Xa ubaleka, unyuka izinyuko, okanye uhamba nje, ngaba uziva ngathi idolo lakho 'liyagoba' ngequbuliso, liphulukane nolawulo lize liwe phantsi? Ngaba uziva ngathi idolo lakho (ipatella) 'liyatyibilika' liye kwicala elinye? Abantu abaninzi banalo olu lwazi. Oku sithetha ngako namhlanje, ukungazinzi kwedolo, okanye igama lezonyango elithi 'Patellar Instability'. Ungakhathazeki, le yimeko eqhelekileyo kakhulu. Masichaze yonke into ngokulula.
Yintoni kanye kanye i-patellar instability?
Ngamafutshane, kulapho idolo lakho (ipatella) lihamba libuyela umva ukusuka apho lifanele ukuba khona.
Cinga ngedolo lakho njengololiwe. Ekupheleni kwethambo lethanga lakho (i-femur), kukho indlela ekhethekileyo, umngxuma, ukuze lo loliwe uhambe kuwo. Siwubiza ngokuba yi-"trochlear groove." Ngokwesiqhelo, xa ugoba kwaye ulungisa idolo lakho, lo loliwe, obizwa ngokuba yi-trochlear groove, uhamba phezulu nasezantsi ngaphakathi kuloo mngxuma ngendlela ecwangcisiweyo.
Kodwa kumntu one-'Patellar Instability', le kneecap ayihambi kakuhle ngaphakathi kuloo mngxuma. Iyatsiba iphume endleleni. Oku ngamanye amaxesha kunokuphuma ngokupheleleyo (ukukhubeka ngokupheleleyo), okanye kunokuphuma kancinci nje kuze kubuyele emva (ukukhubeka okuncinci okanye ukuxhuzula).
Sisebenzisa amadolo ethu imini yonke. Ukuma, ukuhlala, ukuhamba, ukubaleka, yonke into ifuna amadolo. Yiyo loo nto ezi ngxaki zinokwenzeka kakhulu emadolweni.
Zithini iimpawu zale meko?
Xa idolo liphuma kwisokhethi, idolo lakho lisenokulahlekelwa kukuzibamba. Oku kuthetha ukuba idolo liya 'kugoba' lize lingakwazi ukuxhasa ubunzima bakho. Ngamanye amaxesha, usenokungakwazi ukululungisa idolo lakho okanye ukuhamba.
Makhe sijonge ezinye zeempawu eziphambili ezinokubona le meko.
| Uphawu | Kalula nje... |
|---|---|
| Intlungu yamadolo, ukuqina, kunye nokudumba | Intlungu ebuhlungu ejikeleze idolo, ubunzima bokugoba idolo kusasa, kwaye idolo libonakala lidumbile. |
| Izandi 'zokuqhekeka' okanye 'ukuduma' | Isandi sokunqakraza, ngokungathi ithambo liyabhajwa, xa unyuka okanye uhla izinyuko, okanye xa ugoba idolo. |
| Ukuziva ngathi amadolo akho aya ecaleni | Ukuziva ungazinzi, ngokungathi kukho into ebambeke edolweni okanye ishukuma ukusuka kwelinye icala ukuya kwelinye. |
| Ukulahlekelwa kulawulo lwedolo (ukugoba) | Ngequbuliso, idolo livakala ngathi alikwazi ukuthwala ubunzima bomzimba kwaye liyagoba. |
Kutheni amadolo am eqhaqhazela ngolu hlobo? Zithini izizathu?
Kukho izizathu ezininzi eziphambili zoku.
- Umsele we-trochlear onganzulu: Abanye abantu bazalwa bene-trochlear groove enganzulu, nto leyo eyenza kube lula ukuba ithambo le-trochlear liphume.
- Imisipha ekhululekileyo: Imisipha ejikeleze idolo ifana neentambo ezibamba idolo kunye. Abanye abantu banemisipha ekhululekileyo ngokwemvelo. Siyibiza ngokuba 'yimisipha edibeneyo'. Abantu abanjalo nabo banamathuba amaninzi okukruneka edolweni.
- Ingozi: Ukuba ubethelwa idolo kakhulu ngelixa udlala imidlalo, usiwa, okanye kwenye ingozi, linokukhubeka.
Ngubani osengozini enkulu yoku?
Nangona le meko inokwenzeka nakubani na, abanye abantu basengozini enkulu.
- Abafazi: Abafazi banamathuba amaninzi okufumana le meko kuba imisipha yabo idla ngokuba buthathaka kancinci kuneyamadoda.
- Abadlali bezemidlalo: Lo mngcipheko uphezulu kwabo badlala imidlalo efuna utshintsho olukhawulezileyo kwicala, umzekelo, ibhola ekhatywayo, ibasketball, ivolibholi, kunye ne-cheerleading .
- Ezinye iimeko zempilo: Le ngxaki inokubangelwa ziimeko ezithile zempilo ezibangela ukuba izicubu ezidityanisiweyo zikhululeke. Umzekelo:
- Umvakalelo yokitazo
- I-Down syndrome
- Isifo sika-Ehlers-Danlos
Yintoni enokwenzeka ukuba ayinyangwa?
Ukuba ungayinaki le nto, inokubangela iingxaki zexesha elide. Ngoko ke ukuba unale mpawu, qiniseka ukuba ubonana nogqirha.
Ukungazinzi kwe-patellar okuphindaphindiweyo kunokubangela iingxaki ezifana nezi:
- Ukuxhuzula amadolo rhoqo.
- Ukusebenza kwedolo okulinganiselweyo (ukungakwazi ukubaleka okanye ukutsiba).
- Intlungu engapheliyo.
- Iimeko ezinje nge-arthritis enzulu yamadolo.
Uyifumana njani le nto, Gqirha?
Nokuba idolo lakho liphuma lize libuyele endaweni yalo, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze akunike icebiso. Ugqirha uza kuqala akubuze ukuba kwenzeke njani kwaye ubusenza ntoni xa kwenzeka. Emva koko uza kuhlola idolo lakho.
- Sijonga imbonakalo yedolo size sibone ukuba kukho ukudumba na.
- Bachukumisa loo ndawo ngezandla zabo baze bajonge ukuba akukho ntlungu na.
- Sijonga uluhlu lwentshukumo onokugoba nokulungisa idolo lakho.
- Mhlawumbi ungazama nokuhamba ngeenyawo.
Uvavanyo olunokufuneka
Uvavanyo olufana nolu lunokwenziwa ukuqinisekisa ngokuchanekileyo imeko.
- Ii-X-ray zedolo: Jonga ukuba akukho ndawo igutyungekileyo okanye kukho ezinye iindawo ezaphukileyo.
- I-MRI scan: Ukujonga umonakalo kwimisipha engaphakathi kwedolo, njengeentlungu ze-ACL kunye neentlungu ze-meniscal, okanye iziqwenga zamathambo ezikhululekileyo.
- I-CT scan: Ukubona ngqo indlela idolo elibekwe ngayo.
Zithini iindlela zonyango?
Unyango lunokwahlulwahlulwa lube ziindidi ezimbini eziphambili: unyango olungelulo utyando kunye notyando.
Unyango olungelulo utyando
Olu nyango ludla ngokuvavanywa kuqala.
- Ukubuyisela i-kneecap yakho endaweni yayo: Ukuba i-kneecap yakho iphumile kwaye ayifuni kubuyela kuyo, bonana nogqirha ngoko nangoko. Ugqirha uza kuyibuyisela ngononophelo endaweni yayo. Oku kubizwa ngokuba yi-"closed reduction". Oku kunokuba buhlungu kancinci, ngoko ke unganikwa iintlungu.
- Isixhasi sedolo: Esi sinxitywa ukuze idolo lingakwazi ukuhambahamba kwaye sigcine isigqubuthelo sedolo sisendaweni yaso. Kuya kufuneka usinxibe kangangeeveki eziliqela. Kusenokufuneka usebenzise iintonga ngeli xesha.
- Iipilisi zokunciphisa iintlungu: Ugqirha unokucebisa amayeza okudambisa iintlungu afana namayeza angengo-steroidal anti-inflammatory (NSAIDs) ukunciphisa ukudumba kunye nentlungu.
- Unyango lomzimba: Le yeyona nto ibalulekileyo. Ukwenza umthambo oqinisa izihlunu ezijikeleze idolo, njengoko kuyalelwe yingcali yonyango lomzimba, kunokunceda ukugcina idolo lizinzile.
Unyango lotyando
Ukuba idolo lakho liyaqhuma ngokuphindaphindiweyo okanye ukuba unyango lomzimba aluncedi, ugqirha wakho unokucebisa utyando. Uninzi lotyando lwedolo lwenziwa nge-arthroscopically, oko kuthetha ukuba ikhamera ifakwa ngokusebenzisa imingxunya embalwa emincinci. Oku kunciphisa ixesha lokuchacha. Kungathatha iinyanga ezi-6 ukuya kwezili-12 ukuze uphile ngokupheleleyo emva kotyando.
Nazi ezinye zezona ntlobo ziphambili zotyando.
| Igama lotyando | Yintoni le iyenzayo? (Yenza ntoni le nto?) |
|---|---|
| Ukulungiswa kwe-MPFL | Ukuba iMedial Patellofemoral Ligament (MPFL), i-ligament enkulu ebamba idolo endaweni yalo, yonakele, iyalungiswa. |
| Ukwakhiwa kwakhona kwe-MPFL | Ukuba i-ligament yonakele kakhulu, iyakhiwa ngokutsha kusetyenziswa i-tendon evela kwenye indawo yomzimba (umz., i-hamstring tendon) okanye evela kumntu onikelayo. |
| Ukudluliselwa kweSifo seTyibial | Oku kuquka ukulungelelanisa amathambo edolo, ithambo lethanga, kunye nethambo lesifuba ukuze alungelelane. Olu lutyando oludla ngokubandakanya ukusikwa okukhulu. |
Ungazikhusela njani kule meko?
Xa idolo lithe laqhekeka, izicwili ezikufutshane nazo ziyachaphazeleka. Lo monakalo unyusa amathuba okuba ziphinde ziqine.
Eyona ndlela ingcono yokuthintela oku kukwenza umthambo wonyango.
Ezi ziqhelo zomeleza izihlunu ezijikeleze idolo. Ezi zihlunu zibamba idolo endaweni yalo. Ukukhwela ibhayisekile kukwayindlela entle yokuqinisa idolo. Ugqirha wakho unokukucebisa ukuba unxibe i-deep braces ngexesha lemisebenzi ethile.
Xa ngokuqinisekileyo kufuneka ubone ugqirha
Ukuba unayo nayiphi na kwezi mpawu zingezantsi, qiniseka ukuba ubonana nogqirha.
- Ukuba awukwazi ukugoba okanye ukolula amadolo akho.
- Ukuba awukwazi ukuma okanye ukuhamba ubunzima bakho busemlenzeni wakho.
- Ukuba uneentlungu eziqatha edolweni okanye ukuhamba kancinci okukuthintelayo ekwenzeni imisebenzi yemihla ngemihla.
- Ukuba kukho ukubomvu okungaqhelekanga okanye ukudumba edolweni.
Ukuba idolo lakho livakala ngathi lihlala liphuma, musa ukulibetha ngoyaba. Nokuba liphuma lize libuyele endaweni yalo, kungcono ukubona ugqirha uze ulihlole. Ngale ndlela, unokuthintela iingxaki ezihlala ixesha elide.
Umyalezo Wokuya Ekhaya
- Ukungazinzi kwe-Patellar yimeko eqhelekileyo, kodwa akufanele ingananzwa.
- Iimpawu eziphambili kukuvakalelwa ngequbuliso kwedolo ligobile, iintlungu, ukudumba, kunye nesandi 'sokuqhekeka'.
- Nokuba idolo lakho liphuma lize libuyele apho belikhona, ngokuqinisekileyo kuya kufuneka ubone ugqirha ukuze akunike icebiso.
- Abantu abaninzi banokuyilawula le meko ngaphandle kotyando, ngonyango lomzimba kunye nokuzilolonga.
- Ukuqinisa izihlunu ezijikeleze idolo yeyona ndlela ilungileyo yokuthintela le meko nokulawula ukuphinda kwenzeke kwayo.
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