Patellofemoral chondropathy wani hari ne a kan guringuntsi na haɗin gwiwa na patellofemoral a matakin gwiwa. Ana iya gane shi azaman farkon nau'i wanda zai iya ci gaba zuwa osteoarthritis na gwiwa (gonarthrosis). Hanyoyi na warkewa da yawa suna yiwuwa.

Ma'anar patellofemoral chondropathy

Ƙungiyar patellofemoral na ɗaya daga cikin haɗin gwiwar gwiwa: yana samar da haɗin gwiwa tsakanin femur (kashin cinya) da patella (kneecap a cikin tsohuwar nomenclature: ƙananan kashi a gaban gwiwa). Muna magana game da patellofemoral chondropathy, ko patellar chondropathy, idan akwai lalacewa ko lalata guringuntsi na haɗin gwiwa na patellofemoral.

Patellofemoral chondropathy ba shine kawai ciwon gwiwa ba. Hakanan akwai chondropathy na femorotibial wanda ke bayyana lalacewar guringuntsi a haɗin gwiwa na femorotibial wanda ke haɗa femur (ƙashin cinya) zuwa tibia (ƙafafun ƙafa).

A wasu wallafe-wallafen, chrondopathy na gwiwa yana daidai da osteoarthritis na gwiwa (gonarthrosis). A wasu, muna magana game da chrondopathy a farkon siffofin da osteoarthritis a cikin ci-gaba siffofin.

Dalili da abubuwan haɗari

Asalin patellofemoral chondropathy an ce ya zama polyfactorial. Ci gabansa yana da alaƙa da haɗin kai na abubuwan haɗari daban-daban. Daga cikinsu akwai musamman:

• abubuwan kwayoyin halitta;
• genu valgum wanda ke nuna karkatacciyar hanyar kafa tare da gwiwoyi suna shiga ciki;
• genu varum wanda ke nufin karkatar da axis na kafa tare da gwiwoyi suna fita waje;
• nauyi mai yawa wanda ke haifar da wuce gona da iri na gidajen abinci;
• yawan ɗaukar kaya wanda kuma ke haifar da nauyi a matakin haɗin gwiwa;
• m da / ko maimaita aikin wasu ayyuka, tare da haɗari na microtrauma da haɗarin overworking gidajen abinci da ligaments;
• raunin gwiwa irin su rugujewar ligament na gaba da raunin meniscus;
• wasu cututtuka na rayuwa irin su gout;
• wasu cututtuka masu kumburi irin su rheumatoid arthritis;
• wasu cututtuka masu yaduwa irin su cututtukan cututtuka masu yaduwa.

Bincike na chondropathie fémoro-patellaire

Sakamakon ganewar asali na patellofemoral chondropathy ya fi sau da yawa bisa:

• jarrabawar asibiti tare da tambayoyi don tantance nau'in ciwo, rashin jin daɗi ko motsi na gwiwa;
• gwaje-gwajen hoto na likita don tantance yanayin haɗin gwiwa.

Sanin ganewar asali na iya buƙatar sa baki daga likitan ilimin rheumatologist, ƙwararren ƙwararren kashi, tsoka da haɗin gwiwa. 

Mutanen da ke fama da cutar patellofemoral chondropathy

Rashin lalacewa da tsagewar guringuntsi abu ne na kowa tare da shekaru. Patellofemoral chondropathy duk da haka ba sabon abu ba ne a cikin matasa waɗanda ke da wasanni ko aikin ƙwararru wanda ke dagula gwiwoyi akai-akai.

A farkon patellofemoral chondropathy, lalacewa ga guringuntsi yana da kadan. Ba sa haifar da wata alama.

gwiwa zafi

Yayin da yake tasowa, patellofemoral chondropathy yana bayyana kansa a matsayin gonalgia. Wani abin da ake kira ciwon gwiwa na inji wanda ke nuna kansa ba tare da tsayawa ba. Gonalgia an fi sani da shi a gaban gwiwa amma yana iya bayyana kansa a bayan patella (kneecap) yayin motsi. Za a iya ƙara zafi lokacin tsugunne.

Zai yiwu rashin jin daɗi

Yayin da yake ci gaba, patellofemoral chondropathy na iya zama mai ƙuntatawa a kowace rana. Ciwon gwiwa mai tsanani na iya rakiyar wasu motsi, musamman madaidaicin squatting.

Gudanar da patellofemoral chondropathy ya ƙunshi iyakance ci gabanta da kuma kawar da ciwon gwiwa. Don cimma wannan, ana iya la'akari da hanyoyin warkewa da yawa dangane da girman lalacewar guringuntsi, jin zafi da abubuwan haɗari da aka gano:

• zaman zaman motsa jiki;
• sanye da patellar orthosis, na'urar da za ta goyi bayan aikin haɗin gwiwa;
• tallafin abinci mai gina jiki da abinci a yayin da ake yawan kiba;
• magani tare da analgesics don rage zafi;
• corticosteroid injections idan ya cancanta.

Rigakafin patellofemoral chondropathy ya ƙunshi iyakance abubuwan haɗarin da za a iya gujewa gwargwadon yiwuwa. Don haka ana ba da shawarar zuwa:

• kula da lafiyayyen abinci;
• kula da aikin motsa jiki na yau da kullum, yayin da yake guje wa yin amfani da haɗin gwiwar gwiwa;
• rage yawan matsa lamba da aka yi a kan haɗin gwiwa ta hanyar ingantawa, misali, ergonomics na wurin aiki.