Iindlebe Ngokuqhelekileyo Zifuna Ukuzilungisa Ukuzicanda
Ithenda ye-patellar isakhiwo esidibanisa i-kneecap (i-patella) kwi-shinbone (tibia). I-ligament isakhiwo esidibanisa ithambo elinye kwelinye ithambo, ngoko ke abanye abantu bakubhekisela kule nto njenge-patellar ligament. Nangona kunjalo, esi sakhiwo ngokuqinisekileyo sidibanisa i- quadriceps muscle kuya kwisifuba shin, kwaye i- tendon idibanisa i-muscle ibe ithambo, kwaye ngoko ke ithenda ye-patellar iyona nkcazelo eqhelekileyo.
Ithenda ye-patellar yinxalenye ebalulekileyo yendlela yokucima umgca wezantsi . Indlela yokucima iquka i-quadriceps muscle, i-quadriceps tendon, i-patella (i-kneecap) kunye ne-patellar tendon. Ezi zakhiwo zisebenza kunye ukuvumela ukuba idolo lilungele, kwaye lenze njalo ngamandla. Indlela yokuphucula ibaluleke kakhulu kwimisebenzi eqhelekileyo ukusuka ekuhambeni nasekukhuphukeni kwitepsi ukuya kwimidlalo yezemidlalo kuquka ukuqhuba nokukhaba. Ngaphandle kwendlela yokucima, yonke le mi sebenzi ingaba nzima ukwenza.
Iimpawu
Umntu oqhelekileyo oxhasa ithenda ye-patellar ekhethiweyo ngumfana osemncinci, onomdlali. Njengoko abantu abaneminyaka engama-middle-age bahlala bekhulile, le nzakala iya kuba yinto eqhelekileyo kubantu abadala.
Ngokuqhelekileyo ukulimala kubandakanya ukuhamba ngokukhawuleza ukusuka kwindawo yokugxuma apho i-quadriceps muscle ivumelwano, kodwa idolo liqondiswa ngamandla.
Oku kubizwa ngokuba yintambo yokuqhawula kunye nokubeka uxinzelelo olukhulu kwi-tendon. Abadlali abaqhubela phambili ukulimala banokuziva bexakeka okanye bavame ukuvakalelwa kwaye abanakukwazi ukuhamba emva kokulimala.
Iimpawu eziqhelekileyo zethenda ye-patellar ekhethiweyo ziquka:
- Ubuhlungu ngqo phantsi kwe-kneecap
- Ukuvuvukala nokutyumla phambi kwamadolo
- Isiphene, okanye indawo epholileyo, apho ithenda kufuneka ibe nzima
- Unzima ukuhamba okanye ukwenza imisebenzi yezemidlalo
Izizathu
Kuye kwafunyanwa ukuba phantse zonke izigulane eziqhubekayo ukuhlukana kwetoni ye-patellar zikhona izicubu zesisu eziqhelekileyo ezihambelana nesifo esingapheliyo. Ithenda ye-patellar ivame ukulimala kwingingqi yamanzi ye-tendon, apho ukuphuma kwegazi kwiimfucu kuhlwempuzekileyo, kwaye i-tendon ibuthathaka.
Iinyembezi zeTendon ziyakwenzeka nakwiindawo zokungabikho kwezemidlalo. Ngokuqhelekileyo, kukho isizathu sokuba ithenda ye-patellar iyancipha kula bantu, njengesifo sesistim esenza buthathaka i-tendon okanye ukuhlinzwa okwenzeka kutshanje kwi-knee. Uphulo luvame ukufana nakwabadlali kunye nabangewona umdlali.
Ukuxilongwa
Ukwenza ukuxilongwa kwethenda ye-patellar ekhethiweyo ngokuqhelekileyo kubonakala kuviwo lweklinikhi. Abantu abaqhekeza i-tendon abayi kukwazi ukuphakamisa idolo ngokumelene nobukhulu bamandla, kwaye abakwazi ukwenza umlenze ovukileyo wokuphakamisa uvavanyo . Umhloli unokuvame ukuva isithuba kwi-tendon, ngaphantsi kwe-kneecap.
Kuza kufumaneka i-x-ray, njengokuba i- patellar fracture ingabangela iimpawu ezifanayo, kwaye kufuneka ikhutshwe njenge-diagnostic. Kwi-ray-ray, i-patella ivame ukuphakanyiswa xa ifaniswa needolo eliphambene nayo, njengoko i-quadriceps idonsa kwi-kneecap, kwaye akukho nto ibambe phantsi kwindawo yayo eqhelekileyo.
Nangona kaninzi kungasadingeki, i-MRI ingasetyenziselwa ukuqinisekisa ukuxilongwa nokuhlola idolo ngenxa yimuphi umonakalo onokwenzeka.
Unyango
Ithenda ye-patellar ekhethiweyo ayiphilisi ngokwabo, kwaye ishiywe ingaphendulwa iya kubangela ubuthathaka be-quadriceps muscle kunye nobunzima ngemisebenzi eqhelekileyo, kuquka ukuhamba. Ugqirha ukulungisa isithoni esiqwengqileyo sithe ngqo ngokucacileyo kodwa kunokuba nzima ukwenza.
Iziphelo eziqhekekileyo zeetononi kufuneka zidibaniswe kunye. Ubunzima bubangelwa kukuba kubalulekile ukubuyisela uxhaphalo olufanelekileyo kwi-tendon, kungenzi ukuba lukhuni okanye lukhululekile.
Kwakhona, kunokuba nzima ukufumana ukulungiswa kakuhle, ngakumbi ukuba ithenda ithatyathele ithambo. Kule meko, i-sutures esetyenziselwa ukulungisa i-tendon ingafuneka iqhotyoshelwe ngqo ngethambo.
Ukubuyisela kunye nokuhlaziya
Ukubuyisa kwithenda ye-patellar ekhethiweyo kunzima kwaye kuthatha ixesha. Esinye seziganeko ezibalulekileyo zokuhlaziywa lixesha lokuhlinzwa, kwaye ukuhlinzwa okulibaziseka ngaphaya kweeveki ezimbalwa kunokunciphisa amandla okubuyisela. Kuyaziwa ukuba ukuhamba ngokukhawuleza emva kokuhlinzwa, ukuqiniswa okukhuselekile, kunye nokuthintela uxinzelelo olunzulu ekulungiseni ukukhawuleza ukuphucula. Ngaphandle kwale nyathelo, kukho ubuncinane beenyanga ezi-3 ukubuyela kwimisebenzi yemihla ngemihla, kunye neenyanga ezi-4-6 kude kube yimidlalo ekufuneka iqhutywe kwakhona.
Ngelixa abaninzi abantu baphilisa ngokupheleleyo kwi-patellar tonyon ukuhlinzwa, kunokuba nobuthathaka besikhathi eside nangona kulungiswa ngempumelelo. Abadlali abazama ukubuyela kwimidlalo yezokukhuphisana bangathatha unyaka okanye ngaphezulu ukubuyela kwi-preinjury yabo yomsebenzi. Ukwenza unyango olungumzimba olukhokelwayo lunokuba luncedo ukuqinisekisa ukuba abadlali bayakwazi ukuqhuba imisebenzi yabo yezemidlalo eqhelekileyo.
Umthombo:
Matava MJ. "I-Patellar Tendon Ruptures." J Am Acad Orthop Surgery uNovemba 1996 vol. 4 akukho. 6 287-296.