Ukuhlupheka Kwe-Patellofemoral Pain Syndrome? Izimpawu, Izimbangela, Nokwelapha

I-Patellofemoral pain syndrome yilokhu kuhlunguza okwenzeka eduze noma ngemuva kwe-kneecap yakho (patella). Lesi simo esivamile sithinta indlela i-kneecap yakho ehambisana ngayo nethambo le-thighbone yakho, okubangela ukungakhululeki emisebenzini yansuku zonke njengokuhamba ngezitebhisi noma ukuhlala isikhathi eside.

Ungase ube wazi lesi simo ngegama laso elithi "runner's knee," nakuba sithinta abantu bazo zonke izigaba zokuphila, hhayi abagijimi kuphela. Ubuhlungu buvamise ukuba buthambile futhi buhlungu, futhi buyaqina ngemisebenzi ebekela ingcindezi ejoyini yakho yeknee.

Iyini i-Patellofemoral Pain Syndrome?

I-Patellofemoral pain syndrome yenzeka lapho ukhula olukhona ngaphansi kwe-kneecap yakho luqala ukuvuvukala. I-kneecap yakho ihlala endaweni ekuqaleni kwethambo le-thighbone yakho, futhi uma ingahambi kahle kule ndawo, ingabangela ubuhlungu nokungahambi kahle.

Cabanga ngalo njengotshani olukhona endleleni. Uma i-kneecap yakho ingahambi kahle endaweni yayo evamile, izicubu ezizungezile ziyaqina futhi zivuvukala. Lokhu kwenza ubuhlungu obuvamile abantu abaningi ababhekana nabo phambi kwe-knee yabo.

Lesi simo sivamile kakhulu, ikakhulukazi kubantu abadala abasebasha nabafana abasebenza ngokomzimba. Kodwa-ke, singathinta noma ubani, kungakhathaliseki izinga labo lomsebenzi noma iminyaka yabo.

Ziyini Izimpawu Ze-Patellofemoral Pain Syndrome?

Isimpawu esiyinhloko yilokhu kuhlunguza okuthambile, okuhlungu okuzungezile noma ngemuva kwe-kneecap yakho. Lobu buhlungu buvamise ukuba sengathi buvela ngaphakathi kwe-knee yakho, futhi ungase uthole kunzima ukubona ukuthi luhlunguza kuphi.

Nazi izimpawu ezivamile ongazihlangabezana nazo:

• Ubuhlungu obuyaqina uma ukhwela izitebhisi noma uhamba phansi
• Ukungahambi kahle ngemuva kokuhlala ngamadolo aqinile isikhathi eside (njengokuya ema-movie noma ngesikhathi sokuhamba ngemoto isikhathi eside)
• Ubuhlungu ngesikhathi sokuqina, ukugoqa, noma ukuqina kwemisipha
• Ukuqina noma ukuqhuma okwenzeka uma ugoqa noma uqondise i-knee yakho
• Ubuhlungu be-knee obuyaqina ngesikhathi semisebenzi yomzimba njengokuqhuba noma ukuqhuma
• Ukuqina kwe-knee yakho, ikakhulukazi ekuseni

Ubuhlungu bungase buye buze, kodwa bungase buqhubeke uma bungaphathwa. Ungase uqaphele ukuthi ukungahambi kahle kubi ngakwesinye uhlangothi, nakuba womabili ama-knee angathinteka.

Abanye abantu nabo bahlangabezana nokuvuvukala endaweni ye-kneecap, nakuba lokhu kungavamile. Izimpawu zivame ukuqala kancane kunokuba zivele ngokuzumayo ngemuva kokulimaza.

Ziyini Izimbangela Ze-Patellofemoral Pain Syndrome?

Lesi simo sivame ukuqala lapho i-kneecap yakho ingahambi kahle endaweni yayo, kodwa imbangela eqondile ingase ihluke kumuntu nomuntu. Ngokuvamile, kuyindlela izinto eziningi ezihlangene kunokuba kube yinkinga eyodwa.

Izimbangela ezivamile zihlanganisa:

• Ukungahambi kahle kwemisipha, ikakhulukazi imisipha ye-quadriceps ebuthakathaka engakwazi ukusekela i-kneecap yakho kahle
• Imisipha eqinile ezinyaweni zakho, ikakhulukazi ama-hamstrings, ama-calves, noma i-IT band
• Ukusetshenziswa ngokweqile okuvela emisebenzini ephindaphindwayo njengokuqhuba, ukujika ibhayisikili, noma ukuqhuma
• Izindlela zokunyakaza ezimbi ngesikhathi sokuzivocavoca noma imisebenzi yansuku zonke
• Ukuqina ngokuzumayo kwemingcele yomsebenzi womzimba noma isikhathi
• Izinkinga zezinyawo njengezinyawo ezilinganayo noma ama-arches aphezulu athinta indlela umlenze wakho ohambisana ngayo
• Ubuthakathaka be-hip obuholela ekutheni i-thigh yakho iphenduke ngaphakathi

Ngezinye izikhathi, ukuma kwama-bone akho kungase kube nomthelela kule nkinga. Uma i-kneecap yakho ihlala phezulu kunokujwayelekile noma uma indawo ekuqaleni kwe-thighbone yakho ilukhuni, ungase ube sengozini enkulu yokuthola lesi simo.

Ukulimala kwangaphambili kwe-knee, ngisho nalapho kuncane, kungase kushintshe indlela i-kneecap yakho ehambisana ngayo futhi kukhulise ingozi yakho. Ngaphezu kwalokho, ukugqoka izicathulo ezidala noma izicathulo ezinganikeli ukusekela okuhle kungase kube nomthelela ekuqaleni kwezimpawu.

Nini Okufanele Ubone Udokotela Nge-Patellofemoral Pain Syndrome?

Kufanele ucabange ukuya kudokotela uma ubuhlungu be-knee buqhubeka izinsuku ezimbalwa noma bukhubaza imisebenzi yakho yansuku zonke. Nakuba lesi simo singavamile ukuba sibi, ukuthola isiqondiso esifanele kungakusiza uphulukise ngokushesha futhi uvikele ukuba sibi.

Funani ukunakekelwa kwezokwelapha uma uhlangabezana nanoma yiziphi izimpawu zexwayiso:

• Ubuhlungu obukhulu obungaphuli ngokuphumula
• Ukuvuvukala okukhulu okuzungezile i-knee yakho
• I-knee yakho izizwa ingaqinile noma iphuma uma uhamba
• Awukwazi ukuphatha isisindo emilenzeni yakho ethintekile
• I-knee yakho ivala noma ayiqondi ngokuphelele
• Unezimpawu zokutheleleka njengokushisa, ubomvu, noma ubushushu

Ngisho noma izimpawu zakho zibonakala zingenamandla, kufanele ubone udokotela uma izindlela zokwelapha ekhaya zingasizanga ngemuva kweviki noma ezimbili. Ukungenelela kwangaphambili kuvame ukuletha imiphumela emihle futhi kungavimbela lesi simo ukuba singabi yisikhathi eside.

Udokotela wakho angase futhi akhiphe ezinye izinkinga ze-knee ezingase zibe nezimpawu ezifanayo, ukuqinisekisa ukuthi uthola ukwelashwa okulungile kusukela ekuqaleni.

Ziyini Izinto Ezibangela Ingozi Ye-Patellofemoral Pain Syndrome?

Izinto ezithile zingakwenza ube sengozini enkulu yokuthola lesi simo, nakuba ukuba nezinto ezibangela ingozi akusho ukuthi uzobhekana nobuhlungu be-knee. Ukuqonda lezi zinto kungakusiza uthathe izinyathelo zokuvikela ama-knees akho.

Izinto ezivamile ezibangela ingozi zihlanganisa:

• Ukuba phakathi kweminyaka engu-15 no-35, lapho lesi simo sivamile khona
• Ukuhlanganyela ezemidlalo ezihlanganisa ukuqhuba, ukuqhuma, noma ukusuka
• Ukuba owesifazane, mhlawumbe ngenxa yezinto ezahlukile ze-hip ne-knee
• Ukuba nokulimala kwangaphambili kwe-knee noma ukuhlinzwa
• Ukuqina ngokuzumayo kwemingcele yomsebenzi womzimba ngaphandle kokulungiselela okuhle
• Ukuba nemisipha ye-hip noma ye-thigh ebuthakathaka
• Izinkinga zokwakheka kwezinyawo njengezinyawo ezilinganayo noma ama-arches aphezulu

Abanye abantu bangase babe nezinto ezingavamile zokwakheka komzimba ezandisa ingozi yabo. Lokhu kungase kuhlanganise i-kneecap enesimo esingavamile, indawo elukhuni ekuqaleni kwe-thighbone, noma ukungalingani komude wemisipha okuthinta ukulingana kwe-knee.

Umsebenzi wakho noma imisebenzi yakho yansuku zonke ingase futhi ibe nomthelela. Uma uchitha amahora amaningi ugoqile, uqine, noma ukhwela izitebhisi, ungase ube sengozini enkulu. Ngokufanayo, uma ubuyela ekuzivocavoca ngemuva kwesikhathi eside, ingozi yakho ingase ikhuphuke okwesikhashana.

Ziyini Izingozi Ezingase Zenzeke Nge-Patellofemoral Pain Syndrome?

Abantu abaningi abane-patellofemoral pain syndrome bayaphulile ngokuphelele ngokwelashwa okuhle, kodwa ukungazinaki lesi simo ngezinye izikhathi kungabangela izinkinga eziqhubekayo. Izindaba ezinhle ukuthi izingozi ezinkulu azivamile uma ubhekana nalesi simo ngendlela efanele.

Izingozi ezivamile zihlanganisa:

• Ubuhlungu obuqhubekayo obuqhubeka izinyanga noma iminyaka
• Ubuthakathaka bemisipha yakho ye-thigh ngenxa yokugwema imisebenzi ebangela ubuhlungu
• Ukunciphisa amazinga omsebenzi angase athinte impilo yakho jikelele
• Izindlela zokubuyisela ezingase zibangele ubuhlungu kwezinye ijoyini njenge-hip yakho noma i-ankle
• Ukubhekana nobunzima ngemisebenzi yansuku zonke njengokukhwela izitebhisi noma ukuvuka esihlalweni

Kwezinye izikhathi, i-patellofemoral pain syndrome engaphathwa ingase ibe nomthelela ekuqaleni kwe-arthritis endaweni ye-kneecap kamuva ekuphileni. Lokhu kwenzeka lapho izindlela zokunyakaza ezingavamile ziqhubeka iminyaka eminingi, kancane kancane zilimaza ukhula.

Abanye abantu bangase bathuthukise i-chronic regional pain syndrome, isimo esingavamile lapho ubuhlungu bukhulu futhi buya endaweni yokulimala yokuqala. Kodwa-ke, le ngozi ayivamile futhi ngokuvamile ivela kuphela ezimweni ezinkulu, ezide.

Ukuvikela izingozi ukubhekana nezimpawu zakho ngokushesha futhi ulandele ukwelashwa okunconywayo. Abantu abaningi abenza isinyathelo ngokushesha bagwema noma yiziphi izinkinga zesikhathi eside.

I-Patellofemoral Pain Syndrome Ingavikeleka Kanjani?

Ungathatha izinyathelo eziningi eziwusizo zokunciphisa ingozi yakho yokuthola lesi simo noma ukuvimbela ukubuya kwalo. Izindlela ezinhle kakhulu zokuvimbela zigxile ekuqondeni amandla emisipha emihle nezindlela zokunyakaza ezifanele.

Nazi izinyathelo ezibaluleke kakhulu zokuvimbela:

• Qinisani imisipha yakho ye-quadriceps ngemisebenzi njengokuqina kwemisipha ne-wall sits
• Gcina imisipha yakho ye-hip iqine, ikakhulukazi imisipha ngakwesinye uhlangothi lwe-hip
• Gcina ukuguquguquka kwemisipha yakho yemilenze ngokwelula njalo
• Yandisa izinga lomsebenzi wakho womzimba kancane kunokuba wenze ukuqina ngokuzumayo
• Gqoka izicathulo ezisekelayo, ezifanele imisebenzi yakho
• Shintsha izicathulo zakho zezemidlalo ezidala njalo
• Sebenzisa ifomu elifanele ngesikhathi sokuzivocavoca nemisebenzi yezemidlalo

Uma unezinyawo ezilinganayo noma ama-arches aphezulu, cabanga ukusebenzisa ama-insoles noma ama-orthotics asekelayo ezicathulweni zakho. Lokhu kungakusiza ukuthuthukisa ukulingana kwemilenze yakho futhi kunciphisa ingcindezi kuma-knees akho.

Qaphela noma yiziphi izimpawu zexwayiso zokuqala njengokungahambi kahle kwe-knee ngemuva kokuzivocavoca. Ukubhekana nalezi zimpawu ezincane ngokushesha kungavimbela ukuba yinkinga enkulu.

Ukuzivocavoca okuhlukahlukene kungakusiza futhi ukuvimbela ukulimala kokusetshenziswa ngokweqile. Esikhundleni sokuzivocavoca okufanayo nsuku zonke, zama ukuhlanganisa ukuqhuba nokuqubha, ukujika ibhayisikili, noma ukuqina kwemisipha.

I-Patellofemoral Pain Syndrome Ihlonishwa Kanjani?

Udokotela wakho ngokuvamile uzokunika lesi simo ngokusekelwe ezimpawu zakho nokubhekisisa ngokomzimba kwe-knee yakho. Ayikho i-test eyodwa eqinisekisa ukuxilongwa, kodwa udokotela wakho ngokuvamile angakwazi ukubona inkinga ngokuhlola okuhle.

Ngesikhathi sokuqokwa kwakho, udokotela wakho uzokubuza ngezindlela zakho zokulimaza, amazinga omsebenzi, nanoma yiziphi izinguquko zakamuva endleleni yakho yokuzivocavoca. Bazofuna ukwazi ukuthi ubuhlungu beqale nini, yini eyenza bube ngcono noma bube sibi, nokuthi buthinta kanjani imisebenzi yakho yansuku zonke.

Ukubhekisisa ngokomzimba ngokuvamile kuhlanganisa ukubheka indlela i-kneecap yakho ehambisana ngayo, ukuhlola amandla emisipha yakho, nokulinganisa ukuguquguquka kwakho. Udokotela wakho angase akucele ukuba uqine, ukhwele izitebhisi, noma wenze ezinye izinyathelo ezivame ukubangela izimpawu zakho.

Ezimeni eziningi, i-imaging tests njenge-X-rays noma i-MRIs azidingekile ekuxilongweni. Kodwa-ke, udokotela wakho angase a-ode lezi zilingo uma ecindezela ezinye izimo noma uma izimpawu zakho zingavamile.

Ngezinye izikhathi, udokotela wakho angase akuthumele ku-physical therapist ukuze enze ukuhlaziywa okuningiliziwe kokunyakaza. Lokhu kungakusiza ukubona ukungahambi kahle kwemisipha noma izindlela zokunyakaza ezingase zibe nomthelela ebuhlungwini bakho.

Iyini Ukwelashwa Kwe-Patellofemoral Pain Syndrome?

Ukwelashwa kwalesi simo kugxile ekuthuthukiseni ubuhlungu nokubhekana nezimbangela eziyinhloko. Abantu abaningi bayaphendula kahle ekwelapheni okuqondile, futhi ukuhlinzwa akudingeki.

Umgca wokuqala wokwelashwa ngokuvamile uhlanganisa:

• Ukuphumula emisebenzini eyenza ubuhlungu bakho bube sibi
• Ukusebenzisa iqhwa imizuzu engu-15-20 izikhathi eziningi ngosuku
• Imithi yokunciphisa ubuhlungu njenge-ibuprofen noma i-acetaminophen
• I-physical therapy ukuqina imisipha ebuthakathaka nokuthuthukisa ukuguquguquka
• Ukuguqula umsebenzi ukuze ugweme izinyathelo ezibangela ubuhlungu

I-physical therapy ngokuvamile iyona ingxenye ebaluleke kakhulu yokwelashwa. I-therapist yakho izokwakha imisebenzi efanele izidingo zakho, egxile ekuqinisiseni i-quadriceps yakho, imisipha ye-hip, ne-core. Bazosebenza futhi ekuthuthukiseni ukuguquguquka kwakho nezindlela zokunyakaza.

Udokotela wakho angase ancome izinto ezisekelayo njenge-knee braces noma amasu okuhlanganisa ukuze asize i-kneecap yakho ihambe kahle. Ama-shoe inserts noma ama-orthotics angase futhi asize uma ukusebenza kwezinyawo kube nomthelela enkingeni yakho.

Kwezinye izikhathi lapho ukwelashwa okuqondile kungasizi ngemuva kwezinyanga eziningi, udokotela wakho angase axoxe ngokwelashwa ngokuqapha noma izinketho zokuhlinzwa. Kodwa-ke, iningi labantu liyaphulile ngezindlela ezingenawo ukuhlinzwa.

Indlela Yokwelapha Ekhaya Ngesikhathi Se-Patellofemoral Pain Syndrome?

Ungaphatha izici eziningi zalesi simo ekhaya ngenkathi usebenza neqembu lakho lezokunakekelwa kwezempilo. Okubalulekile ukuba uqine ngendlela yakho yokwelapha futhi ulalele izimpawu zomzimba wakho.

Nanku ongakwenza ekhaya ukuze usekele ukuphulukisa kwakho:

• Sebenzisa iqhwa imizuzu engu-15-20 ngemuva kwemisebenzi ebangele ukungahambi kahle
• Thatha imithi yokulwa nokuvuvukala njengoba kuqondiswe
• Yenza imisebenzi yokwelula imisipha yemilenze yakho
• Yenza imisebenzi yoqeqesho ephakanyiswe yi-physical therapist yakho
• Gwema imisebenzi eyenza ubuhlungu bakho bube sibi kakhulu
• Phakamisa umlenze wakho uma uphumula ukuze unciphise noma yikuphi ukuvuvukala

Kubalulekile ukuhlala usebenza ngaphakathi kwendawo yakho yokunethezeka kunokuba uphumule ngokuphelele. Imisebenzi engathinti umzimba kakhulu njengokuqubha, ukujika ibhayisikili ezindaweni ezilinganayo, noma ukuhamba ezindaweni ezilinganayo kungakusiza ugcine impilo yakho ngenkathi i-knee yakho iphulukisa.

Gcina ulandelela izimpawu zakho nokuthi yiziphi imisebenzi ebonakala ikusiza noma ekulimaza. Lolu lwazi luzoba usizo uma uxoxa nodokotela wakho ngokuthuthuka kwakho.

Bekezela ngokuphulukisa kwakho, njengoba kungathatha amaviki ambalwa kuya ezinyangeni ukuze ubone ukuthuthuka okukhulu. Ukuqina ngemisebenzi yakho nendlela yakho yokwelapha kubaluleke kakhulu kunokucindezela ubuhlungu.

Kufanele Uzilungiselele Kanjani Ukuya Kudokotela?

Ukuza ulungile ekuqokweni kwakho kungakusiza uqinisekise ukuthi uthola ukuxilongwa okuchane kakhulu nendlela yokwelapha ephumelelayo. Udokotela wakho uzodinga ulwazi oluthile ngezimpawu zakho nezindlela zakho zomsebenzi.

Ngaphambi kokuya kwakho, bhala phansi ulwazi olulandelayo:

• Lapho ubuhlungu be-knee bakho beqale futhi lokho obekwenza ngaleso sikhathi
• Yiziphi imisebenzi ezenza ubuhlungu bakho bube ngcono noma bube sibi
• Indawo nohlobo lobuhlungu obubhekana nalo
• Noma iyiphi imithi noma ukwelashwa osele uzama
• Indlela yakho evamile yokuzivocavoca nanoma yiziphi izinguquko zakamuva
• Imibuzo ofuna ukuyibuza udokotela

Letha uhlu lwayo yonke imithi oyithathayo njengamanje, kuhlanganise nemithi yokuthengwa ngaphandle komthetho kanye nezinye izinto. Futhi, gqoka ama-shorts noma izingubo ezivumela ukufinyelela kalula e-knee yakho ukuze uhlolwe.

Uma ubelokhu ugcina idayari yobuhlungu noma ulandelela izimpawu zakho, letha lolu lwazi nawe. Lokhu kungasiza udokotela wakho ukuqonda izindlela ebuhlungwini bakho nokubona izinto ezingase zibangele.

Cabanga ngezinjongo zakho zokwelashwa nezinto ezibalulekile kuwe. Lokhu kuzosisiza udokotela wakho ukulungiselela uhlelo lwakho lokwelapha ngezidingo zakho nezindlela zakho zokuphila.

Iyini Iphuzu Eliyinhloko Nge-Patellofemoral Pain Syndrome?

I-Patellofemoral pain syndrome yisimo esivamile kodwa esiphatheka kalula esithinta indawo ezungezile i-kneecap yakho. Nakuba kungase kube yinto ecasulayo futhi ikhawule imisebenzi yakho, abantu abaningi bayaphulile ngokuphelele ngokunakekelwa okuhle nokubekezela.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukungenelela kwangaphambili kuvame ukuletha imiphumela emihle. Uma ubhekana nobuhlungu obuqhubekayo be-knee, ungalunaki noma uzama ukuqhubeka nobuhlungu.

I-physical therapy nemisebenzi eqondiswe ngqo ngokuvamile iyisisekelo sokwelashwa okuphumelelayo. Ukuqina kwemisipha yemilenze yakho, ukuthuthukisa ukuguquguquka kwakho, nokulungisa izindlela zokunyakaza kungakusizi kuphela ukuphulukisa kodwa futhi kuvimbele izigameko zesikhathi esizayo.

Ngenhlanhla efanele nokuzimisela ohlelweni lwakho lokwelapha, ungalindela ukubuyela emisebenzini yakho evamile futhi ugcine ama-knees anempilo, angenabuhlungu iminyaka eminingi ezayo.

Imibuzo Evamile Ngokuqondene Ne-Patellofemoral Pain Syndrome

Q1: Kuthatha isikhathi esingakanani ukuphulukisa i-patellofemoral pain syndrome?

Isikhathi sokuphulukisa sihluka kumuntu nomuntu, kodwa abantu abaningi babona ukuthuthuka okukhulu phakathi kwamasonto angu-6-12 ngokwelashwa okuqhubekayo. Abanye bangase baphulile ngokushesha, kanti abanye abanezimpawu ezide bangase bathathe izinyanga eziningi. Izinto ezibalulekile ezithinta isikhathi sokuphulukisa zihlanganisa ukuthi uqala nini ukwelashwa, ukuzimisela kwakho emisebenzini, nobunzima bezimpawu zakho.

Q2: Ngingaqhubeka yini ngokuzivivinya nge-patellofemoral pain syndrome?

Ungaqhubeka ngokuvamile ngezinhlobo ezithile zokuzivivinya, kodwa kuzodingeka uguqule imisebenzi yakho. Imisebenzi engathinti umzimba kakhulu njengokuqubha, ukujika ibhayisikili ezindaweni ezilinganayo, noma i-elliptical training ngokuvamile iyamukeleka. Gwema imisebenzi eyenza ubuhlungu bakho bube sibi, njengokuqhuba phansi noma ukuqina okujulile. I-physical therapist yakho ingakusiza ukwakha uhlelo lokuzivocavoca oluphephile.

Q3: Ingabe i-patellofemoral pain syndrome izobuyela ngemuva kokwelashwa?

Lesi simo singabuya uma ungagcini amandla nokuguquguquka okuvela ekwelapheni, noma uma uqina ngokuzumayo izinga lomsebenzi wakho. Kodwa-ke, abantu abaningi abaqeda uhlelo lwabo lokuphulukisa futhi baqhubeka nemisebenzi yokugcina banengozi encane yokubuya. Ukubaqaphela izimpawu zexwayiso zokuqala kukusiza ukubhekana nanoma yiziphi izinkinga ngokushesha.

Q4: Ingabe ukuhlinzwa kudingeka nge-patellofemoral pain syndrome?

Ukuhlinzwa akudingeki ngalesi simo. Ngaphansi kuka-5% yabantu abadinga ukuhlinzwa, futhi lokhu ngokuvamile kucabangelwa kuphela ngemuva kokuthi ukwelashwa okuqondile okuhle okuyizinyanga ezingu-6-12 sekuhlulekile. Iningi lezinqubo zokuhlinzwa ligxile ekuqondiseni kabusha i-kneecap noma ukubhekana nezinkinga ezithile zokwakheka komzimba ezibangela ubuhlungu.

Q5: Ingabe i-patellofemoral pain syndrome ingabangela ukulimala okungapheli e-knee yami?

Lesi simo asivami ukubangela ukulimala okungapheli uma siphathwa kahle. Ubuhlungu buvela ekuvuvukaleni kunokulimaza ukwakheka kwejoyini yakho ye-knee. Ngokunakekelwa okuhle, izicubu ziyaphulile ngokuphelele, futhi ungalindela ukubuyela emisebenzini ephelele. Kodwa-ke, ukungazinaki lesi simo iminyaka eminingi kungase kube nomthelela ekunciphiseleni ukhula lwe-kneecap.