Isizathu Sokukhubazeka Knee
Lapho ibhulo lakho liphazamiseka kungazelelwe futhi liphuma noma likhiphe, yini engabangela lokhu?
Nakuba ungase utholakale, uvale noma uphume emadolweni nge-osteoarthritis, ezinye izimo zingase zibe imbangela. Ubuhlungu yilona uphawu oluyinhloko oluhlobene ne- knee osteoarthritis . Ubunzima obuhlangene kanye nohlobo olulinganiselwe lokunyakaza kwamadolo nakhombisa ukuthi lokho kukhomba osteoarthritis noma enye yezinye izinhlobo ze-arthritis.
- Yini Ebangelwa Ama-Popping Joints?
- Yini Ebangela Ukuhlangana Kwama-Arthritic Ukukhiya?
- I-Knee Pain - Ukuhlola Izinto Eziyisisekelo
Izinyembezi zeLigament Ziwumthombo Ovamile Wokuzimela Knee
Amadolo ahlinzeka, okubizwa ngokuthi ukungazinzi kwamadolo, ngokuvamile ahlotshaniswa nokulimala komunye noma ngaphezulu kwemigqa ezinzile emadolweni. Noma yiliphi i-ligament izinyembezi zingabangela ukungazinzi kwamadolo.
Kunemigudu emine emikhulu emadolweni . Kunezimbambo ezimbili zokubambisana, i-anterior cruciate ligament, ne-posterior cruciate ligament.
- Izigxobo ezithengiswayo zitholakala ngaphesheya kwamadolo nokukhawulela eceleni. I-ligament ye-collateral ligament (i-MCL) engxenyeni yangaphakathi yamadolo akho kanye ne-latal collateral ligament (LCL) ihlangothini langaphandle lamadolo akho.
- I-anterior cruciate ligament (ACL) ixhuma phezulu kwe-tibia eduze ne-front (i-anterior) kuya kwe-femur enkabeni yamadolo nokubeka ukujikeleza nokuhamba phambili kwe-tibia.
- I-posterior cruciate ligament (PCL) e-posterior ixhuma phezulu kwe-tibia eduze kwasekugcineni (ngemuva kokuya) kuya kwesifazane futhi inqamulela ukubuyela emuva kwe-tibia.
Izinyembezi ze-Meniscal kanye ne-Knee Instability
I-meniscus ephukile nayo ingabangela ukuzwa kwamadolo okunikeza, ikakhulukazi uma uhlehlisa phansi noma wehla ezitebhisini.
Kunezicucu ezimbili zomzimba we- cartilage , i-menisci (ngayinye ngayinye ibizwa ngokuthi i-meniscus), ephakathi kwezingxenye zesifazane ne-tibial zamadolo. I-meniscus cushions ngayinye ihlangene ngamadolo futhi idlala indima ekuqiniseni ukuhlangana kwamadolo. Ukulimala komunye oyedwa noma kokubili kwamadoda kukhulisa ukungazinzi.
Ukufaneleka kwe-Patellar
Enye imbangela yokungaqiniseki kwamadolo okwandayo ingabandakanya i- kneecap (i-patella) ehamba ngaphandle kwe-groove lapho ihlala khona ku-femur. Lolu hlobo lokungazinzile luyaziwa ngokuqondile njengokungaqiniseki kwe-patellar. Ngokuvamile, i-kneecap (i-patella) igxuma emgodini we-patellofemoral, ithrekhi engaphambili kwe-femur (ithambo lesithambo) emadolweni. I-patella ifakwe emigqeni nemithononi ekhonza ukuyiqinisa. I-patella ikhona ngaphakathi kwethendonini ye-quadriceps, eqinisa i-quadriceps muscle kuya e-tibia engenhla (ithambo lesifuba). Ngaphezu kwalokho, izigameko ze-patellofemoral zenza njenge-ligament secondary stabilizers kusukela ezinhlangothini ze-patella. Ukushaywa ngokuqondile kwe-kneecap, ngokuvamile okuvela engozini noma ukulimala kwezemidlalo, kungayisusa emgodini. Futhi, ukunyakaza okungajwayelekile okungokwemvelo kwedolo kungaba nomphumela ofanayo. Ukususwa kwe-Patellar kwandisa ukungazinzi.
I-cartilage engavuthiwe futhi engafanele engxenyeni yamaKnee
Izimbangela ezishiwo ngenhla zokungazinzi kwamadolo zazihlobene ngokuyinhloko nokulimala okuhlangene. Kodwa i-osteoarthritis yamadolo ihlotshaniswa nokungazinzi. Lokhu kungenzeka ngenxa yezinkinga eziningana ezitholakala ku- osteoarthritis , njengezidumbu ezingenalutho ngaphakathi kwe-joint, i- meniscus eguqukayo , noma i- ligament izinyembezi , ubuhlungu, nokubuthakathaka kwemisipha.
Imizimba ekhululekile yizingxenyana ezincane ze-cartilage ekhonjiwe ezingabanjwa phakathi kwamathambo emadolweni, endaweni ehlangene, ebangela ubuhlungu obungakazelelwe futhi mhlawumbe ebangela ukuba idolo livuleke. Ngaphandle kokubangela ukuhlanganiswa ukunikeza, izidumbu ezingavamile emadolweni nazo zingabangela ukuvala noma kungaphazamisa ukuqondiswa komlenze wakho.
Ngisho noma ngabe izidumbu ezitholakalayo zifunyenwe ekucwaningweni kwe-imaging (x-ray, MRI, noma CT scan), ukungazinzi okungase kubangele kungenakwenzeka, okusho ukuthi awuzi ukuthi uzozizwa nini lapho udinga khona. Kwenzeka ngokuzumayo futhi ngaphandle kokuxwayisa.
> Imithombo:
> Imibiko ye-Joint Instability ku-Knee Osteoarthritis: Ukuqhathaniswa kwayo kanye nobuhlobo nomsebenzi womzimba. UFitzgerald GK et al. Ukunakekelwa kwe-Arthritis Nokucwaninga. I-Vol. 51, No. 6, Disemba 15, 2004, iphe. 941-946
> I-Anterior Cruciate Ligament Ukulimala Knee ku-Athletes. I-Duodecim. 2010; 126 (3): 289-95. I-Kallio.T.
> Ukunikezelwa Kwezempilo: I-Osteoarthritis. I-NIAMS. Julayi 2010.
> Izinyathelo Ezincane. Ukunikeza Indlela (Ukuziphendulela). Jointhealing.com.
Ukucatshangelwa Okunciphisa Ngokweqile: Knee. I-osteoarthritis. Ukuxilongwa Nokuphathwa Kwezokwelapha / Okuhlinzekwayo. Edition Fourth. Isahluko 21B. P.395-414. Moskowitz et al. Ishicilelwe nguLippincott.