Anterior kupweteka kwa bondo

Kupweteka kwa bondo lamkati ndiko kupweteka komwe kumachitika kutsogolo ndi pakati pa bondo. Itha kuyambitsidwa ndi mavuto osiyanasiyana, kuphatikiza:

• Chondromalacia wa patella - kufewetsa ndi kuwonongeka kwa minofu (cartilage) kumunsi kwa kneecap (patella)
• Bondo la wothamanga - nthawi zina amatchedwa patellar tendinitis
• Matenda osokoneza bongo - patella amayenda kwambiri kunja kwa bondo
• Quadriceps tendinitis - kupweteka ndi kukoma mtima pazomata za quadriceps tendon ku patella
• Matella maltracking - kusakhazikika kwa patella pa bondo
• Matenda a nyamakazi a Patella - kuwonongeka kwa karoti pansi pa kneecap yanu

Bondo lanu (patella) limakhala kutsogolo kwa bondo lanu. Mukamawerama kapena kuwongola bondo lanu, mbali yakumunsi ya patella imadutsa m'mafupa omwe amapanga bondo.

Mitsempha yamphamvu imathandizira kulumikizitsa kneecap m'mafupa ndi minofu yomwe imayandikira bondo. Izi tendon zimatchedwa:

• Thupi la patellar (pomwe kneecap imalumikiza fupa)
• Matenda a quadriceps (pomwe minofu ya ntchafu imalumikiza pamwamba pa kneecap)

Kumva kupweteka kwa bondo kumayambira pomwe kneecap siyiyenda bwino ndikupakira kunsi kwa fupa la ntchafu. Izi zitha kuchitika chifukwa:

• Kneecap ili pamalo abwinobwino (yomwe imadziwikanso kuti mayendedwe olumikizana bwino a patellofemoral).
• Pali kulimba kapena kufooka kwa minofu kutsogolo ndi kumbuyo kwa ntchafu yanu.
• Mukuchita zochitika zambiri zomwe zimapangitsa kupanikizika kwambiri pa kneecap (monga kuthamanga, kulumpha kapena kupotoza, kutsetsereka, kapena kusewera mpira).
• Minofu yanu siyabwino ndipo minofu yanu yayikulu mwina imafooka.
• Pakhoma pakhonde pomwe kakhosi kamapuma nthawi zambiri silikhala laling'ono.
• Muli ndi phazi lathyathyathya.

Kumva kupweteka kwa bondo kumakhala kofala kwambiri mu:

• Anthu onenepa kwambiri
• Anthu omwe adasokonekera, atathyoka, kapena kuvulala kwina ku kneecap
• Ochita maseŵera othamanga, olumpha, okwera ski, okwera njinga, ndi oseŵera mpira amene amachita maseŵera olimbitsa thupi kaŵirikaŵiri
• Achinyamata komanso achikulire athanzi, makamaka atsikana

Zina mwazomwe zimayambitsa mabondo amkati ndi monga:

• Nyamakazi
• Kukhomerera mkatikati mwa bondo poyenda (wotchedwa synovial impingement kapena plica syndrome)

Kupweteka kwa bondo lamkati ndikumva kuwawa, kupweteka komwe kumamveka nthawi zambiri:

• Kumbuyo kwa kneecap (patella)
• Pansi pa kneecap
• Kumbali ya kneecap

Chizindikiro chimodzi chodziwika ndikumverera kopera kapena kugaya bondo likasinthasintha (pomwe bondo limabweretsedwera kumbuyo kwa ntchafu).

Zizindikiro zitha kuwonekera kwambiri ndi:

• Bondo lakuya limapindika
• Kutsika masitepe
• Kuthamangira kutsikira
• Kuyimirira nditakhala kwakanthawi

Wothandizira zaumoyo adzayesa. Bondo limakhala lofewa komanso lotupa pang'ono. Komanso, kneecap mwina singakhale yolumikizidwa bwino ndi fupa la ntchafu (femur).

Mukamagwedeza bondo lanu, mumatha kumva kupera pansi pa kneecap. Kukanikiza kneecap pomwe bondo likuwongola kumatha kukhala kopweteka.

Wothandizira anu angafune kuti mupange squat imodzi yamiyendo kuti muwone kusalinganika kwa minofu ndikukhazikika kwanu.

Ma X-ray nthawi zambiri amakhala abwinobwino. Komabe, mawonekedwe apadera a x-ray a kneecap amatha kuwonetsa zizindikiro za nyamakazi kapena kupindika.

Kujambula kwa MRI sikofunikira kwenikweni.

Kupumitsa bondo kwakanthawi kochepa ndikumwa mankhwala osagwiritsa ntchito ma anti-inflammatory (NSAIDs) monga ibuprofen, naproxen, kapena aspirin kungathandize kuthana ndi ululu.

Zinthu zina zomwe mungachite kuti muchepetse kupweteka kwam'mbuyo ndi monga:

• Sinthani momwe mumachita masewera olimbitsa thupi.
• Phunzirani zolimbitsa thupi kuti zilimbikitse ndikutambasula minofu ya quadriceps ndi hamstring.
• Phunzirani zolimbitsa thupi kuti mulimbitse mtima wanu.
• Kuchepetsa thupi (ngati mukulemera).
• Gwiritsani ntchito kulowetsa nsapato mwapadera ndi zida zothandizira (mafupa) ngati muli ndi mapazi athyathyathya.
• Lembani bondo lanu kuti muthe kusintha kneecap.
• Valani nsapato zothamanga kapena masewera olondola.

Kawirikawiri, opaleshoni ya ululu kumbuyo kwa kneecap imafunika. Pa opaleshoni:

• Kneecap cartilage yomwe yawonongeka ikhoza kuchotsedwa.
• Zosintha zitha kupangidwa pam tendon kuti zithandizire kneecap kuyenda moyenera.
• Kneecap itha kusinthidwa kuti ipangitse mayendedwe abwino olumikizana.

Kupweteka kwam'maondo koyambirira kumakula bwino ndikusintha kochita, kugwiritsa ntchito zolimbitsa thupi, komanso kugwiritsa ntchito ma NSAID. Kuchita opaleshoni sikofunikira kwenikweni.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za matendawa.

Matenda a Patellofemoral; Chondromalacia patella; Bondo lothamanga; Matenda a tendinitis; Bondo la Jumper

• Chondromalacia wa patella
• Othamanga bondo

DeJour D, Saggin PRF, Kuhn VC. Zovuta zamgwirizano wa patellofemoral. Mu: Scott WN, mkonzi. Kuchita Opaleshoni & Scott ya Knee. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: chap 65.

[Adasankhidwa] McCarthyM, McCarty EC, Frank RM. Ululu wa patellofemoral. Mu: Miller MD, Thompson SR, olemba. DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: chap 106.

Teitge RA. Matenda a Patellofemoral: kukonza kwakusintha kwamalingaliro am'munsi. Mu: Noyes FR, Barber-Westin SD, eds. Matenda a Noyes 'Knee: Opaleshoni, Kukonzanso, Zotsatira Zachipatala. Wachiwiri ed. Philadelphia, PA: Elsevier; 2017: mutu 36.