Ngaba wakha waneentlungu zedolo ngequbuliso ngelixa udlala, ubaleka, okanye uhla ngezinyuko? Ngaba ukhe weva isandi 'sokunqakraza' ngaphakathi waza waziva ngathi idolo lakho liza kuphelelwa ngamandla? Xa usiya kugqirha ngelo xesha, enye yeendlela azisebenzisayo ukuhlola idolo lakho ibizwa ngokuba yi-'Anterior Drawer Test'. Masibone ukuba yintoni, yenziwa njani, kwaye ingaba kukho into omele uyoyike.
Yintoni i-Anterior Drawer Test?
Ngamafutshane, uvavanyo lwe-Anterior Drawer luyinkqubo ekhethekileyo apho ugqirha ehlola idolo lakho ngesandla. Oku kujonga ikakhulu ukuba i-anterior cruciate ligament (ACL) edolweni lakho yonakele na, nto leyo ethetha ukuba ikrazukile.
Khawuthelekelele, ngaphakathi edolweni lethu, kukho imixokelelwane eqinileyo edibanisa ithambo lethanga (iFemur) kunye nethambo leshin (iTibia). Sibiza ezi ligaments ngokuthi `(Ligaments).` Ezi zezona zinto zigcina idolo lizinzile kwaye lingatsibi ngokungeyomfuneko. `I-ACL` yenye yezi ligaments. Ukuchaneka, le `ACL` iyayithintela ithambo lakho leshin ekutsibeni phambili ngokungeyomfuneko ngokunxulumene nethambo lethanga.
Kuvavanyo lweDrawer yangaphambili, ugqirha wakho uza kutsala idolo lakho liye phambili izihlandlo ezininzi. Ukuba i-ACL yakho ikrazukile, idolo liya kuphuma ngaphezu kwesiqhelo. Oku kufana nendlela ucango olunokuvulwa ngayo ngokulula xa isitshixo saphukile. Olu luvavanyo olulula olunokwenziwa eofisini kwaye aludingi zixhobo zikhethekileyo.
Ugqirha ulwenza nini olu vavanyo?
Ukuba wenzakele edolweni kwaye uneempawu ezilandelayo, ugqirha wakho unokurhanela ukuba i-ACL yakho yonakele. Olu vavanyo lungenziwa.
| Iimpawu eziqhelekileyo zokwenzakala kwe-ACL | Inkcazo |
|---|---|
| Intlungu yedolo | Intlungu ebuhlungu eyenzeka kwangoko emva kokwenzakala okanye kungekudala emva koko. |
| Ukuziva ngathi idolo "alilawuleki" | Xa ume okanye uhamba, idolo liyagoba ngequbuliso lize livakale ngathi alilawuleki. |
| Ukudumba | Idolo lisenokudumba kwimizuzu okanye kwiiyure ezi-4-6 emva kokwenzakala. |
| Uthintelo lokuhamba | Ukungakwazi ukolula okanye ukugoba idolo ngokupheleleyo. |
| Ubunzima bokuhamba | Ukuziva intlungu okanye ukungazinzi xa uhamba. |
Ungayenza njani i-Anterior Drawer Test ngokuchanekileyo?
Le yindlela elula kakhulu yokuba ungaziva ntlungu ingako. Khawuthelekelele ulele ujonge phezulu etafileni yovavanyo.
| Amanyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungisa indlela oma ngayo | Emva kokuba ulele ngomqolo, ugqirha uza kuphakamisa ithanga lakho malunga nama-45 degrees. |
| 2. Ukugoba kwedolo | Okulandelayo, goba idolo lakho ngama-90 degrees, oko kukuthi, kwi-engile yasekunene, uze ubeke unyawo lwakho ebhedini. |
| 3. Ukuzinzisa unyawo | Ugqirha uza kuhlala emlenzeni wakho enobunzima obuncinci aze awuqinise ebhedini. |
| 4. Ukutsala phambili | Ngoku ugqirha uza kubamba idolo lakho elingaphezulu, ngaphantsi kwedolo, ngezandla zombini, aze ngobunonoEcaleni kwabo, oko kukuthi, ukutsala phambili. |
Ixesha elininzi, ugqirha uza kuqala enze olu vavanyo edolweni lakho eliphilileyo, elingachaphazelekiyo . Oku kwenzelwa ukufumana umbono wokuba injani indlela eqhelekileyo yokunyakaza kwedolo lakho. Emva koko, idolo elichaphazelekileyo liya kuhlolwa. Emva koko, unokubona ngokucacileyo umahluko phakathi kwezi zimbini.
Kwenzeka ntoni ngexesha nasemva kovavanyo?
Kubalulekile ukuba uhlale uzolile kangangoko unako ngeli xesha lovavanyo. Ugqirha wakho uza kukuxelela ukuba ugcine izihlunu zakho zemilenze, ingakumbi iihamstrings, zikhululekile. Ukuba uziva iintlungu ngexesha lokunyakaza, xelela ugqirha wakho.
Eyona nto ibalulekileyo kukuba olu vavanyo aluyi kubangela monakalo owongezelelekileyo edolweni lakho. Nokuba i-ACL ikrazukile, ayizukubangela ntlungu ingako. Ngoko ke ungoyiki.
Emva kovavanyo lweDrawer yangaphambili, ukuba kukho ukrokrelo lokuba kukho ukukrazuka kwe-ACL, ugqirha unokucebisa ezinye iimvavanyo ezininzi ukuqinisekisa oko.
- Iskeni ye-MRI (Magnetic Resonance Imaging): Oku kunokubona ngokucacileyo umonakalo kwizicubu ezithambileyo ezifana ne-ligaments kunye ne-meniscus (iindawo ezifana ne-cushion).
- I-X-reyi: Le isetyenziselwa ukujonga umonakalo emathanjeni, njengokuqhekeka.
- I-ultrasound scan: Oku kusetyenziswa nakwezinye iimeko.
Kusenokufuneka wenze utyando oluncinci olubizwa ngokuba yi-knee arthroscopy ukuze ujonge okanye ulungise umonakalo ongaphakathi edolweni. Oku kuquka ukufaka ikhamera encinci edolweni. Le yinkqubo edla ngokuba yinkqubo yosuku olunye.
Ungafunda njani iziphumo zovavanyo?
Isiphumo sale nto asilonani elifana nempendulo kwingxaki yezibalo. Kufana nokuthi 'ewe' okanye 'hayi'.
- Isiphumo Esihle: Ukuba xa ugqirha etsala idolo lakho phambili, liza phambili ngaphezu kwedolo eliphilileyo, oko kuthetha ukuba i-ACL isenokukrazuka.
- Isiphumo Esibi: Ukuba akukho ntshukumo ingaqhelekanga yedolo, isiphumo siba sibi.
Kodwa khumbula, nokuba isiphumo asibi, akuthethi ukuba i-ACL ayinamonakalo ngokupheleleyo. Kusenokwenzeka ukuba elinye i-ligament okanye elinye icandelo ledolo lonakele. Yiyo loo nto uvavanyo lwe-Anterior Drawer luyinxalenye enye yenkqubo epheleleyo yovavanyo.
Ndifanele ndimbone nini ugqirha?
Ukuba wenzakele edolweni kwaye uneentlungu, bona ugqirha ngokukhawuleza. Nangona kunjalo, ukuba unayo nayiphi na kwezi zilandelayo:Yiya kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
| Iiflegi ezibomvu xa ufanele uye esibhedlele ngoko nangoko | |
|---|---|
| Intlungu ebuhlungu | Intlungu ayinyamezeleki. |
| Ukudumba okuya kusiba mandundu | Ukuba ukudumba edolweni kuyanda kancinci kancinci. |
| Utshintsho lombala | Ukuba ulusu olujikeleze idolo lujika lube luhlaza okwesibhakabhaka okanye lube mfusa. |
| Ukungakwazi ukuhamba | Ukuba awukwazi ukushukumisa idolo lakho konke konke. |
Ngaba kukho uvavanyo olufana nolu kwamanye amalungu?
Ewe, iindlela ezifanayo nezovavanyo lwe-Anterior Drawer Test nazo zisetyenziselwa ukuvavanya ukwenzakala kwe-ankle kunye ne-ligament yehlombe. Indawo yovavanyo iyahluka kancinci ngokuxhomekeke kwindawo yelungu ngalinye.
Yintoni umahluko phakathi kovavanyo lwe-Anterior Drawer kunye novavanyo lweLachman?
Uvavanyo lweLachman` lolunye uhlobo oludumileyo olusetyenziswa ukuvavanya ukukrazuka kwe-`ACL`. Umahluko ophambili phakathi kwezi zimbini bubungakanani bokugoba kwamadolo ngexesha lovavanyo.
- Uvavanyo lweDrawer yangaphambili: Idolo ligobile ngama-90 degrees kwaye livavanyiwe.
- Uvavanyo lweLachman: Idolo livavanywa ngokuligoba kancinci, malunga nama-20-30 degrees.
Oogqirha banokusebenzisa enye okanye zombini ezi mvavanyo xa becinga ukuba kukho ukwenzakala kwe-ACL.
Umyalezo Wokuya Ekhaya
- Uvavanyo lwe-`Anterior Drawer` luvavanyo olulula, olukhawulezayo nolwenziwa ngesandla oluqhutywa ngugqirha ukujonga umonakalo kwi-`ACL` ligament edolweni.
- Akukho mfuneko yokoyika olu vavanyo. Aluyi kubangela ntlungu ingako okanye umonakalo ongaphezulu edolweni lakho.
- Eli linyathelo elinye nje kwinkqubo yonke yokuxilonga. Amaxesha amaninzi, esi sifo siqinisekiswa ngokwenza into efana ne-MRI scan.
- Ukuba wenzakele kakhulu edolweni, uneentlungu eziqatha, uvuvukile, okanye awukwazi ukushukumisa umlenze wakho, bona ugqirha ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele.
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