Ukuxhatshazwa kwePatella kukulimaza iLigaments - Funda ngeZonyango
Ukutshatyalaliswa kwe-kneecap kwenzeka xa i-patella iphuma ngokupheleleyo kwi-groove yayo ekupheleni kwethambo lethanga (femur), kwaye iya kuphumla ngaphandle kwamadolo. Ukuxhatshazwa kwe-Kneecap ngokuqhelekileyo kubangelwa ukulimala okukhulu okokuqala kwenzakala ukulimala, kodwa i-kneecap ingashenxisa ngakumbi emva koko.
Imiqondiso ye-Kneecap Dislocation
Ukutshintsha kwe-kneecap kubangele ubuhlungu obukhulu kunye nokukhubazeka kwamadolo .
I-kneecap isoloko iqhubela phambili ngaphandle kokubambisana. Ubuhlungu kunye nokuvuvukala ziimpawu eziqhelekileyo zokutshatyalaliswa kwe-kneecap. Emva kwexesha, ukunyunyuzwa kungaphinda kuphuhlise ngeenxa zonke kunye nangaphantsi kwexolo elihlangeneyo. Izibonakaliso eziqhelekileyo zokutshintshwa kwe-kneecap ziquka:
- Intlungu ebuhlungu emadolweni
- Ukungakwazi ukulungisa umlenze (obanjwe ngamadolo egobile)
- Ukuvuvukala nokukhubazeka kwangaphambi kwamadolo
Ukutshintshwa kwe-kneecap akufanele kudibaniswe kunye nokuguqulwa kwamadolo . Ukuguquka kwamadolo kwenzeka xa ithambo lethanga (femur) ne-bone bone (tibia) lilahlekelwa unxibelelwano. Ukuxhulwa kwe-kneecap kwenzeka nge-kneecap idlulela kwi-grooves yayo kwithambo lethanga. Ngamanye amaxesha abantu basebenzisa amagama aguqulwe ukuguqa ukuchaza ukuxoxwa kwama-kneecap; oku kungalunganga.
Ukukhubazeka kwe-kneecap kungabangela ukutshatyalaliswa okupheleleyo kwe-kneecap ngaphandle kwe-groove yayo eqhelekileyo, okanye kunokubangela ukuba i-kneecap ayizinzile ngaphakathi kwendawo yayo.
Iimvakalelo zokungazinzi zingabizwa ngokuba yi-subluxation, kunokudityaniswa. Ukuxhaswa kuthetha ukuba ukuguqulwa kwamadolo, kodwa kungabuyi ndawo ngokupheleleyo. Iingqungquthela zingabangela ukungonakali, kodwa ngokubanzi akufuneki ukungenelela kwangangoko njengoko kunjalo xa kuqhutyelwa i-kneecap.
Ukukhutshwa kweKneecap kwakhona
Xa i-kneecap iphuma ngokubambisana ngexesha lokuqala, iigaments ezibambe i-kneecap kwindawo zichithwe. Isakhiwo esiqakathekileyo sibalulekileyo sibizwa ngokuba yi-ligament ye-patellofemoral ligament, okanye i-MPFL. Le ligament isekela i-patella ngaphakathi (umlambo) wamadolo. Xa i-kneecap iqhutywe, i-MPFL kufuneka ihlulwe.
Emva kokuba i-MPFL idwenguliwe, kaninzi ayiphilanga ngokuxhatshazwa okufanelekileyo, kwaye i-kneecap ingashenxisa ngokulula. Yingakho ukutshintshwa kwe-kneecap ngokuphindaphindiweyo kwenzeka kwipesenti ephakamileyo yezigulane ezile nzakala.
Unyango lwe-Kneecap Dislocation
Uninzi lwama-kneecap ukuhanjiswa ekuqaleni ngokunciphisa ngokukhawuleza (ukubeka ngokutsha) kwe-kneecap. Uninzi lwezigulane ziya kwindlu egxininisekile, kwaye ngelixa i-kneecap ibonisa ngokuthe tye, intlungu kunye ne-muscle spasm kunokukunqanda ukuba kube lula. Ngoko ke, i-anesthesia (nokuba yendawo okanye jikelele) inokulawulwa ukuze incedise ukubeka ithambo. Uninzi lwama-kneecap lokutshintshwa lunokuthi lugqitywe ngamadolo kuphela ukulawulwa kwentlungu kunye ne-spasm evumela.
Emva kokubeka kwakhona i-kneecap, unyango ngokuqhelekileyo luqala nge- RICE unyango ukulawula intlungu kunye nokunceda ukuvuvukala.
Iintonga kunye ne-knee brace zisoloko zinikwe ukunceda ukulawula intlungu. Nangona ukuthintela ubunzima emlenzeni kunokuncedisa ngentlungu, akufuneki ukuba ugcine ubunzima bomlenze. Xa ukuvuvukala okunzulu kuye kwaxhaswa, unyango luya kuqhubeka.
Isigaba esilandelayo sonyango ngokuqhelekileyo siquka unyango lwangokwenyama kunye nokubetha i-kneecap. Njengoko kuthethwe ngaye ngaphambili, ukuguquka kwe-kneecap kunokuba yinkinga ephindaphindiweyo. Ngokuqinisa izihlunu ezijikelezileyo, kunye nokusetyenziswa kwee-knee braces ezikhethekileyo, ithemba likunceda ukunqanda ukulimala okuphindaphindiweyo.
Kwizigulane eziphindaphindiweyo (ukuphindaphinda) ukuchithwa kwezinto, kukho iindlela zokukhetha .
Ukunyanga okuqhelekileyo kukukhenkcela i-latal (ngaphandle) iigamente ezidonsa i-kneecap, ebizwa ngokuba yinkqubo yokukhululwa kwesikhashana . Abanye oogqirha bancoma nokuba uqinisa imisipha okanye uphinde uvuselele iigaments ezithatha ngaphakathi kwe-kneecap. Kwezinye iimeko ezinqabileyo, ukuguqulwa kwempembelelo, okubandakanya ukusika nokubeka kwakhona ithambo, kunokucetyiswa.
Ingaba Ukuhlinzwa Kukhethwa Kwintetho Emva Kokuphuma Kwexesha Lokuqala?
Inzala yakutsha iye yaphuhliswa ekukhuseleni ukutshatyalaliswa okuphindaphindiweyo. Ngasinye ixesha i-kneecap ihamba, i-cartilage inokulimala, kwaye iigamentshi ziyakwandiswa ngakumbi. Ukuxhalabisa ngokunyusa ukwanda kwe-arthritis ukuphuhliswa kwintlungu ephindaphindiweyo kuye kwenza abanye oogqirha banamandla xa bezama ukukhusela ukuphindaphinda. Abanye oogqirha bazama ukubuyisela i-anatomy evamile ngokulungisa i-MPFL emva kokushenxiswa kwexesha lokuqala. Olu hlobo lotyando luyaluphikisa ngenxa yokuba kungekhona zonke izigulana ezithintela i-kneecap yazo ziza kubakho enye inkunkuma. Ukongezelela, ukuhlinzwa kwangaphambili akuzange kuboniswe ngophando lwesayensi ukuze luncedo ekukhuseleni i-arthritis.
Ukuba ugqirha wakho uphakamisa ukuhlinzwa, kwaye awuqinisekanga ukuba uqhubeke, akuze ukhawuleze ukufuna enye imbono. Khawukhumbule: akukho nto ihlala ilungile kunye nempendulo engalunganga. Nangona abanye oogqirha kunye nezigulane zinokuba neengcamango ezintle, akusoloko kuphendulwa ngokucacileyo malunga nendlela yokuhamba phambili. Akumangalisi ukuba afune ezinye iingcebiso. Oku kuthetha, kubalulekile ukuba ukhumbule ukuba iingcebiso ezininzi zinokuthi zidibanise ukucinga. Ukuba ufumana ugqirha uyayithemba, kwaye uqinisekile ukuba bafuna umdla wakho, ke ukunamathela kuzo kungabheja!
Imithombo:
I-Hing CB, kunye ne-al. "Ukutshintshwa kokungenelelekanga kokungenelelo kokuphatha i-patellar dislocation" I-Cochrane Database Syst Rev. 2011 Nov 9; 11: CD008106.