Tendon Kukuvara Kazhinji Inonzi 'Jumper's Knee'
Iyo patellar tendon inobatanidza kneecap (inonzi patella) kusvika kuchiedza. Ichi chikamu che 'extensor mechanism' yemabvi, uye pamwe chete nemabviketa, quadriceps tendon, uye mutezo we quadriceps , zvivako izvi zvinobvumira bvi rako kururamisa, uye kupa simba rekusimudzira. Iti patellar tendon, kufanana nedzimwewo tendon , inoumbwa nesimba rakaoma, mavara e-fibrous of tissue.
Iyo tete yakakomberedzwa nemicheka yemasumbu inopa mishonga kune tete.
Patellar Tendinitis, Tendinosis, uye Tears
Patellar tendonitis ndiyo mamiriro ezvinhu anoitika apo tete inowira uye inotsamwiswa. Dambudziko iri rinonyanya kuonekwa mumatambi vanoita kudzokorora, chikonzero chekuti patellar tendonitis inowanzonzi "jumper's knee." Patellar tendonitis inonyanya kuonekwa mumubatanidzwa wemitambo yakadai se basketball uye volleyball, kunyange zvazvo inogona kuonekwawo mumhanyi nemamwe marudzi evatambi.
Patellar tendinosis chirwere chisingaperi. Panzvimbo yetendon inopisa uye inotsamwiswa, mamiriro acho anowedzera zvishoma mukukura, uye anozivikanwa nemisodzi microscopic uye kuwedzera kwetendon. Patellar tendinosis inokonzera zviratidzo zvakafanana, asi kurapwa kwechiitiko ichi chakasiyana nekatonitis.
Partial patellar tendon misodzi, iyo dzimwe nguva inotsanangurwa pamusoro peMRI, inowanzonyoresa yenguva refu patellar tendinosis.
Misodzi idzi dzinosiyaniswa kubva kune zvakakwana patellar tendon misodzi apo tete rose inovharwa uye inoda kugadzira chirwere.
Zviratidzo zvePatellar Tendon Zvimwe
Patellar tendonitis uye tendinosis zvinowanzokonzera marwadzo zvakananga pamusoro peseton patellar. Izvo tendon inowanzorenda uye inoputika.
Kufamba kwebvi kunogona kukonzera kushungurudzika kunonzi crepitus zvakananga pamusoro pekunyuka kwetendon. Chimwe chiratidzo chinozivikanwa chematellar patonlar matambudziko kunorwadziwa nemabasa, kunyanya kuruka kana kupfugama.
X-ray inowanzoitwa kuitira kusimbisa kuti hakuna dambudziko nemapfupa akapoteredza mabvi. Pane imwe nguva, calcium deposit inogona kuonekwa, kunyanya kune varwere vane chirwere chisingaperi chisingatauriki teteinosis. MRI inogona kubatsira kutarisa zviratidzo zvekuvhiringidza kana kusvimha misodzi mukati me tendon.
Patellar Tendon Treatment
Mushonga unofanirwa kutangwa kana chirwere chakanaka chichiratidzwa nechiremba wako. Kana dambudziko riri kuputika kukuru, kurapa kunogona kusanganisira:
- Zorora
Chinonyanya kukosha chiito chekurapa ndechokuita zvinhu zvinowedzera dambudziko. Mumuviri wako ndiye mutungamiri wakanakisisa wokuziva kuti ungabvisa sei bhiza rakakuvadzwa - kana basa rinorwadza munzvimbo yekukuvara patellar tendon, saka iwe unofanirwa kupumha kubva pabasa iri. - Anti-Inflammatory Medication
Mishonga isingashandisi-kuporesa (NSAIDs) inosanganisira runyora rurefu rwezvimwe zviitiko zvakadai seIbuprofen, Motrin, Naprosyn, Celebrex, nevamwe vakawanda. Patellar tendonitis chirwere inogona kuvandudzwa nemishonga iyi inoderedza marwadzo uye kurira. Iva nechokwadi kuti utaure nachiremba wako usati watanga mishonga iyi.
- Stretching
Kutarisa quadriceps, hamstring, uye mhuru dzemhuru vasati vaita basa zvakakosha kana iwe uchitangazve mabasa. Kuwana tsika dzakanaka, kunyange kamwe chete zviratidzo zvinogadzirisa, zvichabatsira kudzivisa kudzokorora kwedambudziko. - Ice Treatments
Kurwisa nzvimbo yekuvhiringidza chinhu chinonyanya kukosha chetachiona. Ichando inobatsira kudzora kutuka uye kuderedza kubhururuka. Nokudzikisa kuputika uye kuzvimba, tendon inogona kudzokera kune inowanzoitika uye kuita basa rayo rinowanzoshanda. - Chopat Straps / Braces
Pane dzimwe nguva, chiremba wako achapa sitiroketi yekutsigira (inonzi infrapatellar strap kana Chopat strap), bheti brace, kana tsika tsika. Kubatsirwa kwezviyero izvi mukurapa patellar tendonitis hakuzivikanwi, asi vamwe varwere vanowana rubatsiro rwakakwana kubva kushandisa zvigadzirwa izvi.
Kana chirwere ichi chisingaperi, kurapwa kwekuputika hakusi nyore kubatsira, naizvozvo, chinangwa chekurapa kwepatellar tendinosis ndechokurapa kwepanyama. Iyo inobatsira zvikuru yekurapa maitiro ekurapwa kwetendinosis inyanzvi yekusimbisa maitiro.
Vamwe vanachiremba vari kushandisawo mushonga unonzi PRP injections pakurapa patellar tendonitis uye tendinosis. Aya injection inogona kubatsira kukurudzira kuporeswa mumuviri, kunyange zvazvo uchapupu hwezvesayenzi husati huri kutsigira zvakasimba kushandiswa kwekurapa kunoitwa.
Pane dzimwe nguva, varwere vanoramba vachiratidza patellar tendonitis zviratidzo zvisinei nemishonga inotaurwa pamusoro apa. Mune vairwere vane chirwere chisingaperi chisingatauri, avo vakaedza kurapa pamusoro apa kwenguva yakareba, chirwere chinogona kuonekwa. Kuvhiya kunowanzotaridzirwa kana toni yakakanganiswa inoonekwa paMRI. Panguva yekuvhiyiwa, iyi tambo yakaora inogona kubviswa uye kugadziriswa.
Sources:
Duri ZA, et al. "Patellar tendonitis uye anterior maronda kurwa" Am J Knee Surg. 1999 Spring: 12 (2): 99-108.
Hall MP, et al "Platelet-Rich Plasma: Current Concepts and Application in Sports Medicine" J Am Acad Orthop Surg, Vol 17, No 10, October 2009, 602-608.