Isizathu Esivamile Sokuhlunguphaza Knee
I-Patellofemoral stress syndrome, noma i- PFSS yesikhashana, yisimo lapho ukuhlunga okungavamile kwe-kneecap (i-patella) kwenzeka ekupheleni kwethanga (femur). Lokhu kuyimbangela evamile yokubuhlungu kwamadolo futhi kuyingozi yokusebenza evamile.
Indawo Yezinhlungu
Uma unesihlungu phambi kwamadolo akho, kungenzeka ukuthi uhlangabezana ne-PFSS. Ngezinye izikhathi ubuhlungu buzwakala nxazonke ze-kneecap.
Ubuhlungu buvame ukuzwa ukufutheka okubukhali futhi kubi nakakhulu ngemisebenzi efana nokugijima, ukuxuma, ukukhipha, noma ukunyuka izitebhisi. Uma isimo sakho sinzima, ukuhamba noma ukuphuma esihlalweni kungabuye kube buhlungu futhi kungabonisa ukuthi unayo i-PFSS.
I-Anatomy ye-Patellofemoral Joint
I- patellofemoral joint ikhona emadolweni lapho i-patella igxila khona ekupheleni kwesifazane. Kukhona i-groove encane ekupheleni kwesifazane lapho i-patella ihlezi futhi iqhutshwa khona ngamathenda nemigqa. Uma i-patella ihamba ngendlela engafanele kule ndawo, ubuhlungu nokuvuvukala kungase kuholele, futhi kungase kutholakale ukuthi ukuxilongwa kwe-PFSS.
Izimbangela
Kunezimbangela eziningi ze-PFSS. Ukuqina emisipha ezungeze emadolweni nasezintweni kungase kudonsa ngendlela engavamile ku-kneecap, ukuyikhiphe ngaphandle kwesimo esihle. Ukuntula amandla emisipha ezungeze emadolweni nasezintweni kungase kube nomthelela kule nkinga. Ngezinye izikhathi, isikhundla sezinyawo ezingalungile ngenkathi kugijima noma ukuhamba kungenza amadolo aphenduke phambili, eholele ku-PFSS.
Njengoba kunezici eziningi ezingase zibe nomthelela ku-PFSS, kubalulekile ukuhlola nodokotela wakho kanye nomhlengikazi wezempilo ukuze usize ukucacisa imbangela yenkinga.
Ukuxilongwa
Uma ubhekene nobuhlungu phambi kwamadolo akho noma eduze ne-kneecap yakho, ungaba ne-PFSS. Ukuvakashela kudokotela wakho kungadingeka.
Angase akhethe ukuthatha i-ray-ray ukuze abone ukuthi i-arthritis noma esinye isimo esibangela ubuhlungu bakho. Ukuhlolwa kwelashwa ngokomzimba kanye nesiphakamiso sokwelapha kungadingeka ukusiza ukuthola isisombululo esihle kunenkinga yakho.
Ukunakekelwa kokwelashwa kwakho kufanele kuqale ngokuhlolwa okuphelele. Lokhu kufaka phakathi ingxoxo eningiliziwe yomlando wenkinga yakho. Umhlinzeki wakho womzimba kufanele akubuze ukuthi ngabe ubuhlungu bakho buqala nini, ukuthi buqala kanjani, nokuthi yimiphi imisebenzi eyenza isimo sakho sibe ngcono noma sibi nakakhulu. Umlando oningiliziwe ungasiza umhlinzeki wakho womzimba anqume ukuthi ukugxila kokuhlola kufanele kube noma uma inkinga ehlukile ingabangela ubuhlungu bakho. Qinisekisa ukuthi ugqoka izingubo ezikhululekile ezifundweni zakho zokwelashwa ukuze umzimba wakho ufinyelele kalula.
Isazi sakho somzimba singathatha izilinganiso ezehlukene ukusiza ukuthola ukuthi imbangela yenkinga yakho. Angakwazi ukulinganisa amandla we-hip, ithanga noma imisipha yakho yomlenze. Ububanzi bokuhamba kwamadolo akho bungalinganiswa. Ukuhamba kwe-kneecap yakho kungalinganiswa ngezikhombandlela ezihlukene nangesikhathi semisebenzi ehlukene, njengokweqa noma ukukhuphuka kwezinyathelo . Ukuqina kwemisipha yesikhumba sakho, ithanga noma umlenze nakho kungabuye kuhlolwe. Ukuma ngezinyawo kanye namadolo ngenkathi uhamba noma ugijima kungabuye kuhlolwe ngesikhathi sokuhlolwa kocwaningo .
Ukwelapha
Ukwelashwa kokuqala kwe-PFSS kuhlanganisa ukulawula ukuvuvukala usebenzisa indlela ye- RICE kwezinsuku ezintathu ukuya kwezinhlanu ukusiza ukuncipha ubuhlungu nokukhawulela ukuvuvukala emadolweni. Iqhwa kufanele isetshenziswe emadolweni imizuzu engu-15 kuya kwangu-20 izikhathi eziningana ngosuku. Qinisekisa ukufaka iphakethe lakho leqhwa ithawula ukugwema ukulimala kwezicubu noma ama-frostbite. Ukugwema umsebenzi owabangela ubuhlungu ubuye umqondo omuhle.
Emva kwezinsuku eziyisihlanu kuya kweziyisikhombisa zokuphumula kanye nesicelo se-ice, ukuvivinya umzimba kwe-PFSS kungenziwa ukuqala ukusiza ukuthuthukisa ukuguquguquka nezikhwepha ezungeze isifuba, amadolo nezinyawo. Ukuzivocavoca okulula kungenziwa ukuze kuqinisekiswe ukuthi ukulandelela okujwayelekile kwe-kneecap kutholakala.
Qinisekisa ukuthi uhlole nodokotela wakho kanye nomhlengikazi womzimba ukuze uthole ukuthi ukuzivocavoca kufanelekile yini nokuthi ufunde ukuthi yikuphi okumele kwenziwe.
Umhlinzeki wakho womzimba angase akhethe ukusebenzisa ezinye izisetshenziswa zomzimba noma izindlela zokusiza ukunciphisa ubuhlungu nokuthuthukisa ukuhamba. Ezinye zokwelapha ezivamile zihlanganisa i- ultrasound , ukugqugquzela kagesi , noma iontophoresis . Qinisekisa ukuthi ubuza imibuzo yakho yokwelapha ngokomzimba mayelana nokwelashwa owamukelayo.
Ngemuva kwamasonto amathathu kuya kwamane wokuzivocavoca ngobumnene nokuqinisa , kungase kube yisikhathi sokuqala ukulungiselela ukubuyela emsebenzini ojwayelekile. Ubuhlungu obuzungeza i-kneecap yakho kufanele bube buncane kakhulu, futhi kufanele ukwazi ukunyuka nezitezi ngaphandle kwezinhlungu.
Isivivinyo esilula ukubona ukuthi i-kneecap yakho ilandelela kahle yini ukuhlolwa komlenze oyedwa owodwa. Ukuze wenze lokhu, hlala ngezinyawo, ubambe okuthile okuzinzile, bese uhlehlisa kancane kancane. Uma le nqubo ibangela ubuhlungu bamadolo, amasonto owodwa kuya kwamabili okuvivinya umzimba angaboniswa. Uma le nqubo ingenabuhlungu, kufanele ulungele ukuqala ukuqeqeshwa ukubuyela ezemidlalo.
Ukuzivocavoca okuthuthukisiwe okudinga ukudingeka ukuze usize ukuqinisekisa ukuthi imisipha yakho yomzimba kanye nephansi ihlinzeka ukwesekwa okwanele emadolweni. Futhi, qiniseka ukuthi uhlole nodokotela wakho nomhlengikazi womzimba ukusiza ukunquma ukuthi yiziphi izivivinyo ezingcono kakhulu esimweni sakho esithile.
I-PT yakho nayo ingasebenza nawe ukuguqula ukugijima kwakho ukugcina ingcindezi emadolweni akho ngamathemba okuvimbela i-PFSS. Ucwaningo lubonisa ukuthi ukugxila phambili kancane ngenkathi kugijima kunganciphisa ukucindezeleka emadolweni akho ukuze unciphise ubuhlungu emadolweni omgijimi kanye ne-PFSS. I-PT yakho ingakubonisa indlela yokulungisa i-gait yakho yokusebenza yamadolo akho.
Izwi kusuka
Iziqephu eziningi ze-PFSS zithola kangcono kakhulu emavikini ayisithupha kuya kwangu-8. Uma isimo sakho esithile sibi kakhulu, kungathatha isikhathi eside ukufeza umsebenzi ongenabuhlungu. Uma izimpawu zakho ziqhubeka ngemva kwamasonto ayisishiyagalombili, kufanele uxhumane nodokotela wakho ukuze ubone ukuthi ukwelashwa okuningi okungahambi kahle, njengezijovo noma ukuhlinzwa kungakusiza.
> Umthombo:
> Hertling, D. (2006). Ukuphathwa kwezifo ezivamile zomzimba we-musculoskeletal. (4th ed.). I-Philadelphia: Lippincott Williams & Wilkins.
> Teng, H, Amandla, C. Ukuthonya kwe-trunk ukubekezela emanzini aphansi ekusebenzeni ngesikhathi sokusebenza. I-Med Sci Posrt no-Exer. 47 (3) Mashi 2015. 625-630