Xanuun jilibka ah oo hore

Xanuunka jilibka ee hore waa xanuun ka dhaca hore iyo bartamaha jilibka. Waxaa sababi kara dhibaatooyin badan oo kala duwan, oo ay ka mid yihiin:

• Chondromalacia ee patella - jilicsanaanta iyo burburka unugyada (carjawda) dhinaca hoose ee jilibka (patella)
• Jilibka orodka - mararka qaarkood loo yaqaan 'patellar tendinitis'
• Cudurka xagjirnimada ee dambe - patella wuxuu ku sii socdaa qaybta ka baxsan jilibka
• Quadriceps tendinitis - xanuun iyo danqasho ku xiran lifaaqa quadriceps ee patella
• Patella maltracking - xasillooni-darrida patella ee jilibka
• Patella arthritis - carjawda carjawda hoose ee jilibkaaga

Koobka jilibkaagu (patella) wuxuu ku fadhiyaa dhinaca hore ee jilibka. Markaad foorarsato ama aad toosiso jilibkaaga, dhinaca hoose ee patella wuxuu ku dul boodayaa lafaha jilibka ka kooban.

Dareemayaasha xoogga leh waxay ka caawiyaan ku dhejinta jilibka lafta iyo muruqyada ku xeeran jilibka. Dareemahan waxaa loo yaqaan:

• Dareenka patellar (halka uu jilibka jilibka ugu xirmo lafta lafdhabarta)
• Tartanka 'quadriceps tendon' (oo ah halka muruqyada muruqyada ay ku dhegan yihiin dusha sare ee jilibka)

Xanuunka jilibka ee hore wuxuu bilaabmaa marka jilibku uusan si sax ah u dhaqaaqin oo uu xoqmo qaybta hoose ee lafta bowdada. Tani waxay dhici kartaa sababtoo ah:

• Jilibka jilibku wuxuu ku yaal meel aan caadi ahayn (sidoo kale loo yaqaan isku dheelitirnaanta liidata ee wadajirka patellofemoral).
• Waxaa jira cidhiidhi ama daciifnimo muruqyada xagga hore iyo xagga dambe ee bowdadaada.
• Waxaad sameyneysaa dhaqdhaqaaq aad u fara badan oo culeys dheeri ah saaraya jilibka (sida orodka, boodka ama qallooca, barafka, ama kubbadda cagta).
• Muruqyadaadu iskuma dheelitiranyihiin murqahaaguna waa daciifayaan.
• Jeexitaanka bowdada lafteeda meesha jilibka jilicsan sida caadiga ah lagu nasto aad ayuu u hooseeyaa.
• Waxaad leedahay cagaha fidsan

Xanuunka jilibka hore wuxuu ku badan yahay:

• Dadka miisaanka culus
• Dadka ku dhacay kala-bax, jabka, ama dhaawac kale oo ka soo gaadhay jilibka
• Orodyahannada, kuwa boodboodayaasha, kuwa kaxeeya barafka, baaskiiladaha, iyo ciyaartoy kubbadda cagta oo jimicsi sameeya inta badan
• Dhalinyarada iyo dhalinyarada caafimaadka qabta, badanaa gabdhaha

Sababaha kale ee suurtagalka ah ee xanuunka jilibka hore waxaa ka mid ah:

• Arthritis
• Qanjarida dahaarka gudaha ee jilibka inta lagu gudajiro dhaqdhaqaaqa (oo loo yaqaan 'synovial impingement or plica syndrome)

Xanuunka jilibka ee hore waa xanuun caajis ah, xanuun badan oo badanaa la dareemo:

• Ka dambeeya jilibka (patella)
• Ka hooseeya jilibka
• Dhinacyada jilibka

Mid ka mid ah astaamaha lagu garto waa dareemid ama xoqid marka jilibka la jilcinayo (marka canqowga loo dhawaado dhabarka bowdada).

Calaamadaha lagu garan karo waxaa ka mid ah:

• Jilbaha qoto dheer
• Jaranjarooyinka oo loo dhaadhaco
• Hoos u socod
• Istaag ka dib fadhiisasho xoogaa ah

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Jilibka wuxuu noqon karaa mid jilicsan oo khafiif ah oo barara. Sidoo kale, jilibka jilibka waxaa laga yaabaa inuusan si fiican ula safan lafaha bowdada (femur).

Markii aad jilbaha jilbaha u rogto, waxaad dareemi kartaa dareen wax shiidaya oo ka hooseeya jilibka jilibka. Cadaadiska jilibka marka jilibku toosan yahay waxaa laga yaabaa xanuun.

Bixiyahaaga ayaa laga yaabaa inuu kaa rabo inaad sameysid hal lugood oo lug ah si aad u eegto isu dheelitir la'aanta muruqyada iyo xasiloonidaada aasaasiga ah.

Raajooyinku badanaa waa caadi. Si kastaba ha noqotee, raajada raajada gaarka ah ee jilibka ayaa laga yaabaa inay muujiso calaamadaha arthritis ama foorari.

Baadhitaannada MRI ayaa marar dhif ah loo baahan yahay.

Nasashada jilibka muddo gaaban iyo qaadashada daawooyinka nonsteroidal anti-inflammatory (NSAIDs) sida ibuprofen, naproxen, ama asbiriin ayaa laga yaabaa inay ka caawiyaan yareynta xanuunka.

Waxyaabaha kale ee aad sameyn kartid si aad u yareyso xanuunka jilibka hore waxaa ka mid ah:

• Beddel habka jimicsiga.
• Baro jimicsi si aad u xoojiso oo aad u fidiso muruqyada quadriceps iyo muruqyada muruqyada.
• Baro jimicsi si aad u xoojiso xuduntaada.
• Is caatow (haddii aad cayillan tahay).
• Isticmaal kabo gaar ah oo lagu dhejiyo iyo qalabka taageerada (orthotics) haddii aad leedahay cagaha fidsan
• Duub jilibkaaga si aad u qaabeysid xijaabka jilibka.
• Xidho kabaha saxda ah ee orodka ama isboortiga.

Marar dhif ah, qalliin loogu talagalay xanuunka gadaashiisa jilibka ayaa loo baahan yahay. Inta lagu jiro qalliinka:

• Carjawda jilibka ee dhaawacan waa laga saari karaa.
• Isbedelo ayaa lagu sameyn karaa jilbaha si ay uga caawiso jilibka inuu dhaqaaqo si siman.
• Jilibka jilibka ayaa dib loo qaabeyn karaa si loogu oggolaado dhaqdhaqaaq wadajir ah oo wanaagsan.

Xanuunka jilibka ee hore wuxuu badanaa ku fiicnaadaa isbeddelka dhaqdhaqaaqa, jimicsiga jimicsiga, iyo isticmaalka NSAIDs. Qalliin si dhif ah ayaa loo baahan yahay.

Wac dhakhtarkaaga haddii aad leedahay astaamo cilladan.

Cudurka 'Patellofemoral syndrome'; Chondromalacia patella; Jilibka orodka; Cudurka 'Patellar tendinitis'; Jumper jilibkiisa

• Chondromalacia ee patella
• Jilbaha orodyahanada

DeJour D, Saggin PRF, Kuhn VC. Cilladaha wadnaha ee 'patellofemoral'. Gudaha: Scott WN, ed. Qalliinka Insall & Scott ee Jilibka. 6aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 65.

McCarthyM, McCarty EC, Frank RM. Xanuunka Patellofemoral. Gudaha: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller Daawada Isboortiga Orthopedic. 5aad. Philadelphia, PA: Elsevier; 2020: cutubka 106.

Teitge RA. Xanuunada 'Patellofemoral disorders': saxitaanka cilladaha wareegga wareegga hoose. Gudaha: Noyes FR, Barber-Westin SD, eds. Xanuunada Jilibka ee Noyes: Qalliinka, Baxnaaninta, Natiijooyinka Caafimaadka. 2aad ed. Philadelphia, PA: Elsevier; 2017: cutubka 36.