Wake waba nobuhlungu obukhulu ngemuva kwedolo lakho ngenkathi udlala, ugijima, ugxuma, noma uwela ngokuzumayo? Ingabe idolo lakho liyavuvukala, alikwazi ukugoba noma ukuqondisa, futhi linenkinga yokuhamba? Ngezikhathi ezinjengalezi, sicabanga ukuthi kumane nje kuyisihibe esincane. Kodwa lokhu kungaba yinto engathi sína kakhulu, ukulimala komsipha obalulekile ngemuva kwedolo. Yilokho esikhuluma ngakho namuhla.
Kalula nje, kuyini ukulimala kwe-PCL?
Ilungu lethu ledolo liyilungu eliyinkimbinkimbi kakhulu nelibalulekile. Ithambo lethu lethanga kanye nethambo lomlenze ongezansi kuxhunywe ngamabhande aqinile abizwa ngokuthi ama-ligaments. La ma-ligaments agcina idolo endaweni yalo, elivimbela ukuthi lihambe ngokungadingekile futhi lilawule ukunyakaza kwalo. Phakathi kwala ma-ligaments, i-ligament enamandla kakhulu
ngemuva kwedolo yi
-Posterior Cruciate Ligament , noma
i-PCL ngamafuphi. Uma le ligament ye-PCL yonakele engozini, okungukuthi iklinyiwe, idabuke kancane, noma idabuke ngokuphelele, sikubiza ngokuthi ukulimala kwe-PCL. Kungenzeka ukuthi uke wezwa ngokulimala kwe-ACL (Anterior Cruciate Ligament). Kwenzeka ngaso sonke isikhathi kubadlali. I-PCL iyafana, kodwa iyilungu ngemuva kwedolo. Uma kuqhathaniswa nokulimala kwe-ACL, ukulimala kwe-PCL kuyisimo esingavamile kancane. Ngaphansi kwama-20% okulimala kwe-ligament yedolo kuwukulimala kwe-PCL.
Yimaphi amazinga omonakalo lokhu okungawubangela?
Odokotela bahlukanisa lokhu kulimala kwe-PCL ngezigaba ezine eziyinhloko ngokusekelwe ebunzimeni. Kubalulekile ukuthi nawe ukwazi lokhu.
| Izinga lomonakalo | Incazelo elula |
|---|
| Ibanga I | Ukudabuka okuncane noma ukulimala kwe-ligament. |
| Ibanga lesi-2 | I-ligament idabukile kancane, futhi idolo lizwakala likhululekile kancane. |
| Ibanga lesi-3 | I-ligament idabukile/iqhekekile ngokuphelele. Idolo alizinzile. (Ukudabuka okuphelele) |
| Ibanga IV | I-PCL yonakele, kodwa ngesikhathi esifanayo kwalimala omunye umsipha edolweni. |
Ziyini izimpawu zokulimala kwe-PCL?
Izimpawu zokulimala kwe-PCL ziyahlukahluka kumuntu nomuntu, kodwa kunezinye izimpawu ezivamile:
- Ubuhlungu obuqala ngemuva kwedolo. Lobuhlungu bungakhula kancane kancane.
- Ukuvuvukala kwamadolo ngemuva nje kwengozi.
- Idolo lizizwa lingazinzile , sengathi liyayeka, futhi alinawo amandla okulawula.
- Ubunzima bokugoba nokuqondisa idolo, uzizwa uqinile .
- Ubunzima bokuhamba , ikakhulukazi uma wehla izitebhisi noma emithambekeni.
Kodwa khumbula, ngezinye izikhathi ukulimala okuncane kungase kungazibangeli lezi zimpawu. Ngakho-ke kubalulekile ukunaka noma yiziphi izinguquko ezincane noma ubuhlungu edolweni lakho.
Kwenzeka kanjani lokhu kulimala kwe-PCL?
Lokhu kulimala kuvame ukwenzeka ngemva kokushaywa kanzima noma ingozi edolweni. Kunezimbangela eziningana eziyinhloko:
- Ukuwa ngedolo eligobile: Lokhu kwenzeka kaningi. Kungenzeka uma uwela ngedolo lakho ngokuzumayo ngenkathi udlala noma ugijima.
- Ukushaywa kanzima ngaphambili kwedolo: Cabanga ushaya idolo lakho kudeshibhodi, njengasengozini yemoto. Ukushaywa kanzima okunjalo kungalimaza i-PCL.
- I-Hyperextension yedolo: Lokhu kungenzeka uma idolo libuyela emuva ngaphezu komkhawulo walo.
- Ukuqhekeka kwejoyinti ledolo: Lesi yisimo esibi kakhulu. Uma lokhu kwenzeka, kunethuba elikhulu lokulimala kwemisipha.
- Ukuhlala ngendlela engafanele ngemva kokugxuma.
Ukuthola kanjani lokhu, Dokotela?
Uma ubona udokotela, uzoqala ngokukubuza ngokulimala kanye nezimpawu zakho. Ngemuva kwalokho, bazohlola idolo lakho ngokucophelela. Bazogoba, baqondise, futhi bahambise idolo lakho ngezindlela ezahlukene ukuze bahlole ukuqina. Kunezivivinyo ezikhethekile zokunquma ukuthi i-PCL yonakele yini. Ngaphezu kwalokho, bangenza nezivivinyo ezilandelayo ukuze bathole ubukhulu bomonakalo:
- Ama-X-ray: Kusukela kulokhuUngahlola ukuthi amathambo onakele noma aphukile.
- Iskeni se -MRI (Magnetic Resonance Imaging): Lena yindlela engcono kakhulu yokubona ngokucacile umonakalo ezicutshini ezithambile njengemisipha kanye ne-cartilage .
- Ukuskena kwe-CT (Computed Tomography): Lokhu kungadingeka nakwezinye izimo ezikhethekile.
Yiziphi izindlela zokwelapha ezitholakalayo?
Ukwelashwa kuncike ebunzimeni bokulimala kwakho kwe-PCL. Ukulimala okuncane ngokuvamile kungelashwa ngaphandle kokuhlinzwa, kodwa ukulimala okukhulu kakhulu kungadinga ukuhlinzwa.
Ukwelashwa Okungahlinzwa
Ukulimala okuningi kwe-PCL okuncane kuya kokuphakathi kungelashwa ngalezi zindlela.
- Ukuphumula : Gwema noma yimiphi imisebenzi ebeka ingcindezi edolweni futhi yandise ubuhlungu isikhashana.
- Iqhwa: Ukufaka iphakethe leqhwa endaweni elimele cishe imizuzu eyi-15, cishe kane ngosuku. Lokhu kuzonciphisa ubuhlungu nokuvuvukala.
- Ukucindezela: Ukusonga idolo ngebhandeji elinwebekayo kuzosiza futhi ukulawula ukuvuvukala.
- Ukuphakama : Noma nini lapho kungenzeka, gcina umlenze wakho uphakeme ngaphezu kwenhliziyo yakho ngokuwusekela phezu komcamelo.
- Izinduku Zokuguqa: Udokotela wakho angase ancome ukusebenzisa izinduku zokuguqa ukuze unciphise isisindo edolweni lakho.
- I-brace yamadolo: Lokhu kunganconywa ukuze idolo lihlale liqinile futhi livikelekile.
- Ukwelashwa ngokomzimba : Lokhu kubaluleke kakhulu . Ukuzivocavoca ukuqinisa imisipha ezungeze idolo nokubuyisela ukunyakaza nokuzinza edolweni kufanele kwenziwe ngaphansi kwesiqondiso sochwepheshe wezokwelapha ngokomzimba.
- Ama-Painkiller: Udokotela wakho angase akunike imithi efana nama-NSAID (izidakamizwa ezingezona eze-steroidal ezilwa nokuvuvukala) ukuze unciphise ubuhlungu nokuvuvukala.
Ukuhlinzwa
Uma i-ligament yakho ye-PCL idabuke ngokuphelele (iBanga lesi-3), uma eminye imisipha edolweni nayo yonakele (iBanga lesi-4), noma uma ukungazinzi kwedolo kungathuthuki ngokwelashwa okungewona ukuhlinzwa, udokotela wakho angase atuse ukuhlinzwa. Lokhu kuvame ukwenziwa nge-
knee arthroscopy .Lokhu ukuhlinzwa okubizwa ngokuthi ukwakhiwa kabusha. Esikhundleni sokwenza i-incision enkulu, ikhamera namathuluzi kufakwa ngezimbobo eziningana ezincane ukuze kwakhiwe kabusha i-ligament edabukile. Lena inqubo engangenisi kakhulu futhi ebuhlungu kangako kunokuhlinzwa okuvulekile okuvamile.
Kufanele uye nini kudokotela?
Uma ulimele edolweni lakho, kungcono ukungazinaki izimpawu. Uma lokho kwenzeka, bona udokotela ngokushesha.
Uma unalezi zimpawu, funa iseluleko sezokwelapha ngokushesha.
| Isici | Kungani kungathi sína? |
| Ukuba nobuhlungu obukhulu nokuvuvukala edolweni | Lokhu kungaba uphawu lomonakalo omkhulu. |
| Ukungazinzi kwamadolo, umuzwa wokuzamazama | Kungaba uphawu lokuthi i-ligament idabukile ngokuphelele. |
| Ukungezwani kwezinyawo | Kungaba uphawu lokuthi inzwa yonakele. |
| Ukushintsha kombala noma ukuzizwa ubanda ezinyaweni | Kungaba uphawu lomonakalo emthanjeni wegazi kanye nokulahlekelwa igazi. Lesi yisimo esiphuthumayo. |
Umlayezo Wokuya Nawe Ekhaya
- I-PCL iyi-ligament ebalulekile etholakala ngemuva kwedolo esiza ukugcina idolo lizinzile.
- Ukulimala kwe-PCL kungabangelwa ukuwa, ukushaywa kanzima edolweni, kanye nokugoba idolo emuva kakhulu.
- Izimpawu eziyinhloko ubuhlungu bamadolo, ukuvuvukala, kanye nokungazinzi.
- Izindlela zokwelapha zincike ebunzimeni bokulimala. Kunezindlela zokwelapha ezahlukahlukene, kusukela ekuphumuleni kanye nokwelashwa ngokomzimba kuya ekuhlinzweni.
- Uma unezimpawu ezinzima, njengokungazweli noma ukushintsha kombala onyaweni lwakho, kuyisimo esiphuthumayo. Bona udokotela wakho ngokushesha.
- Ukuze uthole ukululama okungcono kakhulu, landela njalo imiyalelo enikezwe udokotela wakho kanye nochwepheshe wezokwelapha ngokomzimba.
Ubuhlungu bedolo, ukulimala kwe-PCL IsiSinhala, i-posterior cruciate ligament, ukulimala kwedolo, ukulimala kwezemidlalo, ukudabuka kwe-ligament, ukuvuvukala kwedolo
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