Patellar Tendinitis

Ko te patellar tendinitis he whara ki te uaua e hono ana i tō pōkarekare (patella) ki tō wheua waewae. E mahi tahi ana te uaua patellar me ngā uaua kei mua i tō huha hei whakawhāiti i tō turi kia taea ai e koe te whakatū, te oma, me te pūkae.

Ko te patellar tendinitis, e kiia ana hoki ko te turi o te kaipūkae, he tino noa i roto i ngā kaitākaro e whakauru ana ki ngā hākinakina e whakauru ana te pūkae maha—pēnei i te pīpopō me te wōlipōro. Heoi, ahakoa ngā tāngata kaore e whakauru ki ngā hākinakina pūkae ka taea te whiwhi patellar tendinitis.

Mō te nuinga o te iwi, ka tīmata te maimoatanga o te patellar tendinitis me te whakaora tinana hei whakawhāiti me te whakapakari i ngā uaua kei te taha o te turi.

Ko te mamae te tohu tuatahi o te patellar tendinitis, te nuinga i waenganui i to kapu turi me te wahi e piri ana te uaua ki to wheua waewae (tibia).

I te tīmatanga, ka rongo pea koe i te mamae i roto i tou turi i te wā e tīmata ana koe i te mahi tinana, i muri rānei i te whakangungu kaha. I te roanga o te wā, ka kaha ake te mamae ka tīmata te whakaroa i te takaro i tō hākinakina. I te mutunga, ka whakaroa te mamae i ngā nekehanga o ia rā, pēnei i te piki i ngā kaupae, i te whakatika mai rānei i te tūru.

Mō te mamae o te turi, whakamātauria ngā rongoā whaiaro tuatahi, pēnei i te whakamatao i te wāhi me te whakaiti wawe atu rānei, te karo rānei i ngā mahi e pā ana ki ō tohu.

Karangahia tō tākuta ki te kore:

• Kei te haere tonu te mamae, kei te kino ake rānei
• Ngāwari te mahi i ngā mahi o ia rā
• Kei te pā te mamae ki te pupū, ki te whero rānei o te hononga

Ko te patellar tendinitis he whara nui te puta, e puta mai ana i te whakamahia tonu o to uaua patella. Ko te kaha e puta mai ana i nga wahi iti i roto i te uaua, e ngana ana to tinana ki te whakatika. Engari i te nui haere o nga wahi i roto i te uaua, ka puta he mamae mai i te mumura me te ngoikore o te uaua. Ki te roa atu tenei kino o te uaua i te torutoru wiki, ka kiia he tendinopathy.

He maha ngā take ka āhei te whakauru ki te whanaketanga o te patellar tendinitis, tae atu ki:

• Te mahi tinana. Ko te oma me te pīki te nuinga o te hono atu ki te patellar tendinitis. Ka tāpiri hoki ngā pikinga ohorere ki te kaha o te mahi, ki te maha rānei o te mahi i te taumaha ki te uaua, pēnei i te whakarerekē i ō kākahu oma.
• Ngā uaua waewae pūmau. Ka taea e ngā uaua huha (quadriceps) me ngā hamstrings, e oma ana i te taha o muri o ō huha, te whakapiki i te taumaha ki tō patellar tendon.
• Te koretake o ngā uaua. Ki te kaha ake etahi uaua i roto i ō waewae i ētahi atu, ka taea e ngā uaua kaha ake te kukume kaha ake ki tō patellar tendon. Ka taea e tēnei kukume koretake te whakaeke i te tendinitis.
• Te mate roa. Ka whakaroa etahi mate i te rere o te toto ki te turi, ka whakawaiwai i te uaua. Ko ētahi tauira ko te kore mahi o te whatukuhu, ngā mate ā-tinana pēnei i te lupus, te mate pāwera rheumatoid rānei, me ngā mate metabolic pēnei i te mate huka.

Ki te ngana koe ki te mahi i to mamae, te whakakahore i ngā tohu whakatupato o tō tinana, ka taea e koe te whakaeke i ngā pakaru nui ake i te uaua patella. Ka taea te mau tonu te mamae o te turi me te ngoikore o te mahi ki te kore koe e tiaki i te raruraru, ā, ka taea e koe te haere ki te patellar tendinopathy nui ake.

Kia whakaitihia te tūponotanga o te whanaketanga o te patellar tendinitis, whai i ēnei kaupae:

• Kaua e takaro i te mamae. I te wa tonu e kite ai koe i te mamae o te turi e pā ana ki te whakakori tinana, whakamahana te wāhi ka okioki. Kia mutu ra ano te mamae o tō turi, kaua e mahi i ngā mahi e pēhi ana i tō patellar tendon.
• Whakakahangia ō uaua. He pai ake te kaha o ngā uaua huha ki te whakahaere i ngā pēhanga e taea te whakaeke i te patellar tendinitis. He tino whai hua ngā whakakorikori eccentric, e pā ana ki te whakaheke i tō waewae tino ngāwari i muri i te whakawhāiti i tō turi.
• Whakapai ake tō tikanga. Kia tino mohio koe kei te whakamahi tika koe i tō tinana, whakaarohia te tango i ngā akoranga, te tiki rānei i ngā tohutohu ngaio i te tīmatanga o tētahi hākinakina hou, te whakamahi rānei i ngā taputapu whakakori tinana.

I te wā o te whakamātautau, ka tāpiri pea te tākuta i te pēhanga ki ngā wāhanga o tō turi hei whakatau i te wāhi e mamae ana koe. I te nuinga o te wā, ko te mamae mai i te patellar tendinitis kei te taha o mua o tō turi, i raro noa iho i tō pūngāwerewere.

Ka taea e tō tākuta te kōrero i tētahi, i neke atu rānei o ngā whakamātautau whakaahua e whai ake nei:

• X-rays. Ka āwhina ngā X-rays ki te whakakore i ētahi atu raruraru iwi ka taea te whakaeke i te mamae o te turi.
• Ultrasound. Ka whakamahi tēnei whakamātautau i ngā ngaru oro hei hanga i te ahua o tō turi, ka whakakitea ngā pakaru i roto i tō patellar tendon.
• Magnetic resonance imaging (MRI). Ka whakamahi te MRI i te mara hiko me ngā ngaru reo hei hanga i ngā whakaahua taipitopito ka taea te whakakite i ngā huringa ngāwari i roto i te patellar tendon.

Ko te tikanga ka tīmata ngā tākua ki ngā rongoā ngāwari atu i mua i te whakaaro ki ētahi atu whiringa, pēnei i te pokanga.

Ka taea e ngā kaiwhakaora mamae pēnei i te ibuprofen (Advil, Motrin IB, ētahi atu) rānei te naproxen sodium (Aleve, ētahi atu) te hoatu i te whakaora poto mai i te mamae e hono ana ki te patellar tendinitis.

He maha ngā tikanga whakaora tinana ka āhei te whakaiti i ngā tohu e hono ana ki te patellar tendinitis, tae atu ki:

Ki te kore ngā rongoā māori e āwhina, ka taea e tō tākua te kōrero atu mō ētahi atu rongoā, pēnei i:

• Ngā whakatete whakakorikori. Ka taea e ngā whakatete whakakorikori pumau, te whakaiti i te uaua o te uaua me te awhina i te whakaroa i te wae-uaua. Kaua e pūkaia i te wā e whakatete ana koe.

• Ngā whakakāka whakakorikori. Ko ngā uaua huha ngoikore te take o te kaha ki tō patellar tendon. Ko ngā whakakorikori e pā ana ki te whakaheke i tō waewae tino ata i muri i te whakaroa ka tino whai hua, ka rite ki ngā whakakorikori e whakakāka ana i ngā uaua waewae katoa i roto i te huinga, pēnei i te pehi waewae.

• Te whitiki patellar tendon. Ka taea e te whitiki e tukuna ana te pehanga ki tō patellar tendon te awhina i te tohatoha i te kaha atu i te uaua me te aratohu atu i roto i te whitiki. Ka taea tenei te awhina i te whakaora i te mamae.

• Iontophoresis. Ko tenei rongoā e pā ana ki te horapa i te rongoā corticosteroid ki tō kiri, katahi ka whakamahi i te taputapu e tuku ana i te utu hiko iti hei pehi i te rongoā i roto i tō kiri.

• Te whakauru corticosteroid. Ka taea e te whakauru corticosteroid e arahihia ana e te ultrasound ki te kōpū i te taha o te patellar tendon te awhina i te whakaora i te mamae. Engari ka taea hoki e ēnei momo rongoā te whakawaiwai i ngā uaua me te whakaiti i te tupono o te pakaru.

• Te whakauru plasma-nui-platelet. Kua whakamātauhia tenei momo whakauru ki ētahi tāngata e pangia ana e ngā raruraru patellar tendon roa. Kei te haere tonu ngā rangahau. E tumanakohia ana ka taea e ngā whakauru te whakaputa i te hanganga kōpū hou me te awhina i te whakaora i te kino o te uaua.

• Te tukanga ngira wiri. Ka mahia tēnei tukanga manawanui mā te whakamahi i te anesthetic rohe. Ka whakamahi tō tākua i te whakaahua ultrasound hei arahi i te ngira wiri iti e tapahi ana i te wāhi kua pakaru me te tiaki i te uaua hauora. He tukanga hou tēnei, engari kua whakaatuhia ngā hua pai.

• Te pokanga. I roto i ngā take onge, ki te kore ētahi atu rongoā e angitu, ka taea e tō tākua te kōrero atu mō te whakakorenga pokanga o te patellar tendon. Ka taea te mahi i ētahi tukanga mā ngā wahi tapahi iti i te taha o tō turi.

Ki te mamae tou turi, whakaarohia enei:

• Nga rongoa mamae. Ko nga rongoa ka hokona i te toa penei i te ibuprofen me te naproxen sodium pea ka awhina i te ngawari o te mamae mo te wa poto.
• Kaua e mahi i nga mahi e mamae ai koe. Akene me whakaiti e koe te maha o ou whakataetae hakinakina, ki te rereke ranei ki tetahi hakinakina iti ake te awe mo te wa poto. Ma te mahi i roto i te mamae ka taea te kino atu i to uaua patellar.
• Hukapapa. Whakamahia te hukapapa i muri i te mahi e mamae ai koe. Whakanohoia te hukapapa ki roto i te putea kirihou ka takai ki te tauera. Ki te kore ranei, whakamatauhia te mirimiri hukapapa. Whakakakahu wai ki roto i te kapu kapu kirihou ka pupuri i te kapu i a koe e whakamahi ana i te hukapapa tika ki to kiri.