Ngaba wakha waba nentlungu ebukhali ngasemva kwedolo lakho ngelixa udlala, ubaleka, utsiba, okanye usiwa ngequbuliso? Ngaba idolo lakho livuvukile, alikwazi ukugoba okanye ukululama, kwaye unengxaki yokuhamba? Ngamaxesha anje, sicinga ukuba kukukruneka nje. Kodwa oku kungaba yinto enzulu ngakumbi, ukwenzakala kwi-ligament ebalulekileyo ngasemva kwedolo. Yiloo nto sithetha ngayo namhlanje.
Ngamafutshane, yintoni ukwenzakala kwe-PCL?
Ilungu lethu ledolo lilungu elintsonkothileyo nelibalulekileyo. Ithambo lethu lethanga kunye nethambo lomlenze ongezantsi zidibene ngamabhanti aqinileyo abizwa ngokuba zii-ligaments. Ezi ligaments zibamba idolo endaweni yalo, zilithintela ukuba lingahambi ngokungeyomfuneko kwaye lilawule iintshukumo zalo. Phakathi kwezi ligaments, i-ligament enamandla
ngasemva kwedolo yi
-Posterior Cruciate Ligament , okanye
i-PCL ngamafutshane. Xa le ligament ye-PCL yonakele kwingozi, oko kukuthi, ikrunekile, ikrazukile kancinci, okanye ikrazukile ngokupheleleyo, siyibiza ngokuba kukulimala kwe-PCL. Usenokuba ukhe weva ngokwenzakala kwe-ACL (Anterior Cruciate Ligament). Kwenzeka rhoqo kubadlali. I-PCL iyafana, kodwa yi-ligament ngasemva kwedolo. Xa kuthelekiswa nokwenzakala kwe-ACL, ukwenzakala kwe-PCL yimeko engaqhelekanga kancinci. Ngaphantsi kwama-20% okwenzakala kwe-ligament yedolo kukwenzakala kwe-PCL.
Ngawaphi amanqanaba omonakalo anokubangela oku?
Oogqirha bahlula le ngozi ye-PCL ibe ngamanqanaba amane aphambili ngokusekwe kubukhali bayo. Kubalulekile ukuba nawe ukwazi oku.
| Udidi lomonakalo | Inkcazo elula |
|---|
| Ibanga loku-1 | Ukukrazuka okanye umonakalo kwi-ligament. |
| Ibanga lesi-II | I-ligament ikrazukile kancinci, kwaye idolo livakala ngathi likhululekile kancinci. |
| Ibanga lesi-3 | I-ligament ikrazukile/iqhekekile ngokupheleleyo. Idolo alizinzanga. (Ikrazukile ngokupheleleyo) |
| Ibanga lesi-IV | I-PCL yonakele, kodwa kwangaxeshanye kwabakho nenye i-ligament edolweni nayo yonakele. |
Zithini iimpawu zokwenzakala kwe-PCL?
Xa umntu efumana ukwenzakala kwi-PCL, umntu ngamnye unokufumana iimpawu ezahlukeneyo. Nangona kunjalo, kukho iimpawu eziqhelekileyo ezinokubonakala:
- Intlungu eqala emva kwedolo. Le ntlungu inokwanda kancinci kancinci.
- Ukudumba kwamadolo emva nje kwengozi.
- Idolo liziva lingazinzile , ngathi liyayeka, kwaye akukho ndlela yokulawula.
- Ubunzima bokugoba nokulula idolo, ukuziva uqinile .
- Ubunzima bokuhamba , ingakumbi xa usehla ngezinyuko okanye kwiindawo ezithe tyaba.
Kodwa khumbula, ngamanye amaxesha ukwenzakala okuncinci kusenokungabangeli ezi mpawu. Ngoko ke kubalulekile ukuqaphela naluphi na utshintsho oluncinci okanye intlungu edolweni lakho.
Kwenzeka njani ukuba ezi ngozi zePCL zenzeke?
Oku kwenzakala kudla ngokuvela emva kokubethwa kakhulu okanye ingozi edolweni. Kukho izizathu ezininzi eziphambili:
- Ukuwa ngedolo eligobileyo: Oku kwenzeka rhoqo. Kunokwenzeka xa ngequbuliso uwa ngedolo ngelixa udlala okanye ubaleka.
- Ukubetheka okunzima ngaphambili kwedolo: Khawuthelekelele ukubetha idolo lakho kwideshibhodi, njengakwingozi yemoto. Ukubetheka okunzima okunjalo kungonakalisa i-PCL.
- I-Hyperextension yedolo: Oku kunokwenzeka ukuba idolo libuyela umva ngaphaya komda walo.
- Ukuqhekeka kwedolo: Le yimeko enzima kakhulu. Ukuba oku kuyenzeka, kukho amathuba aphezulu okonakala kwemisipha.
- Ukuhla ngendlela engafanelekanga emva kokutsiba.
Uyifumana njani le nto, Gqirha?
Xa ubona ugqirha, uza kuqala akubuze ngokulimala kunye neempawu zakho. Emva koko, baza kuhlola idolo lakho ngononophelo. Baza kugoba, bolule, baze bashukumise idolo lakho kwiindlela ezahlukeneyo ukujonga ukuba lizinzile na. Kukho iimvavanyo ezikhethekileyo zokufumanisa ukuba i-PCL yonakele na. Ukongeza, banokwenza ezi vavanyo zilandelayo ukuze babone ubungakanani bomonakalo:
- Ii-X-reyi: Ukusuka aphaUngajonga ukuba amathambo onakele okanye aphukile na.
- Iskeni ye -MRI (Magnetic Resonance Imaging): Le yeyona ndlela ilungileyo yokubona ngokucacileyo umonakalo kwizicubu ezithambileyo ezifana ne-ligaments kunye ne-cartilage .
- Iskeni ye-CT (Computed Tomography): Oku kunokuba yimfuneko nakwezinye iimeko ezikhethekileyo.
Zeziphi iindlela zonyango ezikhoyo?
Unyango luxhomekeke kubukhulu bokwenzakala kwe-PCL yakho. Ukulimala okuncinci kudla ngokunyangwa ngaphandle kotyando, kodwa ukwenzakala okuqatha kunokufuna utyando.
Unyango olungasebenzisi utyando
Uninzi lweengozi zePCL ezingephi ukuya kweziphakathi zinokunyangwa ngezi ndlela.
- Phumla : Zigcine kude nayo nayiphi na imisebenzi ebeka uxinzelelo edolweni kwaye yonyusa intlungu okwethutyana.
- Umkhenkce: Ukufaka ipakethe yomkhenkce kwindawo eyonzakeleyo malunga nemizuzu eli-15, malunga namaxesha amane ngemini. Oku kuya kunciphisa iintlungu nokudumba.
- Uxinzelelo: Ukusonga idolo ngebhandishi elastiki kuya kunceda ukulawula ukudumba.
- Ukuphakama : Nanini na xa kunokwenzeka, gcina umlenze wakho uphakanyisiwe ngaphezu kwentliziyo yakho ngokuwuxhasa phezu komqamelo.
- Iinduku zokusila: Ugqirha wakho unokucebisa ukuba usebenzise iintonga zokusila ukunciphisa ubunzima edolweni lakho.
- Isixhasi sedolo: Oku kunokucetyiswa ukugcina idolo lizinzile kwaye likhuselekile.
- Unyango lomzimba : Oku kubaluleke kakhulu . Ukuzilolonga ukuqinisa izihlunu ezijikeleze idolo nokubuyisela intshukumo kunye nozinzo edolweni kufuneka kwenziwe phantsi kwesikhokelo sogqirha wezonyango.
- Iipilisi zokunciphisa iintlungu: Ugqirha wakho unokukunika amayeza anjengee -NSAID (iziyobisi ezichasene nokuvuvukala ezingezizo ii-steroidal) ukunciphisa iintlungu nokudumba.
Utyando
Ukuba i-ligament yakho ye-PCL ikrazukile ngokupheleleyo (iBanga lesi-3), ukuba nezinye ii-ligaments edolweni zonakele (iBanga lesi-4), okanye ukuba ukungazinzi kwedolo akuphucuki ngonyango olungelulo utyando, ugqirha wakho unokucebisa utyando. Oku kudla ngokwenziwa nge-
knee arthroscopy .Olu lutyando olubizwa ngokuba yi-reconstruction. Endaweni yokwenza i-incision enkulu, ikhamera kunye nezixhobo zifakwa ngemingxunya emininzi emincinci ukuze kwakhiwe kwakhona i-ligament ekrazukileyo. Le yinkqubo engenabungozi kangako kwaye ayibuhlungu kangako kunotyando oluvulekileyo lwendabuko.
Ufanele uye nini ngokuqinisekileyo kugqirha?
Ukuba wenzakele edolweni, kungcono ukuba ungaze uyityeshele nayiphi na kwezi mpawu. Ukuba oko kuyenzeka, bonana nogqirha ngokukhawuleza.
Ukuba unale mpawu, funa ingcebiso kagqirha ngokukhawuleza.
| Uphawu | Kutheni le nto inzulu? |
| Ukuba nentlungu eqatha kunye nokudumba edolweni | Oku kungaba luphawu lomonakalo omkhulu. |
| Ukungazinzi kwamadolo, ukuziva ushukuma | Kusenokuba luphawu lokuba i-ligament ikrazukile ngokupheleleyo. |
| Ukungakwazi ukunyakaza kweenyawo | Kusenokuba luphawu lokuba umthambo wonakalisiwe. |
| Ukutshintsha kombala okanye ukuziva ubanda ezinyaweni | Kungaba luphawu lomonakalo kwimithambo yegazi kunye nokulahleka kwegazi. Le yimeko engxamisekileyo. |
Umyalezo Wokuya Ekhaya
- I-PCL ligament ebalulekileyo efumaneka ngasemva kwedolo enceda ukugcina idolo lizinzile.
- Ukulimala kwe-PCL kunokubangelwa kukuwa, ukubetheka ngamandla edolweni, kunye nokugoba idolo ngasemva kakhulu.
- Iimpawu eziphambili ziintlungu zamadolo, ukudumba, kunye nokungazinzi.
- Iindlela zonyango zixhomekeke kubukhulu bokwenzakala. Kukho iindlela ezahlukeneyo zonyango, ukusuka ekuphumleni nasekunyangweni komzimba ukuya kutyando.
- Ukuba uneempawu eziqatha, ezinje ngokuba ndindisholo okanye ukutshintsha kombala wonyawo lwakho, yingxamiseko leyo. Bonana nogqirha wakho ngoko nangoko.
- Ukuze uphile kakuhle, soloko ulandela imiyalelo enikwe ngugqirha wakho kunye nogqirha wezonyango ngokuchanekileyo.
Intlungu yedolo, ukwenzakala kwe-PCL IsiSinhala, i-posterior cruciate ligament, ukwenzakala kwedolo, ukwenzakala kwezemidlalo, ukukrazuka kwe-ligament, ukudumba kwedolo
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