Kwenzekeni edolweni lakho? Ake sifunde ngokuhlolwa kwe-Anterior Drawer.

Ngezinye izikhathi lapho sigijima, sigxuma, noma sidlala imidlalo, amadolo ethu angaba buhlungu kancane, akunjalo? Mhlawumbe nawe uke waba buhlungu. Ngakho-ke, esimweni esinjalo, ukuhlolwa okulula odokotela abakusebenzisayo ukubona ukuthi kukhona yini umonakalo kumsipha obalulekile ngaphakathi kwedolo lakho, i-`(ACL)`, kubizwa ngokuthi i-`(Anterior Drawer Test)`. Ake sixoxe ngalokhu ngokuningiliziwe.

Odokotela balwenza nini lolu ``Ukuhlolwa Kwe-Anterior Drawer''?

Manje ungase ucabange, 'Kulungile, hlobo luni lokuhlolwa lolu?' Ngokuyisisekelo, udokotela uzokwenza lokhu kuhlolwa uma kukhona okusolakala ukuthi i-cruciate ligament engaphambili kwedolo lakho, esiyibiza ngokuthi i-Anterior Cruciate Ligament, noma i-ACL ngamafuphi, idabukile noma iphukile.

Uyazi, le `(ACL)` ingenye yemisipha emine ebaluleke kakhulu edolweni lethu. Le misipha ifana nezintambo eziqinile. Yilezi ezixhumanisa ithambo lethu lethanga (`(Femur)`) nethambo eliyinhloko emlenzeni ongezansi (`(Tibia)`) kanye nethambo elincane elihambisana nalo (`(Fibula)`), futhi ligcina ijoyinti ledolo lizinzile. Ikakhulukazi, umsebenzi we-`(ACL)` ukuvimba idolo lethu ukuthi lingaqhubeki phambili kakhulu futhi lingajiki kakhulu . Cabanga ngakho njenge-`(Brake)` yemoto.

Ngakho-ke uma le `(ACL)` yonakele, okungukuthi, uma idabukile, kungavela izimpawu eziningana. Ngokuvamile, lokhu kuwukulimala okwenzeka ngesikhathi semidlalo . Uma uhlangabezana nalezi zimpawu, udokotela angenza lokhu kuhlolwa:

• Ubuhlungu edolweni.
• Umuzwa "wokuduma kwedolo", okusho ukuthi idolo livele lizizwe sengathi liyaphuma ekulawuleni.
• Ukuvuvukala (kungaqala ngokushesha ngemva kokulimala, kodwa kungavela futhi ngemva kwamahora amane kuya kwayisithupha).
• Ukungakwazi ukugoba nokwelula idolo kahle kusho ukuthi ububanzi bokunyakaza buyancipha .
• Ubumnene.
• Ukuzizwa ungakhululekile lapho uhamba.

Kwenziwa kanjani lokhu `(Ukuhlolwa Kwedrowa Langaphambili)`?

Lokhu kulula kakhulu. Ngeke ube nenkinga enkulu. Udokotela noma umhlengikazi uzohlola ukuthi idolo lakho lihamba ibanga elingakanani, nokuthi ngabe kukhona yini izingxenye ezinyakaza kakhulu. Nazi izinyathelo:

• Kuzodingeka ulale ulele etafuleni lokuhlolwa.
• Udokotela uzophakamisa ithanga lakho ngama-degrees angu-45 ukusuka ezingeni lombhede (okungukuthi, alinwetshiwe ngokuphelele, aligobile ngokuphelele, kodwa liphakathi nendawo).
• Ngemuva kwalokho idolo lakho lizogoba nge-engeli engama-degree angu-90 (okungukuthi, liqonde ngqo ethangeni lakho).
• Udokotela uzobeka isisindo sakhe onyaweni lwakho bese elubamba lunganyakazi.
• Okulandelayo, udokotela uzobamba umlenze wakho ongezansi, ngaphansi nje kwedolo, bese ewudonsela kuye ngobumnene (okungukuthi, awuhambise phambili).

Ngezinye izikhathi udokotela uzokwenza lokhu kuhlolwa kwelinye idolo lakho, elingalimalanga, kuqala.Lokhu kuzomnika umbono webanga elijwayelekile lokunyakaza kwedolo lakho.

Udokotela angase futhi ahlole umlenze wakho ongezansi ngokuwusunduza kude naye, uye ohlangothini lwetafula lokuhlolwa (`(Posteriorly)`). Lokhu ngezinye izikhathi kubizwa ngokuthi `(Posterior Drawer Test)`. Abanye odokotela benza lokhu ngesikhathi esifanayo `(Anterior Drawer Test)`.

Cabanga nje, uma i-`(ACL)` yakho idabukile, umlenze wakho ongezansi uzohamba phambili kakhulu kunalokho okufanele . Ngokuvamile, i-`(ACL)` yiyo exhumanisa umlenze ongezansi nomlenze ongaphezulu futhi iyivimbele ukuthi iqhubekele phambili kakhulu. Ngakho-ke uma i-`(ACL)` yonakele noma idabukile, umlenze ongezansi uzohamba ngaphezu kokujwayelekile ngoba awunalo lolo xhaso.

Ingabe kukhona engikudingayo ukulungiselela ngaphambi kwalokhu `(Ukuhlolwa)`?

Lutho neze! Awudingi ukwenza noma yini ekhethekile ukuze ulungiselele lokhu "Ukuhlolwa Kwe-Anterior Drawer". Into ebaluleke kakhulu ukubona udokotela ngokushesha okukhulu uma unezinkinga ngedolo lakho, noma uma ubona izimpawu, njengobunzima bokuhambisa idolo lakho noma ukuhamba.

Yini okufanele ngiyilindele ngesikhathi sokuhlolwa?

Kubalulekile ukuhlala uzolile ngangokunokwenzeka phakathi nalesi sikhathi. Udokotela wakho uzokutshela ukuthi ugcine imisipha yakho ye-hamstrings kanye neminye imisipha ikhululekile. Uma uzwa ubuhlungu ngesikhathi sokuhlolwa, ikakhulukazi uma unesimo esithile noma ukunyakaza okukwenza uzizwe kabi , tshela udokotela wakho . Ungakhathazeki, udokotela wakho akazami ukukulimaza.

Kwenzekani ngemva kokuhlolwa?

Manje njengoba usunomqondo ocacile wokuthi i-ACL yakho idabukile yini nge-Anterior Drawer Test, udokotela wakho angase acele ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa. Lokhu kuhlolwa kuvame ukuba nembambo kakhulu, kodwa ukuhlolwa kwezithombe (njengokuskena) kungasiza ekunqumeni ukuthi i-ACL idabukile kuphi nokuthi ikude kangakanani. Kungadingeka wenze okulandelayo:

• I-MRI (Magnetic Resonance Imaging) iskena esingabona ngokucacile izicubu ezithambile ngaphakathi kwedolo, njengemisipha kanye ne-cartilage.
• Ukuskena nge-ultrasound.
• I-X-ray. Lokhu kuhlola noma yimuphi umonakalo emathanjeni edolo.

Kungase kudingeke futhi ukuthi wenze i-knee arthroscopy ukuze uhlole noma ulungise umonakalo ngaphakathi kwedolo lakho. Lena inqubo engangenisi kakhulu esebenzisa ikhamera ukuze ibheke ngaphakathi kwedolo lakho ngokusebenzisa ukusikwa okuncane. Ezimweni eziningi, ungaya ekhaya ngosuku olufanayo ngemva kwalolu hlobo lokuhlinzwa.

Ingabe zikhona izingozi ngalolu hlolo lwe-"Anterior Drawer Test"?

Akukho bungozi.Lokhu kuhlolwa ngeke kulimaze idolo lakho. Ungase uzwe ubuhlungu noma ukungakhululeki okuthile. Kodwa-ke, noma ngabe i-ACL idabukile, akufanele uzwe ubuhlungu obukhulu. Udokotela uzokwenza lokhu ngokucophelela okukhulu.

Zithini imiphumela? Zisho ukuthini?

Imiphumela yalolu ``Ukuhlolwa Kwe-Anterior Drawer'' ayifani nezinye izivivinyo. Okusho ukuthi, esikhundleni sokunikeza inani elithile noma ububanzi, itshela udokotela ukuthi ngabe i-``ACL'' yakho idabukile noma cha.

Empeleni, lokhu kufana nokuphendula umbuzo othi 'yebo' noma 'cha' . Akufani nokuthola impendulo eqondile yenkinga yezibalo.

Uma kukhona uphawu lokuthi i-ACL yakho idabukile, okusho ukuthi idolo lakho lihamba phambili kakhulu, udokotela wakho uzobheka lokhu njengomphumela 'oqondile' . Umphumela 'ongemuhle' usho ukuthi idolo lakho alihambi phambili kakhulu, okusho ukuthi ukuhlolwa akubonisi zimpawu zenkinga nge-ACL yakho.

Kodwa-ke, umphumela othi "Negative" akusho ukuthi ngeke udinge ukuhlolwa okwengeziwe. Kungenzeka ukuthi "i-ACL" isadabukile, noma kungase kube nomunye umonakalo ngaphakathi kwedolo. "Ukuhlolwa Kwe-Anterior Drawer" kungenye nje yamathuluzi amaningi asetshenziswa udokotela ukuthola ukulimala kwedolo. Kuyingxenye yokuhlolwa okuphelele.

Kufanele ubonane nini nodokotela?

Uma uke waba sengozini futhi uzwa ubuhlungu edolweni, qiniseka ukuthi ubona udokotela. Yiya ekamelweni lezimo eziphuthumayo esibhedlela (ER) ngokushesha, ikakhulukazi uma uhlangabezana nanoma yikuphi kwalokhu okulandelayo:

• Uma kukhona ubuhlungu obukhulu .
• Uma ukuvuvukala kubonakala sengathi kuya kuba kubi kakhulu .
• Uma kukhona ushintsho lombala ozungeze idolo (njengokuphenduka okwesibhakabhaka noma onsomi).
• Uma ungakwazi ngisho nokunyakaza amadolo akho.

Iyini i-"Anterior Drawer Test" eyenziwa eqakaleni?

Ukuhlolwa Kwedrawa Langaphambili Lokulimala Kweqakala Kufana kakhulu nalokho okusetshenziselwa ukubheka ukudabuka kwe-ACL edolweni. Kubizwa nangokuthi Ukuhlolwa Kwedrawa Langaphambili Lokushesha ngoba kudinga ukuthi ulale ngomhlane (usheshe). Udokotela angakusebenzisa ukuhlola umonakalo wemisipha eqakaleni lakho. Kwenziwa kanje:

• Uzobe ulele ngobuso phansi (`(Uthambekele)`) etafuleni lokuhlolwa, unyawo lwakho lulenga phezu komphetho wetafula.
• Udokotela uzobamba umlenze wakho ongezansi, ngaphezu nje kweqakala.
• Bese ebamba umhlane wesithende sakho bese esisunduza phansi (phambili) futhi.

Iyini i-"Anterior Drawer Test" yehlombe?

Ukuhlolwa Kwe-Anterior Drawer kufana nanoma yikuphi ukuhlolwa kwehlombe - kusiza ukuthola noma yimuphi umonakalo noma ukulimala kwehlombe lakho. Kodwa-ke, lokhu kuhlolwa kwehlombe kuhlukile kancane kunokwedolo noma iqakala:

• Kufanele ulale ulele .
• Udokotela uzokutshela ukuthi welule ingalo yakho iye ohlangothini, iqonde ngqo emzimbeni wakho, njengengxenye ye-'T'.
• Uyakusekela ngokubamba ingalo yakho ngaphansi kwengalo eyodwa.
• Ngesinye isandla, udokotela uzocindezela kancane esifubeni sakho, ebambe ihlombe lakho (`(Scapula)`) linganyakazi.
• Udokotela uzophakamisa ngokucophelela ingalo yakho eyeluliwe ngaphezu kwezinga lombhede (phambili) bese eyibheka.

Uyini umehluko phakathi kwe-"Anterior Drawer Test" kanye ne-"Lachman Test"?

Kokubili i-Anterior Drawer Test kanye ne-Lachman Test kuyizivivinyo zomzimba ezisetshenziswa odokotela ukuthola ukudabuka kwe-ACL. I-Lachman Test inguqulo eshintshiwe kancane ye-Anterior Drawer Test.

Esikhundleni sokubamba ithanga lakho nge-engeli engama-degree angu-45 njengase-Anterior Drawer Test, ku-Lachman Test, udokotela ubamba ithanga lakho nge-engeli engama-degree angu-20 noma angu-30 (okusho ukuthi liseduze kancane netafula olele kulo).

Ngokufanayo, ku-"Anterior Drawer Test" (Ukuhlolwa Kwedrawa Yangaphambili), udokotela ubeka unyawo lwakho etafuleni bese elubamba ngesisindo phezulu. Kodwa-ke, ku-"Lachman Test" (Ukuhlolwa Kwedrawa Yangaphambili), udokotela usekela isisindo somlenze wakho ngezandla zakhe. Njengaku-"Anterior Drawer Test" (Ukuhlolwa Kwedrawa Yangaphambili), ku-"Lachman Test" (Ukuhlolwa Kwedrawa Yangaphambili), udokotela udonsa umlenze wakho ongezansi ngokuphindaphindiwe eceleni kwakhe (phambili) ukuze abone ukuthi idolo lihamba ibanga elingakanani.

Ngakho-ke, yimuphi umyalezo okufanele siwuthathe siwuyise ekhaya kukho konke lokhu?

Kalula nje, i-Anterior Drawer Test iyindlela esheshayo nephephile yokuthi udokotela anqume ukuthi une-ACL edabukile edolweni lakho. Ayidingi mishini ekhethekile futhi ingenziwa ngemizuzu embalwa. Kodwa-ke, kungadingeka ukuthi ube nokuhlolwa kwezithombe (njengokuskena) ukuqinisekisa imiphumela yalolu vivinyo.

Into ebaluleke kakhulu ukuthi, uma kwenzeka okuthile edolweni lakho, uma uzwa ubuhlungu, nakanjani bonana nodokotela. Yibo abazothola ukuthi yini ngempela engalungile futhi bakunikeze ukwelashwa okudingayo.

Njengoba ululama ekulimaleni kwe-ACL, qhubeka ukhuluma nodokotela wakho. Uzokutshela ukuthi yini ongayilindela nokuthi kuzobe kuphephile nini ukudlala imidlalo, ukugijima, noma ukugxuma futhi. Kubalulekile ukunakekela umzimba wakho!

Idolo , i-ACL, Ukuhlolwa Kwedrowa Langaphambili, Ukulimala Kwedolo, Ama-Ligaments, Ukuhlolwa Kwezokwelapha, Ukulimala Kwezemidlalo