Ubunzima obuvela kwi-Patellar Conditions
I-patella, noma i-kneecap, ingomunye wamathambo amathathu, kanye ne-tibia (ithambo lesifuba) ne-femur (ithambo lesithambo), elihlanganisa idolo. Wonke lawa mathambo ahlanganiswe nengqimba ye- cartilage kumaphuzu lapho kutholakala khona izindawo zabo. Ngaphezu kwalokho, i-patella ihlanganiswe ngaphakathi kwethenda. Le tendon ixhuma umsizi we- quadriceps wethanga kuya emthanjeni we-shin (tibia) ngezansi kwamadolo.
I-patella ibalulekile ukusebenza ngoba yandisa ukuhlanganiswa kwamadolo . Ngombono womshini, i-patella ivumela ukwanda okungaba ngu-30% emandleni okwandisa (ukukhahlela) komlenze emadolweni.
Izimpawu zezinkinga ze-Kneecap
Izinkinga nge-kneecap ngokuvamile zibangele ubuhlungu ezindaweni eziseduze ne-kneecap. Ngokuvamile lezi zimpawu ziqaphela ukwenza imisebenzi ethize:
- Izitebhisi zokuhamba (ikakhulukazi phansi)
- Ukuhlala isikhathi eside
- Kneeling
Izinkinga ze-Kneecap zingatholakala ekuhlolweni ngokomzimba ngudokotela onolwazi. Ngezinye izikhathi ubuhlungu be-kneecap kungaba nzima umuntu ukuchaza. Ngokuvamile izimpawu zenzeka nxazonke ze-kneecap, kodwa ngokuvamile abantu bazozizwa "ngokujulile" ngaphakathi kwamadolo noma ngisho nasemhlane. Ukuhlola kwakho ngokomzimba kungabandakanya ukuhlolwa okuqondile kanye nokuhamba okubangela ukucindezela ku-cartilage ngemuva kwe-kneecap ukusiza ukuthi unqume ukuthi ngabe lezo zivusa izimpawu zakho zobuhlungu.
Izivivinywa ezivame ukuqhutshwa ukuze zihlolwe izinkinga ze-kneecap zihlanganisa i-x-ray, i-MRIs, nezinye izivivinyo. Ngaphezu kwalokho, abanye odokotela abahlinzayo bangasebenzisa imijovo ukuze basize ekutholeni umthombo wobuhlungu (futhi mhlawumbe nokwelapha, futhi). Kunezinkinga eziningana ezivamile ezihlobene ne-kneecap engabangela izinkinga nobuhlungu emadolweni:
I-Chondromalacia Patellae (i-Runner's Knee)
Isifo esivame kakhulu siyaziwa njenge-chondromalacia, evame ukubizwa ngokuthi i-Runner's Knee. I-Chondromalacia ivela ngenxa yokucasula kwe-cartilage engxenyeni engaphansi kwe-kneecap.
I-Prepatellar Bursitis (I-Knee's Housemaid's Knee)
I-prepatellar bursitis, noma i-Housemaid's Knee Syndrome, yisimo sokuvuvukala nokuvuvukala phezu kwamadolo. Lokhu kuvame ukubonwa ezigulini eziguqa isikhathi eside, njengezingqimba zomgodli nabalimi.
I-Patellar Subluxation
Futhi okuthiwa i-kneecap engaqiniseki, iziguli ezithola lesi simo samadolo ebuhlungu zine-patella engalandelani ngokulinganayo ngaphakathi kwe-groove yayo ku-femur.
Kneecap Dislocation
Lapho i-kneecap iphuma ngokuphelele emgodleni wayo, lesi simo sibizwa ngokuthi i-patella dislocation. Uma i-kneecap ihlukana, kufanele ibuyiselwe emgodleni wayo.
I-Patellar Tendon Izinyembezi
Izinyembezi ze-Patellar izinyembezi zilimala kakhulu lapho ithenda ehlanganisa i-kneecap ne-shin ipheliswa. Ukubuyiswa kuthatha okungenani izinyanga ezingu-4-6, mhlawumbe isikhathi eside sokubuyela ezemidlalo.
Ukwelashwa kwezinkinga ze-Kneecap
Ukwelashwa kwezimo ezihlukahlukene ze-kneecap kuncike ekuhloleni, kodwa kuneziqondiso eziningi ezijwayelekile ezingalandelwa.
Ukuze uthole ukwaziswa okwengeziwe, futhi ukuthola ukuhlushwa kwamadolo akho, kubalulekile ukubona udokotela wakho.
- Ukuphumula
Ukuphumula idolo elimele ukuvumela isikhathi sokuvuvukala ukuphazamiseka kubaluleke kakhulu. Ukuqeqesha okuphambene nomzimba kuzokuvumela ukuba uhlale uphile. Uma ubuyela emisebenzini, yenza kancane kancane. - Ukwelashwa Kwemvelo
Ukwelashwa ngokomzimba kubaluleke kakhulu ukulinganisela amandla emisipha ehlangene emadolweni. Okubaluleke nakakhulu, i-quad kanye ne- hamstring amaqembu omzimba kufanele aguquguquke futhi alinganiswe. - Ice Ice lokulimala
Faka i-ice emadolweni ukuze uphole ukuvuvukala ekugqugquzeleni ukugeleza kwegazi endaweni. Qaphela ukuba ungabi yiqhwa kakhulu!
- Imithi Yokulwa Nezivunguvungu
Imithi elwa nokuvuvukala ingasiza ngokuvuvukala futhi izosiza ekunciphiseni ubuhlungu obuhambisana nezimo ze-patella. - Ukuhlinzwa Kwe-Arthroscopic
Nakuba ukuhlinzwa kungavamile ukudingwa ngenxa yenkinga ye-kneecap, i-arthroscopy iyindlela yokwelashwa uma inkinga ingatholi kangcono ngemithi yokwelapha. - Kneecap Ukuqiniswa
Uma inkinga nge-kneecap yinkinga ngokuhlukaniswa noma ukungazinzi, kunezinketho eziningana zokuhlinzwa ukuze uzinze i-kneecap. - I-Patellar Resurfacing
Kunezinketho zokuhlinzwa zokufaka esikhundleni se-kneecap. Njengabantu abanokuguqulwa kwamadolo agcwele, ingxenye nje ye-kneecap yokujoyina ingafakwa esikhundleni.
Imithombo:
Thumela i-WR. "I-Anterior Knee Pain: I-diagnosis and Treatment" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, uDisemba 2005; 13: 534 - 543.