I-ligament ye-collateral ligament (i-MCL) engxenyeni yangaphakathi yamadolo ivame ukuvutha lapho kukhona amandla ahlasela ngaphandle kwamadolo. I-MCL izama ukumelana nokukhulisa okuhlangene nokukhala uma amandla ekhulu kakhulu. Uma lokhu kwenzeka, ubhekana nesonto lokutakula lamasonto kuya ezinyangeni kuye ngokuthi ibanga lezinyembezi ze-MCL.
Ukwelashwa kwezinyembezi ze- MCL kuncike ebukhulu bokulimala.
Ukwelashwa kuqala njalo ngokuvumela ubuhlungu ukuba buyeke, ukuqala umsebenzi ekuhambeni, kulandelwe ngokuqinisa idolo ukuze ubuyele ezemidlalo nasemisebenzini. Ukwehla kwegazi kungase kube usizo ekwelapheni ukulimala kwe-MCL.
Ngenhlanhla, ngokuvamile ukuhlinzwa akudingeki ukwelashwa kwezinyembezi ze-MCL. Kwezinye izimo ezithile, ukuhlinzwa kunganconywa. Ngokuvame ukuhlinzwa, kusetshenziselwa ukwelashwa kokulimala kakhulu kwe-MCL.
Ukwelapha Izinyembezi ze-MCL I-MCL:
Izinyembezi zeBanga I ze-MCL zivame ukuzixazulula ngokuphelele emavikini ambalwa. Ukwelashwa kuqukethe:
- Ukuphumula emsebenzini: Lokhu kusho ukuthi ngeke udlale lo mdlalo lapho ugcine khona ukulimala ngenkathi usuphulukile.
- Ukuqeda ukulimala : Funda ukuthi ungayifaka kanjani kahle
- Imithi elwa nokuvuvukala
- Ukuzivocavoca komzimba : Bona ukuthi yiziphi izivivinyo ezisebenziselwa ukulungiswa kwezinyembezi ze-MCL.
Iningi leziguli ezinezinsizi ze-MCL izinyembezi zizokwazi ukubuyela ezemidlalo kungakapheli amasonto amabili noma amabili ngemuva kokulimala.
Ukwelashwa kwe-Grade II Izinyembezi ze-MCL
Uma ukulimala kwe-MCL yebanga lesibili kwenzeka, ukusetshenziswa kwesigqoko sokuguqa ngamadolo kuvamile ekunakekisweni kokuqala. I-knee brace enamathele iyokuvumela ukuba uguqe amadolo, kodwa unikeze ukusekela kumgudu olimale. Uma kungenjalo, izimiso zokwelapha zifana nalezo ezibhekene neziguli ezine-grade I MCL izinyembezi.
Abadlali abanokulimala kwebanga lesibili bangabuyela emsebenzini uma bengenabo ubuhlungu ngqo phezu kwe-MCL noma izimpawu zokungazinzi. Iziguli ezinokulimala kwebanga lesibili zivame ukubuyela ezemidlalo zingakapheli amasonto amathathu noma amane ngemuva kokulimala.
Ukwelashwa kwe-Grade III Izinyembezi ze-MCL
Uma kwenzeka izinyembezi zebanga lesi-III ze-MCL, iziguli kufanele zibophe amadolo abo bese zisebenzisa izinsimbi kuze kube yilapho ubuhlungu buyeke. Amadolo angakwazi ukukhunjulwa izinsuku ezimbalwa ekuqaleni, kepha ukuqala kokuhamba phambili kuzokusiza ekwenzeni ukuphulukisa.
Uma isiguli singakwazi ukuqala ukuguqa ngamadolo, ukuhlolwa kokuqala kokuhamba phambili kufanele kuqale, kufaka phakathi ukuhamba ngebhayisikili. Ukuhamba ngokujwayelekile nokuqhubeka kokugijima kungaqala njengoba ubuhlungu buvumela. Ukusetshenziswa kwesigqoko sokuguqa ngamadolo ngokuvamile kusiza kakhulu ukusekela idolo, ikakhulukazi ezinyathelweni zangaphambili zokuvuselela. Abagijimi abaningi babuyela emidlalweni cishe izinyanga ezintathu emva kokudabuka kwe-MCL yebanga lesi-III.
Ukuhlinzwa kwama-MCL Izinyembezi:
Izinyembezi zokulalisa i-MCL ziyinkinga. Kunezifundo eziningi ezibhalisa ukwelashwa okungenasipiliyoni okuphumelelayo cishe kuzo zonke izinhlobo zokulimala kwe-MCL. Odokotela abaningi abahlinzayo bayavuma ukuthi ngeziguli ezikhononda ngokungazinzi kwamadolo okuphikelela, naphezu kokwelapha okungafanelekile kwemithi, ukuhlinzwa kunengqondo.
Abanye odokotela abahlinzayo bakhuthaza ukwelapha ukwelashwa kwebanga le-MCL izinyembezi kubadlali abahle noma kulabo abagijimi abanokulimala kwamagciwane amaningi emadolweni. Kulezi zimo, kufanele uxoxe ngokuphathwa kahle kokulimala kwakho nodokotela wakho.
Imithombo:
Miyamoto RG, et al. "Ukwelashwa Kwemigodi Yokulimala Kwamanye Amandla" J. Am. I-Acad. I-Ortho. Ngo-Agasti 2009; 17: 152 - 161.