Ngaba wakha waziva ngequbuliso isandi esibuhlungu nesibuhlungu edolweni lakho ngelixa udlala, ubaleka, okanye utsiba? Ngaba umva wedolo lakho udumbile kwaye uluhlaza okwesibhakabhaka? Usenokuba ne-LCL drain. Ungakhathazeki, oku kukwenzakala okuqhelekileyo phakathi kwabadlali. Makhe sithethe ngako ngokweenkcukacha nangokulula.
Kalula nje, yintoni i-LCL tear?
Cinga ngedolo lethu njengehenjisi yocango. Kukho imitya egcina le henjisi iqinile kwaye ithintele ukuba ingashukumi kakhulu. Yiyo leyo imisipha kumacala omabini edolo lethu.
Ngaphandle kwedolo lakho (icala elijonge kude nomzimba wakho), kukho ibhande eliqinileyo elidibanisa ithambo lethanga lakho (i-femur) kunye nelinye lamathambo akho emilenzeni (i-fibula). Oku sikubiza ngokuba yiLateral Collateral Ligament (LCL) .
Umsebenzi wayo ophambili kukuthintela idolo ekugobeni ngaphandle ngokungeyomfuneko . Ukuba le ligament ye-LCL yoluliwe okanye ikrazukile ngenxa yengozi, ukuwa, okanye intshukumo ngequbuliso ngexesha lemidlalo, yiloo nto siyibiza ngokuba yi-LCL tear.
Abadlali abadlala imidlalo efana nebhola ekhatywayo, ibhola ekhatywayo, kunye nokutyibiliza eqhweni ngabona basengozini enkulu yokuhlaselwa yile meko. Nangona kunjalo, ngonyango olufanelekileyo kunye nokuvuselelwa, banokubuyela ebaleni lokudlala.
Kwenzeka njani oku kukrazuka kwe-LCL?
Uninzi lwexesha, olu hlobo lokulimala lubangelwa zizinto ezenzekayo xa kudlalwa imidlalo.
- Ukubetheka okunzima edolweni: Ingakumbi xa idolo libethelwa ngaphakathi, idolo linokuphuma ngaphandle kwaye i-LCL inokukrazuka.
- Ukutshintsha kwecala ngequbuliso: Xa ubaleka ngokukhawuleza uze ngequbuliso ujike uye ecaleni.
- Impazamo xa ufika: Ukuba unyawo lwakho lukwindawo engafanelekanga xa ufika.
- Ukugoba okanye ukujika idolo kakhulu.
- Iintshukumo zokuma nokuhamba.
Umngcipheko uphezulu kuba iimeko ezinjalo zinokwenzeka rhoqo kwimidlalo efana nebhola ekhatywayo, ukutyibiliza eqhweni, ibhola ekhatywayo, kunye nebhasikithi.
Zithini iimpawu zokukrazuka kwe-LCL?
Ukuba ukrokrela ukuba une-LCL tear, khangela ezi mpawu. Usenokuba nenye okanye ngaphezulu kwezi mpawu.
| Uphawu | Indlela evakalelwa ngayo |
|---|---|
| Intlungu | Ndiva intlungu ebukhali ngasemva kwedolo lam. Le ntlungu iqala emva nje kokwenzakala. |
| Ukudumba | Indawo apho kwenzeke khona ingozi, oko kukuthi, umva wedolo, iyadumba. |
| Ukuthamba xa kucinezelwe | Ukuba ucinezela umva wedolo ngomnwe wakho, libuhlungu kakhulu. |
| Ukugruzuka | Ngamanye amaxesha ulusu olujikeleze ukwenzakala lunokuba luhlaza okwesibhakabhaka. |
| Ukuziva ungazinzi | Le yeyona nto yoyikekayo abantu abaninzi abayibonayo. Kuvakala ngathi abanakulawula amadolo abo, kwaye xa bemi, ngequbuliso baziva ngathi 'bayatsiba', 'babambekile', okanye 'bagobile'. Kufana nokuba bayoyika ukubeka unyawo lwabo phantsi. |
Uyifumana njani le nto, Gqirha?
Ukuba ukhe wenzakala ngolu hlobo, kubaluleke kakhulu ukubona ugqirha ngokukhawuleza. Ugqirha uza kuqala akubuze ngendlela eyenzeke ngayo ingozi. Emva koko uza kuhlola idolo lakho.
- Jonga ukudumba kunye neendawo ezibuhlungu xa ucinezelwe.
- Ukujonga uzinzo lwe-ligament ngokushukumisa idolo kumacala ahlukeneyo.
Emva kolu vavanyo, ungacelwa ukuba wenze ezinye iimvavanyo ukuze kuqinisekiswe ukuba ingozi ingakanani na.
- I-X-reyi: Ukukrazuka kwe-LCL akubonakali kwi-X-reyi. Nangona kunjalo, i-X-reyi ibalulekile ukuze kubonwe ukuba i-ligament iphumile ethanjeni kwaye ihamba nayo, okanye ukuba kukho enye i-fracture.
- I-MRI (Umfanekiso weMagnetic Resonance): I -MRI yeyona ndlela ilungileyo yokubona ngokucacileyo ukuba i-LCL ikrazukile na, ikrazukile kangakanani na, kunye nokuba ezinye iiligaments edolweni (ezifana ne-ACL) okanye i-meniscus zonakele na.
- Iskeni ye-Ultrasound:Oku kunika umbono othile ngesimo se-LCL.
Unyango luxhomekeke kwinqanaba lokwenzakala.
Iinyembezi ze-LCL zahlulwe ngokubanzi zibe ngamanqanaba amathathu. Unyango olufumanayo luya kuxhomekeka kwinqanaba lokwenzakala kwakho.
| Udidi lokwenzakala | Imeko | Unyango kunye nexesha lokuchacha |
|---|---|---|
| Ibanga loku-1 | I-ligament yoluliwe kancinci kwaye yonakele kancinci. Ayikrazukanga ngokupheleleyo. | Unyango lwasekhaya (ukuphumla, umkhenkce) lwanele. Ungacetyiswa ukuba usebenzise iintonga kunye ne-brace yamadolo. Ihlala iphola malunga neeveki ezi-3-4 . |
| Ibanga lesi-2 | Ukukrazuka okuncinci kwe-ligament. Idolo alizinzanga kancinci. | Ngokuqinisekileyo kuya kufuneka usebenzise iintonga kunye ne-brace ekhethekileyo. Kuya kufuneka unyango lwe-physiotherapy. Kungathatha malunga neeveki ezisi-8 ukuya kwezili-12 ukuphiliswa. |
| Ibanga lesi-3 | I-ligament ikrazukile ngokupheleleyo (i-Complete tear). Idolo alizinzanga kakhulu. | Kwimeko enjalo, kufuneka utyando rhoqo. I-brace brace kufuneka inxitywe kangangeenyanga eziliqela. Kungathatha iiveki ezisi-8 ukuya kwezili-12 okanye ngaphezulu ukuze iphole. |
Kunini apho kufuneka khona utyando?
Kwingozi yeBanga lesi-3, ingakumbi ukuba i-LCL yonakele kunye nezinye iindawo ezibalulekileyo zedolo (umzekelo, i-Anterior Cruciate Ligament (ACL) okanye i-Meniscus), utyando luyimfuneko ngokuqinisekileyo. Utyando lubandakanya ukuthunga i-LCL ekrazukileyo, ukuyidibanisa kwakhona nethambo, okanye ukuyidibanisa kwakhona kusetyenziswa enye i-tendon.
Zeziphi izinto onokuzenza ekhaya?
Nangona ulandela imiyalelo kagqirha wakho, kukho izinto ezimbalwa onokuzenza ekhaya ukuze ukhawulezise inkqubo yokuphiliswa. Oku kukwabizwa ngokuba yindlela ye-RICE.
- Phumla: Phumla idolo lakho. Musa ukwenza nantoni na ebangela iintlungu. Kuphephe ukubeka umlenze wakho phantsi okanye ukuwubeka ubunzima de ugqirha wakho akuxelele ukuba wenze njalo.
- Umkhenkce: Oku kubaluleke kakhulu ukunciphisa ukudumba kunye nentlungu. Beka ipakethe yomkhenkce egqunywe ngelaphu elincinci kwindawo eyonzakeleyo malunga nemizuzu eli-15-20 . Yenza oku rhoqo emva kweyure eli-1-2 kwiintsuku ezintathu zokuqala . Musa ukubeka umkhenkce ngqo eluswini.
- Uxinzelelo: Songa idolo lakho ngebhandishi elastiki. Oku kunokunceda ukulawula ukudumba. Kodwa ungayisongi kakhulu .
- Ukuphakama: Gcina umlenze wakho uphezulu kangangoko unako. Ukuwuphakamisa ngaphezu kwenqanaba lentliziyo yakho kuya kunceda ukunciphisa ukudumba ngokukhawuleza.
- Iipilisi zokunciphisa iintlungu: Ungathatha amayeza angengo-steroidal anti-inflammatory (NSAIDs) afana ne-ibuprofen, njengoko ugqirha wakho eyalele.
Iingxaki kunye nezinto ezinobungozi ekufuneka uziqaphele
Nangona le meko idla ngokuzilungisa, iingxaki ngamanye amaxesha zinokubakho. Ukuba unayo nayiphi na kwezi mpawu , yazisa ugqirha wakho ngoko nangoko.
- Ukungazinzi kwamadolo okungapheliyo.
- Ukuba uva isandi 'sokunqakraza' edolweni lakho okanye uzive ngathi 'uyatsiba'.
- Ukuba uziva ubuthathaka okanye ubuthathaka edolweni lakho okanye emlenzeni ongezantsi.
- Ukuba uziva ukuqina edolweni lakho.
Ufanele uye nini kwi-ETU (iYunithi yoNyango oluNgxamisekileyo) ngoko nangoko?
Iimpawu ezingezantsi zisenokuba ziimpawu zesifo esibi kakhulu. Ukuba unayo nayiphi na kwezi, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko.
- Ubunzima bokuphefumla, iintlungu zesifuba ngequbuliso, okanye ukukhohlela igazi (ezi zinokuba ziimpawu zokuqhekeka kwegazi emiphungeni - i-Pulmonary Embolism).
- Intlungu, ukudumba, okanye ukuba bomvu ethangeni, emqolo, okanye emlenzeni (ezi ziimpawu zokuqhekeka kwegazi kwimithambo yegazi).
- Ukuba intlungu ayinyamezeleki.
- Unyawo luba mhlophe, lubanda, okanye lutshintshe umbala.
- Ukuba ndindisholo okanye ukungakwazi ukuhambisa iinzwane.
Musa ukulinda nje uze ubone ngexesha elinje. Funa ingcebiso kagqirha ngoko nangoko.
Umyalezo Wokuya Ekhaya
- Ukukrazuka kwe-LCL kukwenzakala kwe-ligament ngaphandle kwedolo. Kuqhelekile phakathi kwabadlali.
- Iimpawu eziphambili ziintlungu ngaphandle kwedolo, ukudumba, kunye nokuziva ungenalo ulawulo lwedolo.
- Ukuba kwenzeka ingozi efana nale, bonana nogqirha ngokukhawuleza.
- Unyango luxhomekeke kubukhulu bokwenzakala (iBanga loku-1, lesi-2, okanye lesi-3). Utyando lunokufuneka.
- Ukuphumla, i-physiotherapy, kunye nokulandela imiyalelo kagqirha wakho kubaluleke kakhulu ngexesha lenkqubo yokuchacha.
- Musa ukukhawuleza ubuyele kwezemidlalo. Yiba nomonde ude uphile ngokupheleleyo.
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