I-Sore Knee Yakho Ingakusizwa Ngokwelashwa Kwemvelo
Ukwelashwa ngokomzimba kwamadolo okuguqa kuhilela ukuhlola okuphelele nokuhlolwa komkhawulo wakho wonke ophansi ukusuka enqanyeni yakho kuya enyaweni yakho. I-PT yakho ingahlola ubuhlungu bakho emadolweni futhi ibeke izindlela zokwelapha ezifanele-ezihlanganisa ukuzivocavoca nezindlela-ukusiza ukunciphisa ubuhlungu bakho emadolweni nokuthuthukisa ukuhamba kwakho konke.
Anatomy of the Knee
Ibhande lomuntu lihlangene elihlanganisa i-tibia (shin) ne-femur (ithanga).
I-patella, noma i-kneecap, itholakala ngaphambi kwamadolo. Ibhande lisekelwa imigqa emine. Ama-absorbers amabili okushaqeka, okubizwa ngokuthi yi-meniscus, atholakala ngaphakathi kwamadolo.
Ubuhlungu emadolweni bungabangelwa ukuhlukunyezwa okuphindaphindiwe nokucindezeleka noma ukulimala. Ngezinye izikhathi kwenzeka ngenxa yesizathu esicacile. Uma kwenzeka ubuhlungu begolo, ungase uhlangabezane nokulinganiselwa okusebenzayo okubandakanya ukubunzima ukuhamba, ukuphakama ukuhlala, noma ukukhuphuka nokunyuka izitebhisi.
Uhlobo luni lwe-Knee Pain Unawo?
Uma uzwa ubuhlungu bomadolo, kubalulekile ukucacisa ukuthi ubuhlungu bubuhlungu yini, buncane, noma buhlala bukhuni. Lokhu kungasiza ekuqondiseni ukuxilongwa nokuphathwa okufanele.
- Ubuhlungu obukhulu ngokuvamile bubuhlungu kakhulu futhi buba nezinsuku ezingu-1-7 ngemva kokulimala. Ngalesi sikhathi, kufanele uphumule amadolo futhi uvumele izakhiwo ezimele ziphole ngaphambi kokuqala noma yikuphi ukunyakaza.
- Ubuhlungu obuncane besifo buvela emasontweni amabili kuya kwa-6 ngemuva kokulimala. Lesi yisikhathi esihle sokuqala ukuhamba ngobumnene nxazonke emadolweni ukusiza ukuphinde uhambe.
- Ubuhlungu bendondo engapheli ubuhlungu buhlala bukhulu kunamaviki angu-8-12. Ubuhlungu obukhulu obungapheli kufanele buhlolwe ngumhlinzeki wakho wezempilo.
Indawo yezimpawu zokuhlunguphaza komzimba
Indawo yobuhlungu bakho bendondo ingasiza ekunqumeni ukuthi yiziphi izakhiwo eziphambekile futhi zingasiza ukuqinisekisa ukuthi ukwelashwa okufanele. Khumbula ukuhlola nodokotela wakho, udokotela wezempilo, noma umhlinzeki wezempilo uma izimpawu zinzima noma zigcina ngaphezu kwamasonto ambalwa.
- Ubuhlungu phambi kwamadolo. Uma uzizwa ubuhlungu phambi kwamadolo, kungase kube nenkinga ngokulandelela kanye nesimo se-kneecap, evame ukubizwa ngokuthi i- patellofemoral stress syndrome (PFSS) . I-kneecap ne-tendon emkhatsini we-kneecap ne-shin ingase ivuke futhi ibuhlungu. Ubuhlungu lapha buvimbela ikhono lokuguqa, ukukhuphuka noma ukwehla izitebhisi, noma ukugijima bese uqaqa.
- Ubuhlungu ngaphakathi ngaphakathi kwamadolo. Uma unesihlungu engxenyeni yangaphakathi yamadolo, kungenzeka ukuthi ukulimala kumadoda aphakathi kwamanye amazwe noma i -ligament ye-collateral ligament . Lezi zakhiwo zivame ukulimala ngesikhathi sokudlala lapho unyawo lutshalwe phansi, futhi umzimba uguquka phezu kwamadolo. I-meniscus yangaphakathi yinkimbinkimbi yokumangalisa ephakathi kwamadolo. Ngezinye izikhathi, libhekene nokugqoka nokudabuka noma i-arthritis futhi ingalimala ngaphandle kokulimala okuqondile.
- Ubuhlungu obungaphandle kwamadolo. Ubuhlungu ngesici sangaphandle semadolo akho kungaba umphumela wokulimala ezakhiweni eziningi. Kukhona i-ligament lapho okungalimala ngesikhathi somdlalo wezemidlalo. Ubuhlungu lapha bungabangelwa ukucindezeleka kwe-linotibial (ITB) . I-ITB iyiqembu elixubile lamathishu eligijima ngaphandle kwe- hip yakho ngaphambili kwegceke lakho. Njengoba iwela emadolweni, i-ITB ingaxubha ngokungavamile emadolweni, futhi ubuhlungu obuvuthayo bungabhekana. Futhi, engxenyeni engaphandle yamadolo ingenye yezintathu ezintathu. Ukucindezeleka kule tendon kungase kube umthombo wamadolo.
- Ubuhlungu ngemuva komdolo. Ubuhlungu ngemuva komdolo akuvamile kepha kungenzeka. Enye yezintambo ze- hamstring ihlanganisa lapha, futhi ubuhlungu bukhona lapha ngenxa yenkinga yokungena. Enye imbangela yezinhlungu lapha i-cyst Baker. Lokhu ukuvuvukala okungavamile kwamadolo ohlangene okuhlala isikhala ngemuva kwamadolo futhi kubangela ubuhlungu ngokuguqa ngokweqile kwamadolo.
Uma uhlakulela ubuhlungu obukhulu begolo , ngokushesha landela isimiso se- RICE . I-RICE imelela ukuphumula, i-Ice, Ukucindezelwa, nokuphakama . Ngemuva kwezinsuku ezimbalwa ze-RICE, ungaqala ukusebenzisa umlenze, kuphela ngobumnene. Uma ubuhlungu buqhubeka emasontweni angaphezu kuka-2-3, kufanele uvakashele udokotela, uchwepheshe wezempilo, noma omunye umhlinzeki wezempilo ukuze akwazi ukulawula noma iyiphi inkinga enkulu futhi uqinisekise ukuthi uhlolisisa kahle nokuphathwa kahle.
Yini Engayilindela Emthonjeni Wokwenyama Wezinhlungu Zezintambo
Uma udluliselwa ekuphatheni okwenyama ngamadolo, ukuvakashelwa kokuqala kubalulekile ukuqinisekisa ukuxilongwa okulungile nokuphathwa kahle. Phakathi nalesi sihambeli, udokotela wakho womzimba uzokuxoxa nawe ukuze abuthe ulwazi mayelana nomlando wenkinga yakho, mayelana nezimo ezikhulayo nokukhulula, nangomlando womlando odlule ongafaka inkinga yonke. Kusukela kolwazi oluhlangene phakathi nomlando, ukuhlolwa okugxilwe kuzokwenziwa. Ukuhlolwa kungase kube nezingxenye eziningana kufaka phakathi, kodwa hhayi kuphela:
- Ukuhlolwa kwe-Gait . Ukuhlolwa kwe-gait ukuhlola ukuthi uhamba kanjani. Abahlinzeki bezemvelo baqeqeshwa ukuphawula izinguquko ezincane ekuhambeni okuzungeza amadolo ngezigaba ezahlukene zokuhamba.
- Ukuhlukaniswa. Lokhu kuhilela ukusebenzisa izandla ukuthinta izakhiwo ezihlukahlukene emadolweni ukuze uzizwe ungenalo okungajwayelekile noma ukuhlola ukuthi isakhiwo sibuhlungu ukuthinta.
- Izinga lezilinganiso zokuhamba . Ukuhamba kwezimpawu kubhekisela kude kangakanani nokuthi idolo liguqa noma liqondisa kanjani. Umhlinzeki wenyama angasebenzisa izinsimbi ezikhethekile ukukala indlela amadolo akho ahamba ngayo ukusiza ukuqondisa ukwelashwa.
- Amandla okulinganisa . Kunezinamathiselo eziningi ze-muscular ezungeze emadolweni, futhi ukulinganisa kwamandla kungasiza ekutholeni ukuthi ubuthakathaka obuthakathaka noma ukungalingani kubangela ubuhlungu bakho emadolweni.
- Ukuhlola kwebhalansi yakho . Uma ibhalansi yakho ingaphumeleli, ukucindezeleka ngokweqile nokucindezeleka kungase kuqondiswe emadolweni akho bese kubangela ubuhlungu.
- Ukugqoka noma ukulinganisa izilinganiso. Ngezinye izikhathi, ukuvuvukala kungenzeka kube khona emadolweni ngemva kokulimala. Udokotela ongokwenyama angalinganisa inani lokuvuvukala ukusiza ukwelashwa okuqondile.
- Ukuhlolwa okukhethekile. Ukuhlolwa okukhethekile kuyindlela eqondakalayo eyenziwe nxazonke emadolweni ukusiza ukuthi isiphi isakhiwo singase sibe nephutha futhi singabangela inkinga.
I-PT Ukwelashwa Kwe-Knee Pain
Ngemuva kokuhlolwa okugxilisiwe sekuphelile, umhlinzeki wakho womzimba angasebenza nawe ukuqalisa ukwelashwa okufanele. Kubaluleke kakhulu ukuthi usebenze futhi uhlanganyele ohlelweni. Ngokuvamile, ukuzivocavoca ukusiza ukuqinisa nokuthuthukisa ukuhamba kwamadolo kuzomiswa. Kungadingeka ukuthi wenze izivivinyo ekhaya kanye nengxenye yohlelo lokuzivocavoca ekhaya.
Ukuzivocavoca kufanele kube yithuluzi lakho elikhulu ekuphatheni ubuhlungu bakho emadolweni. Ukuzivocavoca ukusiza ubuhlungu bakho bendondo kungafaka:
- Amasethi we-quad nomlenze oqondile uyaphakamisa
- Imibuzo emfushane ye-arc
- Ukuzivocavoca ukuqinisa iziqhenqo zakho (imisipha yakho ye-hip isiza ukulawula isikhundla samadolo akho. Ukuntula lapha kungabangela ubuhlungu emadolweni.)
- Umkhawulo ophansi ulula
- Ukulinganisa umzimba
I-PT yakho izokutshela kangaki ukwenza imisebenzi yakho ekhaya, futhi kufanele ihlole inqubekelaphambili yakho uma uvakashela ikliniki yase-PT. Angase enze nezinye izifo ngenkathi usemtholampilo we-PT. Lokhu kungafaka:
- I-Ultrasound
- Ukuvuselela kagesi
- I-Kinesiology icubungula
- Isicelo sokushisa noma iqhwa
- Ama-massage we-tishu amancane noma ukuhlanganiswa kwamadolo
Khumbula ukuthi ukwelashwa okungafani ne-ultrasound noma ukulinganisela akuzange kuboniswe ukuthi kuyindlela ephumelela kakhulu yokwelashwa kwamadolo. Bangase bazizwe behle, kodwa ukugxila kwakho ku-PT kufanele kube ukubuyisela ukuhamba okusebenzayo. Kufanele uxoxe ngomgomo jikelele wokwelashwa ngalunye ukuze uqondisise ukuthi yini ongayilindela.
Uma ubuhlungu besifuba buqhubeka isikhathi esingaphezu kwamasonto amabili noma amathathu noma kwenzeka njengomphumela wengozi enkulu, ukuvakashelwa kudokotela noma umhlinzeki wezempilo kunconywa.
Izwi elivela
Ibhande lihlangene elikhulu emzimbeni onesibopho sokuhamba, ukukhuphuka izitebhisi , nokuphakama endaweni ehlezi. Ubuhlungu emadolweni bungenza umkhawulo owodwa noma yonke yale misebenzi. Ngokusebenza nodokotela wakho wenyama futhi ngokugcina umakhalekhukhwini ohlangene futhi oqinile, izinkinga zokuhlukumeza amadolo zingagwenywa, futhi ukuhamba kwakho kungagcinwa.