I-ACL (i-anterior cruciate ligament) kanye ne-PCL (i-posterior cruciate ligament) yizona zitho zombili ezinkulu emadolweni asebenza ndawonye ukunikeza ukuzinza emadolweni. Bawela futhi basebenze i-'X 'evumela ukuthi idolo liguqule futhi landise ngaphandle kohlangothi kuya ekuhambeni okuhlangene. Futhi yizimbalwa ezimbili ezivame ukulimala kwamadolo ezenzeka kubagijimi.
Sibutsetelo
I- anterior cruciate ligament (ACL) ingenye yezimpawu ezine ezinkulu ezihlinzeka ukuzinza emadolweni. Ukulimala kulezi zimpawu ezibaluleke kakhulu zamadolo zivame ukuhluma. I-ACL ivame ukuhanjiswa kaningi, noma idwengulwe ukunyakaza okungazelelwe lapho izinyawo zihlala zitshala.
Ukulimala kwe-ACL kuvame kakhulu phakathi kwezemidlalo ezidinga ukushintsha ngokungazelelwe kwesiqondiso, ngokuzumayo, ngokuyeka ngokuzumayo nokuqala, nokuningi kokugxuma njengebhola, basketball, nebhola. Ukwelashwa okuvame kakhulu kwe-ACL ekhishwe yi-arthroscopic nokuhlinzwa kabusha kwe-ACL.
Izimbangela
Ukulimala kwe-ACL, kufaka phakathi izinyembezi ezingapheli noma eziphelele , kungenzeka uma umdlali ephenduka isisindo ngokushesha, uphazamisa ngaphandle kokuhamba ngezinyawo, wehla ngokushesha, noma uphuthele ukufika ngokusuka. Lolu hlobo lokunyakaza lungabangela ukuthi i-ACL iswele kuze kube sekugcineni.
Ezinye izinto zingabangela ukulimala kwe-ACL; omunye ubulili. Abesifazane banamathuba amabili kuya kwesishiyagalombili amathuba okuhlupheka ngenxa yokulimala kwe-ACL ngenxa yezakhi zofuzo.
Uvula ama-ACL omama aveza izakhi zofuzo ezingu-32 ngokuhlukile kunamadoda, kanti ezintathu zazo zivezwe izakhi zofuzo ezihlobene ne-ligament isakhiwo nobuqotho.
Ukulimala kwe-PCL cishe kunemithelela phambi kwamadolo, noma ku-hyper-ephakamisa idolo. I-PCL ingalimala futhi ngomthelela oqondile kusuka ngaphandle kwamadolo, njengalezo ezenzeka phakathi kwebhola noma ibhola.
Kokubili i-ACL ne-PCL ingalimala noma idonswe ngokungazelelwe kwamadolo.
Ukulimala kwamagciwane kungabangela ubuhlungu, kodwa ngokuvamile umsindo ozwakalayo uzwakala ngesikhathi sokulimala.
Ukwelapha
Izinga lokulimala lingancuma uhlobo lokwelapha oluphakanyisiwe. Izinyembezi ezingaphelele ze-ACL kanye ne-PCL ziphathwa ngendlela efanele ngokuvumela umzimba ukuba uzwe ngokwawo. Ukuphumula, iqhwa, ukucindezelwa, nokuphakama kuyindlela yokwelapha ngokushesha. Imithi yokulwa nokuvuvukala kanye nama-NSAID angasiza ekunciphiseni ubuhlungu. Ukwelashwa ngokwemvelo kuvame ukuphakanyiswa ukuze kuphinde kuvuselelwe futhi kwakha amandla emisipha ngokuhamba kwesikhathi.
Ukukhala okuphelele kwe-ACL, ukuhlinzwa kwe-arthroscopic nokuvuselelwa kwe-ACL ngokuvamile kuvame.
Ukulimala KwamaLigament Ephakathi
I -ligament ye-collateral ligament (i-MCL) yalimala kakhudlwana kune- ligal lateral colamentater (LCL). Kuvame ukubangelwa ukushaywa ohlangothini lwangaphandle lwamadolo (njengokuthi kwenzeke emidlalweni yokuxhumana) elula futhi ephule i-ligament engxenyeni yangaphakathi yamadolo.
Isibonakaliso sangempela salesi ukulimala sizwa "i-pop" futhi sinomuzwa wokuguqa ngamadolo. Ubuhlungu nokuvuvukala kutholakala ngokushesha. Ukuze uhlolwe ukulimala komgogodla , umchwepheshe wezokwelapha uzokwenza ukuhlola okunezincwadi eziningana (ukusebenzisa ukucindezela eceleni komdolo ukucacisa izinga lobuhlungu nokuzihlanganisa) futhi mhlawumbe uhlele i-MRI ukuqinisekisa ukuxilongwa.
Ukwelapha
Izindwangu ezincane zezigxobo ezithengiswayo zizophulukisa ngokuphumula futhi zibuyele kancane kancane emisebenzini. I-RICE -hamba, iqhwa, ukucindezela, nokuphakama-usizo kusiza ubuhlungu nokuvuvukala. I-knee brace ingasetshenziselwa ukuvikela nokuzinzisa idolo. I-sprain ingathatha amasonto amabili kuya kwangu-4 ukuphulukisa. I-ligament ye-collateral eyingozi kakhulu noma eboshiwe ingase ivele kanye ne-anterior ephahlazekile i-ligament ligament, okuvame ukudinga ukulungiswa nge-arthroscopic operation.
Imithombo:
UJohnson JS, Morscher MA, Jones KC, Moen SM, Klonk CJ, Jacquet R, Landis WJ.Izinkulumo zokungafani phakathi kwezinto ezihlukumezekile ezingaphambene nezihloko ezincane zesilisa nabesifazane. J Bone Joint Surg Am. 2015 Jan 7; 97 (1): 71-9. i-doi: 10.2106 / JBJS.N.00246.