Ke kuni nei i ke kuli

Anter

• ʻO ke ahi i nā kumu kukuli
• Ke puhi nei i ke kuli i ka pō
• ʻO ke ahi i ka mālama kuli
• Haehae ligament kuli
• Waimaka cartilage waimaka (ʻino i ka ʻili hui)
• ʻO Osteoarthritis i ka kuli
• Chondromalacia
• ʻO ka maʻi maʻi Patellofemoral pain (PFS)
• Patellar tendinitis
• ITBS
• ʻO ka lawe lawe ʻana

ʻEha ʻeha kuni

Ma muli o ke kuli kekahi o nā hono i hoʻohana nui ʻia i ke kino o ke kanaka, ʻaʻole ʻeha i kēia hui kahi hoʻopiʻi maʻamau. ʻOiai hiki ke ʻeha o ke kuli i nā ʻano he nui, ʻo ke ʻā ʻana o ka ʻeha ma ke kuli hiki ke lilo i hōʻailona o nā pilikia like ʻole.

Hiki iā ʻoe ke loaʻa kahi ʻā ʻana i ke ahi e like me ke kuli piha, akā ʻike pinepine ʻia ia ma kahi kikoʻī - ka mea maʻamau ma hope o ke kuli a ma mua o ke kuli (kneecap). No kekahi, ua kau ka naʻau wela ma nā ʻaoʻao o ke kuli.

ʻO ke ahi i nā kumu kukuli

Nui nā kumu no ke ahi i ke kuli. Ma hea ʻoe e manaʻo nui ai i ka ʻā ʻana o ke ahi me nā mea e ulu nei ka pilikia.

ʻO ke kuni ʻana ma hope o ke kuli ke kumu o:

• waimaka ligament
• haehae cartilage
• hōʻeha hōʻeha
• osteoarthritis

ʻO ka puhi ʻana i mua o ke kuli ke kumu o ka hōʻeha nui ʻana i ʻike ʻia ʻo ke kuli o ka runner - i kapa ʻia hoʻi me chondromalacia a i ʻole patellofemoral pain syndrome (PFS). Pēlā pū, hiki ke lilo i tendonitis i kumu ʻia e ka mumū o ka tendon patellar.

ʻO ke kuni ʻana i waho o ke kuli e ka iliotibial band syndrome (ITBS).

Ke puhi nei i ke kuli i ka pō

Hoʻonui ka poʻe i ka ʻeha o ke kuli i ka pō. Hiki ke kumu ʻia kēia e nā kumu he nui:

• Piʻi nā kīʻaha koko i ke anawaena i ka wā hiamoe, e hoʻokau ana i nā aʻalolo.
• Ke noʻonoʻo nei e pili ana i kou ʻeha o ke kino me ka ʻole o nā mea hoʻonāukiuki o ka lā i kahi hopena e hoʻoulu ʻia e psychologically.
• Hoʻoemi ʻia nā hōʻailona Hormone ke hiamoe ʻoe, e ʻae ana i nā hōʻailona ʻeha e hele aʻe i ka lolo.

ʻO ke ahi i ka mālama kuli

ʻO ka mālama ʻana i ke kuli e ʻā ana ke kumu.

Haehae ligament kuli

Inā kuhi ʻia kahi waimaka ligament kuli ma ke ʻano he hapa, hiki i ka mālama ʻana ke:

• hoʻoikaika hoʻoikaika kino
• pale kuli pale, e hoʻohana i ka wā hoʻoikaika kino
• nā palena i ka hana i hōʻino hou ʻia paha

ʻO kahi waimaka ligament kuli āpau e pono ke hoʻoponopono ʻoki ʻia.

Waimaka cartilage waimaka (ʻino i ka ʻili hui)

ʻO ka pae mua o ka mālama ʻana i ka waimaka cartilage he nonsurgical a hiki ke hoʻopili ʻia:

• hoʻoikaika kino hoʻoikaika kino e like me ka nānā ʻana i ka hoʻōla kino a i ʻole kahi papahana o ka hoʻoikaika kino home
• ʻoluʻolu ʻeha, maʻamau nā lāʻau anti-inflammatory nonsteroidal (NSAIDs)
• nā kūpikipiki steroid i ke kuli

No ka poʻe hoʻomaikaʻi i ke kūlana me ka lapaʻau conservative hou aʻe, ʻo ke kaʻina aʻe ka ʻoki kino. Aia kekahi mau koho ʻoki e like me:

• Kukeloa chondroplasty. Hoʻomaʻemaʻe ʻia ka cartilage i hōʻino ʻia e hoʻoliʻiliʻi i ka hakina hui.
• Debridement kukuli. Wehe ʻia nā ʻāpana Loose o ka cartilage, a holoi ʻia ka ami me kahi wai paʻakai (lavage).
• Osteochondral autograft transplantation (OATS). Lawe ʻia ka cartilage i hōʻino ʻole ʻia mai kahi wahi kaumaha ʻole a neʻe i kahi i hōʻino ʻia.
• Implantation chondrocyte Autologous. Lawe ʻia kahi ʻāpana o ka cartilage, mahi ʻia i loko o kahi keʻena hoʻokolohua, a hoʻihoʻi i loko o ke kuli, kahi e ulu ai i ka cartilage pani olakino.

ʻO Osteoarthritis i ka kuli

ʻAʻole hiki ke hoʻohuli ʻia ʻo Osteoarthritis, no laila ʻo ka mea ʻoi loa i hiki ke hana ʻia ka mālama ʻana i nā ʻōuli, a hiki ke hoʻopili ʻia:

• ka mālama ʻeha me nā lāʻau lapaʻau over-the-counter (OTC) e like me ka acetaminophen (Tylenol), ibuprofen (Advil, Motrin IB) a me naproxen sodium (Aleve)
• hoʻōla kino a me ka ʻoihana hana
• injections cortisone

ʻO ka hopena, pono pono ke ʻoki kuapo (arthroplasty).

Chondromalacia

ʻIke ʻia hoʻi ʻo ke kuli o ka runner, ʻo chondromalacia ka hōʻino ʻana o ka cartilage ma lalo o ka patella (kneecap). ʻO ka lapaʻau mua no chondromalacia nā:

• ka hau e hoʻoliʻiliʻi ma hope o ka hoʻoikaika kino
• hōʻoluʻolu ʻeha me ka lāʻau OTC
• hoʻomaha no ka hui kuli, e pili ana i ka hōʻalo ʻana i ka squatting a me ke kukuli ʻana
• ke kaulike o ka patella me kahi paʻa, lepe, a i ʻole ka lima lima lima lima patellar

Inā hāʻule nā ​​lāʻau lapaʻau nonsurgical mua, hiki i kāu kauka ke ʻōlelo i ke kīʻaha arthroscopic e hoʻonanea i nā pale cartilage paʻa ʻole a me ke aʻa trochlear (kahi uka ma luna o ka femur).

ʻO ka maʻi maʻi Patellofemoral pain (PFS)

No nā hihia maʻalahi, mālama ʻia ʻo PFS me:

• hoʻomaha no ke kuli, ʻo ia hoʻi ka hōʻalo ʻana i ka piʻi piʻi ʻana i ke alapiʻi a me ke kukuli ʻana
• Nā lāʻau ʻeha OTC
• nā hana hoʻōla, e like me nā mea no quadriceps, hamstrings, a me nā poʻe lawe ʻūhā
• nā kūpeʻe kākoʻo

No nā hihia ʻoi aku ka paʻakikī, koi paha kāu kauka iā arthroscopy, kahi hana ʻoki e wehe i nā ʻāpana o ka cartilage i hōʻino ʻia.

Patellar tendinitis

ʻO Patellar tendinitis kahi hōʻeha nui o ka tendon e hoʻopili i kāu kneecap (patella) i kāu shinbone. Mālama maʻamau ʻia me:

• hoʻomaha, ʻo ka hōʻalo hoʻi i ka holo a lele ʻana
• hau e hoʻēmi i ka pehu
• ka mālama ʻeha ma o OTC mea hōʻemi ʻeha
• hoʻoikaika i ka hoʻoikaika i ka wāwae a me nā ʻūhā
• ke hoʻolōʻihi nei e hoʻolōʻihi i ka ʻāpana muscle-tendon unit
• patellar tendon strap e hāʻawi i ka ikaika mai ke kiki i ke kaula

Inā kūpono ʻole nā ​​mālama ʻole noninvasive, e ʻōlelo paha kāu kauka:

• pākuʻi wai piha waiwai ʻo platelet
• kaʻina kui kui oscillating

ITBS

ʻO ITBS kahi ʻeha pinepine i ke kuli i ʻike ʻia e ka poʻe holo. ʻOiai i kēia manawa ʻaʻohe mālama kūpono no ia, ʻōlelo pinepine ʻia nā mea holo e pili pono i ka papahana ʻehā ʻehā e hiki mai ana.

1. Pau ka holo ʻana.
2. Keʻa-kaʻaahi me ka hoʻoikaika pono ʻole e like me ka holo kaʻa a me ka holo ʻana i ka wai.
3. E lomilomi i ka quads, glutes, hamstrings, a me ka band iliotibial.
4. E hoʻoikaika i kāu kumu, nā glute, a me nā wahi o ka pūhaka.

ʻO ka lawe lawe ʻana

Hiki i ka ʻeha o ke kuli ke kuhi i kahi pilikia me ka ami a i ʻole nā ​​mea palupalu e pili ana i ke kuli e like me nā ligament a me nā uaua. Inā pili ka ʻeha wela i kou kuli me kahi kikoʻī o ke kuli - mua, kua, a ʻaoʻao paha - hiki paha iā ʻoe ke hōʻemi i nā kumu o ka ʻeha.

Inā hoʻomau ka ʻeha a hoʻopilikia paha i kāu hana i kēlā me kēia lā a i ʻole hiamoe, pono ʻoe e nīnau me kāu kauka.