Kuyini ukuguqulwa kwamadolo?
Ukuxoshwa kwamadolo ukulimala okungavamile nokubi kakhulu. Ukuxoshwa kwamadolo kwenzeka uma ithambo lesenzeni nesifuba lesisu lilahlekelwa ukuthintana phakathi komunye nomunye. Ukuhlukaniswa kwamadolo kuhlukile ukuhlukaniswa kwe- patellar . Ukuhlukaniswa kwe-patellar, okubizwa nangokuthi "i- kneecap dislocation ," kwenzeka lapho i-kneecap iphuma emgodleni wayo ekupheleni kwethanga lesenzeni.
Izimbangela Zokuthuthwa
Ukuxoshwa kwezintambo ngokuvamile kuvame ukulimala kwamandla. Lokhu kulimala kungenzeka ngokushayeka kwezimoto, ukuwa okukhulu, nokulimala kwezemidlalo. Ukuxoshwa kwamadolo kuvame ukudideka ngokuxilongwa , kepha lokhu akuyona ukulimala okufanayo. I-subluxation igama elisetshenziselwa ukuchaza ukuhlukaniswa okuyingxenye. Lona uhlobo lwenzwa eyenzeka lapho idolo " linikezela " ngenxa yesigidi esonakalisiwe. Ukuxoshwa kwamadolo kungukulimala kakhudlwana okwenzeka lapho ukuphela kwethanga lesthanga kuphele ngokuphelele ukuxhumana nomuntu ophezulu we-bone bone. Ngemuva kokuthi amadolo avuke, ngokuvamile kufanele abuyele esimweni esifanele, uma kuqhathaniswa nokuxhunyaniswa "okuyokhipha" emuva.
Ngenkathi ukuxoshwa kwamadolo amaningi kulezi zingozi ezinamandla kakhulu, ezilimazayo kakhulu, ukuguqulwa kwamadolo nakho kungase kuvele ekutheni okungavamile noma okungekho emthethweni. Eqinisweni, kungenzeka ukuthi ama-knee angu-40% angadlulela ngamadolo angalimaza kakhulu.
Lokhu kusho ukuthi ukukhathazeka okufanayo nokulimala ezithambile-tissue ezizungezile zikhona, futhi ukulimala kuhlolwa futhi kulawulwa ngendlela efanayo.
Lapho amadolo ehlukana, umonakalo omkhulu wenziwa kumathambo athambileyo azungeze ukujoyina. Imigudu yamadolo ihlale iwonakele lapho kwenzeka ukuguquka kwamadolo.
Ukunquma ukuthi yiziphi izigameko ezonakalisiwe kungenye yezinyathelo zokuqala zokuhlaziya amadolo. Cishe njalo, kokubili i- anterior cruciate ligament (ACL) kanye ne- posterior cruciate ligament (i-PCL) ehamba phambili. Ngaphezu kwalokho, izigulane ezithintekayo , i-cartilage kanye ne-meniscus nazo zingonakaliswa. Ukuxoshwa kwamadolo kubaluleke ikakhulukazi ngenxa yomonakalo ovame ukuvela emasongweni abalulekile nesisombululo ezungeze emadolweni. Eqinisweni, ukulimala kwamasongo kungaba nzima kangangokuthi impilo yomlenze ingasongelwa kuze kufike ekudingeni ukuhlinzwa okuphuthumayo kwegazi .
Izimpawu zokuSuswa
Izimpawu ezijwayelekile zokuguqulwa kwamadolo zihlanganisa ubuhlungu obukhulu, ukuvuvukala nokukhubazeka kokujoyina. Umkhawulo ophansi ngokuvamile ubonakala ufushane, futhi noma yikuphi ukunyakaza komkhawulo kuzobangela ubuhlungu obukhulu. Cishe isigamu samadolo ahlukaniswayo agxilwe ngaphambi kokucabanga ngezansi. Lokhu kungaba umphumela wamadolo asetshenziswe ngaphambi kokuba isiguli sifinyelele esibhedlela.
Noma nini lapho kugujwa khona amadolo, ama-x-ray ayenziwa ukuze ahlolwe uma ukuhlanganiswa kususwa. Uma ukuhlukaniswa kwenzeka, ukujoyina kuzobekwa kabusha, okubizwa ngokuthi "ukunciphisa ukujoyina." Uma ngabe ukuhlanganiswa okwehlukanisiwe kuncishisiwe, udokotela wakho uzohlola ngokucophelela futhi aqaphe imivimbo nemithambo yegazi ezungeze ukujoyina.
Ukuze uhlolisise kahle imithwalo yegazi, udokotela wakho angathola ukuhlolwa okukhethekile kwemithambo yegazi (njenge-angiogram) futhi mhlawumbe angakuvuma esibhedlela ngokuqapha ngokucophelela imithwalo yegazi.
Izinketho zokwelapha
Esikhathini esilandelayo emva kokudlulela kwamadolo, okubaluleke kakhulu ukuqinisekisa ukuthi ukwelashwa okufanele kunoma yikuphi ukulimala kwamagciwane noma izinzwa. Uma sekuqinisekile ukuthi lezi zakhiwo ziphilile, ukunakwa kungashintshwa ekubhekaneni nokulimala kwegamentali , i-cartilage kanye ne- meniscus okwenzeka ngesikhathi sokuxoshwa. Ngokuvamile kudingekile ukuvuselela kabusha izigameko ezonakalisiwe.
Ngokuvamile, imigqa eminingi kufanele ivuselelwe kabusha. Imivamisa evame ukubuyiselwa emuva ngemuva kokuguqulwa kwamadolo yi- ACL ne- PCL . Izindawo zokulimala kwe- cartilage zilungiswa , futhi i- meniscus izinyembezi zihlanzwa noma zilungiswe.
Izinkinga emva kokuxoshwa kwamadolo zibandakanya izinkinga ezihlobene nokulimala kwamagciwane nesisulu. Izinkinga ezivame kakhulu emva kokuguqulwa kwamadolo kungamazinyo emadolo noma ukungazinzi okungapheli kwamadolo . Ukunamathela emithini yakho yokwelashwa ehleliwe yokuguqula idolo kuzokusiza ukunciphisa ithuba lokuthuthukisa enye yalezi zinkinga.
Kubaluleke kakhulu ukuthi noma ubani oye waxosha amadolo, noma kusolakala ukuthi uye waqhubeka nokulimala, abe negazi ekupheleni kokuhlolwa ngokucophelela. Uma ukugeleza kwegazi kuya emkhawulweni ophansi kuphazanyiswa emva kokuhlukaniswa, lokhu kungaholela ekuqothulweni komkhawulo. Uma kutholakala lokhu kulimala kwamagciwane, ngokuvamile kungalungiswa, kodwa lokhu kufanele kwenziwe ngendlela efanele futhi ukwelashwa akunakuphuza. Iningi labantu abasebenzisa ukuguqa ngamadolo kuzoba nokugeleza kwegazi okuhlolwe ngokuqapha okusheshayo, noma izifundo ezikhethekile zokuhlola ukugeleza kwamathambo emkhawulweni.
Izwi elivela
Ukuxoshwa kwamadolo ukulimala okungajwayelekile, okulimazayo. Amadolo amaningi angadluliswa ngaphandle kokubunzima okukhulu, kodwa kukhona ukukhathazeka kokulimala okukhulu emigodini, emithanjeni yegazi, nasezintweni. Ngenxa yalesi sizathu, ngisho noma ukuguqulwa kwamadolo kufakwe kahle, ukuhlolwa okuqhubekayo kwalezi zakhiwo ezihambisanayo kuyadingeka.
Umthombo:
> Levy BA, et al. "Izingxabano ekwelapheni ukuguqulwa kwamadolo nokuvuselelwa kwemigodi eminingi" J Am Acad Orthop Surg. 2009 Ngo-Apr; 17 (4): 197-206.