Ukuhlinza ukuguqula i-kneecap
Ukukhululwa okusemthethweni kuyindlela yokuhlinzwa emadolweni okusetshenziselwa ukuguqula i-kneecap (ebizwa nangokuthi i-patella). Ukukhululwa kwe-lateral kwenzelwa ukuhlinzwa kwegciwane le- arthroscopic futhi kungenziwa njengesiphalamende. Isizathu esivamile sokwenza ukukhishwa kwe-lateral kungukuthi i-kneecap yokuhlukanisa noma i-subluxing ebangela ubuhlungu.
I-Patellar Movement
I-kneecap ihamba phezulu nangaphansi emgodini ekupheleni kwethambo lesthanga njengoba idolo liguqa.
Kwezinye iziguli, i-kneecap ihanjiswa ngendlela engavamile ngaphandle kwe-groove yayo. Uma i-kneecap ingagudli kahle ngaphakathi kwe-groove, ukucasuka kwe-cartilage nobuhlungu kungabangela. Kunezimbangela eziningana ze-patellar maltracking (igama elinikezwe i-kneecap lidonsa ngaphandle), futhi okuvame kakhulu yizicubu eziqinile ezihlanganiswe ngaphandle kwe-kneecap (i-retalaculum lateral).
Uma udokotela wakho ehlola izinkinga zakho ze-kneecap, uzobheka izinkinga eziningana ezingaphansi kwe-mechanics ye-kneecap. Ukuthambekela kwe-Patellar kuyona engxenyeni ye-kneecap, futhi kungakhathaliseki ukuthi kusetshenziswe ngokweqile yi-retinaculum encane. Enye i- patellar subluxation , okuyilapho lapho i-kneecap idonswa khona ngaphandle kwe-groove ngenxa yokusabalalisa.
Ukukhululwa kwe-lateral kungcono kakhulu isiguli esinamathela ngokweqile kwe-patellar. Uma i-retalaculum ye-lateral iqinile kakhulu, ingaba njengesibopho se-kneecap.
Ukukhululwa okusemthethweni kuyinkqubo eyenziwa ukusika le retinaculum encane, futhi uvumele i-kneecap ihlale kahle ngaphakathi kwendawo yayo.
Nini Ukwenza Ukukhishwa Kwengqamuleli
Ukukhululwa kamuva kuphumelela lapho kwenziwa isiguli esifanele. Sekuyiminyaka eminingi odokotela bekwenzela le nqubo ngokujwayelekile, kanti ezinye iziguli azitholanga impumuzo.
Njengoba sesithole ulwazi ngalolu daba, odokotela abahlinzayo baye baba ngcono ekukhetheni iziguli ezingase zizuze ekukhululweni kwe-lateral.
Izindaba ezinhle ezigulini ukuthi ezikhathini eziningi, i-latal retalaculum eqinile ingaphathwa ngokuphumelelayo nge-stretching ne-rehabilitation. Ngenxa yalesi sizathu, ukukhululwa kwe-lateral kufanele kucatshangelwe kuphela lapho iziguli zihlulekile ukuzama ukuxazulula le nkinga ngokusebenzisa ukwelashwa ngokomzimba ngokomzimba.
Ukwengeza, iziguli ezine- kneecap ukuxoshwa ngokuvamile zidinga inqubo yokuhlinzwa eyengeziwe yokubhekana nesimo sabo. Kunezinqubo eziningi zokuhlinzeka ngezinqubo ezahlukene zokubhekana nokuhlukana kwe-kneecap kubandakanya ukuvuselelwa kwegament, ukuguqulwa kwamathambo nokunye. Isiqephu esibucayi ekutholeni impatho yokwelapha ukwenza inqubo efanele yokuhlinza isimo ngasinye.
Izinkinga
Umphumela ovame kakhulu ohlangothini lwe-releaseal lateral uphepha emadolweni; lokhu kungabangela ubuhlungu nokuvuvukala. Ezinye izinkinga zifaka ukutheleleka nokubunjwa kwezicubu. Esinye sezici ezinzima kakhulu zokuhlinzwa siqinisekisa ukuthi izikhwama zikhishwa ngokwanele ukuze zixazulule inkinga yokuqondanisa, kodwa hhayi ukukhulula imigudu kangangokuthi i-kneecap iba engazinzile futhi ihanjiswe ngaphakathi kwamadolo (ukuhlukunyezwa kwangaphakathi).
Enye inkinga evamile yale nqubo yokuhlinzwa ingenalo ukuphumula kwezibonakaliso zokuqala zobuhlungu. Ngokwemlando, odokotela abaningi baye bacabanga ukuthi ukukhululwa kamuva kuyenziwe kaningi, ngaphandle kokukhetha okuhle, ngokucophelela kwabantu abangase bazuze enkambisweni. Kule minyaka eyishumi eyedlule, odokotela abahlinzayo baye bakhetha kakhulu iziguli ezinezinqubo, futhi kubonakala sengathi zisiza ngokuvamile. Kodwa-ke, ukwenza ukuhlinzwa kokukhishwa kwe-lateral akuyona isiqinisekiso sokukhululeka kwamadolo. Noma ubani ocabangela lokhu kuhlinzekwa kufanele akhulume nodokotela wabo ohlinzayo cishe ukuthi inqubo izoba yini ekuqedeni izimpawu zabo, futhi uma udokotela ohlinzayo ezwa ukuthi kungase kube nokwelapha okuphumelelayo kweyinkinga.
Imithombo:
Thumela i-WR. "Ubuhlungu bokuguqa kwamadolo: ukuxilongwa nokuphathwa" J Am Acad Orthop Surg. 2005 Dec; 13 (8): 534-43.