Chinhu chiduku chemaatomy chinobatsira pakunzwisisa izvo chaizvo patellar subluxation. Iyo patella, kana kuti kneecap, imwe yemapfupa matatu anoita mabvi akabatanidzwa. Rimwe nerimwe remapfupa aya rine chidziviriro chetikarti apo nzvimbo dzazvo dzinosangana. Iyo patella inowanikwawo nekaton. Iyi tete inobatanidza musana we quadriceps wehudyu kusvika kune rimwe (tibia) pasi pemabvi.
Muchecheche unofamba uchidzika uye uchidzika pasi kunopera pamagetsi ehudyu sezvo mabvi achikotama. Iyi groove inonzi trochlea. Ikobhopago yakagadzirirwa kuti ifanane pakati penzvimbo ye trochlear uye inotenderera pamwe chete mukati me groove. Mune vamwe vanhu, bhuchuputi inotungidzirwa kune imwe kunze kwegorosi. Sezvo izvi zvichiitika, bhotecap haisati ichitarisa mukati memugero wayo-tinodana iyi patellar subluxation.
Zviratidzo
Zvichienderana nekuoma kweiyo patellar subluxation, kutevera kusina kunaka kunogona kusaita kuti munhu ave nehupi zviratidzo, kana kuti zvinogona kutungamirira kushandiswa kwepa patella (apo bhupapap yakakwana inobva mumugwagwa). Kazhinji kacho, kushungurudzwa kwemashure kunokonzera kusagadzikana nebasa nekurwadziwa kumativi ose emabvikete, anonzi patellofemoral pain syndrome, kana PFPS.
Vanhu vazhinji vane zviratidzo zvekurwadziwa kwegabhakede vanoonekwa kuti vane patella subluxation kana maltracking ye patella.
Nyaya idzi, nemichina yekuti mabheji akabatanidza sei, anofungidzirwa kuti ndizvo zvinowanzokonzera zviratidzo zvinobva pamarwadzo emabvi kusvika pakuparadzaniswa kwebhechi.
Zvinokonzera
Kune zvizhinji zvezvinhu zvakabatanidzwa mumusana wepellarlar subluxation. Chinokosha ndechokuti zvimwe zvinhu zvinoita kuti kusagadzikana kwebhedecap.
Zvimwe zvinokwanisika zvinosanganisira mapepa akawandisa, shaolow shaolow for the kneecap, uye kusagadzikana mumunhu.
Pakava nekufarira kukuru mumakore achangopfuura ekufamba kwematumbo edu kutungamira bhedhepap sezvainowedzera mumabvi akabatanidzwa. Kunyanya, mishonga inenge yakakomberedza chiuno ichifungidzirwa kuti ndiyo inonyanya kukosha mumatambudziko ekugadzirisa ma mechanics emubatanidzwa uye kuti bhanecap inofamba sei sezvinobatanidzwa.
Kazhinji, kurwadziwa kunosangana ne patellar subluxation kunonzi PFPS. Zvimwe zvinokonzera kurwadziwa kwegodecap zvinosanganisira mabheti arthritis , patellar tendonitis (jumper's knee), uye plica syndrome . Zvakakosha kuziva kuti hazvisi zvikonzero zvose zvehutambu hwemabhedekapu zvinongova chikonzero chekutengesa kunyoresa, uye zvimwewo zvingave zvakakosha kuziva chikonzero chekutambudzika uye kurapwa kunofanira kukurudzirwa.
Kurapa
Kune nzira dzakasiyana-siyana dzokurapa kururamisa patellar subluxation , uye nzira yakakosha yakakwana inobva pakusimba kwemamiriro acho uye chinokonzerwa nekusajairika kwemafukete.
Mishonga inofanira kutanga ichisimbisa kuti patella haina kubviswa. Chiremba wako anogona kugona nekuongorora mabvi ako uye kuwana x-rays kuti aone kana bhukwepap iri kunze kwegorova yayo.
Mune vanhu vane magetsi ekudengenyeka, bhutapap inogona kudiwa kuti idzokezve, inonziwo "yakaderedzwa."
Mhedziso yebviketa haigoni kungoenderana chete nemisungo zvakananga kupoteredza mabheji, asiwo masumbu anotarisa nzvimbo yegumo rose. Semuenzaniso, apo fupa rehudyu riri mukati maro rinotenderera, bhuchuputi inowanzokwevera kune imwe kunze kwe trochlea. Izvi ndizvo chaizvoizvo nei kuvandudza kusimba kwemukati uye muchiuno zvakanyanya kukanganisa kuvandudza ma mechanics emabvi akabatanidzwa uye kubvisa patellar subluxation.
Therapy Therapy
Chirwere chinosanganisira chirwere chetsika chaiyo, chinoshandiswa kusimbisa musimba inopoteredza kwete mabvi chete asiwo pasi rose pasi.
Dzimwe tsvakurudzo dzakaratidza kuti kurega quadriceps kusimbisa hakusi chinhu chinonyanya kukosha mukubvisa zvinetso zvegabatapap. Kutarisa panzvimbo yekusimbisa vashandi vekuputika uye hip flexors (zvinonzi pecvic stabilization exercises) inopa kutarisana kwakanakisisa kwebhedecap nekugadzirisa basa remugumo wose.
Braces uye Tape
Kunyengedza uye kutora mabhejiko zvakarewo nyaya inopikisana mukugadzirisa matambudziko emabhedecap. Izvi zvinowanzopa ruregerero rwemashoko, asi haisi chokwadi chenguva refu. Zvisinei, kana murwere ane ruzivo rwemagetsi nemucheka kana tape, zvakakodzera kuti urambe uine izvi semushonga.
Shoe Choice
Zvipfeko zvinobatsira ku gait cycle . Kutungamirirwa kwekushanda shangu kunogona kubatsira kudzora mararamiro ako paunenge uchimhanya uye kuderedza kushandiswa pamabviketi.
Surgery
Vamwe varwere havarapirwi nemishonga isinganzwisisiki uye chirwere chinogona kudiwa , kunyanya kune varwere vane marwadzo makuru kana kuti vanoramba vachirasikirwa . Nokutarisa mumabvi ne arthroscope, chiremba anovhiya anogona kuongorora ma mechanics emabvi akabatanidzwa kuti aone kana pane dambudziko rinogona kugadziriswa.
Zvimwe zvezviisarudzo zvekurapwa zvinosanganisira:
- Kugadziriswa kwekufambisa: Kusunungurwa kwekugadziriswa chirongwa chekuvhiya chinoshandiswa kusunungura kusveta kwemagetsi akaoma uye majoini capsule kune kunze kwebvi. Kunyange zvazvo kazhinji zviri nyore kuvhiya, zvinoita zvishoma kuti zvigadzirise patellar alignment.
- Pakati peLigament Kuvakazve: Kugadzirisa kana kugadzirisa mitsetse kumativi emukati emabvi anokonzera mahedecapap mukati uye ava kunyanya kurapwa. Uku kuvhiyiwa kunowanzoitwa kugadzirisa miviri yepakati patellofemoral ligament (MPFL) kumativi emukati emabvi.
- Bone Kuchinja: Muzviitiko zvakanyanya zvakanyanya kuonekwa kwepafu kunogona kudiwa. Kune marudzi akawanda emapfupa echokwadi, kazhinji ivo vanoshandura nzvimbo ye tibial tubercle, iyo inosarudza kutungamirirwa kwekukwevera pamabviketi.
Kunyange zvazvo kuvhiyiwa kunogona kuva chigoni chakanaka chekubatsira kutarisa zvinetso zvebhegapap, zvakakosha kunzwisisa zvakajeka chinangwa chekuvhiyiwa uye kuti nzira yacho ichabatsira sei kugadzirisa dambudziko riri pasi. Kwemakore anoverengeka, chirwere che arthroscopic chakaitwa, uyewo nzira inonzi re lateral release, nokuda kwezvinetso zvisina kujeka zvema kneecap.
Kunyange zvazvo vamwe varwere vakavandudza, vamwe havana kuve nani nekuvhiyiwa. Kungoita chiremba, pasina kunzwisisa dambudziko rakananga rakarongerwa kururamisa, rinogona kutungamirira kumigumisiro isingafadzi. Kurukurai izvi kana zvichida chiremba wenyu achikurudzira uye iva nechokwadi chokuti ndiyo ndiyo nzira yakanakisisa yemamiriro ako ezvinhu.
Shoko Rinobva
Kneecap basa inonyanya kukosha kumagetsi emagetsi, uye kana bhetecap isingaiti munzvimbo yakakodzera, vanhu vanogona kunzwa kurwadziwa kukuru nekuremara. Kugadziriswa kwepellar subluxation uye kusununguka kunogona kuitika kuburikidza nekurapa kwechirwere, uye chinonyanya kurapwa chirwere chepanyama chinenge chaine chinangwa chokuvandudza ma mechanics emucheto wakaderera.
Zvisinei, pane mamiriro ezvinhu apo kuvhiwa kunogona kudiwa. Mumamiriro ezvinhu aya, kusarudza chirongwa chakakosha kunokosha pakuwana kubudirira nemishonga.
> Sources:
> Smith, T. Donell, S. Rwiyo, F., Hing, C. MaNational Institutes of Health National Library yemishonga. "Kuvhipisa zvichiratidza kurapwa kusina kupikisa mushure mokunge marecap isununguka." Oct 2014.
> Koh JL, Stewart C. "Patellar kusagadzikana." Orthop Clin North Am. 2015 Jan; 46 (1): 147-57.