Izinyembezi Ngokujwayelekile Kudinga Ukulungiswa Okuhlinzekwayo
Ithethoni ye-patellar isakhiwo esixhuma i-kneecap (patella) esitsheni (tibia). I-ligament yisakhiwo esithinta ithambo elilodwa kwelinye ithambo, ngakho-ke abanye abantu babhekisela kulokhu njengeligamentlar ligament. Kodwa-ke, lesi sakhiwo sixhuma ngempela imisipha ye-quadriceps kuya emthanjeni we-shin, futhi ithethoni ixhuma imisipha kuya ethambo, ngakho-ke ithethoni ye-patellar iyincazelo evamile.
Ithethoni ye-patellar iyinxenye ebalulekile yendlela yokwehliswa kwemiphumela engezansi . Indlela yokuxhuma ihlanganisa i-quadriceps muscle, i-quadriceps tendon, i-patella (i-kneecap), ne-patellar tendon. Lezi zakhiwo zisebenza ndawonye ukuvumela idolo liqondise, futhi lingenza kanjalo ngamandla amakhulu. Indlela yokuqapha iyigugu emisebenzini evamile kusukela ekuhambeni nasezinyuka ezitebhisini ukuya emisebenzini yezemidlalo kuhlanganise nokugijima nokukhahlela. Ngaphandle kohlelo oluqinile lwe-extensor, yonke le misebenzi ingaba nzima ukwenza.
Izimpawu
Umuntu ojwayelekile osekela ithethoni ye-patellar ehlanziwe ngumdlali osemusha, wesilisa. Njengoba abantu abaningi asebekhulile behlala bekhuthele ngokomzimba, lokhu ukulimala kuyaba okuvamile kubantu abadala.
Ngokujwayelekile ukulimala kuhilela ukufika okungenangqondo ukuphuma endaweni yokugxuma lapho imisipha ye-quadriceps ingena khona, kodwa idolo liqondiswa ngamandla.
Lokhu kubizwa okuthiwa yi-contraction eccentric futhi kubeka ukucindezeleka okukhulu kwi-tendon. Abagijimi abalondoloza ukulimala bangase babe nomuzwa wokuthi bahlwitha noma bavame ukuzwa futhi ngeke bakwazi ukuhamba ngemva kokulimala.
Izibonakaliso ezijwayelekile zethenda le-patellar ephukile zihlanganisa:
- Phula ngokuqondile ngaphansi kwe-kneecap
- Ukuvuvukala nokulimaza phambi kwamadolo
- Isici, noma indawo elula, lapho ithenda kufanele ibe khona
- Kunzima ukuhamba noma ukwenza imisebenzi yezemidlalo
Izimbangela
Kuye kwatholakala ukuthi cishe cishe zonke iziguli ezisekela i-patellar tendon breaks kukhona izicubu ezingavamile zethemoni ezihambisana nesifo esingapheliyo. Ithenda ye-patellar ivame ukulimala esifundeni se- waterhed of the tendon, lapho igazi ligeleza khona kumcubu libi, kanti i-tendon ibuthakathaka.
Izinyembezi ze-Tendon nazo zingenzeka ezilungiselelweni ezingezona ezemidlalo. Ngokuvamile, kunesizathu sokuba ithethoni ye-patellar ibe buthakathaka kulaba bantu, njengesifo esibucayi esenza buthaka ukuthambekela kwamathambo noma ukuhlinzwa okwakamuva emadolweni ukuthi i-tendon ebangele ibuthakathaka. Ukwelashwa kuvame ukufana nabadlali nabangewona abadlali.
Ukuxilongwa
Ukwenza ukuxilongwa kwethenda ye-patellar ephukile ngokuvamile kuyabonakala ekuhlolweni komtholampilo. Abantu abadiliza i-tendon ngeke bakwazi ukudlulisa amadolo abo ngokumelene negesi, futhi abakwazi ukwenza umlenze oqondile ukuphakamisa uhlolo . Umhloli angase abe nomuzwa wokuthi igebe lithende, ngaphansi kwe-kneecap.
Kuzotholakala i-x-ray, njengoba ukuphazamiseka kwe-patellar kungabangela izimpawu ezifanayo, futhi kufanele kukhishwe njengesifo esitholakalayo. Ku-ray-ray, i-patella ivame ukuphakama uma iqhathaniswa namadolo ahlukile, njengoba i-quadriceps idonsela phezu kwe-kneecap, futhi akukho lutho olulubambe phansi endaweni yalo evamile.
Nakuba ngokuvamile kungadingeki, i-MRI ingasetshenziselwa ukuqinisekisa ukuxilongwa nokuhlola amadolo nganoma yimuphi omunye umonakalo ongenzeka.
Ukwelapha
Ithenda le-patellar elidwenguliwe ayiziphulukisi ngokwabo, futhi lishiye lingelashwa lizoholela ekubuthakathaka kobunzima be-quadriceps nobunzima ngemisebenzi yesikhathi esijwayelekile, kuhlanganise nokuhamba. Ukwelashwa ukulungisa i-tendon eboshiwe kunengqondo eqondile emqondweni kepha kungaba nzima ukwenza.
Imikhawulo ehlanjululwe yethithoni idinga ukuhlanganiswa ndawonye. Ubunzima bukhona eqinisweni lokuthi kubalulekile ukubuyisela ukuhlukunyezwa okufanele kwethenda, hhayi ukwenza kube nzima noma kukhululeke kakhulu.
Futhi, kungaba nzima ukuthola ukulungiswa okuhle, ikakhulukazi uma ithethoni isiqede ngqo ithambo. Kulezi zimo, i-sutures esetshenziselwa ukulungisa i-tendon ingase ifakwe ngqo ngethambo.
Ukubuyiswa nokubikezela
Ukuthola i-tendel patellar ephukile kunzima futhi kuthatha isikhathi. Esinye sezici ezibaluleke kakhulu zokubikezela yisikhathi sokuhlinzwa, futhi ukuhlinzwa okulibazisekile ngaphandle kwamasonto ambalwa kunganciphisa ikhono lokutakula. Kuyaziwa ukuthi ukuhamba ngokushesha ngemva kokuhlinzwa, ukuqiniswa okuvikelwe, nokuvimbela ukucindezeleka ngokweqile ekulungiseni kuzosheshisa ukutakula konke. Ngisho nalezi zinyathelo, kunenani eliphansi kwezinyanga ezingu-3 kuze kubuyele imisebenzi ejwayelekile yansuku zonke, nezinyanga ezingu-4-6 kuze kube yimidlalo okufanele ivuselelwe.
Ngenkathi abantu abaningi bephulukisa ngokuphelele ekusebenziseni i-patellar tetheon, kungaba khona ubuthakathaka besikhathi eside ngisho nokulungiswa okuphumelelayo. Abagijimi abazama ukubuyela emidlalweni yokuncintisana bangathatha unyaka noma ngaphezulu ukuze babuyele emsebenzini wabo we-preinjury. Ukwenza imithi yokwelashwa eqondisiwe kungaba usizo ukuqinisekisa ukuthi abagijimi bayakwazi ukuqhuba imisebenzi yabo evamile yezemidlalo.
Umthombo:
I-Matava MJ. "I-Patellar Tendon Ruptures." J Am Acad Orthop Surg NgoNovemba 1996 vol. 4 cha. 6 287-296.