Ingabe amadolo akho agobile emuva futhi anwetshiwe ngokweqile? (Idolo Elinwetshiwe Kakhulu) Ake sixoxe ngalokhu!

Wake waba senkingeni enkulu ngenkathi udlala imidlalo, ugijima, ugxuma, noma ungenzi lutho, lapho idolo lakho liqhuma ngokuzumayo futhi uzwa ubuhlungu obungabekezeleleki? Uma lokho kwenzeka, kungaba yinto eyesabekayo kakhulu, akunjalo? Mhlawumbe nawe uke wabhekana nalesi simo esibizwa ngokuthi 'i-knee hyperextension'. Namuhla, sizoxoxa ngakho ngokuningiliziwe, njengoba nje ukhuluma nomngane.

Kuyini idolo elinwetshiwe ngokweqile?

Kalula nje, lesi simo senzeka lapho idolo lakho ligoba kakhulu emuva kakhulu kunebanga lalo elijwayelekile lokunyakaza. Cabanga ngalo njenge-hinge emnyango. Lihamba ohlangothini olulodwa kuphela. Kwenzekani uma uliphoqa ukuba ligobe ohlangothini olulodwa? Yilokho okwenzeka edolweni lakho.

Idolo lethu liyilunga eliyinkimbinkimbi kakhulu. Linezicubu ezixhumanisayo njengemisipha , imisipha, kanye ne-cartilage . Lezi yizona ezibamba idolo ndawonye futhi zilisize lihambe kahle. Ngakho-ke, uma kusetshenziswa amandla amakhulu edolweni, kungaba ukulimala kwezemidlalo noma enye ingozi, bese liphonswa emuva, lezi zicubu ezixhumanisayo zingalimala. Lokhu yilokho esikubiza ngokuthi idolo elinwetshiwe kakhulu. Uma lokhu kwenzeka, uma uzama ukufaka isisindo edolweni, lingase lizizwe lingazinzile , mhlawumbe 'ligobe', okuyilokho elingaba yikho.

Ungadidanisi lokhu nezinyembezi ze-`ACL`, `PCL`, `MCL` kanye ne-`LCL`!

Manje ungase uzibuze, ingabe lokhu kuhlobene nokulimala kwedolo? Yebo, ukudabuka kwedolo, ukudabuka kwe-ACL (Anterior Cruciate Ligament), kanye nokudabuka kwe-PCL (Posterior Cruciate Ligament) kuyizinhlobo ezahlukene zokulimala kwedolo. Kodwa konke lokhu kuvame ukubangelwa ukulimala kwezemidlalo.

Ake sibone ukuthi ziyini lezi 'ligaments':

• Imisipha emibili eyinhloko exhumanisa ithambo lakho lethanga (i-femur) nethambo lesifuba (i-tibia) yi-ACL kanye ne-PCL. Zombili zigijima phakathi kwedolo lakho. I-ACL ingaphambili kwedolo lakho, kanti i-PCL ingemuva.
• I-`MCL (Medial Collateral Ligament)` kanye ne-`LCL (Lateral Collateral Ligament)` zitholakala ohlangothini ngalunye lwedolo. Lokhu kuqinisa idolo futhi kulisize lihambe eceleni.

Manje usuyaqonda? Uma idolo leluliwe kakhulu, elilodwa noma ngaphezulu lala ma-ligaments lingalimaza. Ikakhulukazi uma idolo leluliwe kakhulu, kunethuba elikhulu lokudabuka i-'ACL' kanye ne-'MCL' .

Kodwa-ke, akuwona wonke ama-overextensions edolweni abangela ukudabuka kwemisipha. Futhi, noma idolo lingadabuka kakhulu, imisipha isengaphuka futhi idabuke. Ngakho-ke kungcono ukungadideki lokhu, akunjalo?

Ubani onamathuba amaningi okuthola lesi simo? Sivame kangakanani?

Noma ubani angaba nesimo esibizwa ngokuthi i-hyperextension of the knee. Kodwa-ke, sivame ukubonwa phakathi kwabadlali.Kulungile. Cabanga nje, uma wenza i-tackle ngezinyawo zombili ngenkathi udlala ibhola, noma uma ugxuma futhi uwela kabi ngenkathi udlala i-basketball... Yileyo ndlela lokhu okungenzeka ngayo.

Lokhu ukulimala okuvamile kakhulu, ikakhulukazi phakathi kwabadlali, ngakho-ke kubalulekile ukukuqaphela.

Ukwelulwa kwedolo ngokweqile kuwuthinta kanjani umzimba?

Ngaphezu kwezimpawu ezifana nobuhlungu nokuvuvukala, ungase ukuthole kunzima ukusebenzisa idolo lakho ngendlela evamile ngemva kokuklwebheka. Lokhu kungaba kubi kakhulu uma ezinye izingxenye zedolo lakho, njengemisipha, imisipha, noma i-meniscus (isakhiwo se-cartilage edolweni), nazo zonakele . Idolo lakho lingase lizizwe libuthakathaka futhi lingazinzile, njengokungathi 'liyagoba'. Ungase ungakwazi futhi ukufaka isisindo edolweni lakho njengoba ubuvame ukwenza.

Kubaluleke kakhulu ukuthi uma idolo lakho leluliwe ngokweqile, ungenzi izinto ezinjengokuthi "dlala ubuhlungu" noma "hambahamba ubone ukuthi buzophela yini." Uma ungazinaki izimpawu, ngisho nokulimala okuncane kungaba kubi kakhulu futhi kubangele umonakalo omkhulu ngaphakathi kwedolo.

Uma uzwa ubuhlungu futhi ungakwazi ukushukumisa idolo lakho kahle, qiniseka ukuthi ubona udokotela .

Ziyini izimpawu zedolo elinwetshiwe kakhulu?

Uma idolo linwetshiwe ngokweqile, izimpawu ezifana nalezi:

• Ubuhlungu obukhulu .
• Ukuvuvukala kwamadolo.
• Ubunzima bokuhambisa idolo ngendlela evamile.
• Amadolo azizwa engazinzile noma ebuthakathaka kunokujwayelekile.
• Ngezinye izikhathi kungabonakala ukuphuka noma ukushintsha kombala wesikhumba (oluhlaza okwesibhakabhaka/onsomi).

Uma uzwa umsindo othi 'pop' noma uzwa into efanayo ngaphakathi edolweni lakho uma ulimele, kungenzeka ukuthi une-meniscus edabukile. I-meniscus edabukile ingabangela ubuhlungu obukhulu futhi yenze kube nzima ngisho nokusebenzisa idolo lakho.

Yini ebangela lokhu?

Ngokuvamile, idolo liyanwebeka ngokweqile ngesikhathi semidlalo noma eminye imisebenzi yomzimba . Cabanga ngakho njengokushelela nokuwa okungazelelwe ngenkathi ugijima kukhilikithi, ukugxuma ebholeni lomnqakiswano nokuwa ngendlela engafanele, noma ukuwa usuka endaweni ephakeme. Kalula nje, noma yimaphi amandla asunduza idolo emuva angabangela ukuba idolo linwebeke ngokweqile. Cabanga ngalokho okwenzekayo lapho imilenze yomdlali webhola ibanjwa, noma umdlali webhola lomnqakiswano egxuma futhi ewela ngendlela engafanele.

Uyibona kanjani le nkinga?

Udokotela wakho uzohlola idolo lakho nge-hyperextension ngokuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe . Uzohlola idolo lakho, akhulume nawe ngezimpawu zakho, futhi abone ukuthi ikhono lakho lokusebenzisa idolo lakho lilinganiselwe kangakanani.

Cishe kuzodingeka okungenani ube nokuhlolwa okukodwa kwalokhu kwezithombe:

• Ukuhlolwa kwe-X-ray (`i-X-ray`)
• Isithombe Sokuzwakala Kwe-Magnetic (MRI)
• Iskeni se-CT (`Iskeni se-CT - I-Computed Tomography`)

Lokhu kuhlolwa kungasiza udokotela wakho ukuthi abone umonakalo ongaphakathi naseduze kwedolo lakho, futhi kungabonisa nokuthi kukhona yini ukulimala okukhulu, njenge-ligament edabukile.

Uphatha kanjani idolo elinwebe kakhulu?

Ukwelashwa kwedolo lakho kuzoncika ebunzimeni bokulimala . Uma unezimpawu ezincane kuphela futhi kungekho monakalo omkhulu ngaphakathi kwedolo lakho, ungase ukwazi ukukwelapha ekhaya usebenzisa indlela ethi `RICE`:

• R - Ukuphumula: Gwema umsebenzi obangele ukulimala. Ungabeki isisindo esiningi edolweni lakho kuze kube yilapho liphola.
• I - Iqhwa: Faka iphakethe leqhwa edolweni cishe imizuzu eyi-15 ngesikhathi, kane ngosuku.
• C - Ukucindezela: Ungasonga idolo lakho ngebhandeji elinwebekayo ukuze unciphise ukuvuvukala.
• E - Ukuphakama: Gcina amadolo nezinyawo zakho zingaphezu kwezinga lenhliziyo yakho isikhathi eside ngangokunokwenzeka.

Amaphilisi okuqeda ubuhlungu atholakala ngaphandle kwemithi njenge-aspirin noma i-ibuprofen, abizwa ngokuthi ama-NSAID (Izidakamizwa Ezingezona Ezokuvuvukala Ezingezona Ezokwelapha), angasiza ekunciphiseni ubuhlungu nokuvuvukala. Kodwa-ke, uma uthatha le mithi izinsuku ezingaphezu kweziyi-10, funa iseluleko sikadokotela.

Ukuze uvimbele ukulimala esikhathini esizayo, udokotela wakho angase futhi akuncomele ukuzivocavoca ukuze uqinise imisipha ezungeze idolo lakho futhi wandise ukuguquguquka .

Ingabe ukuhlinzwa kuyadingeka ukuze kutholakale i-hyperextension edolweni?

Akuvamile kakhulu ukuthi ukugoba kwedolo kudinge ukuhlinzwa. Kodwa-ke, uma ingozi ebangele ukugoba kwedolo lakho yonakele noma idabuke imisipha efana ne-ACL noma i-PCL yakho, kungadingeka ukuhlinzwa ukuze kulungiswe ukudabuka.

Esikhathini esiningi, ukuhlinzwa kokulungisa idolo kwenziwa njengenqubo yokulaliswa esibhedlela . Lokhu kusho ukuthi ungaya ekhaya ngalolo suku. Udokotela wakho ohlinzayo uvame ukwenza inqubo engangenisi kakhulu ebizwa ngokuthi i-knee arthroscopy , elungisa i-cartilage ngaphakathi kwedolo.

Kuthatha isikhathi esingakanani ukululama kulesi simo?

Isikhathi esithathayo ukuze ululame sincike ekutheni idolo lakho likhumukile kangakanani nokuthi unazo yini ezinye izinkinga. Uma idolo lakho elikhumukile lingadali umonakalo wangaphakathi futhi lingadingi ukuhlinzwa, kufanele ululame phakathi kwamasonto ambalwa kuya enyangeni .

Kodwa-ke, uma kufanele uhlinzwe ngenxa yokulimala okukhulu, kungathatha izinyanga eziningana ukuthi uqalise yonke imisebenzi evamile.

Cela udokotela wakho noma udokotela ohlinzayo ulwazi oluthile mayelana nesikhathi sakho sokululama.

Ungakuvimbela kanjani ukwelulwa kwedolo ngokweqile?

Qaphela lezi zinto uma udlala imidlalo noma eminye imisebenzi yomzimba:

• Gqoka imishini yokuphepha efanele.
• Uma idolo lakho libuhlungu, kungaba ngesikhathi noma ngemva komsebenzi womzimba, ungadlali “ngobuhlungu.”
• Nika umzimba wakho isikhathi sokuphumula nokululama ngemva kokusebenza kanzima.
• Ngaphambi kokudlala imidlalo noma ukuzivocavoca , fudumeza futhi welule imisipha yakho.
• Ngemva kokuzilolonga ngokomzimba , pholisa bese welula futhi.

Landela lawa macebiso okuphepha ukuze unciphise ingozi yokulimala:

• Gcina ikhaya lakho nendawo yakho yokusebenza ingenazo izinto ezingadingekile ezingabangela ukuthi wena noma omunye umuntu ashelele futhi awe.
• Sebenzisa amathuluzi noma imishini efanele ngaso sonke isikhathi ukuze ufinyelele izinto eziphakeme ekhaya lakho. Ungalokothi ukhwele ezihlalweni, ematafuleni, noma emakhabetheni.
• Uma unenkinga yokuhamba noma usengozini enkulu yokuwa, sebenzisa izinduku zokusibekela, izindondolo, noma i-walker.

Yini ongayilindela uma idolo lakho leluliwe ngokweqile? / Uyini umbono?

Ungalindela ukululama ngokuphelele ngemva kokukhubeka kwedolo. Lokhu ukulimala kwesikhashana futhi akufanele kube nomthelela wesikhathi eside empilweni yakho noma ekhonweni lakho lokudlala imidlalo oyithandayo.

Kodwa-ke, uma ukulimala kukhulu ngokwanele ukuthi kudingeke ukuhlinzwa, lindela ukuba kude nomdlalo noma umsebenzi obangele ukulimala okungenani izinyanga ezimbalwa .

Abantu abaningi bathola imiphumela emihle ngemva kwalesi simo. Ukulimala okuningi akudingi ukuhlinzwa , futhi kufanele ukwazi ukuqhubeka nayo yonke imisebenzi evamile zingakapheli amasonto ambalwa.

Ingabe ngeke ngikwazi ukuya emsebenzini/esikoleni ngenxa yalesi simo?

Uma ungakwazi ukwenza umsebenzi wakho noma umsebenzi wesikole uhleli futhi ungacindezeli kakhulu edolweni lakho elilimele , akudingeki uyeke ukuya emsebenzini noma esikoleni uze ululame.

Kodwa-ke, qiniseka ukuthi uthintana nodokotela wakho ohlinzayo noma udokotela ngaphambi kokuqala noma yimuphi umsebenzi womzimba ngenkathi usalulama.

Kufanele ubonane nini nodokotela?

Uma uzizwa sengathi ubuhlungu noma ukuvuvukala kuya ngokuya kuba kubi ngemva kwezinsuku ezimbalwa, noma uma ungakwazi ukushukumisa idolo lakho ngendlela evamile, khuluma nodokotela.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma uhlangabezana nanoma yiziphi zalezi zimpawu, iya ekamelweni eliphuthumayo ngokushesha :

• Ubuhlungu obukhulu kakhulu.
• Ukuvuvukala kuya ngokuya kuba kubi.
• Ukushintsha kombala wesikhumba (ukuphenduka kube luhlaza okwesibhakabhaka/okwesibhakabhaka).
• Awukwazi nhlobo ukushukumisa amadolo akho.

Yini okufanele ngiyibuze udokotela?

• Ingabe kuzodingeka ngenze noma yiziphi izivivinyo zezithombe?
• Ingabe nginokudabuka kwe-ACL noma kwe-PCL?
• Kufanele ngiphumule isikhathi esingakanani futhi ngigweme ezemidlalo neminye imisebenzi yomzimba?
• Ingabe kuzodingeka ngihlinzwe?
• Kuyoze kube nini ngingakwazi ukuya (emsebenzini/esikoleni)?
• Ingabe lokhu kuyisifo esibi kakhulu?
• Ngeke ngikwazi ukudlala kule sizini?

Yonke le mibuzo efika engqondweni uma ukhubeka edolweni. Ngenhlanhla, ukukhubeka okuningi edolweni akudingi ukuhlinzwa , futhi ungakwelapha ekhaya ngemithi etholakala ngaphandle kwemithi kadokotela nangokunikeza umzimba wakho isikhathi sokuphumula nokuphulukiswa.

Ngisho noma ulimale kabi njenge-ligament edabukile, kufanele ukwazi ukululama ngokugcwele futhi ubuyele kwezemidlalo nemisebenzi oyithandayo .

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele uzikhumbule?

Kulungile, ake ngifingqe amanye amaphuzu abaluleke kakhulu kulokho esikhulume ngakho.

• Idolo elinwetshiwe kakhulu yilapho idolo ligoba emuva ngaphezu kwebanga elijwayelekile . Lokhu kungenzeka ngesikhathi semidlalo, njengasekuweni.
• Izimpawu eziyinhloko ubuhlungu, ukuvuvukala, kanye nokungazinzi kwedolo . Uma uzwa umsindo othi 'pop' uvela ngaphakathi kwedolo, kungenzeka ukuthi i-ligament idabukile.
• Indlela yokwelapha ekhaya ethi `RICE` (ukuphumula, iqhwa, ukucindezela, ukuphakama) ivame ukwanele. Ama-painkiller nawo angasetshenziswa.
• Ukulimala okukhulu, ikakhulukazi ukudabuka okujulile, kungadinga ukuhlinzwa (i-Knee Arthroscopy) , kodwa lokhu akuvamile.
• 'Ungagcini ubuhlungu ngaphakathi.' Uma unezimpawu, qiniseka ukuthi ubona udokotela. Uma izimpawu ziba zimbi kakhulu, iya ekamelweni lezimo eziphuthumayo ngokushesha.
• Ukuvimbela kuyindlela engcono kakhulu. Kubalulekile ukufudumala, ukupholisa, ukusebenzisa imishini yokuphepha, nokulalela umzimba wakho.
• Esikhathini esiningi, ungalulama ngokuphelele kulokhu. Ngakho ungakhathazeki, ngokwelashwa okufanele, ukuphumula, nokunakekelwa, ungabuyela empilweni yakho evamile.

Khumbula, idolo lakho liyigugu kakhulu kuwe. Ngakho-ke, kungumthwalo wakho ukulinakekela. Uma kukhona inkinga, ungalokothi unqikaze ukukhuluma nodokotela.

Idolo , Ukugoba Kwamadolo, Ukulimala Kwamadolo, Ukulimala Kwezemidlalo, Ubuhlungu Bamadolo, Ukuvuvukala Kwamadolo, (Idolo Elinwetshiwe)