Uma uke wabhekana nokulimala emadolweni akho, ungase uzuze ekwelashweni okungokwenyama ukuze usize ukuthuthukisa ukuhamba kwakho kwegama (ROM) namandla. Umhlinzeki wakho womzimba angenza izivivinyo ezikhethekile ukuze anqume ukuthi uke wabhidliza izakhiwo ezithile noma imigqa emadolweni akho.
I-anterior cruciate ligament (ACL) isakhiwo esibalulekile emadolweni akho.
Kuyasiza ekuvimbeleni phambili ukujula kwesifuba sakho ngaphansi kwethambo lakho lethanga. Ukulimala ku-ACL yakho kubangela umuzwa wokungazinzile emadolweni akho futhi kungakuvimbela ukuba ungahlanganyeli emisebenzini yezinga eliphezulu kanye nemidlalo.
Ngingazi kanjani ukuthi i-ACL yami idliwe?
Uma unamahlombe emadolweni ngemva kokulimala, udokotela wakho noma umhlinzeki wezinto ezingokwenyama angasiza ekutholeni ukuthi i-ACL yakho (noma esinye isakhiwo) ingasengozini. Angabe eseqinisekisa ukuthi uthola ukwelashwa okufanelekile emadolweni akho.
Ukuze uqale ubuyekeze ubuqotho be-ACL yakho, uchwepheshe wezokwelapha noma udokotela angenza ukuhlola kwe-drawer yangaphakathi emadolweni akho . Lokhu kwenziwa ngokuthi umuthi wakho athole kahle amathambo akho phambili ngenkathi uzinzisa unyawo lwakho. Uma i-shin yakho iqhubekela phambili phambili emadolweni akho alimele uma kuqhathaniswa ne-knee yakho engalimala, kungenzeka ukuthi ubuqede i-ACL yakho.
Uma usola ukuthi uqedile i-ACL yakho, kutuswa ukuthi uvakashele udokotela wakho ukuqinisekisa izikhalazo zakho.
Mhlawumbe uzohleleka futhi i-MRI ihlolisise kangcono izakhiwo zangaphakathi zamadolo akho.
Therapy Physical Ukuhlolwa ngemuva kwe-ACL Izinyembezi
Uma usuqede i-ACL yakho, udokotela wakho angakutjhelela ukwelashwa ngokomzimba ukukusiza ukuthi uphinde uhambe ngokujwayelekile. Ukuqokwa kwakho kokuqala ekwelapheni komzimba kubizwa ngokuthi ukuhlolwa kokuqala, futhi phakathi nalesi sigaba i-PT izoqoqa ulwazi mayelana nesimo sakho ukusiza ukuhlela uhlelo lwezokwelapha.
Izingxenye zokuhlolwa kokuqala ngemuva kwezinyembezi ze-ACL zingabandakanya:
- Umlando
- Ukuhlolwa kokuhamba ngokusebenzayo
- Ukuhlaziywa kwemali
- Ukuhlukaniswa
- Ububanzi bokuhamba
- Amandla
- Ukuvuvukala
- Ukulinganisa nokuhlolwa kokuzimela
- Ukuhlolwa okukhethekile
Ukwelashwa Kwemithi Ngokwemvelo ngemuva kwe-ACL Tear
Uma isazi sakho somzimba sigcwalisa ukuhlola nokuhlola kokuqala, uzosebenza nawe ukuthuthukisa uhlelo olufanele lwezokwelapha. Qinisekisa ukuthi usebenza eduze ne-PT yakho ukuthuthukisa imigomo, futhi ubuze noma yikuphi imibuzo uma ungaqondi ukuthi uhlolwe kanjani, ukubikezelwa, noma ukwelashwa.
Izingxenye zepulani yokwelapha yokwelapha ngokomzimba ngemuva kokukhala kwe-ACL kufaka phakathi, kepha akukhawulelwe ku:
- Ukulawula ubuhlungu: Umhlinzeki wakho ongokwenyama angasebenzisa amasu ahlukene wezokwelapha ukusiza ukunciphisa ubuhlungu bakho. Amaphakethe e-ice angasetshenziswa ukunciphisa ukuvuvukala, futhi ngezinye izikhathi i- TENS ingasetshenziswa emadolweni ukuze unciphise ubuhlungu obuzwayo.
- Ukuqeqeshwa kokuzuzwa: Uma uhamba ngedivaysi yokusiza njengama-crutches, udokotela wakho ongokwenyama angakufundisa indlela yokuwasebenzisa kahle. Angakwazi futhi ukusiza inqubekelaphambili yakho ekuhambeni ngamathanga ukuze uhambe ngokujwayelekile ngaphandle kwedivaysi yokusiza.
- Ukuphathwa kokukhukhumeza: I- RICE . isimiso sinye yezindlela ezinhle kakhulu zokunciphisa ukuvuvukala emadolweni akho. Lokhu kuhilela ukuphumula, iqhwa, ukucindezela nokuphakama kwamadolo akho.
- Ukuthuthukisa ukukhwabanisa kwe-quadriceps : Ngemuva kokukhala kwe-ACL, imisipha yakho ye- quadriceps phezulu kwethanga lakho igcina ivimbela bese iyeka ukusebenza kahle. Enye yezinhloso eziyinhloko zokwelapha ngokomzimba ngemuva kokulimala kwamadolo ukuphinde uphinde ulawule ukulawula okuvamile kwe-quadriceps. Umhlinzeki wakho womzimba angasebenzisa uhlobo lokuvuselela kagesi olubizwa nge-NMES noma ukukhuthazwa kweRussia ukusiza ukufeza lo msebenzi. I-quadriceps yokuzivocavoca okuqinisayo, njengemilenze eqondile iphakamisa , izobe ishiwo.
- Ukuqinisa umzimba: Ngaphandle kokuzivocavoca ukuqinisa ama-quadriceps akho, ezinye izindlela zokuqinisa ze-hamstrings kanye nemisipha yakho ye- hip kungadingeka ngesikhathi sokuvuselela kwe-ACL yakho.
- Ukuzivocavoca okuningi : Ngemuva kwezinyembezi ze-ACL, ubuhlungu nokuvuvukala emadolweni akho kunganciphisa ibanga lakho lokuhamba. I-Knee ROM isebenzisa njenge- hang elula yokusiza ukusiza nokuthuthukisa nokuhamba kwakho kwamadolo.
- Ukuzivocavoca: Emva kokulimala kwamadolo, ungase ubone ukuthi unenkinga yokugcina ibhalansi elifanele emlenzeni wakho olimele. Ukuzivocavoca umzimba usebenzisa ibhodi ye-wobble noma ibhodi ye- BAPS kungadingeka ukuze uphinde uthole ukuvumelanisa okujwayelekile, noma ukuqwashisa umzimba, ngemuva kokulimala kwakho.
- I-Plyometrics: Uma uhlela ukubuyela emphakathini wezinga eliphakeme, uhlelo lwakho lokunakekelwa kokwelapha kufanele luhlanganise ukuqeqeshwa kwe-plyometric. Ukufunda ukuphuma kahle nomhlaba kungakusiza ukuthi uphinde uthole ukuzethemba okudingekayo ukuze ubuyele emidlalweni.
Enye yezingxenye ezibaluleke kakhulu ohlelweni lwakho lokuvuselela i-ACL ukufunda ukuvimbela izinkinga zesikhathi esizayo ngamadolo akho . Qinisekisa ukuthi usebenza nomhlinzeki wakho wenyama ukuze unqume iziguquko ezingase zenze umthelela ekulimazeni kwakho, futhi uhlele isu lokuzivocavoca ukuvimbela omunye ukulimala kwe-ACL.
Kuthiwani Uma I-My Knee Pain iyaqhubeka?
Uma usuqede i-ACL yakho futhi uye emitholampilo yokwelapha ukuze ubuyekeze ukuhamba nokusebenza okuvamile kodwa uqhubeke uzwa nomuzwa wokungazinzi, ungase udingeke ucabange ukuhlinzwa ukulungisa i-ACL yakho . Kumele ukhulume nodokotela wakho ukukusiza ukuthi unqume ngendlela enhle yokwelashwa kwe-ACL yakho futhi unqume ukuthi ukukhanda okuhlinzekwayo kuyindlela enhle kuwe. Ngokuvamile, uma ufisa ukubuyela emidlalweni ephezulu yokudinga ukugijima, ukuyeka nokuqala, noma ukugxuma, ungase ufise ukucabangela ukulungiswa kwe-ACL.
Uma unokuhlinzwa kwegciwane, ungase uzuze ekwelashweni okungokwenyama ngemuva kokukhishwa kwe-ACL ukukusiza ukuthi ubuyele emisebenzini evamile nasemisebenzini. I-PT yakho ingakusiza ikuqondise ngawe ngemuva kokusebenza kwe-ACL protocol ukuze ikukhuphuke futhi ihambe ngokushesha futhi ngokuphepha.
Uma ulimaze ibhulo lakho futhi ushayele i-ACL yakho, ungase uzuze ekwelapheni okungokwenyama ukuze ikusize uthuthukise i-ROM yakho namandla, unciphise ubuhlungu bamadolo nokuvuvukala, futhi kukusize ubuyele ezingeni lakho langaphambilini lomsebenzi.