Ingabe amadolo akho avame ukubuhlungu, ikakhulukazi uma ugxuma? Ake sifunde ngalokhu (i-Patellar Tendinitis) noma (i-Jumper's Knee)!

Ingabe ngezinye izikhathi uzizwa ubuhlungu noma ukuqina kancane ngaphambili kwedolo lakho? Ikakhulukazi lapho ugijima, ugxuma, noma ukhuphuka izitebhisi? Uma kunjalo, lokhu kungaba yinto ebalulekile kuwe. Lokhu sikubiza ngokuthi (i-Patellar Tendinitis) . Abanye abantu bakubiza nangokuthi (i-Jumper's Knee) , ngoba kuvame kakhulu kubantu abenza izinto ezifana nokugxuma.

Kuyini lokhu (i-Patellar Tendinitis)?

Kalula nje, i-Patellar Tendinitis ukuvuvukala noma ukuvuvukala kwe-tendon engaphambili kwedolo lakho okubizwa ngokuthi i-Patellar Tendon . Le tendon ixhuma i-kneecap yakho (i-patella) nengxenye ephezulu yethambo lakho lesifuba (i-tibia). Isebenza nemisipha yakho ye-quad ukukusiza ukugoba, ukwelula, nokunyakaza umlenze wakho.

Lesi simo senzeka lapho i-Patellar Tendon yakho ihlala icindezelekile, okusho ukuthi isetshenziswa ngokweqile. Odokotela bayibiza nangokuthi i-Jumper's Knee, ngoba ivame ukwenzeka kubantu abagxuma kakhulu ngesikhathi semidlalo. Kodwa-ke, ibizwa nangokuthi i-Patellar Tendonitis kanye ne-Patellar Tendinopathy. Zonke lezi zimo ziyafana, ngakho ungakhathazeki kungakhathaliseki ukuthi udokotela wakho ukunika liphi igama.

Into ebaluleke kakhulu ukuthi uma ubuhlungu edolweni, futhi bungapheli ngokuphumula izinsuku ezimbalwa, noma ngokwelashwa okulula ekhaya, kufanele nakanjani ubone udokotela.

Ziyini izimpawu ze-Patellar Tendinitis?

Manje ake sibone ukuthi yiziphi izimpawu ze-Patellar Tendinitis. Bheka ukuthi unazo yini lezi:

• Ubuhlungu ngaphambili kwedolo. Lolu uphawu oluyinhloko. Iningi labantu lizwa ubuhlungu ngaphansi kwe-kneecap.
• Ubuhlungu obungazwakala ngisho noma ubeka isandla sakho ngaphansi kwe-kneecap noma usithinta kancane. Kwabanye abantu, kubuhlungu kuphela uma usithinta kakhudlwana.
• Ukuzwa ukuqina kwedolo. Lokhu kungenza kube nzima ukugoba noma ukuqondisa idolo. Lokhu kuqina kungase kubonakale kakhulu uma uvuka ekuseni.

Ubuhlungu buzwakala kanjani?

Akubona bonke abantu abazwa ubuhlungu ngendlela efanayo. Kodwa abantu abaningi abane-Jumper's Knee bazwa ubuhlungu obubukhali, obuhlabayo ngaphambili kwedolo labo. Kuzwakala njengobuhlungu obujulile, obudubulayo. Ubuhlungu buvame ukuba bubi kakhulu uma usebenzisa idolo lakho, ikakhulukazi uma uligoba, nalapho uliqondisa. Isibonelo, uma wehla wenyuka izitebhisi, uma ugoqa, njll. Kuvame ukuba buhlungu. Ngezinye izikhathi, kungaba buhlungu ngisho nalapho usukuma endaweni yokuhlala.

Yiziphi izimbangela ze-Patellar Tendinitis?

Yini ebangela lokhu? (I-Patellar Tendinitis) yisimo esibangelwa ukucindezeleka okuphindaphindiwe.((Ukulimala Kokucindezeleka Okuphindaphindayo)). Lokhu kwenzeka lapho idolo lakho lisetshenziswa ngokweqile, okubangela ukucindezeleka okuqhubekayo ku-(Patellar Tendon). Lokhu kuvame ukubhekwa njengokulimala kwezemidlalo. Kodwa-ke, noma yimuphi umsebenzi womzimba, umsebenzi, noma into yokuzilibazisa eyenziwa ngokuphindaphindiwe ingabangela lokhu.

Cabanga ngakho, uma uqhubeka ugxuma, ugijima ngokushesha, futhi wenza izinto ezigcina amadolo akho egobile, ungakha izinyembezi ezincane kakhulu ku-Patellar Tendon yakho. Lezi zincane kakhulu ukuba zingabonwa ngamehlo enyama. Uma uqhubeka nokucindezela kakhulu edolweni lakho, lezi zinyembezi azinaso isikhathi sokuphola. Ekugcineni, lokhu kucindezeleka okwengeziwe kubangela ukuthi i-Tendon yakho ibe buthaka, ivuvuke, futhi ibe buhlungu.

Lo monakalo ukhula kancane kancane. Kunezinhlobo ezimbili eziyinhloko zemisebenzi engalimaza le tendon:

• Ukwanda okungazelelwe komsebenzi womzimba: Uma uqala umdlalo omusha, noma uma ngokuzumayo wandisa inani noma amandla okuqeqeshwa kwakho (isib., ibanga lokugijima, ukuphindaphinda kokugxuma), umzimba wakho ungase ungakulungeli ushintsho olungazelelwe. I-tendon ingase ingakwazi ukubhekana nokucindezeleka okwandisiwe.
• Ukungaphumuli ngokwanele noma ukwenza umsebenzi ofanayo kaningi: Umzimba wakho udinga isikhathi sokuphumula nokululama emsebenzini onzima womzimba. Ukuqeqesha njalo, noma ukukhama idolo lakho njalo (i-Patellar Tendon), akuwuniki isikhathi esisidingayo sokululama. Esikhundleni sokuzicindezela njalo, qala imisebenzi kancane kancane bese uzama ukulinganisela umsebenzi nokuphumula.

Ubani osengozini enkulu yokuthola lesi simo?

Lesi simo singakhula kunoma ubani, kodwa abanye abantu basengozini enkulu. Ake sibheke ukuthi bangobani:

• Abasubathi abagxuma phezulu, bagijime ngokushesha, futhi bashintshe izinkomba ngokuzumayo ngenkathi bedlala imidlalo. Isibonelo, labo abadlala imidlalo efana ne-volleyball, i-netball, i-basketball, imidlalo yezemidlalo (ukugxuma okude, ukugxuma okuphezulu, izithiyo), i-gymnastics, kanye nebhola.
• Abasubathi abancintisana ezingeni lobuchwepheshe noma eliphezulu ngoba beziqeqesha kanzima futhi kaningi.
• Abantu abasebenza emisebenzini enzima ngokomzimba noma ezintweni zokuzilibazisa. Isibonelo, umuntu osebenza embonini yokwakha, noma umuntu osebenza ngezinyawo namadolo usuku lonke.
• Kwabesilisa. Ngokwezibalo, lesi simo sivame kakhulu kwabesilisa.
• Kubantu abangaphezu kweminyaka engama-40. Lokhu kungenzeka nakubantu abasebasha, kodwa ingozi inganda njengoba ukuguquguquka kwemisipha namandla kwehla ngokuguga.

Eminye imidlalo evamile engabangela i-Patellar Tendinitis yile:

• Ibhola lomnqakiswano
• I-Volleyball
• Imidlalo yokugijima - njengezithiyo, ukugxuma okude, kanye nokugxuma okuphezulu.
• I-Gymnastics
• Ibhola ((Ibhola/Ibhola))
• Ukuskiya nge-figure
• Emdlalweni odumile wekhilikithi ezweni lethu, ababhowuli abasheshayo nabadlali basensimini nabo bangabhekana nezimo ezinjengalezi.

Yiziphi izinkinga ezingaba khona ze-Patellar Tendinitis?

Lokhu akuvamile kakhulu, kodwa uma (i-Patellar Tendinitis ) ingelashwa, ingozi ye-(Patellar Tendon Tear/Rupture) inganda. Cabanga nje, uma uqhubeka nokucindezela i-tendon esivele inokudabuka okuncane, ingadabuka ngokuphelele. Uma uqhubeka nokusebenzisa idolo lakho ngemva kokuqala ukuzwa ubuhlungu, ingcindezi kulezo dabuka ezincane izokwanda futhi (i-Tendon) cishe izodabuka ngokuphelele. Uma lokho kwenzeka, kungase kudingeke ukuthi uhlinzwe.

Udokotela uyixilonga kanjani i-Patellar Tendinitis?

Udokotela uyixilonga kanjani i-patellar tendinitis? Uzoqala akuhlole ngokomzimba . Uzohlola idolo lakho bese eliqhathanisa nedolo lakho elingathintekile. Udokotela uzokubuza ukuthi usunesikhathi esingakanani unalezi zimpawu nokuthi wenzani ngaphambi kokuba ziqale.

Kufanele utshele udokotela wakho ngokucacile ukuthi yimiphi imidlalo oyidlalayo, ukuthi wenzani emsebenzini, noma yiziphi izinto zokuzilibazisa zomzimba ocabanga ukuthi zingabangela lokhu. Futhi, mtshele ukuthi yiziphi izinhlobo zemisebenzi kanye nezikhundla ezenza lezi zimpawu zibe zimbi noma zibe zimbi kakhulu. Lolu lwazi lubaluleke kakhulu ekuxilongweni okunembile.

Ngezinye izikhathi udokotela wakho angenza nezivivinyo zezithombe ukuze athathe izithombe zedolo lakho kanye nezicubu ezizungezile. Lokhu kufaka phakathi:

• I-X-ray yedolo: Lokhu kungahlola noma yiziphi izinkinga ngamathambo.
• I-MRI (Umfanekiso Wokuqagela Okune-Magnetic): Lokhu kusenza sikwazi ukubona kahle isimo sezicubu ezithambile njengemisipha kanye nemisipha. (I-Patellar Tendon) ukuvuvukala nokudabuka kungabonakala kahle.
• Ukuhlolwa kwe-Ultrasound: Lokhu kusetshenziselwa futhi ukuhlola isimo semisipha.

Iphathwa kanjani i-Patellar Tendinitis?

Udokotela wakho angase ancome izindlela zokwelapha ukusiza (i-Patellar Tendon) yakho ukuthi iphole futhi ilawule izimpawu zakho. Nazi ezinye izindlela zokwelapha ngokushesha (i-Patellar Tendinitis):

• Ukuphumula: Lena yinto ebaluleke kakhulu. Ukuze uyeke ukucindezela imisipha, udinga ukugwema ukunyakaza nemisebenzi ebangele lesi simo. Uma ungumdlali wezemidlalo, kungadingeka uyeke ukuqeqesha isikhashana.
• I-ayisikhi: Faka iqhwa noma amanzi abandayo edolweni lakho ukuze unciphise ukuvuvukala. Ungayisebenzisa izikhathi eziningana ngosuku, cishe imizuzu eyi-15-20 ngesikhathi. Songa iphakethe leqhwa ngethawula elincane noma indwangu ukuze ulivimbele ukuthi lingathinti isikhumba sakho ngqo.
• Ukuphakama:Gcina amadolo akho ephakanyisiwe ngaphezu kwenhliziyo yakho noma nini lapho kungenzeka. Uma ulele phansi, ungaphakamisa amadolo akho phezu kwemicamelo. Lokhu kuzosiza ekunciphiseni ukuvuvukala.
• Imithi: Imithi yokunciphisa ubuhlungu ethengiswa ngaphandle kwemithi (OTC), njenge-NSAID (Nonsteroidal Anti-Inflammatory Drugs), ingasetshenziswa ukunciphisa ukuvuvukala nokuqeda ubuhlungu. Imithi efana ne-acetaminophen ingasiza ekunciphiseni ubuhlungu, kodwa ayilawuli ukuvuvukala. Ungayithathi le mithi izinsuku ezingaphezu kweziyi-10 ngaphandle kokukhuluma nodokotela.
• Ukugqoka i-brace: Udokotela wakho angase akuncome ukuthi ugqoke i-strap ekhethekile noma i-dée brace ukuze kusize ekunciphiseni ingcindezi edolweni lakho ngenkathi ululama. Udokotela wakho uzokutshela ukuthi hlobo luni lwe-brace oludingayo nokuthi kufanele ulugqoke isikhathi esingakanani.
• Ukwelashwa Komzimba (PT): Lokhu kuyindlela yokwelapha ebaluleke kakhulu. (PT) kusiza ukwandisa ukuguquguquka kwakho nokuqinisa imisipha ezungeze idolo lakho (ikakhulukazi ama-quads nama-hamstrings). Lokhu kusiza idolo lakho ukuthi likwazi ukumelana nokucindezeleka kokugxuma nokunyakaza kangcono. Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca kanye nokulula okufanele umdlalo wakho, umsebenzi, noma umsebenzi.

Ingabe i-Patellar Tendinitis idinga ukuhlinzwa?

Ukuhlinzwa akuvamile ukudingeka ngenxa ye-Patellar Tendinitis. Udokotela wakho ngokuvamile uzoncoma ukuhlinzwa kuphela uma i-Patellar Tendon yakho idabuke ngokuphelele (i-Patellar Tendon Rupture). Uma, ngemva kwezinyanga zokwelashwa okungeyona eyokuhlinzwa (njengokuphumula, iqhwa, i-PT), kungekho ngcono, noma uma izimpawu ezinzima ziqhubeka, ukuhlinzwa kungacatshangelwa.

Ingabe i-Patellar Tendinitis izophola ngokwayo?

Impendulo yalokhu inguyebo nocha. Yebo, ukuphumula nokunikeza umzimba wakho isikhathi sokuphulukiswa kubalulekile lapho welapha i-Patellar Tendinitis. Ngokuhamba kwesikhathi, i-Tendon yakho ingase iqale ukuphulukiswa. Kodwa, cha, ngoba i-Patellar Tendinitis ngeke ibe ngcono uma ungenzi izinguquko endleleni yakho yansuku zonke kanye nemisebenzi.

Udinga ukuyeka ukucindezela imisipha. Udinga ukuthatha ikhefu emisebenzini nasezemidlalo ezibangele lokhu. Udokotela wakho uzokutshela ukuthi udinga ukuphumula isikhathi esingakanani, kuye ngezimpawu zakho kanye nobunzima besimo. Ukuphumula nje akwanele, ukwelashwa okufanele kanye nokuzivocavoca kokuvuselelwa kuyadingeka.

Kuthatha isikhathi esingakanani ukuphulukiswa (i-Patellar Tendinitis)?

Kuthatha isikhathi ukuphulukiswa. Lesi sikhathi sihlukile kuwo wonke umuntu. Ukululama kwakho kuzoncika ezimpawini zakho, ubukhali be-tendonitis yakho, nokuthi unamathela kahle kangakanani ekwelashweni. Ungase uqale ukuzizwa ungcono kancane ngemva kwamasonto ambalwa uphumule. Kodwa-ke, icala elibi kakhulu le-patellar tendonitis lingathatha izinyanga eziningana (mhlawumbe izinyanga ezingu-6-12) ukuze liphulukiswe ngokuphelele.

Into ebaluleke kakhulu ukuthi, ungazami ukusheshisa ukululama kwakho.Ukucindezela umzimba wakho ngaphambi kokuba ululame ngokuphelele kungenza ukulimala kube kubi kakhulu futhi kubambezele ukululama kwakho. Lalela ngokucophelela lokho okushiwo udokotela wakho kanye nodokotela wezokwelapha ngokomzimba.

Indlela yokuvimbela i-Patellar Tendinitis?

Indlela engcono kakhulu yokuvimbela i-Patellar Tendinitis ukugwema ukusebenzisa amadolo akho ngokweqile. Khumbula lezi zinto uma udlala imidlalo noma wenza eminye imisebenzi yomzimba:

• Uma idolo lakho libuhlungu, kungaba ngesikhathi noma ngemva komsebenzi womzimba, yeka 'ukudlala ngobuhlungu.' Ubuhlungu buyisibonakaliso esivela emzimbeni wakho, ungabunaki.
• Ngemva kokusebenza kanzima, nikeza idolo lakho isikhathi sokuphumula nokululama. Ungenzi ukuzivocavoca okunzima usuku lonke.
• Ngaphambi kokudlala imidlalo noma ukuzivocavoca, fudumeza bese welula umzimba, ikakhulukazi imisipha emathangeni akho, ezinqeni nasezinqeni.
• Phola bese welula umzimba ngemva kokuzivocavoca umzimba.
• Phumula phakathi kwezinkathi zemidlalo (ungaqeqeshi ngamandla afanayo unyaka wonke).
• Hlola izicathulo zakho ukuthi zilingana kahle yini. Izicathulo ezigugile ezingasekeli kahle izinyawo zakho zingabeka ingcindezi eyengeziwe emadolweni akho.
• Qinisa imisipha yakho. Ukugcina ama-quadrips akho kanye nama-hamstrings aqinile kungasiza ekunciphiseni ingcindezi ku-tendon yakho ye-patellar.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi zimpawu, qiniseka ukuthi ubona udokotela:

• Uma ubuhlungu obungacacile edolweni lakho buqhubeka isikhashana ngemva kokuyeka ukwenza umsebenzi, futhi kubonakala sengathi buba bubi usuku nosuku.
• Uma uzwa ubuhlungu obukhulu edolweni lakho ngemva kokunyakaza okungazelelwe.
• Uma ubuhlungu edolweni lakho bukhula ngesikhathi sokuzilolonga, okukuvimbela ekusebenzeni ngendlela evamile.
• Uma idolo livuvukile, libomvu, futhi linomkhuhlane.

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma uya kudokotela, ungakhohlwa ukubuza le mibuzo:

• Ingabe ngempela nginayo (i-Patellar Tendinitis)? Noma ingabe kukhona okunye?
• Ingabe ngidinga ukuhlolwa (i-X-ray, i-MRI)?
• Uhlobo luni lokwelashwa olungcono kakhulu kimi?
• Yini engingayenza ekhaya ukusiza umzimba wami ululame?
• Ngingaqala nini ukuqeqesha noma eminye imisebenzi yomzimba futhi? Yini okufanele ngiyiqaphele lapho ngiqala?
• Yini okufanele ngiyenze ukuze ngivimbele lesi simo ukuthi singaphinde senzeke?

Ezinye izimo ezingadidaniswa ne-Patellar Tendinitis

Kunezinkinga eziningi kanye nezimo zempilo ezingabangela ubuhlungu edolweni. Ngezinye izikhathi, kungase kuphazanyiswe ngokuthi i-Patellar Tendinitis, kodwa kungaba yinto ehlukile. Nazi ezinye izinkinga ezivamile zamadolo ezingabangela izimpawu ezifanayo:

• (I-Patellofemoral Pain Syndrome - PFPS) (Lokhu futhi ubuhlungu obuhambisana ne-kneecap)
• I-Knee Bursitis (ukuvuvukala kwesikhwama esigcwele uketshezi esibizwa ngokuthi i-bursa edolweni)
• Izinyembezi ze-Meniscus (Ukudabuka kwe-cartilage disc ejoyintini ledolo)
• Isifo se-Osgood-Schlatter (ukuvuvukala kwe-kneecap, okuvame ukubonakala ezinganeni nakubantu abadala abasebasha)
• I-Sinding-Larsen-Johansson Syndrome (ukuvuvukala kwengxenye engezansi ye-kneecap) ebonakala ezinganeni nakubantu abadala abasebasha

Yingakho kubalulekile ukwenza ukuxilongwa okunembile.

Akukuhle yini ukuhamba uma une-(Patellar Tendinitis)?

Uma ungenzi imisebenzi noma ukunyakaza okubangele lesi simo (isib. ukugxuma, ukugijima ngokushesha), kufanele ukwazi ukuhamba nokunyakaza ngendlela evamile. Eqinisweni, ukuhamba kancane kancane nokuhlala usebenza kungasiza ekunciphiseni nasekuvimbeleni ukuqina kwamadolo. Kodwa-ke, uma noma yikuphi ukunyakaza (ngisho nokuhamba) kubangela ubuhlungu, noma uma izimpawu zamadolo akho ziba zimbi kakhulu, yeka bese ukhuluma nodokotela wakho. Buza udokotela wakho ukuthi yimiphi imisebenzi okufanele uyigweme uze ululame.

Ukululama kwi-Patellar Tendinitis kungaba yisikhathi esicindezelayo, ikakhulukazi uma ungumuntu okhuthele. Ungase ufune ukunciphisa isikhathi sakho sokululama bese ubuyela esimisweni sakho sakudala ngokushesha okukhulu. Kodwa khumbula, ukufaka ukucindezeleka okukhulu emzimbeni wakho ngokushesha kungenza ukulimala kube kubi kakhulu.

Thembeka kudokotela wakho mayelana nokulindela kwakho. Uzokusiza ukuthi udale uhlelo lokwelashwa oluhlangabezana nemigomo yakho futhi olubeka phambili impilo yedolo lakho yesikhathi eside.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, manje usunomqondo omuhle ngalokho ebesikhuluma ngakho (i-Patellar Tendinitis) noma (i-Jumper's Knee). Khumbula, uma unesifo sedolo, ungamane nje ungasinaki. Ikakhulukazi uma ungumdlali wezemidlalo noma umuntu osebenza emsebenzini obeka ingcindezi enkulu emadolweni akho, qaphela ngalokhu.

Into ebaluleke kakhulu ukuphumula. Kubaluleke kakhulu ukuthatha ikhefu emisebenzini ebangela ubuhlungu futhi unike idolo lakho isikhathi sokululama. Kubalulekile futhi ukulandela imiyalelo kadokotela wakho.

Ngaphezu kwalokho, bonana nodokotela ukuze uthole ukuthi inkinga iyini ngempela bese uthola ukwelashwa okudingekayo. Ukwelashwa ngokomzimba kuyindlela yokwelapha ephumelela kakhulu yezimo ezinjalo. Futhi, ukuze uvimbele lokhu ukuthi kungenzeki futhi, nakekela izinto ezifana nokufudumala, ukupholisa, nokwenza izivivinyo zokuqinisa imisipha. Lalela umzimba wakho futhi ungawushayi indiva ubuhlungu. Khona-ke ungahlala uphilile, usebenza, futhi ungenabuhlungu!

I- Patellar tendinitis, idolo le-jumper, ubuhlungu bedolo, ukulimala kwezemidlalo, ukuvuvukala kwemisipha, ukwelashwa kwedolo, i-physiotherapy