Bipartite patella imapezeka pamene patella, kapena kneecap, imapezeka ngati mafupa awiri osiyana. Mmalo mokakangana pamodzi kuyambira ali mwana, patella imakhala yosiyana. Bipartite patella kawirikawiri si vuto; Zimapezeka pafupifupi 2-3%.
The Kneecap
Chotupitsa - kapena dzina lake, patella - ndi mtundu wa fupa lotchedwa sesamoid bone.
Matenda a Sesamoid amafupa mkati mwa tendon. Patella ili m'kati mwa quadriceps tendon ndipo ili ndi ntchito zitatu zofunika:
- Ndiwowonjezereka kuwonjezera mphamvu ya mawondo a mawondo
- Zimateteza bondo ku zoopsa
- Ndi mafuta onunkhira pamtunda ndipo amapereka chakudya chamadzulo
Kawirikawiri, patella imapangidwa kuchokera ku malo ossification, malo omwe amapanga mafupa mu chitukuko cha mwana ndi ubwana wawo. Ena, mawonekedwe achiwiri osungirako zinthu, ndipo izi sizingagwirizane ndi malo oyamba ossification. Mwa anthu awa, patella imakhala ngati mafupa awiri osiyana.
Zizindikiro za Bipartite Patella
Anthu ambiri omwe ali ndi matendawa alibe zizindikiro. Komabe, mwa anthu ena omwe ali ndi bipartite patella, minofu yomwe imagwirizanitsa mafupa ikhoza kutentha ndi kukwiya. Minofu yomwe imagwirizanitsa mbali ziwiri za fupa imatchedwa synchondrosis. Zizindikiro za ululu wamondo zimatha chifukwa chovulazidwa mwachindunji ndi mawondo, kapena kupweteka mobwerezabwereza pa synchondrosis.
Zizindikiro zowoneka za bipartite patella ndizo:
- Ululuke pamtima pa kneecap
- Kutupa pa synchondrosis
- Ulendo wowawa wa bondo
Bipartite patella kawirikawiri amadziwika ngati kupeza kosavuta, kutanthauza kuti kumawoneka pa x-ray kapena MRI yomwe inkachitidwa kuti adziwe matenda omwe sagwirizana ndi mawondo.
Kwa anthu omwe alibe zizindikiro zokhudzana ndi bipartite patella, palibe chofunika china choti chichitike.
Ngati anthu ali ndi zizindikiro zokhudzana ndi bipartite patella, kaŵirikaŵiri amakhala ndi x-ray kuti azindikire mawotchi osalimba. MRI ingakhale yothandiza kudziwa kuchuluka kwa kutupa kozungulira bipartite patella. Pulogalamu ya fupa ndiyoyeso ina yomwe ingagwiritsidwe ntchito kuti azindikire kukula kwa kutupa pamtambo wodabwitsa wa patella, ngakhale kuti madokotala ambiri akugwiritsa ntchito MRI m'malo mwa fupa.
Njira Zothandizira
Nthaŵi zambiri, palibe chithandizo chofunikira kwa odwala omwe ali ndi bipartite patella. Ngati pali zizindikiro zokhudzana ndi kutukusira kwa synchondrosis ya bipartite patella, mankhwala akhoza kuyesedwa kuti ayese kutupa kutupa kwa kneecap. Mankhwalawa akhoza kuphatikizapo:
- Kupumula: Kulolera kugwada ndilo gawo loyamba lachiritso, ndipo nthawi zambiri njira yokhayo yothetsera zizindikiro za matendawa. Kupumula kungaphatikizepo kutayika kwa bondo mu malo ochepetsera pang'ono kuti mutenge kuponderezedwa.
- Kugwiritsa ntchito mazira: Kutaya kuchepa ndi kuchepetsa kupweteka kumachitika nthawi zambiri pogwiritsa ntchito maphukusi ozizira molunjika kutsogolo kwa kneecap.
- Mankhwala Oletsa Kutentha: Mankhwala am'thupi angagwiritsidwe ntchito kuthandizira kuchepetsa ululu ndi kuchepetsa kutupa. Mankhwala otsutsana ndi zotupa (omwe amatchedwanso NSAIDs) amagwiritsidwa ntchito kuthandizira kutonthoza kneecap. Pa milandu yowopsa kwambiri, jekeseni wa cortisone, komanso mankhwala amphamvu oletsa kupweteka, angaperekedwe kuti athetse vutoli.
- Mphepete Yamakono: Zingwe zamphongo zingathandize kuchepetsa kuyenda ndi kuthandizira kneecap. Kuthana ndi mawondo ophatikizira omwe amawathandiza kwambiri nthawi zambiri ndiwothandiza kwambiri pa vutoli.
Mwa odwala ochepa amene amayamba zizindikiro zosavuta chifukwa cha bipartite patella, pali njira zothandizira opaleshoni.
Ambiri opaleshoni amalimbikitsa njira zosamaliritsa mankhwala osapitirira malire kwa miyezi isanu ndi umodzi asanayambe kulingalira njira iliyonse yopaleshoni. Kawirikawiri opaleshoniyi ndi kuchotsa chidutswa cha fupa kapena kutseka minofu yomwe imaika pang'onopang'ono.
Zotsatira:
Gaheer RS, et al. "Ulamuliro Watsopano wa Chizindikiro cha Bipartite Patella" Orthopedics; Vol. 32, No. 11; November 2009. Masamba 843-9.
Atesok K, Doral MN, Lowe J, Finsterbush A. "Chizindikiro cha bipartite patella: njira zothandizira" J Am Acad Orthop Surg. 2008 Aug, 16 (8): 455-61.
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