Imonakalo yeTendon Ngokuqhelekileyo ibizwa ngokuthi 'i-Jumper's Knee'
Ithenda ye-patellar idibanisa i-kneecap (i-patella) kwi-shinbone. Le nxalenye yendlela 'yokucima' emadolweni, kunye kunye ne-kneecap, i-quadriceps tendon, kunye ne- quadriceps muscle , ezi zakhiwo zivumela ukuba idolo lakho lilungele, kwaye unike amandla amandla okukhaba. Ithenda ye-patellar, njengamanye amathonti , yenziwe ngamagqabi amanqabileyo, ama-fibrous of tissue.
I-tendon ijikelezwe ngumbumba weethambo ezinomzimba obonelela ngesondlo kwi-tendon.
I-Patellar Tendinitis, i-Tendinosis kunye neeTyhu
I-patellar tendonitis yimeko eyenzekayo xa ithenda itshabalala kwaye icatshukiswa. Le ngxaki idla ngokubonakala kwiimbaleki ezenza ukuphindaphinda ngokuphindaphindiweyo, i-patellar tendonitis isoloko ibizwa ngokuthi "i-jumper's knee." I-patellar tendonitis idla ngokubonakalayo kubathathi-nxaxheba bezemidlalo ezifana nebhokballball kunye ne-volleyball, nangona ikwabonakala nakwiimgijimi kunye nezinye iintlobo zabadlali.
I-patellar tendinosis iyimeko engapheliyo. Esikhundleni se- tendon sivutha kwaye sithukuthele, le meko ihamba ngokuthe gqolo ekuphuhliseni, kwaye ibonakala ngezinyembezi ezincinci kunye nokuqina kwetoni. I-patellar tendinosis ibangela iimpawu ezifanayo, kodwa unyango lwalo mqathango luhluke kwi-tendonitis.
Iinyembezi zentatheli ekhethekileyo zentela, okufunyanwa ngamanye amaxesha kwi-MRI, ngokuqhelekileyo ibonisa uhlobo lwe-patellar tendinosis engapheliyo.
Ezi nyembezi zihluke kwi- tendel epheleleyo i-tendon yezinyembezi apho i-tendon iphela kwaye ifuna ukulungiswa kocwangco.
Iimpawu zePatellar Tendon Conditions
I-patellar tendonitis kunye ne-tendinosis ngokuqhelekileyo kubangela intlungu ngokuthe ngqo kwi-tendon patellar. Ithenda ihlala ithenda kwaye igubungele.
Ukuhamba kwamadolo kungabangela i-crunching sensation ebizwa ngokuthi i- crepitus ngokuthe ngqo kwi-tendon evuthayo. Olunye uphawu oluqhelekileyo lweengxaki zentatheli ye patellar buhlungu ngentsebenzo, ngokukodwa ukuxuma okanye ukuguqa.
Uvavanyo lwe-X-ray luvame ukuqhutyelwa ukuqinisekisa ukuba akukho ngxaki ngamathambo ejikelezile. Ngamanye amaxesha, i-deposit calcium ingabonwa, ngakumbi kwizigulane ezine-tendelosis ezingapheliyo. I-MRI ingaba luncedo ukujonga iimpawu zokuvuvukala okanye iinyembezi ezincinci ngaphakathi kwethenda.
I-Patellar Treatment Tendon
Unyango kufuneka luqaliswe xa ukuxilongwa ngokufanelekileyo kuqinisekiswa ngugqirha wakho. Ukuba le ngxaki ingukuvutha komsindo, unyango lunokuquka:
- Ukuphumla
Isinyathelo esibalulekileyo kunazo zonke kunyango ukuphepha imisebenzi eyenza ingxaki ibe nzima. Umzimba wakho uyisikhokelo esinqumlekileyo sokukwazi ukuba ungaphila i-knee emelekileyo - ukuba umsebenzi ubuhlungu endaweni yethoni ye-patellar eyalimaza, kufuneka uphumle kulo msebenzi. - Imithi echasayo
Amachiza angabikho okutshaya amachiza (NSAIDs) afaka uluhlu olude lwezinto ezifana neIbuprofen, Motrin, Naprosyn, Celebrex, nabanye abaninzi. Uphuhliso lwe-patellar tonyonitis luya kuphuculwa ngala mayeza anciphisa intlungu kunye nokuvuvukala. Qiniseka ukuthetha nodokotela wakho ngaphambi kokuba uqale la mayeza.
- Ukunxibelelana
Ukubethelela i-quadriceps, i-hamstring, ne-calf muscle ngaphambi komsebenzi kubaluleke kakhulu xa uqala ukwenza imisebenzi. Ukungena kumkhwa wolungelelwano oluhle, nangona kanye xa iimpawu zizimisela, kuya kunceda ukukhusela ukuphindaphinda kwengxaki. - Ice Treatment
Ukuqhawula indawo yokuvuvukala yinto ebalulekileyo yonyango lwe-tendonitis. Iqhwa iya kunceda ukulawula ukutshaya nokunciphisa ukuvuvukala. Ngokunciphisa ukuvuvukala nokuvuvukala, i-tendon inokubuyela kwiimeko eziqhelekileyo kwaye yenza umsebenzi wayo oqhelekileyo. - Chorap Straps / Braces
Ngamanye amaxesha, ugqirha wakho uya kunika inkxaso yenkxaso (ebizwa ngokuba yi-infrapatellar strap okanye i-Chopat strap), i-knee brace, okanye i-orthotics yesiko. Inzuzo yale nyathelo kunyango lwe-patellar tendonitis ayiyazi kakuhle, kodwa ezinye izigulane zifumana ukukhululeka ngokupheleleyo ekusebenziseni le mveliso.
Xa imeko ingapheliyo, unyango lwe-inflammation aluncedo kakhulu, ngoko ke, ugxininiso lwonyango lwe-patellar tendinosis luyonyango lomzimba. Izenzo zokunceda kakhulu unyango lwe-tendinosis zizinzo zokuziqinisa.
Abanye oogqirha basebenzisa unyango olubizwa ngokuba yi- PRP injections kunyango lwe-patellar tendonitis kunye ne-tendinosis. Ezi injection zinokunceda ukuphulukiswa kwindlela yokuphilisa emzimbeni, nangona ubungqina bezenzululwazi abukalixhasi ngokukodwa ukusetyenziswa kweli culo lovavanyo.
Ngezinye izihlandlo, izigulane zihlala zibonakalisa iimpawu ze-patellar tendonitis nangona kukho unyango olukhankanywe ngasentla. Kulezi zigulane ezineentlungu ezingapheliyo, eziye zazama ukunyangwa kwezi nkcukacha zingentla, utyando lunokuqwalaselwa. Ukuvuthwa kuqwalaselwa ukuba i-tendon eyonakalisiwe ibonakala kwi-MRI. Ngethuba lokuhlinzwa, le toni enobungozi ingasuswa kwaye ilungiswe.
Imithombo:
Duri ZA, et al. "I-patellar tendonitis kunye nobuhlungu bentolo yangaphambili" Am J Knee Surg. Ngonyaka ka-1999; 12 (2): 99-108.
IPhalamende yeHolo, et al "Iplasma enePlatma-rich: Iingcamango zangoku kunye nesicelo kwiMicrosoft yezemidlalo" J Am Acad Orthop Surg, Vol 17, No-10, Oktobha 2009, 602-608.