I-Tendon Dommage ngokuvamile ebizwa ngokuthi 'I-Knee's Knee'
Ithethoni ye-patellar ixhuma i-kneecap (i-patella) kuze kube shinini. Lokhu kuyingxenye yendlela 'yokuphulukisa' emadolweni, futhi kanye ne-kneecap, i-quadriceps tendon, ne- quadriceps muscle , lezi zakhiwo zivumela ukuba idolo lakho liqondise, futhi unike amandla amandla okukhamba. Ithenda le-patellar, njengamanye ama- tendon , lenziwa ngamagundane amazinyo ezinzima, ezinama-fibrous.
I-tendon ikhiqizwe ngendwangu yamathambo enesisipha esinika ukudla okunomsoco ku-tendon.
I-Patellar Tendinitis, i-Tendinosis, ne-Tears
I-patellar tendonitis yinkinga eyenzeka lapho ithenda ithwala futhi icasuliwe. Le nkinga ivame ukubonwa kubadlali abaphindaphinda ngokuphindaphindiwe, isizathu sokuthi i-patellar tendonitis ivame ukubizwa ngokuthi "idolo likaJumper". I-patellar tendonitis ivame ukubonwa kubahlanganyeli bezemidlalo njengebhola basketball ne-volleyball, nakuba kungabonakala nakwabathile kanye nezinye izinhlobo zabagijimi.
I-patellar tendinosis yisimo esingapheliyo. Esikhundleni se- tendon sivutha futhi sithukuthele, lesi simo sisanda kancane ekuthuthukiseni, futhi sibonakala izinyembezi ezincane nokuqina kwethenda. I-patellar tendinosis ibangela izimpawu ezifanayo, kodwa ukwelashwa kwalesi simo kuhluke ne-tendonitis.
Izinyembezi ze-patellar tendon izinyembezi, okutholakala ngezinye izikhathi ezichazwe kwi-MRI, ngokuvamile kuyimpawu ye-patellar tendinosis engapheliyo.
Lezinye izinyembezi zihlukaniswa nethononi ephelele ye-patellar izinyembezi lapho izintambo zonke zigciniwe khona futhi zidinga ukukhanda okuhlinzekwayo.
Izimpawu ze-Patellar Tendon Conditions
I-patellar tendonitis ne-tendinosis ngokuvamile ibangela ubuhlungu ngokuqondile phezu kwethenda ye-patellar. I-tendon ngokuvamile isisa futhi igubungele.
Ukuhamba kwamadolo kungabangela ukuzwa kwe-crunching okuthiwa i- crepitus ngokuqondile phezu kwe-tendon evimbayo . Olunye uphawu olujwayelekile lwezinkinga ze-patellar tetheon ubuhlungu ngemisebenzi, ikakhulukazi ukuqaqa noma ukuguqa.
Izivivinyo ze -X ngokuvamile ziyenziwa ukuqinisekisa ukuthi ayikho inkinga ngamathambo azungeze emadolweni. Ngezinye izikhathi, i-deposit calcium ingabonakala, ikakhulukazi ezigulini ezine-tendelosis ezingapheliyo. I-MRI ingase ibe usizo ukufuna izimpawu zokuvuvukala noma izinyembezi ezincane ngaphakathi kwethenda.
I-Patellar Tendon Treatment
Ukwelashwa kufanele kuqaliswe uma ukuxilongwa okufanele kuqinisekiswe udokotela wakho. Uma inkinga ukuvuvukala okunzima, ukwelashwa kungafaka:
- Ukuphumula
Isinyathelo esibaluleke kunazo zonke sokuqala ukwelashwa ukugwema imisebenzi eyenza inkinga ibe nzima. Umzimba wakho uyisiqondiso esingcono kakhulu sokuthi kungakanani ukuphumula i-knee elimele - uma umsebenzi ubuhlungu endaweni yethoni ye-patellar eyalimala, khona-ke kufanele uphumule kulowo msebenzi. - Imithi Yokulwa Nezivunguvungu
Imithi engaqedi ukuvuvukala (ama-NSAID) afaka uhlu olude lwamathuba afana ne-Ibuprofen, i-Motrin, i-Naprosyn, i-Celebrex, nabanye abaningi. Ukwelashwa kwe-patellar tendonitis kungathuthukiswa yila mithi ezokwehlisa ubuhlungu nokuvuvukala. Qiniseka ukuthi ukhuluma nodokotela wakho ngaphambi kokuqala le mithi.
- Ukwehlisa
Ukunciphisa imisipha ye-quadriceps, i-hamstring, ne-calf ngaphambi komsebenzi kubaluleke kakhulu uma uqala ukwenza imisebenzi. Ukwenza umkhuba omuhle wokwelula, ngisho noma ngabe izimpawu zixazulula, kuzokusiza ukuvimbela ukuphindaphinda kwenkinga. - Ice Treatments
Ukushaya indawo yokuvuvukala kuyisici esibalulekile sokwelashwa kwe-tendonitis. Iqhwa lizosiza ukulawula ukuvuvukala nokunciphisa ukuvuvukala. Ngokunciphisa ukuvuvukala nokuvuvukala, i-tendon ingabuyela esimweni sayo esivamile bese yenza umsebenzi wayo ojwayelekile. - Choping Straps / Braces
Ngesinye isikhathi, udokotela wakho uzohlinzeka nge-strap support (ebizwa ngokuthi i-infrapatellar strap noma i-Chop strap), i-knee brace, noma ama-orthotics angokweziko. Inzuzo yalezi zinyathelo ekwelapheni i-patellar tendonitis ayiyazi kahle, kodwa ezinye iziguli zithola ukukhululeka okuphelele kokusebenzisa le mikhiqizo.
Uma lesi simo singapheli, ukwelashwa kokuvuvukala akusizi kakhulu, ngakho-ke, ukugxila kokwelashwa kwe-patellar tendinosis kunokwelapha ngokomzimba. Izivivinyo zokwelapha eziwusizo kakhulu zokwelapha i-tendinosis yizivivinyo zokuqinisa ama-eccentric.
Abanye odokotela abahlinzayo basebenzisa ukwelashwa okuthiwa i- PRP injection yokwelapha i-patellar tendonitis ne-tendinosis. Lezi zinxephezelo zingasiza ekuvuseleleni ukusabela emzimbeni, nakuba ubufakazi besayensi engasisekeli ngokuqinile ukusetshenziswa kwalolu cwaningo lokuhlola.
Ngezinye izikhathi, iziguli zinezimpawu ze-patellar tendonitis eziqhubekayo naphezu kwezokwelapha okukhulunywe ngenhla. Kulezi ziguli ezinezinhlungu ezingapheliyo, eziye zazama ukwelashwa okungenhla isikhathi eside, ukuhlinzwa kungacatshangelwa. Ukuhlinzwa ngokuvamile kubhekwa uma ithenda elimazayo ibonakala kwi-MRI. Phakathi nokuhlinzwa, le tendon ewonakele ingasuswa futhi ilungiswe.
Imithombo:
Duri ZA, et al. "I-patellar tendonitis kanye nobuhlungu be-knee yangaphambili" U-Am J Knee Surg. 1999 Spring; 12 (2): 99-108.
I-Hall MP, et al "Iplasma ecebile eplatheni: Imiqondo yamanje kanye nesicelo semithi yezemidlalo" J Am Acad Orthop Surg, Vol 17, No 10, Okthoba 2009, 602-608.