Q/Quadriceps Xagasha Dhaawacyada Jilibka ee Ciyaartoyda Haweenka

Xagalka Q ama quadriceps waa cabbirka ballaca miskaha oo la rumeysan yahay inuu gacan ka geysto halista dhaawacyada isboortiga ee haweenka ciyaaraha fudud. Daawaynta iyo layliyada aan qaliinka ahayn ma caawin karaan soo kabashada dhaawacyada?

Quadriceps Q - Dhaawacyada xagasha

The xagasha Q waa xagasha halka lafta femur/lafta sare ay la kulanto tibia/lafta lugta hoose. Waxa lagu qiyaasaa laba xariiq oo is-goysyada ah:

• Mid ka mid ah bartamaha patella/jilibka ilaa laf dhabarta sare ee miskaha.
• Midda kale waa laga bilaabo patella ilaa tibial tubercle.
• Celcelis ahaan xagalku saddex darajo ayuu ka sarreeyaa dumarka marka loo eego ragga.
• Celcelis ahaan 17 darajo dumarka iyo 14 darajo ragga. (Ramada R Khasawneh, iyo al., 2019)
• Khubarada daawaynta ciyaaraha waxay ku xidheen miskaha ballaaran iyo xagal-Q-weyn. (Ramada R Khasawneh, iyo al., 2019)

Dumarku waxay leeyihiin kala duwanaansho biomechanical oo ay ku jiraan miskaha ballaaran, taas oo sahlaysa dhalmada. Si kastaba ha ahaatee, kala duwanaanshiyahani wuxuu gacan ka geysan karaa dhaawacyada jilibka marka la ciyaarayo ciyaaraha, maaddaama xagasha Q korodhay ay keento walaac badan oo ku saabsan wadajirka jilibka, iyo sidoo kale keenaya in cagaha kor u kaca.

dhaawacyada

Waxyaabo kala duwan ayaa kordhin kara halista dhaawaca, laakiin xagasha Q ballaaran ayaa lala xiriiriyay xaaladaha soo socda.

Patellofemoral Pain Syndrome

• Xagasha Q ee korodhay waxay sababi kartaa in quadriceps-yada ay ku jiidaan jilibka, ka beddelaan meel ka baxsan oo keenaya raadraaca patellar oo aan shaqaynayn.
• Waqti ka dib, tani waxay keeni kartaa xanuun jilibka ah (hoosta iyo hareeraha jilibka), iyo dheelitir la'aanta muruqa.
• Orthotics-ka cagaha iyo taageerooyinka qaansada ayaa lagu talin karaa.
• Cilmi-baarayaasha qaarkood waxay heleen xiriir, halka kuwa kalena aysan helin isku-urur la mid ah. (Wolf Petersen, iyo al., 2014)

Chondromalacia ee jilibka

• Tani waa xiritaanka carjawda ee dhinaca hoose ee jilibka.
• Tani waxay keentaa hoos u dhaca sagxadaha articular ee jilibka. (Enrico Vaienti, iyo al., 2017)
• Calaamadaha caamka ah waa xanuunka hoostiisa iyo hareeraha jilibka.

Dhaawacyada ACL

• Dumarku waxay leeyihiin heerar ka sarreeya dhaawacyada ACL marka loo eego ragga. (Yasuhiro Mitani. 2017)
• Xagasha Q oo kordhay waxay noqon kartaa arrin kordhisa walbahaarka oo keena in jilibku lumiyo xasilloonidiisa.
• Si kastaba ha ahaatee, tani weli waa muran, maadaama cilmi-baarisyada qaarkood aysan helin wax xiriir ah oo ka dhexeeya xagasha Q iyo dhaawacyada jilibka.

Daaweynta Daaweynta Daaweynta Duumada

Xoojinta Layliga

• Barnaamijyada ka-hortagga dhaawaca ACL ee loogu talagalay haweenka ayaa sababay dhaawacyo yaraaday. (Trent Nessler, iyo al., 2017)
• The vastus medialis obliquus ama VMO waa muruqa ilmada u qaabaysan kaas oo caawiya dhaqaajinta wadajirka jilibka oo xasiliya koofiyadda jilibka.
• Xoojinta muruqa waxay kordhin kartaa xasilloonida wadajirka jilibka.
• Xoojinta ayaa laga yaabaa inay u baahato in si gaar ah diiradda loo saaro xilliga foosha.
• Layliyada silsiladda xidhan sida kuwa derbi jiifka ah ayaa lagula talinayaa.
• Xoojinta gluta waxay hagaajin doontaa xasilloonida.

Layliga fidinta

• Kala bixinta murqaha cidhiidhiga ah waxay kaa caawin doontaa inaad dejiso aagga dhaawacan, waxay kordhisaa wareegga, waxayna soo celisaa kala duwanaanshaha dhaqdhaqaaqa iyo shaqada.
• Muruqyada sida caadiga ah la arko inay cidhiidhi yihiin waxaa ka mid ah afar geesood, murqaha muruqyada, band iliotibial, iyo gastrocnemius.

Dhaqdhaqaaqa lugaha

• Hab-samaysan, orthotics-ka dabacsan ayaa hoos u dhigaya xagasha Q waxayna yareeyaan soo jiidashada, yaraynta walbahaarka dheeraadka ah ee jilibka.
• Orthotic caadadu waxay hubisaa in dhaqdhaqaaqa cagta iyo lugaha la xisaabiyo lana saxo.
• Kabaha xakamaynta dhaqdhaqaaqa ayaa sidoo kale kaa caawin kara saxitaanka xad-dhaafka ah.

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Dhaqancelinta Jilibka

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tixraacyada

Khasawneh, RR, Allouh, MZ, & Abu-El-Rub, E. (2019). Cabbirka xagasha quadriceps (Q) marka la eego cabbirrada jirka ee kala duwan ee da'yarta Carabta. PloS kow, 14 (6), e0218387. doi.org/10.1371/journal.pone.0218387

Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, IV, Brüggemann, GP, & Liebau, C. (2014). Patellofemoral xanuunka syndrome. Qalliinka jilibka, traumatology-ga isboortiga, arthroscopy-ga: joornaalka rasmiga ah ee ESSKA, 22(10), 2264-2274. doi.org/10.1007/s00167-013-2759-6

Vaienti, E., Scita, G., Ceccarelli, F., & Pogliacomi, F. (2017). Fahamka jilibka bini'aadamka iyo xiriirka uu la leeyahay beddelka jilibka. Acta bio-medica : Atenei Parmensis, 88(2S), 6–16. doi.org/10.23750/abm.v88i2-S.6507

Mitani Y. (2017). Kala duwanaanshaha la xidhiidha jinsiga ee toosinta lugaha hoose, kala duwanaanshaha dhaqdhaqaaqa wadajirka ah, iyo dhacdooyinka dhaawacyada isboortiga ee ciyaartoyda jaamacadda Japan. Joornaalka Sayniska Daaweynta Jirka, 29(1), 12-15. doi.org/10.1589/jpts.29.12

Nessler, T., Denney, L., & Sampley, J. (2017). Kahortagga Dhaawaca ACL: maxay cilmi-baadhistu noo sheegaysaa? Dib u eegisyada hadda ee daawada murqaha, 10(3), 281-288. doi.org/10.1007/s12178-017-9416-5