Ingaba idolo lakho liyaqhuma apha naphaya? (Patellar Subluxation) Makhe sithethe ngale nto!

Ngaba wakha waziva ngathi idolo lakho liyaphuma endaweni yalo ngelixa ubaleka, unyuka izinyuko, okanye umi nje? Oku kunokubangela ukuba idolo lakho libe buhlungu, lidumbe, kwaye kube nzima ukuhamba. Oku kunokuba ngamava angathandekiyo ngamanye amaxesha. Ngoko ke, namhlanje siza kuthetha ngokuphuma kwedolo, imeko ebizwa ngokuba yi-"Patellar Subluxation".

Yintoni le dolo lityibilikayo apha naphaya (Patellar Subluxation)?

Ngamafutshane, i-"Patellar Subluxation" kuxa i-kneecap yakho, inxalenye esiyibiza ngokuba yi-"Patella" ngokwezonyango, isuswa kancinci kwindawo yayo efanelekileyo. Oku yi-"Patellar Dislocation", akufuneki kudideke nokuphuma ngokupheleleyo kwe-kneecap. Kwi-"Dislocation", i-kneecap iphuma ngokupheleleyo kwi-socket yayo.

Khawuthelekelele ukuba i-kneecap, okanye i-patella, phakathi kwethambo lakho lethanga (i-Femur) kunye nethambo le-shin (i-Tibia), idla ngokutyibilika phezulu nasezantsi kwi-groove ethe nkqo ebizwa ngokuba yi-trochlear groove. Kufana nololiwe ohamba ngomzila. Kwi-patellar subluxation, i-kneecap iphuma kule groove okwethutyana ize ibuyele apho yayikhona . Uninzi lwexesha, i-kneecap ityibilika ngaphandle komlenze, kodwa ngamanye amaxesha inokutyibilika ngaphakathi.

Oku kunokuba buhlungu kakhulu kwaye kwenze kube nzima ukuhamba. Ukuphinda-phinda i-patellar subluxation kunokukhokelela kwi-arthritis, umonakalo we-cartilage, kunye nokungazinzi kwedolo ngokubanzi . Oku kunokukhokelela kwezinye iingxaki zedolo. Nokuba i-patellar dislocation ibuyela endaweni yayo, kubalulekile ukubona ugqirha ukuze ufumane unyango.

Zithini iimpawu ze-"Patellar Subluxation"?

Xa i-kneecap iphuma, unokubona iimpawu ezifana nezi:

• Ukukhubazeka okubonakala ngaphandle kwedolo (ngamanye amaxesha idolo lingabonakala lithambekele kwelinye icala).
• Intlungu enzulu edolweni.
• Ukudumba kwamadolo.
• Ukuziva okanye ukuva isandi esithi "click" okanye "pop" sivela edolweni.
• Ukuziva ngathi idolo liyabambeka, okanye "litshixiwe" .
• Ukungazinzi kwamadolo, ngokungathi idolo "liyashukuma".
• Ubunzima bokunyuka nokuhla izitebhisi, okanye ukuquleka .
• Ukuziva ngathi idolo "liyaphelelwa ngamandla" okanye "liyayeka."

Xa une-"Patellar Subluxation", idolo lakho lisahamba ngaphakathi kwisokethi ukuya kuthi ga kwinqanaba elithile, ukuze ukwazi ukuhamba. Kodwa lingaziva lingonwabanga kwaye lingazinzile. Usenokuva nesandi esithi "click" xa idolo lakho lihamba.

Zithini iingxaki okanye iziphumo zexesha elide zale meko?

Le meko ibizwa ngokuba yi-``Patella Subluxation```Yinto enokuthi iphindaphindeke rhoqo. Kwakhona, inokuthi iqhubekele kwi-"Dislocation" epheleleyo, oko kuthetha ukuba i-kneecap ayisebenzi ngokupheleleyo. Ukongeza, oku kungaguquguquki kwe-kneecap kunokonakalisa i-cartilage . Ekuhambeni kwexesha, oku kunokukhokelela kwi-osteoarthritis yedolo.

Khawucinge nje, kukho intombazana eselula egama linguNisal, okwiqela lebhola yomnyazi yesikolo. Ngenye imini, ngelixa wayeziqhelanisa, ngequbuliso wajika idolo lakhe kancinci, waza ngesandi esithi "click", weva ngathi idolo lakhe litshintshele ecaleni. Emva kwexesha elithile, waziva ngathi libuyele esiqhelweni, kodwa idolo lakhe laqala ukuqaqamba nokudumba. Akazange alinike ngqalelo ingako. Kodwa kamva, idolo lakhe laqala "ukuphela" ngalo lonke ixesha, kwaye wayengakwazi nokudlala. Kuphela xa wayibonisa ugqirha apho wafumanisa ukuba yi-"Patellar Subluxation", kwaye kukho umonakalo othile kwi-cartilage.

Zithini izizathu ze-`(Patellar Subluxation)`?

Kwiimeko ezininzi, isizathu esiphambili sokuba idolo liphume ngolu hlobo kukwenzakala . Umzekelo, ukubetheka ngqo kwidolo. Le meko inokwenzeka kakhulu kubantu abadlala imidlalo echaphazela kakhulu, efana nebhola ekhatywayo . Inokwenzeka nokuba umlenze wakho ongezantsi umi ngokuqinileyo emhlabeni kwaye idolo lakho lijika ngequbuliso ngaphakathi okanye ngaphandle.

Ukongeza, ukuba kukho ukuyekelela ngokubanzi kwimisipha kunye nemisipha kwijoyinti yedolo (ukungazinzi kwepatellar) , kunokubangela i-patellar subluxation.

Ziziphi izinto ezibangela umngcipheko we-Patellar Subluxation?

Nangona le meko inokuchaphazela nabani na, ixhaphake kakhulu kubantu abanezihlunu zemilenze ezibuthathaka kunye nokungakhululeki kwemisipha . Ixhaphake kakhulu nakubantu abalandelayo:

• Abantu abaphakathi kweminyaka eli-10 ukuya kwengama-20 ubudala (ingakumbi abadlali abaselula).
• Abantu abakhutheleyo emzimbeni .
• Abafazi (amantombazana anamathuba amancinci okufumana le meko).
• Abadlali okanye abo badla ngokuzibandakanya kwimidlalo.
• Abantu abade kunomndilili .

Ukuba ukhe watyandwa ngaphambili ngenxa yokukhubeka okanye ukukhubeka kancinci kwedolo, kusenokwenzeka ukuba uphinde ube nale meko.

Uyifumanisa njani i-`(Patellar Subluxation)`?

Xa ubona ugqirha, baza kukwenza uvavanyo lomzimba . Baza kugoba baze bolule umlenze wakho baze bavavanye idolo lakho. Baza kukubuza ngeempawu zakho kunye nokuba kwenzeke ntoni ngaphambi kokuba idolo lakho liphume.

Ugqirha unokwenza uvavanyo oluthile (uvavanyo lwe-subluxation) kwi-kneecap yakho. Bangenza novavanyo lwemifanekiso , olufana nolu:

• I-X-reyi yedoloUvavanyo.
• Uvavanyo lwe-MRI scan `(MRI Scan)` .
• I-CT scan luvavanyo.

Iphathwa njani i-Patellar Subluxation?

Ugqirha wakho uza kuqala azame iindlela zokunyanga oku ngaphandle kotyando , ingakumbi ukuba le yisihlandlo sokuqala ukuba kwenzeke into efana nale kuwe. Iindlela zonyango olungelulo utyando ziquka:

• Indlela yeRICE: Oku kuthetha:
• `Ukuphumla`: Ukuphumla idolo.
• `Iqhwa`: Ukufaka umkhenkce ukunciphisa ukudumba kunye nentlungu.
• Uxinzelelo: Ibhandeji eqinileyo ejikeleze idolo ukulawula ukudumba.
• Ukuphakama: Ukugcina umlenze uphezulu ukunciphisa ukudumba.
• Ii-NSAID: Ezi ziziyobisi ezichasene nokuvuvukala (ii-NSAID), eziziipilisi zokuthomalalisa iintlungu kunye neziyobisi ezichasene nokuvuvukala. Umzekelo, i-ibuprofen (Advil®).
• Ukungakwazi ukuhambahamba: Ngokuxhomekeke kubukhulu bokwenzakala, i-knee brace okanye i-cast ingasetyenziselwa ukugcina idolo lingashukumi.
• Izinto ezincedisa ukuhamba/ukuhamba: Usenokucelwa ukuba usebenzise iintonga, induku, okanye isixhobo sokuhamba ukuze unciphise umthwalo emadolweni akho. Usenokucelwa ukuba usebenzise isixhobo sokubambelela emadolweni esisebenzayo, njenge-J-brace, okanye isingxobo esizinzisa ipatella.
• Ii-Orthotics (izihlangu ezikhethekileyo): Ungacetyiswa ukuba usebenzise izihlangu okanye i-insoles ezenzelwe ngokukodwa ukunciphisa uxinzelelo kwi-kneecap.
• Unyango Lomzimba: Oku kubaluleke kakhulu ekuqiniseni nasekululekeni izihlunu ezijikeleze idolo, kunye nokuphucula ibhalansi (proprioception).

Ukuba iimpawu zakho aziphucuki emva kweenyanga ezimbalwa, okanye ukuba ukhe wane-patellar subluxation engaphezulu kwesinye, ugqirha wakho unokucebisa utyando . Iindlela zotyando ziquka:

• Ukukhululwa Kwecala: Oku kuquka ukunqumla inxalenye yedolo ebizwa ngokuba yi-"Lateral Retinaculum" nokulungisa indawo yedolo ('Patella Positioning'). Oku kudla ngokwenziwa kunye nezinye iinkqubo zokuvuselela.
• Ukulungiswa kweMedial Patellofemoral Ligament (MPFL): Utyando lokulungisa nokuqinisa ii-ligaments ezinceda ukugcina idolo lisendaweni yalo.
• Ukwakhiwa kwakhona kwe-MPFL: Olu lutyando lwe-arthroscopic, oko kuthetha ukuba lwenziwa ngokusikwa okuncinci kusetyenziswa ikhamera. Kule meko, inxalenye yesihlunu sakho se-hamstring ithathwa ngasemva kwethanga lakho kwaye i-medial patellofemoral ligament iyakhiwa kwakhona.
• Utyando lwe-Osteotomy:Oku kuquka ukusika ithambo lakho le-shin (i-Tibia) kwii-engile ezithile kunye nokutshintsha indawo yethambo le-shin, i-kneecap, ithambo lethanga, kunye nezicubu ezidityanisiweyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba unokuba ne-"Patellar Subluxation", oko kuthetha ukuba uneempawu ezinje, ngokuqinisekileyo kuya kufuneka ubone ugqirha:

• Intlungu kunye nokudumba .
• Ukungakwazi ukuthwala ubunzima emhlabeni ngeenyawo .
• Isandi "sokunqakraza" okanye isandi "sokugoba" edolweni.
• Idolo lingabonakala okanye livakale ngathi liphuma kwisokethi .

Khumbula, nokuba ucinga ukuba idolo lakho libuyele endaweni yalo, kusabalulekile ukubona ugqirha. Ukuba anyangwa kakuhle, oku kunokubangela iingxaki ezinkulu kamva.

Ndingayibuza yiphi imibuzo ugqirha?

Xa usiya kugqirha, ungabuza imibuzo efana nale:

• Zeziphi iindlela zonyango ozicebisayo?
• Ngaba ndiza kufuna utyando?
• Angakanani amathuba okuba ndiphinde ndibe nale meko?
• Ndingenza ntoni ukuthintela ukuba idolo lam lingaphumi ngolu hlobo kwakhona?

Kuthatha ixesha elingakanani ukuphiliswa kwi-"Patellar Subluxation"?

Ixesha elithathwayo ukuze umntu aphile kule meko lixhomekeke kwizinto ezininzi:

• Ingaba le yi-subluxation yakho yokuqala, okanye iphinda ivele ?
• Ubunzima bemeko yakho .
• Luhlobo luni lonyango olufumeneyo ?

Ukuba le yi-subluxation yakho yokuqala, ayisiyonto imbi kakhulu, kwaye awudingi utyando, kufuneka uphile ngokupheleleyo kwiiveki ezine ukuya kwezintandathu . Ugqirha wakho uya kucebisa unyango lomzimba rhoqo. Ingcali yakho yonyango lomzimba inokukunika ixesha elithile.

Ukuba ukhe wane-subluxation engaphezulu kwesinye, wenzakele kakhulu, okanye watyandwa, ixesha lakho lokuchacha liza kuba lide . Kuya kufuneka ukwazi ukuqalisa imisebenzi elula kwiiveki ezintandathu ukuya kwezisibhozo. Nangona kunjalo, kungathatha unyaka okanye ngaphezulu ngaphambi kokuba uqalise ukudlala imidlalo.

Ndingayithintela njani i-Patellar Subluxation?

Uninzi lwe-patellar subluxations lubangelwa kukwenzakala, ngoko ke asinakukuthintela konke ukwenzakala. Kodwa kukho izinto onokuzenza ukugcina izicubu ezinxibelelanayo ezijikeleze idolo lakho ziqinile. Nazi ezinye zezinto onokuzenza ukuthintela idolo lakho ukuba lingaphumi:

• Yenza imisebenzi yomzimba eqinisa yonke imisipha emilenzeni yakho .
• Ukunxiba ii-knee pads xa udlala imidlalo yokudibanisa.
• Ukuba ukhe wenzakala edolweni lakho ngaphambili, ukunxiba i-deep braces kunokunceda ukuthintela ukwenzakala kwakhona.
• Ukuba ugqirha wakho ukunike unyango lomzimba, landela loo miyalelo ngokuchanekileyo .

Umyalezo Wokuya Ekhaya

I-Patellar subluxation inokuba yimeko ecaphukisayo nebuhlungu kakhulu. Ingenza i-kneecap yakho ibonakale ingazinzile. Usenokukwazi ukubuyisela i-kneecap yakho endaweni yayo, kodwa ngokuqinisekileyo kuya kufuneka ubone ugqirha . Kuba, ngokuhamba kwexesha, olu hlobo lwe-subluxations lunokubangela ukuqhekeka ngokupheleleyo kwe-location. Ugqirha wakho anokukunceda uthintele oku ukuba kungenzeki. Angacebisa iindlela zonyango ezilungileyo zokuqinisa idolo lakho nokukubuyisela endleleni. Ngoko ke, ukuba unengxaki yedolo, ungayityesheli, kulungile ukufuna ingcebiso kagqirha ngoko nangoko!

ukuxhuzula kwe - patellar, ukukhubeka kwedolo, iintlungu zedolo, ukungazinzi kwedolo, iingxaki zedolo, unyango lomzimba, utyando lwedolo