Yembekezerani Mayesero Awa Mukakhala ndi Knee Pain
Kudziwa chomwe chimayambitsa kupweteka kwa bondo kumadalira kuunika koyenera kwa bondo . Mutha kudabwa kuti dokotala wanu akuyang'ana pamene akuyenda ndikuponyera bondo panthawi yofufuza. Phunzirani za momwe dokotala wanu angayang'anire bondo lanu kuti adziwe chomwe chimayambitsa kupweteka kwanu, ndipo ndi mayesero ati omwe angapangidwe kuti mudziwe.
Khalatu Kutupa
Anthu ambiri amadziwa ngati bondo lawo liri kutupa - amatha kuona kapena kumva kutupa popanda vuto lililonse.
Komabe, si aliyense amene amadziwa kuti pali madzi okwanira pamthambo. Dokotala wanu akhoza kupanikizira mgwirizano kuti amve chifukwa cha madzi owonjezera. Madzi amasonkhanitsa pamwamba pa kneecap, ndipo amatha kupanikizidwa m'dera lino. Madzi amapezeka nthawi zambiri kumbuyo kwa bondo, vuto lomwe anthu amawatcha nthawi zambiri ngati Baker .
Nyamakazi Yachifuwa
Matenda a nyamakazi amatha kupezeka poyang'ana zochitika zosiyanasiyana zofufuza:
- Chombochi: Crepitus ndikumverera komwe kumamveka pamene khungu lakali kapena fupa lotseguka likung'amba ngati bondo likuwongolera. Woyeserayo amamva, ndipo amamva, akupera ngati bondo likuwongolera.
- Kufooka: Pamene cartilage ya bondo imatha, mawondo akhoza kugwedezeka pang'onopang'ono kapena kugwada.
- Kupititsa patsogolo : Kuthamanga kwa bondo kumakhala kochepa ngati matenda a nyamakazi, kutupa kwa mafupa , ndi kutupa sikulepheretsa kuyenda bwino.
Meniscus inang'ambika
Mayesero omwe amagwiritsidwa ntchito pofuna kudziwa ngati pali meniscus misozi ndi awa:
- Chikondi Chogwirizana : Kuphatikizana mwachikondi ndiyeso yeniyeni yeniyeni ya meniscus. Malo a meniscus amamveka, ndipo mayesero abwino amalingaliridwa ngati pali ululu m'dera lino.
- Mayeso a McMurray : Mayeso a McMurray akuchitidwa ndi wodwala wagona pansi kumbuyo kwake ndipo woyesa akugwada. Chojambulira chimamveka pa meniscus misozi pamene bondo limabweretsedwera kuchoka kwathunthu mpaka kufalikira kwathunthu.
- Mayeso a Ege : Mayeso a Ege akuchitidwa ndi wodwalayo akudumpha, phokoso limamveka / kumverera pamtambo wa meniscus.
Misozi ya ACL
- Lachman Test : Kuyesedwa kwa Lachman ndiyeso yabwino kwambiri kuti azindikire kuyamwa kwa ACL . Pomwe bondo likuwongolera pang'ono, woyezetsayo amatsitsimutsa chiwindi pamene akukoka patsogolo. Mgwirizano wa ACL umaloleza kuti kusintha kusunthire kwambiri.
- Mayeso a Galimoto Anterior: Chiyesochi chikuchitanso ndi wodwala wagona pansi pamsana pake. Bondo liri lolemera madigiri 90 ndipo shin imatengedwa kutsogolo kuti ione bata la ACL.
- Pivot Shift Test: Pivot shift test ndizovuta kugwira ntchito kwa wodwala yemwe sali pansi pa anesthesia. Mayesowa amachititsa kuti asamangidwe ndi mawondo omwe amachititsa kuti odwala omwe ali ndi ACL awonongeke.
Kuvulala Kwina Kwambiri
- Mayeso ojambula Pansi Pamiyala : Dalaivala yotsikira pansi imachitanso chimodzimodzi ndi mayeso a kanema. Mayesowa amapewa kuvulaza kwa PCL . Mwa kukankhira kumbuyo kumbuyo, ntchito ya PCL imayesedwa.
- Chigwirizano cha Ligament Kukhazikika: Mbali yotsala ya bondo imateteza mavuto a zitsulo, MCL ndi LCL . Ndi wodwala wagona pansi, ndipo bondo limagunda pang'ono, mdimawo umasunthira kumbali iliyonse. Kuwonongeka kwa LCL kapena MCL kudzalola bondo "kutseguka" mopitirira muyeso, vuto lotchedwa varus (LCL) kapena valgus (MCL) yosakhazikika.
Mavuto a Kneecap
- Patellar Grind: Wodwala akugonjetsa mwendo. Wopima amayambitsa ululu wamondo wa wodwala pomuponyera pansi ndikumupempha wodwalayo kuti asinthe mavupa ake. Cartilage yowonongeka ingayambitse kupweteka kofiira kotchedwa crepitus.
- Chikondi cha Patellar: Wofufuzayo amatha kunyamula phokoso lapang'ono ndikuika pambali pambali ya kneecap. Pochita zimenezi, woyesa akuyang'ana madera ovuta a kakoti.
- Patellar Apprehension: Ichi ndi chizindikiro cha kneecap yosakhazikika . Pamene woyezetsayo akukakamiza kugwedezeka, wodwalayo angadandaule ndi momwe kugwedeza kwa kneecap kudzathamangidwira.
Zotsatira:
Pepani K, Kurtz CA. "Momwe mungaphunzirire bwino bondo" JAAPA. 2009 Jun; 22 (6): 20-5.