Lindela Lezi Zilingo Uma Unayo I-Knee Pain
Ukunquma imbangela yamadolo okuguqa kuxhomeke ekuhloleni okufaneleko kwegolo . Ungase uzibuze ukuthi udokotela wakho ufunani njengoba ehamba futhi eqhubekela emadolweni ngesikhathi sokuhlolwa. Funda ukuthi udokotela wakho angahlola kanjani amadolo akho ukuze athole umthombo wobuhlungu bakho, futhi yiziphi izivivinyo ezingenziwa ukuze uhlolwe.
Ukuvuvukala Knee
Abantu abaningi bayazi ukuthi amadolo abo avuvukile - bayabona noma bazizwe ukuvuvukala ngaphandle kokuthola ubunzima.
Kodwa-ke, akubona wonke umuntu owaziyo ukuthi kukhona uketshezi oludlulele emadolweni. Udokotela wakho angase acindezele ukubambisana ukuze azizwe ngogesi oludlulele. I-fluid ivame ukuqoqa ngaphezu kwe-kneecap, futhi ingacindezelwa kule ndawo. I-flux ibuye ibonwe njalo ngemuva kwamadolo, inkinga abantu abavame ukubhekisela njenge- cyst Baker .
I-Arnetic Arthritis
I-arthritis ye-knee ingatholakala ngokubheka izibalo eziningana zokuhlola izici:
- I-Crepitus: I- Crepitus yinto ezwayo lapho i-cartilage enamandla noma ithambo elivulekile libhoboza njengoba idolo ligobile. Umhloli uzozizwa, futhi angase azwe, lokhu kugaya njengoba idolo liguquka emuva.
- Ukukhubazeka: Njengoba i-knee cartilage igugile, amadolo angase aguqe ngamadolo noma athole umnsalo.
- Ukunyakaza okulinganiselwe: Ububanzi bokuhamba kwamadolo buba nomkhawulo uma i-arthritis, i- bone spurs , nokuvuvukala kuvimbela ukuhamba okujwayelekile.
I-Meniscus ephuliwe
Izivivinyo ezisetshenziselwa ukunquma ukuthi kukhona i- meniscus izinyembezi zibandakanya:
- Ukubambisana Okubambisana Ngokwezinhlamvu: Ukuthambekela kokuhlanganyela okuhlangene ukuhlolwa okungaqondile okwenziwe nge-meniscus izinyembezi. Indawo ye-meniscus ibonakala, futhi ukuhlolwa okuhle kuhlolwe uma kukhona ubuhlungu kule ndawo.
- Ukuhlolwa kukaMcMurray : Ukuhlolwa kukaMcMurray kwenziwa ngesiguli esilele phansi emhlane futhi umhloli eguqa ngamadolo. Ukuchofoza kuzwakala phezu kwe-meniscus izinyembezi njengoba idolo lithathwa kusuka ekugqeni okugcwele kuya kwandiswa okugcwele.
- Ukuhlolwa kuka-Ege : Ukuhlolwa kuka- Ege kwenziwa ngokugqekeza kwesiguli, ukuchofoza kuzwakala / kuzwa phezu kwendawo ye-meniscus.
Izinyembezi ze-ACL
- Ukuhlolwa kwe-Lachman : Ukuvivinywa kwe- Lachman kuyisivivinyo esihle kakhulu sokuthola i- ACL izinyembezi . Ngamavi egobile kancane, umhloli uzinzisa ithanga ngesikhathi edonsa phambili. I-ACL eboshiwe ivumela ukuthi i-shin ishintshe phambili kakhulu.
- Ivivinyo le-Anterior Drawer: Lokhu kuhlolwa kwenziwa nangabe isiguli silele phansi emhlane. Amadolo agugile ama-degrees angu-90 futhi i-shin ihanjiswa phambili ukuhlola ukuzinza kwe-ACL.
- Ukuhlolwa kwe-Pivot Shift: Ukuhlolwa kwe-pivot shift kuyinkimbinkimbi enzima yokwenza ngesiguli esingekho ngaphansi kwe-anesthesia. Lokhu kuhlolwa kubeka ukucindezeleka ekuhlanganyeleni kwamadolo okuphoqa ukuhlukaniswa okuyingxenye kwiziguli ezine-ACL ewonakele.
Ezinye Ukulimala Kwegciwane Ligament
- Ukuhlolwa kwe-Drawer e-Posterior : I-drawer yangemva kwe-post eyenziwa ngokufanayo nokuhlolwa kwe-drawer yangaphakathi. Lokhu kuhlolwa kuthola ukulimala ku-PCL . Ngokucindezela emuva emuva, umsebenzi we-PCL uhlolwe.
- Ukuzinza KwamaLigament Okubambisanayo: Ukuzinza kwamaceleni kuya eceleni kwezintambo kutholakala izinkinga zezigxobo ezithintekayo, i- MCL ne- LCL . Njengoba isiguli silele phansi, futhi idolo liboshwe kancane, i-shin ishintshelwa eceleni. Ukulimala ku-LCL noma i-MCL kuyovumela idolo ukuba "livule" ngokweqile, inkinga okuthiwa i-varus (LCL) noma i-valgus (MCL) yokungazinzi.
Izinkinga ze-Kneecap
- I-Patellar Grind: Isiguli sigcwele umlenze wandiswa. Umhloli uveza ubuhlungu begciwane lesiguli ngokuxosha i-kneecap phansi bese ecela isiguli ukuba sishintshe izidumbu zakhe zethanga. I-cartilage ewonakele ingabangela ukuzwa okugaya okuthiwa i-crepitus.
- I-Patellar Tenderness: Umhloli angakwazi ukuphakamisa i-kneecap nokubeka ingcindezi ngqo engxenyeni engaphansi kwe-kneecap. Ngokwenza kanjalo, umhloli ufuna izindawo ezibucayi ze-cartilage.
- Ukuzizwa kwe-Patellar: Lokhu kuyisibonakaliso se- kneecap engaqiniseki . Ngesikhathi umhloli ebeka ingcindezi phezu kwe-kneecap, isiguli singase sikhononde ngokuzwa ukuthi i-kneecap izoba 'ukuphuma' emgodleni wayo.
Imithombo:
I-Browne K, i-Kurtz CA. "Indlela yokwenza ukuhlolwa okujulile kwamadolo" i-JAAPA. 2009 Jun; 22 (6): 20-5.