Patellofemoral chondropathy waa weerar lagu qaado carjawda patellofemoral wadajirka ee heerka jilibka. Waxaa loo arki karaa qaab hore oo u gudbi kara osteoarthritis jilibka (gonarthrosis). Dhowr habab oo daweyn ah ayaa suurtagal ah.

Qeexida patellofemoral chondropathy

Isku-xidhka patellofemoral waa mid ka mid ah kala-goysyada jilibka: waxay samaysaa isku-xidhka u dhexeeya femur (lafaha bowdada) iyo patella (jilibka jilibka magacii hore: lafo yar oo ku taal dhinaca hore ee jilibka). Waxaan ka hadalnaa chondropathy patellofemoral, ama chondropathy patellar, haddii ay dhacdo xirashada ama burburinta carjawda wadajirka patellofemoral.

Chondropathy Patellofemoral ma aha chondropathy jilibka kaliya. Waxa kale oo jira chondropathy femorotibial kaas oo qeexaya dhaawaca carjawda ee wadajirka femorotibial ee isku xira femur (lafaha bowdada) iyo tibia (lafaha lugaha).

Qoraalada qaar, chrondopathy jilibka waxay u dhigantaa osteoarthritis jilibka (gonarthrosis). Kuwa kale, waxaan ka hadalnaa wax badan oo ku saabsan chrondopathy qaababka hore iyo osteoarthritis ee foomamka sare.

Sababaha iyo sababaha halista ah

Asalka patellofemoral chondropathy ayaa la sheegay inuu yahay polyfactorial. Horumarinteedu waxay ku xidhan tahay wada-noolaanshaha khataraha kala duwan. Waxaa ka mid ah gaar ahaan:

• sababaha hidaha;
• genu valgum kaas oo tilmaamaya leexashada dhidibka lugta ee jilbaha gudaha u socda;
• genu varum kaas oo tilmaamaya leexashada dhidibka lugta ee jilbaha oo dibadda u baxa;
• Miisaanka xad-dhaafka ah ee keena culeyska xad-dhaafka ah ee kala-goysyada;
• rarka soo noqnoqda ee soo noqnoqda kaas oo sidoo kale keena culeys xad-dhaaf ah oo ku yimaada heerka kala-goysyada;
• Dhaqdhaqaaqa degdega ah iyo / ama soo noqnoqda ee hawlaha qaarkood, oo leh labadaba khatarta microtrauma iyo khatarta ah in ay ka shaqeeyaan kala-goysyada iyo seedaha;
• dhaawac jilibka ah sida dilaac xiniinyaha hore iyo dhaawaca meniscus;
• cudurrada dheef-shiid kiimikaadka qaarkood sida gout;
• cudurrada bararka qaarkood sida rheumatoid arthritis;
• cudurrada faafa qaarkood sida arthritis-ka faafa.

Ogaanshaha cudurka chondropathie fémoro-patellaire

Cilad-sheegidda chondropathy patellofemoral chondropathy waxay inta badan ku saleysan tahay:

• baaritaan caafimaad oo leh su'aalo si loo qiimeeyo nooca xanuunka, raaxo la'aanta la dareemay ama dhaqdhaqaaqa jilibka;
• imtixaanada sawirka caafimaadka si loo qiimeeyo xaalada wadajirka.

Cilad-sheegashadu waxa ay u baahan kartaa faragelinta takhtarka Ruumatologist, khabiir ku takhasusay lafaha, murqaha iyo xanuunada kala goysyada. 

Dadka ay saameeyeen patellofemoral chondropathy

Xirashada iyo jeexjeexa carjawda waa dhacdo caadi ah marka la eego da'da. Cudurka chondropathy ee loo yaqaan 'Patellofemoral chondropathy' si kastaba ha ahaatee maaha wax aan caadi ahayn dadka da'da yar ee leh isboortiga ama dhaqdhaqaaqa xirfadeed ee jilbaha si isdaba joog ah u adkeeya.

Bilawga patellofemoral chondropathy, waxyeelada carjawda ayaa ah mid aad u yar. Wax calaamado ah ma keenaan.

jilibka xanuun

Marka uu soo baxo, patellofemoral chondropathy wuxuu isu muujiyaa sida gonalgia. Waa waxa loogu yeero xanuunka jilibka ee farsamada kaas oo isu muujiya si joogto ah. Gonalgia inta badan waxay ku taal dhinaca hore ee jilibka laakiin waxay isku muujin kartaa dhabarka patella (jilibka) inta lagu jiro dhaqdhaqaaqa. Xanuunka waxaa laga yaabaa in la xoojiyo marka la isku dhejiyo.

Dhibaato macquul ah

Sida ay u socoto, patellofemoral chondropathy waxay noqon kartaa mid xaddidan maalin kasta. Jilibka xanuun daran ayaa laga yaabaa inuu la socdo dhaqdhaqaaqyada qaarkood, gaar ahaan booska isku-duubnaanta.

Maareynta patellofemoral chondropathy waxay ka kooban tahay xaddididda horumarkeeda iyo yaraynta xanuunka jilibka. Si taas loo gaaro, dhowr habab oo daweyn ah ayaa la tixgelin karaa iyadoo ku xiran heerka dhaawaca carjawda, xanuunka la dareemay iyo waxyaabaha halista ah ee la aqoonsaday:

• fadhiyada fiisiyoteriga;
• xidhashada orthosis patellar, qalab taageeri doona shaqada wadajirka ah;
• taageerada nafaqada iyo cuntada haddii ay dhacdo miisaan xad dhaaf ah;
• daawo leh xanuunka xanuunka si loo yareeyo xanuunka;
• cirbadaha corticosteroid haddii loo baahdo.

Ka-hortagga patellofemoral chondropathy wuxuu ka kooban yahay xaddidaadda arrimaha khatarta ah ee la iska ilaalin karo intii suurtagal ah. Haddaba waxaa lagu talinayaa in:

• ilaali cunto caafimaad leh oo dheellitiran;
• joogteyso dhaqdhaqaaqa jireed ee joogtada ah, adigoo iska ilaalinaya abaabulka badan ee kala-goysyada jilibka;
• yaree inta ugu badan ee suurtogalka ah cadaadiska lagu saaro kala-goysyada jilibka adoo hagaajinaya, tusaale ahaan, ergonomics ee goobta shaqada.