Ngaba unengxaki efana nale ngedolo lakho? Masifunde ngqo malunga (ne-ACL Tear)!

Ngaba wakha weva isandi esithi "click" edolweni lakho ngelixa udlala imidlalo, ubaleka, utsiba, okanye uhamba nje ngendlela eqhelekileyo, waza ngequbuliso waziva intlungu ebukhali waza akakwazi ukugoba okanye ukolula idolo lakho? Okanye ngaba idolo lakho lavakala lidumbile kwaye liqinile? Ezi zinokuba ziimpawu ze-ligament ekrazukileyo edolweni, ingakumbi leyo sithetha ngayo (ACL Tear) . Ngoko ke, masithethe ngale nto ngendlela elula namhlanje.

Yintoni le (ACL Tear)? Masiqonde kakuhle!

Ngamafutshane, ukukrazuka kwe-ACL kukukrazuka kwi -anterior cruciate ligament (ACL) . I-ACL yenye ye-ligaments ezine ezinkulu edolweni. Yicinge njengebhanti eqinileyo. Idibanisa ithambo lakho lethanga, i-femur , nethambo lakho lesifuba, i-tibia .

Ngaphakathi edolweni lakho, le (ACL) kunye nenye i-ligament ebizwa ngokuba yi- (PCL - Posterior Cruciate Ligament) zibekwe ngendlela efana nonobumba othi "X". (ACL) ikwindawo engaphambili edolweni, kwaye (PCL) ikwindawo engasemva edolweni.

Umsebenzi ophambili wale ligament (ACL) kukuthintela idolo lakho ekugobeni kakhulu, okanye ekujikeni kakhulu. Oko kukuthi, kunceda ukugcina idolo lakho lizinzile. Ngoko ke, ukuba idolo lakho liphantsi kwamandla agqithisileyo, kwaye ligobe okanye lijike kakhulu, le ligament (ACL) ingonakala okanye ikrazuke.

Ukulimala kwe-ACL kuxhaphake kakhulu phakathi kwabadlali, kodwa kunokwenzeka nakubani na. Ukuba uneentlungu zedolo, ingakumbi ukuba ziqale emva kwengozi okanye ngexesha lokudlala imidlalo, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Ngaba kukho amanqanaba ahlukeneyo okwenzakala (ACL)?

Ewe, oogqirha babhala phantsi ezi nzakala (ACL) ngokobunzima bazo. Oku kusinceda siqonde ukuba injani ingozi. Kukho amanqanaba amathathu aphambili:

• Ibanga loku-1: Kulapho i-ACL ikrunekileyo, nto leyo ebangela umonakalo othile, kodwa ayikrazukanga ngokupheleleyo. Oku kuthetha ukuba i-ligament isekwinxalenye enye, ibambe amathambo edolo kunye. Kodwa ibuthathaka kancinci.
• Ibanga lesi-2: Apha i-ACL ligament yoluliwe kakhulu, ikrazukile kancinci. I-ligament ikhululekile, kwaye ukuzinza kwedolo kuyancipha.
• Ibanga lesi-3: Eli lelona tyala linzima kakhulu. Apha i-ACL ikrazukile ngokupheleleyo, yahlulwe yaba ziingceba ezimbini.

Kuvakala njani ukuba ne-ACL drain?

Abantu abaninzi bayalikhumbula ixesha apho bakrazula i-ACL yabo ngokucacileyo, kuba oku kwenzeka rhoqo kwisiganeko esicacileyo, njengengozi yezemidlalo.

Umntu one-ACL izinyembezi unokufumana ezi zinto zilandelayo:

• Uva okanye uva isandi esithi "click" okanye "pop" edolweni lakho.
• Idolo ngequbulisoUkuziva "ungazinzanga", ungenalawulo (ukungazinzi, ubuthathaka).
• Iinyembezi ze-ACL zinokuba buhlungu kakhulu. Abanye abantu banokufumana ukungakhululeki okuncinci kuphela. Nangona kunjalo, ukuba wenzakele edolweni lakho, ingakumbi ukuba uva okanye uva isandi esifana neso sikhankanyiweyo apha ngasentla, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Ziqheleke kangakanani iingozi ze-ACL?

Enyanisweni, ukwenzakala kwe-ACL kuxhaphake kakhulu. Kuzo zonke ii-ligaments ezisedolweni, i-ACL yeyona yenzakele kakhulu. Ngokwezibalo ezithile, umzekelo, eMelika kuphela, malunga ne-100,000 ukuya kwi-200,000 yabantu ikrazula i-ACL yabo minyaka le. Ngoko ke khawucinge ukuba oku kuxhaphake kangakanani.

Zithini iimpawu ze-ACL Tear?

Njengoko besikhe sathetha ngayo ngaphambili, iimpawu eziphambili ze-ACL Tear zezi:

• Ukuva okanye ukuva isandi esithi "click" okanye "pop" edolweni.
• Ukudumba: Idolo liqala ukudumba kwangoko emva kokwenzakala okanye emva kweeyure ezimbalwa.
• Intlungu: Intlungu eqatha inokubakho, ingakumbi xa uzama ukuma okanye ukuhamba ngedolo.
• Ubuthathaka okanye ukuziva ngathi idolo "liyaqhuma": Idolo lisenokuziva libuthathaka kwaye ligobe ngequbuliso xa lime.
• Ubunzima bokushukuma: Ukungakwazi ukugoba okanye ukolula idolo ngokupheleleyo.

Zithini izizathu ze-ACL Tear?

Ngamafutshane, ukukrazuka kwe-ACL kunokwenzeka xa idolo lakho liphantsi kwamandla okanye uxinzelelo olugqithisileyo. Oku kuthetha ukuba idolo lityhalelwa ngaphaya komlinganiselo walo wendalo wokunyakaza.

Izizathu eziqhelekileyo zokulila kwe-ACL zezi:

• Iingozi zemidlalo: Ingakumbi kwimidlalo equka ukuma ngequbuliso, ukutshintsha kwesikhokelo ngequbuliso, kunye nokutsiba (umz., ukubaleka kwibhola ekhatywayo, i-netball, i-basketball, i-volleyball, i-cricket).
• Iingozi zeemoto: Ukubetheka kakhulu edolweni ngexesha leengozi zeemoto.
• Ukuwa: Kwiimeko ezifana nokuwa usuka kwindawo ephakamileyo okanye ukutyibilika.

Ngubani osengozini enkulu ye-(ACL Tear)?

Nabani na unokufumana i-ACL tear. Nangona kunjalo, ixhaphake kakhulu phakathi kwabadlali. Njengoko bekutshiwo ngaphambili, abo badlala imidlalo equka ukuyeka ngequbuliso, ukujika, kunye nokutshintsha kwendlela basengozini enkulu. Umzekelo:

• Ibhola ekhatywayo
• Ibhola ekhatywayo
• Ibhola yomnyazi
• Ijimnastiki
• Ibhola yomnyazi
• Ibhola yevoli

Zithini iingxaki ze-ACL Tear?

Kwingozi enkulu ngokwaneleyo ukuba ikrazule i-ACL, nezinye iindawo zedolo zinokonakala, yiyo loo nto kubalulekile ukufuna unyango ngokukhawuleza.

Kunye nokukrazula kwe-ACL, ezinye iiligaments edolweni lakho nazo zingonakaliswa, ezifana nezi:

• (I-Medial Collateral Ligament - MCL)
• (I-Lateral Collateral Ligament - LCL)
• (I-Posterior Cruciate Ligament - PCL)

Kwakhona, ezinye iingozi ezinokwenzeka nge-ACL izinyembezi ziquka:

• Ukuqhekeka kwamathambo
• Iinyembezi zeMeniscus ( i-meniscus yinxalenye efana ne-cartilage ephakathi kwamathambo edolo)
• Ukuxinana kwemisipha

Indlela yokubona ukukrazuka kwe-ACL?

Ugqirha uxilonga i-ACL crisp ngokubuza ngeempawu zakho, enze uvavanyo lomzimba, kwaye mhlawumbi enze uvavanyo oluthile.

Okokuqala, ugqirha uza kukubuza ukuba kwenzeke njani ukwenzakala, zeziphi iimpawu onazo, kwaye ixesha elide kangakanani unentlungu. Kufuneka uxelele ugqirha ukuba ubusenza ntoni ngaphambi kokuba wenzekele edolweni lakho kwaye ukuba uziqaphele nini iimpawu.

Emva koko, ugqirha uza kushukumisa idolo nomlenze wakho ngeendlela ezithile. Ungaziva ungakhululekanga okanye uneentlungu ngeli xesha. Ukuba nayiphi na kwezi ndawo okanye iintshukumo zibuhlungu, xelela ugqirha wakho.

Kuya kufuneka wenze olunye okanye ngaphezulu kwezi vavanyo zokuthatha imifanekiso :

• Ii-X-reyi: Ezi zinokujonga naziphi na iimpawu zokuqhekeka kwethambo.
• I-CT scan (i-Computed Tomography scan): Oku kunokunika umbono othile ngamathambo kunye nezicubu ezithambileyo.
• I-MRI (Umfanekiso weMagnetic Resonance): I-MRI yeyona ndlela ilungileyo yokuxilonga ngokuchanekileyo ukwenzakala kwimisipha kunye nezicubu ezithambileyo, njengokukrazuka kwe-ACL.

Inyangwa njani i-ACL tear?

Unyango lumiselwa ngokwenqanaba lokwenzakala kwakho (i-ACL) (oko kukuthi, ukuba kukhulu kangakanani) kunye nokuba kukho nawuphi na omnye umonakalo edolweni lakho.

Izinto ekufuneka zenziwe kwangoko emva kokwenzakala (indlela ye-RICE):

Wakuba uqaphela iintlungu zedolo okanye ezinye iimpawu, yeka ukudlala imidlalo okanye ukwenza imisebenzi ebeka uxinzelelo edolweni lakho. Emva koko landela le ndlela ye-RICE :

• R - Phumla: Kuphephe ukwenzakala okubangele ukuba wenzeke. Musa ukubeka ubunzima obukhulu edolweni lakho de liphole.
• I - Umkhenkce: Beka ipakethe yomkhenkce egqunywe ngetawuli ebhityileyo okanye iityhubhu ezimbalwa zomkhenkce edolweni elilimeleyo malunga nemizuzu eli-15 izihlandlo ezininzi ngemini. Oku kuya kunciphisa ukudumba kunye nentlungu.
• C - Uxinzelelo: Songa idolo lakho ngebhandishi elastiki. Oku kuya kunceda ekunciphiseni ukudumba. Kodwa khumbula, ungayisongi kakhulu , kuba oku kunokuthintela ukuhamba kwegazi.
• E - Ukuphakama: Gcina amadolo neenyawo zakho zingaphezulu kwenqanaba lentliziyo yakho kangangoko unako. Ungasebenzisa into efana nomqamelo ukuzixhasa.

Ugqirha wakho unokucebisa izinto ezifana nezi ukunceda ukulawula iintlungu zakho kunye nezinye iimpawu:

• Sebenzisa iintonga (hamba ngaphandle kokubeka ubunzima emadolweni akho).
• Nxiba i-brace ukuze idolo lakho lihlale lizinzile.
• Iipilisi zokunciphisa iintlungu ezinokuthengwa kwikhemesti ngaphandle kwemvume kagqirha, umzekelo (iiNSAID - IiNonsteroidal Anti-inflammatory Drugs) (umz. i-Ibuprofen) okanye (i-Acetaminophen) (umz. iPanadol).
• Unyango lomzimba: Oku kubaluleke kakhulu. Ingcali yonyango lomzimba iya kukufundisa imithambo yokukunceda ufumane amandla, ukuguquguquka, kunye nokuhamba edolweni lakho.

Ngaba iinyembezi ze-ACL ziya kuphola zodwa?

I-ACL ekrazukileyo ayizipholi ngokwayo. Nangona kunjalo, ukuba ukwenzakala akukubi kakhulu (umz., ukwenzakala kwebanga loku-1), abanye abantu banokuphila nako. Oko kukuthi, banokwenza imisebenzi yabo yemihla ngemihla ngaphandle kobunzima obukhulu.

Nangona kunjalo, ukuba ungumdlali wezemidlalo okanye umntu othanda ukuphila ubomi obusempilweni, uya kufuna utyando lokulungisa i-ACL. Abantu abaninzi bakhetha utyando lokususa i-ACL krazuke.

Masifunde ngotyando lwe-ACL Tear

Utyando lokulungisa iingozi zedolo olufana nolu ludla ngokwenziwa njengenkqubo yokulaliswa ngaphandle kwesibhedlele, nto leyo ethetha ukuba akufuneki uhlale esibhedlele.

Ugqirha otyandayo udla ngokwenza inkqubo ebizwa ngokuba yi- knee arthroscopy . Oku kuquka ukwenza imingxunya embalwa emincinci edolweni, ukufaka ikhamera kunye nezixhobo ezincinci, kunye nokulungisa umonakalo phantsi kwesikhokelo semonitha. Le yinkqubo engenabungozi kangako , enceda ukuphola ngokukhawuleza kunye nokunciphisa amanxeba. Ungabuza ugqirha wakho ukuba akunike ulwazi oluthe kratya malunga noku.

Ngaba ukukrazuka kwe-ACL kungathintelwa?

Ngamanye amaxesha kunzima ukuthintela ukukrazuka kwe-ACL, ingakumbi ukuba ungumdlali wezemidlalo. Kuba asinakukwazi ukucwangcisa ukwenzakala kwezemidlalo kunye neengozi.

Nangona kunjalo, kukho izinto esinokuzenza ukunciphisa umngcipheko.

Ngexesha lokudlala imidlalo okanye eminye imisebenzi yomzimba:

• Nxiba izixhobo zokhuseleko ezifanelekileyo.
• Ukuba ufumana iintlungu zedolo ngelixa udlala imidlalo okanye uzilolonga, yeka "ukudlala ukuphelisa iintlungu." Phumla ngoko nangoko.
• Nika umzimba wakho ixesha lokuphumla nokuchacha emva komsebenzi onzima.
• Zifudumeze uze wolule kakuhle ngaphambi kokuba udlale imidlalo okanye wenze umthambo.
• Zipholise uze uzolule kwakhona emva kwemisebenzi.
• Ngokuthatha inxaxheba kwiinkqubo zokuzilolonga eziqinisa idolo kunye nezihlunu zomzimba ezisezantsi ngexesha lokuphumla, ungalungisa amalungu ukuze amelane noxinzelelo olubekwa edolweni ngexesha lonyaka.

Landela la macebiso okhuseleko ukuze unciphise umngcipheko wokwenzakala:

• Kuphephe ukumisa iinyawo zakho ziqine kwindawo enye uze ujikelezise umzimba wakho ngaphezu kwamadolo akho.Esi sesona sizathu siphambili somonakalo kwi-ACL kunye ne-meniscus kubadlali.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile, ingenazo izinto ezingafunekiyo nezinto ezinokukuphazamisa.
• Soloko usebenzisa izixhobo ezifanelekileyo ukufikelela kwizinto eziphakamileyo ekhayeni lakho. Ungaze ukhwele ezitulweni, etafileni, okanye kwiikhawuntara.
• Ukuba unengxaki yokuhamba okanye usemngciphekweni omkhulu wokuwa, sebenzisa intonga yakho okanye isixhobo sokuhamba.

Kuthatha ixesha elingakanani ukuphola kwi-ACL drain?

Kudla ngokuthatha iinyanga ezintandathu ukuya kwezisithoba ukuphola kwintlungu ye-ACL. Abadlali abakhuphisanayo banokuthatha ixesha elide ukuba baphile ngokupheleleyo baze bavunyelwe ukuba babuyele ekudlaleni.

Ugqirha wakho uza kukuxelela ukuba ungaphinda uqalise nini ukwenza umthambo. Musa ukudlala imidlalo okanye ukwenza umthambo de ugqirha wakho akunike imvume. Ukuba uphinda uqalise ukwenza umthambo ngaphambi kokuba i-ACL yakho iphile ngokupheleleyo, unokuba namathuba amaninzi okuyenzakalisa kwakhona.

Ngaba ungahamba nge-ACL ekrazukileyo?

Abanye abantu banokuhamba bene-ACL ekrazukileyo. Nangona kunjalo, ukuba kukho intlungu, musa ukuyishukumisa ngenkani okanye ukuyisebenzisa idolo lakho. Ukuba unentlungu okanye ezinye iimpawu zokwenzakala edolweni, bona ugqirha. Ukubeka uxinzelelo olungakumbi kwi-ACL eyonzakeleyo kunokwenza nokuba ukwenzakala okuncinci kube kubi ngakumbi.

Ndifanele ndimbone nini ugqirha wam?

Bona ugqirha ngokukhawuleza emva kokuba ulimele edolweni. Xelela ugqirha wakho ukuba ubona naziphi na iimpawu ezintsha okanye ukuba intlungu ibonakala isiya isiba mandundu.

Ukuba wenzeke ingozi enkulu (ukwenzakala) , njengengozi yemoto okanye ukuwa kakhulu, yiya kwicandelo lezonyango ngokukhawuleza esibhedlele. Kwiingozi ezinjalo, usenokuba nezinye iingozi zangaphakathi onokuthi ungaziqapheli kwangoko.

Ndingayibuza yiphi imibuzo ugqirha wam?

Xa usiya kugqirha, kungcono ukubuza imibuzo efana nale:

• Ngaba ndine-ACL drain okanye ndingenzakele kwenye indawo?
• Ingaba le ngozi ingakanani?
• Ngaba ndiza kufuna utyando?
• Ndiza kulinda ixesha elingakanani ngaphambi kokuba ndiqalise ukuzilolonga okanye ukudlala imidlalo kwakhona?
• Iyintoni ingozi yokukrazula i-ACL kwakhona kwixesha elizayo?

Ngaba ukukrazuka kwe-ACL kuphinde kwenzeke?

Nokuba i-ACL ilungiswa ngotyando, kukho ithuba elincinci kakhulu lokuba i-ACL iphinde ikrazuke kwixesha elizayo. Ngaphantsi kwe-10% yabantu abane-ACL krazuke baya kuphinda bayikrazule i-ACL efanayo. Buza ugqirha wakho okanye ugqirha wakho ukuba akunike ulwazi oluthe kratya malunga noku.

Ngaba ukukrazuka kwe-ACL kuthetha "ukuphela komsebenzi womdlali"?

Uninzi lwexesha, ukukrazuka kwe-ACL akusosiphelo somsebenzi womdlali.Eyona nto ibalulekileyo kukungakhawulezisi inkqubo yokuphiliswa. Uninzi lwabantu abanengxaki yokukrazula kwe-ACL banokubuyela kwimidlalo yabo ngaphandle kwemiphumo emibi yexesha elide.

Inkqubo yokubuyisela impilo emva kotyando lwakho yeyona ndlela ilungileyo yokufumana amandla nokuguquguquka edolweni lakho. Kuya kufuneka ulungise idolo lakho kangangexesha elithile ngaphambi kokuba ubuyele kwezemidlalo.

Buza ugqirha wakho okanye ugqirha wakho ukuba kukhuselekile na ukuba uphinde udlale lo mdlalo mnye kwaye ungaqala nini ukuzilolonga.

Ukukrazuka kwe-ACL yenye yezona zinto zixhaphakileyo edolweni kubadlali. Kunokuba yinto ecaphukisayo ukuba ungadlali kangangeenyanga. Nangona kunjalo, ungaze ukhawulezise inkqubo yokuphiliswa. Ukuba utyando lokulungisa i-ACL yakho, uya kukwazi ukubuyela ebaleni okanye ejimini ngokukhawuleza nje ukuba idolo lakho liphole.

Ukuba wenzakele edolweni lakho, musa ukulicinezela kakhulu. Ukwenza njalo kunokwenza nokuba ukukrazuka kwe-ACL kube kubi ngakumbi. Bonana nogqirha kwangoko nje ukuba wenzakele edolweni lakho okanye uzive iintlungu.

Umyalezo Wokuya Ekhaya

Kulungile, ngoko ke sithethe kakhulu nge-ACL tear. Okokugqibela, khumbula la manqaku:

• Ukukrazuka kwe-ACL kukwenzakala okuqhelekileyo nokunokuba yingozi edolweni.
• Ukuba ufumana iimpawu ezifana nesandi esithi "cofa" esivela edolweni lakho, ukudumba, iintlungu eziqatha, okanye ukungakwazi ukulawula idolo , funa ingcebiso kagqirha ngoko nangoko.
• Uvavanyo olufana ne -MRI lunokuba yimfuneko ukuze kufunyanwe isifo ngokuchanekileyo.
• Iindlela zonyango ziyahluka ngokuxhomekeke kuhlobo lokwenzakala. Ukuphumla, umkhenkce, kunye nonyango lomzimba zibalulekile. Ukwenzakala okukhulu kunokufuna utyando .
• Ukuvuselelwa yinxalenye ebalulekileyo yenkqubo yokuphiliswa. Landela imiyalelo kagqirha wakho ngokuchanekileyo.
• Ukulandela amanyathelo athile okhuseleko kunokunciphisa umngcipheko wokukrazuka kwe-ACL.
• Ungaze uyityeshele intlungu. Unyango olukhawulezileyo lunokuthintela imeko ukuba ingabi mandundu.

Ukuba unengxaki efana nale, eyona nto ingcono onokuyenza kukungaxhalabi, ufune iingcebiso zonyango ezifanelekileyo, kwaye ngomonde ufumane unyango.

Ukukrazuka kwe - ACL, ukwenzakala edolweni, ukwenzakala kwezemidlalo, ukukrazuka kwemisipha, utyando lwedolo, unyango lomzimba, iintlungu zedolo