Iimbaleki ezininzi zithwaxwa ziintlungu kwicap edolweni xa zitsiba okanye zishukuma ngemilenze. Igama lale meko yi-patellar tendinitis kwaye ichaphazela ngokuthe ngqo i-patellar tendon.
Idolo lidibeneyo elenziwe ngamacandelo amaninzi, anokwenza kube lula ukulimala ngenxa yezizathu ezahlukeneyo. Ukuba umntu uva iintlungu okanye ukungakhululeki edolweni, kuhle ukuba aphumle kwaye uphephe umthambo onzima. Nangona kuyimfuneko ukubona ugqirha oyingcali ukufumana zonke iinkcukacha zokungakhululeki, ngezantsi siza kutyhila izizathu eziqhelekileyo kunye neempawu.
Yintoni i-patellar tendonitis?
Oku kukulimala okanye ukuvuvukala kwethenda edibanisa i-kneecap kwi-shinbone (tibia). Intlungu ingaba yincinci okanye inzima, kuxhomekeke kubukhulu bomonakalo kwilungu. Iitendon zenziwe ngezicubu ezomeleleyo kwaye zincamathele isihlunu ethanjeni. Ukuba umntu ubeka uxinzelelo olongezelelweyo kwi-tendon, iinyembezi ezincinci kwizicubu zinokukhula. Oku kubangela ukuvuvukala, nangona isilonda siphilisa ngokukhawuleza. Nangona kunjalo, uxinezeleko oluphindaphindiweyo lunokubangela ukuba iinyembezi zikhule ngokukhawuleza kunokuba umzimba unokuzilungisa.
I-tendon ye-patellar idlala indima ebalulekileyo ekudluliseni imikhosi eyenziwa yimisipha engaphambili yethanga ukuya kwi-tibia ukuze umlenze uqonde kwaye ukuxhasa ubunzima bethu xa sihamba okanye sitsiba. Le tendon kunye ne-quadriceps, i-quadriceps tendon, i-patella, kunye nezicubu ezijikelezayo ("i-retinacula") zenza i-extensor mechanism yamadolo.
Kwimeko yale nzakala, i-patellar tendinitis ikhula ngokuthe ngcembe kwaye ibuhlungu rhoqo xa i-tendon igcwele kakhulu, ngoko ke kubalulekile ukuphumla idolo emva kokulimala ngalunye. Ngokukodwa ukunika ixesha lokuba iphile ngokupheleleyo.
Ngelishwa, akukho mntu ukhululekile kuyo, nangona ixhaphake kakhulu phakathi kwabadlali, ngakumbi abo badlala i-volleyball kunye ne-basketball. Yiyo loo nto ikwabizwa ngokuba idolo le-jumper Kuqikelelwa ukuba malunga ne-14 yeepesenti yabadlali bebhola yevoli bokuzonwabisa abanengxaki yile ngxaki. Nangona idatha iphezulu ngakumbi kwiimbaleki eziqeqeshiweyo.
Ngabaphi oonobangela abaphambili?
Njengoko sitshilo ngaphambili, le nzakala ibangelwa kuxinzelelo oluphindaphindiweyo emadolweni, ngokuqhelekileyo ngenxa yokusetyenziswa ngokugqithiseleyo kwezemidlalo okanye ukuzivocavoca. Uxinzelelo oluphindaphindiweyo emadolweni ludala iinyembezi ezincinci kwi-tendon, ekuhambeni kwexesha, ivutha kwaye iyancipha i-tendon. Iimbaleki zisemngciphekweni omkhulu ngenxa yokubaleka, ukutsiba, kunye ne-squatting kubeka amandla amaninzi kwi-patellar tendon. Umzekelo, ukubaleka kunokuvelisa amandla aphindwe kahlanu ubunzima bomzimba wethu emadolweni.
Kwakhona, ukwenza ixesha elide loqeqesho olunzulu luhambelana nedolo le-jumper. Ngakolunye uhlangothi, imeko ixhaphake kakhulu kulutsha kunye nabantu abakwi-20s kunye ne-30s. Abantu abade kwaye banzima banokuba sengozini enkulu, njengoko ubunzima obuninzi bunokubeka uxinzelelo olungakumbi emadolweni.
Eyona miba ixhaphakileyo inga:
- Izihlunu zomlenze oqinileyo
- Amandla emisipha yomlenze ongalinganiyo
- Iinyawo, amaqatha kunye nemilenze engalungelelani kakuhle
- Ukutyeba kakhulu
- I-Slippers ngaphandle kwepadding eyaneleyo
- iindawo zoqeqesho ezinzima
- Izifo ezingapheliyo ezenza buthathaka i-tendon
Iimpawu ze-patellar tendonitis
Ubuhlungu kunye nokunyamezela kwisiseko se-kneecap zihlala ziyimpawu zokuqala zokulimala kwe-patellar tendon. Kusenokubakho ezinye ukudumba kunye nemvakalelo evuthayo kwi-kneecap. Uya kuqaphela nokuba a Intlungu enkulu xa siguqa ngamadolo okanye senze i-squat. Ukutsiba, ukubaleka, kunye nokubetha phantsi kunokubangela intlungu ngakumbi.
Ekuqaleni, intlungu inokuba yinto engaqhelekanga kwaye ibonakala kuphela emva komsebenzi wezemidlalo okanye umthambo. Njengoko i-tendon isiya yonakaliswa ngakumbi, intlungu inokuya ngokuqhubekayo. Akuyona nje ingxaki ngomsebenzi womzimba, kodwa ikwachaphazela ubomi bemihla ngemihla, njengokunyuka izitebhisi okanye ukuqhuba.
Xa umlenze uqondile, indawo engaphantsi kwedolo inokuvakalelwa efanelekileyo ngokuyibamba. Unokuziva uxinezelekile okanye uqinile, ngakumbi into yokuqala ekuseni. Ukukrazula okukhulu kwe-tendon ye-patella kukulimala kakhulu kwaye ukukrazula okupheleleyo kuya kwahlula i-tendon kwi-patella. Ungeva isandi sokukrazula okanye esiphumayo kwaye uve intlungu enkulu.
Ifunyaniswa njani inzakalo yomthambo?
Xa sisiya kugqirha, ingcali iya kubuza imibuzo malunga nomsebenzi womzimba esiwenzayo, iimpawu esizifumanayo, ukuphindaphinda kweempawu kwaye ukuba siye sazama naluphi na unyango lokunciphisa intlungu. Ugqirha uya kuhlola ngokomzimba idolo elihlangeneyo ukuze afumane apho intlungu ivakalelwa khona. izakuzama kwakhona i Uluhlu lokuhamba ukugoba idolo kunye nokwandisa umlenze.
Ngakolunye uhlangothi, kunokwenzeka ukuba ulandele iimvavanyo ze-imaging ukujonga i-patella kunye ne-tendon, kwaye ngaloo ndlela unqume ukuba kukho nawuphi na umonakalo kwi-tendon okanye ithambo. Olu vavanyo lunokunceda ukulawula ezinye izinto ezinokubangela intlungu, njengokuphuka.
Olona vavanyo luxhaphakileyo kolu hlobo lokwenzakala zezi:
- I-X-ray ukujonga ithambo kunye nokuqinisekisa ukuba i-patella yaphukile okanye isusiwe.
- Isandi I-MRI scan ukujonga i-tendon kwaye ibonise nawuphi na umonakalo wezicubu ezithambileyo.
- I-Ultrasound ukujonga i-tendon kwaye ubonise nawuphi na umonakalo wezicubu ezithambileyo.
Unyango lwe-patellar tendonitis
Unyango luxhomekeke kubunzima bokulimala. Iingcebiso eziqhelekileyo zokunciphisa intlungu kukuphumla umlenze kunye nokwelula kunye nokuqinisa imisipha. Ugqirha wakho uya kuncoma ixesha lokuphumla okulawulwayo, apho umsebenzi osebenza ngamandla emadolweni uya kuphetshwa.
Unyango olongezelelweyo luya kuxhomekeka kukwenzakala, ubudala bomntu, kunye nenqanaba lomsebenzi. Iinyembezi ezincinci okanye ezingaphelelanga zinokunyangwa ngokuphumla kunye nomthambo othambileyo. Ugqirha unokucebisa ukuba unxibe i-knee brace ukugcina idolo ngqo kwaye uncede i-tendon iphilise. Unyango lomzimba lunokunceda ngokuthe ngcembe ukubuyisela ukunyakaza njengoko i-tendon iphucula.
Amachiza
Ugqirha unokumisela amayeza angaphaya kwe-counter ukunciphisa intlungu kunye nokuvuvukala ngexesha elifutshane. Eminye imizekelo ingaba yi-ibuprofen, sodium naproxen, kunye ne-acetaminophen. Nangona kunjalo, de ugqirha avavanye ubuqatha, musa ukusela iyeza ngokwakho.
Ukuba iintlungu zakho zibukhali, ugqirha unokukutofa corticosteroids kwindawo ejikeleze i-patellar tendon. Oku kusebenza ngakumbi ekunciphiseni iintlungu ezinzima. Nangona kunjalo, inokwenza buthathaka i-tendon kwaye iyenze ibe lula ukukrazula. Ngoko ke, kubalulekile ukucinga nzima ngolu nyango kunye neengozi ezinxulumene nalo.
Enye indlela yokuhambisa i-corticosteroids kukusasaza iyeza phezu kwedolo kunye nokusebenzisa intlawulo yombane ephantsi ukuyityhala ngesikhumba. Olu hlobo lonyango lubizwa ngokuba nditsho.
IPhysiotherapy yepatellar tendinitis
Injongo yonyango lomzimba kukunciphisa intlungu kunye nokuvuvukala kunye nokwelula nokuqinisa imisipha yemilenze kunye namathanga. Ukuba intlungu inzima nangona uphumla imilenze yakho, ugqirha wakho unokuncoma ukuba unxibe i-brace kunye neentonga zexesha elithile ukukhusela umonakalo ongakumbi kwi-tendon. Xa ukhululekile kwiintlungu, ungaqala iiseshoni zonyango lomzimba.
Iseshoni yonyango ngokuqhelekileyo inexesha lokufudumala, i-ice okanye i-massage yedolo, ukuzolula kunye nokomeleza imithambo.
Ugqirha wakho unokusebenzisa i-ultrasound kunye nokuvuselela kombane ukukhulula iintlungu zedolo. A iphedi yamadolo okanye i-bandage kwi-joint inokunceda ukunciphisa intlungu xa usebenza.
Olunye unyango
Unyango olutsha ngokwentelekiso a inaliti yeplasma zizityebi kwiiplatelet Oku kusebenzisa ingxinano yeeplatelet kwigazi lakho ukubangela ukuphiliswa kwethenda. Olu ayilonyango lodwa oluphantsi kophando. Ikwasetyenziswa rhoqo:
- ultrasound ekhokelwa owomileyo needling: Olu nyango lwenza imingxuma emincinci kwi-tendon. Oku kubizwa ngokuba yifenestration yenaliti eyomileyo kwaye ifunyenwe ukukhulula iintlungu kunye nokunceda ukuphilisa.
- iinaliti nge ipolidocanol: inomsebenzi ophambili wokuphula imithambo yegazi emitsha kwi-tendon, ehambelana nentlungu.
- I-Ultrasound-guided high-volume injections: Oku kukwajolise ekuphuleni imithambo yegazi emitsha kwi-tendon.
- thermotherapy i-hyperthermia: isebenzisa ukufudumeza okunzulu kwezicubu kunye nesixhobo sokupholisa kumphezulu wolusu ukuthomalalisa iintlungu.
- unyango lwamaza unyango lokothuka extracorporeal: ibonakaliswe ukunciphisa iintlungu ukuya kwiminyaka emibini.