Ngaba wakha wadlala ikhilikithi, i-netball, okanye wabaleka waza ngequbuliso waziva 'uqhuma' njengoko idolo lakho liqhekeka ecaleni? Emva koko idolo lakho lavuvuka kangangokuba wawungakwazi nokuhamba? Uninzi lwexesha, xa kwenzeka into efana nale, sicinga ukuba kukukruneka nje. Kodwa oku kungaba yinto enzulu ngakumbi, ukukrazuka kwe-ACL, umsipha obalulekileyo edolweni lakho. Masithethe ngale nto ngokulula.
Yintoni le ACL?
Ngamafutshane, i-ACL yi-ligament enamandla kakhulu ngaphakathi kwedolo lethu. Ngokuchanekileyo, yi-Anterior Cruciate Ligament. Yicinge njengebhanti eqinileyo. Idibanisa ithambo lakho lethanga (i-Femur) kunye nethambo le-shin (i-Tibia). Kukho ezine zezi ligaments edolweni lethu. I-ACL ikwindawo engaphakathi kwedolo, ngaphambili.
Umsebenzi ophambili wale ligament ye-ACL kukugcina idolo lizinzile. Le ACL ithintela idolo ukuba lingahambi kakhulu phambili kwaye lijikeleze ngaphakathi, ingakumbi xa sibaleka, sitsiba, sima ngequbuliso, okanye sitshintsha indlela. Ngoko ke ukuba liphantsi kwamandla amaninzi, oko kukuthi, ukuba idolo lijijekile ngaphaya kwemida yalo yendalo, le ligament inokukrazuka.
Iimpawu eziphambili zokukrazuka kwe-ACL
Rhoqo, umntu okrazukileyo i-ACL yakhe unokwazi ukubona ukuba yenzeke nini kanye kanye kuba iyabonakala kakhulu. Nazi ezinye iimpawu ekufuneka uziqaphele.
| Uphawu | Inkcazo |
|---|---|
| Ukuva isandi esithi 'tuck' okanye 'pop' | Xa ukwenzakala kwenzeka, usenokuva okanye uve isandi 'esiqhekekayo', ngokungathi kukho into ephukileyo ngaphakathi edolweni. Olu luphawu oluphambili abantu abaninzi abaluxelayo. |
| Ukudumba kwamadolo | Idolo livuvukala kakhulu kwiiyure ezimbalwa emva kokwenzakala. Oku kungenxa yokopha kwangaphakathi okwenzeka xa i-ligament ikrazukile. |
| Intlungu ebuhlungu | Xa ndibeka ubunzima edolweni lam ndize ndime okanye ndizame ukuhamba, ndiziva iintlungu ezinganyamezelekiyo. Kodwa ngamanye amaxesha iintlungu zinokuncipha kancinci. |
| Ukuziva ngathi unesithukuthezi edolweni | Xa ndizama ukufaka ubunzima edolweni lam, ndiziva ngathi "liyatsiba", ndiziva ndibuthathaka, kwaye ndiziva ngathi andikwazi ukulawula umlenze wam ngendlela endifuna ngayo. |
| Ukungakwazi ukugoba okanye ukwandisa idolo | Ngenxa yentlungu nokudumba, idolo alikwazi ukugoba okanye ukwandiswa ngokupheleleyo. |
Eyona nto ibalulekileyo kukuba, ukuba unayo nayiphi na kwezi mpawu kwaye ufumana nayiphi na kwezi mpawu, musa ukuyithatha njengento ekrunekileyo. Qiniseka ukuba ubona ugqirha ngokukhawuleza.
Ngaba kukho iintlobo zeenyembezi ze-ACL ezisekelwe kubukhali bazo?
Ewe, oogqirha bahlula esi sifo sibe ngamanqanaba amathathu aphambili ngokusekelwe kubukhali baso. Oku kwenza kube lula ukuqonda ukuba sibi kangakanani esi sifo.
| Ibanga | Uhlobo lwemeko |
|---|---|
| Ibanga loku-1 | I-ligament yoluliwe kakhulu, inomonakalo othile kwimicu yayo, kodwa ayikrazukanga ngokupheleleyo. Idolo lisazinzile. Le yeyona meko ingenabungozi kangako. |
| Ibanga lesi-2 | I-ligament yoluliwe, ikrazukile kancinci . Oku kubangela ukulahleka okuncinci kokuzinza edolweni. Le asiyomeko ebonwa rhoqo. |
| Ibanga lesi-3 | Le yeyona meko inzima kakhulu.Ikrazukile ngokupheleleyo, yahlulwe yaba ziingceba ezimbini. Kule ndawo, idolo liba lingazinzi kakhulu. Uninzi lwezilima ze-ACL ziwela kolu didi. |
Kwenzeka njani ukukrazuka kwe-ACL? Ngubani osengozini enkulu?
Oku kunokwenzeka nanini na xa kukho amandla amaninzi asetyenziswa edolweni. Kuyingozi kakhulu kwabo badlala imidlalo.
- Ukuma ngequbuliso okanye ukutshintsha kwendlela: Oku kuqhelekile kwimidlalo efana ne-netball, ibhola ekhatywayo, kunye ne-basketball.
- Ukuwela emhlabeni ngendlela engafanelekanga: Oku kunokwenzeka kumdlalo ofana nevolibholi.
- Ukuma kwindawo enye uze ngequbuliso ujije umzimba wakho: Kule ndawo, unyawo lubambeke emhlabeni kwaye idolo liyajikeleza, nto leyo enokwenzakalisa i-ACL.
- Ukubethelwa ngqo edolweni: Oku kungenzeka kumdlalo ofana neragbi okanye kwingozi yemoto.
- Ukuwa: Oku kwenzakala kunokwenzeka ukuba idolo lijika ngendlela engafanelekanga, nokuba ngexesha lokuwa okuqhelekileyo.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akuphulaphule ngononophelo aze akuxelele ngendlela owenzakele ngayo. Emva koko uza kuhlola idolo lakho.
- Uvavanyo lomzimba: Ugqirha uza kujikeleza kancinci aze olule idolo lakho kwiindlela ezahlukeneyo. Oku kuya kukunika umbono ocacileyo wokuba idolo lakho lizinzile kangakanani kwaye umonakalo owenziwe yi-ACL yakho ungakanani. Ezi mvavanyo zinokuba nzima kancinci, kodwa zibalulekile ekuxilongweni.
- Uvavanyo lweMifanekiso: Ungacelwa ukuba wenze olu vavanyo ukuqinisekisa ukuxilongwa nokujonga ukuba ezinye iindawo zedolo zonakele na.
- I-X-reyi: Oku kunokujonga umonakalo wethambo (njengokwaphuka).
- I-MRI Scan: I -MRI scan yeyona ndlela ilungileyo yokubona ngokucacileyo umonakalo kwi-ligaments ezifana ne-ACL kunye nezicubu ezithambileyo ezifana ne-meniscus. Oku kudla ngokusetyenziswa ukuqinisekisa ukukrazuka kwe-ACL.
Ziziphi iindlela zonyango zokukrazula kwe-ACL?
Unyango luxhomekeke kubukhali bemeko yakho, ubudala bakho, kunye nokuba usebenza kangakanani.
Yintoni omawuyenze kwangoko emva kokwenzakala (indlela yeRICE)
Yenza ezi zinto ukulawula iintlungu nokudumba kwangoko nje ukuba kwenzeke ingozi.
| Indlela | Kwenziwe ntoni |
|---|---|
| R (Phumla) - Phumla | Phumla umlenze wakho. Yeka ukuwubeka ubunzima, ukubaleka, nokutsiba ngokupheleleyo. |
| I (Iqhwa) - Ukunyibilika komkhenkce | Faka ipakethe yomkhenkce egqunywe ngelaphu elincinci kuloo ndawo kangangemizuzu eli-15 izihlandlo ezininzi ngemini. Oku kuya kunciphisa iintlungu nokudumba. |
| C (Uxinzelelo) - Ukusebenzisa uxinzelelo | Songa idolo lakho ngebhandishi elastiki. Oku kunokunceda ekulawuleni ukudumba. Kodwa ungalisongi kakhulu. |
| E (Ukuphakama) - Ukuphakama | Soloko ubeka imilenze yakho phezulu kwimiqamelo emininzi, oko kuthetha ukuba kufuneka ibe phezulu kunentliziyo yakho. |
Unyango lwezonyango
- Unyango olungenatyando: Ukuba ukwenzakala akukubi kakhulu (iBanga loku-1), okanye ukuba awusebenzi kakhulu, unyango olungenatyando lunokwenzeka. Oku kungabandakanya ukusebenzisa iintonga, ukunxiba i-brace yamadolo, amayeza entlungu, kunye nonyango lomzimba.
- Utyando: I-ACL ekrazukileyo ayizipholi yodwa. Ke ngoko, ingakumbi kubadlali bezemidlalo kunye nabo baphila ubomi obusebenzayo, utyando lunokufuneka ukubuyisela uzinzo edolweni. Oku kubandakanya ukutshintsha i-ligament ekrazukileyo nge-tendon ethathwe kwenye inxalenye yomzimba. Olu tyando ludla ngokwenziwa ngotyando lwe-keyhole olubizwa ngokuba yi-knee arthroscopy. Oku kuthetha ukuba akukho nxeba likhulu kwaye ukuchacha kuyakhawuleza.
Kuthatha ixesha elingakanani ukuchacha?
Le yingxaki abantu abaninzi abanayo.
Ngokuqhelekileyo kuthatha phakathi kweenyanga ezi-6-9 ukuba umntu aphile ngokupheleleyo aze abuyele ekudlaleni imidlalo emva kotyando lwe-ACL.
Eli xesha linokwahluka kumntu nomntu. Eyona nto ibalulekileyo apha kunyango lomzimba . Emva kotyando, kufuneka wenze iseti efanelekileyo yemithambo ukuze wakhe kwakhona intshukumo, amandla, kunye nokuzinza kwedolo. Ukuba ubuyela kwimidlalo kwangoko, unamathuba amaninzi okulimala kwakhona. Ngoko ke landela imiyalelo enikwe ngugqirha wakho kunye nonyango lomzimba ngokuchanekileyo.
Umyalezo Wokuya Ekhaya
- Ukuba uva isandi esithi 'pop' sivela edolweni lakho size sivuvuke ngequbuliso, musa ukusityeshela. Kukho ithuba elihle lokuba yi-ACL tear.
- Bonana nogqirha kwangoko xa ugula. Ukuxilongwa ngokukhawuleza kubaluleke kakhulu ukuze ufumane unyango.
- I-ligament ye-ACL ekrazukileyo ayizukuphola yodwa. Ukuba ungumntu osebenzayo, utyando lunokufuneka.
- Unyango lomzimba kunye nokuvuselelwa komzimba kubalulekile emva kotyando. Kuphela ukuba ulwenza kakuhle apho uya kuba namandla okusebenza njengangaphambili.
- Yiba nomonde ude uphile. Musa ukukhawuleza ubuyele kwezemidlalo uze ube sesichengeni sokwenzakala okungakumbi. Linda ude ugqirha wakho akunike ithuba.
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