Ingabe i-kneecap yakho iyaqhuma lapha nalaphaya? (Patellar Subluxation) Ake sixoxe ngalokhu!

Wake wazizwa sengathi i-kneecap yakho iyaphuma endaweni yayo ngenkathi ugijima, ukhuphuka izitebhisi, noma umane umi? Lokhu kungabangela ukuthi i-kneecap yakho ibe buhlungu, ivuvuke, futhi kwenze kube nzima ukuhamba. Lokhu kungaba yinto engakhululekile ngezinye izikhathi. Ngakho-ke, namuhla sizokhuluma ngalokhu kuqhuma kwe-kneecap, isimo esibizwa ngokuthi "i-Patellar Subluxation".

Kuyini lokhu kushelela kwedolo lapha nalaphaya (i-Patellar Subluxation)?

Kalula nje, i-"Patellar Subluxation" yilapho i-kneecap yakho, ingxenye esiyibiza ngokwezokwelapha ngokuthi "i-Patella", isuswa kancane endaweni yayo efanele. Lokhu "i-Patellar Dislocation", akufanele kudidaniswe nokuphuma ngokuphelele kwe-kneecap. Ku-"Dislocation", i-kneecap iphuma ngokuphelele engosini yayo.

Cabanga ukuthi i-kneecap, noma i-patella, phakathi kwethambo lakho lethanga (i-Femur) nethambo le-shin (i-Tibia), ivame ukushelela phezulu naphansi emseleni oqondile obizwa ngokuthi i-trochlear groove. Kufana nesitimela esihamba ngomzila. Ku-patellar subluxation, i-kneecap ishelela iphuma kulo msele isikhashana bese ibuyela lapho yayikhona . Esikhathini esiningi, i-kneecap ishelela ngaphandle komlenze, kodwa ngezinye izikhathi ingashelela ngaphakathi.

Lokhu kungaba buhlungu kakhulu futhi kwenze kube nzima ukuhamba. Ukuphindaphinda kwe-patellar subluxation kungaholela ekuqaqambeni kwamalunga, ekulimaleni kwe-cartilage, kanye nokungazinzi kwedolo . Lokhu kungaholela kwezinye izinkinga zedolo. Ngisho noma ukuhlukana kwe-patellar kubuyela endaweni, kubalulekile ukubona udokotela ukuze athole ukwelashwa.

Yiziphi izimpawu ze-"Patellar Subluxation"?

Uma i-kneecap iqhuma, ungase ubone izimpawu ezifana nalezi:

• Ukukhubazeka okubonakala ngaphandle kwedolo (ngezinye izikhathi i-kneecap ingabonakala ithambekele ohlangothini olulodwa).
• Ubuhlungu obukhulu edolweni.
• Ukuvuvukala kwamadolo.
• Umuzwa noma ukuzwa umsindo othi "click" noma "pop" ovela edolweni.
• Umuzwa sengathi idolo liyabhajwa, noma "likhiyiwe" .
• Ukungazinzi kwedolo, njengokungathi idolo "liyaqhaqhazela".
• Ubunzima bokukhuphuka nokwehla izitebhisi, noma ukuquleka .
• Umuzwa ofana nedolo "uyaphela amandla" noma "uyayeka."

Uma une-"Patellar Subluxation", i-kneecap yakho isaqhubeka ngaphakathi kwe-socket ngezinga elithile, ukuze ukwazi ukuhamba. Kodwa ingazizwa ingakhululekile futhi ingazinzile. Ungase uzwe nomsindo othi "chofoza" lapho i-kneecap yakho inyakaza.

Yiziphi izinkinga noma imiphumela yesikhathi eside yalesi simo?

Lesi simo esibizwa ngokuthi "i-Patella Subluxation"Kuyinto engaphindeka njalo. Futhi, ingavame ukuqhubekela ``Dislocation`` ephelele, okusho ukuthi i-kneecap ayisekho endaweni yayo. Ngaphezu kwalokho, lokhu kungazinzile kwe-kneecap kungalimaza i-cartilage . Ngokuhamba kwesikhathi, lokhu kungaholela ku-osteoarthritis yedolo.

Cabanga nje, kukhona intombazane encane egama layo linguNisal, oseqenjini lebhola lomnqakiswano lesikole. Ngolunye usuku, ngesikhathi eziqeqesha, wavele wajika idolo lakhe kancane, futhi ngomsindo othi "click", wezwa sengathi idolo lakhe selishintshele eceleni. Ngemva kwesikhashana, wezwa sengathi selibuyele esimweni esijwayelekile, kodwa idolo lakhe laqala ukuba buhlungu futhi lavuvukala. Akazange alinake kakhulu. Kodwa kamuva, idolo lakhe laqala "ukuhamba" ngaso sonke isikhathi, futhi wayengakwazi ngisho nokudlala. Kwakuyilapho elibonisa udokotela kuphela lapho athola khona ukuthi kwakuyi-"Patellar Subluxation", nokuthi kwakukhona umonakalo othile ku-cartilage.

Yiziphi izimbangela ze-`(Patellar Subluxation)`?

Ezimweni eziningi, isizathu esiyinhloko sokuthi i-kneecap iphume kanje ukulimala . Isibonelo, ukushaywa ngqo kwe-kneecap. Lesi simo sivame ukwenzeka kubantu abadlala imidlalo enamandla, njengebhola . Kungenzeka futhi uma umlenze wakho ongezansi ugxilile phansi futhi idolo lakho liphenduka ngokuzumayo ngaphakathi noma ngaphandle.

Ngaphezu kwalokho, uma kukhona ukuxega okuvamile kuma-ligaments nama-tendon ejoyintini lamadolo (ukungazinzi kwe-patellar) , kungabangela ne-patellar subluxation.

Yiziphi izici eziyingozi ze-Patellar Subluxation?

Nakuba lesi simo singathinta noma ubani, sivame kakhulu kubantu abanemisipha yemilenze ebuthakathaka kanye nokuxega kwemisipha . Sivame kakhulu nakubantu abalandelayo:

• Abantu abaneminyaka ephakathi kweyi-10 nengama-20 (ikakhulukazi abadlali abasebasha).
• Abantu abakhuthele ngokomzimba .
• Abesifazane (amantombazane anamathuba amancane okuthola lesi simo).
• Abasubathi noma labo abavame ukuzibandakanya kwezemidlalo.
• Abantu abade kakhulu kunesilinganiso .

Uma wake wahlinzwa ngaphambilini ngenxa yokukhumuka noma ukukhumuka kwengxenye ye-kneecap, kungenzeka ukuthi uphinde ube nalesi simo.

Uyixilonga kanjani i-`(Patellar Subluxation)`?

Uma ubona udokotela, bazokwenza ukuhlolwa ngokomzimba . Bazogoba futhi baqondise umlenze wakho futhi bazizwele eduze kwe-kneecap yakho. Bazokubuza ngezimpawu zakho nokuthi kwenzekeni ngaphambi kokuba i-kneecap yakho iphume.

Udokotela angase futhi enze ezinye izivivinyo ezikhethekile (izivivinyo ze-subluxation) edolweni lakho. Angase futhi enze ezinye izivivinyo zesithombe , ezifana nalezi:

• I-X-ray yamadoloUkuhlolwa.
• Ukuhlolwa kwe-MRI scan `(MRI Scan)` .
• I-CT scan iyisivivinyo.

Iphathwa kanjani i-Patellar Subluxation?

Udokotela wakho uzoqala azame izindlela ezingadingi ukuhlinzwa ukuze akwelaphe lokhu, ikakhulukazi uma kungokokuqala into efana nale ikwehlela. Izinketho zokwelapha ezingadingi ukuhlinzwa zifaka:

• Indlela ye-RICE: Lokhu kusho ukuthi:
• `Ukuphumula`: Ukuphumula idolo.
• `Iqhwa`: Ukufaka iqhwa ukunciphisa ukuvuvukala nobuhlungu.
• Ukucindezela: Ibhandeji eliqinile elizungeze idolo ukulawula ukuvuvukala.
• Ukuphakama: Ukugcina umlenze uphakeme ukuze kuncishiswe ukuvuvukala.
• Ama-NSAID: Lawa yimithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID), okuyimithi yokuqeda ubuhlungu kanye nemithi elwa nokuvuvukala. Isibonelo, i-ibuprofen (Advil®).
• Ukungakwazi ukunyakaza: Kuye ngobukhulu bokulimala, i-knee brace noma i-cast ingasetshenziswa ukugcina idolo lingashukumi.
• Izinsiza zokuhamba/zokuhamba: Ungase ucelwe ukuthi usebenzise izinduku zokusibekela, udondolo, noma i-walker ukuze unciphise umthwalo emadolweni akho. Ungase ucelwe futhi ukuthi usebenzise i-brace yamadolo esebenzayo, njenge-J-brace, noma i-sleeve esizinzayo se-patella.
• Ama-Orthotics (izicathulo ezikhethekile): Ungase welulekwe ukuthi usebenzise izicathulo noma ama-insoles aklanyelwe ngokukhethekile ukuze unciphise ingcindezi esikhumbeni samadolo.
• Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu ekuqiniseni nasekululekeni kwemisipha ezungeze idolo, kanye nokuthuthukisa ibhalansi (ukuqonda i-proprioception).

Uma izimpawu zakho zingathuthuki ngemva kwezinyanga ezimbalwa, noma uma usube ne-patellar subluxation engaphezu kweyodwa, udokotela wakho angase akuncome ukuhlinzwa . Izinketho zokuhlinzwa zifaka:

• Ukukhululwa Kwe-Lateral: Lokhu kuhilela ukusika ingxenye yedolo ebizwa ngokuthi i-"Lateral Retinaculum" nokulungisa indawo ye-kneecap ('Patella Positioning'). Lokhu kuvame ukwenziwa kanye nezinye izinqubo zokwakha kabusha.
• Ukulungiswa kwe-Medial Patellofemoral Ligament (MPFL): Ukuhlinzwa kokulungisa nokuqinisa imisipha esiza ukugcina i-kneecap isendaweni yayo.
• Ukwakhiwa Kabusha kwe-MPFL: Lokhu ukuhlinzwa kwe-arthroscopic, okusho ukuthi kwenziwa ngokusika okuncane kusetshenziswa ikhamera. Kulokhu, ingxenye yemisipha yakho ye-hamstring ithathwa ngemuva kwethanga lakho bese kwakhiwa kabusha i-medial patellofemoral ligament.
• Ukuhlinzwa Kwamathambo:Lokhu kuhilela ukusika ithambo lakho le-shin (i-Tibia) ngama-engeli athile bese ubeka kabusha ithambo le-shin, i-kneecap, ithambo lethanga, kanye nezicubu ezixhumeneyo.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi ungaba ne-"Patellar Subluxation", okusho ukuthi unezimpawu ezinjengalezi, kufanele nakanjani ubone udokotela:

• Ubuhlungu nokuvuvukala .
• Ukungakwazi ukuthwala isisindo phansi ngezinyawo .
• Umsindo "wokuchofoza" noma umuzwa "wokugoba" edolweni.
• I-kneecap ingase ibonakale noma izwakale sengathi iphuma kusokhethi .

Khumbula, noma ngabe ucabanga ukuthi i-kneecap yakho isibuyele endaweni yayo, kusabalulekile ukubona udokotela. Uma ingelashwa kahle, lokhu kungaba yinto evamile futhi kuholele ezinkingeni ezinkulu kamuva.

Yimiphi imibuzo okufanele ngiyibuze udokotela?

Uma uya kudokotela, ungabuza imibuzo efana nale:

• Yiziphi izindlela zokwelapha ozincomayo?
• Ingabe ngizodinga ukuhlinzwa?
• Angakanani amathuba okuba ngiphinde ngibe nalesi simo?
• Yini engingayenza ukuze ngivimbele i-kneecap yami ukuthi ingaphinde iphume kanje?

Kuthatha isikhathi esingakanani ukuphulukiswa ku-"Patellar Subluxation"?

Isikhathi esithathayo ukuze ululame kulesi simo sincike ezintweni eziningana:

• Ingabe lokhu kuyi-subluxation yakho yokuqala, noma ingabe kuyi-repeating ?
• Ubunzima besimo sakho .
• Uhlobo luni lokwelashwa olutholile ?

Uma lokhu kungukuqala kwakho ukuhlushwa, akukubi kakhulu, futhi awudingi ukuhlinzwa, kufanele ululame ngokugcwele zingakapheli amasonto amane kuya kwayisithupha . Udokotela wakho uvame ukuncoma ukwelashwa ngokomzimba. Udokotela wakho wezokwelapha ngokomzimba angakunikeza isikhathi esithile.

Uma uke waba ne-subluxation engaphezu kweyodwa, ukulimala okukhulu, noma ukuhlinzwa, isikhathi sakho sokululama sizoba side . Kufanele ukwazi ukuqhubeka nemisebenzi elula zingakapheli amasonto ayisithupha kuya kwayisishiyagalombili. Kodwa-ke, kungathatha unyaka noma ngaphezulu ngaphambi kokuthi uqale ukudlala imidlalo.

Ngingayivimbela kanjani i-Patellar Subluxation?

Iningi le-patellar subluxations libangelwa ukulimala, ngakho-ke asikwazi ukuvimbela konke ukulimala. Kodwa kunezinto ongazenza ukuze ugcine izicubu ezixhumeneyo ezizungeze i-kneecap yakho ziqinile. Nazi ezinye izinto ongazenza ukuze uvimbele i-kneecap yakho ukuthi ingaphumi:

• Yenza imisebenzi eqinisa yonke imisipha emilenzeni yakho .
• Ukugqoka ama-knee pad lapho udlala imidlalo yokuthintana.
• Uma wake walimala idolo lakho ngaphambilini, ukugqoka i-brace yamadolo kungasiza ekuvimbeleni ukulimala kabusha.
• Uma udokotela wakho ekunike ukwelashwa ngokomzimba, landela leyo miyalelo ngqo .

Umlayezo Wokuya Nawe Ekhaya

I-Patellar subluxation ingaba yisimo esicasulayo nesibuhlungu kakhulu. Ingenza i-kneecap yakho izwakale ingazinzile. Ungase ukwazi ukubuyisela i-kneecap yakho endaweni yayo, kodwa kufanele nakanjani ubone udokotela . Ngoba, ngokuhamba kwesikhathi, lezi zinhlobo ze-subluxations zingaholela ekuqhekekeni okuphelele. Udokotela wakho angakusiza ukuvimbela lokhu ukuthi kungenzeki. Angancoma izindlela zokwelapha ezingcono kakhulu zokuqinisa idolo lakho futhi akubuyisele endleleni efanele. Ngakho-ke, uma unenkinga yedolo, ungayinaki, kuwukuhlakanipha ukufuna iseluleko sezokwelapha ngokushesha!

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ukuxhuzula kwe - patellar, ukukhumuka kwe-kneecap, ubuhlungu bedolo, ukungazinzi kwedolo, ukuphazamiseka kwedolo, ukwelashwa ngokomzimba, ukuhlinzwa kwedolo