Bohloko ba pele ba lengole

Bohloko ba pele ba lengole ke bohloko bo hlahang ka pele le bohareng ba lengole. E ka bakoa ke mathata a mangata a fapaneng, ho kenyeletsoa:

• Chondromalacia ea patella - ho nolofatsa le ho senyeha ha lisele (lefufuru) ka tlase ho kneecap (patella)
• Mangole a semathi - ka linako tse ling a bitsoa patellar tendinitis
• Lateral compression syndrome - patella e tsamaea haholo karolong e kantle ea lengole
• Quadriceps tendinitis - bohloko le bonolo ho sehokelo sa quadriceps tendon ho patella
• Patella maltracking - ho hloka botsitso ha patella lengoleng
• Patella ramatiki - ho senyeha ha lefufuru ka tlas'a lengole la hao

Kneecap ea hau (patella) e lula ka pele ho lengole la hao. Ha u ntse u koba kapa u otlolla lengole la hao, karolo e ka tlaase ea patella e thellisa masapong a lengole.

Li-tendon tse matla li thusa ho kopanya kneecap masapong le mesifa e potileng lengole. Ts'ebetso ena e bitsoa:

• Tendon ea patellar (moo kneecap e khomarelang lesapo la shin)
• Tone ea quadriceps (moo mesifa ea serope e hokelang ka holim'a kneecap)

Mahlaba a ka pele a lengole a qala ha lengole le sa sisinyehe hantle ebe le hohla le karolo e ka tlase ea lesapo la serope. Sena se ka etsahala hobane:

• Kneecap e maemong a sa tloaelehang (e boetse e bitsoa ho se lumellane ho fosahetseng ha kopane ea patellofemoral).
• Ho na le ho tiea kapa bofokoli ba mesifa e ka pele le ka morao ea serope sa hau.
• U etsa mosebetsi o mongata haholo o behang khatello ea kelello ho kneecap (joalo ka ho matha, ho qhomela kapa ho sotha, ho sesa le ho bapala bolo ea maoto).
• Matšoao a hau ha a na botsitso mme mesifa ea hau ea mantlha e kanna ea fokola.
• Menoana a lephakong leo ka tloaelo lengole la lengole le lutseng ho lona ha le na botebo haholo.
• U na le maoto a bataletseng.

Bohloko ba pele ho lengole bo atile haholo ho:

• Batho ba nonneng haholo
• Batho ba nang le ts'oaetso, ho robeha kapa kotsi e 'ngoe ho kneecap
• Ho matha, ho tlolela holimo, ho thellisa lehloeng, ho palama libaesekele le libapali tsa bolo ea maoto tse ikoetlisang khafetsa
• Bacha le batho ba baholo ba phetseng hantle, hangata ke banana

Lisosa tse ling tse ka bang teng tsa bohloko ba mangole bo ka pele ke:

• Ramatiki
• Ho koala lera le ka hare la lengole nakong ea motsamao (e bitsoang synovial impingement kapa plica syndrome)

Bohloko ba pele ho lengole ke bohloko bo bohloko, bo opang boo hangata bo utloang:

• Ka mor'a kneecap (patella)
• Ka tlasa kneecap
• Ka mahlakoreng a kneecap

Letšoao le leng le tloaelehileng ke ho utloa ha sefahleho kapa ho sila ha lengole le fetoha (ha leqaqailana le tlisoa haufi le mokokotlo oa serope).

Matšoao a ka bonahala haholo ka:

• Ho khumama ka botebo
• Ho theoha litepisi
• Ho mathela tlase
• Ho ema ka mora ho lula nakoana

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Mangole a kanna a ba bonolo mme a ruruha hanyane. Hape, kneecap e kanna ea se koahetsoe hantle le lesapo la serope (femur).

Ha o khumama ka lengole, o ka ikutloa o sithabetsa maikutlo tlasa kneecap. Ho tobetsa kneecap ha lengole le otloloha ho ka ba bohloko.

Mofani oa hau a ka batla hore u etse squat e le 'ngoe ea leoto ho sheba ho se leka-lekane ha mesifa le botsitso ba hau ba mantlha.

Hangata li-ray li tloaelehile. Leha ho le joalo, pono e khethehileng ea x-ray ea kneecap e ka bonts'a matšoao a ramatiki kapa ho sekama.

Lisebelisoa tsa MRI ha li hlokahale hangata.

Ho phomola lengole ka nako e khuts'oane le ho sebelisa lithethefatsi tse sa thibeleng ho ruruha (li-NSAID) joalo ka ibuprofen, naproxen, kapa aspirin ho ka thusa ho kokobetsa bohloko.

Lintho tse ling tseo u ka li etsang ho kokobetsa bohloko ba mangole bo ka pele li kenyelletsa:

• Fetola tsela eo u ikoetlisang ka eona.
• Ithute ho ikoetlisa ho matlafatsa le ho otlolla li-quadriceps le mesifa ea mesifa.
• Ithute ho ikoetlisa ho matlafatsa mokokotlo oa hau.
• Fokotsa boima ba 'mele (haeba o nonne haholo).
• Sebelisa lisebelisoa tse khethehileng tsa lieta le lisebelisoa tsa tšehetso (orthotic) haeba u na le maoto a bataletseng.
• Tlanya lengole la hau ho hlophisa kneecap.
• Apara lieta tse nepahetseng tsa ho matha kapa lipapali.

Hangata, ho hlokahala opereishene bakeng sa bohloko kamora kneecap. Nakong ea ts'ebetso:

• Kneecap cartilage e senyehileng e ka tlosoa.
• Liphetoho li ka etsoa ho tendon ho thusa kneecap ho tsamaea ka mokhoa o ts'oanang.
• Kneecap e ka hlophisoa bocha ho lumella mokhatlo o hlophisitsoeng o kopaneng.

Mahlaba a ka pele a lengole hangata a ntlafala ka phetoho ea ts'ebetso, kalafo ea ho ikoetlisa le ts'ebeliso ea li-NSAID. Ha ho hlokahale hore ho etsoa opereishene.

Bitsa mofani oa hau haeba u na le matšoao a lefu lena.

Lefu la Patellofemoral; Chondromalacia patella; Lengole la semathi; Tendellitis ea Patellar; Lengole la jumper

• Chondromalacia ea patella
• Limathi tsa limathi

DeJour D, PR ea Saggin, Kuhn VC. Mathata a kopaneng ea patellofemoral. Ka: Scott WN, ed. Opereishene ea Insall & Scott ea Knee. La 6th. Philadelphia, PA: Elsevier; 2018: khaolo ea 65.

McCarthyM, McCarty EC, Frank RM. Bohloko ba Patellofemoral. Ka: Miller MD, Thompson SR, lihlopha. DeLee, Drez, & Miller's Orthopedic Sports Medicine. La 5th. Philadelphia, PA: Elsevier; 2020: khaolo ea 106.

Teitge RA. Mathata a Patellofemoral: tokiso ea malalignment a potoloho ea pheletsong e tlase. Ka: Noyes FR, Barber-Westin SD, eds. Mathata a Noyes 'Knee: Ho Buuoa, Tlhabollo, Liphello tsa Kliniki. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2017: khaolo ea 36.