Ukuphathwa Kwemithi Ye-Physical Kneecap
Uma ususe i-kneecap yakho, ungase uzuze ekwelapheni okungokwenyama ukukusiza ukuthi ululame. Umhlinzeki wakho wenyama angakwazi ukuhlola isimo sakho futhi anikeze ukwelashwa okungcono kakhulu kwe-patella yakho ehlukanisiwe. Imigomo ejwayelekile ye-PT ye-patella ehlukanisiwe ihlanganisa ukubuyisela ubude bendondo neyezintambo zokunyakaza namandla kanye nokuphinde kubuyele ukusebenza okugcwele.
Lokhu kuhlanganisa ukubuyela ekuhambeni okujwayelekile nokusebenza kanye nemisebenzi ehlobene.
I-Anatomy ye-Patella
I-patella, noma i-kneecap, ithambo elincane phambi komuntu wesondo elihlangene. I-patella uhlobo lwethambo elibizwa ngokuthi ithambo le- samoid , futhi liyisona esikhulu kunazo zonke se-samoid emzimbeni. Isebenza ukuthuthukisa umzila wokudonsa umsizi we- quadriceps ngaphambili kwethanga. I-patella ihlala emgodleni omncane ekupheleni kwethanga lesenzeni. Uma i-patella ihlukaniswa noma iphuma emgodleni wayo, ibangela ubuhlungu bamadolo nokulahleka komsebenzi wegolo efanele.
Izinhlobo zokuhlukaniswa
Kunezinhlobo ezimbili zokuhlukaniswa emzimbeni womuntu: ukuhlukaniswa nokuxhunyaniswa. Ukuhlukaniswa kwenzeka lapho i-joint ehamba ngaphandle kwendawo futhi ihlala ngaphandle kwendawo. Uma i-patella yakho iphuma endaweni yayo yasekuqaleni futhi ihlala ngaphandle kwesimo, khona-ke kuvele ukuxoshwa futhi kudingeka usizo lwezokwelapha ngokushesha ukuze ludlulise, noma linciphise, ukuhlukaniswa.
I-subluxation yilapho i-patella yakho iphuma endaweni futhi ngokushesha futhi ngokuzenzakalelayo ibuyela emuva esikhundleni.
Izimbangela Zokususwa
I-patella ingahle ihlukaniswe ngesikhathi sezemidlalo lapho idolo liphikisiwe endaweni engavamile futhi unyawo lusetshalwe phansi. Ngokwesibonelo, uma udlala ibhola futhi unyawo lwakho selitshalwe ku-turf bese amadolo akho ephikisiwe, i-patella ingasuswa esikhundleni futhi ibe yi-subluxed noma ihlukaniswe.
Enye imbangela ye-patella dislocation kungukuthi uhlushwa ngamandla emadolweni ngendlela ehamba phambili. Leli qembu lingasusa i-patella ngaphandle kwesimo.
Ngezinye izikhathi, imisipha eqinile noma ebuthakathaka nxazonke emadolweni nasezintweni zingabangela i-patella ukuba ihlukanise noma ihambisane ne-sublux. Ukuqinela ebhenini elinobuciko kungase kudonsa i-patella ngokungavamile. Ukuntula amandla emisipha ye-quadriceps elawula i-patella isikhundla kungabangela isikhundla se-patella esingalungile kanye neziphakamiso. Ngezinye izikhathi ukuhlukunyezwa kungase kwenzeke ngenxa yeso sizathu esizwakalayo futhi ungase uhlupheke iziqephu lapho i-patella ihlushwa ngokushesha futhi ibuye ibekwe kabusha. Isiqephu ngasinye se- subluxation sibuhlungu, futhi iziqephu eziningi zingase zibi nakakhulu ngokuhamba kwesikhathi.
Indlela Yokuphatha Usizo Lokuqala
Uma unamahlombe emadolo nomsolwa ususe i-patella yakho, kuqala landela isimiso se- RICE ukuze unciphise ukuvuvukala nokulawula ukuvuvukala emadolweni. Bese, hlola isikhundla se-patella yakho. Ngokuvamile ngokuvamile i-patella ihambela ngaphandle, noma i-lateral, ingxenye yamadolo. Uma i-patella yakho ibonakala ingekho esimweni, ukuvakashelwa kumnyango wesimo esiphuthumayo noma udokotela kunconywa ukuba kube nokunciphisa ukuhlukaniswa. Unganikezwa izikhonkwane ukuze uhambe nazo izinsuku ezimbalwa noma amasonto ngenkathi ukuphulukisa kwenzeka, futhi ungase usebenze nomuthi wezokwelapha ukuze ufunde indlela yokuhamba ngezinsimbi .
Akusilo umqondo omuhle ukuzama ukunciphisa i-patella ngokwakho, njengoba ezinye imisipha noma amathoni angalimala, futhi ukulimala okungaphezulu kungabangela uma uzama ukwenza kanjalo.
Uma i-patella yakho ibonakala sengathi isesimweni sayo esivamile, khona-ke kungenzeka ukuthi umane u-subluxed patella wakho. Landela isimiso se-RICE ngezinsuku ezimbili kuya kwezintathu, futhi uvakashele udokotela wakho noma uchwepheshe wezempilo ukuze uguqe ibundu.
Ukuhlola
Uma usususa i-patella, udokotela wakho angakutjhuma kumthandi wezinto ezifuzeko wokuhlola nokuphathwa kwamadolo akho. Uma ufisa, ungakwazi ukuzitholela-ukubhekisela kokwelashwa ngokomzimba ngokufinyelela okuqondile .
Ngesikhatsi sokuqashwa kwakho kokuqala emithini yokwelapha ngokomzimba, lungele ukuchazela umhlinzeki wakho womzimba uhlobo lwezimpawu zakho. Unayo ubuhlungu? Ingabe idolo lakho lizizwa libuthakathaka noma liyakhipha? Ingabe idolo lakho liyavuvukala? Ubuhlungu bakho bomdaka bunithinta kanjani imisebenzi yakho yansuku zonke njengomsebenzi noma ukuzijabulisa? Ukuphendula le mibuzo kungasiza umuthi wakho wezempilo ekuthuthukiseni ukwelashwa okufanele.
Udokotela wakho ongokwenyama angase athathe izinyathelo ezithile zamadolo akho ukusiza ukunquma ukwelashwa okufanele. Izingxenye zokuhlolwa kwezinto zokwelapha zingase zihlanganise ukuhlolwa kwe- gait , izinyathelo zokuhamba , izilinganiso zamandla , izilinganiso zokuvuvukala, nokuhlolwa okukhethekile. Umhlinzeki wakho angabuye ahlole inani lokuhamba elizungeze i-patella yakho ukuze unqume ukuthi i-loose or hypermobile.
Ukwelapha
Ukwelashwa ngokwemithi yokwelashwa kwe-patella ehlukanisiwe kungaqala emva kokuhlolwa kokuqala. Ukwelashwa okuvamile ngokomzimba kungase kubandakanye izindlela zokulawula ubuhlungu nokuvuvukala, ukwelashwa ukuthuthukisa ukuchotshozwa kwemisipha kanye nokusebenza ngokuzungeze i-patella, nokuqeqeshwa kwe-gait ukuthuthukisa ukuhamba.
Imisipha ye-quadriceps phezulu kwethanga isiza ukulawula isikhundla se-patella, futhi leli qembu le-muscle lingase libe buthakathaka uma uke wahlushwa i-patella dislocation. Ukuzivocavoca umzimba ukusiza ukuthuthukisa ukuphambana kwalesi siqhema semisipha kungase kuqalwe uma ubuhlungu nokuvuvukala kuvumela.
Ucwaningo oluningi lwamanje lubonisa ukuthi ubuthakathaka be-hip bungabamba iqhaza ekubambiseni i-patella ehlukanisiwe noma ehlukumezekile, ngakho-ke ukuzivocavoca ukuqinisa umzimba kungase kuhlanganiswe njengengxenye yohlelo lwezokwelapha. Ukuqinisa ukuqina kwe-hip kungadingeka emva kwamasonto ambalwa ukusiza ukulungiselela ukubuyela emsebenzini ovamile kanye nezemidlalo.
Kukhona namasu okuthayipha ukuthi abahlengikazi abaningi basebenzise ukusiza ukulawula isikhundla se-patella. Umcabango ojwayelekile ngokuthinta ukuthi i-tape ibamba i-patella esimweni esifanele ngenkathi imisipha ezungeza emadolweni "ihambisana" nendlela yokusebenza kahle ukubamba i-patella esikhundleni.
Ama-brace angase asetshenziselwe ukusiza ukulawula isikhundla se-patella ukusiza ukuvimbela ukuhlukaniswa noma ukuxhunyaniswa. Ukuqapha kufanele kusetshenziswe ukuthi kungasetshenziswa ngaphezulu. Lokhu kungadala ukuxhomeka kwesibindi, futhi imisipha namathenda asekela i-patella ingaba buthakathaka futhi angakwazi ukusiza ukuhlinzeka ngokusekela okufanele. Ngokuvamile, amabhontshisi kufanele asetshenziselwe umsebenzi wezemidlalo noma umsebenzi othile osebenzayo onjengokuhamba noma umsebenzi wedidi. Uma usendlini futhi uphumule, i-brace kufanele isuswe.
Ngemuva kwamasonto amane kuya kwangu-8 okwelashwa ngamadolo akho, kufanele ube nobuhlungu obukhulu futhi amadolo akho kufanele asebenze kahle. Yiqiniso, isikhathi esidingekayo sokuphulukisa ngokugcwele kuncike ezintweni eziningi, njengobunzima bokulimala kwakho, ubudala bakho, nesimo sakho sezempilo. Uma uqhubeka nokuzwa ubuhlungu besigubu ngenxa yeziphakamiso noma ukuhlukaniswa, kufanele uvakashele udokotela wakho ukuxoxa nabanye okunye okukhethwa kukho. Ngezinye izikhathi inqubo yokuhlinza ebizwa ngokuthi ukukhululwa kamuva kudingekile ukulungisa inkinga nokuvimbela i-kneecap ukuthi ingasuki. Uma udinga ukuhlinzwa, ukwelashwa ngokomzimba ngemuva kokuhlinzwa kungalawulwa ukukusiza ukuthi uphinde uphinde usebenze ngendlela efanele.
Izwi elivela
I-patella ehlukanisiwe ingaba into ebuhlungu. Kunganciphisa ikhono lakho lokuhamba, ukugijima, noma ukuhlanganyela emisebenzini yokuzilibazisa. Uhlelo lwezokwelapha olungakusiza lungakusiza ukuthi uphinde uphinde usebenze ngendlela ejwayelekile futhi ungasiza ekuvimbeleni iziqephu zesikhathi esizayo zokuhlukaniswa kwe-patella. Uma ususe i-kneecap yakho, hlola nodokotela wakho bese ubuza ku-PT yindlela yokwelashwa efanele kuwe.
> Umthombo
Safran, M., Stone, D., & Zachazewski, J. (2003). Imiyalo yeziguli zemithi yezemidlalo. I-Philadelphia: Saunders.