Wake wazizwa 'ukuqhuma' edolweni lakho ngenkathi udlala, udansa, noma ujika umlenze wakho ngokuzumayo? Wake wazizwa ubuhlungu obukhulu njengokungathi i-kneecap yakho ihambe eceleni? Wake wazithola ungakwazi ukuhamba? Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi i-patella dislocation. Nakuba kungaba yinto eyesabekayo, kulula kakhulu ukuyiphatha uma uyayazi. Ngakho-ke, ake sixoxe ngakho namuhla.
Kalula nje, kusho ukuthini lokhu kugxuma nge-kneecap?
Ukuze siqonde lokhu, ake siqale sibheke ukuthi idolo lethu lenziwa kanjani. Kulula kakhulu. Idolo lethu lakhiwe ngamathambo amathathu ayinhloko.
1. I-Femur: Leli yithambo elide kunawo wonke emlenzeni wakho ongenhla.
2. Ithambo lomlenze ongezansi (i-tibia): Leli yithambo elijiyile elingaphansi kwedolo nangaphambili.
3. I-kneecap (i-patella): Leli yithambo elincane, elingunxantathu ngaphambili naphakathi kwala mathambo amabili.
Cabanga ngakho njengesitimela emzileni wesitimela. Uma sigoba futhi siqondisa imilenze yethu, i-kneecap (i-patella) iya phezulu naphansi emseleni (siwubiza ngokuthi 'umsele we-trochlear') phansi kwethambo lethanga (i-femur). Inethiwekhi yemisipha nama-ligaments iyasiza ekuyigcineni kulo msele.
Ukuhlukana kwe-Patella kwenzeka lapho i-kneecap, ngesizathu esithile, iphuma emseleni wayo we-trochlear. Ayikwazi ukunyakaza ngendlela evamile, futhi idolo liba lukhuni futhi livaleleke. Esikhathini esiningi, lishelela ngaphandle kwedolo. Njenganoma yikuphi ukuhlukana kwamalunga, kubuhlungu kakhulu. Kodwa ngezinye izikhathi i-kneecap ingabuyela endaweni yayo yodwa.
Kubalulekile ukuqaphela ukuthi ukuhlukana kwe-patella kuhluke kakhulu ekuhlukaneni kwedolo. Ukuhlukana kwedolo kuwukuhlukaniswa kwe-femur ne-tibia. Kuyisimo esibi kakhulu.
Futhi, uma i-kneecap ingasasebenzi nhlobo, siyibiza ngokuthi (patella subluxation) .
Kunezindlela ezimbili eziyinhloko zokuvula i-kneecap.
Lesi simo sihlukaniswe izingxenye ezimbili eziyinhloko.
- Ukuhlukana Kwe-Patella Okubukhali: Lolu uhlobo oluvame kakhulu lokuhlukana. Kwenzeka lapho i-kneecap ihlukana ngokuzumayo ngenxa yengozi, ukuwa, noma ukushayisana. I-kneecap ingase ingabi namandla kakhulu kunezinye izihlanganisi.
- Ukususwa kwe-Patella yangaphakathi: Lesi yisimo esingavamile kakhulu. Njengoba ingane ikhula, i-kneecap iyasuswa emseleni we-trochlear. Lokhu kubizwa ngokuthi i-trochlear dysplasia.Kuthiwa futhi.
Wazi kanjani ukuthi i-kneecap yakho iphumile?
Uma i-kneecap iqhuma, uzobona izimpawu eyodwa noma ngaphezulu. Ake sizibheke ngale ndlela ukuze siziqonde kahle.
| Isibonakaliso | Kusho ukuthini lokho? |
|---|---|
| Kuzwakala umsindo othi 'khafula'. | Lolu hlobo lomsindo lungezwakala lapho i-kneecap iphuma endaweni yayo evamile. |
| Amadolo agoba ngokungalawuleki (Ukugoba) | Ngenxa yokuthi ilunga liyaguquguquka, idolo lakho lingase liqhume ngokuzumayo uma uzama ukuma. |
| Ubuhlungu obukhulu obungabekezeleleki | Ukunwebeka nokudabuka kwemisipha nemisipha kubangela ubuhlungu obukhulu. |
| Ukuvuvukala Kwamadolo (Ukukhushulwa Kwamadolo) | Ukulimala kubangela ukuthi uketshezi luqoqeke ngaphakathi kwejoyinti futhi kubangele ukuthi livuvuke ngokushesha. |
| Okuluhlaza okwesibhakabhaka/ukulimaza | Ukulimala kwemithambo yegazi emincane ngaphakathi kungabangela isikhumba ukuba sibe luhlaza okwesibhakabhaka. |
| Ukukhiya idolo | Ngibambeke endaweni eyodwa, angikwazi ukugoba noma ukuqondisa amadolo ami. |
| Angikwazi ukuhamba. | Ubuhlungu nokungazinzi kwenza kube nzima ukuhamba ngesisindo emlenzeni. |
| Isigqoko sedolo siyabonakala eceleni. | Ngisho nangaphandle, ungabona ukuthi i-kneecap ayikho lapho kufanele ibe khona, kodwa isemaceleni. |
Ingabe lokhu kungaba nemiphumela yesikhathi eside?
Yebo, kungaba nezinkinga zesikhathi eside. Uma i-kneecap iqhuma, imisipha ebamba i-joint ndawonye iyanwebeka, okwenza i-joint ingazinzile . Futhi, i-cartilage ethambile ngaphansi kwe-kneecap ingalimala. Lokhu kwandisa ingozi yokuthola i-knee osteoarthritis esikhathini esizayo.
Okubalulekile, cishe abantu abangu-45% abake baba nokuklwebheka kwedolo bazophinde babe nakho. Lokhu kungenzeka emavikini ambalwa noma ngisho neminyaka kamuva.
Kungani i-kneecap igxuma kanje?
Isizathu esiyinhloko sokugxuma ngengozi ukusetshenziswa kwamandla. Lokhu kungenzeka ngezindlela ezimbili.
1. Umthelela Oqondile: Ukushaywa okuqondile, ukushayisana, noma ukuwa kanzima edolweni kungakhumula i-kneecap.
2. Ukunyakaza Okujikayo: Lokhu akudingeki kube yingozi enkulu ngaso sonke isikhathi. Cabanga ukuthi udlala, uyadansa, noma ugijima bese ngokuzumayo ubeka unyawo lwakho phansi bese ujika umzimba wakho uye kolunye uhlangothi. Uma lokhu kwenzeka, umlenze ongezansi uhlala endaweni eyodwa, okwenza ithambo lethanga lijike. Amandla alokhu angabangela ukuthi i-kneecap iqhume. Lokhu kuvamile kubadlali nakubadansi.
Ngaphezu kwalokho, abanye abantu bazalwa bene-ligament exegayo kanye ne-tendon ebamba i-kneecap yabo endaweni yayo. Lokhu sikubiza ngokuthi ukungazinzi kwe-patellar . Abantu abanjalo bangacindezela i-kneecap yabo ngisho nangokunyakaza okuncane kakhulu.
Ubani osengozini enkulu?
Nakuba noma ubani angaphuka idolo lakhe engozini, ingozi iphakeme kwabanye abantu.
| Isigaba sengozi | Isizathu |
|---|---|
| Abadlali | Ikakhulukazi kulabo abadlala imidlalo ebeka ingcindezi enkulu emadolweni (ibhola, i-basketball). |
| Abadansi | Ngenxa yokunyakaza okungazelelwe kokujika nokugxuma. |
| Izingane ezincane (Intsha) | Ngoba amalunga nemisipha kuyaxega kancane ngesikhathi umzimba ukhula ngokushesha. |
| Abesifazane | Amandla aseceleni edolweni ayanda ngenxa yokwanda kwethambo lesinqe kanye nokuxega kwemisipha. |
| Amadoda amade | Isisindo somzimba esiningi sibeka ingcindezi enkulu emalungeni. |
Udokotela ukuthole kanjani lokhu ngempela?
Ngokuvamile, udokotela angaxilonga ukugoba kwedolo lakho ngokuhlola idolo lakho, akubuze ngengozi, bese ehlola idolo lakho.
Kodwa-ke, kunconywa ukwenza izivivinyo eziningana zezithombe ukuqinisekisa ukuthi kukhona yini omunye umonakalo wangaphakathi.
- I-X-ray yedolo: Hlola ukuthi amathambo aphukile yini.
- I-MRI scan: Ukubheka ngokucophelela umonakalo wemisipha, imisipha, kanye ne-cartilage.
- I-CT scan: Hlola ngokujulile ukwaphuka okucashile kanye nendawo yamathambo.
Ngezinye izikhathi i-kneecap iyaphuma bese ibuyela endaweni yayo yodwa. Awuqapheli nokuthi iphumile. Kodwa idolo liyavuvukala futhi libuhlungu. Ngisho nasezimweni ezinjengalezi, udokotela angasebenzisa ama-scan okukhulunywe ngawo ngenhla ukuthola ukuthi ngabe i-pop noma kukhona omunye umonakalo.
Wenzani uma ukhumuka idolo? Yiziphi izindlela zokwelapha?
Ukwelashwa kuqala ngokuphumula idolo. Ungahambi ngalo noma wenze imisebenzi evamile. Ungafaka iqhwa ukunciphisa ubuhlungu nokuvuvukala, bese uthatha amaphilisi okudambisa izinhlungu (isib. ama-NSAID) njengoba udokotela wakho ekuyalele. Ngaphezu kwalokho, udokotela wakho uzolandela lezi zindlela zokwelapha.
| Indlela yokwelapha | Incazelo |
|---|---|
| Ukunciphisa | Udokotela uzobuyisela i-kneecap ngokucophelela nangobumnene endaweni yayo. Lokhu kubizwa ngokuthi ukunciphisa okuvaliwe . Uma kudingeka, kunganikezwa inani elincane le-painkiller noma umuthi wokudambisa. |
| Ukubopha kanye nezinduku zokusibekela | I-brace/i-splint izobekwa amasonto ambalwa ukuze kuqiniswe ilunga. Uzotshelwa ukuthi usebenzise izinduku zokubambelela ukuze uvimbele idolo lakho ukuthi lingawenzi umthwalo. |
| Ukuhlinzwa | Uma kukhona umonakalo omkhulu emathanjeni, emathanjeni, noma emithanjeni, noma uma ukulimala kwenzeka njalo, kunganconywa ukuhlinzwa ukuze kulungiswe. |
| Ukuvuselelwa | Ukwelashwa ngokomzimba kuyingxenye ebaluleke kakhulu yalolu hlobo lokwelashwa. Kuyasiza ekuqiniseni imisipha ezungeze ilunga, okulivumela ukuthi lihambe ngezindlela ezahlukene lize liqine futhi. |
Angikwazi yini ukulungisa lokhu mina? Ingabe ngidinga ukubona udokotela?
Ngezinye izikhathi, uma welula kancane umlenze wakho, ungase ubuyele endaweni yawo. Kodwa uma kunzima ukwelula umlenze wakho ngenxa yobuhlungu, ungakwenzi lokho. Udokotela angadambisa ubuhlungu futhi akwenze kube lula.
Okubaluleke kakhulu: Ngisho noma ungakwazi ukuzilungisa wena ngokwakho, kufanele nakanjani ubone udokotela. Kubalulekile ukuhlola ukwaphuka kwangaphakathi, ukulimala kwe-cartilage, noma imisipha edabukile. Ukwehluleka ukwenza kanjalo kungaholela ezinkingeni ezinkulu esikhathini esizayo.
Uma uzizwa sengathi i-kneecap yakho ayizinzile, unenkinga yokuphakamisa umlenze wakho, unesihlungu nokuvuvukala, noma uzizwa sengathi idolo lakho liyabhajwa, qiniseka ukuthi ucela iseluleko sezokwelapha.
Kuthatha isikhathi esingakanani ukuphulukiswa?
Lokhu kuncike ebunzimeni bokulimala kwakho kanye nendlela yokwelashwa.
- Okokuqala ngqa, uma kungekho monakalo omkhulu: Umbono wokululama muhle kakhulu. Iningi labantu lingabuyela emisebenzini evamile yansuku zonke zingakapheli amasonto ayi-6-8 . Bangaqala ukudlala ezemidlalo zingakapheli izinyanga ezi-3-4 .
- Uma uke wawa noma wahlinzwa ngokuphindaphindiwe: Isikhathi sokululama sizoba side nakakhulu. Kungathatha isikhathi esingaphezu konyaka ngaphambi kokuba ubuyele ekudlaleni imidlalo.
Singakuvimbela kanjani lokhu ukuthi kungenzeki futhi?
Uma ilunga selikhumukile, imisipha iyanwebeka, okwenza kube lula ukuthi likhumuleke futhi uma kwenzeka ingozi efanayo. Nakuba kunzima ukuvimbela izingozi, kunezinto esingazenza ukuze sinciphise ingozi.
- Yenza ukwelashwa ngokomzimba ngendlela efanele: Yenza izivivinyo zesikhathi esinqunyiwe, njengoba kuyalelwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba. Ungasheshi ukufaka isisindo esiningi emlenzeni wakho.
- Qinisa imisipha yemilenze yakho: Yenza izivivinyo eziqinisa imisipha ezungeze amadolo akho (ikakhulukazi ngaphambili nangemuva kwamathanga akho). Lokhu kuzosiza ekuvimbeleni ukucindezeleka ngokweqile eqenjini elilodwa lemisipha.
- Ukuma kahle kwezemidlalo: Uma ungumsubathi, cela uchwepheshe ukuthi ahlole ukunyakaza kwakho kanye nokuma kwakho ukuqinisekisa ukuthi kulungile.
- Uma ucabanga ngokuhlinzwa: Uma imisipha edolweni lakho ikhululekile kakhulu, khuluma nodokotela wakho mayelana nokuhlinzwa ukuze uyiqinise.
Ingabe lokhu kubuhlungu kakhulu? Ngingakwazi yini ukuhamba ngemva kokuba idolo liphumile?
Yebo, lesi yisimo esibuhlungu kakhulu. Awukwazi ukuhamba uma i-kneecap ikhumukile. Idolo likhiyiwe, noma ligoba ngokungalawuleki. Uma uzama ukulibeka isisindo, idolo 'lizogoba'. Uma libuyela endaweni yalo, ungase ukwazi ukuhamba, kodwa kuzoba nobuhlungu nokuvuvukala. Ngakho-ke ukusebenzisa izinduku zokusibekela kuyindlela engcono kakhulu.
Ukuphuka kwe-kneecap kungaba yinto eyesabekayo nebuhlungu. Kodwa ngokwelashwa okufanele kanye nokuvuselelwa, ungalulama ngokugcwele futhi ubuyele empilweni yakho evamile kanye nemisebenzi yezemidlalo. Into ebaluleke kakhulu ukulandela imiyalelo kadokotela wakho.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlukana kwe-Patella kwenzeka lapho i-kneecap iphuma emseleni wayo ojwayelekile.
- Lokhu kubuhlungu kakhulu, futhi ngaleso sikhathi akunakwenzeka ukufaka isisindo emlenzeni bese uhamba.
- Ngisho noma i-kneecap ibuyela endaweni yayo yodwa, kufanele nakanjani ubone udokotela ukuze ahlole ukuthi awekho yini ama-fracture angaphakathi noma umonakalo we-ligament.
- Ukwelashwa kuhlanganisa ukuphumula, ukugqoka i-brace, kanye nokwelashwa ngokomzimba. Kwezinye izimo, kungase kudingeke ukuhlinzwa.
- Ukuze kuvinjelwe lokhu ukuthi kungenzeki futhi, kubaluleke kakhulu ukwenza izivivinyo zokuvuselela ezifanele nokuqinisa imisipha ezungeze idolo.
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