Anterior kurwadziwa kwemabvi

Anterior mabvi kurwadziwa kurwadziwa kunoitika kumberi nepakati pemabvi. Inogona kukonzerwa nematambudziko mazhinji akasiyana, anosanganisira:

• Chondromalacia ye patella - iko kupfavisa uye kuparara kwetishu (shwashwa) pazasi peiyo kneecap (patella)
• Mumhanyi mabvi - dzimwe nguva anonzi patellar tendinitis
• Lateral compression syndrome - iyo patella inoteedzera zvakanyanya kune yekunze chikamu chemabvi
• Quadriceps tendinitis - kurwadziwa uye unyoro pane iyo quadriceps tendon yekubatanidza kune patella
• Patella maltracking - kusagadzikana kwepatella pamabvi
• Patella arthritis - kuparara kwetikarasi pasi pebvi rako

Yako kneecap (patella) inogara pamusoro kumberi kwebvi rako rakabatana. Paunenge uchikotamisa kana kutwasanudza ibvi rako, iro repazasi repatella rinotenderera pamusoro pemapfupa anoita ibvi.

Simba rakasimba rinobatsira kubatanidza kneecap kumapfupa uye mhasuru dzakakomberedza ibvi. Aya tendon anonzi:

• Iyo patellar tendon (uko iyo kneecap inosungira kune shin bone)
• Iyo quadriceps tendon (uko tsandanyama dzehudyu dzinonamira kumusoro kwebvi)

Kunze kwekurwadziwa kwemabvi kunotanga apo kneecap isingafambi zvakanaka uye ichikwiza kuzasi kwechikamu chezasi chefupa rehudyu. Izvi zvinogona kuitika nekuti:

• Iyo kneecap iri mune yakasarudzika chinzvimbo (inonziwo kusanzwisisika kwakashata kweiyo patellofemoral mubatanidzwa).
• Pane kusimba kana kushaya simba kwemhasuru kumberi uye kumashure kwechidya chako.
• Iwe uri kuita yakawandisa chiitiko inoisa kumwe kunetseka pa kneecap (sekumhanya, kusvetuka kana kumonyanisa, kutsvedza, kana kutamba nhabvu).
• Tsandanyama dzako hadzina kuenzana uye tsandanyama dzako dzepakati dzinogona kunge dzisina kusimba.
• Iyo groove iri parutivi rwechidzitiro panogara kneecap kazhinji haina kudzika.
• Une tsoka dzakatsetseka.

Anterior mabvi kurwadziwa kunowanzoitika mu:

• Vanhu vakafuta zvakanyanya
• Vanhu vakave nekuparadzaniswa, kutsemuka, kana kumwe kukuvara kune kneecap
• Vanomhanya, vanosvetuka, vanofamba-famba, vatyairi vemabhasikoro, uye vatambi venhabvu vanorovedza muviri kazhinji
• Vechidiki uye vane hutano vechidiki vakuru, kazhinji vasikana

Zvimwe zvinokonzeresa zvekutambudzika kwemabvi kumberi zvinosanganisira:

• Arthritis
• Kupinha kwemukati memabvi panguva yekufamba (inonzi synovial impingement kana plica syndrome)

Kunze kwekurwadziwa kwemabvi kurwadziwa, kurwadziwa kunorwadza kunowanzo kuve kunzwiwa:

• Kuseri kwe kneecap (patella)
• Pazasi pemabvi
• Pamativi ebvi

Chimwe chiratidzo chakajairika ndeyekutsva kana kukuya kunzwa apo ibvi rinenge rakachinjika (apo bhanhire rinounzwa padhuze neshure kwehudyu).

Zviratidzo zvinogona kunge zvichinyatso kuoneka ne:

• Pakadzika mabvi
• Kudzika masitepisi
• Kumhanya kudzika
• Kusimuka mushure mekugara kwekanguva

Anopa hutano anoita bvunzo dzepanyama. Ibvi rinogona kuve nyoro uye zvinyoro kuzvimba. Zvakare, iyo kneecap inogona kunge isina kunyatso kuvezwa pamwe nehudyu bone (femur).

Paunoshandura mabvi ako, iwe ungangonzwa kunzwa kugaya pazasi pemabvi. Kumanikidza iro kneecap apo mabvi ari kutwasuka kunze kunogona kurwadza.

Wako mupi angangoda iwe kuti uite rimwe gumbo squat kuti utarise kusaenzana kwemhasuru uye wako wepakati kugadzikana.

X-ray inowanzoitika zvakajairika. Nekudaro, yakatarwa x-ray maonero eiyo kneecap inogona kuratidza zviratidzo zveArthritis kana kusendeka.

Kuongorora kweMRI hakuwanzo kudikanwa.

Kuzorora pamabvi kwenguva pfupi uye kutora nonsteroidal anti-inflammatory drug (NSAIDs) senge ibuprofen, naproxen, kana aspirin inogona kubatsira kubvisa marwadzo.

Zvimwe zvinhu zvaunogona kuita kudzikamisa anterior mabvi kurwadziwa zvinosanganisira:

• Chinja maitiro aunoekisesaiza.
• Dzidza kurovedza muviri kune ese kusimbisa uye kutambanudza iyo quadriceps uye hamstring mhasuru.
• Dzidza kurovedza muviri kusimbisa moyo wako.
• Deredza uremu (kana iwe uri kufutisa).
• Shandisa yakakosha shangu inoisa uye ekutsigira michina (orthotic) kana uine tsoka dzakatsetseka.
• Tepa bvi rako kuti utorezve kneecap.
• Pfeka chaiyo shangu yekumhanya kana yemitambo.

Kazhinji, kuvhiyiwa kwekutambudzika kuseri kwebvi kunodiwa. Munguva yekuvhiyiwa:

• Kneecap cartilage iyo yakakuvara inogona kubviswa.
• Shanduko dzinogona kuitwa kumatoni kubatsira kneecap kufamba zvakanyanya zvakaenzana.
• Kneecap inogona kugadziriswazve kuti ibvumidze kufamba kwakabatana kwemajoini.

Anterior kurwadziwa kwemabvi kazhinji kunovandudzika neshanduko yechiitiko, kurovedza muviri, uye kushandiswa kweNSAID. Kuvhiya hakuwanzo kudikanwa.

Fonera mupiki wako kana iwe uine zviratidzo zvechirwere ichi.

Patellofemoral chirwere; Chondromalacia patella; Mumhanyi ibvi; Patellar tendinitis; Jumper ibvi

• Chondromalacia wepatella
• Vanomhanya ibvi

DeJour D, Saggin PRF, Kuhn VC. Kukanganiswa kwepatellofemoral joint. Mune: Scott WN, ed. Insall & Scott Kuvhiya kweKnee. 6th ed. Philadelphia, PA: Elsevier; 2018: chits. 65.

McCarthyM, McCarty EC, Frank RM. Patellofemoral kurwadziwa. Mune: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller's Orthopedic Sports Mushonga. 5 ed. Philadelphia, PA: Elsevier; 2020: chits. 106.

Teitge RA. Patellofemoral kusagadzikana: kururamisa kwekutenderera malalignment ezasi ekumucheto. Mune: Noyes FR, Barber-Westin SD, eds. Noyes 'Knee Dambudziko: Kuvhiya, Kuvandudza, Zvipatara Zvabuda. 2nd ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 36.