Isibonakaliso sokudonsa ngamadolo sivame ukubangelwa ukulimala kwamagciwane . Ibhande liqhutshwa ndawonye ngemigqa, izakhiwo ezixhuma amathambo amabili. Kunezinhlelo ezine ezinkulu neziningi. Ukuzwa kokungazinzile-ukuzwa kwamadolo akho ukuphelelwa-kuvame ukubangelwa ukulimala okungenani oyedwa kubo, okuholela emathanjeni engabanjwa ngokuqinile endaweni.
Ngokujwayelekile izimpawu zokungazinzi kwamadolo ziqaphelwa ngokunyakaza noma ukuhamba ngezinhlangothi. Lokhu kungase kwenzeke emisebenzini yezemidlalo noma kungenzeke ngemisebenzi elula, njengokuguqula idolo lakho ukuze ungene futhi uphume emotweni.
Izinhlobo Zokulimala Kwe-Ligament
Ngokuvamile ukulimala kwegigimenti kubangelwa ukulimala okungazelelwe lapho idolo liguqa khona noma liphoqeleka ngokungazelelwe endaweni engafanele. Uma igoli lilimazekile, lingase libe yingxenye noma iqedwe ngokuphelele. Odokotela bavame ukusebenzisa incazelo "yokufaka" ukulimala komgogodla, nakuba iqiniso liwukuthi izigameko zingalimaza ngezindlela ezingapheli.
Ukulimala kuvela ekuqotheni ezincane ngaphakathi kwegamentali ukuqedela izinyembezi zegamenti engase ingaphuluki ngaphandle kokuhlinzwa. Njengoba ungalindela, izinyembezi ezincane ezincane zivame ukuphulukisa ngezinyathelo ezimbalwa ezilula, lapho ukulimala okukhulu okudinga khona ngokuvamile kudinga ukwelashwa okungenasisindo.
Eminye yokulimala komgogodla evamile kuhlanganisa:
- Izinyembezi Zase-Anterior Cruciate (ACL) Izinyembezi : I-ACL ingaphakathi phakathi kwamadolo, futhi kubalulekile ekusekeleni ukujoyina ngokuhamba nokusika okuhambayo. I-ACL ivame ukulimala kaningi ngokushintsha ngokuzumayo kuqondana nezimo zokulimala ezingekho kokuxhumana. Abantu abanezinyembezi ze-ACL bavame ukukhononda ngokuthi amadolo abo ahlose noma afune ukulahlekelwa lapho bevele bashintsha umzila. Izinyembezi eziningi ze-ACL zidinga ukuhlinzwa.
- Izinyembezi Zemizimba Ephakathi (MCL) Izinyembezi : I-MCL ingxenyeni yangaphakathi lamadolo futhi ivimbela amadolo ukuba angavuli ngaphakathi ngaphakathi. Izinyembezi ze-MCL zivame ukulimala lapho idolo lishayiswa ngaphandle, liqhubekele ngaphakathi. Izinyembezi eziningi ze-MCL zingaphulukisa ngemithi yokwelapha.
- Izinyembezi ze-Ligament (Postcruciate Ligament) (PCL) Izinyembezi : I-PCL iwela phezu kwe-ACL futhi ivimbela phambili ukuguquka kwesifuba shin. I-PCL ivame ukulimala ngokuwa nokufika ngokuqondile phambi kwamadolo. Izinyembezi ze-PCL zivame ukwelashwa ngezokwelapha ngaphandle kokulimala okuzimele, kodwa zivame ukwelashwa uma zihlangene nezinye ukulimala.
Ngayinye yalezi zinxephezelo zomgogodla ingabangela ukuba amadolo azizwe engazinzile futhi ukuzwa ukuthi idolo lizophika.
Izizathu ezingezona iziLigament zokuPhepha
Kungenzeka futhi ukuthi abantu babone izimpawu zokungazinzi ngokulimala okubangelwa ubuhlungu bamadolo . Ngokuvamile umzimba uyazivikela ebuhlungwini ngokunyakaza okungazibandakanyi. Lokhu kungase 'kuzwe' njengokungathi amadolo afuna ukuphawula, okwenza kube nomuzwa wokungahlali kahle, kodwa akubanga ngenxa yokulimala kwegamentali njengoba kuchaziwe ngenhla.
Indlela engcono kakhulu yokutshela umehluko phakathi kokungahlali kahle okubangelwa ukulimala kwegciwane, ngokungahambisani nokungazinzi, ukuguqa ngamadolo akholwe udokotela onolwazi. Kukhona ukuhlolwa okusetshenziselwa ukunquma umsebenzi weligament ngayinye. Isibonelo, ukuhlola kukaLachman kusetshenziselwa ukuhlola i-ligament eliyinkimbinkimbi ye-anterior.
Ukwelashwa kobuchule
Kukhona kokubili ukwelashwa okungahlinzekwa nokungahlinzeki ngokuphutha komzimba. Lezi zingabandakanya ukwelashwa ngokomzimba ukuqinisa imisipha ehlangene emadolweni kanye nama-knees ukuze kube nokusekela okungcono emadolweni. Ukwelashwa okuvamile kuhilela ukulungisa noma ukuvuselela i-ligament elimele ukubuyisela isakhiwo esivamile samadolo. Uhlobo oluvame kakhulu lokuvuselelwa kwe- ligament lungenxa yezinyembezi ze-ACL .
Izwi elivela
Ukungazinzi okwenzekayo ngokuvamile kuzwa kungakhululekile. Ngokushesha lapho uyibheka khona, ngcono uzozizwa. Uma ulingeka ukuba "nje usebenze" ngoba ukhathazekile ngezokwelapha ezingahambi kahle, khumbula ukuthi akukho lutho oluyophoqeleka kuwe. Yenza ingxoxo nodokotela wakho mayelana nenketho yokwelashwa engcono kakhulu kuwe futhi ukhethe owodwa owenza umqondo omkhulu.
> Imithombo:
> D'Lima DD1, iColwell CW. "Izindlela zokusebenzisa ama-intraoperative ukuhlola ukuzinza" J Am Acad Orthop Surg. 2017 Feb; 25 Ukusekela 1: S29-S32.