Ubuhlungu bomzimba buyinkinga ejwayelekile kakhulu, futhi ngokuvamile kuyinkinga ephathekayo kakhulu. Ukuqonda okubangela ubuhlungu bakho emadolweni kungaba umsebenzi olula. Udokotela onolwazi angasebenzisa izikhombisi ukuze anqume imbangela. Ezinye zalezi zici zihlobene nawe-uneminyaka emingaki nokuthi yiziphi izinhlobo zemisebenzi ozenzayo-kanti ezinye ngezimpawu zakho-ingabe ubuhlungu bakho obudolo buqhubeka noma bukhona ukulimala kwamuva?
Ukunquma imbangela yamadolo okuguqa kuxhomeke ekuhloliseni kahle kwegolo elihlangene nodokotela wezokwelapha. Kodwa lapha kukhona ezinye izimpawu ezibuhlungu zokuguquka kwamadolo kanye namathuba ambalwa mayelana nokuthi angabonisa yini.
Ukuthola Imbangela
- Indawo: Kuphi emadolweni isiguli sizwa ubuhlungu singanikeza ezinye izici mayelana nokuthi yiluphi uhlobo lokulimala noma isimo esibangela ubuhlungu. Isibonelo, ubuhlungu ngaphakathi noma emaceleni emadolweni (ohlangothini obuseduze kwamanye amadolo) lungabangelwa izinyembezi zamadoda , ukulimala kwe-MCL kanye nesifo samathambo .
Ubuhlungu obungaphandle kwamadolo, noma uhlangothi lwe-lateral, luvame ukubangelwa izinyembezi ze-lateral meniscus , ukulimala kwe-LCL, i- IT band tendonitis , kanye ne-arthritis. Ukubuhlungu ngemuva kwamadolo kungabangelwa ukuqoqwa kwamanzi abizayo, okuthiwa yi -Cyst Baker . Ubuhlungu ngaphezu kwegceke buvame kakhulu ukuhlobene ne-kneecap, futhi kungabangelwa izinkinga eziningana ezahlukene. - Isikhathi : Njengoba nje indawo yezinhlungu zamadolo ingabonisa ukuthi yini ebangela inkinga, isikhathi sosuku isiguli esibhekana nobuhlungu singase sinikeze nokuqonda. Ubuhlungu ngenkathi uhamba phansi izinyathelo ngokuvamile buhlotshaniswa nezinkinga ze-kneecap , njenge-chondromalacia. Ubuhlungu obukhulu bokuqala ngemva kokuvusa ekuseni ukuthi ukuxazulula masinyane ngomsebenzi omnene kufana nesifo se-arthritis zakuqala .
- Ukuvuvukala : Ukuvuvukala kwamadolo kuvamile ngezinkinga ezihlukahlukene zamadolo. Uma kutholakala i-effusion ngokushesha ngemva kokulimala kwamadolo, isizathu esingaba yisisindo esibi esakhiweni sangaphakathi sokujoyina, njenge- anterior cruciate ligament noma ukuphuka kwesiphithiphithi shin .
Uma ukuvuvukala kukhula kancane kancane ngemva kwamahora kuya kwezinsuku ngemuva kokulimala, kungenzeka ukuthi kube yinto encane kakhulu, njengenyembezi ye-meniscus noma i- ligament sprain . Ukuvuvukala okwenzeka ngaphandle kokulimala okwakwaziwayo kungenziwa ngenxa ye- osteoarthritis (evamile), i- gout (engavamile), i- arthritis yokuvuvukala , noma ukutheleleka okuhlangene (okungavamile).
- Ukuhamba kweMoto : Ukuhamba kwamadolo kungathinteka yizimo eziningi ezivamile. Uma ukuhamba kungalinganiselwe, ngokuvamile imbangela i- arthritis . Lapho ubuso behlangene buba yinto engavamile ngenxa ye-arthritis, ukuhamba kwesibambisene kunganciphisa. Uma ukuhamba kulinganiselwe ngemva kokulimala kanzima , cishe ukuvuvukala kunciphisa ukunyakaza, noma isakhiwo esiqhekekile esinciphisa ukuhamba.
Ukuzinza kwamadolo kunikezwa yimigqa ehlanganisa isifuba shin (tibia) ethangeni lesthanga (femur). Uma izigxobo zithulwa noma ziqhekeziwe, amadolo angase abe nomuzwa wokuthi uhlinzeka ngaphansi kwesiguli. Ukuzwa ukuthi amadolo anganikeza ngaphansi kwakho kuyisibonakaliso esivamile sokulimala kwe-ligament. - Imisindo : Ukuvota nokweqa ngaphakathi kwamadolo kuvamile, futhi ngokuvamile akuwona uphawu lenkinga ethile. Uma ama-pops engenabuhlungu, ngokuvamile akuyona inkinga , kodwa ama-pops abuhlungu kanye nama-snaps kufanele ahlolwe udokotela wakho. I-pop ivame ukuzwa noma ukuzwa ngesikhathi sokulimala lapho umgogodla, njenge -ACL , uqothulwe. Ukugaya noma ukuqubuzana yizimpawu ezivamile zezinkinga ze-cartilage. Uma le-cartilage yonakalisiwe-isimo esibizwa ngokuthi i-chondromalacia-inzwa yokugunjwa ivame ukuzwa ngokufaka isandla phezu kwe-kneecap nokuguqa ngamadolo. Inzwa efanayo yokugaya ingase ibonakale nge- arthritis yamadolo .
- Ukukhiya : Ukukhiya uphawu olwenzeka lapho isiguli singakwazi ukugoba noma ukuguqa amadolo. Ukukhiya kungase kubangelwe okuthile okwenyama ukuvimbela ukuqhuma kwamadolo, noma ubuhlungu buvimbela ukuhamba komzimba okuvamile. Enye indlela yokuthola ukuthi kukhona yini okuvimbela umzimba ukuvimbela ama knee ukuba abe nochwepheshe wezokunakekelwa kwezempilo abajobe ngamadolo ngemithi ephazamisayo. Ngemuva kokuba imithi iphumelele, ungazama ukuguqa amadolo ukuze unqume ukuthi ubuhlungu buvimbela ukunyakaza noma uma kukhona isakhiwo, njenge- meniscus ephukile , evimbela ukuhamba okuvamile.
Izimbangela ezivamile
Ubuhlungu bomsindo yisikhalazo esivamile, futhi kunezimbangela eziningi.
Kubalulekile ukwenza i-diagnostic enembile yezizathu zezimpawu zakho ukuze ukwelashwa okufanele kuqondiswe imbangela. Uma unamahlombe emadolo, ezinye izimbangela ezivamile zihlanganisa:
- I-arthritis ye-Knee : I- arthritis ingenye yezimbangela ezivame kakhulu zokudabuka ngamadolo, futhi kunezindlela eziningi zokwelashwa ezitholakalayo.
- Ukulimala kweLigament: Ukulimala kwegigamente kuvame ukusebenza ngesikhathi semidlalo futhi kungabangela ukunganaki nokungazinzi.
- Ukuqothulwa kwe-Cartilage | I-Meniscal Tear : Izinyembezi ze- cartilage zibonakala ezigulini ezincane nezindala, futhi nazo ziyisizathu esivame kakhulu sezinhlungu zamadolo.
- I-Patellar Tendonitis : I- Tendonitis ezungeze ukujoyina ivame kakhulu kwethenda ye-patellar, ithenda elikhulu phezu kwegceke.
- I-Chondromalacia Patella: I- Chondromalacia ibangela ubuhlungu emadolweni ngaphansi kwe-kneecap futhi ngenxa yokunciphisa i-cartilage. Kuvame kakhulu kwiziguli ezincane (iminyaka engu-15-35 ubudala).
- Ukuhlukanisa i-Kneecap : I- kneecap ehlukanisa izimbangela zezimpawu ezinzima phakathi nokuhlukaniswa, kodwa futhi ingabangela ubuhlungu obungapheli.
- I-Cyst yom Baker : I-cyst ye-Baker ivuvuka ngemuva kwesibambisene , futhi ngokuvamile isibonakaliso senye inkinga ebalulekile njenge- meniscus izinyembezi .
- I-Bursitis : I-bursa evame kakhulu ethinteka nxazonke kokuhlanganiswa ingaphezu kwe-kneecap. Lokhu kuvame kakhulu kubantu abaguqa umsebenzi, njengabalimi noma izendlalelo ze-carpet.
- I-Plica Syndrome : I- Plica syndrome iyimbangela engavamile yamadolo, futhi kungaba nzima ukuyihlolisisa. Ukuxilongwa kuvame ukukwenziwa ngesikhatsi se- arthroscopy .
- Isifo se-Osgood-Schlatter : Isifo se- Osgood-Schlatter yisimiso esibonakala entsheni futhi ngenxa yomsindo wekhalenda lokukhula nje ngaphambi kwehlangene.
- I-Osteochondritis Dissecans : I- Osteochondritis dissecans (OCD) yinye isimo esibonakala kubantwana ngenxa yentuthuko yethambo elizungezile.
- I-Gout : I- Gout iyimbangela engavamile yezinhlungu zamadolo. Kodwa-ke, ezigulini eziye zaxilongwa nge-gout, kufanele zibhekwe njengesizathu sokuzwa ubuhlungu obusuka emadolweni.
Nini Ukubona Udokotela
Uma ungaqiniseki imbangela yezibonakaliso zakho, noma uma ungazazi izincomo zokwelapha eziqondene nesimo sakho, kufanele ufune usizo lwezokwelapha. Ukwelapha ubuhlungu bamadolo kufanele kuqondiswe imbangela ethile yenkinga yakho. Ezinye izimpawu ukuthi kufanele ubonwe udokotela zihlanganisa:
- Ukungakwazi ukuhamba kahle ngecala elithintekile
- Ukulimala okubangela ukukhubazeka nxazonke
- Ubuhlungu obukhulu obuvela ebusuku noma ngenkathi kuphumula
- Ubuhlungu obukhulu obuphikelela ngaphezu kwezinsuku ezimbalwa
- Ukuvala (ukungakwazi ukugoba) idolo
- Ukuvuvukala kwendawo ehlangene noma ithole
- Izimpawu zokutheleleka, kuhlanganise nomkhuhlane, ubomvu, ukushisa
- Noma yiziphi ezinye izimpawu ezingavamile
Ukwelapha
Ezinye zokwelashwa ezivamile zamadolo ezidolo zidweliswe lapha. Akuzona zonke lezi zonyango ezifanele zonke izimo, kodwa zingase zibe usizo esimweni sakho.
- Ukuphumula: Ukwelashwa kokuqala kwezimo ezivame kakhulu ezibangelwa ubuhlungu bamadolo ukuphumula okuhlangene, futhi uvumele ukuvuvukala okujulile kuphephe. Ngokuvamile lokhu kuyisinyathelo esisodwa esidingekayo ukuze kunciphise ubuhlungu bamadolo. Uma izimpawu zinzima, izinsimbi zingase zibe usizo nakakhulu.
- Isicelo se- Ice kanye nokushisa : I- Ice packs kanye ne-heat pads ziphakathi kwezokwelapha ezivame ukusetshenziselwa ubuhlungu bomadolo. Ngakho yiyiphi enye okufanele ukuyisebenzisa, iqhwa noma ukushisa? Futhi kufanele kube nini isikhathi eside ukuthi iqhwa noma ukushisa kuphele?
- Ukwehlisa: Ukwehlisa imisipha namathenda azungeze ukujoyina kungasiza ngezimbangela zezinhlungu zamadolo.
- Ukwelashwa Kwemvelo : Ukwelapha ngokomzimba kuyisici esibalulekile sokwelapha cishe zonke izimo zezinyosi. Abahlinzeki bezitho zomzimba basebenzisa izindlela ezehlukene zokwandisa amandla, babuyisele ukuhamba, nokusiza babuyele iziguli endaweni yabo yokulimala ngaphambi kokulimala.
- Imishanguzo Yokulwa Nokuvuvukala : Imithi engaqedi ukuvuvukala , engaziwa ngokuthi i-NSAID, ingenye yemithi ejwayelekile kakhulu, ikakhulukazi ezigulini ezinamahlombe agugu ezibangelwa izinkinga ezifana ne-arthritis, bursitis, ne-tendonitis.
- I-Cortisone injection : I- Cortisone imithi enamandla eyenza ukuvuvukala, nokuvuvukala kuyinkinga evamile ezigulini ezinamahlombe. Xoxa nodokotela wakho izinzuzo ezikhona zomjovo we-cortisone ngesimo sakho.
Izwi elivela
Ukwelapha ubuhlungu begciwane kuxhomeke ngokuphelele kumbangela wenkinga. Ngakho-ke, kubaluleke kakhulu ukuthi uqonde imbangela yezimpawu zakho ngaphambi kokuqala uhlelo lwezokwelapha. Uma ungaqiniseki ngesifo sakho, noma ubunzima besimo sakho, kufanele ufune iseluleko sezokwelapha ngaphambi kokuqala noma yiluphi uhlelo lwezokwelapha.
Imithombo:
> Bhatia, D., Bejarano, T, Novo, M J "Ukungenelela kwamanje ekulawulweni kwe-knee osteoarthritis." Journal of Pharmacy & Bioallied Sciences Jan. 2013
I-Browne K, i-Kurtz CA. "Indlela yokwenza ukuhlolwa okujulile kwamadolo" i-JAAPA. 2009 Jun; 22 (6): 20-5.
> Bronstein RD, Schaffer JC "Ukuhlolwa Kwemvelo: I-Meniscus, Cartilage, ne-Patellofemoral Conditions" J Am Acad Orthop Surg. Ngo-2017 May; 25 (5): 365-374.