Uma ugijima, ukhuphuka izitebhisi, noma uhamba nje, uzizwa sengathi idolo lakho 'liyagoba' ngokuzumayo, lilahlekelwe ukuzibamba bese liwela phansi? Ingabe kuzwakala sengathi i-kneecap yakho (i-patella) 'iyashelela' eceleni? Abantu abaningi banalokhu okuhlangenwe nakho. Yilokhu esikhuluma ngakho namuhla, ukungazinzi kwe-kneecap, noma igama lezokwelapha elithi 'Patellar Instability'. Ungakhathazeki, lesi yisimo esivame kakhulu. Ake sichaze konke ngamagama alula.
Kuyini ngempela ukungazinzile kwe-patellar?
Kalula nje, yilapho i-kneecap yakho (i-patella) ishintshashintsha khona lapho kufanele ibe khona.
Cabanga nge-kneecap yakho njengesitimela. Ekupheleni kwethambo lakho lethanga (i-femur), kunendlela ekhethekile, umsele, ukuze lesi sitimela sihambe kuwo. Lokhu sikubiza ngokuthi "umsele we-trochlear." Ngokuvamile, uma ugoba futhi uqondisa idolo lakho, lesi sitimela, esibizwa ngokuthi umsele we-trochlear, siya phezulu naphansi ngaphakathi kwalowo msele ngendlela ehlelekile.
Kodwa kumuntu one-'Patellar Instability', lesi sigqoko sedolo asihambi kahle ngaphakathi kwalowo msele. Sigxuma siphume endleleni. Lokhu ngezinye izikhathi kungaphuma ngokuphelele (ukuhlukana ngokuphelele), noma kungaphuma kancane bese kubuyela emuva (ukuhlukana okuncane noma ukungezwani komzimba).
Sisebenzisa amadolo ethu usuku lonke. Ukuma, ukuhlala, ukuhamba, ukugijima, konke kudinga amadolo. Yingakho lolu hlobo lwezinkinga luvame ukwenzeka emadolweni.
Ziyini izimpawu zalesi simo?
Uma i-kneecap iphuma engosini, idolo lakho lingase lilahlekelwe ukuzibamba. Lokhu kusho ukuthi idolo 'lizogoba' futhi lingakwazi ukusekela isisindo sakho. Ngezinye izikhathi, ungase ungakwazi ukuqondisa idolo lakho noma ukuhamba.
Ake sibheke ezinye zezimpawu eziyinhloko ezingabona lesi simo.
| Isibonakaliso | Kalula nje... |
|---|---|
| Ubuhlungu bamadolo, ukuqina, nokuvuvukala | Ubuhlungu obukhulu eduze kwedolo, ubunzima bokugoba idolo ekuseni, kanye nedolo elibonakala livuvukele. |
| Imisindo ethi 'Cracking' noma 'pop' | Umsindo wokuchofoza, njengokungathi ithambo liyabhajwa, lapho ukhuphuka noma wehla izitebhisi, noma lapho ugoba idolo. |
| Ukuzwa sengathi amadolo akho ayahamba eceleni | Umuzwa ongazinzile, njengokungathi kukhona okubambeke edolweni noma kuhamba kusuka kolunye uhlangothi kuya kolunye. |
| Ukulahlekelwa ukulawula idolo (Ukugoba) | Kungazelelwe, idolo lizwa sengathi alikwazi ukuthwala isisindo somzimba futhi liyagoba. |
Kungani amadolo ami eqhaqhazela kanje? Ziyini izimbangela?
Kunezizathu eziningana eziyinhloko zalokhu.
- Umsele ongajulile we-trochlear: Abanye abantu bazalwa nomsele ongajulile we-trochlear, okwenza kube lula ukuthi ithambo le-trochlear liphume.
- Imisipha exegayo: Imisipha ezungeze idolo injengezintambo ezibamba idolo ndawonye. Abanye abantu banemisipha exegayo ngokwemvelo. Siyibiza ngokuthi 'ihlangene kabili'. Abantu abanjalo banamathuba amaningi okuthi bakhubeke edolweni.
- Ingozi: Uma ushaywa kanzima edolweni ngenkathi udlala imidlalo, uwela, noma kwenye ingozi, lingaphuma endaweni yalo.
Ubani osengozini enkulu yalokhu?
Nakuba lesi simo singaba khona kunoma ubani, abanye abantu basengozini enkulu.
- Abesifazane: Abesifazane banamathuba amaningi okuthola lesi simo ngoba imisipha yabo ngokuvamile ikhululekile kancane kuneyabesilisa.
- Abasubathi: Le ngozi iphezulu kulabo abadlala imidlalo edinga ushintsho olusheshayo endleleni, isibonelo, ibhola likanobhutshuzwayo, i-basketball, i-volleyball, kanye ne-cheerleading .
- Ezinye izimo zezokwelapha: Le nkinga ingabangelwa nayizimo ezithile zezokwelapha ezibangela izicubu ezixhumeneyo ezikhululekile. Isibonelo:
- Ukukhubazeka kobuchopho
- I-Down syndrome
- I-Ehlers-Danlos syndrome
Yini engenzeka uma ingelashwa?
Uma nje ungakunaki lokhu, kungabangela izinkinga zesikhathi eside. Ngakho-ke uma unalezi zimpawu, qiniseka ukuthi ubona udokotela.
Ukungazinzi kwe-patellar okuphindaphindiwe kungabangela izinkinga ezifana nalezi:
- Ukugxumagxuma kwamadolo njalo.
- Ukusebenza kwedolo okulinganiselwe (ukungakwazi ukugijima noma ukugxuma).
- Ubuhlungu obungapheli.
- Izimo ezifana ne-arthritis edolweni enzima.
Ukuthola kanjani lokhu, Dokotela?
Ngisho noma i-kneecap yakho iphuma futhi ibuyele endaweni yayo yodwa, kufanele nakanjani ubone udokotela ukuze akunike iseluleko. Udokotela uzoqala akubuze ukuthi kwenzeke kanjani nokuthi ubuwenzani lapho kwenzeka. Ngemuva kwalokho uzohlola idolo lakho.
- Sihlola ukubukeka kwedolo bese sibheka ukuthi kukhona yini ukuvuvukala.
- Bathinta indawo ngezandla zabo bese behlola ukuthi azikho yini izinhlungu.
- Sibheka ububanzi bokunyakaza ongakugoba futhi uqondise idolo lakho.
- Mhlawumbe ungazama nokuhamba ngezinyawo.
Ukuhlolwa okungadingeka
Ukuhlolwa okufana nalokhu kungenziwa futhi ukuqinisekisa ngokunembile isimo.
- Ama-X-ray edolo: Hlola ukuthi awekho yini ama-dislocation noma amanye ama-fracture.
- I-MRI scan: Ukuhlola umonakalo emithanjeni engaphakathi kwedolo, njengokudabuka kwe-ACL kanye nokudabuka kwe-meniscal, noma izingcezu zamathambo ezikhululekile.
- I-CT scan: Ukubona kahle ukuthi idolo libekwe kanjani.
Yiziphi izindlela zokwelapha?
Ukwelashwa kungahlukaniswa ngezigaba ezimbili eziyinhloko: ukwelashwa okungadingi ukuhlinzwa kanye nokuhlinzwa.
Ukwelashwa Okungahlinzwa
Lezi zindlela zokwelapha zivame ukuqalwa.
- Ukubuyisela i-kneecap yakho endaweni yayo: Uma i-kneecap yakho iphumile futhi ingaphinde ibuyele, bona udokotela ngokushesha. Udokotela uzoyibuyisela ngokucophelela endaweni yayo. Lokhu kubizwa ngokuthi "ukunciphisa okuvaliwe". Lokhu kungaba buhlungu kancane, ngakho-ke unganikezwa ama-painkiller.
- I-brace yamadolo: Lokhu kugqokwa ukuze kuvimbe idolo futhi kugcine i-kneecap isendaweni yayo. Kuzodingeka ukuthi ukugqoke lokhu amasonto ambalwa. Kungase kudingeke futhi usebenzise izinduku zokusibekela phakathi nalesi sikhathi.
- Izibulali-zinhlungu: Udokotela angase ancome imithi yobuhlungu njengemithi elwa nokuvuvukala engeyona eye-steroidal (NSAIDs) ukuze kuncishiswe ukuvuvukala nobuhlungu.
- Ukwelashwa ngokomzimba: Lena yinto ebaluleke kakhulu. Ukwenza izivivinyo eziqinisa imisipha ezungeze idolo, njengoba kuqondiswe umelaphi wezokwelapha ngokomzimba, kungasiza ekugcineni idolo lizinzile.
Ukwelashwa Kokuhlinzwa
Uma idolo lakho liqhuma ngokuphindaphindiwe noma uma ukwelashwa ngokomzimba kungasizi, udokotela wakho angase akuncome ukuhlinzwa. Ukuhlinzwa okuningi kwedolo kwenziwa nge-arthroscopically, okusho ukuthi kufakwa ikhamera ngokusikwa okuncane. Lokhu kunciphisa isikhathi sokululama. Kungathatha izinyanga eziyi-6 kuya kweziyi-12 ukululama ngokuphelele ngemva kokuhlinzwa.
Nazi ezinye zezinhlobo eziyinhloko zokuhlinzwa.
| Igama Lokuhlinzwa | Kuyini lokhu? (Kuyini lokhu?) |
|---|---|
| Ukulungiswa kwe-MPFL | Uma i-Medial Patellofemoral Ligament (MPFL), i-ligament enkulu ebamba i-kneecap endaweni yayo, yonakele, iyalungiswa. |
| Ukwakhiwa Kabusha kwe-MPFL | Uma i-ligament yonakele kakhulu, yakhiwa kabusha kusetshenziswa i-tendon evela kwenye ingxenye yomzimba (isb., i-hamstring tendon) noma evela kumnikeli. |
| Ukudluliselwa Kwe-Tibial Tubercle | Lokhu kuhilela ukuhlanganisa amathambo e-kneecap, i-thighbone, kanye ne-shinbone ukuze alingane. Lokhu kuvame ukuba ukuhlinzwa okuhilela ukusikwa okukhulu. |
Ungazivikela kanjani kulesi simo?
Uma idolo likhubeka, izicubu ezixhumeneyo ezizungezile ziyalimala. Lo monakalo wandisa amathuba okuphinda ukhubeke.
Indlela engcono kakhulu yokuvimbela lokhu iwukuzivivinya umzimba.
Lezi zivivinyo ziqinisa imisipha ezungeze idolo. Lezi misipha zibamba i-kneecap endaweni yayo. Ukuhamba ngebhayisikili nakho kuyindlela enhle yokuqinisa idolo. Udokotela wakho angase akucebise ukuthi ugqoke i-brace yamadolo ngesikhathi semisebenzi ethile.
Uma udinga ngempela ukubona udokotela
Uma unezinye zezimpawu ezingezansi, qiniseka ukuthi ubona udokotela.
- Uma ungakwazi ukugoba noma ukuqondisa amadolo akho.
- Uma ungakwazi ukuma noma ukuhamba isisindo sakho sisemlenzeni wakho.
- Uma unezinhlungu ezinkulu edolweni noma ukunyakaza okulinganiselwe okukuvimbela ekwenzeni imisebenzi yansuku zonke.
- Uma kukhona ukubomvu okungajwayelekile noma ukuvuvukala edolweni.
Uma i-kneecap yakho izwakala sengathi ihlala iphuma, ungayinaki. Ngisho noma iphuma bese ibuyela endaweni yayo, kungcono ukubona udokotela bese uyihlola. Ngaleyo ndlela, ungavimbela izinkinga zesikhathi eside.
Umlayezo Wokuya Nawe Ekhaya
- Ukungazinzi kwe-Patellar kuyisimo esivamile, kodwa akufanele singanakwa.
- Izimpawu eziyinhloko umuzwa osheshayo wokugoba kwedolo, ubuhlungu, ukuvuvukala, kanye nomsindo 'wokuqhekeka'.
- Ngisho noma i-kneecap yakho ingaphuma ibuyele lapho yayikhona, kufanele nakanjani ubone udokotela ukuze akunike iseluleko.
- Abantu abaningi bangakwazi ukubhekana nalesi simo ngaphandle kokuhlinzwa, ngokwelashwa ngokomzimba kanye nokuzivocavoca.
- Ukuqinisa imisipha ezungeze idolo kuyindlela engcono kakhulu yokuvimbela lesi simo nokulawula ukuphinda kwaso.
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