci ngaphakathi kunokubangela ukuba ulusu lube luhlaza okwesibhakabhaka. |
| Ukutshixa idolo | Ndibambeke kwindawo enye, andikwazi ukugoba okanye ukolula amadolo am. |
| Andikwazi ukuhamba. | Intlungu kunye nokungazinzi kwenza kube nzima ukuhamba ngobunzima emlenzeni. |
| Idolo liyabonakala ecaleni. | Nokuba ungaphandle, ungabona ukuba idolo alikho apho lifanele ukuba khona, kodwa lisecaleni. |
Ngaba oku kunokuba nemiphumo yexesha elide?
Ewe, kunokubakho iingxaki ezihlala ixesha elide. Xa idolo lidubula, imisipha ebamba ijoyinti kunye iyanwebeka, nto leyo eyenza ijoyinti ingaqini . Kwakhona, i-cartilage ethambileyo phantsi kwedolo ingonakalisa. Oku kwandisa umngcipheko wokuba ne- osteoarthritis yamadolo kwixesha elizayo.
Okubalulekileyo kukuba, malunga nama-45% abantu abakhe bakruneka edolweni baya kuphinda babe nako. Oku kunokwenzeka kwiiveki ezimbalwa okanye kwiminyaka kamva.
Kutheni idolo litsiba ngolu hlobo?
Isizathu esiphambili sokutsiba ngengozi kukusetyenziswa kwamandla. Oku kunokwenzeka ngeendlela ezimbini.
1. Impembelelo Ethe Ngqo: Ukubetheka ngqo, ukungqubana, okanye ukuwa ngamandla edolweni kunokukhuhla idolo.
2. Ukujikajika: Oku akufuneki kube yingozi enkulu rhoqo. Khawuthelekelele ukuba udlala, uyadanisa, okanye ubaleka uze ngequbuliso ubeke unyawo lwakho phantsi uze ujike umzimba wakho uye kwelinye icala. Xa oku kusenzeka, umlenze ongezantsi uhlala kwindawo enye, nto leyo ebangela ukuba ithambo lethanga lijike. Amandla oku anokubangela ukuba idolo liqhume. Oku kuqhelekile kubadlali bezemidlalo nakubadanisi.
Ukongeza, abanye abantu bazalwa bene-ligament ekhululekileyo kunye ne-tendon ebamba i-kneecap yabo endaweni yayo. Oku sikubiza ngokuba yi -patellar instability . Abantu abanjalo banokuvula i-kneecap yabo nokuba bashukuma kancinci.
Ngubani osengozini enkulu?
Nangona nabani na enokuphuka idolo xa efumene ingozi, umngcipheko uphezulu kwabanye abantu.
| Udidi lomngcipheko | Isizathu |
|---|---|
| Abadlali | Ingakumbi kwabo badlala imidlalo ebeka uxinzelelo olukhulu emadolweni (ibhola ekhatywayo, ibhola yomnyazi). |
| Abadanisi | Ngenxa yeentshukumo ezijikajikayo nezitsiba ngequbuliso. |
| Abantwana abancinci (Abakwishumi elivisayo) | Kuba amalungu kunye nemisipha ziyakhululeka kancinci xa umzimba ukhula ngokukhawuleza. |
| Abafazi | Amandla asecaleni edolweni ayanda ngenxa yokwanda kwethambo lesinqe kunye nokukhululeka kwemisipha. |
| Amadoda amade | Ubunzima bomzimba obugqithisileyo bubeka uxinzelelo olungakumbi kumalungu. |
Ugqirha uyifumana njani kanye kanye le nto?
Ngokwesiqhelo, ugqirha unokuxilonga ukukruneka kwedolo ngokujonga idolo lakho, akubuze ngengozi, aze emva koko ahlole idolo lakho.
Nangona kunjalo, kuyacetyiswa ukuba kwenziwe uvavanyo oluninzi lwemifanekiso ukuqinisekisa ukuba kukho nawuphi na omnye umonakalo wangaphakathi.
- I-X-ray yedolo: Jonga ukuba amathambo aqhekekile na.
- I-MRI scan: Ukujonga ngokusondeleyo umonakalo kwimisipha, imisipha, kunye ne-cartilage.
- I-CT scan: Funda nzulu ukwaphuka okuncinci kunye nendawo amathambo abekwe kuyo.
Ngamanye amaxesha idolo liyaphuma lize libuyele endaweni yalo lodwa. Awuqondi nokuba liphumile. Kodwa idolo liyadumba kwaye libuhlungu. Kwanakwiimeko ezinje, ugqirha angasebenzisa iiskeni ezikhankanyiweyo apha ngasentla ukuze abone ukuba liphumile okanye kukho omnye umonakalo.
Wenza ntoni xa ukhubeke edolweni? Zithini iindlela zonyango?
Unyango luqala ngokuphumza idolo. Musa ukuhamba ngalo okanye wenze imisebenzi eqhelekileyo. Ungayifaka umkhenkce ukunciphisa iintlungu nokudumba, kwaye usele iintlungu zokuphelisa iintlungu (umz. ii-NSAID) njengoko ugqirha wakho ekuyalele. Ukongeza, ugqirha wakho uya kulandela ezi ndlela zonyango.
| Indlela yonyango | Inkcazo |
|---|---|
| Ukunciphisa | Ugqirha uza kuyibuyisela ngobunono idolo lakhe endaweni yalo. Oku kubizwa ngokuba yi-closed reduction . Ukuba kuyimfuneko, unokunikwa i-painkiller encinci okanye i-sedative. |
| Ukuxhoma iintambo zokuxhasa kunye neenduku zokuxhasa | I-brace/i-splint iza kufakwa iiveki ezimbalwa ukuze kuqiniswe ilungu. Uza kuxelelwa ukuba usebenzise iintonga zokuxhasa idolo lakho ukuze lingathwali ubunzima. |
| Utyando | Ukuba kukho umonakalo omkhulu emathanjeni, kwi-cartilage, okanye kwi-ligaments, okanye ukuba ukwenzakala kuqhubeka rhoqo, kunokucetyiswa utyando ukuze kulungiswe loo mathambo. |
| Ukuvuselelwa | Unyango lomzimba luyinxalenye ebaluleke kakhulu yolu nyango. Lunceda ukuqinisa izihlunu ezijikeleze ilungu, luvumela ukuba lihambe ngeendlela ezahlukeneyo de lizinze kwakhona. |
Andikwazi na ukulungisa oku mna? Ngaba kufuneka ndibone ugqirha?
Ngamanye amaxesha, xa ulula umlenze wakho kancinci kancinci, usenokubuyela endaweni yawo. Kodwa ukuba kunzima ukwandisa umlenze wakho ngenxa yentlungu, ungakwenzi oko. Ugqirha angayithomalalisa intlungu aze ayenze ibe lula.
Eyona nto ibalulekileyo: Nokuba ungayilungisa ngokwakho, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Kubalulekile ukujonga ukwaphuka kwangaphakathi, umonakalo we-cartilage, okanye i-ligaments ezikrazukileyo. Ukungaphumeleli ukwenza njalo kunokukhokelela kwiingxaki ezinkulu kwixesha elizayo.
Ukuba uvakalelwa kukuba idolo lakho alizinzanga, unengxaki yokuphakamisa umlenze wakho, uneentlungu kwaye uvuvukile, okanye uvakalelwa kukuba idolo lakho liyabhajwa, qiniseka ukuba ucela ingcebiso kugqirha.
Kuthatha ixesha elingakanani ukuphiliswa?
Oku kuxhomekeke kubukhulu bokwenzakala kwakho kunye nendlela yonyango.
- Okokuqala ngqa, ukuba akukho monakalo mkhulu: Imbono yokuchacha ilungile kakhulu. Uninzi lwabantu lunokubuyela kwimisebenzi yemihla ngemihla kwiiveki ezi-6-8 . Banokuqala ukudlala imidlalo kwiinyanga ezi-3-4 .
- Ukuba ukhe wawela okanye watyandwa ngokuphindaphindiweyo: Ixesha lokuchacha liza kuba lide nangakumbi. Kungathatha ixesha elingaphezu konyaka ngaphambi kokuba ubuyele ekudlaleni imidlalo.
Singakuthintela njani oku ukuba kungenzeki kwakhona?
Xa ilungu lityumkile, imisipha iyanwebeka, nto leyo eyenza kube lula ukuba lityumke kwakhona ukuba kwenzeka ingozi efanayo. Nangona kunzima ukuthintela iingozi, kukho izinto esinokuzenza ukunciphisa umngcipheko.
- Yenza unyango lomzimba ngokuchanekileyo: Yenza imithambo yexesha elimiselweyo, njengoko kuyalelwe ngugqirha wakho kunye nonyango lomzimba. Musa ukungxama ngokubeka ubunzima obukhulu emlenzeni wakho.
- Yomeleza izihlunu zakho zemilenze: Yenza umthambo oqinisa izihlunu ezijikeleze amadolo akho (ingakumbi ngaphambili nangasemva kwamathanga akho). Oku kuya kunceda ukuthintela uxinzelelo olugqithisileyo kwiqela elinye lemisipha.
- Indlela echanekileyo yokuma kwezemidlalo: Ukuba ungumdlali wezemidlalo, cela ingcali ukuba ihlole iintshukumo zakho kunye nendlela oma ngayo ukuqinisekisa ukuba zichanekile.
- Ucinga ngotyando: Ukuba imisipha edolweni lakho ikhululekile kakhulu, thetha nogqirha wakho malunga notyando ukuze iqine.
Ingaba oku kubuhlungu kakhulu? Ndingahamba emva kokuba idolo liphume?
Ewe, le yimeko ebuhlungu kakhulu. Awunakuhamba xa idolo likhutshiwe. Idolo litshixiwe, okanye ligoba ngokungalawulekiyo. Ukuba uzama ukulibeka ubunzima, idolo liya 'kugoba'. Ukuba libuyela endaweni yalo, unokukwazi ukuhamba, kodwa kuya kubakho iintlungu kunye nokudumba. Ngoko ke ukusebenzisa iintonga zeenyawo yeyona ndlela ilungileyo.
Ukukhubeka kwedolo kunokuba ngamava othusayo nabuhlungu. Kodwa ngonyango olufanelekileyo kunye nokuvuselelwa, ungachacha ngokupheleleyo kwaye ubuyele kubomi bakho besiqhelo kunye nemisebenzi yezemidlalo. Eyona nto ibalulekileyo kukulandela imiyalelo kagqirha wakho.
Umyalezo Wokuya Ekhaya
- Ukuqhekeka kwePatella kwenzeka xa idolo liphuma emngxunyeni walo oqhelekileyo.
- Oku kubuhlungu kakhulu, kwaye ngelo xesha akunakwenzeka ukuba ubeke ubunzima emlenzeni uze uhambe.
- Nokuba idolo libuyela endaweni yalo lodwa, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze ahlole ukuba akukho mingxunya yangaphakathi okanye umonakalo wemisipha.
- Unyango luquka ukuphumla, ukunxiba i-brace, kunye nonyango lomzimba. Kwezinye iimeko, utyando lunokufuneka.
- Ukuthintela oku ukuba kungenzeki kwakhona, kubaluleke kakhulu ukwenza umthambo ofanelekileyo wokubuyisela umzimba kwimeko yesiqhelo nokuqinisa izihlunu ezijikeleze idolo.
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