Kuwonongeka kwa Tendon Kawirikawiri Imatchedwa 'Kanyumba ka Jumper'
Thangoni ya patellar imagwirizanitsa kneecap (ya patella) kupita ku nthanga. Izi ndi mbali ya 'njira yothamangira' ya bondo, ndipo pamodzi ndi kneecap, quadriceps tendon, ndi minofu ya quadriceps , izi zimalola bondo lanu kuwongoka, ndi kupereka nyonga yakuyendayenda. Mtundu wotchedwa patellar, monga mitundu ina, imapangidwa ndi magulu amphamvu, a fibrous of tissue.
Mtedzawu umakhala wozungulira minofu yomwe imapatsa timadya.
Patellar Tendinitis, Tendinosis, ndi Misozi
Patellar tendonitis ndi mkhalidwe umene umapezeka pamene tchuthi imakhala yotentha ndi kukwiya. Vutoli limapezeka kawirikawiri kwa othamanga omwe amabwerera mobwerezabwereza, chifukwa chake patellar tendonitis nthawi zambiri imatchedwa "bondo la jumper." Patellar tendonitis nthawi zambiri amawonekeranso m'magulu monga masewera a basketball ndi volleyball, ngakhale kuti amatha kuwoneka ndi othamanga ndi ena othamanga.
Patellar tendinosis ndi matenda aakulu. Mmalo mwa tendon kukhala yotentha ndi kukwiyitsa, chikhalidwecho chikukula pang'ono pang'onopang'ono, ndipo chimadziwika ndi misonzi yaying'ono ndi kuphulika kwa tendon. Patellar tendinosis imayambitsa zizindikiro zofanana, koma chithandizo cha matendawa n'chosiyana ndi tendonitis.
Misozi yambiri ya patellar, yomwe nthawi zina imafotokozedwa pa MRI, kawirikawiri imakhala ndi matenda aakulu a patellar tendinosis.
Misozi imeneyi imasiyanitsidwa ndi misozi yonse yomwe imatha kuchepa ndipo imafuna kukonza opaleshoni.
Zizindikiro za Patellar Tendon Conditions
Patellar tendonitis ndi tendinosis nthawi zambiri zimapweteka mwachindunji pamtundu wa patellar. Mtedzawu umakhala wachifundo komanso wotupa.
Kuthamanga kwa bondo kungayambitse kupwetekedwa kokhala ndi crepitus mwachindunji pamtunda wa kutupa. Chizindikiro china chofala cha vuto la patonlar patonlar ndi ululu ndi ntchito, makamaka kulumpha kapena kugwada.
Kafukufuku wa X-ray amachitidwa kuti atsimikizire kuti palibe vuto ndi mafupa pambali. Nthaŵi zina, amatha kuwona kashiamu ya calcium, makamaka kwa odwala omwe amatha kukhala ndi matenda aakulu kwambiri a patellar tendinosis. MRI ingakhale yothandiza kufufuza zizindikiro za kutupa kapena misonzi yeniyeni mkati mwa tendon.
Matellar Treatment Tendon
Chithandizo chiyenera kukhazikitsidwa pokhapokha ngati matenda oyenerera akuvomerezedwa ndi dokotala wanu. Ngati vuto ndi kutupa koopsa, mankhwala angaphatikizepo:
- Kupumula
Chinthu chofunika kwambiri choyamba pa chithandizo ndi kupewa zinthu zomwe zimawonjezera vutoli. Thupi lanu ndiwotsogolera bwino kwambiri kuti mudziwe momwe mungapumire bondo lovulala - ngati chochitika chikuvulazidwa m'malo mwa tchupi lovulazidwa, ndiye kuti mupumule ku ntchitoyi. - Mankhwala Oletsa Kupweteka
Mankhwala osakanikirana ndi otsekemera (NSAIDs) akuphatikizapo mndandanda wautali wa zinthu monga Ibuprofen, Motrin, Naprosyn, Celebrex, ndi ena ambiri. Patellar tendonitis mankhwala akhoza kusintha ndi mankhwala omwe amachepetsa kupweteka ndi kutupa. Onetsetsani kuti mungalankhule ndi dokotala musanayambe kumwa mankhwalawa.
- Kutambasula
Kutambasula quadriceps, hamstring, ndi minofu yamwana musanagwire ntchito ndikofunika kwambiri mutayambiranso ntchito. Kupeza chizoloŵezi chabwino, ngakhale kamodzi kamene zizindikirozo zithetsa, zidzathandiza kupewa vutoli. - Kusamalira Madzi
Kuyesa malo otupa ndi mbali yofunikira ya mankhwala a tendonitis. Mazirawo amathandiza kuchepetsa kutupa ndi kuchepetsa kutupa. Mwa kuchepetsa kutupa ndi kutupa, tendon ikhoza kubwerera ku chikhalidwe chake ndi kuchita ntchito yake yachizolowezi. - Chotsani Zingwe / Braces
Nthaŵi zina, dokotala wanu amapereka chingwe chothandizira (chotchedwa infrapatellar strap kapena Chopat strap), mawondo a mawondo, kapena machitidwe ochita. Kupindula kwa njirazi pakuchulukitsidwa kwa patellar tendonitis sikudziwika bwino, koma odwala ena amapeza mpumulo wathunthu wogwiritsira ntchito mankhwalawa.
Ngati matendawa ndi aakulu, chithandizo cha kutupa sichitha kukhala chothandiza, choncho, cholinga cha chithandizo cha patellar tendinosis ndi mankhwala. Zochita zothandizira kwambiri zothandizira pa matenda a tendinosis ndizochita zolimbikitsana zapamwamba.
Madokotala ena opaleshoni akugwiritsanso ntchito mankhwala omwe amatchedwa PRP jekeseni kuti athe kuchiritsira patonlar tendonitis ndi tendinosis. Izi zimapangitsa kuti thupi likhale lochiritsidwa, ngakhale kuti umboni wa sayansi suwathandizira kwambiri kugwiritsa ntchito mankhwalawa.
Nthaŵi zina, odwala ali ndi zizindikiro za tendonitis zosalekeza kupatulapo mankhwala omwe tatchulidwa pamwambapa. Odwalawa omwe ali ndi ululu wosatha, omwe ayesa chithandizochi kwa nthawi yayitali, opaleshoni ikhoza kuganiziridwa. Kawirikawiri opaleshoni imaonedwa ngati teton yowonongeka imawonekera pa MRI. Panthawi ya opaleshoni, thambo lowonongeka likhoza kuchotsedwa ndi kukonzedwa.
Zotsatira:
Duri ZA, et al. "Patellar tendonitis ndi kupweteka kwa bondo kumbuyo" Am J Knee Surg. 1999; 12 (2): 99-108.
Hall MP, et al "Plasma-Platelet-Rich Rich: Makhalidwe Amakono ndi Kugwiritsa Ntchito Mankhwala A Masewera" J Am Acad Orthop Surg, Vol 17, No 10, October 2009, 602-608.