Ingabe unenkinga efana nale ngedolo lakho? Ake sifunde ngqo nge-(ACL Tear)!

Wake wezwa umsindo othi "click" uvela edolweni lakho ngenkathi udlala imidlalo, ugijima, ugxuma, noma uhamba nje ngendlela evamile, wabe usuzwa ubuhlungu obukhulu futhi wangakwazi ukugoba noma ukuqondisa idolo lakho? Noma ingabe idolo lakho lazizwa livuvukele futhi liqinile? Lokhu kungaba izimpawu zomsipha odabukile edolweni, ikakhulukazi lowo esikhuluma ngawo (ACL Tear) . Ngakho-ke, ake sixoxe ngalokhu ngendlela elula namuhla.

Kuyini lokhu (i-ACL Tear)? Ake siqonde kahle!

Kalula nje, ukudabuka kwe-ACL kuwukudabuka ku -anterior cruciate ligament (ACL) . I-ACL ingenye yemisipha emine emikhulu edolweni. Cabanga ngayo njengebhande eliqinile. Ixhumanisa ithambo lakho lethanga, i-femur , nethambo lakho lesifuba, i-tibia .

Ngaphakathi kwedolo lakho, leli (ACL) kanye nelinye i-ligament elibizwa ngokuthi (PCL - Posterior Cruciate Ligament) lihlelwe ngesimo sohlamvu "X". (ACL) litholakala ngaphambili kwedolo, kanti (PCL) litholakala ngemuva kwedolo.

Umsebenzi oyinhloko walo mthambo (ACL) ukuvimba idolo lakho ekugobeni kakhulu, noma ekujikeni kakhulu. Okusho ukuthi, kusiza ukugcina idolo lakho liqinile. Ngakho-ke, uma idolo lakho licindezelwa ngamandla amakhulu, futhi ligoba noma lijike kakhulu, lo mthambo (ACL) ungalimala noma uklebhuke.

Ukulimala kwe-ACL kuvame kakhulu phakathi kwabadlali, kodwa kungenzeka kunoma ubani. Uma unesihlungu sedolo, ikakhulukazi uma siqale ngemva kwengozi noma ngesikhathi udlala imidlalo, kufanele nakanjani ubone udokotela.

Ingabe kukhona amazinga ahlukene okulimala (i-ACL)?

Yebo, odokotela balinganisa lokhu kulimala (i-ACL) ngokuya ngobukhulu bako. Lokhu kusisiza siqonde ukuthi ukulimala kunjani. Kunezinhlobo ezintathu eziyinhloko:

• Ibanga 1: Yilapho i-ACL ikhubeka, okubangela umonakalo othile, kodwa ayidabukile ngokuphelele. Lokhu kusho ukuthi i-ligament isesengxenyeni eyodwa, ibambe amathambo edolo ndawonye. Kodwa ibuthakathaka kancane.
• Ibanga lesi-2: Lapha i-ACL ligament inwetshiwe kakhulu, idabukile kancane. I-ligament ikhululekile, futhi ukuqina kwedolo kuyancipha.
• Ibanga lesi-3: Lesi yisimo esibi kakhulu. Lapha i-ACL idabukile ngokuphelele, yahlukana yaba yizicucu ezimbili.

Kuzwakala kanjani ukudabuka kwe-ACL?

Abantu abaningi bakhumbula isikhathi lapho bedabula khona i-ACL yabo ngokucacile, ngoba kuvame ukwenzeka emcimbini ocacile, njengengozi yezemidlalo.

Umuntu one-ACL izinyembezi angase abhekane nalezi zimpawu ezilandelayo:

• Uzwa noma uzwa umsindo othi "click" noma "pop" edolweni lakho.
• Idolo ngokuzumayoUkuzizwa "ungazinzile", ungenakho ukuzilawula (ukungazinzi, ubuthakathaka).
• Ukukhala kwe-ACL kungaba buhlungu kakhulu. Abanye abantu bangase babe nokungakhululeki okuncane kuphela. Kodwa-ke, uma ulimele edolweni lakho, ikakhulukazi uma uzwa noma uzwa umsindo oqhumayo ofana nalowo okukhulunywe ngawo ngenhla, kufanele nakanjani ubone udokotela.

Kuvame kangakanani ukulimala kwe-ACL?

Eqinisweni, ukulimala kwe-ACL kuvame kakhulu. Kuzo zonke imisipha edolweni, i-ACL iyona evame ukulimala kakhulu. Ngokwezibalo ezithile, isibonelo, e-United States kuphela, abantu ababalelwa ku-100,000 kuya ku-200,000 badabula i-ACL yabo minyaka yonke. Ngakho cabanga ukuthi lokhu kuvame kangakanani.

Ziyini izimpawu ze-ACL Tear?

Njengoba sesike sakhuluma ngakho ngaphambili, izimpawu eziyinhloko ze-ACL Tear yilezi:

• Ukuzwa noma ukuzwa umsindo othi "click" noma "pop" edolweni.
• Ukuvuvukala: Idolo liqala ukuvuvukala ngokushesha ngemva kokulimala noma emahoreni ambalwa kamuva.
• Ubuhlungu: Ubuhlungu obukhulu bungase buvele, ikakhulukazi uma uzama ukuma noma ukuhamba ngesisindo edolweni.
• Ubuthakathaka noma umuzwa ofana nedolo "uyaqhuma": Idolo lingase lizizwe libuthakathaka futhi ligobe ngokuzumayo lapho lime.
• Ubunzima bokunyakaza: Awukwazi ukugoba noma ukuqondisa idolo ngokuphelele.

Yiziphi izimbangela ze-ACL Tear?

Kalula nje, ukudabuka kwe-ACL kungenzeka uma idolo lakho licindezelwa kakhulu noma licindezelwa. Lokhu kusho ukuthi idolo licindezelwa ngale kobubanzi balo bemvelo bokunyakaza.

Izimbangela ezivame kakhulu zezinyembezi ze-ACL yilezi:

• Izingozi zemidlalo: Ikakhulukazi emidlalweni ehilela ukuma ngokuzumayo, ukushintshashintsha kwendlela ngokuzumayo, kanye nokugxuma (isib., ukugijima ebholeni, i-netball, i-basketball, i-volleyball, ikhilikithi).
• Izingozi zezimoto: Ukushaywa kakhulu edolweni ngesikhathi sezingozi zezimoto.
• Ukuwa: Ezimweni ezifana nokuwa usuka endaweni ephakeme noma ukushelela.

Ubani osengozini enkulu yokuthola i-(ACL Tear)?

Noma ubani angathola ukudabuka kwe-ACL. Kodwa-ke, kuvame kakhulu phakathi kwabadlali. Njengoba kushiwo ngaphambili, labo abadlala imidlalo ehilela ukuma okungazelelwe, ukujika, kanye nokushintsha kwendlela basengozini enkulu. Isibonelo:

• Ibhola lezinyawo
• Ibhola lezinyawo
• Ibhola lomnqakiswano
• I-Gymnastics
• Ibhola lomnqakiswano
• I-Volleyball

Yiziphi izinkinga ze-ACL Tear?

Engozini enkulu ngokwanele ukudabula i-ACL, ezinye izingxenye zedolo nazo zingalimala, yingakho kubalulekile ukufuna usizo lwezokwelapha ngokushesha.

Kanye nokudabuka kwe-ACL, eminye imisipha edolweni lakho nayo ingonakalisa, njenge:

• (I-Medial Collateral Ligament - MCL)
• (I-Lateral Collateral Ligament - LCL)
• (I-Posterior Cruciate Ligament - PCL)

Futhi, ezinye ukulimala okungenzeka ngokudabuka kwe-ACL kuhlanganisa:

• Ukuphuka kwamathambo
• Ukudabuka kwe-Meniscus ( i-meniscus iyingxenye efana ne-cartilage ephakathi kwamathambo edolo)
• Ukucindezeleka kwemisipha

Ungayibona kanjani i-ACL crisp?

Udokotela uxilonga ukudabuka kwe-ACL ngokubuza ngezimpawu zakho, enze ukuhlolwa ngokomzimba, futhi mhlawumbe enze ezinye izivivinyo.

Okokuqala, udokotela uzokubuza ukuthi ukulimala kwenzeke kanjani, yiziphi izimpawu onazo, nokuthi usunesikhathi esingakanani uzwa ubuhlungu. Udinga ukutshela udokotela ukuthi wenzani ngaphambi kokuba ulimele idolo lakho nokuthi waqala nini ukuqaphela izimpawu.

Ngemuva kwalokho, udokotela uzoshukumisa idolo lakho nomlenze wakho ngezindlela ezithile. Ungase uzizwe ungakhululekile noma ubuhlungu phakathi nalesi sikhathi. Uma noma yikuphi kwalokhu kumiswa noma ukunyakaza kubuhlungu, tshela udokotela wakho.

Cishe kuzodingeka wenze ukuhlolwa okukodwa noma ngaphezulu kwalokhu kwezithombe :

• Ama-X-ray: Lokhu kungahlola noma yiziphi izimpawu zokuphuka kwethambo.
• I-CT scan (i-Computed Tomography scan): Lokhu kunganikeza nombono ngamathambo nezicubu ezithambile.
• I-MRI (Umfanekiso Wokubukana Kwamagnetic): I-MRI iyindlela engcono kakhulu yokuxilonga ngokunembile ukulimala kwemisipha nezicubu ezithambile, njengokudabuka kwe-ACL.

Ilashwa kanjani i-ACL tear?

Ukwelashwa kunqunywa izinga lokulimala kwakho (i-ACL) (okungukuthi, ukuthi kukhulu kangakanani) nokuthi ngabe kukhona yini omunye umonakalo edolweni lakho.

Izinto okufanele uzenze ngokushesha ngemva kokulimala (indlela ye-RICE):

Uma nje ubona ubuhlungu bedolo noma ezinye izimpawu, yeka ukudlala imidlalo noma ukwenza imisebenzi ebeka ingcindezi edolweni lakho. Bese ulandela le ndlela ye-RICE :

• R - Ukuphumula: Gwema umsebenzi obangele ukulimala. Ungabeki isisindo esiningi edolweni lakho kuze kube yilapho liphola.
• I - Iqhwa: Beka iphakethe leqhwa eligoqwe ngethawula elincane noma ama-ice cubes ambalwa edolweni elimele cishe imizuzu eyi-15 izikhathi eziningana ngosuku. Lokhu kuzonciphisa ukuvuvukala nobuhlungu.
• C - Ukucindezela: Bopha idolo lakho ngebhandeji elinwebekayo. Lokhu kuzosiza futhi ekunciphiseni ukuvuvukala. Kodwa khumbula, ungalibophi kakhulu , ngoba lokhu kungavimba ukugeleza kwegazi.
• E - Ukuphakama: Gcina amadolo nezinyawo zakho zingaphezu kwezinga lenhliziyo yakho ngangokunokwenzeka. Ungasebenzisa into efana nomcamelo ukuze uzisekele.

Udokotela wakho angase asikisele izinto ezinjengalezi ukusiza ukulawula ubuhlungu bakho nezinye izimpawu:

• Sebenzisa izinduku zokubambelela (hamba ngaphandle kokubeka isisindo emadolweni akho).
• Gqoka i-brace ukuze ugcine idolo lakho lizinzile.
• Ama-painkiller angathengwa ekhemisi ngaphandle kwencwadi kadokotela, isibonelo (ama-NSAID - Izidakamizwa Ezingavimbeli Ukuvuvukala) (isib. i-Ibuprofen) noma (i-Acetaminophen) (isib. i-Panadol).
• Ukwelashwa ngokomzimba: Lokhu kubaluleke kakhulu. Udokotela wezokwelapha ngokomzimba uzokufundisa ukuzivocavoca ukuze akusize uthole amandla, ukuguquguquka, kanye nokunyakaza edolweni lakho.

Ingabe ukukhala kwe-ACL kuzophola ngokwako?

I-ACL edabukile ayizipholi ngokwayo. Kodwa-ke, uma ukulimala kungekubi kakhulu (isib. ukulimala kwebanga loku-1), abanye abantu bangaphila nakho. Okusho ukuthi, bangenza imisebenzi yabo yansuku zonke ngaphandle kobunzima obukhulu.

Kodwa-ke, uma ungumdlali wezemidlalo noma umuntu othanda ukuphila impilo esebenzayo ngokomzimba, uzodinga ukuhlinzwa ukuze kulungiswe i-ACL. Abantu abaningi bakhetha ukuhlinzwa ukuze kutholakale ukudabuka kwe-ACL.

Ake sifunde ngokuhlinzwa kwe-ACL Tear

Ukuhlinzwa kokulungisa ukulimala kwamadolo okunje kuvame ukwenziwa njengenqubo yokulaliswa esibhedlela, okusho ukuthi akudingeki uhlale esibhedlela.

Udokotela ohlinzayo uvame ukwenza inqubo ebizwa ngokuthi i-knee arthroscopy . Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane edolweni, ukufaka ikhamera namathuluzi amancane, nokulungisa umonakalo ngaphansi kokuqondiswa yi-monitor. Lena inqubo engangenisi kakhulu , esiza ukuphola ngokushesha nokunciphisa izibazi. Ungacela udokotela wakho ohlinzayo ukuthola ulwazi olwengeziwe ngalokhu.

Ingabe ukudabuka kwe-ACL kungavinjelwa?

Ngezinye izikhathi kunzima ukuvimbela ukudabuka kwe-ACL, ikakhulukazi uma ungumdlali. Ngoba asikwazi ukuhlela ukulimala kwezemidlalo kanye nezingozi.

Nokho, kunezinto esingazenza ukuze sinciphise ingozi.

Ngesikhathi udlala imidlalo noma eminye imisebenzi yomzimba:

• Gqoka imishini yokuphepha efanele.
• Uma uzwa ubuhlungu edolweni ngenkathi udlala imidlalo noma uvivinya umzimba, yeka "ukudlala ubuhlungu." Phumula ngokushesha.
• Nika umzimba wakho isikhathi sokuphumula nokululama ngemva kokusebenza kanzima.
• Fudumala futhi welule kahle ngaphambi kokudlala imidlalo noma ukuzivocavoca.
• Phola bese welula futhi ngemva kwemisebenzi.
• Ngokuhlanganyela ezinhlelweni zokuzivocavoca eziqinisa idolo kanye nemisipha yomzimba engezansi ngesikhathi sokuphumula, ungalungisa amalunga ukuze amelane nokucindezeleka okubekwa edolweni phakathi nesizini.

Landela lawa macebiso okuphepha ukuze unciphise ingozi yokulimala:

• Gwema ukugxilisa izinyawo zakho endaweni eyodwa bese ujikeleza umzimba wakho ngaphezu kwamadolo akho.Lesi yisona sizathu esiyinhloko sokulimala kwe-ACL kanye ne-meniscus kubasubathi.
• Gcina ikhaya lakho nendawo yakho yokusebenza icocekile, ingenazo izinto ezingadingekile nezinto ezingakuphazamisa.
• Sebenzisa amathuluzi afanele ngaso sonke isikhathi ukuze ufinyelele izinto eziphakeme ekhaya lakho. Ungalokothi ukhwele ezihlalweni, ematafuleni, noma emakhabetheni.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa induku yakho noma i-walker.

Kuthatha isikhathi esingakanani ukuphola ekudabukeni kwe-ACL?

Ngokuvamile kuthatha izinyanga eziyisithupha kuya kweziyisishiyagalolunye ukuphola ngenxa yokudabuka kwe-ACL. Abasubathi abancintisanayo bangathatha isikhathi eside ukuphola ngokugcwele futhi bavunyelwe ukubuyela ekudlaleni.

Udokotela wakho uzokutshela ukuthi ungaqhubeka nini nomsebenzi womzimba. Ungadlali ezemidlalo noma ukuzivocavoca kuze kube yilapho udokotela wakho ekunika imvume. Uma uqhubeka nomsebenzi ngaphambi kokuba i-ACL yakho ilulame ngokuphelele, kungenzeka ukuthi uzophinde uyilimaze.

Ungakwazi yini ukuhamba ne-ACL edabukile?

Abanye abantu bangahamba ne-ACL edabukile. Kodwa-ke, uma kukhona ubuhlungu, ungashukumisi noma usebenzise idolo lakho ngenkani. Uma unesihlungu noma ezinye izimpawu zokulimala kwedolo, bona udokotela. Ukucindezela kakhulu i-ACL elimele kungenza ngisho nokulimala okuncane kube kubi kakhulu.

Kufanele ngimbone nini udokotela wami?

Bonana nodokotela ngokushesha okukhulu ngemuva kokulimala edolweni lakho. Tshela udokotela wakho uma ubona noma yiziphi izimpawu ezintsha noma uma ubuhlungu bubonakala buba bubi kakhulu.

Uma uke walimala kakhulu (ukuhlukumezeka) , njengengozi yemoto noma ukuwa okukhulu, hamba uye emnyangweni wezimo eziphuthumayo esibhedlela ngokushesha. Ezingozini ezinjalo, ungase ube nezinye ukulimala kwangaphakathi ongase ungaziqapheli ngokushesha.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uya kudokotela, kuwumqondo omuhle ukubuza imibuzo efana nale:

• Ingabe nginokulimala kwe-ACL noma okunye ukulimala?
• Leli gama lokulimala lingakanani?
• Ingabe ngizodinga ukuhlinzwa?
• Kuzodingeka ngilinde isikhathi esingakanani ngaphambi kokuba ngiqale ukuzivocavoca noma ukudlala ezemidlalo futhi?
• Iyini ingozi yokudabula i-ACL futhi esikhathini esizayo?

Ingabe ukudabuka kwe-ACL kungenzeka futhi?

Ngisho noma i-ACL ilungiswa ngokuhlinzwa, kunethuba elincane kakhulu lokuthi i-ACL izophinde idabuke esikhathini esizayo. Abantu abangaphansi kuka-10% abane-ACL crim bazophinde badabule i-ACL efanayo. Buza udokotela wakho noma udokotela ohlinzayo ukuze uthole ulwazi olwengeziwe ngalokhu.

Ingabe ukudabuka kwe-ACL kusho "ukuphela komsebenzi womdlali"?

Esikhathini esiningi, ukudabuka kwe-ACL akusona ukuphela komsebenzi womdlali.Into ebaluleke kakhulu ukungasheshi inqubo yokuphulukiswa. Iningi labantu abahlushwa ukukhala kwe-ACL bangabuyela emdlalweni wabo ngaphandle kwemiphumela emibi yesikhathi eside.

Uhlelo lokuvuselela umzimba ngemva kokuhlinzwa kwakho luyindlela engcono kakhulu yokubuyisela amandla nokuguquguquka edolweni lakho. Kuzodingeka uvuselele idolo lakho isikhathi esithile ngaphambi kokuba ubuyele kwezemidlalo.

Buza udokotela wakho noma udokotela ohlinzayo ukuthi kuphephile yini ukuthi uphinde udlale umdlalo ofanayo nokuthi ungaqala nini ukuqeqesha.

Ukudabuka kwe-ACL kungenye yezingozi ezivame kakhulu edolweni kubadlali. Kungaba yinto ecasulayo ukuhlala ungasebenzi izinyanga eziningi. Kodwa-ke, ungalokothi uphuthume inqubo yokuphulukiswa. Uma uhlinzwa ukuze kulungiswe i-ACL yakho, uzokwazi ukubuyela enkundleni noma ejimini ngokushesha nje lapho idolo lakho selipholile.

Uma ulimele edolweni lakho, ungalicindezeli kakhulu. Ukwenza kanjalo kungenza ngisho nokudabuka okuncane kwe-ACL kube kubi kakhulu. Bonana nodokotela ngokushesha nje lapho ulimele edolweni lakho noma uzwa ubuhlungu.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ngakho-ke sesikhulume kakhulu ngokudabuka kwe-ACL. Okokugcina, khumbula la maphuzu:

• Ukudabuka kwe-ACL kuyimbangela evamile futhi engaba yingozi edolweni.
• Uma uzwa izimpawu ezinjengomsindo "wokuchofoza" ovela edolweni lakho, ukuvuvukala, ubuhlungu obukhulu, noma ukulahlekelwa ukulawula idolo , funa iseluleko sezokwelapha ngokushesha.
• Ukuhlolwa okufana ne -MRI kungadingeka ukuze kutholakale ukuxilongwa okunembile.
• Izindlela zokwelapha ziyahlukahluka kuye ngohlobo lokulimala. Ukuphumula, iqhwa, kanye nokwelashwa ngokomzimba kubalulekile. Ukulimala okukhulu kungadinga ukuhlinzwa .
• Ukuvuselelwa kuyingxenye ebalulekile yenqubo yokuphulukiswa. Landela imiyalelo kadokotela wakho ngqo.
• Ukulandela izinyathelo ezithile zokuphepha kunganciphisa ingozi yokudabuka kwe-ACL.
• Ungalokothi ungazinaki izinhlungu. Ukwelashwa okusheshayo kungavimbela isimo ukuba singabi sibi kakhulu.

Uma unenkinga efana nale, into engcono kakhulu ongayenza ukungesabi, ufune iseluleko sezokwelapha esifanele, bese uthatha ukwelashwa ngesineke.

Ukwephuka kwe - ACL, ukulimala kwedolo, ukulimala kwezemidlalo, ukudabuka kwemisipha, ukuhlinzwa kwedolo, ukwelashwa ngokomzimba, ubuhlungu bedolo