Ukuhlunguphaza Okubambisene Okuhlanganyelwe Nokuqhathaniswa Kwabadlali Abasha
I-Chondromalacia patellae yigama elisetshenziselwa ukuchaza umonakalo noma ukunciphisa i-cartilage engaphansi kwe-kneecap. Kufana ne-patellofemoral pain syndrome (idolo lomgijimi) lapho ubuhlungu buzwa khona ngaphansi nangaphansi kwe-kneecap.
Lesi simo sivamile phakathi kwezemidlalo ezincane kodwa kungenzeka futhi kubantu abadala asebekhulile abane- arthritis yamadolo .
Izimbangela zeCondromalacia
I-Chondromalacia patellae ibangelwa ukucasuka kwe-underside ye-kneecap. Kungaba ngumphumela wokugqoka nokulala okulula emadolweni njengoba sikhula. Kubantu abasha, kuvame kakhulu ngenxa yokulimala okunzima njengokuwa noma ukulimala okude kwesikhathi eside okuhlobene nemidlalo.
I-Chondromalacia ivame ukuhlobene nokulungiswa okungalungile kwamadolo. Kukhona izizathu eziningi zalokhu:
- Ukuhlukunyezwa kokuzalwa kwamadolo
- Izinyawo eziphansi (pes planus)
- Ukucindezeleka okuphindaphindiwe kuya emadolweni ngokuhlanganyela noma ukuqhuma
- I- quadriceps engenamandla ne-hamstrings ngaphambili nangemuva kwethanga
- Ukungalingani kwemisipha ye-adductor ne-abductor ngakwesinye icala kwethanga
Phakathi kwentsha, i-chondromalacia ingabangelwa ukuthuthukiswa okungalingani kwamathambo nemisipha ngesikhathi sokukhula. Lokhu kungabangela ukungaqondakali okwedlule okwesikhashana okuzozilungisa kamuva.
Izimpawu
I-bottomside ye-kneecap kanye nephethini lesithanga lesenzeni zombili zihlanganiswe ne-cartilage ebushelelezi (articular) evumela ukuthi amathambo amabili ahlelwe kalula phezu komunye.
Uma isigulane silimale, ubuso behlangene bungaba buhlungu futhi bucasule kalula noma nini lapho idolo liguquguquka noma landa. Kuncike ekungenikeni komonakalo, ubuhlungu bungaba yikuphi ukusuka ezincane kuya ezinzima.
Uphawu oluvame kakhulu lwe-chondromalacia patellae lubuhlungu obunzima ngaphansi noma ngokuzungeza i-kneecap eyanda lapho uhamba phansi ezitebhisini.
Kungase kube nobuhlungu lapho ukhuphuka izitebhisi noma uphuma esihlalweni.
Umuntu ophethe i-chondromalacia naye uyovame ukuchaza ukuzwa kokugaya noma ukuphahlazeka noma nini lapho idolo lisuswa. Ubuhlungu buyoba bubi nakakhulu ngemuva kokuhlala noma ukuma endaweni eside noma phakathi nemisebenzi eyenza ukucindezela okukhulu emadolweni, kubandakanya ukuvivinya umzimba. Ukuvuvukala nokuvuvukala kwe-kneecap nakho kuvamile.
Ukuxilongwa Nokunakekelwa
I-Chondromalacia patellae itholakala ukuthi inokuhlanganiswa kokuhlolwa ngokomzimba nokuhlola izithombe ezifana ne-X-ray noma i- magnesium resonance imaging (MRI) scan. I-X-ray ingabonakalisa ukulimala kwamathambo kanye ne-arthritis, kuyilapho i-MRI ibonakala kahle ekuboniseni ukuwohloka kwe-carticlage ye-articular.
Ngokusekelwe ebugqineni besimo, udokotela angase anikeze ukuphumula, isicelo seqhwa , ukuvinjelwa kokunyakaza, nokunciphisa ubuhlungu obungenayo i-nonsteroidal njengendlela yokwelashwa kokuqala. Kwezinye izimo, i-knee brace brace ingadingeka ukuze igcine idolo.
Uma lezinyathelo ezizimele zinganikezi usizo, ukuhlinzeka nge-arthroscopic kunganconywa . Kule nqubo, udokotela ohlinzayo wayezosebenzisa amathuluzi akhethekile okuthungatha izinsimbi ukuze ahanjiswe phansi kwe-articular cartilage futhi ahlanze noma yiziphi izingcezu ezingase zibangele ukubambisana ukubamba ngesikhathi sokunyakaza.
Kuzo zombili izimo, ukwelashwa ngokomzimba kunganconywa ukuqinisa i-quadriceps nemisipha ejikelezayo ukuze amadolo avikelwe kangcono ekulimazeni okuqhubekayo. Ngokuvamile kuhilela ukuvivinya umzimba okuncane njengokubhukuda noma ibhayisikili. Izenzo ze-Isometric , ezibandakanya ukuguquguquka okulawulwayo nokukhululwa kwemisipha ethile, zingase zisetshenziselwe ukwakha ubuhlungu besisindo.
> Umthombo:
> Kusnezov, N .; I-watts, i-N .; UBelmont, uP. et al. "Izimo Nezimo Zengozi Ye-Anterior Pain Knee Pain." UJ Knee Surg 2016; 29 (03): 248-53. I-DOI: 10.1055 / s-0035-1554921.