Chifukwa Chachikulu cha Kupwetekedwa Kanyonga
Matellofemoral stress syndrome, kapena PFSS kwaifupi, ndilo vuto loperewera la kneecap (patella) limapezeka pamapeto pa ntchafu (femur). Izi zimayambitsa vuto la maondo ndipo zimakhala zovulaza.
Malo Ammimba
Ngati muli ndi ululu kutsogolo kwa bondo lanu, mukhoza kukhala ndi PFSS. Nthaŵi zina ululu umamveka kuzungulira pamphepete mwa kneecap.
Kupweteka kumakhala kotentha kwambiri ndipo ndi zovuta kwambiri ndi ntchito monga kuyenderera, kudumphira, kudula, kapena kukwera masitepe. Ngati matenda anu ndi ovuta, kuyenda kapena kuchoka pa mpando kungakhale kowawa ndipo kungasonyeze kuti muli ndi PFSS.
Mmene thupi la Patellofemoral linagwirira ntchito
Mgwirizano wa patellofemoral uli pa bondo pomwe patella imayenda pamapeto a chikazi. Pali phokoso laling'ono kumapeto kwa chikazi komwe abambo amakhala pansi ndipo amagwiritsidwa ntchito ndi tendons ndi ligaments. Pamene patella ikuyenda molakwika mu kupweteka uku, kupweteka ndi kutupa kungayambitse, ndipo kuganiza kwa PFSS kungakayikire.
Zimayambitsa
Pali zifukwa zambiri zomwe zimayambitsa PFSS. Kukhazikika mu minofu kuzungulira bondo ndi mchiuno kungakokera molakwika pa mawondo, ndikuchotsa pa malo opambana. Kufooka mu minofu kuzungulira bondo ndi chiuno kungapangitsenso vuto. Nthaŵi zina, malo osayendetsa mapazi pamene akuyenda kapena akuyenda kungachititse kuti bondo lilowe mkati, zomwe zimatsogolera ku PFSS.
Popeza pali zifukwa zambiri zomwe zingapangitse PFSS, ndikofunika kuyang'ana ndi dokotala ndi wodwalayo kuti athandizidwe kudziwa chomwe chimayambitsa vutoli.
Kudziwa
Ngati muli ndi ululu kutsogolo kwa bondo lanu kapena pafupi ndi mawondo anu, mukhoza kukhala ndi PFSS. Kuthamangira kwa dokotala kungakhale kotheka.
Iye akhoza kusankha kutenga x-ray kuti awone ngati nyamakazi kapena vuto lina likuyambitsa ululu wanu. Kupanga mankhwala ndi mapulani a chithandizo kungakhale kofunikira kuti muthe kupeza njira yothetsera vuto lanu.
Thandizo lanu la mankhwala liyenera kuyamba ndi kufufuza kozama. Izi zikuphatikizapo kukambirana mwatsatanetsatane za mbiri ya vuto lanu. Wodwala wanu akuyenera kukufunsani za momwe ululu wanu unayambira, momwe unayambira, ndi zinthu ziti zomwe zimapangitsa kuti chikhalidwe chanu chikhale chabwino kapena choipa. Mbiri yakale ingathandize wodwalayo kuti adziwe komwe cholinga cha kuyesa chiyenera kukhala kapena ngati vuto lina likhoza kukupweteka. Onetsetsani kuvala zovala zabwino pamagulu anu a thupi kuti bondo lanu lipeze mosavuta.
Wodwala wanu wathanzi angatengere miyeso yosiyanasiyana kuti athandizidwe kudziwa chomwe chimayambitsa vuto lanu. Akhoza kuyeza mphamvu ya m'chiuno, chiuno, kapena miyendo yanu. Kuyenda kwa mawondo anu kungayesedwe. Kuyenda kwa kneecap yanu kungayesedwe m'njira zosiyanasiyana komanso pazochitika zosiyana, monga kudula kapena kukwera masitepe . Kusinthasintha kwa minofu ya m'chiuno, chifuwa kapena mwendo kungayesedwe. Mapazi ndi bondo pomwe akuyenda kapena akuthamanga akhoza kuyesedwa panthawi ya kufufuza .
Chithandizo
Chithandizo choyamba cha PFSS chimaphatikizapo kuyendetsa kutupa pogwiritsa ntchito njira ya RICE kwa masiku atatu kapena asanu kuti athe kuchepetsa ululu ndi kuchepetsa kupweteka kuzungulira bondo. Ice liyenera kugwiritsidwa ntchito pa bondo kwa mphindi 15 mpaka 20 kangapo patsiku. Onetsetsani kuti muyike chikwama chanu mu thaulo kuti mupewe kuwonongeka kwa minofu kapena chisanu. Kupewa ntchito yomwe inachititsa ululuyo ndikulingalira bwino.
Pambuyo pa masiku asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi asanu ndi awiri (7) apumulo ndi mapulogalamu a ayezi, zochitika za PFSS zingayambe kuthandiza kuthandizira kusintha ndi mphamvu pampando, bondo ndi khungu Kuchita masewera olimbitsa thupi kungathe kuchitidwa kuti zitsimikizidwe kuti kuyendayenda kwachizolowezi kumawoneka.
Onetsetsani kuti muwone dokotala wanu ndi wodwalayo kuti muwone ngati zolimbitsa thupi ziri zoyenerera kwa inu komanso kuti mudziwe zomwe mukuyenera kuchita.
Wodwala wanu wathanzi angasankhenso kugwiritsa ntchito othandizira ena kapena njira zothandizira kuchepetsa kupweteka ndi kukonza kuyenda. Zina mwazochiritso zimaphatikizapo ultrasound , kukakamiza magetsi , kapena iontophoresis . Onetsetsani kuti mufunse mafunso anu okhudza mankhwala omwe mukuulandira.
Pambuyo pa masabata atatu kapena anayi a machitidwe olimbitsa thupi ndi olimbitsa thupi , pangakhale nthawi yoyamba kukonzekera kubwerera ku ntchito yachizolowezi. Ululu wozungulira kneecap wanu ukhale wochepa, ndipo muyenera kukwera masitepe popanda kupweteka.
Yesetsero losavuta kuti muwone ngati mawondo anu akutsatira bwino ndiyeso limodzi loyesa mwendo. Kuti muchite izi, imani pa phazi limodzi, gwiritsani chinthu china chokhazikika, ndipo pang'onopang'ono mugwe pansi. Ngati njira iyi imapweteka maondo, masabata awiri kapena awiri a zozoloŵezi zabwino zingasonyezedwe. Ngati njirayi ili yopanda ululu, muyenera kukhala wokonzeka kuyamba maphunziro kuti mubwerere ku masewera.
Zochita zowonjezereka zowonjezereka zingakhale zofunikira kuti zitsimikizire kuti maziko anu ndi kumapeto kwa minofu akupereka chithandizo chokwanira ku bondo. Apanso, onetsetsani kuti muwone dokotala ndi wodwalayo kuti akuthandizeni kusankha zomwe mungachite kuti mukhale ndi chikhalidwe chanu.
PT yanu ingagwiritsenso ntchito nanu kusintha ndondomeko yanu kuti musamapanikize mawondo anu poganiza kuti mutha kupewa PFSS. Kafukufuku amasonyeza kuti kutsamira patsogolo pang'ono pamene ikuyenda kungachepetse nkhawa ku maondo kuti kuchepetsa kupweteka kwa knee wothamanga ndi PFSS. PT yanu ikhoza kukuwonetsani momwe mungasinthire kupititsa patsogolo maondo anu.
Mawu ochokera
Mipingo yambiri ya PFSS imakhala bwino kwambiri pakatha masabata asanu ndi limodzi kapena asanu ndi atatu. Ngati mkhalidwe wanu uli wovuta kwambiri, zingatenge nthawi yayitali kuti mukwaniritse ntchito yopanda ululu. Ngati zizindikiro zanu zikupitirira patapita masabata asanu ndi atatu, muyenera kufunsa dokotala wanu kuti awone ngati mankhwala ena ovuta, monga majeremusi kapena opaleshoni angakuthandizeni.
> Chitsime:
> Hertling, D. (2006). Kusamalira matenda ozungulirika a minofu. (4th ed.). Philadelphia: Lippincott Williams & Wilkins.
> Teng, H, Mphamvu, C. Mphamvu ya thunthu imakhala pansi pamapeto othamanga pakutha. Med Sci Posrt ndi Exer. 47 (3) March 2015. 625-630