I-patella ye-bipartite ivela lapho i-patella, noma i-kneecap, ikhona njengamathambo amabili ahlukene. Esikhundleni sokuhlangana ndawonye ebusheni, i-patella ihlala ihlukanisiwe. I-patella ye-bipartite ngokuvamile ayiyona inkinga; kwenzeka ngo-2-3% wabantu.
I-Kneecap
I-kneecap - noma ebizwa ngokuqondile, i-patella - uhlobo lethofu olubizwa ngokuthi ithambo le-samoid.
Amathambo esesamoid agcwala ngaphakathi kwethenda. I-patella ingaphakathi kwethenda ye-quadriceps futhi inemisebenzi emithathu ebalulekile:
- Kuyinto i-fulcrum yokwandisa amandla edolo elihlangene
- Ivikela amadolo ekudakaleni
- I-cartilage surface lubricates futhi inikeza ukudla okunomsoco webhande
Ngokujwayelekile, i-patella ikhiwa kusukela esikhungweni esisodwa se-ossification, indawo eyenza ithambo ekuthuthukiseni ukukhula komntwana nokukhula kwasebusheni. Kwamanye, amafomu esikhungo se-ossification sesibili, futhi lokhu kungase kungabi nesikhungo sokuqala se-ossification. Kulaba bantu, i-patella ibumba njengamathambo amabili ahlukene.
Izimpawu zeBipartite Patella
Abantu abaningi abanalesi simo abanaso izimpawu. Kodwa-ke, kwabanye abantu abane-patella eyimibhobhokazi, izicubu ezinamathebhu ezixhuma izingcezu zethambo zingagxeka futhi zicasuliwe. Izicubu ezixhuma izingxenye ezimbili zethambo kuthiwa i-synchondrosis. Izimpawu zamadolo ezimpande ezingathuthuka ngokuvamile ziwumphumela wokulimala ngokuqondile emgqeni we-kneecap, noma uhlobo oluphindaphindiwe kwi-synchondrosis.
Izimpawu ezijwayelekile ze-patella ebhujiswe yi-bipartite zifaka:
- Buhlungu ngokuqondile ku-kneecap
- Ukuvuvukala ku-synchondrosis
- Uhlu lokuhamba kwamadolo obuhlungu
I-patella ye-bipartite ivame ukutholwa njengokuthola okungafani, okusho ukuthi kuphawulwe kwi-x-ray noma i-MRI eyenziwa ukuxilongwa kwezimpawu ezingahambisani ne-kneecap.
Kubantu abangenayo izimpawu ezihlobene ne-patella bipartite, akukho okunye okumelwe kwenziwe.
Uma abantu banezibonakaliso ezihlobene ne-patella ye-bipartite, ngokuvamile bazoba nama-x-ray ukukhomba i-kneecap engavamile. I-MRI ingaba usizo ekunqumeni inani lokuvuvukala elizungeze i-patella ye-bipartite. Ukuskena kwethambo kungenye ukuhlolwa okungasetshenziselwa ukubona izinga lokuvuvukala emhlabeni we-patella engavamile, nakuba odokotela abaningi okwamanje basebenzisa i-MRI esikhundleni sezinkomba zethambo.
Izinketho zokwelapha
Ezimweni eziningi, akukho ukwelashwa okudingekayo kulabo abathintekayo abane-patella bipartite. Uma kukhona izimpawu ezihlobene nokuvuvukala kwe-synchondrosis ye-patella ye-bipartite, ukwelashwa kungase kulandelwe ukuzama ukuzola ukuvuvukala kwe-kneecap. Lezi zokwelapha cishe zihlanganisa:
- Ukuphumula: Ukuvumela i-kneecap ukuba iphumule isinyathelo sokuqala ekwelapheni, futhi ngokuvamile isinyathelo esisodwa esidingekayo ukuxazulula izimpawu zalesi simo. Ukuphumula kungabandakanya ukukhubazeka kwamadolo ngesimo esincane sokubamba ingcindezi ku-kneecap.
- Isicelo se-Ice : Ukwehla kwesibindi nokunciphisa ubuhlungu ngokuvamile kufezwa nokusetshenziswa kwamaphakheji abandayo ngqo phambi kwe-kneecap.
- Imithi Engafuni Ukuvuvukala: Imithi yomlomo ingasetshenziswa ukusiza ukukhulula ubuhlungu nokunciphisa ukuvuvukala. Imithi ejwayelekile yokulwa nokuvuvukala (futhi ebizwa ngokuthi i-NSAID) isetshenziselwa ukusiza ukuthulisa i-kneecap ecasulayo. Ezimweni ezimbi kakhulu, umjovo we-cortisone, nomuthi onamandla wokulwa nokuvuvukala, ungaqondiswa ukusiza ukuxazulula inkinga.
- Ukucindezeleka Knee Braces: Izigqoko zamazinyo zingasiza ukukhawulela ukuhamba nokusekela i-kneecap. A simple patellar compression knee brace ngokuvamile uhlobo oluwusizo kakhulu brace kwalesi simo.
Kulezi ziguli ezimbalwa ezihlakulela izimpawu eziphikisanayo ngenxa ye-patella ye-bipartite, kunezinketho zokwelapha okuhlinzekwa ukwelashwa.
Odokotela abaningi abahlinzayo batusa ukuzama ukwelashwa okungenasidakamizwa okungenani izinyanga ezingu-6 ngaphambi kokucabangela noma yisiphi isisombululo sokuhlinzeka. Ukuhlinzeka ngokuvamile kuvame ukususa i-fragment encane yethambo noma ukuvimbela umsizi ofaka engxenyeni encane yethambo.
Imithombo:
I-Gaheer RS, et al. "I-Contemporary Management of Symptomatic Bipartite Patella" I-Orthopedics; I-Vol. 32, No. 11; Novemba 2009. Amakhasi 843-9.
I-Atesok K, i-Doral MN, uLowe J, i-Finsterbush A. "I-patella bipartite bipartite: izindlela zokwelapha" J Am Acad Orthop Surg. 2008 Aug; 16 (8): 455-61.
Ukudalula
Ukuqukethwe kwe-E-Commerce kuzimele ngokuqukethwe kokuhlela futhi singathola isinxephezelo mayelana nokuthenga kwakho kwemikhiqizo ngezixhumanisi kuleli khasi.