Wake waba nobuhlungu obungazelelwe edolweni ngenkathi udlala, ugijima, noma wehla izitebhisi? Uke wezwa umsindo 'wokuchofoza' ngaphakathi wazizwa sengathi idolo lakho lizophela? Uma uya kudokotela ngaleso sikhathi, enye yezindlela ayisebenzisayo ukuhlola idolo lakho ibizwa ngokuthi 'i-Anterior Drawer Test'. Ake sibone ukuthi kuyini, kwenziwa kanjani, nokuthi kukhona yini okufanele ukwesabe.
Iyini i-Anterior Drawer Test?
Kalula nje, i-Anterior Drawer Test inqubo ekhethekile lapho udokotela ehlola khona idolo lakho ngesandla. Lokhu kuhlola ikakhulukazi ukubona ukuthi i-anterior cruciate ligament (ACL) edolweni lakho yonakele yini, okusho ukuthi idabukile.
Cabanga nje, ngaphakathi kwedolo lethu, kunezintambo eziqinile ezixhumanisa ithambo lethanga (i-Femur) kanye nethambo le-shin (i-Tibia). Sibiza lezi zintambo ngokuthi `(Ama-Ligaments).` Yilezi ezigcina idolo lizinzile futhi lingagxumi ngokungadingekile. `I-ACL` ingenye yalezi zintambo. Ukuze kube sobala, le `ACL` ivimba ithambo lakho le-shin ukuthi lingagxumi phambili ngokungadingekile maqondana nethambo lethanga.
Ku-Anterior Drawer Test, udokotela wakho uzodonsa idolo lakho liye phambili izikhathi eziningana. Uma i-ACL yakho idabuke, idolo lizophuma ngaphezu kokujwayelekile. Lokhu kufana nendlela umnyango ongavulwa ngayo kalula uma ukhiye uphukile. Lokhu ukuhlolwa okulula okungenziwa ehhovisi futhi akudingi mishini ekhethekile.
Udokotela ulwenza nini lolu vivinyo?
Uma ulimele edolweni futhi unezimpawu ezilandelayo, udokotela wakho angase asole ukuthi i-ACL yakho inomonakalo. Lokhu kuhlolwa kungenziwa.
| Izimpawu ezivamile zokulimala kwe-ACL | Incazelo |
|---|---|
| Ubuhlungu bedolo | Ubuhlungu obukhulu obuvela ngokushesha ngemva kokulimala noma ngokushesha ngemva kwalokho. |
| Ukuzizwa sengathi idolo "liyaphuma ekulawuleni" | Uma umi noma uhamba, idolo liyagoba ngokuzumayo bese lizwakala sengathi selizophuma ekulawuleni. |
| Ukuvuvukala | Idolo lingavuvukala kungakapheli imizuzu noma amahora angu-4-6 ngemva kokulimala. |
| Ukuvinjelwa kokunyakaza | Ukungakwazi ukwelula noma ukugoba idolo ngokugcwele. |
| Ubunzima bokuhamba | Ukuzwa ubuhlungu noma ukungazinzile lapho uhamba. |
Ungayenza kanjani kahle i-Anterior Drawer Test?
Lena inqubo elula kakhulu yokuthi ngeke uzwe ubuhlungu obukhulu. Zicabange ulele ubheke phezulu etafuleni lokuhlolwa.
| Izinyathelo | Kwenzekani? |
|---|---|
| 1. Ukulungisa ukuma | Ngemva kokulala ngomhlane wakho, udokotela uzophakamisa ithanga lakho cishe ngama-degree angu-45. |
| 2. Ukugoba kwamadolo | Okulandelayo, goba idolo lakho ngama-degree angu-90, okungukuthi, nge-engeli efanele, bese ubeka unyawo lwakho embhedeni. |
| 3. Ukuqinisa unyawo | Udokotela uzohlala emlenzeni wakho enesisindo sakhe esincane bese esimisa embhedeni. |
| 4. Ukudonsa phambili | Manje udokotela uzobamba ingxenye ephezulu yedolo lakho, ngaphansi nje kwedolo, ngezandla zombili, futhi ngobumnene kakhuluOhlangothini lwabo, okungukuthi, ukudonsela phambili. |
Esikhathini esiningi, udokotela uzoqala enze lolu vivinyo edolweni lakho eliphilile, elingathinteki . Lokhu kwenzelwa ukuthola umbono wokuthi ukunyakaza okuvamile kwedolo lakho kunjani. Ngemuva kwalokho, idolo elithintekile lizohlolwa. Ngemuva kwalokho, ungabona ngokucacile umehluko phakathi kwalokhu okubili.
Kwenzekani ngesikhathi sokuhlolwa nangemva kwalokho?
Kubalulekile ukuthi uhlale uthule ngangokunokwenzeka phakathi nalolu vivinyo. Udokotela wakho uzokutshela ukuthi ugcine imisipha yemilenze yakho, ikakhulukazi ama-hamstrings, ikhululekile. Uma uzwa ubuhlungu ngesikhathi sokunyakaza, tshela udokotela wakho.
Into ebaluleke kakhulu ukuthi lokhu kuhlolwa ngeke kubangele umonakalo owengeziwe edolweni lakho. Ngisho noma i-ACL idabukile, ngeke ibangele ubuhlungu obukhulu. Ngakho ungesabi.
Ngemva kokuhlolwa kwe-Anterior Drawer, uma kusolwa ukuthi kukhona ukudabuka kwe-ACL, udokotela angase ancome ezinye izivivinyo eziningana ukuze akuqinisekise.
- Iskeni se-MRI (Magnetic Resonance Imaging): Lokhu kungabona ngokucacile umonakalo ezicutshini ezithambile njengemisipha kanye ne-meniscus (izingxenye ezifana ne-cushion).
- I-X-ray: Lokhu kusetshenziselwa ukuhlola umonakalo emathanjeni, njengokuphuka.
- Ukuskena nge-ultrasound: Lokhu kuyasetshenziswa nakwezinye izimo.
Kungase kudingeke futhi ukuthi wenze ukuhlinzwa okuncane okubizwa ngokuthi i-knee arthroscopy ukuze ubheke noma ulungise umonakalo ngaphakathi kwedolo. Lokhu kuhilela ukufaka ikhamera encane edolweni. Lokhu kuvame ukuba inqubo yosuku olufanayo.
Ungafunda kanjani imiphumela yokuhlolwa?
Umphumela walokhu awuyona inombolo efana nempendulo yenkinga yezibalo. Kufana nokuthi 'yebo' noma 'cha'.
- Umphumela Omuhle: Uma udokotela edonsa idolo lakho phambili, liza phambili ngaphezu kwedolo eliphilile, kusho ukuthi i-ACL ingase idabuke.
- Umphumela Ongemuhle: Uma kungekho ukunyakaza okungavamile kwedolo, umphumela uba muhle.
Kodwa khumbula, noma ngabe umphumela ungemuhle, akusho ukuthi i-ACL ayinawo umonakalo ongu-100%. Kungenzeka ukuthi elinye i-ligament noma enye ingxenye yedolo yonakele. Yingakho i-Anterior Drawer Test iyingxenye eyodwa kuphela yenqubo ephelele yokuhlola.
Kufanele ngimbone nini udokotela?
Uma ulimele edolweni futhi uzwa ubuhlungu, bonana nodokotela ngokushesha. Kodwa-ke, uma unanoma yikuphi kwalokhu okulandelayo:Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
| Amafulegi Abomvu Lapho Kufanele Uye Esibhedlela Ngokushesha | |
|---|---|
| Ubuhlungu obukhulu | Ubuhlungu abubekezeleleki. |
| Ukuvuvukala okuya kuba kubi | Uma ukuvuvukala edolweni kukhula kancane kancane. |
| Ukushintsha kombala | Uma isikhumba esizungeze idolo siphenduka sibe luhlaza okwesibhakabhaka noma sibe nsomi. |
| Ukungakwazi ukunyakaza | Uma ungakwazi nhlobo ukushukumisa idolo lakho. |
Ingabe kukhona ukuhlolwa okufana nalokhu kwamanye amalunga?
Yebo, izindlela ezifanayo ne-Anterior Drawer Test nazo zisetshenziselwa ukuhlola ukulimala kwe-ankle kanye ne-ligament yehlombe. Indawo yokuhlola iyahlukahluka kancane kuye ngokuthi ilunga ngalinye likuphi.
Uyini umehluko phakathi kwe-Anterior Drawer Test kanye ne-Lachman Test?
I-`Lachman Test` ingenye indlela ethandwa kakhulu esetshenziswa ukuhlola ukudabuka kwe-`ACL`. Umehluko omkhulu phakathi kwalokhu okubili inani lokugoba kwamadolo ngesikhathi sokuhlolwa.
- Ukuhlolwa Kwedrowa Langaphambili: Idolo ligobile ngama-degree angu-90 futhi lihlolwe.
- Ukuhlolwa kweLachman: Idolo lihlolwa ngokuligoba kancane, cishe ama-degree angu-20-30.
Odokotela bangase basebenzise noma yikuphi kwalokhu kuhlolwa noma kokubili uma besola ukulimala kwe-ACL.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa Kwe-Anterior Drawer kuyindlela elula, esheshayo, yokuhlola ngesandla eyenziwa udokotela ukuhlola umonakalo ku-ligament ye-ACL edolweni.
- Asikho isidingo sokwesaba lokhu kuhlolwa. Ngeke kukubangele ubuhlungu obukhulu noma umonakalo owengeziwe edolweni lakho.
- Lesi yisinyathelo esisodwa nje kuyo yonke inqubo yokuxilonga. Ngokuvamile, lesi sifo siqinisekiswa ngokwenza into efana ne-MRI scan.
- Uma ulimele kakhulu edolweni, ubuhlungu obukhulu, ukuvuvukala, noma ukungakwazi ukuhambisa umlenze wakho, bona udokotela ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela.
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