I-Patella Dislocation Ezinjeni: Ukuxilongwa, Ukwelashwa, nokuningi

Ukususwa kwe-patella endaweni yayo evamile kuvame kakhulu ezinjeni. Nakuba izinhlobo ezincane noma zamathoyizi ezifana ne-Chihuahuas, Yorkshire Terriers kanye ne-Spitz zingenwa kalula yile pathology, kungenzeka nakwezinye izinhlobo zezinja.

Kwezinye izimo, i-patella ekhangayo iphathwa ngokwelashwa ngokomzimba kanye/noma imithi. Kodwa uma isimo senja sinzima futhi siyibangela ubuhlungu obukhulu, khona-ke kungase kudingeke ukuhlinzwa.

Kwenzeka kanjani i-patella ekhazimulayo ezinjeni?

Ukususwa kwenzeka lapho i-kneecap yenja (noma i-patella), ngokuvamile etholakala emseleni we-femur, isuswa endaweni yayo evamile. Ingenzeka emlenzeni owodwa noma yomibili yangemuva. Ezinjeni eziningi zohlobo oluncane, lokhu kufuduka kwenzeka phakathi nendawo noma ngaphakathi kwesitho. I-Patella luxation ezinjeni ingaba eceleni, kodwa lokhu akuvamile futhi kuvame ukuvela ezinhlotsheni ezinkulu kuphela.

Endabeni ye-patella ehlukanisiwe enja, ungase ubone ukuxhwala "okubhoboza" noma ukuvinjelwa kwezidladla nge-engeli engavamile. Uma i-patella isibuyele endaweni, inja ibuyela esimweni esijwayelekile sengathi akwenzekanga lutho.

I-Patella luxation ezinjeni ingaba umphumela wokuhlukumezeka, kodwa kuvame ukuhlotshaniswa ne-anomalies yokuzalwa noma izinguquko zamathambo ngesikhathi sokukhula. Lezi zinguquko ziholela ekushintsheni kwamandla omthelela emadolweni futhi, ngenxa yalokho, ekuhlakazeni kwe-patella.

Amadigri e-patella ebabazekayo ezinjeni

Ukukhishwa kwe-patella ezinjeni kutholwa udokotela wezilwane wamathambo ngokusekelwe emiphumeleni yokuhlolwa komtholampilo kusetshenziswa i-palpation futhi kunqunywa izinga lokukhishwa. Lapho kusungulwa izinga lokuhlukaniswa, izinga elihlukile lokuqhwala liyabonwa.

• Ibanga I: i-patella iyasuswa endaweni yayo evamile kuphela ngomthelela womzimba, futhi ngemva kokuma komthelela, ibuyela emuva. IBanga I livame ukutholwa ngengozi lapho lihlolwa ngudokotela wezilwane futhi alinazo izimpawu zomtholampilo.
• Ibanga II: i-patella isuswa ngokuzenzakalelayo endaweni yayo evamile ngomthelela womzimba. Lapho i-patella ishiya isikhundla sayo esivamile, ukuqhwala ngezikhathi ezithile kubonakala, futhi uma kwenzeka umonakalo ku-cartilage obangelwa ukuhlukana okuvamile, kuvela izinzwa ezibuhlungu.
• Ibanga lesi-III: unomphela i-patella ingaphandle kwebhulokhi ye-femur, kodwa ingabuyiselwa endaweni yayo evamile ngosizo lomthelela womzimba. Ngesikhathi esifanayo, lapho umthelela umisiwe, idolo liyasuswa futhi. Ngenxa yoshintsho ekwakhekeni kwezitho zomzimba kanye / noma ukulimala koqwanga ngenxa yokugudluka okuphindaphindiwe, leli zinga libonakala ngobuhlungu obukhulu kakhulu nokuqhuga okungapheli.
• Ibanga IV: i-patella isuswe unaphakade futhi ayikwazi ukusethwa kabusha mathupha. Ngokuvamile kuba nezinguquko ezinzima ekwakhekeni kwezitho zomzimba, okuthi ngokuhamba kwesikhathi kuholele ekuxhwaleni nokunye ukukhubazeka kokuhamba, kanye nokungasebenzi kahle kwezitho zomzimba.

Ezinye izinja ezine-patella luxation zingase zibe nokuphuka kanyekanye kwe-cranial cruciate ligament-okubizwa ngokuthi i-anterior cruciate ligament tear emithini yabantu.

Ukususwa kwe-Patella Ezinjeni: Ukwelashwa

Izindlela zokwelapha le pathology ezinjeni ziyahlukahluka kusuka ekwelapheni okuvamile kuya ekungeneleleni ngokuhlinzwa, kuye ngezinga lokugudluzwa.

Ngokuvamile, ukuhlukaniswa kweBanga I no-II kuphathwa ngemithi yobuhlungu kanye nezidakamizwa ezilwa nokuvuvukala, ukulawula isisindo, nokuvinjelwa kokuzivocavoca. Ezimweni ezinjalo, ukwelashwa ngokomzimba kungasetshenziswa njengoba kungasiza inja ukuba iphinde ithole isisindo somzimba futhi ibuyele emazingeni okusebenza ajwayelekile. Ezinye izinja ezine-grade II dislocation ezisezinhlungwini ezinzima ngenxa yokulimala koqwanga futhi eziqhuga kakhulu zingase zizuze ekuhlinzweni ukuze zithuthukise izinga lempilo yazo. Ukuhlinzwa kuvame ukuboniswa kukho kokubili ukunethezeka kwebanga lesi-III nelesi-IV le-patella ngoba ukugudluka okunjalo kuholela ekuqhumeni okuphawulekayo nobuhlungu obukhulu.

Izinketho zokwelapha zokuhlinzwa ze-luxating patella ezinjeni zihlukaniswe ngokulungiswa kwezakhiwo zamathambo noma izicubu ezithambile. Kungakhathaliseki ukuthi hlobo luni lokuhlinzwa, umgomo jikelele ukulungisa indlela ye-quadriceps. Lokhu kuzovumela i-patella ukuthi ihambe ngokujwayelekile futhi ihlale emseleni we-femur. Izinqubo zokuhlinzwa ezivamile zihlanganisa:

• Ukujula kwe-block of the femur.
• Ukuguquguquka kokuqina kwe-tibia.
• Ukuqinisa i-capsule ye-knee joint.

Uma zombili izitho zangemuva zenja zithinteka, udokotela ngokuvamile uzonikeza ukwelashwa kokuhlinzwa kwezigaba, kuqala ngokuhlinzwa edolweni elithinteke kakhulu.

Ukuze uthole ukuphulukiswa kwamanxeba okungcono, inja izodinga ukugqoka ibhandeshi elithambile noma ibhandishi izinsuku ezingu-3-5 ngokuzivocavoca okulinganiselwe cishe amasonto angu-4-8 ngemva kokuhlinzwa. Phakathi nesikhathi sokululama kwenja, ukuhamba kufanele kukhawulelwe ekuhambeni okufushane ukuya endlini yangasese ngentambo, futhi isikhala ekhaya kufanele silinganiselwe ngekheji noma igumbi elincane lokulawula umsebenzi. Ukwelashwa ngokomzimba kungasiza ekunciphiseni ukulahleka kwesisindo somzimba esithweni esithintekile futhi kusize isilwane sibuyele emazingeni okusebenza ajwayelekile ngokushesha.

Ikusasa lenja ene-patella ekhazimulayo

Ngenhlanhla, izinja eziningi ezinalesi simo azidingi ukuhlinzwa ukuze zibuyele empilweni evamile, esebenzayo. Ngezinye izikhathi kwanele ukuba bamane banciphise umsebenzi womzimba noma benze inkambo ye-physiotherapy. Kodwa ngisho noma isilwane esifuywayo sidinga ukuhlinzwa, ukuvuselelwa kuthatha isikhathi esifushane. Cishe, phakathi nezinyanga ezimbalwa ngemva kokwelashwa, umngane onemilenze emine uzobe esebenza njengakuqala.