Chii chinonzi Patellar Subluxation?

Zvemukati

• Kneecap kukuvara
• Ndezvipi zviratidzo?
• Chii chinokonzeresa patellar subluxation?
• Ko patellar subluxation inoonekwa sei?
• Ndedzipi nzira dzekurapa dzisiri dzekuvhiya?
• Ndedzipi nzira dzekurapa dzekuvhiya?
• Medial patellofemoral ligament (MPFL) kuvakazve
• Tibial tuberosity kuendesa
• Kusunungurwa kwekupedzisira
• Zvinotora nguva yakareba sei kuti uwanezve?
• Pasina kuvhiyiwa
• Nekuvhiya
• Maitiro ekudzivirira patellar subluxation
• Outlook

Kneecap kukuvara

Subluxation iri rimwe izwi rekusarudzika kwepfupa. Patellar subluxation iko kusarudzika kusarura kwe kneecap (patella). Iyo inozivikanwawo se patellar kusagadzikana kana kneecap kusagadzikana.

Iyo kneecap idiki inodzivirira bone iyo inosungira padyo nepazasi pechidya chako pfupa (femur). Paunenge uchikotama uye uchitwasanudza mabvi ako, bvi rako rinokwira richikwidza nekudzika mugero pazasi pechidya, inonzi trochlea.

Mapoka akati wandei emhasuru nemisungo anobata mabvi ako munzvimbo. Kana izvi zvikakuvara, kneecap yako inogona kubuda kunze kweiyo groove, ichikonzera marwadzo uye kunetseka kuchinjisa ibvi.

Iyo kureba kwekuparadzaniswa kunoona kuti inonzi patellar subluxation kana dislocation.

Kukuvara kwakawanda kunosundira ibvi nechekunze kwemabvi. Izvi zvinogona zvakare kukanganisa iyo ligament mukati memabvi, inozivikanwa seyakaenzana patello-femoral ligament (MPFL). Kana iyo MPFL ikasapora mushe, inogona kuseta nhanho yekusunungurwa kwechipiri.

Ndezvipi zviratidzo?

Iwe unogona kuona zvinotevera zviratidzo ne patellar subluxation:

• kurovera, kubata, kana kukiya kwemabvi
• kutsvedza kwebvi kune kunze kwebvi
• kurwadziwa mushure mekugara kwenguva refu
• kurwadziwa kumberi kwebvi kunowedzera mushure mekuita
• kubuda kana kutsemuka mumabvi
• kuomarara kana kuzvimba kwemabvi

Kunyangwe iwe uchikwanisa kuzviongorora-pachako, iwe uchafanirwa kuona chiremba kuti arapwe.

Chii chinokonzeresa patellar subluxation?

Chero chiitiko chakanyanyisa kana mutambo wekubata unogona kukonzera patellar subluxation.

Patellar subluxations uye dislocation zvinonyanya kukanganisa vechidiki uye vanoshingaira vanhu, kunyanya pakati pemakore gumi kusvika makumi maviri emakore. Kazhinji kukuvara kwekutanga-nguva kunoitika panguva yemitambo.

Mushure mekukuvara kwekutanga, mikana yekuparadzaniswa kwechipiri yakanyanya kwazvo.

Ko patellar subluxation inoonekwa sei?

Kuti uongorore patellar subluxation, chiremba wako anokotama uye otwasanudza ibvi rakakuvara uye anzwe nzvimbo yakatenderedza kneecap.

X-rays inogona kushandiswa kuona kuti kneecap inopindirana sei mu groove pazasi pe patella uye kuona chero imwe ingangoita kukuvara kwemapfupa.

Magnetic resonance imaging (MRI) inogona kushandiswa kufungidzira mitsipa uye zvimwe zvakapfava zvakapoterera patella. Vana nevechiri kuyaruka dzimwe nguva havazive kuti vakave nekuparadzaniswa patellar. Iyo MRI inogona kubatsira kuzvisimbisa.

Ndedzipi nzira dzekurapa dzisiri dzekuvhiya?

Kurapa kwekusavhiya kunokurudzirwa kune vazhinji vevanhu vane yekutanga-nguva patellar subluxation kana dislocation.

Kurapa kwekusavhiya kunosanganisira:

• RICE (zororo, icing, kumanikidza, uye kukwirira)
• nonsteroidal anti-inflammatory drug (NSAID), senge ibuprofen (Advil, Motrin)
• kurapa kwepanyama
• madondoro kana tsvimbo kubvisa uremu kubva pabvi
• brace kana kukanda kuti simba ibvi
• shangu dzakasarudzika kudzikisa kumanikidza pabvi

Mushure mekutenderera kwepatellar, iwe unenge uine mukana wekudzokazve.

Muna 2007, ye70 zvidzidzo zvakapfuura zvakawana musiyano mudiki mumhedzisiro yenguva refu pakati pevaya vakavhiyiwa patellar dislocation nevaya vasina. Vaya vakavhiyiwa vaisanyanyoita kusununguka kwechipiri asi vangangozoita arthritis mumabvi.

A yakawana yakaderera mwero yekudzokororazve kuzere kutsemurwa kweiyo kneecap mune vanhu vaivhiya kurapwa. Asi iyo mwero wekudzokazve kwepatellar subluxation yaive yakafanana (32.7 maringe ne32.8 muzana), kunyangwe munhu akavhiyiwa kana kwete.

Ndedzipi nzira dzekurapa dzekuvhiya?

yekutanga-nguva patellar subluxation inorapwa zvakachengetedzwa, pasina kuvhiyiwa. Kurapa kwekuvhiya kunokurudzirwa kana iwe uchidzokorora episode kana mune akakosha kesi.

Mimwe miitiro yakajairika yekuvhiyiwa kwekudzokorora zvikamu zve patellar subluxation kana dislocation ndeiyi:

Medial patellofemoral ligament (MPFL) kuvakazve

Iyo yepakati patellofemoral ligament (MPFL) inodhonza iyo kneecap kuenda mukati megumbo. Kana iyo ligament isina kusimba kana kukuvara, iyo kneecap inogona kusuduruka yakanangana nekunze kwegumbo.

MPFL yekuvakazve ndeye arthroscopic kuvhiya inosanganisira maviri madiki maitiro. Mukushanda uku, iyo ligament inogadziriswazve uchishandisa chidimbu chidiki chetendon chakatorwa kubva kune yako nyowani tsandanyama kana kubva kune anopa. Zvinotora inenge awa imwe chete. Unowanzo dzoka kumba zuva rimwe chetero wakapfeka chibooreso kudzikamisa ibvi rako.

Simbi inosunga gumbo rako yakatwasuka uchifamba. Yakapfekwa kwemavhiki matanhatu. Mushure memavhiki matanhatu, unotanga kurapwa kwemuviri. Vanhu vazhinji vanogona kutangazve mitambo nekutamba zviitiko mwedzi mina kusvika minomwe mushure mekumiswazve kweMPFL.

Tibial tuberosity kuendesa

Iyo tibia iri rimwe zita repfupa rako. Iyo tibial tuberosity kukwirira kwehurefu, kana bulge, mune tibia iri pazasi pemabvi ako.

Iyo tendon iyo inotungamira yako kneecap sezvainofamba ichikwira nekudzika mu trochlear groove inosungira kune iyo tibial tuberosity. Kukuvara uko kwakonzera kuti kneecap isuduruke inogona kunge yakanganisa nzvimbo yekubatanidza yeiyi tendon.

Tibial tubercle yekufambisa mashandiro inoda incision ingangoita matatu inches pakureba pamusoro pebhinhi bone. Mukuvhiya uku, chiremba wako anoendesa chidimbu chidiki chetibial tuberosity kuti uvandudze kusungirirwa kwetendon. Izvi zvinobva zvabatsira iro kneecap kufamba zvakanaka mugoronga rayo.

Chiremba anovhiya anoisa screws imwe chete kana maviri mukati megumbo rako kuti uwane chikamu chepfupa chinotamiswa. Kuvhiya kwacho kunotora ingangoita awa rimwe chete.

Unozopihwa madondoro ekushandisa kwemavhiki matanhatu mushure mekuvhiyiwa. Mushure meizvozvo, kurapwa kwemuviri kunotanga. Vanhu vazhinji vanokwanisa kudzokera kubasa kana kuchikoro vhiki mbiri mushure mekuvhiyiwa. Zvinotora ingangoita mwedzi mipfumbamwe usati wadzokera kumitambo.

Kusunungurwa kwekupedzisira

Kusvikira makore angangoita gumi apfuura, kuburitswa kwakasarudzika kwaive kurapwa kwakajairika kwepatellar subluxation, asi hazviwanzo mazuva ano nekuti zvinowedzera njodzi yekudzokazve kwekusagadzikana mune kneecap.

Mune maitiro aya, mitsipa iri kunze kwebvi inotemwa zvishoma kuti irege kuvhomora kneecap kune rumwe rutivi.

Zvinotora nguva yakareba sei kuti uwanezve?

Pasina kuvhiyiwa

Kana iwe usina kuvhiyiwa, kupora kwako kunotanga neakakosha mavara-mana ekurapa anozivikanwa seRICE. Izvi zvinomiririra

• zorora
• icing
• kudzvinyirira
• kukwirira

Pakutanga, haufanire kuzvimanikidza kuti utenderere kupfuura zvinofadza. Chiremba wako anogona kukuraira madondoro kana tsvimbo kuti ubvise uremu pamabvi ako.

Iwe ungangoona chiremba wako zvakare mukati memazuva mashoma ekukuvara. Ivo vanokuudza iwe kana yave nguva yekutanga kuwedzera basa.

Iwe ungangodaro unopihwa kurapwa kwemuviri kaviri kana katatu pavhiki kwemavhiki matanhatu ekutanga. Murapi wako wepanyama anozobatsira kuongorora kana wagadzirira kudzoka mumitambo uye zvimwe zvinonetsa basa.

Nekuvhiya

Kana iwe wakave nekuvhiyiwa, kupora ihurefu maitiro. Zvinogona kutora mwedzi mina kana mipfumbamwe usati wakwanisa kutangazve mitambo, asi iwe unofanirwa kukwanisa kuitazve zviitiko zvakareruka mukati memavhiki maviri kusvika matanhatu.

Maitiro ekudzivirira patellar subluxation

Kumwe kurovedza kunogona kubatsira kusimbisa mhasuru dzemakumbo ako uye kudzikisira mukana wekukuvara kwemabvi, kusanganisira patellar subluxation. Kuti uderedze njodzi yako yerudzi urwu rwekukuvara, wedzera zvimwe zvezviitwa zvinotevera pane zvaunogara uchiita:

• kurovedza muviri kunosimbisa ako quadriceps, akadai squats uye kusimudza makumbo
• kurovedza muviri kusimbisa zvidya zvako zvemukati nekunze
• hamstring curl kurovedza muviri

Kana iwe watove nekukuvara kwemabvi, kupfeka chibooreso kunogona kubatsira kudzivirira kudzokazve.

Kupfeka zvakakodzera kudzivirira mumitambo yekubatana ndeimwe nzira yakakosha yekudzivirira marudzi ese ekukuvara kwemabvi.

Outlook

Patellar subluxation inowanzo kukuvara kuvana nevechiri kuyaruka, pamwe nevamwe vakuru. Chiitiko chekutanga hachiwanzoda kuvhiyiwa. Kana kuvhiya kuchidikanwa, hunyanzvi hwemaitiro matsva hunoita kuti zvive nyore kuti iwe uwanezve zvese kana hwakawanda hwesimba rako rekare nebasa.