Isizathu Esiqhelekileyo Sokuhlungu Knee
I-Patellofemoral stress syndrome, okanye i-PFSS emfutshane, yimeko apho kuhlanjululwa okungaqhelekanga kwe-kneecap (patella) kwenzeka ekupheleni kwethanga (femur). Esi sizathu esiqhelekileyo sokubandezeleka kwamadolo kwaye kuyingozi yokusebenza ngokuqhelekileyo.
Indawo yoBuhlungu
Ukuba unentlungu phambi kwebhokhwe lakho, unokufumana iPSSSS. Ngamanye amaxesha intlungu ibonakala ngeenxa zonke kumaphethelo e-kneecap.
Intlungu ngokuqhelekileyo ishushu esivuthayo kwaye iyingozi nakakhulu ngemisebenzi efana nokusebenza, ukuxuma, ukukrabhula okanye ukunyuka kwezitepsi. Ukuba imeko yakho ilukhuni, ukuhamba okanye ukunyuka esihlalweni kunokuba kubuhlungu kwaye kungabonisa ukuba unayo i-PFSS.
Inatomy of the Patellofemoral Joint
I- joint joint patellofemoral ikhona emadolweni apho i-patella igxuma ekupheleni kwesibini. Kukho i-groove encane ekupheleni kwe-femur apho i-patella ihleli khona kwaye iqhutywe endaweni yeetononi kunye nemigqa. Xa i-patella ihamba ngendlela engafanelekanga kule ndawo, iintlungu kunye nokuvuvukala kunokubangela, kwaye ukuxilongwa kwe-PFSS kunokurhalwa.
Izizathu
Kukho izimbangela ezininzi ze-PFSS. Ukuqina emisipha emadolweni kunye nokuqhawula kunokutsala ngokungavumelekanga kwi-kneecap, ukuyikhupha ngaphandle kwesithuba esiphezulu. Ubuthathaka kwimisipha ejikeleze idolo kunye nokwehla kunokuncedisa ingxaki. Ngamanye amaxesha, ukuma kweenyawo ezingafanelekanga ngexesha lokuhamba okanye ukuhamba kungenza idolo liphendule ngaphakathi, elikhokelela kwi-PFSS.
Ngenxa yokuba kukho izinto ezininzi ezinokuba negalelo kwi-PFSS, kubalulekile ukuba uhlolisise ugqirha wakho kunye nomgulana wenyama ukuze uncede ukuqonda imbangela yengxaki.
Ukuxilongwa
Ukuba ufumana intlungu phambi kwebhokhwe lakho okanye malunga ne-kneecap yakho, unokufumana iPSSSS. Ukutyelela ugqirha wakho kunokufuneka.
Unokukhetha ukuthatha i-x-ray ukubona ukuba i-arthritis okanye enye imeko ibangela intlungu yakho. Uvavanyo lokunyanga lonyango kunye nesicwangciso sonyango kunokufuneka ukuba uncede ukufumana isisombululo esihle kwisingxaki sakho.
Ukunyamekela kwakho unyango kufuneka kuqalwe ngokuvavanya. Oku kufuneka kubandakanye ingxoxo enzulu kwingxelo yengxaki yakho. Umgulana wakho wenyama kufuneka akubuze malunga neentlungu zakho zakuqala, njani ukuqala, kwaye yimiphi imisebenzi eyenza imeko yakho ibe ngcono okanye yimbi. Imbali enzulu ingancedisa ugqirha wakho womzimba ukuba anqume apho iinjongo zolu vavanyo kufuneka ukuba okanye ukuba ingxaki eyahlukileyo ingabangela intlungu yakho. Qiniseka ukuba ugqoke iingubo eziphathekayo kwiiseshoni zakho zonyango ukuze umzimba wakho ufikeleleke kalula.
Ingcali yakho yomzimba ingathatha imilinganiselo eyahlukeneyo ukunceda ukuqonda imbangela yengxaki yakho. Unako ukulinganisa amandla akho, umlenze, okanye imisipha yomlenze. Uluhlu lweendonga zamadolo akho lungalinganiswa. Ukunyakaza kwe-kneecap yakho kunokulinganiswa ngeendlela ezahlukeneyo nangemisebenzi eyahlukileyo, njengokukratshi okanye ukunyuka kwetree . Ukunyanzeliswa kwemisipha yomlenze wakho, umlenze okanye umlenze unokuhlolwa. Iinyawo kunye neendawo zokuguqa xa ehamba okanye ehambayo ingahlolwa ngexesha lovavanyo lwentengo .
Unyango
Ukwelashwa kokuqala kwe-PFSS kubandakanya ukulawula ukuvuvukala usebenzisa indlela ye- RICE iintsuku ezintathu ukuya ezintlanu ukunceda ukunciphisa intlungu kunye nokunciphisa ukuvuvukala emadolweni. Iqhwa kufuneka isetyenziswe emadolweni imizuzu engama-15 ukuya kwimizuzu engama-20 ngamaxesha amaninzi ngosuku. Qinisekisa ukubeka ipakethi yakho yeqhwa kwiluwula ukuphepha umonakalo we-tissu okanye iqhwa. Ukugwema umsebenzi owabangela ukuba intlungu ibone kakuhle.
Emva kweentsuku ezintlanu ukuya kwe sixhenxe zokuphumla kunye nesicelo seqhwa, ukusetyenziswa kwe-PFSS kungaqaliswa ukukunceda ukuphucula ukuguquguquka kunye namandla phezu kwenyonga, idolo kunye neenyawo. Ukuqeqeshwa okulula kunokwenziwa ukuze kuqinisekiswe ukuba ulandelelwano oluqhelekileyo lwe-kneecap lufezekiswa.
Qiniseka ukuba uhlolisise ugqirha wakho kunye nomgulana wenyama ukuze ufumane ukuba umzimba ufanelekile kwaye ufunde ukuba yeyiphi indlela ekufuneka yenziwe ngayo.
Umgulana wakho wenyama unokukhetha ukhethe ezinye i-agent zangaphakathi okanye iindlela zokuncedisa ukunciphisa intlungu kunye nokuphucula ukuhamba. Ezinye izifo eziqhelekileyo ziquka i- ultrasound , ukuvuselela ugesi , okanye i- iontophoresis . Qinisekisa ukuba ubuze imibuzo yakho yomzimba ngokuphathelele unyango olwamkelayo.
Emva kweeveki ezintathu ukuya kwezine zokunyamezela ngokunyamezela nokuqinisa , kungase kube ixesha lokuba uqale ukulungiselela ukubuyela kwimisebenzi eqhelekileyo. Intlungu ejikeleze i-kneecap yakho ifanele ibe yinto encinci, kwaye kufuneka ukwazi ukunyuka nokuhla kwezitebhisi ngaphandle kweentlungu.
Uvavanyo olulula ukujonga ukuba i-kneecap yakho ilandelela ngokufanelekileyo ukuhlolwa komlenze owodwa. Ukwenza oku, hlala ngelinye ilanga, ubambe into ethile, uze udibanise ngokukhawuleza. Ukuba le nqubo ibangela ubuhlungu bamadolo, iiveki enye ukuya kwiiyure ezimbini zokubonisa imodeli ingaboniswa. Ukuba le nkqubo ingenabuhlungu, kufuneka ulungele ukuqala uqeqesho ukubuyela kwimidlalo.
Imisebenzi yokuqiniswa ephakamileyo ingafuneka ukuba uncede ukuqinisekisa ukuba imisipha yakho eyintloko kunye neephantsi ihlinzeka ngenkxaso eyaneleyo emadolweni. Kwakhona, qiniseka ukuba uhlolisise ugqirha wakho kunye nomzimba wenyama ukuze uncede ukugqiba ukuba yiyiphi imimiselo efanelekileyo kwiimeko zakho.
I-PT yakho inokuphinda isebenze nawe ukutshintsha i-gait yakho yokuqhuba ukucinezela ngamadolo akho nethemba lokukhusela i-PFSS. Uphando lubonisa ukuba ukugxila phambili xa usebenzayo kunokunciphisa uxinzelelo emadolweni ukuze unciphise intlungu evela kumdolo womgijimi kunye ne-PFSS. I-PT yakho inokukubonisa indlela yokulungelelanisa i-gait yakho yokusebenza kwamadolo.
ILizwi
Uninzi lweziqendu ze-PFSS ziba ngcono kangangoko kwiiveki ezintandathu ukuya kweebhozo. Ukuba imeko yakho ibaluleke kakhulu, kunokuthatha ixesha elide ukuphumeza umsebenzi ongenabuhlungu. Ukuba iimpawu zakho ziqhubeka emva kweeveki ezisibhozo, kufuneka uqhagamshelane nodokotela wakho ukuba ubone ukuba ngaba unyango oluninzi olungenayo, njengamajova okanye utyando luyakunceda.
> Umthombo:
> Hertling, D. (2006). Ulawulo lweengxaki ezixhaphakileyo ze-musculoskeletal. (4th ed.). Philadelphia: Lippincott Williams & Wilkins.
> Teng, H, Amandla, C. Impembelelo ye-trunk posture kwi-energetics ephantsi ekusebenzeni. UMed Sci Posrt no-Exer. 47 (3) Matshi 2015. 625-630