I-Patellofemoral chondropathy ukuhlasela kwe-cartilage ye-patellofemoral joint ezingeni lamadolo. Kungabonakala njengendlela yokuqala engathuthukela ku-osteoarthritis yamadolo (gonarthrosis). Izindlela zokwelapha eziningana zingenzeka.

Incazelo ye-patellofemoral chondropathy

I-patellofemoral joint ingenye yamalunga amadolo: yakha ukuhlangana phakathi kwe-femur (ithambo lethanga) kanye ne-patella (i-kneecap ku-nomenclature endala: ithambo elincane ngaphambi kwedolo). Sikhuluma nge-patellofemoral chondropathy, noma i-patellar chondropathy, uma kwenzeka ukugqoka noma ukubhujiswa kwe-cartilage ye-patellofemoral joint.

I-Patellofemoral chondropathy akuyona ukuphela kwe-knee chondropathy. Kukhona futhi i-chondropathy ye-femorotibial echaza ukulimala kwe-cartilage ekuhlanganyeleni kwe-femorotibial okuxhuma i-femur (ithambo lethanga) ku-tibia (ithambo lomlenze).

Kwezinye izincwadi, i-knee chrondopathy ihambisana ne-osteoarthritis yamadolo (gonarthrosis). Kwezinye, sikhuluma kabanzi nge-chrondopathy kumafomu okuqala kanye ne-osteoarthritis kumafomu athuthukile.

Izimbangela nezici zobungozi

Umsuka we-patellofemoral chondropathy kuthiwa yi-polyfactorial. Ukuthuthuka kwayo kuxhumene nokuba khona ndawonye kwezici eziyingozi ezihlukahlukene. Phakathi kwazo kukhona ikakhulukazi:

• izici zofuzo;
• i-valgum ye-genu ekhombisa ukuchezuka kwe-eksisi yomlenze ngamadolo angena ngaphakathi;
• i-genu varum ebhekisela ekuphambukeni kwe-axis yomlenze ngamadolo aya ngaphandle;
• isisindo esiningi esidala ukugcwala kwamalunga;
• ukuthwala imithwalo njalo okudala ukugcwala ngokweqile ezingeni lamalunga;
• umkhuba ojulile kanye / noma ophindaphindiwe wemisebenzi ethile, kokubili engozini ye-microtrauma kanye nengozi yokusebenza ngokweqile kwamalunga nemigqa;
• ukuhlukumezeka kwamadolo njengokuphuka kwe-anterior cruciate ligament kanye nokulimala kwe-meniscus;
• izifo ezithile ze-metabolic ezifana ne-gout;
• izifo ezithile ezivuthayo ezifana ne-rheumatoid arthritis;
• izifo ezithile ezithathelwanayo ezifana nesifo samathambo esithathelwanayo.

Ukuxilongwa kwe-chondropathie fémoro-patellaire

Ukuxilongwa kwe-patellofemoral chondropathy kuvame ukusekelwe kulokhu:

• ukuhlolwa komtholampilo ngokuphenywa ukuze kuhlolwe uhlobo lobuhlungu, ukungezwani okuzwakalayo noma ukuhamba kwamadolo;
• ukuhlolwa kwezithombe zezokwelapha ukuhlola isimo selunga.

Ukuxilongwa kungase kudinge ukungenelela kwe-rheumatologist, uchwepheshe wezifo zamathambo, imisipha kanye nezihlanganisi. 

Abantu abathintekayo yi-patellofemoral chondropathy

Ukuguga kwe-cartilage kuyinto evamile ngokukhula. I-Patellofemoral chondropathy noma kunjalo ayiyona into engavamile kubantu abasha abanomdlalo noma umsebenzi ochwepheshe ocindezela amadolo ngokuphindaphindiwe.

Ekuqaleni kwe-patellofemoral chondropathy, ukulimala kwe-cartilage kuncane. Azibangeli noma yiziphi izimpawu.

ngedolo

Njengoba ikhula, i-patellofemoral chondropathy ibonakala njenge-gonalgia. Yilokho okubizwa ngokuthi ubuhlungu be-mechanical knee obuziveza ngokuqhubekayo. I-Gonalgia itholakala kakhulu endaweni ngaphambili kwedolo kodwa ingazibonakalisa ngemuva kwe-patella (i-kneecap) ngesikhathi sokunyakaza. Ubuhlungu bungase bugcizelelwe lapho u-squatting.

Ukungakhululeki okungenzeka

Njengoba iqhubeka, i-patellofemoral chondropathy ingaba imingcele nsuku zonke. Ubuhlungu obukhulu emadolweni bungase buhambisane nokunyakaza okuthile, ikakhulukazi indawo ye-squatting.

Ukuphathwa kwe-patellofemoral chondropathy kuhlanganisa ukukhawulela ukuqhubeka kwayo nokukhulula ubuhlungu bamadolo. Ukufeza lokhu, izindlela zokwelapha eziningana zingacatshangelwa kuye ngezinga lokulimala koqwanga, ubuhlungu obuzwiwayo kanye nezici eziyingozi ezikhonjiwe:

• izikhathi ze-physiotherapy;
• ukugqoka i-patellar orthosis, idivayisi ezosekela umsebenzi ohlangene;
• ukwesekwa kokudla okunempilo nokudla uma kwenzeka ukhuluphele ngokweqile;
• imishanguzo enama-analgesics ukukhulula ubuhlungu;
• imijovo ye-corticosteroid uma kunesidingo.

Ukuvimbela i-patellofemoral chondropathy kuhlanganisa ukukhawulela izici eziyingozi ezigwemekayo ngangokunokwenzeka. Ngakho-ke kunconywa ukuthi:

• gcina ukudla okunempilo nokulinganisela;
• gcina umsebenzi ojwayelekile womzimba, ngenkathi ugwema ukuhlanganisa amalunga amadolo;
• ukunciphisa ngangokunokwenzeka ukucindezela okwenziwa emalungeni amadolo ngokuthuthukisa, isibonelo, i-ergonomics yendawo yokusebenza.