Ngezinye izikhathi, uma udlala imidlalo, wehla izitebhisi, noma uwe ngokuzumayo, ungase uzizwe ubuhlungu obukhulu edolweni noma endololwaneni yakho. Uma uya kudokotela ngaleso sikhathi, uzobamba isitho sakho bese esihambisa kancane kancane, esicindezela kancane, akunjalo? Namuhla, sizoxoxa ngezivivinyo ezimbili ezikhethekile ezenziwayo ukuze kubonakale ukuthi ubuhlungu bukhona yini ngaleso sikhathi nokuthi ilunga lizwakala likhululekile yini.
Kalula nje, yiziphi lezi zivivinyo zeValgus neVarus?
Lezi yizivivinyo ezimbili ezilula zomzimba udokotela wakho azozenza ukuhlola umonakalo wemisipha edolweni noma endololwaneni yakho. Lokhu akudingi mshini omkhulu. Udokotela uzosebenzisa izandla zakhe ukuhambisa ilunga lakho futhi afake ingcindezi encane.
Kuzo zombili izinhlangothi zamadolo ethu nezindololwane, okungukuthi, ngaphakathi nangaphandle, kunezicubu eziqinile ezisiza ukugcina ilunga lizinzile. Lokhu sikubiza ngokuthi ama-collateral ligaments .
- I-ligament engaphakathi ibizwa ngokuthi i-Medial Collateral Ligament (MCL) .
- I-ligament engaphandle ibizwa ngokuthi i-Lateral Collateral Ligament (LCL) .
Cabanga ngalezi zinhlayiya ezimbili njengezihinji zomnyango. Zivimba idolo noma ingqiniba ukuthi ingajiki ngokungadingekile kusukela kolunye uhlangothi kuya kolunye. Ukuhlolwa kwe-Valgus ne-Varus kubheka ukuthi lezi "hinji" zonakele noma zikhululekile.
Lezi zivivinyo zivame ukwenziwa okokuqala uma ubona udokotela onesihlungu sedolo noma sendololwane. Kodwa-ke, lokhu kukodwa akuqedi ukuxilongwa. Ngolwazi olutholakala kulokhu, ungathunyelwa ukuze uthole ezinye izivivinyo uma kudingeka.
Kufanele kwenziwe nini lokhu kuhlolwa?
Uma unesihlungu edolweni noma endololwaneni, noma uma uke waba nengozi engalweni noma emlenzeni wakho, udokotela wakho angase akuyalele lokhu kuhlolwa. Abantu abadlala imidlalo bathambekele kakhulu ekulimaleni kwemisipha. Uma imisipha idonswa, sikubiza ngokuthi ukuklwebheka , futhi uma iklebhukile ngokuphelele, sikubiza ngokuthi ukuklebhuka .
Uma elinye lama-ligaments akho lonakele, ungase ube nezimpawu ezifana nalezi:
| Isibonakaliso | Incazelo elula |
|---|---|
| Ubuhlungu | Ukuzwa ubuhlungu obukhulu eduze kwelunga noma lapho kukhona khona i-ligament eyonakele. |
| Ukuvuvukala | Ukuvuvukala kwejoyinti lapho kwenzeke khona ingozi. |
| Ukuphuka noma ukuba luhlaza okwesibhakabhaka | Ushintsho kumbala wesikhumba. |
| Ukuzizwa ukhululekile emalungeni | Umuzwa "wokukhululeka" edolweni noma endololwaneni, njengokungathi kuyanyakaza. Ngokuqondile, umuzwa wokuthi ilunga alizinzile. |
| Ukuzwa umsindo othi "pop" noma "tuck" | Ukuzwa umsindo wokuqhuma ngaphakathi kwejoyinti ngesikhathi sengozi. |
| Ubunzima bokuhambisa ijoyinti | Uma kuyidolo, kusho ukuthi awukwazi ukufaka isisindo emlenzeni wakho. Uma kuyindololwane, kusho ukuthi unobunzima bokuhambisa ingalo yakho. |
Ukuhlolwa kwe-valgus kuhlola i- medial collateral ligament (MCL) . Ukuhlolwa kwe-varus kuhlola i- lateral collateral ligament (LCL) .
Uyini umehluko phakathi kokuhlolwa kweValgus neVarus?
Lezi zivivinyo ezimbili zifana kakhulu. Umehluko kuphela ukuthi udokotela ucindezela kanjani ilunga lakho. Ake sikuchaze kalula lokhu.
- Ukuhlolwa Kokucindezeleka kweValgus: Igama elithi "Valgus" lisho amandla asetshenziswa phakathi nendawo, noma ngaphakathi, komzimba . Kulesi sivivinyo, udokotela uzobamba ingaphandle ledolo noma indololwane yakho bese efaka ingcindezi ngendlela esunduza ilunga ngaphakathi. Cabanga nje, wenza ukunyakaza kwamadolo. Ngalesi sikhathi, i-MCL ligament ngaphakathi iyanwebeka. Uma uzwa ubuhlungu ngaleso sikhathi, noma uma ilunga lingena ngaphakathi ngaphezu kokudingekile, kusho ukuthi i-MCL ligament yonakele.
- Ukuhlolwa Kokucindezeleka kweVarus: "I-Varus" iphambene neValgus. Okusho ukuthi, kusukela enkabeni yomzimba ngaphandle.Kusetshenziswa amandla. Lapha, udokotela uzobamba ilunga lakho ngaphakathi bese efaka ingcindezi ngaphandle kwelunga. Lokhu kuzodala ukunyakaza okufana nomlenze ogobile. Lokhu kuzolula ilunga le-LCL ngaphandle. Uma uzwa ubuhlungu noma ilunga lihamba kakhulu ngaphandle, lokhu kusho ukuthi ilunga le-LCL lonakele.
Udokotela ulwenza kanjani lolu vivinyo?
Akukho okukhethekile okudingayo ukuze ulungiselele lolu vivinyo. Indlela udokotela akwenza ngayo lokhu ilula kakhulu.
- Okokuqala, uzocelwa ukuba ulale embhedeni wokuhlolwa.
- Udokotela uzophakamisa futhi abambe umlenze noma ingalo ofuna ukuyihlola.
- Beka isandla esisodwa ngaphezu kwedolo noma indololwane yakho, bese ubamba ingxenye engezansi (eduze kweqakala noma isihlakala) ngesinye isandla.
- Manje udokotela usebenzisa ingcindezi ye-Valgus (yangaphakathi) kanye ne-Varus (yangaphandle) ngokucophelela esikhulume ngayo ngaphambili.
- Uma uhlola idolo, ungase ufune ukwenza lokhu kuhlolwa kanye idolo liqonde ngokuphelele bese uphinda futhi idolo ligobile kancane.
Ngesikhathi salolu vivinyo, kubalulekile ukutshela udokotela wakho ukuthi uzizwa kanjani ngqo . Uma uzwa ubuhlungu noma ukungakhululeki, mtshele. Udokotela uzolalela ngokucophelela ukuze abone ukuthi uzwa noma yimiphi imisindo (njengokuqhuma) evela esilungwini sakho noma ukuthi ilungwini lizwakala likhululekile.
Kwenzekani ngemva kokuhlolwa?
Ukuhlolwa kwe-Valgus ne-Varus kuyisinyathelo sokuqala enkambisweni yokuxilonga. Uma lokhu kuhlolwa kubonisa ukuthi i-ligament yonakele, udokotela wakho uzoncoma ukuhlolwa okwengeziwe ukuqinisekisa ukuxilongwa.
Ukuhlolwa okuvame kakhulu uku-oda yile:
- I-X-ray: Hlola umonakalo emathanjeni.
- Iskeni se-MRI (Magnetic Resonance Imaging): Lena yindlela engcono kakhulu yokubona ngokucacile umonakalo ezicutshini ezithambile njengemisipha kanye ne-cartilage.
- Ukuskena kwe-Ultrasound: Kwezinye izimo, lokhu kusetshenziselwa nokuhlola isimo semisipha.
Ngezinye izikhathi, uma umonakalo umkhulu noma ukuxilongwa kungacacile, udokotela wakho angase ancome i- arthroscopy . Lokhu kuhilela ukwenza ukusika okuncane kakhulu esibayeni bese ufaka ikhamera encane kuyo ukuze ubheke ngqo ngaphakathi esibayeni. Nakuba lokhu kuyinqubo encane, ungaya ekhaya ngalolo suku.
Ngingayibona nini udokotela?
Uma ubuhlungu noma ukuvuvukala kwakho kungapheli ngemva kwezinsuku ezimbalwa zengozi, noma uma kuba kubi kakhulu, qiniseka ukuthi ubona udokotela wakho .
Kodwa-ke, uma unezinye zezimpawu ezilandelayo:Yiya e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Uma kukhona ubuhlungu obukhulu, obungabekezeleleki .
- Uma ukuvuvukala kuba kubi kakhulu .
- Uma isikhumba esizungeze ilunga siphenduka sibe luhlaza okwesibhakabhaka noma sibe nsomi .
- Uma ungakwazi nhlobo ukushukumisa idolo noma indololwane yakho .
Esimweni esinjengalesi, kubaluleke kakhulu ukufuna ukwelashwa ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlolwa kwe-Valgus ne-Varus kuyivivinyo lomzimba elilula, elingenabuhlungu elisetshenziselwa ukuthola izinkinga zemisipha edolweni nasendololwaneni.
- Lokhu kuhlolwa kuhilela ukufaka ingcindezi emnene ngaphakathi nangaphandle kwelunga ukuze kuhlolwe ukuqina kwemisipha.
- Lesi yisinyathelo sokuqala nje ekuxilongweni. Kuye ngolwazi olutholiwe, kungase kudingeke ukuthi kwenziwe ezinye izivivinyo ezifana ne-MRI.
- Ungesabi ukutshela udokotela nganoma yibuphi ubuhlungu noma ukungakhululeki ozizwayo ngesikhathi sokuhlolwa.
- Uma unobuhlungu obungabekezeleleki, ukuvuvukala okukhulu, noma isimo lapho ungakwazi ukuhambisa khona ilunga, iya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
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