Kuwotcha Bondo

Zamkati

• Kuwotcha pamaondo
• Kutentha pabondo usiku
• Kutentha ndi chithandizo cha bondo
• Mitsempha yolira imang'ambika
• Mphuno yamatenda (kuwonongeka kwa malo ophatikizana)
• Osteoarthritis mu bondo
• Chondromalacia
• Matenda a Patellofemoral (PFS)
• Matellar tendinitis
• ITBS
• Kutenga

Kuwotcha maondo

Chifukwa bondo limodzi mwamalumikizidwe omwe amagwiritsidwa ntchito kwambiri m'thupi la munthu, kupweteka kulumikizana uku sikudandaula kwachilendo. Ngakhale kupweteka kwa bondo kumatha kukhala m'njira zosiyanasiyana, kupweteka pamoto kungakhale chisonyezo cha zovuta zosiyanasiyana.

Mutha kukhala ndi zotentha zomwe zimawoneka ngati zikuphatikiza bondo lathunthu, koma nthawi zambiri zimamveka mdera linalake - makamaka kumbuyo kwa bondo komanso kutsogolo kwa bondo (kneecap). Kwa ena, kutentha kumayang'ana mbali zonse za bondo.

Kuwotcha pamaondo

Pali zifukwa zingapo zoyaka bondo. Komwe mumamva kuti kutentha kumayenderana kwambiri ndi zomwe zimayambitsa vutoli.

Kupsa kumbuyo kwa bondo nthawi zambiri kumayambitsidwa ndi:

• Mitsempha ya misozi
• chichereŵechereŵe
• kuvulala mopitirira muyeso
• nyamakazi

Kuwotcha kutsogolo kwa bondo nthawi zambiri kumachitika chifukwa chovulala mopitirira muyeso chotchedwa wothamanga bondo - wotchedwanso chondromalacia kapena patellofemoral pain syndrome (PFS). Komanso, itha kukhala tendonitis yoyambitsidwa ndi kutupa kwa patellar tendon.

Kuwotcha kunja kwa bondo nthawi zambiri kumayambitsidwa ndi iliotibial band syndrome (ITBS).

Kutentha pabondo usiku

Anthu ena amamva kupweteka kwamondo usiku. Izi zitha kuyambitsidwa ndi zifukwa zingapo:

• Mitsempha yamagazi imakulanso m'mimba mwake mukamagona, ndikupanikiza mitsempha.
• Kuganizira zowawa zanu zakuthupi popanda zosokoneza za tsikulo kumabweretsa kuwonjezeka komwe kumayendetsedwa m'maganizo.
• Zizindikiro za mahormone zimachepetsedwa mukamagona, kulola zizindikiritso zambiri kuti zifike kuubongo.

Kutentha ndi chithandizo cha bondo

Chithandizo cha bondo loyaka chimadalira chifukwa.

Mitsempha yolira imang'ambika

Ngati misozi ya bondo imapezeka kuti ndi yopanda tsankho, chithandizo chingaphatikizepo:

• zolimbitsa thupi zolimbitsa
• zotetezera bondo, kuti zigwiritsidwe ntchito pochita masewera olimbitsa thupi
• malire pazomwe zingawonongeke zina

Misozi yathunthu yamaondo ingafunikire kukonza opaleshoni.

Mphuno yamatenda (kuwonongeka kwa malo ophatikizana)

Gawo loyamba la katsabola akuchiritsa ndi losavomerezeka ndipo lingaphatikizepo:

• zolimbitsa thupi zolimbitsa thupi ngati mankhwala oyang'aniridwa kapena pulogalamu yochita zolimbitsa thupi kunyumba
• Kupweteka, makamaka mankhwala osakanikirana ndi kutupa (NSAIDs)
• jakisoni wa steroid pa bondo

Kwa iwo omwe zinthu sizikusintha ndi chithandizo chamankhwala, gawo lotsatira ndi opaleshoni. Pali njira zingapo zochitira opaleshoni kuphatikiza:

• Bondo chondroplasty. Cartilage yowonongeka imasokonekera kuti ichepetse kukangana.
• Kuchotsa bondo. Zidutswa zazing'ono za cartilage zimachotsedwa, ndipo olowa amapukutidwa ndi mankhwala a saline (lavage).
• Kuika kwa Osteochondral autograft (OATS). Cartilage wosawonongeka amatengedwa kuchokera kumalo osalemera ndikusunthira kumalo owonongeka.
• Kukhazikika kwa autologous chondrocyte. Chidutswa cha cartilage chimachotsedwa, ndikulimidwa mu labu, ndikubwezeretsanso pa bondo, pomwe chimakula ndikukhala katsamba kabwino.

Osteoarthritis mu bondo

Osteoarthritis sichingasinthidwe, chifukwa chabwino chomwe chingachitike ndikuwongolera zizindikilo, zomwe zingaphatikizepo:

• Kusamalira ululu ndi mankhwala owonjezera (OTC) monga acetaminophen (Tylenol), ibuprofen (Advil, Motrin IB) ndi naproxen sodium (Aleve)
• chithandizo chakuthupi ndi pantchito
• jakisoni wa cortisone

Pomalizira pake, opaleshoni yowonjezera (arthroplasty) ingakhale yofunikira.

Chondromalacia

Chondromalacia yomwe imadziwikanso kuti wothamanga, ndi kuwonongeka kwa karoti pansi pa patella (kneecap). Chithandizo choyambirira cha chondromalacia chimaphatikizapo:

• ayezi kuti achepetse kutupa potsatira masewera olimbitsa thupi
• kupweteka kwa mankhwala a OTC
• mpumulo wa mawondo, omwe amaphatikizapo kupeŵa kugwedezeka ndi kugwada
• mayendedwe a patella ndi cholimba, tepi, kapena malaya otsata patellar

Ngati mankhwala oyamba osagwira ntchito akulephera, dokotala wanu atha kunena kuti opareshoni yamagetsi yothana ndi ziphuphu zosakhazikika ndi poyambira (poyambira pamwamba pa chikazi).

Matenda a Patellofemoral (PFS)

Pazovuta zochepa, PFS imathandizidwa ndi:

• kupumula kwa bondo, komwe kumaphatikizapo kupewa kukwera masitepe ndi kugwada
• Mankhwala opweteka a OTC
• machitidwe okonzanso, kuphatikiza ma quadriceps, nyundo, ndi obera m'chiuno
• ma brace othandizira

Pazifukwa zowopsa kwambiri, adokotala angavomereze arthroscopy, njira yochitira opaleshoni kuti achotse zidutswa za khungwa lowonongeka.

Matellar tendinitis

Patellar tendinitis ndimavulala owonjezera pamtundu wa tendon womwe umalumikiza kneecap (patella) wanu. Nthawi zambiri amathandizidwa ndi:

• kupumula, makamaka kupewa kuthamanga ndi kudumpha
• ayezi kuti achepetse kutupa
• Kusamalira ululu kudzera mu OTC kumachepetsa ululu
• zolimbitsa thupi mwendo ndi mwendo ntchafu minofu
• Kutambasula kuti kutalikire bondo-minofu tendon unit
• Chingwe cha patellar tendon kuti mugawire mphamvu kuchokera pa tendon kupita pa lamba

Ngati mankhwala osamalitsa, osagwira ntchito sagwira ntchito, dokotala akhoza kukulangizani kuti:

• jekeseni wolemera m'magazi
• Njira zosunthira singano

ITBS

ITBS ndimavuto obwereza obwereza pamaondo omwe amapezeka makamaka othamanga. Ngakhale panthawiyi palibe chithandizo chotsimikizika, othamanga amalangizidwa kuti azitsatira pulogalamu zotsatirazi:

1. Siyani kuthamanga.
2. Sitima yopanda mtanda yopanda zovuta monga kupalasa njinga ndi dziwe lothamanga.
3. Sambani ma quads, glutes, hamstrings, ndi iliotibial band.
4. Limbitsani mtima wanu, glutes, ndi malo amchiuno.

Kutenga

Kupweteka kwa mawondo kumatha kuwonetsa vuto polumikizana kapena minofu yofewa yozungulira bondo monga mitsempha ndi minyewa. Ngati ululu woyaka mu bondo lanu ukuwoneka kuti umalumikizidwa ndi gawo lina la bondo - kutsogolo, kumbuyo, kapena mbali - mutha kuchepetsa zomwe zingayambitse ululu.

Ngati ululu ukupitilira kapena kusokoneza zochitika zanu za tsiku ndi tsiku kapena kugona, muyenera kufunsa dokotala.