I-Patella echithekile ilimaza iziLigamente - Funda Ngezokwelapha
Ukuxoshwa kwe-kneecap kwenzeka lapho i-patella iphuma ngokuphelele emgodleni wayo ekugcineni kwethambo lesenzeni (femur), futhi ihlala ngaphandle kwehlangothini lamadolo. Ukuxoshwa kwe-Kneecap kubangelwa ukulimala okukhulu ngesikhathi sokuqala ukulimala kwenzeka, kodwa i-kneecap ingase isuke kalula kalula ngemva kwalokho.
Izimpawu ze-Kneecap Dislocation
Ukususwa kwe-kneecap kubangela ubuhlungu obukhulu nokukhubazeka kwamadolo .
I-kneecap idlulela njalo ngaphandle kwehlangene. Ubuhlungu nokuvuvukala yizimpawu ezivamile zokuxoshwa kwe-kneecap. Ngokuhamba kwesikhathi, ukulimala kungase kuthuthuke nxazonke nangaphansi kwamadolo. Izibonakaliso ezijwayelekile ze-dislocation ye-kneecap zifaka:
- Ukuzwa okubuhlungu emadolweni
- Ukungakwazi ukuqondisa umlenze (obanjwe ngamadolo aguqe)
- Ukuvuvukala nokukhubazeka kwangaphambili kwamadolo
Ukuxoshwa kwe-kneecap akufanele kudidaniswe nokuxoshwa kwamadolo . Ukuxoshwa kwamadolo kwenzeka ngenkathi ithanga lesenzeni (femur) nesifo shin (tibia) lilahlekelwa othintana naye. Ukuxoshwa kwe-kneecap kwenzeka nge-kneecap ekhuphuka emgodleni wayo emathangeni wethanga. Ngezinye izikhathi abantu basebenzisa amagama amadolo ahlukanisa ukuchaza ukuxoshwa kwama-kneecap; lokhu akulungile.
Ukukhubazeka kwe-kneecap kungabangela ukuhlukaniswa okuphelele kwe-kneecap ngaphandle kwe-groove yayo evamile, noma kungabangela ukuzwa ukuthi i-kneecap ayizinzile ngaphakathi kwe-groove yayo.
Izinzwa zokungazinzi zingase zibizwa ngokuthi i-subluxation, kunokuba ihlukaniswe. I-subluxation ibonisa ukuthi i-kneecap iyashintsha, kodwa ayiveli ngokuphelele indawo. Ukuhlukunyezwa kungabangela ukungakhululeki, kepha ngokuvamile akudingi ukungenela okusheshayo njengoba kunjalo lapho kuvela ukuqubuka kwe-kneecap.
Ukususwa Kneecap okuvamile
Lapho i-kneecap iphuma ehlangene okokuqala, imigqa eyayibambe i-kneecap isikhundla isuke ichithekile. Isakhiwo esiqakatheke kakhulu sibizwa ngokuthi yi-ligament ye-patellofemoral ephakathi, noma i-MPFL. Leligament ibeka i-patella ngaphakathi (emaphakathi) yamadolo. Uma kwenzeka ukuguqulwa kwe-kneecap kwenzeka, i-MPFL kufanele ihlulwe.
Uma i-MPFL idiliziwe, kaningi ayiphilisi ngokuhlupha okufanelekile, futhi i-kneecap ingasakaza kalula kalula. Yingakho ukuhlukaniswa okuphindaphindiwe kwe-kneecap kubonakala ngamaphesenti aphezulu weziguli ezinokulimala.
Ukwelashwa kwe-Kneecap Dislocation
Ama-kneecap amaningi ahlukaniswayo aqale ngokunciphisa ngokushesha (repositioning) we-kneecap. Iningi leziguli lizoya ekamelweni eliphuthumayo, kanti uma ukubeka kabusha i-kneecap kuyinto eqondile, ubuhlungu nobuhlungu be-muscle kungavimbela lokhu ukuba kwenziwe kalula. Ngakho-ke, i-anesthesia (noma yendawo noma ejwayelekile) ingasetshenziswa ukusiza ukubeka kabusha ithambo. Ama-kneecap amaningi ahlukaniswayo angafakwa ngokumane aqondise amadolo uma ukulawula ubuhlungu kanye ne-spasm kuvumela.
Ngemva kokubeka kabusha i-kneecap, ukwelashwa kuvame ukuqala nge- RICE ukwelashwa ukulawula ubuhlungu nokusiza ngokuvuvukala.
Amathrekhi kanye ne-knee brace ngokuvamile bahlinzekwa ukusiza ukulawula ubuhlungu. Nakuba ukuvimbela isisindo emlenzeni kungasiza ngezinhlungu, akudingekile ukugcina konke isisindo somlenze. Uma ukuvuvukala okunzima sekuyeke, ukwelashwa kungathuthuka.
Isigaba esilandelayo sokwelashwa ngokuvamile sihlanganisa ukwelapha ngokomzimba futhi sibheke i-kneecap. Njengoba kuxoxwe ekuqaleni, ukuxoshwa kwe-kneecap kungaba yinkinga ephindaphindiwe. Ngokuqinisa imisipha ehlangene nokuhlanganiswa, futhi ngokusetshenziswa kwamabhande akhethekile, ithemba liwukusiza ukuvimbela ukulimala okuphindaphindiwe.
Ezigulini eziphindaphindiwe (eziphindaphindiwe) zokuhlukaniswa, kunezinketho zokuhlinzwa .
Ukwelashwa okuvamile ukukhulula imigqa yangaphandle (yangaphandle) edonsa i-kneecap, ebizwa ngokuthi inqubo yokukhululwa kamuva . Abanye odokotela abahlinzayo bancoma noma ukuqinisa imisipha noma ukuvuselela izigxobo ezidonsa ngaphakathi kwe-kneecap. Kwezinye izimo ezingavamile, ukuguqulwa komkhawulo, okubandakanya ukusika nokubeka kabusha amathambo, kunganconywa.
Ingabe Ukuhlinzwa Kungenzeka Ngemva Kokuqedwa Kwesikhathi Sokuqala?
Intshisekelo yakamuva iye yasungulwa ekuvimbeleni lokhu ukuhlukaniswa okuphindaphindiwe. Ngaso sonke isikhathi lapho i-kneecap ihamba, i-cartilage ingalimala, futhi imigqa ingakwazi ukukhululwa kakhulu. Ukukhathazeka ngokwandisa ukukhula kwe-arthritis kusuka ekudumeni okuphindaphindiwe kwenze abanye odokotela bahlukumeze kakhulu ekuzameni ukuvimbela ukuphindaphinda. Abanye odokotela abahlinzayo bazama ukubuyisela isisu semvelo ngokulungisa i-MPFL ngemuva kokususwa kokuqala kwesikhathi. Lokhu kuhlinzekwa kuyinkinga ngoba akuzona zonke iziguli ezihlukanisa i-kneecap yazo zizokhipha enye indawo. Ngaphezu kwalokho, ukuhlinzwa kwangaphambi kwesikhathi akubonwanga ngesifundo sesayensi ukuze kusize ekuvimbeleni i-arthritis.
Uma udokotela wakho odokotela ephakamisa ukuhlinzwa, futhi awuqiniseki ukuqhubeka, akukaze kwenzeke ukufuna olunye umbono. Mane ukhumbule: akukhona ngaso sonke isikhathi ilungelo nokuphendula okungalungile. Ngesikhathi abanye odokotela abahlinzayo nabagulayo bengase babe nemibono eqinile, akukhona ngaso sonke isikhathi impendulo ecacile mayelana nendlela yokuhamba phambili. Akusizi neze ukufuna ezinye izeluleko. Lokho kusho, kubalulekile ukukhumbula ukuthi iseluleko esiningi singakwazi ukuhlanganisa ukucabanga. Uma uthola udokotela ohlinzayo uthembele, futhi uyaqiniseka ukuthi bafuna intshisekelo yakho engcono kakhulu, futhi ukunamathela nabo kungase kube ukubheja kwakho okuhle kakhulu!
Imithombo:
I-Hing CB, et al. "Ukuhlinzekwa okungahambisani nokuhlinzekwa okungewona okuhlinzekwa ukuphathwa kwe-patellar dislocation" Cochrane Database Syst Rev. 2011 Nov 9; 11: CD008106.