Patellofemoral chondropathy ke tlhaselo ea lefufuru la motsoako oa patellofemoral boemong ba lengole. E ka nkoa e le mokhoa oa pele o ka fetelang ho osteoarthritis ea lengole (gonarthrosis). Mekhoa e mengata ea phekolo e ka khoneha.

Tlhaloso ea patellofemoral chondropathy

Lenonyeletso la patellofemoral ke le leng la manonyeletso a mangole: le theha mateano pakeng tsa femur (serope) le patella (kneecap ka nomenclature ea khale: lesapo le lenyenyane ka pele ho lengole). Re bua ka patellofemoral chondropathy, kapa patellar chondropathy, tabeng ea ho apara kapa ho timetsoa ha lefufuru la motsoako oa patellofemoral.

Patellofemoral chondropathy hase eona feela lefu la lengole. Hape ho na le femorotibial chondropathy e hlalosang tšenyo ea lefufuru lenonyeletsong la femorotibial le kopanyang lesapo la serope ho tibia (lesapo la leoto).

Likhatisong tse ling, chrondopathy ea lengole e lumellana le osteoarthritis ea lengole (gonarthrosis). Ho tse ling, re bua haholo ka chrondopathy ka mefuta ea pele le lefu la masapo a manonyeletso ka mefuta e tsoetseng pele.

Lisosa le lisosa tsa kotsi

Tšimoloho ea patellofemoral chondropathy ho boleloa hore ke polyfactorial. Tsoelopele ea eona e hokahane le ho ba teng hammoho ha mabaka a kotsi a fapaneng. Har'a bona ke ka ho khetheha:

• liphatsa tsa lefutso;
• genu valgum e hlalosang ho kheloha ha axis ea leoto le mangole a kenang ka hare;
• genu varum e bolelang ho kheloha ha axis ea leoto ka mangole a eang ka ntle;
• boima bo feteletseng bo bakang boima bo feteletseng ba manonyeletso;
• ho jara meroalo khafetsa hoo hape ho hlahisang boima bo bongata boemong ba manonyeletso;
• tloaelo e matla le / kapa e pheta-phetoang ea mesebetsi e itseng, e nang le kotsi ea microtrauma le kotsi ea ho sebetsa ho feteletseng le manonyeletso le li-ligamente;
• ho sithabela ha lengole joalo ka ho phatloha ha li-anterior cruciate ligament le kotsi ea meniscus;
• mafu a itseng a metabolism a kang gout;
• mafu a itseng a ho ruruha a kang ramatiki ea ramatiki;
• mafu a itseng a tšoaetsanoang joalo ka ramatiki e tšoaetsanoang.

Ho hlahlojoa ha chondropathie fémoro-patellaire

Ho fumanoa ha patellofemoral chondropathy hangata ho thehiloe ho:

• tlhahlobo ea kliniki ka ho hlongoa lipotso e le ho hlahloba mofuta oa bohloko, ho se thabise ho utloahala kapa ho tsamaea ha lengole;
• liteko tsa litšoantšo tsa bongaka ho hlahloba boemo ba lenonyeletso.

Ho hlahlojoa ho ka 'na ha hloka ho kenella ha setsebi sa ramatiki, setsebi sa mafu a masapo, mesifa le manonyeletso. 

Batho ba anngoeng ke patellofemoral chondropathy

Ho senyeha ha lefufuru ke ntho e tloaelehileng ka lilemo. Patellofemoral chondropathy leha ho le joalo ha e tloaelehe ho bacha ba nang le lipapali kapa mosebetsi oa setsebi o senyang mangole khafetsa.

Qalong ea patellofemoral chondropathy, tšenyo ea lefufuru e nyenyane. Ha li bake matšoao leha e le afe.

ikutloisa bohloko Knee

Ha e ntse e tsoela pele, patellofemoral chondropathy e iponahatsa e le gonalgia. Ke seo ho thoeng ke mechanical lengole bohloko bo itlhahisang discontinuous. Gonalgia e fumaneha haholo sebakeng se ka pele ho lengole empa e ka iponahatsa ka morao ho patella (kneecap) nakong ea ho sisinyeha. Bohloko bo ka 'na ba eketseha ha u squat.

Bohloko bo ka bang teng

Ha e ntse e tsoela pele, patellofemoral chondropathy e ka ba e thibelang letsatsi le letsatsi. Bohloko bo matla ba lengole bo ka 'na ba tsamaea le metsamao e itseng, haholo-holo boemo ba squatting.

Tsamaiso ea patellofemoral chondropathy e kenyelletsa ho fokotsa tsoelo-pele ea eona le ho imolla bohloko ba mangole. Ho finyella sena, mekhoa e mengata ea phekolo e ka nkoa ho itšetlehile ka tekanyo ea tšenyo ea lefufuru, bohloko bo utloiloeng le mabaka a kotsi a khetholloang:

• mananeo a physiotherapy;
• ho apara patellar orthosis, sesebelisoa se tla tšehetsa mosebetsi o kopanetsoeng;
• ts'ehetso ea phepo e nepahetseng le ea lijo ha ho e-na le boima bo feteletseng;
• meriana e nang le li-analgesics ho kokobetsa bohloko;
• liente tsa corticosteroid ha ho hlokahala.

Thibelo ea patellofemoral chondropathy e kenyelletsa ho fokotsa maemo a kotsi a ka qojoang ka hohle kamoo ho ka khonehang. Ka hona, ho kgothaletswa ho:

• boloka phepo e nepahetseng le e leka-lekaneng;
• boloka ts'ebetso ea kamehla ea 'mele, ha u ntse u qoba ho kopanya ka ho feteletseng manonyeletso a mangole;
• fokotsa ka hohle kamoo ho ka khonehang khatello e etsoang ka manonyeletso a mangole ka ho ntlafatsa, mohlala, ergonomics ea setsi sa mosebetsi.