Patellofemoral chondropathy inorwisa cartilage yejoint patellofemoral pamwero wemabvi. Inogona kunzwisiswa sechimiro chekutanga chinogona kufambira mberi kune osteoarthritis yemabvi (gonarthrosis). Nzira dzinoverengeka dzokurapa dzinobvira.

Tsanangudzo ye patellofemoral chondropathy

Mushonga wepatellofemoral ndeimwe yemabvi akabatanidzwa: inoumba mubatanidzwa pakati pechikadzi (chidya chepfu) uye patella (kneecap mumutauro wekare: pfupa duku pamberi pemabvi). Isu tinotaura nezve patellofemoral chondropathy, kana patellar chondropathy, kana yakasakara kana kuparadzwa kwecartilage ye patellofemoral joint.

Patellofemoral chondropathy haisi yega ibvi chondropathy. Kunewo femorotibial chondropathy iyo inotsanangura kukuvadzwa kwekashwa pajoint yefemorotibial inobatanidza femur (chidya chepfu) kune tibia (gumbo pfupa).

Mune mamwe mabhuku, chrondopathy yemabvi inoenderana neosteoarthritis yemabvi (gonarthrosis). Mune zvimwe, tinotaura zvakawanda nezve chrondopathy mumhando dzekutanga uye osteoarthritis mumhando yepamusoro.

Zvinokonzera uye njodzi zviitiko

Kwakabva patellofemoral chondropathy inonzi inonzi polyfactorial. Kubudirira kwaro kwakabatana nekuvapo-kuvapo kwezvinhu zvakasiyana-siyana zvengozi. Pakati pavo pane kunyanya:

• majini zvinhu;
• iyo genu valgum inoratidzira kutsauka kweaxis yegumbo nemabvi achipinda mukati;
• iyo genu varum inoreva kutsauka kweaxis yegumbo nemabvi achienda kunze;
• uremu hwakawandisa hunokonzera kuwandisa kwemajoini;
• kugara uchitakura mitoro iyo inoburitsawo kuwandisa pamwero wemajoini;
• iyo yakadzika uye / kana inodzokororwa tsika yezvimwe zviitiko, ine zvese njodzi ye microtrauma uye njodzi yekushanda zvakanyanya majoini nemarunda;
• kushungurudzwa kwemabvi akadai seanterior cruciate ligament rupture uye meniscus kukuvara;
• zvimwe zvirwere zvemagetsi zvakadai segout;
• zvimwe zvirwere zvinoputika zvakadai se rheumatoid arthritis;
• zvimwe zvirwere zvinotapukira senge infectious arthritis.

Kuongororwa kwechondropathie fémoro-patellaire

Kuongororwa kwepatellofemoral chondropathy kunowanzoenderana ne:

• kuongororwa kwekliniki nekubvunzurudzwa kuitira kuti uongorore rudzi rwemarwadzo, kusagadzikana kunonzwa kana kufamba kwemabvi;
• bvunzo dzekurapa dzekufungidzira kuongorora mamiriro ejoint.

Kuongororwa kungada kupindira kwe rheumatologist, nyanzvi mumapfupa, tsandanyama uye majoini. 

Vanhu vanobatwa nepatellofemoral chondropathy

Kusakara uye kubvaruka kwecartilage chinhu chinowanzoitika nezera. Patellofemoral chondropathy zvisinei hazviwanzoitiki kune vechidiki vane mutambo kana basa reunyanzvi rinoshungurudza mabvi kakawanda.

Pakutanga kwepatellofemoral chondropathy, kukanganisa kwekatekete kuduku. Havakonzeri zviratidzo.

ibvi marwadzo

Sezvo ichikura, patellofemoral chondropathy inozviratidza segonalgia. Iyo inonzi mechanical ibvi kurwadziwa iyo inozviratidza yega discontinuous. Gonalgia inonyanya kuiswa kumberi kwebvi asi inogona kuzviratidza kuseri kwepatella (kneecap) panguva yekufamba. Marwadzo anogona kukwidziridzwa kana uchikwenya.

Zvinogona kusagadzikana

Sezvo ichifambira mberi, patellofemoral chondropathy inogona kuva inodzivisa zuva nezuva. Kurwadza kwakanyanya kwemabvi kunogona kuperekedza mamwe mafambiro, kunyanya squatting chinzvimbo.

Kutungamirirwa kwepatellofemoral chondropathy kunosanganisira kuderedza kufambira mberi kwayo uye kubvisa marwadzo emabvi. Kuti uite izvi, nzira dzinoverengeka dzekurapa dzinogona kutariswa zvichienderana nehuwandu hwekukuvara kwecartilage, marwadzo anonzwa uye njodzi dzinoonekwa:

• physiotherapy zvikamu;
• kupfeka patellar orthosis, chigadziro chichatsigira basa rekubatana;
• kutsigirwa kwezvokudya uye zvekudya muchiitiko chekurema;
• mishonga ine analgesics kubvisa marwadzo;
• corticosteroid jekiseni kana zvichidiwa.

Kudzivirirwa kwepatellofemoral chondropathy kunosanganisira kudzikamisa izvo zvinodzivirirwa njodzi zvinhu zvakanyanya sezvinobvira. Saka zvinokurudzirwa kuti:

• chengetedza chikafu chine hutano uye chakaringana;
• chengetedza kushanda kwemuviri nguva dzose, uchidzivisa kudarika-kuunganidza majoini emabvi;
• kuderedza zvakanyanya sezvinobvira kudzvinyirirwa kunoitwa pamabvi akabatanidzwa nekuvandudza, somuenzaniso, ergonomics yebasa rekushanda.