Bipartite patella inowanikwa apo patella, kana kuti kneecap, inoitika semapfupa maviri akasiyana. Panzvimbo yekubatanidza pamwe chete achiri muduku, patella inoramba ichiparadzaniswa. Bipartite patella kazhinji haisi dambudziko; inowanikwa munenge 2-3% yevanhu.
The Kneecap
Bhuku rakaputika - kana rakakodzera zita rake, patella - rudzi rwefupa rinonzi samoamoid bone.
Sesamoid mafupa akafukidzwa mukati me tendon. Iyo patella iri mukati me quadriceps tendon uye ine mabasa matatu anokosha:
- Icho chipfeko chinowedzera masimba emabvi akabatanidzwa
- Inodzivirira mabvi kubva pamatambudziko
- Irotilage yepamusoro inogadzirisa uye inopa chikafu chemabvi akabatanidzwa
Kazhinji, iyo patella inoumbwa kubva kune imwe nzvimbo ye ossification, nzvimbo inoumba bone mukutakura kwekukura uye achiri muduku. Mune dzimwe nzvimbo, yechipiri chechipiri chekusimbisa nzvimbo, uye izvi zvingave zvisina kufanira nechinzvimbo chekutanga chekusimba. Muvanhu ava, patella inoumba semapfupa maviri akasiyana.
Zviratidzo zveBipartite Patella
Vanhu vakawanda vane chirwere ichi havana kana zviratidzo. Zvisinei, mune vamwe vanhu vane bipartite patella, mishonga inobatanidza iyo inobatanidza zvidimbu zvepfupa inogona kupisa uye inotsamwiswa. Mhando iyo inobatanidza zvikamu zviviri zvepfupa inonzi synchondrosis. Zviratidzo zvekurwadziwa kwemabvi zvinogona kukura zvinowanzoguma nekukuvara zvakananga kumabviki, kana kuti kudzokorora zvakanyanya pa synchondrosis.
Zviratidzo zvakajairika zvebipartite patella zvinosanganisira:
- Pain directly on the kneecap
- Kukurira pa synchondrosis
- Inotyisa kufamba kwemabvi
Bipartite patella ndiyo inowanzoonekwa kuti inowanikwa nenzira isingaiti, inoreva kuti inoonekwa pane x-ray kana MRI iyo yakaitwa kuti iongorore zviratidzo zvisingaenderani nemabheji.
Mune vanhu vasina zviratidzo zvine chokuita neBipartite patella, hapana chimwe chinofanira kuitwa.
Kana vanhu vane zviratidzo zvine chokuita neBipartite patella, vanogara vaine x-ray kuti vaone bhetecap isina kukodzera. I-MRI inogona kubatsira kuti uone huwandu hwekuputika kwakapoteredza bipartite patella. Pfupa rekuongorora ndiyo imwe yero inogona kushandiswa kuona kuwanda kwekuvhiringidza kunenge kusina kukwana patella, kunyange zvazvo vanachiremba vakawanda vari kushandisa MRI pane ikozvino pfupa.
Treatment Options
Muzviitiko zvakawanda, hapana kurapwa kunodiwa kuvarwere vanoonekwa vane bipartite patella. Kana paine zviratidzo zvine chokuita nekuputika kwechirchrosrosi ye bipartite patella, kurapwa kunogona kushandiswa kuedza kuvhara kuputika kwebhedecap. Aya marapirwo angangosanganisira:
- Zororo: Kubvumira kuti kneecap kuzorora ndiyo danho rokutanga mukurapwa, uye kazhinji kacho danho roga roga rinodiwa kugadzirisa zviratidzo zvechiitiko ichi. Zororo rinogona kusanganisira kusagadzikana kwebvi mune imwe nzvimbo yakanyatsogadzikana yekutora kuvharwa kwebhekisi.
- Ice Inoshandiswa : Kuwedzera kuvhiringidzika uye kurwadziwa kunowanzoitwa nekushandiswa kwemahombekiti zvakananga kumberi kwebhekete.
- Anti-Inflammatory Medication: Mishonga yemumuromo inogona kushandiswa kubatsira kubvisa marwadzo uye kuderedza kupisa. Mishonga yakawanda isina antisteroidal anti-inflammatory (inonziwo NSAIDs) inoshandiswa kubatsira kubvisa bhanecap inotsamwiswa. Mune mamwe maitiro akaoma, injini ye cortisone, zvakare ine simba rinopesana nokuputira, rinogona kutarisirwa kubatsira kubatsira dambudziko racho.
- Kugadzikana Knee Braces: Mhembera dzingabatsira kunogadzirisa kufamba uye kutsigira bhedecapap. A simple patellar compression knee brace inowanzove yakanyanya kubatsira inobatsira iyi.
Mune vashoma vashoma vanoita zviratidzo zvinoramba zvichiitika nekuda kwebipartite patella, kune nzira dzokurapa dzokuvhiya.
Nyanzvi dzakawanda dzechiremba dzinokurudzira kuedza kusagadzirisa zvirongwa zvisingashandisi zvemishonga kwenguva shomanana kwemwedzi mitanhatu isati yafunga nezvekugadzirisa chero upi zvake. Kuvhiyiwa kazhinji kunosanganisira kubvisa chiduku chiduku chefupa kana kuti kuvhara musuru inowedzera pachikamu chiduku chefupa.
Sources:
Gaheer RS, et al. "Contemporary Management of Symptomatic Bipartite Patella" Orthopedics; Vol. 32, Nha. 11; November 2009. Mapeji 843-9.
Atesok K, Doral MN, Lowe J, Finsterbush A. "Zviratidzo zvepipartite patella: dzimwe nzira dzokurapa" J Am Acad Orthop Surg. 2008 Aug; 16 (8): 455-61.
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