Ingabe uzwa ubuhlungu edolweni noma endololwaneni yakho? Ake sifunde ngalezi zivivinyo ze-(Valgus) kanye ne-(Varus).

Ngezinye izikhathi singase sizwe ubuhlungu emadolweni noma ezindololwaneni zethu ngokuzumayo, akunjalo? Noma singaba nengozi encane njengokushelela nokuwa ngenkathi sidlala noma sihamba bese siqala ukuzwa ubuhlungu kuleyo ndawo. Uma uya kudokotela ngezikhathi ezinjalo, uzokwenza izivivinyo ezithile ukuze athole ukuthi ukulimala kwakho kuyini nokuthi umonakalo ukuphi ngempela. Izivivinyo ezimbili ezibalulekile yilezi `(Valgus Stress Test)` kanye `(Varus Stress Test). Ake sixoxe ngalokhu kalula.

Yiziphi lezi zivivinyo ze-`(Valgus)` kanye ne-`(Varus)`? Kalula nje...

Kalula nje, lezi zivivinyo zokucindezeleka ze-"Valgus" kanye ne-"Varus" ziyindlela udokotela wakho ayisebenzisayo ukuthola umonakalo kuma-ligaments edolweni noma endololwaneni yakho, ikakhulukazi ama-collateral ligaments.

Cabanga ngodokotela wakho ebambe idolo noma ingqiniba yakho, eyishukumisa emuva naphambili, ecindezela ukuze abone ukuthi uzwa ubuhlungu noma yini enye engavamile. Lena yingxenye eyisisekelo yalolu vivinyo. Ngokuvamile, lokhu kuhlolwa kwenziwa emadolweni nasezingqiniba zakho. Kodwa akuvamile kakhulu, izihlakala noma amaqakala akho nawo angahlolwa.

Lokhu kuhlolwa kubheka kakhulu umonakalo kuma-collateral ligaments akho . Sonke sinala ma-collateral ligaments emadolweni nasezindololwaneni zethu.

• Ngaphakathi kwedolo, okungukuthi, ohlangothini olubheke ngaphakathi lapho imilenze emibili ihlanganiswa, kukhona i-ligament ebizwa ngokuthi `(MCL - Medial Collateral Ligament)`. Ngokufanayo, kukhona le `(MCL)` ohlangothini lwendololwane oluseduze nengaphakathi lomzimba.
• Ngaphandle kwedolo, okungukuthi, ohlangothini oluvezwayo lapho imilenze ihlukene, kukhona i-ligament ebizwa ngokuthi `(LCL - Lateral Collateral Ligament)`. Kukhona futhi le `(LCL)` ngaphandle kwendololwane.

Lokhu kuhlolwa kwe-`(Valgus)` kanye ne-`(Varus)` kuyizivivinyo ezilula ezingenziwa ehhovisi likadokotela, ngaphandle kwemishini ekhethekile noma i-aphoyintimenti ehlukile. Lokhu kungenziwa ngesikhathi sokuhlolwa kokuqala lapho uya kudokotela ngenxa yobuhlungu bedolo, ubuhlungu bendololwane, noma ngemva kwengozi. Kodwa-ke, ngemva kwalokhu kuhlolwa, kuzodingeka nakanjani wenze okukodwa noma ngaphezulu kwe-`(Imaging Tests)` ukuqinisekisa umonakalo wemisipha noma ezinye izinkinga. Ngezinye izikhathi, uma udinga ukulungisa umonakalo ngaphakathi kwejoyinti lakho ngokuhlinzwa, kungadingeka futhi wenze i-`(Arthroscopy)`.

Zihlolwa nini lezi zimpawu? Ziyini izimpawu?

Uma uzwa ubuhlungu edolweni noma endololwaneni yakho, noma uma uke waba nengozi emlenzeni noma engalweni yakho, udokotela wakho angenza isivivinyo esithi "Valgus" noma "Varus". Lokhu kuhlolwa kungahlola umonakalo "kuma-Collateral Ligaments" asekela amalunga akho.

Okubalulekile: Ukulimala kwemisipha kungenye yezingozi ezivame kakhulu ezibonwa phakathi kwabadlali. Sibiza ukulimala kwemisipha ngokuthi "i-Sprain"Kubizwa nangokuthi "Izinyembezi" . Nakuba ukuklwebheka okuningi kuncane, ukuklwebheka kwemisipha ngezinye izikhathi kungaba ukulimala okukhulu.

• I-`(Valgus Stress Test)` ibheka kakhulu umonakalo ku-`(MCL)` yakho.
• I-`(Varus Stress Test)` ibheka umonakalo ku-`(LCL)` yakho.

Uma elinye lama-ligaments akho lonakele, ungase ube nezimpawu ezifana nalezi:

• Ukushintsha kombala noma ukushintsha kombala okuluhlaza okwesibhakabhaka endaweni elimele.
• Kuzwakala sengathi ilunga likhululekile, sengathi aliqinile ngokwanele .
• Ubuhlungu .
• Ukuzwa noma ukuzwa umsindo othi "chofoza" noma "chofoza" .
• Ukuvuvukala .
• Uma kungumlenze, kunzima ukuma unesisindo , futhi uma kuyindololwane, kunzima ukuhambisa ingalo yakho .
• Ukuzizwa ubuthakathaka kulelo lunga.

Ubani owenza lezi zivivinyo ze-`(Valgus)` kanye ne-`(Varus)`?

Kulula kakhulu. Udokotela wakho wenza lezi zivivinyo ekamelweni lakhe. Akudingi mishini ekhethekile noma ukuya esikhungweni esihlukile.

Lezi zivivinyo zenziwa kanjani ngempela?

Lezi zivivinyo ze-`(Valgus)` kanye ne-`(Varus)` ziwuchungechunge lokunyakaza okwenziwa ukuhlola izimpawu zakho nokuthi ungashukumisa kangakanani ilunga lakho (i-Range of Motion). Lezi zivivinyo zilula kakhulu, futhi nazi izinyathelo:

1. Okokuqala, uzolaliswa ngomhlane .

2. Udokotela uzophakamisa ingalo noma umlenze wakho kancane kunomzimba wakho wonke .

3. Okulandelayo, udokotela uzofaka ingcindezi encane ngaphezu kwedolo noma indololwane yakho.

• Ku-"Valgus Stress Test", zisunduzela ngaphakathi, okungukuthi, maphakathi nomzimba wakho .
• Ku-"Varus Stress Test", ziyasuswa emzimbeni wakho, okusho ukuthi ziyasuswa emzimbeni wakho .

Uma wenza lezi zivivinyo edolweni lakho, udokotela cishe uzokwenza kabili - kanye nedolo lakho ligobile kancane, kanti ngesinye isikhathi idolo lakho liqonde.

Lezi zikhundla ezahlukene kanye nokucindezeleka kubeka ukucindezeleka okuncane emithanjeni yakho. Lokhu kunyakaza kufana kakhulu nokucindezeleka okutholayo uma usebenzisa idolo noma indololwane yakho ngosuku olujwayelekile.

Uma udokotela eshukumisa idolo noma indololwane yakho, nakanjani uzobuza ukuthi uzwa ubuhlungu yini . Uzophinde aqaphele ukuthi uzwa umsindo othi "click" noma uzwa noma yini ngesandla sakho. Lokhu kuzobasiza baqonde ukuthi i-ligament yakho ingadabuka kuphi futhi kangakanani.

Uyini umehluko phakathi kokuhlolwa kwe-`(Valgus)` kanye ne-`(Varus)`?

Lezi zivivinyo ezimbili empeleni zifana kakhulu. Umehluko kuphela ukuthi udokotela uzobheka ohlangothini lwedolo lakho noma indololwane ukuze abone ukuthi kukhona yini ukulimala kwemisipha.

• ``(Valgus)`` ngokwezokwelapha kusho ukufuduka uye enkabeni yomzimba wakho, okungukuthi, ngaphakathi.Igama lokuhlolwa lithi ``Valgus Stress Test'', lapho udokotela esunduza idolo noma ingqiniba yakho ngaphakathi, emzimbeni wakho.
• ``(Varus)`` yigama elinikezwe iqiniso lokuthi umzimba wakho uphushelwa ngaphandle, okungukuthi, ngaphandle . Lokhu kuphambene no-``(Valgus)``. Ku-``(Varus Stress Test)``, udokotela ucindezela idolo noma indololwane yakho ngaphandle, kude nomzimba wakho.

Ingabe kukhona engikudingayo ukulungiselela ngaphambi kwalezi zivivinyo?

Cha, awudingi ukulungiselela lezi zivivinyo ze-``(Valgus)`` noma ``(Varus)``. Okuwukuphela kwento okudingeka uyenze ukubona udokotela ngokushesha okukhulu uma ulimele edolweni noma endololwaneni yakho, noma uma unezimpawu ezintsha emalungeni akho.

Yini okufanele ngiyilindele ngesikhathi sokuhlolwa?

Zama ukuhlala uphumule ngangokunokwenzeka lapho udokotela eshukumisa idolo noma indololwane yakho.

Ngenxa yokuthi lezi zivivinyo "(Valgus)" kanye "(Varus)" ziwuchungechunge lokunyakaza ngokomzimba, kufanele utshele udokotela wakho konke okuzwayo - ikakhulukazi uma noma yikuphi ukunyakaza kubuhlungu noma kungakhululekile.

Noma yibuphi ubuhlungu, ukungakhululeki, noma ezinye izimpawu ozizwayo ngesikhathi sokuhlolwa kuzosiza udokotela wakho aqonde ukuthi imisipha yakho yonakele kuphi, noma ukuthi yikuphi okunye ukulimala ongase ube nakho.

Kuzokwenzekani ngemva kwalezi zivivinyo?

Ukuhlolwa kwe-Valgus ne-Varus kuvame ukuba yisinyathelo sokuqala ekwelapheni ukulimala kwe-bunion. Uma udokotela wakho ezwa noma ezwa noma yini engavamile ngesikhathi sokuhlolwa, angase acele ukuhlolwa okwengeziwe kwezithombe noma aqale ukwelashwa ukusiza ekunciphiseni izimpawu zakho.

Ngemva kokuhlolwa kwe-valgus noma kwe-varus, kungadingeka ukuthi okungenani ube nokuhlolwa okukodwa kwesithombe . Lokhu kuhlolwa kuthatha izithombe zangaphakathi kwelungu lakho futhi kungabheka umonakalo kuma-ligaments noma kwezinye izicubu. Ukuhlolwa kwesithombe okuvame kakhulu yile:

• Ama-X-ray
• Isithombe Sokuzwakala Kwe-Magnetic (MRI)
• Ukuhlolwa kwe-Ultrasound

Udokotela wakho uzokutshela ukuthi yiziphi izivivinyo zezithombe okudingeka uzenze kanye nohlobo luni lokulimala abalufunayo.

Kungase kudingeke ukuthi ube ne-arthroscopy ukuze ubheke ngaphakathi kwedolo noma endololwaneni yakho ukuze ubone ukuthi yini engalungile noma ukuyilungisa. I-arthroscopy inqubo yokuhlinzwa engadingi ukungenelela okuningi esebenzisa ikhamera encane ukuze ibheke ngaphakathi kwamalunga akho. Ukuhlinzwa okuningi kwe-arthroscopy kwenziwa ngaphandle kwesiguli, okusho ukuthi ungaya ekhaya ngalolo suku.

Ingabe zikhona izingozi ngalezi zivivinyo ze-`(Valgus)` kanye ne-`(Varus)`?

Cha, akukho bungozi emadolweni noma ezindololwaneni zakho lapho wenza isivivinyo se-"Valgus" noma se-"Varus".

Ungase uzwe ubuhlungu noma ukungakhululeki ngesikhathi sokuhlolwa. Kodwa-ke, noma ngabe ulimele emgogodleni, akufanele uzwe ubuhlungu obukhulu ngenkathi udokotela enza ukuhlolwa.

Kodwa khumbula, ukuhlolwa kwe-`(Valgus)` kanye ne-`(Varus)` akuzona zodwa izivivinyo okufanele uzenze. Akuyona indlela ephelele yokuthola ukuthi kukhona ukulimala noma umonakalo. Kodwa-ke, kuyisinyathelo sokuqala esiwusizo udokotela wakho okufanele asithathe ukuze athole ukuthi ukulimala kwakho kuyini. Izivivinyo zezithombe ziyimpendulo ecacile kakhulu, yingakho kufanele okungenani ube nokuhlolwa okukodwa kwezithombe ngemva kokuhlolwa kwe-`(Valgus)` noma kwe-`(Varus)`.

Ziyini imiphumela engiyitholayo? Zingitshelani?

Imiphumela yokuhlolwa kwe-`(Valgus)` kanye ne-`(Varus)` akuyona imiphumela eqondile njengezinye zezivivinyo oke wazenza ngaphambili. Okusho ukuthi, esikhundleni sokunikeza ububanzi obuthile noma inombolo ethile, lezi zivivinyo zinikeza udokotela wakho umbono ongcono wokuthi kungenzeka yini ukuthi kukhona ukulimala kwamalunga akho nokuthi lokho kulimala kukhulu kangakanani.

Lokhu kufana kakhulu nemibuzo ethi "kulungile noma akulungile" , hhayi izinkinga zezibalo ezinempendulo eqondile. Udokotela wakho uzohlela ukuhlolwa kwakho ngokuthi "kulungile" uma ethola noma yini ephakamisa ukuthi unokulimala kwemisipha ehambisanayo. Umphumela "ongemuhle" usho ukuthi udokotela akezwanga noma akezwanga lutho olungavamile ngesikhathi sokuhlolwa.

Okubalulekile: Umphumela ongemuhle akusho ukuthi awunayo ingozi. Kusho nje ukuthi udokotela akatholanga lutho olungavamile ngesikhathi sokuhlolwa, kungaba "i-Valgus" noma "i-Varus". Ungase ube nomsipha odabukile, noma ungase ube nolunye uhlobo lokulimala.

Kufanele ngishayele nini udokotela wami ucingo?

Uma izimpawu zakho, njengobuhlungu noma ukuvuvukala, ziba zimbi kakhulu ngemva kwezinsuku ezimbalwa, bona udokotela.

Yiya ekamelweni eliphuthumayo ngokushesha uma uhlangabezana nalezi zimpawu:

• Ubuhlungu obukhulu kakhulu .
• Uma ukuvuvukala kuba kubi kakhulu .
• Uma ubona ukushintsha kombala .
• Uma ungakwazi nhlobo ukushukumisa idolo noma indololwane yakho .

Izinto Okufanele Uzikhumbule (Umyalezo Ofanele Uwuthathe Ekhaya)

Ukuhlolwa kokucindezeleka kwe-``(Valgus)`` kanye ne-``(Varus)`` kuyizinyathelo zokuqala ezisheshayo nezilula ezisiza odokotela ukuthi banqume ukuthi kukhona yini ukulimala kwemisipha edolweni noma endololwaneni yakho. Nakuba benganikezi impendulo eqondile , bangasiza ekuqondiseni izinyathelo ezilandelayo zokuxilonga nokwelapha ukulimala kwakho.

Uma ulimele idolo noma indololwane yakho – ikakhulukazi uma ungakwazi ukuzisebenzisa noma ukuzishukumisa – bona udokotela noma uye ekamelweni lezimo eziphuthumayo ngokushesha. Ukunakekela impilo yakho kuyinto ebaluleke kakhulu!

Ubuhlungu bedolo , Ubuhlungu bendololwane, Ukulimala kwemisipha, Ukuhlolwa kokucindezeleka, Ukuhlolwa kwe-Valgus, Ukuhlolwa kwe-Varus, Ukuphazamiseka kwamalunga