ʻO ka Patellofemoral chondropathy kahi hoʻouka kaua i ka cartilage o ka hui patellofemoral ma ke kiʻekiʻe o ke kuli. Hiki ke ʻike ʻia he ʻano mua i hiki ke holomua i ka osteoarthritis o ke kuli (gonarthrosis). Hiki i kekahi mau ala therapeutic.

Ka wehewehe ʻana o ka patellofemoral chondropathy

ʻO ka hui patellofemoral kekahi o nā hui kuli: hana ia i ka hui ma waena o ka femur (iwi ʻūhā) a me ka patella (kneecap i ka inoa kahiko: iwi liʻiliʻi ma mua o ke kuli). Ke kamaʻilio nei mākou no ka patellofemoral chondropathy, a i ʻole ka patellar chondropathy, i ka wā e ʻaʻahu ai a luku ʻia paha ka cartilage o ka hui patellofemoral.

ʻAʻole ʻo Patellofemoral chondropathy wale nō ka chondropathy kuli. Aia kekahi femorotibial chondropathy e wehewehe ana i ka pōʻino o ka cartilage ma ka hui femorotibial e hoʻopili ana i ka femur (iwi ʻūhā) i ka tibia (iwi wāwae).

Ma kekahi mau puke, pili ka chrondopathy o ke kuli me ka osteoarthritis o ke kuli (gonarthrosis). I nā mea ʻē aʻe, kamaʻilio hou mākou e pili ana i ka chrondopathy i nā ʻano mua a me ka osteoarthritis i nā ʻano holomua.

Nā kumu a me nā kumu pilikia

ʻO ke kumu o ka patellofemoral chondropathy i ʻōlelo ʻia he polyfacttorial. Hoʻopili ʻia kona hoʻomohala ʻana i ka noho pū ʻana o nā ʻano pilikia like ʻole. Aia ma waena o lākou:

• nā kumu kūlohelohe;
• ʻo ka genu valgum e kuhikuhi ana i ka ʻae ʻana o ke koʻi o ka wāwae me nā kuli e hele i loko;
• ʻo ka genu varum e pili ana i ka ʻae ʻana o ke koʻi o ka wāwae me nā kuli e hele i waho;
• ka nui o ke kaumaha e hoonui ai i na hono;
• ʻo ka lawe pinepine ʻana i nā ukana e hoʻoulu ai i ka hoʻonui ʻana i ke kiʻekiʻe o nā ami;
• ka hana koʻikoʻi a / a i ʻole ka hana hou ʻana o kekahi mau hana, me ka pilikia o ka microtrauma a me ka pilikia o ka hana nui ʻana i nā hono a me nā ligaments;
• ʻeha ʻeha o ke kuli e like me ka haki ʻana o ka ligament cruciate anterior a me ka ʻeha meniscus;
• kekahi mau maʻi metabolic e like me ka gout;
• kekahi mau maʻi ʻeha e like me ka rheumatoid arthritis;
• kekahi mau maʻi maʻi maʻi e like me ka maʻi arthritis.

ʻO ka diagnostics o ka chondropathie fémoro-patellaire

ʻO ka hōʻailona o ka patellofemoral chondropathy e hoʻokumu pinepineʻia ma:

• kahi hoʻokolohua lapaʻau me kahi nīnau no ka loiloi ʻana i ke ʻano o ka ʻeha, ka ʻeha a i ʻole ka neʻe ʻana o ke kuli;
• nā ho'āʻo kiʻi lāʻau e nānā i ke kūlana o ka hui.

Pono paha ka hoʻomaʻamaʻa ʻana i ke komo ʻana o ka rheumatologist, he loea i ka iwi, ʻiʻo a me nā maʻi hui. 

ʻO ka poʻe i hoʻopilikia ʻia e ka patellofemoral chondropathy

ʻO ka ʻaʻahu a me ka waimaka o ka cartilage he mea maʻamau me ka makahiki. ʻAʻole maʻamau ka Patellofemoral chondropathy i ka poʻe ʻōpio i loaʻa i kahi haʻuki a i ʻole kahi ʻoihana ʻoihana e hoʻopaʻa mau i nā kuli.

I ka hoʻomaka ʻana o ka chondropathy patellofemoral, he liʻiliʻi ka pōʻino i ka cartilage. ʻAʻole lākou e hana i nā hōʻailona.

kukuli eha

Ke ulu nei, hōʻike ʻia ka patellofemoral chondropathy iā ia iho he gonalgia. ʻO ia ka mea i kapa ʻia ʻo ka ʻeha kuli mechanical e hōʻike mau ana iā ia iho. Aia ka Gonalgia ma ke alo o ke kuli akā hiki ke hōʻike iā ia iho ma ke kua o ka patella (kneecap) i ka wā e neʻe ai. Hiki ke hoʻokiʻekiʻe ʻia ka ʻeha i ka wā e kuʻi ai.

Kūpono ʻole

Ke holomua nei, hiki i ka patellofemoral chondropathy ke lilo i mea paʻa i kēlā me kēia lā. Hiki i ka ʻeha o ke kuli ke hele pū me kekahi mau neʻe ʻana, ʻoi aku ka nui o ke kūlana kuʻekuʻe.

ʻO ka hoʻokele o ka patellofemoral chondropathy ka palena o kona holomua a me ka hoʻomaha ʻana i ka ʻeha kuli. No ka hoʻokō ʻana i kēia, hiki ke noʻonoʻo ʻia kekahi mau ala lapaʻau ma muli o ke ʻano o ka hōʻino ʻana i ka cartilage, ka ʻeha i manaʻo ʻia a me nā kumu pilikia i ʻike ʻia:

• nā kau physiotherapy;
• ke komo ʻana i ka patellar orthosis, kahi mea e kākoʻo ai i ka hana hui;
• kākoʻo meaʻai a me ka meaʻai i ka wā o ke kaumaha;
• ka lāʻau me nā analgesics e hoʻopau i ka ʻeha;
• ʻO nā inikini corticosteroid inā pono.

ʻO ka pale ʻana i ka chondropathy patellofemoral i ka palena ʻana i nā mea pilikia hiki ke pale ʻia e like me ka hiki. No laila ua paipai ʻia e:

• mālama i kahi papaʻai olakino a kaulike;
• mālama i ka hoʻoikaika kino maʻamau, me ka pale ʻana i ka hoʻoneʻe ʻana i nā hui kuli;
• e ho'ēmi i ka nui o ke kaomi i nā hui kuli ma o ka hoʻomaikaʻi ʻana, no ka laʻana, ka ergonomics o ka workstation.