Ngaba uneentlungu edolweni okanye engqinibeni yakho? Masifunde ngezi vavanyo ze-(Valgus) kunye ne-(Varus).

Ngamanye amaxesha singaziva ngequbuliso iintlungu emadolweni okanye ezingqinibeni zethu, akunjalo? Okanye sinokuba nengozi encinci efana nokutyibilika nokuwa ngelixa sidlala okanye sihamba size siqale ukuva iintlungu kuloo ndawo. Xa usiya kugqirha ngamaxesha anjalo, uya kwenza uvavanyo oluthile ukuze afumanise ukuba yintoni na ingozi yakho kwaye iphi kanye kanye umonakalo. Iimvavanyo ezimbini ezibalulekileyo zezi `(Valgus Stress Test)` kunye `(Varus Stress Test). Masithethe ngezi zinto ngokulula.

Zithini ezi vavanyo ze-`(Valgus)` kunye ne-`(Varus)`? Ngamafutshane...

Ngamafutshane, olu vavanyo loxinzelelo lwe-"Valgus" kunye ne-"Varus" yindlela ugqirha wakho ayisebenzisayo ukubona umonakalo kwimisipha edolweni okanye engqinibeni yakho, ingakumbi imisipha ye-collateral ligaments.

Khawucinge ngogqirha wakho ebambe idolo okanye ingqiniba yakho, eyishukumisa ngasemva nangaphambili, ecinezela ukuze abone ukuba uziva na iintlungu okanye nantoni na engaqhelekanga. Le yinxalenye esisiseko yolu vavanyo. Ngokuqhelekileyo, olu vavanyo lwenziwa emadolweni nakwiingqiniba zakho. Kodwa kunqabile kakhulu ukuba izihlunu okanye amaqatha akho avavanywe.

Olu vavanyo lujonga ikakhulu umonakalo kwi-collateral ligaments yakho . Sonke sinale collateral ligaments emadolweni nasezingqinibeni zethu.

• Ngaphakathi kwedolo, oko kukuthi, kwicala elijonge ngaphakathi xa imilenze emibini idityanisiwe, kukho i-ligament ebizwa ngokuba yi-`(MCL - Medial Collateral Ligament)`. Ngokufanayo, kukho le `(MCL)` ecaleni kwengqiniba ekufutshane nangaphakathi komzimba.
• Ngaphandle kwedolo, oko kukuthi, icala elivezwayo xa imilenze ihlukene, kukho i-ligament ebizwa ngokuba yi-`(LCL - Lateral Collateral Ligament)`. Kukwakho nale `(LCL)` ngaphandle kwengqiniba.

Olu vavanyo lwe-`(Valgus)` kunye ne-`(Varus)` luvavanyo olulula olunokwenziwa eofisini kagqirha, ngaphandle kwezixhobo ezikhethekileyo okanye idinga elahlukileyo. Olu vavanyo lunokwenziwa ngexesha lovavanyo lokuqala xa usiya kugqirha ngenxa yentlungu yedolo, intlungu yengqiniba, okanye emva kwengozi. Nangona kunjalo, emva kolu vavanyo, ngokuqinisekileyo kuya kufuneka wenze olunye okanye ngaphezulu `(Iimaging Tests)` ukuqinisekisa umonakalo kwimisipha okanye naziphi na ezinye iingxaki. Ngamanye amaxesha, ukuba ufuna ukulungisa umonakalo ngaphakathi kwilungu lakho ngotyando, unokufuna ukwenza `(Arthroscopy)`.

Zenziwa nini ezi mvavanyo? Zithini iimpawu?

Ukuba uneentlungu edolweni okanye engqinibeni yakho, okanye ukuba ukhe waba nengozi emlenzeni okanye engalweni yakho, ugqirha wakho angenza uvavanyo lwe-"Valgus" okanye lwe-"Varus". Olu vavanyo lunokujonga umonakalo kwi-"Collateral Ligaments" exhasa amalungu akho.

Kubalulekile: Ukulimala kwemisipha yenye yezona zinto zixhaphakileyo phakathi kwabadlali. Sibiza ukwenzakala kwemisipha ngokuthi "yi-Sprain"Ikwabizwa ngokuba yi-"Tear" . Nangona uninzi lokukrazuka kuncinci, ukukrazuka kwemisipha ngamanye amaxesha kunokuba yingozi enkulu.

• Uvavanyo lwe-`(Valgus Stress Test)` lujonga kakhulu umonakalo kwi-`(MCL)` yakho.
• Uvavanyo lwe-`(Varus Stress Test)` lujonga umonakalo kwi-`(LCL)` yakho.

Ukuba enye yemisipha yakho yonakele, unokufumana iimpawu ezifana nezi:

• Ukutshintsha kombala okanye ukutshintsha kombala kwindawo eyonzakeleyo.
• Kuvakala ngathi ilungu likhululekile, ngathi alinamandla ngokwaneleyo .
• Intlungu .
• Ukuva okanye ukuva isandi esithi "click" okanye "click" .
• Ukudumba .
• Ukuba ngumlenze, kunzima ukuma uthwele ubunzima , kwaye ukuba yingqiniba, kunzima ukushukumisa ingalo yakho .
• Ukuziva ubuthathaka kuloo malungu.

Ngubani owenza olu vavanyo lwe-`(Valgus)` kunye ne-`(Varus)`?

Kulula kakhulu. Ugqirha wakho wenza ezi mvavanyo kwigumbi lakhe. Akufuneki zixhobo zikhethekileyo okanye ukuya kwiziko elahlukileyo.

Zenziwa njani kanye kanye ezi mvavanyo?

Olu vavanyo lwe-`(Valgus)` kunye ne-`(Varus)` luluhlu lweentshukumo ezenziwayo ukujonga iimpawu zakho kunye nokuba ungalishukumisa kangakanani ilungu lakho (iRange of Motion). Olu vavanyo lulula kakhulu, kwaye nantsi amanyathelo:

1. Okokuqala, uza kunyanzelwa ukuba ulale ngomqolo .

2. Emva koko ugqirha uza kuphakamisa ingalo okanye umlenze wakho phezulu kancinci kunomzimba wakho wonke .

3. Okulandelayo, ugqirha uza kubeka uxinzelelo oluncinci ngaphezulu kwedolo okanye ingqiniba yakho.

• Kwi-"Valgus Stress Test", zityhalela ngaphakathi, oko kukuthi, embindini womzimba wakho .
• Kwi-"Varus Stress Test", zityhalelwa ngaphandle, oko kuthetha ukuba zikude nomzimba wakho .

Ukuba uvavanywa edolweni lakho, ugqirha mhlawumbi uza kukwenza kabini – kanye ngedolo lakho ligobile kancinci, aze ngelinye idolo lakho lithe tye.

Ezi ndawo zahlukeneyo zoxinzelelo kunye noxinzelelo zibeka uxinzelelo oluncinci kwimisipha yakho. Ezi ntshukumo zifana kakhulu noxinzelelo olufumanayo xa usebenzisa idolo okanye ingqiniba yakho ngosuku oluqhelekileyo.

Xa ugqirha eshukumisa idolo okanye ingqiniba yakho, ngokuqinisekileyo uya kukubuza ukuba uziva na iintlungu . Uya kunikela ingqalelo engakumbi nokuba uyasiva na isandi esithi "click" okanye uziva nantoni na ngesandla sakho. Oku kuya kubanceda baqonde ukuba i-ligament yakho inokukrazuka phi kwaye kangakanani.

Yintoni umahluko phakathi kovavanyo lwe-`(Valgus)` kunye ne-`(Varus)`?

Ezi mvavanyo zimbini ziyafana kakhulu. Umahluko kuphela kukuba ugqirha uza kujonga ecaleni kwedolo okanye ingqiniba yakho ukuze abone ukuba akukho monakalo kwimisipha.

• ``(Valgus)`` ngokwezonyango lithetha ukufuduka uye embindini womzimba wakho, oko kukuthi, ngaphakathi.Igama lovavanyo yi-"Valgus Stress Test", apho ugqirha etyhala idolo okanye ingqiniba yakho ngaphakathi, emzimbeni wakho.
• ``(Varus)`` ligama elinikwa into yokuba umzimba wakho utyhalelwa ngaphandle, oko kukuthi, ngaphandle . Oku kuchasene no``(Valgus)``. Kwi``(Varus Stress Test)``, ugqirha ufaka uxinzelelo edolweni okanye engqinibeni yakho ngaphandle, kude nomzimba wakho.

Ngaba kukho into ekufuneka ndiyilungiselele ngaphambi kokuba ndifumane ezi mvavanyo?

Hayi, akufuneki uzilungiselele ezi vavanyo ze-``(Valgus)`` okanye ``(Varus)```. Into ekufuneka uyenze kukubona ugqirha ngokukhawuleza ukuba wenzakele edolweni okanye engqinibeni, okanye ukuba uneempawu ezintsha emalungwini akho.

Yintoni endimele ndiyilindele ngexesha lovavanyo?

Zama ukuhlala uphumle kangangoko kunokwenzeka xa ugqirha eshukumisa idolo okanye ingqiniba yakho.

Ngenxa yokuba olu vavanyo lwe-"(Valgus)" kunye ne-"(Varus)" luluhlu lweentshukumo zomzimba, kufuneka uxelele ugqirha wakho yonke into oyivayo - ingakumbi ukuba nayiphi na intshukumo ibuhlungu okanye ayikhululekanga.

Nayiphi na intlungu, ukungakhululeki, okanye ezinye iimpawu ozivayo ngexesha lovavanyo ziya kunceda ugqirha wakho aqonde apho imisipha yakho yonakele khona, okanye ukuba zeziphi ezinye iingozi onokuba nazo.

Kuza kwenzeka ntoni emva kwezi mvavanyo?

Uvavanyo lweValgus kunye noVarus ludla ngokuba linyathelo lokuqala lokunyanga ukwenzakala kwe-bunion. Ukuba ugqirha wakho uva okanye uve nantoni na engaqhelekanga ngexesha lovavanyo, unokuyalela uvavanyo olongezelelweyo lwemifanekiso okanye aqalise unyango ukunceda ekunciphiseni iimpawu zakho.

Emva kovavanyo lwe-valgus okanye lwe-varus, kunokufuneka ukuba wenze uvavanyo olunye ubuncinane lwe-imaging . Olu vavanyo luthatha imifanekiso yangaphakathi yelungu lakho kwaye lunokukhangela umonakalo kwi-ligaments okanye kwezinye izicubu. Uvavanyo oluqhelekileyo lwe-imaging zezi:

• Ii-X-reyi
• Umzobo weMagnetic Resonance (MRI)
• Uvavanyo lwe-ultrasound

Ugqirha wakho uza kukuxelela ukuba zeziphi iimvavanyo zokuthatha imifanekiso ekufuneka uzenze kunye nohlobo lokulimala abakufunayo.

Kusenokufuneka wenze i-arthroscopy ukuze ujonge ngaphakathi kwedolo okanye engqinibeni yakho ukuze ubone ukuba yintoni engalunganga okanye ukuyilungisa. I-Arthroscopy yinkqubo yotyando olungenamsebenzi kakhulu esebenzisa ikhamera encinci ukujonga ngaphakathi kwelungu lakho. Uninzi lotyando lwe-arthroscopy lwenziwa ngaphandle kwesibhedlele, oko kuthetha ukuba ungagoduka ngaloo mini inye.

Ngaba kukho naziphi na iingozi ngezi vavanyo ze-`(Valgus)` kunye ne-`(Varus)`?

Hayi, akukho mngcipheko emadolweni okanye kwiingqiniba zakho xa usenza uvavanyo lwe-"Valgus" okanye lwe-"Varus".

Usenokuziva iintlungu okanye ukungakhululeki ngexesha lovavanyo. Nangona kunjalo, nokuba unokwenzakala kwimisipha, akufanele uzive iintlungu eziqatha ngelixa ugqirha esenza uvavanyo.

Kodwa khumbula, uvavanyo lwe-`(Valgus)` kunye ne-`(Varus)` alulo kuphela uvavanyo ekufuneka ulwenze. Alulo kuphela uvavanyo olugqibeleleyo lokufumanisa ukuba kukho ukwenzakala okanye umonakalo. Nangona kunjalo, lunyathelo lokuqala oluluncedo ugqirha wakho afanele alithathe ukuze afumanise ukuba yintoni ukwenzakala kwakho. Uvavanyo lomfanekiso yeyona mpendulo ichanekileyo, yiyo loo nto kufuneka ube novavanyo olunye lwemifanekiso emva kovavanyo lwe-`(Valgus)` okanye lwe-`(Varus)`.

Zithini iziphumo endizifumanayo? Zindixelela ntoni?

Iziphumo zovavanyo lwe-`(Valgus)` kunye ne-`(Varus)` azizoziphumo ezithe ngqo njengezinye zeemvavanyo oye wazenza ngaphambili. Oko kukuthi, endaweni yokunika uluhlu oluthile okanye inani elithile, ezi mvavanyo zinika ugqirha wakho umbono ongcono wokuba ingaba kukho ukwenzakala kwilungu lakho kunye nokuba loo ngozi imbi kangakanani.

Le mibuzo ifana nemibuzo ethi "ilungile okanye ayilunganga" , hayi imibuzo yezibalo enempendulo ecacileyo. Ugqirha wakho uza kuhlela uvavanyo lwakho njengoluthi "lulungile" ukuba ufumana nantoni na ebonisa ukuba unokwenzakala kwi-collateral ligament. Iziphumo "ezingalunganga" zithetha ukuba ugqirha akazange azive okanye eve nantoni na engaqhelekanga ngexesha lovavanyo.

Kubalulekile: Iziphumo ezingezizo ezibonisa ukuba awunakwenzakala. Zithetha nje ukuba ugqirha akafumananga nto ingaqhelekanga ngexesha lovavanyo, nokuba yi-"Valgus" okanye "Varus". Usenokuba usene-ligament ekrazukileyo, okanye usenokuba nolunye uhlobo lokwenzakala.

Ndifanele ndibize ugqirha wam nini?

Ukuba iimpawu zakho, ezinje ngentlungu okanye ukudumba, ziya ziba mandundu emva kweentsuku ezimbalwa, bonana nogqirha.

Yiya kwigumbi likaxakeka ngokukhawuleza ukuba ufumana ezi mpawu:

• Intlungu enzima kakhulu .
• Ukuba ukudumba kuya kusiba mandundu .
• Ukuba ubona ukutshintsha kombala .
• Ukuba awukwazi ukushukumisa idolo okanye ingqiniba yakho konke konke .

Izinto Ekufuneka Uzikhumbule (Umyalezo Omele Uwuthathe Ekhaya)

Uvavanyo loxinzelelo lwe-``(Valgus)`` kunye ne-``(Varus)`` ngamanyathelo okuqala akhawulezayo nalula anceda oogqirha ukuba bafumanise ukuba kukho ukwenzakala kwimisipha edolweni okanye engqinibeni yakho. Nangona benganiki mpendulo ichanekileyo , banokukunceda ukhokele amanyathelo alandelayo ekuxilongeni nasekunyangeni ukwenzakala kwakho.

Ukuba wenzakele edolweni okanye engqinibeni – ingakumbi ukuba awukwazi ukuzisebenzisa okanye ukuzishukumisa – bona ugqirha okanye uye kwigumbi likaxakeka ngoko nangoko. Ukunyamekela impilo yakho yeyona nto ibalulekileyo!

Intlungu yedolo , Intlungu yengqiniba, Ukulimala kwemisipha, Uvavanyo loxinzelelo, Uvavanyo lweValgus, Uvavanyo lweVarus, Iingxaki zamalungu