Abasubathi abaningi bahlushwa izinhlungu ekepisini lamadolo lapho benza ukugxuma noma ukunyakaza okuqhumayo ngemilenze. Igama lalesi simo yi-patellar tendinitis futhi lithonya ngokuqondile i-patellar tendon.
Idolo liyinhlanganisela eyakhiwe izingxenye eziningana, ezingenza kube lula ukulimala ngenxa yezizathu ezihlukahlukene. Uma umuntu ezwa ubuhlungu noma engakhululeki edolweni, kuwumqondo omuhle ukuphumula futhi agweme ukuvivinya umzimba okukhandlayo. Naphezu kokudingekile ukubona udokotela onguchwepheshe ukuze athole yonke imininingwane yokungakhululeki, ngezansi sizodalula izimbangela nezimpawu ezivame kakhulu.
Iyini i-patellar tendonitis?
Lokhu ukulimala noma ukuvuvukala kwe-tendon exhuma i-kneecap ne-shinbone (tibia). Ubuhlungu bungase bube mnene noma bube nzima, kuye ngobunzima bomonakalo ohlangene. Amathenda enziwe ngezicubu eziqinile futhi anamathisele umsipha ethanjeni. Uma umuntu ebeka ingcindezi eyengeziwe emthanjeni, kungase kuvele izinyembezi ezincane esicutshini. Lokhu kubangela ukuvuvukala, nakuba isilonda siphulukisa ngokushesha. Nokho, ukucindezeleka okuphindaphindiwe kungabangela izinyembezi ukuba zikhule ngokushesha kunokuba umzimba ungakwazi ukuzilungisa.
I-tendon ye-patellar idlala indima ebalulekile ekudluliseni amandla akhiqizwa imisipha yangaphambili yethanga ukuya ku-tibia ukuze umlenze uqondiswe futhi ukusekela isisindo sethu lapho sihamba noma sigxuma. Le tendon kanye ne-quadriceps, i-quadriceps tendon, i-patella, nezicubu ezizungezile ("i-retinacula") zakha indlela yokwandisa idolo.
Endabeni yalokhu kulimala, i-patellar tendinitis ikhula kancane kancane futhi iba yimbi isikhathi ngasinye lapho ithenda igcwele ngokweqile, ngakho-ke kubalulekile ukuphumula idolo ngemva kokulimala ngakunye. Ikakhulukazi ukunikeza isikhathi sokuphulukisa ngokugcwele.
Ngeshwa, akekho okhululekile kukho, nakuba kuvame kakhulu phakathi kwabasubathi, ikakhulukazi labo abadlala i-volleyball ne-basketball. Yingakho ibizwa nangokuthi idolo le-jumper Kulinganiselwa ukuthi cishe amaphesenti angu-14 abadlali be-volleyball yokuzilibazisa bahlushwa yile nkinga. Nakuba idatha iphakeme nakakhulu kubasubathi abangochwepheshe.
Yiziphi izimbangela eziyinhloko?
Njengoba sishilo ngaphambili, lokhu kulimala kubangelwa ukucindezeleka okuphindaphindiwe emadolweni, ngokuvamile ngenxa yokusebenzisa ngokweqile kwezemidlalo noma ukuvivinya umzimba. Ukucindezeleka okuphindaphindiwe emadolweni kudala izinyembezi ezincane ku-tendon ukuthi, ngokuhamba kwesikhathi, zivutha futhi zenze buthaka i-tendon. Abasubathi basengozini enkulu ngenxa yokuthi ukugijima, ukugxuma, nokusquat kubeka amandla ethendeni ye-patellar. Ngokwesibonelo, ukugijima kungenza amandla aphindwe kahlanu kwesisindo somzimba wethu emadolweni.
Futhi, ukwenza isikhathi eside sokuqeqeshwa okujulile kuhlotshaniswa nedolo le-jumper. Ngakolunye uhlangothi, lesi simo sivame kakhulu entsheni nakubantu abaneminyaka engu-20 no-30. Abantu abade futhi abasindayo bangase babe engozini enkulu, njengoba isisindo esiningi singabeka ingcindezi eyengeziwe emadolweni.
Izici ezivame kakhulu kungaba:
- Imisipha yemilenze eqinile
- Amandla emisipha yomlenze angalingani
- Izinyawo, amaqakala, nemilenze aziqondani kahle
- Ukukhuluphala
- Ama-slippers angenayo i-padding eyanele
- ukuqeqeshwa evele kanzima
- Izifo ezingamahlalakhona ezenza buthaka i-tendon
Izimpawu ze-patellar tendonitis
Ubuhlungu nokuzwela phansi kwe-kneecap ngokuvamile kuyizimpawu zokuqala zokulimala kwe-patellar tendon. Kungase futhi kube khona ukuvuvukala kanye nomuzwa ovuthayo ku-kneecap. Uzoqaphela ngisho a nobuhlungu obukhulu lapho siguqa ngamadolo noma senza i-squat. Ukugxuma, ukugijima, kanye nokushaya phansi kungenzeka kwenze ubuhlungu bube bubi nakakhulu.
Ekuqaleni, ubuhlungu bungase bube yizikhathi ezithile futhi buvele kuphela ngemva komsebenzi wezemidlalo noma ukuzivocavoca. Njengoba i-tendon ilimaza kakhulu, ubuhlungu bungakhula kancane kancane. Akuyona nje inkinga ngokusebenza ngokomzimba, kodwa futhi kuthonya ukuphila kwansuku zonke, njengokukhuphuka izitebhisi noma ukushayela.
Uma umlenze uqondile, indawo engezansi kwedolo ingazizwa inengqondo ngokuyithinta. Ungase futhi uzizwe ucindezelekile noma uqinile, ikakhulukazi into yokuqala ekuseni. Izinyembezi ezinkulu ze-patella tendon ukulimala okubi futhi ukukhala okuphelele kuzohlukanisa i-tendon ku-patella. Ungase uzwe umsindo wokuklebhuka noma ophumayo futhi uzwe ubuhlungu obukhulu.
Kutholwa kanjani ukulimala kwe-tendon?
Lapho siya kudokotela, uchwepheshe uzobuza imibuzo mayelana nokuvivinya umzimba esikwenzayo, izimpawu esinazo, ukuvama kwezimpawu kanye nokuthi siye sazama noma yiliphi ikhambi lokukhulula ubuhlungu. Udokotela uzohlola ngokomzimba ilunga ledolo ukuze athole ukuthi ubuhlungu buzwakala kuphi. uzophinde uzame i ububanzi bokunyakaza ukugoba kwamadolo nokwelula umlenze.
Ngakolunye uhlangothi, kungenzeka ukuthi uhlele ukuhlolwa kwe-imaging ukuze ubheke i-patella ne-tendon, futhi ngaleyo ndlela unqume ukuthi kukhona yini umonakalo ku-tendon noma ithambo. Lezi zivivinyo zingasiza futhi ekukhipheni ezinye izimbangela zobuhlungu, njengokuphuka.
Ukuhlolwa okuvame kakhulu kwalolu hlobo lokulimala yilezi:
- I-X-ray ukubheka ithambo futhi unqume ukuthi i-patella iphukile noma isusiwe.
- Ukuzwakala kabusha Iskena se-MRI ukuze sibheke ithoni futhi sibonise noma yikuphi ukulimala kwezicubu ezithambile.
- I-Ultrasound ukubheka i-tendon futhi ubonise noma yikuphi ukulimala kwezicubu ezithambile.
Ukwelashwa kwe-patellar tendinitis
Ukwelashwa kuncike ebukhulu bokulimala. Izincomo ezivame kakhulu zokunciphisa ubuhlungu ukuphumula umlenze nokwelula nokuqinisa imisipha. Udokotela wakho uzoncoma isikhathi sokuphumula okulawulwayo, lapho umsebenzi osebenza ngamandla emadolweni uzogwenywa.
Ukwelashwa okwengeziwe kuzoncika ekulimaleni, ubudala bomuntu, kanye nezinga lomsebenzi. Izinyembezi ezincane noma ingxenye ngokuvamile zingelashwa ngokuphumula nokuzivocavoca okuthambile. Udokotela angase asikisele ukugqoka ibhande lokubopha idolo ukuze ugcine idolo liqondile futhi usize i-tendon ilulame. Ukwelashwa ngokomzimba kungasiza kancane kancane ukubuyisela ukunyakaza njengoba i-tendon ithuthuka.
Imithi
Udokotela angakwazi ukunikeza imithi etholakala ngaphandle kwe-counter ukunciphisa ubuhlungu nokuvuvukala ngesikhathi esifushane. Ezinye izibonelo kungaba ibuprofen, sodium naproxen, kanye acetaminophen. Kodwa-ke, kuze kube yilapho udokotela ehlola ubukhulu, ungayiphuzi imithi ngokwakho.
Uma ubuhlungu bakho bukhulu, udokotela angase akujove corticosteroids endaweni ezungeze i-patellar tendon. Lokhu kuphumelela kakhulu ekwehliseni ubuhlungu obukhulu. Kodwa-ke, kungenza futhi i-tendon ibe buthaka futhi ikwenze kube lula ukudabuka. Ngakho-ke, kubalulekile ukucabanga kanzima ngalokhu kwelashwa kanye nezingozi ezihambisana nakho.
Enye indlela yokuletha i-corticosteroids iwukusabalalisa imithi phezu kwedolo nokusebenzisa amandla kagesi aphansi ukuyiphusha esikhumbeni. Lolu hlobo lokwelapha lubizwa ngokuthi umabhebhana.
I-Physiotherapy ye-patellar tendonitis
Umgomo wokwelapha ngokomzimba ukunciphisa ubuhlungu nokuvuvukala nokwelula nokuqinisa imisipha yemilenze namathanga. Uma ubuhlungu bukhulu ngisho nalapho uphumuza imilenze yakho, udokotela wakho angase atuse ukugqoka i-brace nezinduku okwesikhashana ukuze avimbele ukulimala okuqhubekayo kwe-tendon. Uma ukhululekile ezinhlungwini, ungaqala izikhathi zokwelapha ngokomzimba.
Iseshini yokwelapha ngokuvamile iqukethe isikhathi sokufudumala, ukubhucungwa kweqhwa noma amadolo, ukuvivinya umzimba ukuzelula nokuqinisa.
Umelaphi wakho angasebenzisa futhi i-ultrasound kanye nokuvuselela kagesi ukukhulula ubuhlungu bamadolo. A idolo noma ibhandishi ejoyintini lingasiza ekunciphiseni ubuhlungu lapho uzivocavoca.
Ukwelashwa okuhlukile
Ukwelashwa okusha ku-a umjovo we-plasma acebile ngamaplatelet Lokhu kusebenzisa ukuhlangana kwama-platelet egazini lakho ukuze kubangele ukuphulukiswa kwe-tendon. Lokhu akukona kuphela ukwelashwa okuphenywayo. Ibuye isetshenziswe kaningi:
- ultrasound guided dry needling: Lokhu kwelashwa kwenza izimbobo ezincane ku-tendon. Lokhu kubizwa ngokuthi i-dry needle fenestration futhi kutholakale ukukhulula ubuhlungu nokusiza ukuphulukiswa.
- imijovo nge i-polidocanol: ibaluleke kakhulu ukuphula imithambo yegazi emisha emathangeni, ahlotshaniswa nobuhlungu.
- Imijovo yevolumu ephezulu eqondiswa yi-Ultrasound: Lokhu futhi kuhloswe ngayo ukuphula imithambo yegazi emisha emathangeni.
- i-thermotherapy i-hyperthermia: isebenzisa ukushisa kwezicubu ezijulile kanye nesisetshenziswa sokupholisa phezu kwesikhumba ukuze kudambise ubuhlungu.
- ukwelashwa kwamagagasi I-extracorporeal shock therapy: kukhonjiswe ukunciphisa ubuhlungu kuze kube iminyaka emibili.