D kushandiswa kwechipatella kunoitika apo bhuchup inobviswa kunze kwegoroo pamucheto wehudyu. Bhabhepap inogara ichidonhedzwa kune kunze kwe groove. Pane imwe nguva patella kusununguka kunowanika, zvinowanzoitika zvakare munguva yemberi.
Kunzwisisa kuti chii chakaita kuti kneecap iparadzwe yakaitika ndiyo inokosha yekuona kurapa kwakakodzera.
Mune vamwe vanhu, kufanana kwepfupa kana kutema kunogona kuva nharo, mune vamwe, pangangodaro kuve nechero rakabvaruka. Kana zvakasarudzwa kuti kuvhiyirwa ndiyo nzira yakanakisisa yokurapa, saka kusarudza chirwere chakakosha ndiyo danho rinokosha zvikuru rekudzivirira kushandiswa kwemazuva anotevera.
Non-Surgical Treatment
Tsika, mushure mekunge purogiramu yekutanga patella isingaiti, kurapa kusina kupirisa kunorudzirwa. Kushanda-kurapwa kazhinji kunoumbwa nehutano hwepanyama kuti usimbise mishonga yakapoteredza mabvi uye kushandiswa kwebhande kuti ubatsire kubata kneecap munzvimbo yakakodzera. Kubudirira kwekurapa kusina kupirisa kunobatsira pakudzivisa kushandiswa kwemazuva anotevera kusingabvumirwi, asi vanachiremba vazhinji vanofunga kuti zvakakosha kuziva kana ichi chaiva chiitiko chenguva imwe chete, kana kana zvichida kuva dambudziko rinowanzoitika. Kuvhiyiwa nguva pfupi mushure mekunge kusununguka kwekutanga kwekutanga kusati kwaonekwa kuti kunobatsira.
Vanachiremba vazhinji vanovhiya vanobvumirana, kana bhutsecap inodzinga kakawanda, ipapo chirwere chinofanira kuonekwa.
Apo bhutsecap inoparadzanisa, zvinokonzera kukanganisa katekete mumabvi, zvichiita kuti kuwedzerwa ngozi yemabvi arthritis . Apo kuwandisa kwakawanda kunowanika, chirwere chekudzivirira chekudzivirira chinofanira kuonekwa.
Kubudiswa kwekatevedzeri
Kubudiswa kwekutsvaga ndiko kushandiswa kwakajeka uye kunowanzoitwa kakawanda kuronga patellar kusagadzikana .
Nemhaka yokuti bhanecap iri kusungirirwa kune kunze kwebvi, kusunungurwa kwekupedzisira kunokonzera bhokisi rakabatanidza capsule (retinaculum) kunze kwemabvi akabatanidzwa . Pfungwa iyi ndeyokusunungura kudhonza kune imwe kunze uye tine tarisiro inonyanya kuisa bhanecap mukati me groove pamagumo ehudyu. Kubudiswa kwemashure kunogona kuitwa pamwe chete nekugadzirwa kwemukati kana kuvakazve MPFL (ona pasi apa).
Kurapa Kurapa / Kudzokorora
Chirongwa chekurapa inzira yekusimudza maronda kune rumwe rutivi rwemabvi. Kungofanana nekusunungurwa kwakasununguka kunosunungura zvivako zvinokonzera bhedecap kune imwe kunze, chimiro chemukati chinosimbisa zvivako mukati memakumbo emabvi. Nzira yakakurumbira yekusimbisa rutivi rwemukati yemabvi iri kufambisa kusungirirwa kwemitsipa ye quadriceps pamabvikete pane rutivi rwomukati rwemabvi.
MPFL Kugadzirisa / Kuvakazve
Nzira yakanyanya kunyanya kugadzirwa kwepatellar dislocation addresses iyo inokosha inonzi "medial patellofemoral ligament", kana MPFL. IWPFL ndiyo iri pakati pekupedzisira kwegumbo rebandauko (femur) uye rutivi rwomukati rwe kneecap (patella). Apo bhutsecap inodzinga, MPFL inogara ichibvaruka.
Mukukuvara kwakanyanya , zvinogona kuitika kugadzirisa MPFL.
Izvi ndezvechokwadi munguva yekutanga kwekuparadzana kunotaridzwa nekuvhiyiwa nokukurumidza. Nokudaro, vamwe vanachiremba vanorayira kuvhiyiwa nokukurumidza mushure mekutanga kwepatella dislocation kugadzirisa MPFL, pasinei nokuti izvi hazvina kuratidzirwa kuderedza kudzokorora kudarika.
Mushure mokudzokorora kudururwa, kuitira kugadzirisa MPFL, mutsara unofanirwa kuitwa. Izvi zvinogona kuitwa kuburikidza nemirairo kana tambo kubva kune imwe nzvimbo mumuviri wako, kana kubva kune anopa (cadaver). Izvo itsva MPFL inogadzirisa inogadzirwa uye yakabatanidzwa pahudyu uye kneecap. Uyu MPFL achangobva kugadziridzwa anobva atora bhedhepap panzvimbo yakakodzera.
Bone Realignment / Fulkerson Nzira
Mune vamwe varwere, mararamiro avo haasina kujairika uye anoita kuti bhedecap inobva kunze. Dambudziko ringangodaro risina shaove rinopera pamugumo wefupa rehudyu kana kuenzaniswa kusina kukodzera kwemuzasi .
Mune mamiriro ezvinhu aya, chirwere chinowanzogadziriswa chiri kutenderera kumucheto nekuisa chigadziko chetibial tubercle pane shin bone. Itibial tubercle, bump pamusoro pebhinha, rinosungira tete patellar . Nokugadzika kwetibial tubercle, patella inodonhedzwa kusvika kumativi emukati emabvi.
Kune zvakawanda zvakasiyana-siyana zvekuvhiya inoita basa iri. Nzira yeFulkerson ndiyo inowanzozivikanwa uye inonzi zita rechiremba uyo akatsanangura nzira iyi. Iko kune dzimwe nzira dzakafanana dzakadaro dzinoshandisawo tibial tubercle.
Rehab Pashure Kokuvhiya
Rehab mushure mekuvhiyiwa kuendesa iyo patella yakasiyana. Iyo yakareba kwenguva refu yakagadziriswa ine kusunungurwa kwekupedzisira, uye rehab kure kwenguva refu ine mapfupa ekugadzirisa nzira. Hazvina mhosva kuti zvakaitwa sei, kunyanya kunetseka mushure mekuvhiyiwa kuoma kwemabvi . Kuwana simba rekugara nekufamba kwakadzoka mushure mekuvhiyiwa kunogona kutora mwedzi kana kupfuura.
Sezvambotaurwa pakutanga kwenyaya ino, danho rinokosha nderokuona kurapa kwakanakisisa kuita maererano nemamiriro ezvinhu ose. Haasi yose yegabhanecap yakasununguka inoitika nokuda kwechikonzero chimwe chete, uye naizvozvo haisi mishonga yose yakafanana. Kuona chiremba anovhiya anoziva zvinokonzera uye kurapwa kwemafupa ekugadzikana kunokosha.
Nepo kushandiswa kwepatella kunogona kuitika mushure mekuvhiyiwa, havakwanisi kufanana. Vakawanda vanorwara vanogonazve kudzokera mberi kwekukuvadza kwemaitiro avo pasina kuve nechinjodzi chekudzinga bhanecap yavo.
Sources:
Hing CB, et al. "Kutsvakurudza nekupindira kusina chirwere kuporesa patellar dislocation" Cochrane Database Syst Rev. 2011 Nov 9; 11: CD008106.
Andrish J. "Vatungamiri vezvekare vanoparadzanisa" Orthop Clin North Am. 2008 Jul; 39 (3): 313-27.