Kwenzeke ntoni edolweni lakho? Masifunde ngovavanyo lweDrawer yangaphambili.

Ngamanye amaxesha xa sibaleka, sitsiba, okanye sidlala imidlalo, amadolo ethu anokungonwabi kancinci, akunjalo? Mhlawumbi nawe ukhe wakwenza oko. Ngoko ke, kwimeko enjalo, uvavanyo olulula olusetyenziswa ngoogqirha ukubona ukuba kukho umonakalo kwi-ligament ebalulekileyo edolweni lakho, i-`(ACL)`, lubizwa ngokuba yi-`(Anterior Drawer Test)`. Makhe sithethe ngale nto ngokweenkcukacha.

Oogqirha balwenza nini olu ``Uvavanyo lweDrawer lwangaphambili''?

Ngoku usenokuba ucinga, 'Kulungile, ngoko ke loluphi uhlobo lovavanyo olu?' Ngokusisiseko, ugqirha uza kwenza olu vavanyo ukuba kukho ukurhaneleka kokuba i-cruciate ligament engaphambili kwedolo lakho, esiyibiza ngokuba yi-Anterior Cruciate Ligament, okanye i-ACL ngamafutshane, ikrazukile okanye yaphukile.

Uyazi, le `(ACL)` yenye yezona ligaments zibalulekileyo edolweni lethu. Ezi ligaments zifana neebhanti eziqinileyo. Ezi zidibanisa ithambo lethu lethanga (`(Femur)`) nethambo eliphambili kumlenze ongezantsi (`(Tibia)`) kunye nethambo elincinci elihambelana nalo (`(Fibula)`), kwaye ligcina idolo lizinzile. Ngokukodwa, umsebenzi we `(ACL)` kukuthintela idolo lethu ukuba lingahambi phambili kakhulu kwaye lingajiki kakhulu . Cinga ngayo njenge `(Brake)` yemoto.

Ngoko ke xa le `(ACL)` yonakele, oko kukuthi, xa ikrazukile, iimpawu ezininzi zinokuvela. Ngokuqhelekileyo, le yingozi eyenzeka ngexesha lemidlalo . Ukuba ufumana ezi mpawu, ugqirha angenza olu vavanyo:

• Intlungu yedolo.
• Ukuziva ngathi "amadolo ayaqhuma", oko kuthetha ukuba idolo liziva ngathi alilawuleki.
• Ukudumba (kunokuqala kwangoko emva kokwenzakala, kodwa kunokuvela emva kweeyure ezine ukuya kwezintandathu).
• Ukungakwazi ukugoba nokwandisa idolo ngokufanelekileyo kuthetha ukuba uluhlu lokunyakaza luyancipha .
• Ububele.
• Ukuziva ungakhululekanga xa uhamba.

Yenziwa njani le `(Uvavanyo lweDrawer lwangaphambili)`?

Oku kulula kakhulu. Awuyi kuba nangxaki ingako. Ugqirha okanye umongikazi uza kujonga ukuba idolo lakho lihamba kangakanani, kunye nokuba kukho na indawo eshukuma kakhulu na. Nazi iindlela:

• Kuya kufuneka ulale ulele etafileni yovavanyo.
• Ugqirha uza kuphakamisa ithanga lakho malunga nama-45 degrees ukusuka kwinqanaba lebhedi (oko kukuthi, alilulwanga ngokupheleleyo, aligobanga ngokupheleleyo, kodwa liphakathi nendawo).
• Emva koko idolo lakho liza kugotywa nge-engile engama-90 degrees (oko kukuthi, lithe nkqo ethangeni lakho).
• Ugqirha uza kubeka ubunzima bakhe enyaweni lakho aze alubambe lungashukumi.
• Okulandelayo, ugqirha uza kubamba umlenze wakho ongezantsi, ngaphantsi kwedolo, aze awutsale kancinci uye kuye (oko kukuthi, uwuqhubele phambili).

Ngamanye amaxesha ugqirha uya kwenza olu vavanyo kwelinye idolo lakho, elingelonzakaliyo, kuqala.Oku kuya kumnika umbono wohlobo oluqhelekileyo lokushukuma kwedolo lakho.

Ugqirha angahlola nomlenze wakho ongezantsi ngokuwutyhalela kude naye, ecaleni kwetafile yovavanyo (`(Posteriorly)`). Oku ngamanye amaxesha kubizwa ngokuba yi`(Posterior Drawer Test)`. Abanye oogqirha benza oku ngexesha elinye ne`(Anterior Drawer Test)`.

Khawucinge nje, ukuba i-`(ACL)` yakho ikrazukile, umlenze wakho ongezantsi uya kuhamba phambili ngaphezu kokuba kufanele . Ngokwesiqhelo, i-`(ACL)` yiyo edibanisa umlenze ongezantsi nomlenze ongaphezulu kwaye iyithintele ekubeni ihambe phambili kakhulu. Ngoko ke ukuba i-`(ACL)` yonakele okanye ikrazukile, umlenze ongezantsi uya kuhamba ngaphezu kwesiqhelo kuba awunayo loo nkxaso.

Ngaba kukho into ekufuneka ndiyilungiselele ngaphambi kolu `(Uvavanyo)`?

Hayi suka! Akufuneki wenze nantoni na ekhethekileyo ukulungiselela olu "Vavanyo lweDrawer lwangaphambili". Eyona nto ibalulekileyo kukubona ugqirha ngokukhawuleza ukuba uneengxaki ngedolo lakho, okanye ukuba ubona iimpawu, ezinje ngobunzima bokushukumisa idolo lakho okanye ukuhamba.

Yintoni endimele ndiyilindele ngexesha lovavanyo?

Kubalulekile ukuhlala uzolile kangangoko ngeli xesha. Ugqirha wakho uza kukuxelela ukuba ugcine imisipha yakho yemisipha kunye neminye imisipha ikhululekile. Ukuba uziva iintlungu ngexesha lovavanyo, ingakumbi ukuba unesimo esithile okanye intshukumo ekwenza uzive ungonwabanga , xelela ugqirha wakho . Ungakhathazeki, ugqirha wakho akazami kukulimaza.

Kwenzeka ntoni emva kovavanyo?

Ngoku ekubeni unombono ocacileyo wokuba i-ACL yakho ikrazukile na nge-Anterior Drawer Test, ugqirha wakho unokuyalela ezinye iimvavanyo ezimbalwa ukuqinisekisa ukuxilongwa. Olu vavanyo luhlala luchanekile kakhulu, kodwa iimvavanyo zokujonga imifanekiso (ezifana nezikrini) zinokunceda ekumiseleni ngqo ukuba i-ACL ikrazukile phi kwaye ikude kangakanani. Kusenokufuneka wenze oku kulandelayo:

• Iskeni ye-MRI (Magnetic Resonance Imaging) luvavanyo olunokubona ngokucacileyo izicubu ezithambileyo ngaphakathi edolweni, njengee-ligaments kunye ne-cartilage.
• Iskeni ye-ultrasound.
• I-X-ray. Oku kujonga ukuba amathambo edolo onakele na.

Kusenokufuneka wenze i-dolo arthroscopy ukuze uxilonge okanye ulungise umonakalo ongaphakathi edolweni lakho. Le yinkqubo engaphantsi kakhulu esebenzisa ikhamera ukujonga ngaphakathi edolweni lakho ngokusebenzisa umngxuma omncinci. Kwiimeko ezininzi, ungaya ekhaya ngosuku olunye emva kolu hlobo lotyando.

Ngaba kukho naziphi na iingozi ngale "Anterior Drawer Test"?

Akukho mngcipheko.Olu vavanyo aluyi kulimaza idolo lakho. Usenokuziva iintlungu okanye ukungakhululeki. Nangona kunjalo, nokuba i-ACL ikrazukile, akufanele uzive iintlungu eziqatha. Ugqirha uza kukwenza oku ngononophelo olukhulu.

Zithini iziphumo? Zithetha ukuthini?

Iziphumo zolu vavanyo lwe "Anterior Drawer Test" azifani nezinye iimvavanyo. Oko kukuthi, endaweni yokunika ixabiso elithile okanye uluhlu, ixelela ugqirha ukuba "i-ACL" yakho ikrazukile okanye ayikrazukanga.

Ngokwenyani, oku kufana nokuphendula umbuzo othi 'ewe' okanye 'hayi' . Akufani nokufumana impendulo ecacileyo kwingxaki yezibalo.

Ukuba kukho naluphi na uphawu lokuba i-ACL yakho ikrazukile, oko kuthetha ukuba idolo lakho lihamba phambili kakhulu, ugqirha wakho uya kukubona oku njengesiphumo 'esihle' . Iziphumo 'ezingalunganga' zithetha ukuba idolo lakho alihambi phambili kakhulu, oko kuthetha ukuba uvavanyo alubonisi zimpawu zengxaki nge-ACL yakho.

Nangona kunjalo, iziphumo ezithi "Negative" azithethi ukuba akuyi kufuneka uvavanyo olongezelelweyo. Kusenokwenzeka ukuba i-"ACL" isakrazukile, okanye kunokubakho omnye umonakalo ngaphakathi edolweni. Uvavanyo lwe-"Anterior Drawer Test " sesinye sezixhobo ezininzi ezisetyenziswa ngugqirha ukufumanisa ukwenzakala edolweni. Luyinxalenye yovavanyo olupheleleyo.

Ndifanele ndimbone nini ugqirha?

Ukuba ukhe wehlelwa yingozi kwaye uneentlungu zedolo, qiniseka ukuba ubona ugqirha. Yiya kwigumbi likaxakeka esibhedlele (ER) ngokukhawuleza, ingakumbi ukuba ufumana nayiphi na kwezi zilandelayo:

• Ukuba kukho intlungu enzima .
• Ukuba ukudumba kubonakala ngathi kuya kusiba mandundu .
• Ukuba kukho utshintsho lombala olujikeleze idolo (njengokuba luhlaza okwesibhakabhaka okanye mfusa).
• Ukuba awukwazi nokushukumisa amadolo akho.

Yintoni eyenziwa "kwi-Anterior Drawer Test" eqatheni?

Uvavanyo lwe-Anterior Drawer Test lokwenzakala kweqakala lufana kakhulu nolo lusetyenziswa xa kukhangelwa ukukrazuka kwe-ACL edolweni. Lukwabizwa ngokuba yi-Prone Anterior Drawer Test kuba lufuna ukuba ulale ngomqolo (uxhomekeke kwi-prone). Ugqirha angalusebenzisa ukujonga umonakalo kwimisipha eqakaleni lakho. Lwenziwa ngolu hlobo:

• Uza kulala ujonge phantsi (`(Uxhomekeke)`) etafileni yovavanyo, unyawo lwakho luxhonywe phezu komphetho wetafile.
• Ugqirha uza kubamba umlenze wakho ongezantsi, ngaphezulu nje kweqakala.
• Emva koko ubamba umva wesithende sakho aze asityhale ezantsi (phambili) kwakhona.

Yintoni "Uvavanyo lweDrawer lwangaphambili" kwigxalaba?

Uvavanyo lweDrawer lwangaphambili lufana nolunye uvavanyo lwegxalaba - lunceda ekufumaneni nawuphi na umonakalo okanye ukwenzakala kwilungu legxalaba lakho. Nangona kunjalo, olu vavanyo lwegxalaba lwahlukile kancinci kolo lwedolo okanye iqatha:

• Ufanele ulale ulele .
• Ugqirha uza kukuxelela ukuba wolule ingalo yakho uye ecaleni, ime nkqo emzimbeni wakho, ngokungathi sisiqingatha se-'T'.
• Uyakuxhasa ngokubamba ingalo yakho phantsi kwengalo enye.
• Ngesinye isandla, ugqirha uza kukucinezela kancinci esifubeni sakho, ebambe igxalaba lakho (`(Scapula)`) lingashukumi.
• Emva koko ugqirha uza kuphakamisa ingalo yakho eyoluliweyo ngononophelo ngaphezu komgangatho webhedi (ngaphambili) aze ayijonge.

Yintoni umahluko phakathi kovavanyo lwe-"Anterior Drawer Test" kunye novavanyo lwe-"Lachman Test"?

Zombini i-Anterior Drawer Test kunye ne-Lachman Test ziimvavanyo zomzimba ezisetyenziswa ngoogqirha ukuze babone ukukrazuka kwe-ACL. I-Lachman Test yinguqulelo eguqulwe kancinci ye-Anterior Drawer Test.

Endaweni yokubamba ithanga lakho nge-engile ye-45 degrees njengakwi-Anterior Drawer Test, kwi-Lachman Test, ugqirha ubamba ithanga lakho nge-engile ye-20- okanye ye-30 degrees (oko kuthetha ukuba kufutshane kancinci netafile olele kuyo).

Ngokufanayo, kwi-"Anterior Drawer Test" (Uvavanyo lweDrawer lwangaphambili), ugqirha ubeka unyawo lwakho etafileni aze alubambe ngobunzima obuphezulu. Nangona kunjalo, kwi-"Lachman Test" (Uvavanyo lweLachman), ugqirha uxhasa ubunzima bomlenze wakho ngezandla zakhe. Njengakwi-"Anterior Drawer Test" (Uvavanyo lweDrawer lwangaphambili), kwi-"Lachman Test" (Uvavanyo lweLachman), ugqirha utsala umlenze wakho ongezantsi ngokuphindaphindiweyo ecaleni lakhe (phambili) ukuze abone ukuba idolo lihamba kangakanani.

Ngoko ke, sithini isigidimi esifanele sisithathe ekhaya kuko konke oku?

Ngamafutshane, uvavanyo lwe-Anterior Drawer luyindlela ekhawulezayo nekhuselekileyo yokuba ugqirha afumanise ukuba une-ACL ekrazukileyo edolweni lakho. Ayifuni zixhobo zikhethekileyo kwaye ingenziwa ngemizuzu embalwa. Nangona kunjalo, kunokufuneka ukuba wenze uvavanyo lwemifanekiso (ezifana neeskeni) ukuqinisekisa iziphumo zolu vavanyo.

Eyona nto ibalulekileyo kukuba, ukuba kukho into eyenzeka edolweni lakho, ukuba uziva iintlungu, qiniseka ukuba ubonana nogqirha. Ngabo abaza kufumanisa ukuba yintoni kanye kanye ingxaki baze bakunike unyango olufunayo.

Njengoko uphola emva kokwenzakala kwe-ACL, qhubeka uthetha nogqirha wakho. Uza kukuxelela into omawuyilindele kunye nexesha apho kuya kuba kukhuselekile ukudlala imidlalo, ukubaleka, okanye ukutsiba kwakhona. Kubalulekile ukunyamekela umzimba wakho!

Idolo , i-ACL, Uvavanyo lweDrawer yangaphambili, Ukulimala kwedolo, iiLigaments, Uvavanyo lwezonyango, Ukulimala kwezemidlalo