Kuvhiya kuti kuve nemafungiro emabhedha
Kubudiswa kwekugadziriswa inzira yekuvhiya pamabvi yakashandiswa kujekesa bhedecap (inonziwo patella). Kusunungurwa kwemazuva matatu kunoitwa senzira yekuvhiya yegthroscopic uye inogona kuitwa sepasipo. Chikonzero chikonzero chekuita kusunungurwa kwekusununguka ndeyekudzivisa kana kugunun'una kneecap inokonzera marwadzo.
Patellar Movement
Bhuchuputi inofamba ichikwira uye ichidzika mumugwagwa pamucheto wefupa rehudyu sezvo mabvi achizununguka.
Mune vamwe varwere, kneecap inowanzokwevedzwa kune kunze kweropa rayo. Apo bhupapap haina kuvhara zvakanaka mukati me groove, kushungurudzika kwekateti uye kurwadziwa zvinogona kuitika. Pane zvikonzero zvakasiyana zvehuwandu hwemagracking (zita rinopiwa kumabviketa riri kubudiswa kune kunze), uye yakawanda ndeye mishonga yakasimba inowanikwa kune kunze kwemabheji (lateral retinaculum).
Apo chiremba wako achiongorora zvinetso zvako zvebhekete, iye achatarisa zvinetso zvishoma zvinokonzerwa nemichina ye kneecap. Patellar tilt is angle of the kneecap, uye kana kuti haisi kunyanyisa kunokonzerwa ne tight retinaculum. Icho chinonzi patellar subluxation , iyo iyo apo bhanecap iri kubudiswa panze ye groove nekuda kwekuparara.
Kusunungurwa kwekufambisa kwakanakisisa kune murwere ane kunyanya kushandisa patellar tilt. Apo retalaculum retalaculum yakanyanya kusimba, inogona kuita seinochera kumabvikipap.
Kubudiswa kwekugadziriswa ndeye nzira inogadziriswa kuderedza iyi retinaculum yakasimba, uye inobvumira kuti bhuchupiti igare zvakanaka mukati maro.
Nguva Yekuita Kubudiswa Kwekupedzisira
Kusunungurwa kwekupedzisira kunobatsira kana kuchiitwa murwere. Kwemakore mazhinji, vanachiremba vaiita izvi nenzira yakawanda zvakare, uye vamwe varwere havana kuwana zororo.
Sezvo takawana ruzivo nechinetso ichi, vanachiremba vanovhiya vava nani pakusarudza kuti varwere vangangobatsirwei kubva pakusunungurwa kwavanotevera.
Mashoko akanaka kuvarwere ndeokuti munguva dzakawanda, chirongwa chakasimba chetelal retinaculum chinogona kubudirira kurapwa nechisarudzo chekudzivirira nekugadzirisa. Nokuda kwechikonzero ichi, kusunungurwa kwekupedzisira kunofanira kungofungidzirwa apo varwere vakundikana miitiro yakawanda yekugadzirisa dambudziko iri kuburikidza nekurapa kwepanyama.
Mukuwedzera, varwere vane kneecap vanosimuka vanowanzoda chirongwa chakawedzerwa chokuvhiya kuti vagadzirise mamiriro avo. Kune hutano hwakasiyana-siyana hwekuvhiya hunogona kugadzirisa kusvibiswa kwema kneecap kusanganisira kugadziriswa kwegungwa, bone realignment, nevamwe. Chikamu chakakosha chekuwana kubudirira nekurapa ndechekuita zvakanaka nzira yekuvhiya yemamiriro ega ega ega.
Matambudziko
Nyaya inowanikwa yakawanda yekusunungurwa kwekusununguka kuri kubuda mumabvi; izvi zvinogona kutungamirira mukurwadziwa uye kuzvimba. Zvimwe zvinetso zvinosanganisira utachiona uye ruvara rwemavara. Chimwe chezvinhu zvakanyanya kuoma zvekuvhiya ndeyekuita kuti mishonga inosunungurwa zvakakwana kugadzirisa nyaya yekugadzirisa, asi kwete kusunungura mitsipa yakawanda kuitira kuti bhuchup inenge isina kugadzikana uye inokwevera mukati memabvi (kuratidzika kwemukati).
Imwe dambudziko rinowanzoitwa nenzira iyi yekuvhiya ndeyokushaya kwekununurwa kwezvakaratidzwa zvekutanga zvekutambudzika. Nhoroondo yekare, vanachiremba vakawanda vakafunga kuti kusunungurwa kwekupedzisira kwakagadzirwa kakawandisa, pasina chakanaka, kunyatsosarudzwa kwevanhu vanogona kubatsirwa kubva pamitambo yacho. Kwemakore gumi adarika, vanachiremba vanovhiya vava kunyanya kusarudza nevarwere vane urongwa uhwu, uye zvinoratidzika kubatsira kubatsira kazhinji. Zvisinei, kuita chirongwa chekubudiswa kwemazuva ekupedzisira hakusi chivimbo chekuregererwa kwemarwadzo emabvi. Ani naani anofunga nezvekuvhiyiwa iyi anofanira kukurukura nechiremba wavo chirwere chinogona kunge chichizove chiri kubvisa zviratidzo zvavo, uye kana chirwere ichi chichiona chinogona kunge chichirongwa chisingaiti chekugadzirisa dambudziko racho.
Sources:
Post WR. "Anterior maronda kurwadziwa: kuongororwa uye kurapwa" J Am Acad Orthop Surg. 2005 Dec; 13 (8): 534-43.