Wake wezwa umsindo othi 'pop' ngokuzumayo lapho idolo lakho liqhuma eceleni ngokuzumayo ngenkathi udlala, ugijima, noma ugxuma? Noma ingabe idolo lakho liqale ukubuhlungu noma ukuvuvukala ngokuzumayo? Uma lokhu kwenzekile kuwe, kungaba ukulimala kwe-ACL (i-anterior cruciate ligament) edolweni lakho. Abantu abaningi bayesaba lapho bezwa leli gama, ikakhulukazi labo abadlala ezemidlalo. Kodwa ungabi njalo. Ake sixoxe ngokuthi liyini, kungani lenzeka, nokuthi yini okufanele uyenze.
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Kalula nje, iyini le ACL?
Cabanga ngedolo lakho njenge-hinge eqinile. Ukuze le hinge isebenze kahle, idinga izibopho eziqinile ukuze ibambe izingxenye zayo ndawonye. Ngokufanayo, ngaphakathi kwedolo lethu, kunezibopho ezine eziqinile zezicubu ezixhumanisa i-femur ne-tibia, ezisiza ukugcina idolo lizinzile. Lokhu sikubiza ngokuthi "ama-ligaments."
I-Anterior Cruciate Ligament , noma i-ACL , ingenye yemisipha emine emikhulu. Yiyona evimba idolo ukuthi lingasheleli phambili futhi igcine idolo lizinzile uma lijikeleziswa. Ngakho-ke isebenza njengebhande lokuphepha ledolo.
Yiziphi izinhlobo zokulimala kwe-ACL?
Uma uya kudokotela, uzohlukanisa ukulimala kwakho kube ngamazinga amathathu, kuye ngokuthi ukulimala kungakanani. Yilokho okunquma ukwelashwa.
| Izinga lengozi (Ibanga) | Incazelo elula |
|---|---|
| Ibanga 1 | Lokhu kubangela ukwelula okuncane kwe-ACL ligament. Lokho kusho umonakalo omncane. Akunawo umthelela omkhulu ekuqineni kwedolo. |
| Ibanga lesi-2 | Lokhu kuyinto engavamile. Lapha i-ligament iyanwebeka bese ingxenye yayo idabuka. Lokho kubizwa ngokuthi 'ukudabuka okungaphelele'. |
| Ibanga lesi-3 | Lesi yisimo esibucayi kakhulu. Lapha i-ligament iqhekeke ngokuphelele phakathi, okwenza idolo lingazinzile. |
Ngezinye izikhathi odokotela basebenzisa amagama athi “ukuklebhula” noma “ukuqhekeka” kulokhu. Womabili asho into efanayo.
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Ukulimala kwe-ACL kuvame kakhulu kubadlali, ikakhulukazi:
- Imidlalo ehilela ukuma okungazelelwe kanye nokushintsha kwendlela: Emidlalweni efana nebhola, i-netball, i-basketball, ithenisi, kanye ne-volleyball, kufanele uyeke ukugijima ngokuzumayo bese ujika uye kwenye indawo. Ngaleso sikhathi, idolo lingajika kakhulu futhi lilimaze i-ACL.
- Ukuwela ngokungalungile: Kunethuba elikhulu lokuthi le ngozi yenzeke uma uwela ngokungalungile lapho ugxuma.
- Ukushaywa okungazelelwe: Uma ushaywa ngqo edolweni, njengalapho omunye umdlali eshaya khona.
Ucwaningo lukhombisile ukuthi abesifazane banamathuba amaningi okulimala kwe-ACL kunabesilisa, kanti izizathu ziyisakhiwo somzimba, amandla emisipha , kanye nethonya lamahomoni .
Ziyini izimpawu zalokhu?
Akuwona wonke umuntu obhekana nezimpawu ezifanayo uma enesifo se-ACL, kodwa ezivame kakhulu zihlanganisa:
- Ukuzwa umsindo we-'pop': Ukuzwa umsindo we-"pop" noma we-"tuck" usuka ngaphakathi kwedolo kuyinto eyenzeka kubantu abaningi lapho kwenzeka ingozi.
- Ubuhlungu obukhulu : Ngemva nje kwengozi, kuba nobuhlungu obukhulu edolweni. Ngezinye izikhathi ubuhlungu bungaba bukhulu kangangokuthi awukwazi ngisho nokuma.
- Ukuvuvukala okusheshayo: Idolo liqala ukuvuvukala kakhulu emahoreni ambalwa ngemuva kwengozi.
- Ubunzima bokuhamba : Kuba nzima ukubeka unyawo lwakho phansi bese ulubeka isisindo. Uma uhamba, idolo lakho lingase lizizwe "lingazinzanga," "likhululekile," noma "lishelela."
- Ubunzima bokugoba nokwelula idolo: Kuvamile ukungakwazi ukugoba noma ukwelula idolo ngokugcwele.
Uma uhlangabezana nanoma yiziphi zalezi zimpawu, into engcono kakhulu ongayenza ukuyeka ukudlala ngokushesha bese ubona udokotela.
Ukuthola kanjani lokhu, Dokotela?
Uma uya kudokotela, uzoqala ngokukubuza umbuzo onemininingwane mayelana nokuthi ingozi yenzeke kanjani. Ngemuva kwalokho, uzohlola idolo lakho.
1. Ukuhlolwa Komzimba:Udokotela uzokuyala ukuba ulale embhedeni, ugobe idolo lakho ngezindlela ezahlukene, bese uhambisa umlenze wakho kancane kancane. Lokhu kuzomnika umbono wokuthi i-ACL yakho izinzile kangakanani.
2. I-X-ray: Ngisho noma i-ACL ingabonakali ku-X-ray, ungase ucelwe ukuba wenze i-X-ray ukuze uhlole amanye ama-fracture edolweni.
3. I-MRI noma i-Ultrasound Scan: Lena yindlela engcono kakhulu yokuhlola ngokunembile isimo se-ACL. I -MRI scan ingabonisa ngokucacile ukuthi i-ligament idabukile, idabukile, noma idabukile ngokuphelele.
4. I-Arthroscopy: Ngezinye izikhathi, uma udokotela enokungabaza, uzosebenzisa inqubo ebizwa ngokuthi i-arthroscopy . Lokhu kuhilela ukwenza ukusikwa okuncane kakhulu edolweni, ukufaka ikhamera kulo, nokubuka ingaphakathi ledolo ngqo kusikrini. Uma kudingeka, umonakalo ungelashwa ngokushesha.
Yiziphi izindlela zokwelapha?
Ukwelashwa kuncike ebunzimeni (ibanga) lokulimala kwakho, iminyaka yakho, nokuthi usebenza kangakanani.
- Usizo lokuqala : Uma ulimele kancane (iBanga 1), ukuphumula , iqhwa, ibhandishi edolweni, nokuphakamisa umlenze kungasiza. Uma ukuthwala isisindo kunzima, kungadingeka izinduku zokusibekela.
- Imithi: Udokotela uzokunikeza imithi yokunciphisa ubuhlungu nokuvuvukala.
- I-Drake Brace: Lokhu kungasetshenziswa ukunikeza ukwesekwa okwengeziwe nokwandisa ukuqina kwedolo.
- Ukwelashwa Komzimba: Lokhu kubaluleke kakhulu . Ngaphansi kokuqondiswa ngumelaphi womzimba, kubalulekile ukwenza izivivinyo zokuqinisa imisipha ezungeze idolo, nokuzijwayeza ukugoba nokulula idolo ngokuphelele. Kungakhathaliseki ukuthi ukuhlinzwa kwenziwa noma cha, ukwelashwa ngokomzimba kuyingxenye enkulu yalokhu kwelashwa.
- Ukuhlinzwa: Uma i-ACL yakho idabuke ngokuphelele (iBanga lesi-3), ikakhulukazi uma ungumsubathi noma idolo lakho lingazinzile ngesikhathi semisebenzi yansuku zonke, udokotela wakho angase akuncome ukuhlinzwa. Lokhu kuhilela ukususa i-ligament ye-ACL eyonakele bese uyishintsha nge-graft evela kwenye ingxenye yomzimba wakho.
Kungathatha cishe izinyanga ezingu-9 kuya kwezingu-12 ukubuyela enkundleni yokudlala ngemuva kokuhlinzwa. Ukwelashwa ngokomzimba kubalulekile phakathi naleso sikhathi.
Ingabe ukulimala kwe-ACL kungavinjelwa?
Yebo, le ngozi ingancishiswa kakhulu ngokuqeqeshwa okufanele kanye nokuzivocavoca umzimba.
- Ukwenza izivivinyo eziqinisa imisipha yomzimba kanye nemilenze.
- Ukuzijwayeza indlela efanele lapho ugxuma futhi ufika phansi.
- Ukuzijwayeza ukubeka unyawo ngendlela efanele lapho ushintsha indlela ngokuzumayo (ukujika nokusika).
- Ukugqoka izicathulo zekhwalithi enhle ezifanele umdlalo odlalwayo.
Kubaluleke kakhulu ukufuna iseluleko kumqeqeshi wakho noma kuchwepheshe wezokwelapha umzimba ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- Ukulimala kwe-ACL kuwukulimala kwedolo okuvamile kodwa okungenzeka kube kubi kakhulu, ikakhulukazi kubadlali.
- Izimpawu eziyinhloko zengozi umsindo 'wokuqhuma', ubuhlungu, kanye nokuvuvukala okusheshayo.
- Uma uhlangabezana nanoma yiziphi zalezi zimpawu, ungazinaki. Bonana nodokotela ngokushesha.
- Indlela yokwelapha incike ebunzimeni bokulimala. Akuwona wonke umuntu odinga ukuhlinzwa.
- Ukwelashwa ngokomzimba kuyingxenye ebalulekile futhi ebaluleke kakhulu yenqubo yokuphulukiswa.
- Kukhona ithuba lokuvimbela lolu hlobo lwengozi ngokuzivocavoca nokuqeqeshwa okufanele.
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