Wake wazizwa umsindo wokuchofoza obuhlungu ngokuzumayo edolweni lakho ngenkathi udlala, ugijima, noma ugxuma? Ingabe ingemuva ledolo lakho livuvukele futhi liluhlaza okwesibhakabhaka? Ungase ube nokudabuka kwe-LCL. Ungakhathazeki, lokhu ukulimala okuvamile phakathi kwabadlali. Ake sixoxe ngakho ngokuningiliziwe nangokulula.
Kalula nje, kuyini ukudabuka kwe-LCL?
Cabanga ngedolo lethu njenge-hinge emnyango. Kunezintambo ezigcina le hinge iqinile futhi ziyivimbele ukuthi inganyakazi kakhulu. Yileyo ndlela imisipha ezinhlangothini zombili zedolo lethu ekhona ngayo.
Ngaphandle kwedolo lakho (uhlangothi olubheke kude nomzimba wakho), kunebhande eliqinile elixhumanisa ithambo lethanga lakho (i-femur) kanye nelinye lamathambo akho emilenze (i-fibula). Lokhu yilokho esikubiza ngokuthi i- Lateral Collateral Ligament (LCL) .
Umsebenzi wayo oyinhloko ukuvimbela idolo ukuthi lingagobi ngaphandle ngokungadingekile . Uma le ligament ye-LCL yeluliwe noma idabuke ngenxa yengozi, ukuwa, noma ukunyakaza okungazelelwe ngesikhathi semidlalo, yilokho esikubiza ngokuthi ukukhala kwe-LCL.
Abasubathi abadlala imidlalo efana nebhola, ibhola likanobhutshuzwayo, kanye nokuskiya basengozini enkulu yokuthola lesi simo. Kodwa-ke, ngokwelashwa okufanele kanye nokuvuselelwa, bangabuyela enkundleni yokudlala.
Kwenzeka kanjani lokhu kudabuka kwe-LCL?
Esikhathini esiningi, lolu hlobo lokulimala lubangelwa yizinto ezenzeka ngesikhathi kudlalwa ezemidlalo.
- Ukushaywa kanzima edolweni: Ikakhulukazi uma idolo lishaywa ngaphakathi, idolo lingasunduzelwa ngaphandle futhi i-LCL ingadabuka.
- Ukushintsha kwesiqondiso ngokuzumayo: Uma ugijima ngesivinini bese uphendukela eceleni ngokuzumayo.
- Iphutha lapho ufika: Uma unyawo lwakho lusesimweni esingalungile lapho ufika.
- Ukugoba noma ukujikijela idolo ngokweqile.
- Ukunyakaza kokuma nokuhamba.
Ingozi iphezulu ngoba izimo ezinjalo zivame ukwenzeka kwezemidlalo ezifana nebhola, ukushushuluza eqhweni, ibhola likanobhutshuzwayo kanye ne-basketball.
Ziyini izimpawu zokudabuka kwe-LCL?
Uma usola ukuthi une-LCL dry, qaphela lezi zimpawu. Ungase ube nezimpawu eyodwa noma ngaphezulu.
| Isibonakaliso | Indlela okuzizwa ngayo |
|---|---|
| Ubuhlungu | Ngizwa ubuhlungu obukhulu ngemuva kwedolo lami. Lobuhlungu buqala ngokushesha ngemva kokulimala. |
| Ukuvuvukala | Indawo lapho kwenzeke khona ukulimala, okungukuthi, ingemuva ledolo, iyavuvukala. |
| Ubumnene uma bucindezelwa | Uma ucindezela ingemuva ledolo lakho ngomunwe wakho, libuhlungu kakhulu. |
| Ukuphuka | Ngezinye izikhathi isikhumba esizungeze ukulimala singase sibe luhlaza okwesibhakabhaka. |
| Ukuzizwa ungazinzi | Lena yinto esabekayo kakhulu abantu abaningi ababhekana nayo. Kuzwakala sengathi abanawo amandla okulawula amadolo abo, futhi lapho bemi, ngokuzumayo bazizwa sengathi 'bayagxuma', 'banamathele', noma 'bagobile'. Kunjengokungathi besaba ukubeka unyawo lwabo phansi. |
Ukuthola kanjani lokhu, Dokotela?
Uma uke walimala kanje, kubaluleke kakhulu ukubona udokotela ngokushesha okukhulu. Udokotela uzoqala akubuze ukuthi ingozi yenzeke kanjani. Ngemuva kwalokho uzohlola idolo lakho.
- Hlola ukuvuvukala nezindawo ezibuhlungu uma ucindezelwa.
- Ukuhlola ukuqina kwe-ligament ngokuhambisa idolo ngezindlela ezahlukene.
Ngemva kwalokhu kuhlolwa, ungase ucelwe ukuthi wenze ezinye izivivinyo eziningana ukuze kutholakale ukuthi ukulimala kubucayi kangakanani.
- I-X-ray: Ukudabuka kwe-LCL akubonakali ku-X-ray. Kodwa-ke, i-X-ray ibalulekile ukuze kubonwe ukuthi i-ligament iphumile yini ethanjeni futhi iyahamba nayo, noma ngabe kukhona okunye ukuphuka.
- I-MRI (Umfanekiso Wokubukana Kwamagnetic): I- MRI iyindlela engcono kakhulu yokubona ngokucacile ukuthi i-LCL idabukile yini, ukuthi idabukile kangakanani, nokuthi ngabe eminye imisipha edolweni (njenge-ACL) noma i-meniscus yonakele.
- Ukuskena kwe-Ultrasound:Lokhu kunikeza nombono othile ngesimo se-LCL.
Ukwelashwa kuncike ezingeni lokulimala.
Izinyembezi ze-LCL zihlukaniswe kakhulu ngama-grade amathathu. Ukwelashwa okutholayo kuzoncika ezingeni lokulimala kwakho.
| Izinga lokulimala | Isimo | Isikhathi sokwelashwa kanye nokululama |
|---|---|---|
| Ibanga 1 | I-ligament inwetshiwe kancane futhi yonakele kancane. Ayidabukile ngokuphelele. | Ukwelashwa ekhaya (ukuphumula, iqhwa) kwanele. Ungase welulekwe ukuthi usebenzise izinduku zokubopha kanye ne-brace yamadolo. Ngokuvamile kuyaphola emavikini angaba ngu-3-4 . |
| Ibanga lesi-2 | Ukudabuka okuyingxenye kwe-ligament. Idolo alizinzile kancane. | Kuzodingeka nakanjani usebenzise izinduku zokusibekela kanye ne-brace ekhethekile. Kuzodingeka ukwelashwa ngokomzimba. Kungathatha cishe amasonto angu-8-12 ukuphulukiswa. |
| Ibanga lesi-3 | I-ligament idabuke ngokuphelele (ukudabuka okuphelele). Idolo alizinzile neze. | Kulesi simo, kuvame ukuhlinzwa. I-brace kuzodingeka igqokwe izinyanga eziningana. Kungathatha amasonto angu-8-12 noma ngaphezulu ukuze iphole. |
Kunini lapho kudingeka khona ukuhlinzwa?
Ekulimaleni kwebanga lesi-3, ikakhulukazi uma i-LCL yonakele kanye nezinye izingxenye ezibalulekile zedolo (isibonelo, i-Anterior Cruciate Ligament (ACL) noma i-Meniscus), ukuhlinzwa kuyadingeka nakanjani. Ukuhlinzwa kuhilela ukuthunga i-LCL edabukile, ukuyinamathisela ethanjeni, noma ukuyinamathisela kabusha kusetshenziswa omunye umsipha.
Yiziphi izinto ongazenza ekhaya?
Ngenkathi ulandela imiyalelo kadokotela wakho, kunezinto ezimbalwa ongazenza ekhaya ukuze usheshise inqubo yokuphulukiswa. Lokhu kubizwa nangokuthi indlela ye-RICE.
- Phumula: Phumula idolo lakho. Ungenzi lutho olubangela ubuhlungu. Gwema ukubeka umlenze wakho phansi noma ukuwubeka isisindo kuze kube yilapho udokotela wakho ekuyala ukuba wenze kanjalo.
- Iqhwa: Lokhu kubaluleke kakhulu ukunciphisa ukuvuvukala nobuhlungu. Beka iphakethe leqhwa eligoqwe ngendwangu encane endaweni elimele cishe imizuzu eyi-15-20 . Yenza lokhu njalo emahoreni angu-1-2 ezinsukwini ezintathu zokuqala . Ungabeki iqhwa ngqo esikhumbeni.
- Ukucindezela: Bopha idolo lakho ngebhandeji elinwebekayo. Lokhu kungasiza ekulawuleni ukuvuvukala. Kodwa ungalibophi kakhulu .
- Ukuphakama: Gcina umlenze wakho uphakeme ngangokunokwenzeka. Ukuwuphakamisa ngaphezu kwezinga lenhliziyo yakho kuzosiza ekunciphiseni ukuvuvukala ngokushesha.
- Iziqeda-zinhlungu: Ungathatha imithi engeyona eye-steroidal elwa nokuvuvukala (ama-NSAID) njenge-ibuprofen, njengoba kuqondiswe udokotela wakho.
Izinkinga kanye nezici eziyingozi okufanele uziqaphele
Nakuba lesi simo sivame ukuzixazulula, izinkinga zingase zivele ngezinye izikhathi. Uma unezinye zalezi zimpawu , yazisa udokotela wakho ngokushesha.
- Ukungazinzile kwamadolo okuqhubekayo.
- Uma uzwa umsindo 'wokuchofoza' uvela edolweni lakho noma uzwa sengathi 'uyagxuma'.
- Uma uzizwa ungenamizwa noma ubuthakathaka edolweni lakho noma emlenzeni ongezansi.
- Uma uzizwa ukuqina edolweni lakho.
Kufanele uye nini e-ETU (Emergency Treatment Unit) ngokushesha?
Izimpawu ezingezansi zingase zibe izimpawu zesimo esibucayi kakhulu. Uma unanoma yikuphi kwalokhu, hamba uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha.
- Ubunzima bokuphefumula, ubuhlungu besifuba obungazelelwe, noma ukukhwehlela igazi (lokhu kungaba izimpawu zokuqhekeka kwegazi emaphashini - i-Pulmonary Embolism).
- Ubuhlungu, ukuvuvukala, noma ukubomvu ethangeni, esinqeni, noma emlenzeni (lezi yizimpawu zokuqhekeka kwegazi emthanjeni wegazi).
- Uma ubuhlungu bungasabekezeleleki.
- Unyawo luba mhlophe, lubande, noma lushintshe umbala.
- Ukuba ndikindiki noma ukungakwazi ukuhambisa izinzwane.
Ungalindi nje ubone ngesikhathi esinjengalesi. Funa iseluleko sezokwelapha ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukudabuka kwe-LCL kuwukulimala kwe-ligament ngaphandle kwedolo. Kuvamile phakathi kwabadlali.
- Izimpawu eziyinhloko ubuhlungu ngaphandle kwedolo, ukuvuvukala, kanye nomuzwa wokulahlekelwa ukulawula idolo.
- Uma kwenzeka ingozi efana nale, bonana nodokotela ngokushesha okukhulu.
- Ukwelashwa kuncike ebunzimeni bokulimala (Ibanga 1, 2, noma 3). Kungadingeka ukuhlinzwa.
- Ukuphumula, i-physiotherapy, kanye nokulandela imiyalelo kadokotela wakho kubaluleke kakhulu ngesikhathi senqubo yokululama.
- Ungasheshi ukubuyela kwezemidlalo. Bekezela uze ululame ngokugcwele.
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