Uma unamahlombe emadolo, udokotela wakho wezokwelapha noma udokotela angenza izivivinyo ezikhethekile zamadolo ukuze anqume ukuthi ngabe i-ligament sprain ingabangela inkinga yakho. Ukuhlolwa okukhethekile okucindezelayo kugcizelela izigameko ezihlukahlukene emadolweni akho, ukuhlola ubuqotho babo ukusiza ukuqondisa ubuhlungu bakho emadolweni futhi, ekugcineni, ukwelashwa kwakho.
Ukuhlangana kwegolo kuqiniswa yimigomo emine ebalulekile . Lezi yi-ligament eliyinkimbinkimbi ye-anterior, i-posterior cruciate ligament, i-ligament ye-colamental ligament, ne-latal collateral ligament.
Igoli ngalinye elihlukile livimbela ukunyakaza ngokweqile kwamadolo. I-anterior cruciate ligament ivimbela i-glide engaphezulu kwe-shin yakho ngaphansi kwethambo lakho lethanga. I-posterior cruciate ligament ivimbela ukunyakaza okuhamba phambili kwe-shin yakho ngezansi kwesifazane wakho. I-ligament yakho yemigudu yemigqa evimbela ukuqothulwa ngokweqile kwe-tibia nabalindi amandla amakhulu ngokweqile avela endaweni yangaphandle yamadolo akho. I-latal yakho yokwesekwa komgogodla ivimbela ukukhishwa ngokweqile kwe-tibia nabalindi ngokumelene namandla angaphezu kwamandla avela kwisici sangaphakathi semadolo akho.
Uma limazekile, amadolo akho ahlala engaqiniseki endleleni umgogodla owonakele ozinzile ngayo. Uma usola ukuthi uwonakele igulane lamadolo, kufanele uhlole nodokotela wakho ukuze uthole isithombe esinembile ngesimo sakho futhi uqale ukwelashwa okufanele. Ungase uzuze ekuvakasheni nomhlengikazi womzimba ukuhlola idolo lakho. Angenza izivivinyo ezikhethekile zamadolo ukuze ahlole ubuqotho bemigodi yakho yamadolo.
Kukhona izivivinyo ezine ezikhethekile ngamunye ukuhlola imigqa emine yamadolo akho. Funda amagama lalezi zivivinyo, imigqa abahlola ngayo, nokuthi bangayenza kanjani. Khumbula, uma unesidumbu, hlola nodokotela wakho ngaphambi kokwenza lezi zivivinyo ezikhethekile zemadolo.
Ukuhlolwa kwe-Drawer yase-Anterior
Ukuhlolwa kwe-drawer yangaphakathi kusetshenziselwa ukuhlola ubuqotho be-yourterior cruciate ligament (ACL) yangaphambili. Leligamente ivimbela phambili ukuthungatha kwesifuba sakho ngaphansi kwethambo lakho lesitheni.
Isivivinyo senziwa ngokulala phansi ngemuva kwakho nokuguqa ngamadolo. Omunye umuntu ubamba i-tibia yakho ngemuva kwempondo yakho bese edonsa ngomusa. Ukuhamba ngokweqile kwe-tibia yakho ngaphansi kwe-femur yakho kubonisa ukuhlolwa okuhle futhi izinyembezi ze-ACL zingase zisolakala.
Ukuhlolwa kwe-Drawer ephansi
Ukuhlolwa kwe-drawer yangasese kuhlola i-posterior cruciate ligament (i-PCL) ehamba phambili. Leli gciwane livimbela isifuba sakho se-shin ukuba singasabuyi emuva ngaphansi kwethambo lakho lesitheni. Ukuze wenze lokhu kuhlolwa, faka ngamadayimenti ayisishiyagalolunye we-flexion nesiguli esilala phezulu bese unyawo luzinzile etafuleni. Ukuqonda isici esingaphakathi kwe-tibia phezu kwesifo sofuba esibucayi bese uqhubekela phambili (ukushiya i-tibia ngemuva) ngamandla aqinile. Uma i-tibia ihamba ngemva kokujwayelekile kunokujwayelekile (ukuqhathanisa nomlenze ongenalutho) ukuhlolwa kulungile. Lokhu kubonisa ukuthi kungenzeka ukuthi ukubola noma ukulimala kungase kwenzeke.
Ukuhlolwa kokucindezeleka kuka-Valgus
Isivivinyo sokucindezeleka se-valgus noma sokuqothula sihlola i-ligament ye-collateral ligament (MCL). Ukuze wenze lokhu kuhlolwa, faka ngamadolo ngezinyawo ezingamashumi amathathu. Ngenkathi uzinzile emadolweni, cindezela ngokuqinile isigaba sangaphandle semadolo ngenkathi ubambe iqine lezinyosi. Uma izigxoko zamadolo ezingxenyeni zangaphakathi zesibambisene esikhulu kunazo zonke ezijwayelekile (uma kuqhathaniswa nomlenze ongenalutho), ukuhlolwa kulungile. Lokhu kubonisa ukuthi i-ligament yezimpahla ezidabukisayo iyalila.
Ngokuvamile "i-clunk" iyozizwa lapho yenza ukuhlolwa kokucindezeleka kwe-valgus uma umgudu wokugudluza womzimba ulimazekile.
Isivivinyo sokucindezeleka kwe-Varus
Isivivinyo sokucindezeleka kwe-varus noma sokunyusa ukulinganisa sihlola i-ligal colalateral ligament (LCL). Ukuze wenze lokhu kuhlolwa, faka ngamadolo ngezinyawo ezingamashumi amathathu. Ngenkathi uzinzile emadolweni, udonsa isikhumba. Uma idolo lihlangene kakhulu kunelijwayelekile (uma kuqhathaniswa nomlenze ongalimazi), ukuhlolwa kulungile. Kufanele uqaphele ukugaya ohlangothini lwangaphandle lwamadolo. Izikhathi eziningi "i-clunk" izovezwa uma isigqebhezana se-lateral ligament silimala noma siphukile. Lokhu kuyinkomba ye-lateral collateral ligament ukuqothula.
Uma i-PT yakho ithola ukuthi noma yikuphi kwalokhu kuhlolwa kunesidingo sokulila, kungenzeka ukuthi uqale ukwelashwa, kodwa umelaphi wakho angancoma ukuthi unayo i-MRI ukuze uqinisekise imithi. Amadolo alula kakhulu angadinga ukuhlinzekwa ukulungiswa, kodwa ucwaningo lubuye lubonise ukuthi ukwelapha kwangaphambi kokusebenza kunganikeza izinzuzo ezinhle.
Uma ulimaze ibhande lakho, ungase uzuze ekwelapheni okungokwenyama ukukusiza ukuthi uphinde uhambe ngendlela evamile. I-PT yakho ingenza izivivinyo ezikhethekile zamadolo ukuze zihlolwe izigxobo ezungeze idolo lakho. Uma i-PT yakho isola ligament ephawulekayo idonsela emadolweni akho, angase ancome ukuthi uhlole nodokotela ohlinzayo wama-orthopedic ukuhlola ngokugcwele isimo sakho.
> Imithombo:
> Failla, MJ, et al. Ingabe Iminyaka Eyiminyaka Engu-2 Ngemuva Kokuvuselelwa Kwama-ACL? Ucwaningo Lokusebenza Lokuqhathanisa Phakathi kwama-coorts MOON ne-Delaware-Oslo ACL. Am J Sports Med. 2016 Oct; 44 (10): 2608-2614.
> Shaarani, SR, > etal >. Umphumela we > ukuvuselela > umphumela we-anterior cruciate ligament reconstruction. > AM > J Sports Med. 2013 Sep; 41 (9): 2117-27.
Ihlelwe ngu-Brett Sears, PT.