Ingaba ungumlandeli wezemidlalo? Mhlawumbi udlala umdlalo ofana nebhola ekhatywayo, i-volleyball, okanye i-netball. Okanye mhlawumbi ubaleka, utsibe, okanye uphakamise iintsimbi. Kuthekani ukuba ngequbuliso uva intlungu ebukhali ngaphakathi kwedolo lakho ngesandi esithi 'click'? Okanye mhlawumbi ubethelwa ngumntu kwaye idolo lakho ligobe ngaphakathi? Ngamaxesha anje, kukho ithuba elikhulu lokuba i-MCL yakho, umsipha obalulekileyo edolweni lakho, inokonakala. Namhlanje, siza kuthetha ngokuba yintoni i-MCL tear, ukuba yenzeka njani, kunye nento omawuyenze ngayo.
Ngamafutshane, yintoni i-MCL tear?
I-MCL imele iMedial Collateral Ligament . NgesiSinhala, yi-ligament enkulu ngaphakathi kwedolo. Cinga ngedolo lethu njenge-joint. Ithambo eliphezulu (i-femur) kunye nethambo elisezantsi (i-tibia) lale joint zidibene, kwaye idolo liyamiswa ukuba lingashukumi liye ecaleni kwaye ligcinwe lizinzile yile band iqinileyo ebizwa ngokuba yi-MCL. Ifana nentambo eqinileyo.
Ukukrazuka kwe-MCL kuxa le ligament inamandla yonakele. Umonakalo unokuba mncinci, okanye ungakrazuka ngokupheleleyo uze wahlukane ube ziingceba ezimbini.
Kukho ii-ligaments ezine eziphambili ezifana nale emadolweni ethu.
- I-Medial Collateral Ligament (MCL): I-ligament engaphakathi kwedolo.
- I-Lateral Collateral Ligament (LCL): I-ligament engasemva kwedolo.
- I-Anterior Cruciate Ligament (ACL): Umphambili we-ligaments ezimbini ezimile okwe-X ngaphakathi edolweni.
- I-Posterior Cruciate Ligament (PCL): I-Posterior Cruciate Ligament yenye ye-ligaments ezimbini ezimile okwe-X ngaphakathi edolweni.
Kwezi zine, i-MCL ligament yeyona yenzakeleyo kakhulu.
Indlela Yokuhlela Iinyembezi ze-MCL (Amabanga Eenyembezi)
Ugqirha wakho uza kuhlela ubunzima bokukrazuka. Oku kwahlulwe ngokwamanqanaba amathathu aphambili (amanqanaba). Ukwazi oku kuya kukunceda uqonde unyango lwakho.
| Ibanga | Uhlobo lwenyembezi | Indlela oziva ngayo |
|---|---|---|
| Ibanga 1 (ukukrazula okuncinci) | Ngaphantsi kwe-10% yeefayibha ezikwibhondi zikrazukile. Ibhondi isaqinile. | Kukho intlungu encinci ngaphakathi kwedolo kunye nokuthamba xa lichukunyiswa. Idolo lizinzile. Ndiyakwazi ukuhamba. |
| Ibanga lesi-2 (ukukrazula okuphakathi) | Inxalenye enkulu ye-ligament ikrazukile, kodwa ayikahlulwa ngokupheleleyo. | Kukho intlungu ebuhlungu kunye nokuthamba ngaphakathi kwedolo. Idolo lisenokuvakala likhululekile kwaye lingazinzanga. Kunokuba nzima ukuhamba. |
| Ibanga lesi-3 (ukukrazula okukhulu) | Ukubopha kukrazulwe ngokupheleleyo kwaye kwahlulwe kubini. | Kukho iintlungu eziqatha. Idolo alizinzanga kakhulu, livakala ngathi "liyatsiba". Kuba nzima ukuma nobunzima kulo. Rhoqo, nezinye ii-ligaments, ezifana ne-ACL, nazo ziyamosha. |
Zithini izizathu zokukrazuka kwe-MCL?
Eyona nto ibangela ukukrazuka kwe-MCL kukukrazuka okunzima ngaphandle kwedolo. Khawuthelekelele udlala ibhola ekhatywayo aze umntu akubambe aze akubethe ngaphandle kwedolo lakho, nto leyo ebangela ukuba idolo lakho ligobe ngaphakathi. Oku kunokubangela ukuba i-ligament ye-MCL engaphakathi ikrazuke.
Ukongeza, iinyembezi ze-MCL zinokubangelwa zezi:
- Ukutshintsha kwecala ngequbuliso: Xa umlenze omnye ubekwe emhlabeni kwaye umzimba ujikwa ngokukhawuleza kwelinye icala. Oku kuqhelekile kwimidlalo efana nebhasikithi kunye nebhola yomnyazi.
- Ukuwela ngendlela engafanelekanga: Ukuwela ngendlela engafanelekanga xa idolo ligoba lize libetheke emhlabeni.
- I-Hyperextension yedolo: Oku kunokwenzeka kwimidlalo efana nokuskiya.
- Ukuphakamisa izinto ezinzima: Xa uphakamisa into enzima ngendlela engafanelekanga.
- Uxinzelelo oluphindaphindayo: Xa idolo liphantsi koxinzelelo ixesha elide, i-ligament ye-MCL inokuba buthathaka kwaye ikrazuke nokuba kuncinci kangakanani na, njengebhande lerabha elidala.
Zithini iimpawu zokukrazuka kwe-MCL?
Usenokuba nenye okanye ngaphezulu kwezi mpawu xa kukho i-MCL cripped.
- Xa kusenzeka ukwenzakala , kuvakala isandi 'sokuklikha' okanye 'sokuqhekeka' ngaphakathi edolweni .
- Intlungu ngaphakathi kwedolo.
- Kubuhlungu nokuba uchukumisa idolo ngaphakathi.
- Ukudumba kwamadolo nokuqina kwawo .
- Uloyiko lokuba idolo liza "kugoba" okanye "ligobe" xa ubeka ubunzima emlenzeniUkuziva (ukungazinzi).
- Ukuziva ngathi idolo lakho libambekile okanye litshixiwe xa uligoba okanye ulilungisa.
Eyona nto ibalulekileyo kukuba, ukuba uyakwazi ukuhamba kodwa usenentlungu okanye ukudumba edolweni lakho, musa ukuyityeshela loo nto. Ngokuqinisekileyo bonana nogqirha.
Uyifumana njani le nto, Gqirha?
Xa usiya kugqirha, uza kuqala akubuze ukuba kwenzeke njani ukwenzakala. Emva koko uza kuhlola idolo lakho.
- Uvavanyo Lomzimba: Ugqirha uza kucinezela ingaphakathi ledolo lakho ngesandla sakhe ukuze afumane indawo echanekileyo yentlungu. Emva koko, xa idolo lakho ligobile kancinci, uza kubeka uxinzelelo oluvela ngaphandle ukuze abone ukuba idolo livuleka kangakanani ngaphakathi (uvavanyo loxinzelelo lwe-valgus). Oku kuya kukunika umbono wokuba i-MCL ligament ikhululeke kangakanani.
- I-MRI Scan: Olu lolona vavanyo lubalaseleyo lokuqinisekisa ukukrazuka kwe-MCL. I-MRI ingabonisa ngokucacileyo ukuba ingakanani i-ligament ekrazukileyo, kunye nokuba ezinye iindawo, ezifana ne-ACL, zonakele na.
- I-Ultrasound Scan: Oku kunokujonga nezinto ezinje ngokukrazuka kwi-ligament ye-MCL kunye nokuqokelelana kolwelo oluyijikelezileyo.
- I-X-reyi: Ukukrazuka kwe-MCL akubonakali kwi-X-reyi kuba ii-X-reyi zibonisa ithambo kuphela. Nangona kunjalo, ugqirha wakho unokuyalela i-X-reyi ukuze aqinisekise ukuba akukho kwaphuka okanye ukwenzakala.
Inyangwa njani i-MCL tear?
Iindaba ezimnandi kubantu abaninzi zezokuba uninzi lweenyembezi ze-MCL zinokunyangwa ngaphandle kotyando . Ngenxa yokuba i-ligament ye-MCL inegazi elilungileyo, kunokwenzeka ukuba iphiliswe yodwa.
Unyango Olungelulo Utyando
- Indlela ye-RICE: Olu lolona nyango lokuqala nolubaluleke kakhulu.
- R - Phumla: Phumla idolo lakho. Kuphephe ukubaleka, ukutsiba, okanye eminye imisebenzi ebeka uxinzelelo edolweni lakho.
- I - Umkhenkce: Faka umkhenkce kwindawo ebuhlungu nedumbileyo imizuzu eli-15-20 izihlandlo ezininzi ngemini. Musa ukufaka umkhenkce ngqo eluswini, wusonge ngelaphu.
- C - Uxinzelelo: Songa idolo ngebhandishi elastiki ukulawula ukudumba. Musa ukulisonga ngokuqinileyo .
- E - Ukuphakama: Gcina umlenze wakho uphezulu kangangoko. Oku kuya kunciphisa ukudumba.
- Iipilisi zokunciphisa iintlungu: Ungathatha ii-NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) ukunciphisa ukudumba kunye nentlungu, njengoko ugqirha wakho ekucebisile.
- Isixhasi sedolo:Ugqirha ucebisa ukunxiba i-brace ekhethekileyo ukuze idolo lingagobi ecaleni kwaye inike i-ligament ye-MCL uzinzo olufunekayo ukuze iphole.
- Iinduku zokusila: Ukuze unciphise ubunzima emadolweni, kunokufuneka usebenzise iinduku zokusila okwethutyana.
- Unyango Lomzimba: Oku kubaluleke kakhulu . Kwakuba nje i-MCL iphilile, kufuneka uqale ukuzilolonga phantsi kwesikhokelo sogqirha wezonyango. Oku kuya kukunceda ukuba uphinde ufumane amandla okunyakaza edolweni lakho, uqinise ithanga lakho kunye nezihlunu ezikujikelezileyo, kwaye ubuyele kwimisebenzi eqhelekileyo.
Utyando
Utyando alufuneki rhoqo .
- Ukuba i-ligament ye-MCL ikrazukile ngokupheleleyo (iBanga lesi-3), kubonakala ngathi ihlukane nethambo.
- Ukuba enye i-ligament, efana ne-ACL, yonakele kakhulu kunye nokukrazuka kwe-MCL.
- Ukuba ungumdlali wezemidlalo oqeqeshiweyo kwaye ufuna ukuzinza okukhulu kwamadolo kwixesha elizayo.
Utyando lubandakanya ukuthunga i-ligament ekrazukileyo okanye ukwakha kwakhona i-ligament kusetyenziswa i-tissue graft ethathwe kwenye indawo yomzimba (umz., i-hamstring tendon).
Kuza kuthatha ixesha elingakanani ukuphiliswa?
Ixesha lokuphiliswa lixhomekeke kubukhulu bokukrazuka kunye nendlela ohambelana ngayo nonyango.
- Ibanga loku-1: Ngokwesiqhelo iphiliswa kwisithuba seveki e-1-3.
- Ibanga lesi-2: Inokuhlala malunga neeveki ezi-4-6.
- Ibanga lesi-3: Ingathatha iiveki ezingaphezu kwezi-6, mhlawumbi iinyanga ezininzi. Ukuba utyando lwenziwe, lungathatha ixesha elide nangakumbi.
Eyona nto ibalulekileyo kukungangxami, kodwa kukuphumla nokuzilolonga ixesha elimiselweyo njengoko kucetyisiwe ngugqirha kunye nogqirha wezonyango. Ukuba ungxamile, kukho ithuba elikhulu lokuba ukwenzakala kuphinde kwenzeke.
Imibuzo yokubuza ugqirha
Ukuba une-MCL tear, kulungile ukubuza ugqirha wakho imibuzo efana nale.
- Loluphi uhlobo (udidi) lwe-MCL tear endinalo?
- Ziziphi iindlela zonyango endinazo? Ngaba kufuneka ndityandwe?
- Ucinga ukuba kuza kuthatha ixesha elingakanani ukuze umntu aphile ngokupheleleyo?
- Ngawaphi amayeza endifanele ndiwathathe?
- Ngaba kufuneka ndidibane nengcali?
- Ndingaqala nini unyango lomzimba?
- Ndiza kukwazi nini ukuqala ukudlala kwakhona?
Umyalezo Wokuya Ekhaya
- Ukukrazuka kwe-MCL kukwenzakala kwemisipha engaphakathi kwedolo. Kukwenzakala okuqhelekileyo phakathi kwabadlali.
- Iimpawu eziphambili ziintlungu, ukudumba, kunye nokungazinzi kwedolo.
- Uninzi lweenyembezi ze-MCL zinokunyangeka ngaphandle kotyando ngokuphumla, umkhenkce, i-brace, kunye nonyango lomzimba.
- Ukuzilolonga ngomzimba kubaluleke kakhulu ekuchacheni. Musa ukuziphosa.
- Ukuba wenzakele edolweni, nokuba uyakwazi ukuhamba, musa ukuyityeshela loo nto kwaye funa ingcebiso kagqirha ngoko nangoko. Ukuba ukwenzakele kukhulu, yiya kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
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