Koj puas yog ib tug neeg nyiam ua kis las? Tej zaum koj ua si ib yam kev ua si xws li football, volleyball, lossis netball. Los yog tej zaum koj khiav, dhia, lossis tsa cov hnyav. Yuav ua li cas yog tias koj hnov mob ntse ntawm sab hauv ntawm koj lub hauv caug nrog lub suab 'click'? Los yog tej zaum koj raug ib tug neeg ntaus thiab koj lub hauv caug khoov rau sab hauv? Thaum lub sijhawm zoo li no, muaj feem ntau uas koj lub MCL, ib qho ligament tseem ceeb hauv koj lub hauv caug, yuav raug puas tsuaj. Hnub no, peb yuav tham txog MCL tear yog dab tsi, nws tshwm sim li cas, thiab yuav ua li cas txog nws.
Hais yooj yim xwb, MCL kua muag yog dab tsi?
MCL sawv cev rau Medial Collateral Ligament . Hauv Sinhala, nws yog ib qho ligament loj nyob rau sab hauv ntawm lub hauv caug. Xav txog peb lub hauv caug ua ib qho pob qij txha. Cov pob txha sab saud (femur) thiab cov pob txha sab qis (tibia) ntawm qhov pob qij txha no tau txuas nrog, thiab lub hauv caug raug tiv thaiv kom tsis txhob txav mus rau sab thiab khaws cia kom ruaj khov los ntawm txoj hlua khi no hu ua MCL. Nws zoo li ib txoj hlua khi muaj zog.
Qhov MCL ntuag yog thaum cov leeg nqaij no raug puas tsuaj. Qhov kev puas tsuaj no yuav me me xwb, lossis nws tuaj yeem ntuag tag thiab faib ua ob daim.
Muaj plaub lub ligament tseem ceeb zoo li no hauv peb lub hauv caug.
- Medial Collateral Ligament (MCL): Cov leeg ntawm sab hauv ntawm lub hauv caug.
- Lateral Collateral Ligament (LCL): Cov leeg ntawm sab nraub qaum ntawm lub hauv caug.
- Anterior Cruciate Ligament (ACL): Sab xub ntiag ntawm ob lub leeg uas zoo li tus X sab hauv lub hauv caug.
- Posterior Cruciate Ligament (PCL): Ib qho ntawm ob lub ligament zoo li tus X sab hauv lub hauv caug.
Ntawm plaub qhov no, MCL ligament yog qhov raug mob ntau tshaj plaws.
Yuav Ua Li Cas Qib MCL Kua Muag (Qib Kua Muag)
Koj tus kws kho mob yuav faib qhov hnyav ntawm qhov kua muag. Qhov no muab faib ua peb theem tseem ceeb (qib). Kev paub qhov no yuav pab koj nkag siab txog koj txoj kev kho mob.
| Qib | Qhov xwm txheej ntawm kua muag | Koj xav li cas |
|---|---|---|
| Qib 1 (tshwm sim me me) | Tsawg dua 10% ntawm cov fibers hauv daim ntawv cog lus tau raug rhuav. Daim ntawv cog lus tseem muaj zog. | Muaj qhov mob me ntsis rau sab hauv ntawm lub hauv caug thiab mob thaum kov. Lub hauv caug ruaj khov. Kuv taug kev tau. |
| Qib 2 (kev tsim kua muag nruab nrab) | Ib feem tseem ceeb ntawm cov leeg tau raug dua, tab sis tsis tau sib cais tag. | Muaj mob hnyav thiab mob nqaij ntawm sab hauv ntawm lub hauv caug. Lub hauv caug yuav zoo li xoob me ntsis thiab tsis ruaj khov. Nws yuav nyuaj rau taug kev. |
| Qib 3 (kev tsim kua muag hnyav) | Cov hlua khi raug rhuav tag nrho thiab sib cais ua ob daim. | Muaj mob heev. Lub hauv caug tsis ruaj khov, zoo li nws "dhia". Nws yuav luag tsis yooj yim sawv nrog qhov hnyav rau ntawm nws. Feem ntau, lwm cov leeg, xws li ACL, kuj raug puas tsuaj. |
Dab tsi yog cov ua rau muaj kev tsim kua muag MCL?
Qhov ua rau MCL tawg yog vim muaj kev sib tsoo hnyav rau sab nraud ntawm lub hauv caug. Xav txog koj tab tom ua si football thiab muaj ib tug neeg los tsoo koj thiab ntaus koj rau sab nraud ntawm koj lub hauv caug, ua rau koj lub hauv caug khoov mus rau hauv. Qhov no tuaj yeem ua rau cov leeg MCL sab hauv tawg.
Tsis tas li ntawd xwb, cov kua muag MCL kuj tseem tuaj yeem tshwm sim los ntawm:
- Hloov kev taw qhia tam sim ntawd: Thaum ib ceg raug muab tso rau hauv av thiab lub cev raug tig mus rau sab tod sai sai. Qhov no yog ib txwm muaj nyob rau hauv kev ua si xws li basketball thiab netball.
- Tsaws tsis raug: Tsaws tsis raug thaum dhia thiab khoov lub hauv caug.
- Hyperextension ntawm lub hauv caug: Qhov no tuaj yeem tshwm sim hauv kev ua si xws li skiing.
- Nqa Khoom Hnyav: Thaum koj nqa ib yam dab tsi hnyav nrog kev sawv tsis raug.
- Kev ntxhov siab rov ua dua: Thaum lub hauv caug raug kev ntxhov siab ntev, cov leeg MCL tuaj yeem ua rau qaug zog thiab rhuav tshem txawm tias muaj kev cuam tshuam me me xwb, zoo li txoj hlua roj hmab qub.
Cov tsos mob ntawm MCL tear yog dab tsi?
Tej zaum koj yuav muaj ib lossis ntau yam ntawm cov tsos mob no yog tias MCL raug rhuav.
- Thaum raug mob , yuav hnov lub suab 'clicking' lossis 'cracking' los ntawm sab hauv ntawm lub hauv caug .
- Mob sab hauv ntawm lub hauv caug.
- Nws mob txawm tias thaum koj kov sab hauv ntawm koj lub hauv caug los xij.
- Lub hauv caug o thiab mob nqaij .
- Ntshai tias lub hauv caug yuav "poob" lossis "khoov" thaum muab qhov hnyav rau ntawm cegKev xav (tsis ruaj khov).
- Xav tias koj lub hauv caug raug daig los yog xauv thaum koj khoov los yog ncaj nws.
Qhov tseem ceeb tshaj plaws yog, yog tias koj taug kev tau tab sis tseem mob lossis o hauv koj lub hauv caug, tsis txhob tsis quav ntsej. Mus ntsib kws kho mob kom zoo.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog qhov raug mob ntawd. Tom qab ntawd nws mam li kuaj koj lub hauv caug.
- Kev Kuaj Lub Cev: Tus kws kho mob yuav nias sab hauv ntawm koj lub hauv caug nrog nws txhais tes kom nrhiav qhov chaw tseeb ntawm qhov mob. Tom qab ntawd, nrog koj lub hauv caug me ntsis khoov, nws yuav siv lub zog los ntawm sab nraud kom pom tias lub hauv caug qhib sab hauv npaum li cas (valgus stress test). Qhov no yuav muab lub tswv yim rau koj txog qhov xoob ntawm MCL ligament.
- Kev Ntsuas MRI: Qhov no yog qhov kev kuaj zoo tshaj plaws los paub meej tias MCL raug rhuav. Kev ntsuas MRI tuaj yeem qhia meej tias cov leeg nqaij raug rhuav ntau npaum li cas, thiab seb lwm qhov, xws li ACL, puas raug puas tsuaj.
- Kev Ntsuas Ultrasound: Qhov no kuj tseem tuaj yeem kuaj xyuas seb puas muaj qhov tawg hauv cov leeg MCL thiab cov kua dej sib sau ua ke nyob ib puag ncig nws.
- X-ray: Qhov kev rhuav ntawm MCL tsis tuaj yeem pom ntawm X-ray vim tias X-rays tsuas yog qhia txog pob txha xwb. Txawm li cas los xij, koj tus kws kho mob yuav hais kom koj thaij X-ray kom tshem tawm qhov tawg lossis lwm yam kev raug mob.
Yuav kho qhov kua muag MCL li cas?
Cov xov xwm zoo rau ntau tus neeg yog tias feem ntau cov kua muag MCL tuaj yeem kho tau yam tsis tas phais . Vim tias cov leeg MCL muaj cov ntshav txaus, nws yuav zoo dua.
Kev Kho Mob Tsis Yog Phais Mob
- Txoj kev kho mob RICE: Qhov no yog thawj zaug thiab yog txoj kev kho mob tseem ceeb tshaj plaws.
- R - So: So koj lub hauv caug. Tsis txhob khiav, dhia, lossis lwm yam kev ua ub no uas muab kev nyuaj rau koj lub hauv caug.
- Kuv - Dej Khov: Muab dej khov rau ntawm qhov mob thiab o li 15-20 feeb ntau zaus hauv ib hnub. Tsis txhob muab dej khov rau ntawm daim tawv nqaij ncaj qha, qhwv nws nrog daim ntaub.
- C - Compression: Siv ib daim ntaub qhwv lub hauv caug kom tsis txhob o. Tsis txhob qhwv nws nruj dhau .
- E - Siab: Khaws koj ob txhais ceg kom siab li siab tau. Qhov no yuav txo qhov o.
- Cov Tshuaj Tua Kab Mob: Koj tuaj yeem noj cov NSAIDs (Cov tshuaj tsis-steroidal anti-inflammatory) kom txo qhov o thiab mob, raws li koj tus kws kho mob qhia.
- Kev Siv Lub Pob Qij Txha:Tus kws kho mob pom zoo kom hnav ib lub brace tshwj xeeb los tiv thaiv lub hauv caug kom tsis txhob khoov mus rau sab thiab los muab qhov ruaj khov rau MCL ligament uas nws xav tau los kho.
- Cov pas nrig: Yuav kom txo qhov hnyav ntawm lub hauv caug, koj yuav tsum siv cov pas nrig ib pliag.
- Kev Kho Mob Lub Cev: Qhov no tseem ceeb heev . Thaum twg MCL zoo lawm, koj yuav tsum pib ua cov kev tawm dag zog raws li kev qhia ntawm tus kws kho mob lub cev. Qhov no yuav pab koj rov qab tau kev txav mus los hauv koj lub hauv caug, ua kom koj lub duav thiab cov leeg nqaij ib puag ncig muaj zog, thiab rov qab mus ua ub ua no li qub.
Kev phais mob
Kev phais mob tsis tshua muaj.
- Yog tias cov leeg MCL raug rhuav tag (Qib 3), nws zoo li tau muab tshem tawm ntawm pob txha.
- Yog tias lwm cov leeg, xws li ACL, raug puas tsuaj loj heev nrog rau qhov kua muag MCL.
- Yog tias koj yog ib tus kws ncaws pob tshaj lij thiab xav tau kev ruaj khov ntawm lub hauv caug siab tshaj plaws yav tom ntej.
Kev phais mob yog xaws cov leeg nqaij uas raug rhuav rov qab los yog kho cov leeg nqaij dua tshiab siv cov nqaij mos uas tau los ntawm lwm qhov ntawm lub cev (piv txwv li, cov leeg nqaij hamstring).
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Lub sijhawm kho mob nyob ntawm seb qhov kua muag hnyav npaum li cas thiab koj ua raws li kev kho mob zoo npaum li cas.
- Qib 1: Feem ntau nws yuav kho tau li ntawm 1-3 lub lis piam.
- Qib 2: Yuav kav ntev li 4-6 lub lis piam.
- Qib 3: Yuav siv sijhawm ntau tshaj 6 lub lis piam, tej zaum yuav siv sijhawm ntau lub hlis. Yog tias phais mob, nws yuav siv sijhawm ntev dua.
Qhov tseem ceeb tshaj plaws yog tsis txhob maj, tab sis so thiab tawm dag zog rau lub sijhawm uas tus kws kho mob thiab tus kws kho lub cev qhia. Yog tias koj maj, muaj feem ntau dua uas qhov raug mob yuav rov qab los.
Cov lus nug uas yuav tsum nug tus kws kho mob
Yog tias koj muaj qhov kua muag MCL, nws yog ib lub tswv yim zoo los nug koj tus kws kho mob cov lus nug zoo li no.
- Kuv muaj hom (qib) ntawm MCL kua muag twg?
- Kuv muaj cov kev kho mob twg? Kuv puas yuav tsum tau phais?
- Koj xav tias yuav siv sijhawm ntev npaum li cas thiaj li rov zoo tag nrho?
- Kuv yuav tsum noj tshuaj dab tsi?
- Kuv puas yuav tsum mus ntsib kws kho mob tshwj xeeb?
- Thaum twg kuv yuav tsum pib kho lub cev?
- Kuv mam li pib ua si dua thaum twg?
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev raug mob ntawm MCL yog kev raug mob rau cov leeg ntawm sab hauv ntawm lub hauv caug. Nws yog ib qho kev raug mob uas feem ntau tshwm sim ntawm cov neeg ncaws pob.
- Cov tsos mob tseem ceeb yog mob, o, thiab tsis ruaj khov ntawm lub hauv caug.
- Feem ntau cov kua muag MCL kho tau yam tsis tas phais mob nrog kev so, dej khov, siv lub pob txha los pab, thiab kev kho lub cev.
- Kev tawm dag zog kho lub cev yog qhov tseem ceeb heev rau kev rov zoo. Tsis txhob hla lawv.
- Yog koj raug mob hauv caug, txawm tias koj taug kev tau los xij, tsis txhob tsis quav ntsej thiab nrhiav kev pab kho mob tam sim ntawd. Yog tias qhov raug mob hnyav heev, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus