Patella<\/strong><\/a>, ose gjuri, \u00ebsht\u00eb nj\u00eb kock\u00eb ku bashkohen muskujt tan\u00eb m\u00eb t\u00eb fuqish\u00ebm n\u00eb pjes\u00ebn e p\u00ebrparme t\u00eb gjurit. Gjuri yn\u00eb l\u00ebviz n\u00eb nj\u00eb kanal n\u00eb kock\u00ebn e kofsh\u00ebs gjat\u00eb p\u00ebrkuljes dhe shtrirjes. Gjat\u00eb k\u00ebtij l\u00ebvizjeje, shum\u00eb lidhje dhe muskuj p\u00ebrpiqen t\u00eb mbajn\u00eb gjurin n\u00eb vend. \u00c7do \u00e7rregullim n\u00eb k\u00ebt\u00eb harmoni mund t\u00eb shkaktoj\u00eb dislokim ose instabilitet t\u00eb gjurit.
\nZakonisht, instabiliteti mund t\u00eb shihet n\u00eb dy forma:<\/p>\nDislokim i plot\u00eb:<\/strong> Kjo ndodh kur gjuri del plot\u00ebsisht nga kanali p\u00ebrball\u00eb tij dhe zhvendoset drejt an\u00ebs s\u00eb jashtme t\u00eb gjurit. Gjat\u00eb k\u00ebtij dislokimi, mund t\u00eb ket\u00eb k\u00ebputje ose d\u00ebmtime n\u00eb lidhjet q\u00eb mbajn\u00eb gjurin n\u00eb vend. Gjithashtu, gjat\u00eb daljes nga kanali, mund t\u00eb ndodhin d\u00ebmtime dhe fraktura n\u00eb sip\u00ebrfaqen e k\u00ebrcit n\u00ebn gjurin.<\/p>\nDislokim parcial-pjesor:<\/strong> N\u00eb k\u00ebt\u00eb rast, gjuri ka l\u00ebvizur pjes\u00ebrisht jasht\u00eb kanali.<\/p>\nCilat jan\u00eb simptomat e pacient\u00ebve me instabilitet patellofemoral?<\/h3>\n
Tek k\u00ebta pacient\u00eb, zakonisht v\u00ebrehet se pas nj\u00eb traume, gjuri ka l\u00ebvizur drejt an\u00ebs s\u00eb jashtme. Pas rikthimit t\u00eb vet\u00eb gjurit n\u00eb vend, \u00ebnjtja dhe kufizimi i l\u00ebvizjes jan\u00eb tipike. Gjat\u00eb testit kur gjuri shtyhet paksa jasht\u00eb, pacient\u00ebt ndiejn\u00eb frik\u00eb nga dislokimi i p\u00ebrs\u00ebritur.
\nGjurit mund t\u00eb l\u00ebviz\u00eb lart dhe jasht\u00eb gjat\u00eb l\u00ebvizjeve.<\/p>\n
Radiografit\u00eb dhe skanimet MR t\u00eb gjurit jan\u00eb t\u00eb r\u00ebnd\u00ebsishme p\u00ebr diagnostikim dhe planifikimin e trajtimit. N\u00eb skanimet MR, mund t\u00eb vler\u00ebsohen si \u00ebnjtja n\u00ebn k\u00ebrc, ashtu edhe struktura e lidhjeve q\u00eb mbajn\u00eb gjurin n\u00eb vend.<\/p>\n
Kush \u00ebsht\u00eb n\u00eb rrezik p\u00ebr dislokim t\u00eb gjurit?<\/h3>\n
Dislokimi i par\u00eb zakonisht ndodh pas nj\u00eb traume, me ndjesi rrotullimi n\u00eb gjunj\u00eb. D\u00ebmtimi i p\u00ebrbashk\u00ebt i lidhjes s\u00eb p\u00ebrparme \u00ebsht\u00eb i zakonsh\u00ebm. Prandaj, ata q\u00eb praktikojn\u00eb sporte kontaktuese (si futbolli, basketbolli) jan\u00eb n\u00eb rrezik m\u00eb t\u00eb lart\u00eb.
\nP\u00ebrve\u00e7 traumave, disa individ\u00eb jan\u00eb strukturalisht n\u00eb rrezik. Tek k\u00ebta pacient\u00eb:<\/p>\n
\n- Kanali p\u00ebrball\u00eb gjurit mund t\u00eb jet\u00eb i cek\u00ebt.<\/li>\n
- Probleme me lidhjet dhe hiperelastik\u00ebsin\u00eb (sindromat Marfan, Ehlers-Danlos etj.)<\/li>\n
- Pozita e gjurit mund t\u00eb jet\u00eb m\u00eb lart ose m\u00eb posht\u00eb se normalja.<\/li>\n
- Kocka e kofsh\u00ebs (femuri) mund t\u00eb jet\u00eb e rrotulluar brenda ose kocka e k\u00ebmb\u00ebs (tibia) jasht\u00eb.<\/li>\n
- Pozita e k\u00ebmb\u00ebs mund t\u00eb jet\u00eb e pasakt\u00eb (k\u00ebmb\u00eb n\u00eb X ose O).<\/li>\n<\/ul>\n
Instabiliteti nuk shoq\u00ebrohet gjithmon\u00eb me dhimbje. Sidomos n\u00eb rastet kronike, dhimbja mund t\u00eb jet\u00eb e dyt\u00eb. Pacient\u00ebt zakonisht ankojn\u00eb p\u00ebr pamund\u00ebsin\u00eb p\u00ebr t\u00eb kontrolluar gjurin dhe ndiejn\u00eb dob\u00ebsi.<\/p>\n
\u00c7far\u00eb \u00ebsht\u00eb trajtimi i instabilitetit patellofemoral?<\/h3>\n
Pas dislokimit t\u00eb par\u00eb, MRI dhe, n\u00eb rast nevoje, CT, jan\u00eb udh\u00ebheq\u00ebse p\u00ebr trajtim. N sometimes nj\u00eb cop\u00eb k\u00ebrc mund t\u00eb shk\u00ebputet dhe t\u00eb b\u00ebhet nj\u00eb pjes\u00eb e lir\u00eb brenda nyj\u00ebs. N\u00eb nj\u00eb rast t\u00eb till\u00eb, planifikohet nj\u00eb operacion gjysm\u00eb urgjent p\u00ebr heqjen ose riparimin e k\u00ebsaj cope k\u00ebrci, duke korrigjuar gjithashtu arsyet n\u00ebn p\u00ebrcaktimin e saj. N\u00ebse nuk ka fraktura t\u00eb k\u00ebrcit, trajtimi fillestar p\u00ebrfshin rehabilitimin e forc\u00ebs s\u00eb muskujve p\u00ebrreth gjurit.
\nZakonisht, ushtrimet e forc\u00ebs fillojn\u00eb dy jav\u00eb pas dislokimit dhe vazhdojn\u00eb deri n\u00eb muajin e tret\u00eb. Nj\u00eb atlet mesatar rikthehet n\u00eb sport pas 4\u20135 muajsh.<\/p>\n
Pas dislokimit t\u00eb par\u00eb, rreziku p\u00ebr dislokime t\u00eb p\u00ebrs\u00ebritura \u00ebsht\u00eb 20-40%, nd\u00ebrsa pas dislokimit t\u00eb dyt\u00eb rreziku kalon 50%.<\/p>\n