Wake wadlala ikhilikithi, i-netball, noma ugijima wabe usuzizwa 'uqhuma' njengoba idolo lakho lishaya eceleni? Idolo lakho labe selivuvukala kangangokuthi wawungasakwazi nokuhamba? Esikhathini esiningi, uma kwenzeka into efana nale, sicabanga ukuthi kumane nje kuyisihibe. Kodwa lokhu kungaba yinto engathi sína kakhulu, ukudabuka kwe-ACL, umsipha obalulekile edolweni lakho. Ake sixoxe ngalokhu kalula.
Iyini le ACL?
Kalula nje, i-ACL iyi-ligament enamandla kakhulu ngaphakathi kwedolo lethu. Uma sikhuluma iqiniso, yi-Anterior Cruciate Ligament. Cabanga ngayo njengebhande eliqinile. Ixhumanisa ithambo lakho lethanga (i-Femur) nethambo lomlenze (i-Tibia). Kunezinhlobo ezine zalezi zicubu edolweni lethu. I-ACL itholakala ngaphakathi kwedolo, ngaphambili.
Umsebenzi oyinhloko walo mthambo we-ACL ukugcina idolo lizinzile. Le ACL ivimbela idolo ukuthi liqhubekele phambili kakhulu futhi lijikeleze ngaphakathi, ikakhulukazi lapho sigijima, sigxuma, sima ngokuzumayo, noma sishintsha indlela. Ngakho-ke uma licindezelwa ngamandla amaningi, okungukuthi, uma idolo lijijekile ngaphezu kwemingcele yalo yemvelo, lo mthambo ungadabuka.
Izimpawu eziyinhloko zokudabuka kwe-ACL
Ngokuvamile, umuntu odabukile i-ACL yakhe angabona ukuthi kwenzeke nini ngoba kuyabonakala kakhulu. Nazi ezinye izimpawu okufanele uziqaphele.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuzwa umsindo othi 'tuck' noma 'pop' | Uma kwenzeka ukulimala, ungase uzwe noma uzwe umsindo 'wokuqhekeka', njengokungathi kukhona okuphukayo ngaphakathi edolweni. Lesi yisibonakaliso esiyinhloko abantu abaningi abasibikayo. |
| Ukuvuvukala kwamadolo | Idolo livuvukala kakhulu emahoreni ambalwa ngemva kokulimala. Lokhu kungenxa yokopha kwangaphakathi okwenzeka lapho i-ligament idabuka. |
| Ubuhlungu obukhulu | Uma ngibeka isisindo edolweni lami futhi ngima noma ngizama ukuhamba, ngizwa ubuhlungu obungabekezeleleki. Kodwa ngezinye izikhathi ubuhlungu bungancipha kancane. |
| Ukuzizwa ungenamizwa edolweni | Uma ngizama ukufaka isisindo edolweni lami, kuzwakala sengathi "liyagxuma", kuzwakala sengathi libuthakathaka, futhi kuzwakala sengathi alizinzile. Kunjengokungathi angikwazi ukulawula umlenze wami ngendlela engiyifunayo. |
| Ukungakwazi ukugoba noma ukwelula idolo | Ngenxa yobuhlungu nokuvuvukala, idolo alikwazi ukugoba noma ukunwebeka ngokuphelele. |
Into ebaluleke kakhulu ukuthi, uma unezinye zalezi zimpawu futhi uhlangabezana nanoma yiziphi zalezi zimpawu, ungamane nje uzithathe njengento ephukile. Qiniseka ukuthi ubona udokotela ngokushesha okukhulu.
Ingabe kukhona izinhlobo zokudabuka kwe-ACL ngokusekelwe ebunzimeni?
Yebo, odokotela bahlukanisa lesi sifo sibe yizigaba ezintathu eziyinhloko ngokusekelwe ebunzimeni baso. Lokhu kwenza kube lula ukuqonda ukuthi lesi sifo sibi kangakanani.
| Ibanga | Uhlobo lwesimo |
|---|---|
| Ibanga lokuqala | I-ligament inwebekile kakhulu, inomonakalo othile emicu yayo, kodwa ayidabukile ngokuphelele. Idolo lisaqinile. Lesi yisimo esingesibi kangako. |
| Ibanga lesi-2 | I-ligament yeluliwe, idabuke kancane . Lokhu kubangela ukulahlekelwa okuncane kokuzinza edolweni. Lesi akusona isimo esivame ukubonakala. |
| Ibanga lesi-3 | Lesi yisimo esibucayi kakhulu. UkugqilazwaIdabukile ngokuphelele, ihlukaniswe yaba yizicucu ezimbili. Kuleli qophelo, idolo liba lingazinzi kakhulu. Ukulimala okuningi kwe-ACL kuwela kulesi sigaba. |
Kwenzeka kanjani ukudabuka kwe-ACL? Ubani osengozini enkulu?
Lokhu kungenzeka noma nini lapho kunamandla amakhulu asetshenziswa edolweni. Kuyingozi kakhulu kulabo abadlala imidlalo.
- Ukuma okungazelelwe noma ukushintsha kwendlela: Lokhu kuvamile emidlalweni efana ne-netball, ibhola likanobhutshuzwayo, kanye ne-basketball.
- Ukuwela phansi ngendlela engafanele: Lokhu kungenzeka emdlalweni ofana ne-volleyball.
- Ukuma endaweni eyodwa bese ujika umzimba wakho ngokuzumayo: Kuleli qophelo, unyawo lunamathele phansi futhi idolo liyajikeleza, okungalimaza i-ACL.
- Ukushaywa ngqo edolweni: Lokhu kungenzeka emdlalweni ofana ne-rugby noma engozini yemoto.
- Ukuwa: Lokhu kulimala kungenzeka uma idolo lijika ngendlela engafanele, ngisho nangesikhathi sokuwa okuvamile.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala akulalele ngokucophelela bese ezwa ukuthi ulimele kanjani. Ngemuva kwalokho uzohlola idolo lakho.
- Ukuhlolwa komzimba: Udokotela uzojikeleza kancane futhi alule idolo lakho ngezindlela ezahlukene. Lokhu kuzokunikeza umbono ocacile wokuthi idolo lakho lizinzile kangakanani nokuthi i-ACL yakho idale umonakalo ongakanani. Lokhu kuhlolwa kungaba yinto engakhululekile, kodwa kubalulekile ekuxilongweni.
- Ukuhlolwa Kwezithombe: Ungase ucelwe ukuthi wenze lezi zivivinyo ukuqinisekisa ukuxilongwa nokubona ukuthi ezinye izingxenye zedolo zonakele yini.
- I-X-ray: Lokhu kungahlola umonakalo wethambo (njengokuphuka).
- I-MRI Scan: I -MRI scan iyindlela engcono kakhulu yokubona ngokucacile umonakalo wemisipha efana ne-ACL kanye nezicubu ezithambile njenge-meniscus. Lokhu kuvame ukusetshenziselwa ukuqinisekisa ukudabuka kwe-ACL.
Yiziphi izindlela zokwelapha ukudabuka kwe-ACL?
Ukwelashwa kuncike ebunzimeni besimo sakho, ubudala bakho, nokuthi usebenza kangakanani.
Okufanele ukwenze ngokushesha ngemva kokulimala (indlela ye-RICE)
Yenza lezi zinto ukuze ulawule ubuhlungu nokuvuvukala ngokushesha nje lapho kwenzeka ukulimala.
| Indlela | Okufanele ngikwenze |
|---|---|
| R (Ukuphumula) - Ukuphumula | Phumuza umlenze wakho. Yeka ukuwubeka isisindo, ukugijima, nokugxuma ngokuphelele. |
| I (Iqhwa) - Ukuncibilika kweqhwa | Faka iphakethe leqhwa eligoqwe ngendwangu encane endaweni cishe imizuzu eyi-15 izikhathi eziningana ngosuku. Lokhu kuzonciphisa ubuhlungu nokuvuvukala. |
| C (Ukucindezela) - Ukusebenzisa ingcindezi | Bopha idolo lakho ngebhandeji elinwebekayo. Lokhu kungasiza ekulawuleni ukuvuvukala. Kodwa ungalibophi kakhulu. |
| E (Ukuphakama) - Ukuphakama | Hlala uphakamisa imilenze yakho phezu kwemicamelo eminingana, okusho ukuthi kufanele ibe phezulu kunenhliziyo yakho. |
Ukwelashwa kwezokwelapha
- Ukwelashwa Okungahlinzwa: Uma ukulimala kungekubi kakhulu (Ibanga 1), noma uma ungasebenzi kahle, ukwelashwa okungahlinzwa kungenzeka. Lokhu kungafaka phakathi ukusebenzisa izinduku zokusibekela, ukugqoka izinsimbi zokusibekela amadolo, imithi yobuhlungu, kanye nokwelashwa ngokomzimba.
- Ukuhlinzwa: I-ACL edabukile ayizipholi ngokwayo. Ngakho-ke, ikakhulukazi kubadlali kanye nalabo abaphila impilo esebenzayo, ukuhlinzwa kungadingeka ukuze kubuyiselwe ukuzinza edolweni. Lokhu kuhilela ukufaka esikhundleni se-ligament edabukile nge-tendon ethathwe kwenye ingxenye yomzimba. Lokhu kuhlinzwa kuvame ukwenziwa ngokuhlinzwa kwe-keyhole okubizwa ngokuthi i-knee arthroscopy. Lokhu kusho ukuthi akukho ukusikwa okukhulu futhi ukululama kuyashesha.
Kuthatha isikhathi esingakanani ukululama?
Lena yinkinga abantu abaningi abanayo.
Ngokuvamile kuthatha izinyanga ezingu-6-9 ukululama ngokugcwele nokubuyela ekudlaleni imidlalo ngemva kokuhlinzwa kwe-ACL.
Lesi sikhathi singahluka kumuntu nomuntu. Into ebaluleke kakhulu lapha ukwelashwa ngokomzimba . Ngemva kokuhlinzwa, kufanele wenze isethi efanele yokuzivocavoca ukuze wakhe kabusha ukunyakaza, amandla, kanye nokuqina kwedolo. Uma ubuyela kwezemidlalo ngokushesha kakhulu, kungenzeka ukuthi ulimele futhi. Ngakho-ke landela imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba ngqo.
Umlayezo Wokuya Nawe Ekhaya
- Uma uzwa umsindo othi 'pop' uvela edolweni lakho bese uvuvukala ngokuzumayo, ungawushayi indiva. Kungenzeka ukuthi ukukhala kwe-ACL.
- Bonana nodokotela ngokushesha nje lapho ugula. Ukuthola ukuxilongwa ngokushesha kubaluleke kakhulu ekwelapheni.
- I-ligament ye-ACL edabukile ngeke iphole yodwa. Uma ungumuntu okhuthele, kungase kudingeke ukuhlinzwa.
- Ukwelashwa ngokomzimba kanye nokuvuselelwa kubalulekile ngemva kokuhlinzwa. Kuphela uma ukwenza kahle lapho ungasebenza khona njengakuqala.
- Bekezela uze ululame. Ungasheshi ukubuyela kwezemidlalo bese uzifaka engcupheni yokulimala okwengeziwe. Linda kuze kube yilapho udokotela wakho ekunika imvume.
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