Misozi Imakhala Yofunika Kwambiri Kukonza Opaleshoni
Mtundu wa patel ndi mtundu womwe umagwirizanitsa mawotchi (patella) kupita ku shinbone (tibia). Mgwirizano ndi mawonekedwe omwe amagwirizanitsa fupa limodzi ndi fupa lina, choncho anthu ena amatchula izi ngati zilembo za patellar. Komabe, makonzedwe ameneŵa akugwirizanitsa kwambiri minofu ya quadriceps mpaka ku fupa la fupa, ndipo tinthu timene timagwirizanitsa minofu ndi mafupa, ndipo chifukwa chake patellar tendon ndiyo ndondomeko yowonjezereka.
Mtundu wotchedwa patellar tendon ndi mbali yofunikira ya extensor njira ya m'munsi . Njira yotchedwa extensor imaphatikizaponso minofu ya quadriceps, quadriceps tendon, patella (kneecap), ndi thambo lapadera. Nyumbazi zimagwirira ntchito limodzi kuti bondo likhale lolunjika, ndipo akhoza kuchita motero. Njira yotchedwa extensor ndi yofunika kwambiri kuntchito zoyenera kuchokera pakuyenda ndi kukwera masitepe kupita ku maseŵera othamanga kuphatikizapo kuyendetsa ndi kukankha. Popanda njira yowonjezera, zonsezi zingakhale zovuta kuchita.
Zizindikiro
Munthu amene amachirikiza tchutchutchu yowonongeka ndi mnyamata wothamanga. Pamene anthu okalamba ambiri amakhala otanganidwa, kuvulazidwa uku kukufala kwambiri kwa anthu achikulire.
Kawirikawiri kuvulala kumapangika kumalo osasunthika kumalo othamanga kumene minofu ya quadriceps ikugwera, koma bondo likuwongolera mwamphamvu.
Ichi ndi chomwe chimatchedwa kupachikidwa kwapadera ndipo chimayambitsa nkhawa kwambiri pa tendon. Ochita masewera omwe amachiza choipacho amatha kumva ngati akuwombera kapena kusokonezeka maganizo ndipo nthawi zambiri sangathe kuyenda pambuyo povulaza.
Zizindikiro za tchutchutchu yowonongeka ndizo:
- Ululu wokha pansi pa kneecap
- Kutupa ndi kuvunda patsogolo pa bondo
- Chilema, kapena malo ofewa, kumene tchuthi liyenera kukhala lolimba
- Kuvuta kuyenda kapena kuchita masewera
Zimayambitsa
Zapezeka kuti pafupifupi pafupifupi onse odwala omwe amatha kupweteka kwa patellar ali ndi matenda osakanikirana omwe ali ndi matenda aakulu. Mtedza wa patel umapweteka kwambiri m'chigawo cha m'madzi cha tendon, kumene magazi amathamangira ku minofu ndi osauka, ndipo tendon ndi yofooketsa.
Misozi ya Tendon imatha kupezeka m'malo osasewera. Kawirikawiri, palinso chifukwa cha tendon yapatellar yofooketsedwa mwa anthuwa, monga matenda a systemic omwe amalepheretsa tendon kapena opaleshoni yaposachedwa pa bondo zomwe zimayambitsa matendawa. Chithandizo chimakhala chofanana ndi othamanga komanso osathamanga ofanana.
Kudziwa
Kupangitsa kuti matendawa asagwiritsidwe ntchito pafupipafupi. Anthu omwe amathyola tchutchutchu sangathe kugubudulira pansi pamsana ndi mphamvu yokoka, ndipo sangathe kuchita mwendo woongoka . Woyeserayo amatha kumva kuti pali kusiyana pakati pa tendon, pamunsi pa kneecap.
Pulogalamu ya x-ray idzapezeka, ngati kupweteka kwapadera kungawononge zizindikiro zomwezo, ndipo ziyenera kutchulidwa ngati njira yothetsera matenda. Pa x-ray, patella nthawi zambiri imakhala yopamwamba poyerekeza ndi bondo losiyana, monga quadriceps imakwera pa bondo, ndipo palibe chimene chikugwiritsanso ntchito.
Ngakhale nthawi zambiri sizikusowa, MRI ingagwiritsidwe ntchito kutsimikizira kuti matendawa ndi otani ndikuyang'ana bondo chifukwa chowonongeka china chilichonse chimene chingachitike.
Chithandizo
Tsamba lopangidwa ndi nsalu yotchinga silimachiritsa palokha, ndipo limasiya kusalidwa lidzabweretsa kufooka kwa quadriceps minofu ndi zovuta ndizochitika nthawi zonse, kuphatikizapo kuyenda. Kuchita opaleshoni kukonzanso tchuthi yowonongeka sikungowonongeka m'maganizo koma kungakhale kovuta kuchita.
Zotsalira za tchuthi zimafunika kusonkhanitsidwa palimodzi. Vuto limakhalapo chifukwa chofunikira kubwezeretsa kugwirana bwino kwa tchutchutchu, osati kuimitsa kwambiri kapena kumasuka.
Komanso, zingakhale zovuta kupeza kukonza bwino, makamaka ngati tendon imang'amba pang'onopang'ono. Muzochitika izi, sutures zomwe zimagwiritsidwa ntchito kukonzanso tendon ziyenera kukhala zomangirizidwa mwachindunji kupyolera mu fupa.
Kubwezeretsa ndi Kugonjetsa
Kuchokera ku tendon yachitsamba chosweka ndi kovuta ndipo kumatenga nthawi. Chimodzi mwa zinthu zofunika kwambiri zolosera kuti munthu ayambe kuchira ndi nthawi ya opaleshoni, ndipo opaleshoni yochedwa kupitirira patatha masabata angapo amalepheretsa kuchiza. Zimadziwika kuti kutuluka mofulumira pambuyo pa opaleshoni, kutetezedwa kutetezedwa, ndi kupeŵa kupanikizika kwakukulu pa kukonzanso kudzathamanga kwambiri. Ngakhale ndi masitepewa, pamakhala miyezi itatu yokha mpaka kubwerera kuntchito zochitika tsiku ndi tsiku, ndi miyezi 4-6 mpaka masewera ayambe kuyambiranso.
Ngakhale kuti anthu ambiri amachiritsa kwathunthu kuchitidwa opaleshoni yapamwamba, pangakhale kufooka kwa nthawi yaitali ngakhale kukonzekera bwino. Othandiza omwe akuyesera kubwerera ku masewera olimbirana angatenge chaka kapena kupitilira kubwerera kuntchito yawo yoyamba. Kugwiritsa ntchito mankhwala opatsirana kungathandize kuti othamanga athe kuyambiranso kuchita masewera olimbitsa thupi.
Chitsime:
Matava MJ. "Patellar Tendon Ruptures." J Am Acad Kupatula Opaleshoni November 1996 vol. 4 ayi. 6 287-296.