I-ACL Injury- Ingabe Udinga Ukuhlinzwa?

I-ACL isifinyezo esisetshenziselwa i-anterior cruciate ligament. Lawa ama-Ligaments abamba amathambo ngaphakathi kwedolo. I-ACL iyadabuka uma wenza umnyakazo osheshayo noma wenza ukujika okubukhali, kungazelelwe ngenkathi ugxuma noma ugijima. Ukulimala okubangelwa ngaleyo ndlela kubuhlungu kakhulu futhi kubuhlungu ngenkathi uhamba noma ngokufaka ingcindezi emlenzeni. Kungenzeka ngenkathi udlala imidlalo noma wenza i-gymnastics. Amadolo angasonteka lapho izikhombisi-ndlela zishintshwa kungazelelwe ukwelula nokuklebhula i-ACL yakho.

Izimpawu Nezimpawu Zokulimala kwe-ACL

Izimpawu zokulimala kwe-ACL zihlanganisa,

• Umsindo ogelezayo edolweni, ngesikhathi lapho ukulimala kubangelwa khona.
• Ngeke kube khona ubuhlungu uma ukulimala kungenasisindo, kodwa umugqa ohlangene wedolo ungase uzwe ubuhlungu. 
• Ubuhlungu buzwakala lapho umile noma ucindezela idolo elimele. 
• Ukuvuvukala kwenzeka phakathi namahora angu-24 okuqala. 
• Kuba nzima ukuhamba.
• Ukusebenza okuvamile komlenze kukhubazekile. Ukugoba noma ukwelula kuba buhlungu.
• Umuzwa wokuphana kwelunga ngenkathi uphansi/umthambeka.

Ukuxilongwa kwe-ACL Injury

Udokotela we izibhedlela ezingcono kakhulu ze-orthopedic & physiotherapy eNdiya ingase ikubuze imibuzo ukuze wazi mayelana nokuthi ukulimala kwenzeke kanjani futhi nini. Idolo elimele liqhathaniswa nelinye ukuhlola izinga lobuhlungu. Utshelwa ukuthi ulale ngomhlane futhi umlenze uyanyakaziswa noma ugudluzwe kancane kancane ngezindlela ezihlukene ukuze uthole okungavamile. Ukuhlolwa okwenziwa ukuze kutholakale ukuthi kungenzeka yini ukuxilongwa kokulimala kwe-ACL kuhlanganisa okulandelayo,

• I-X-ray- Ukulimala kwe-ACL akuboniswa umbiko we-X-ray, kodwa udokotela angase afune ukubheka noma yiluphi olunye uhlobo lokulimala edolweni futhi akunikeze i-X-ray. 
• I-MRI/Ultrasound- Le mibiko izobonisa ukulimala ku-ACL. 
• I-Arthroscopy (ukuhlinzwa kwe-keyhole)- Lokhu kuhlola kusiza ukwazi ukuthi yini engaphakathi kwelunga. Ngosizo lwe-arthroscopy, udokotela uyakwazi ukubheka ngaphakathi kwedolo ngokwenza ukusika futhi afake ithuluzi lekhamera elilingana nepensela. Izinyathelo ezengeziwe zokulungisa idolo elimele ziba lula ngokwenza le nqubo.

Izinhlobo Zokulimala kwe-ACL

Ukulimala kwe-ACL kuhlukaniswe ngamabanga 1, 2 kanye nezinhlobo ze-3 zokulimala.

• I-Grade 1: Ukulimala okuncane kuwela ngaphansi kwalesi sigaba. Kodwa-ke, ukubuyisela ukwelashwa kokuqina kuyadingeka ekulimaleni kwebanga loku-1. 
• I-Grade 2: Uma i-ACL idabukile kancane noma yeluliwe ibanga lesi-2 okuwuhlobo olungavamile lokulimala okwenzeka. 
• I-Grade 3: Uhlobo lwebanga lesi-3 luphathelene nokulimala okudabula i-ACL phakathi futhi idolo lilahlekelwa ngokuphelele ukuzinza.

Ukwelashwa Kokulimala kwe-ACL

Ukuhlinzwa kungase kungadingeki kuzo zonke izimo. Ukwelashwa kokulimala kwe-ACL kuzohluka kusukela kwesinye nesinye kuye ngomonakalo. Ngakho, ukuze gcina amalunga akho enempilo, kufanele ugcine izindlela ezilandelayo,

• Insiza yezimo eziphuthumayo: Ukulimala okuncane kungelashwa ngokufaka iphakethe leqhwa, ukuphumula, nokuphakamisa umlenze ngosizo lomcamelo. Izinduku ziwusizo ukugwema ukucindezela edolweni lakho. 
• Imithi: Udokotela unikeza imithi yokukusiza ezinhlungwini. Ngokuvamile ziyimithi eqeda ukuvuvukala. Umthamo ophezulu noma imijovo inikezwa uma ukulimala kunamandla kakhulu noma kubuhlungu.
• Izinsimbi zedolo: Ukugqoka insimbi yokuhlanganisa idolo kungakunikeza ukwesekwa uma ufuna ukuhambisa umlenze wakho kaningi njengakwezemidlalo.
• I-Physiotherapy: Kuthatha isikhathi ukubuyisela imisipha yakho ngosizo lwe-physiotherapy. Kodwa kunikeza impumuzo futhi kwenza imisipha ibe namandla ngokwenza ezinye izivivinyo. Ukwelashwa kuhlukaniswe izikhathi isiguli okufanele sizilandele njalo. Ukuvama kokwelashwa ngokomzimba kuvame ukuba nsuku zonke futhi kungase kuthathe amasonto ukulungisa ngokuphelele ukulimala. 
• Izindlela Zokuhlinza: Ngokuvamile umuntu onokungazinzi, umuntu wezemidlalo & umsubathi welulekwa ukuba ahlinzwe. I-ligament ingashintshwa futhi kungakapheli unyaka, isiguli singaqala ukudlala. I-Physiotherapy inconywa ngemva kokuhlinzwa. Ukuhlinzwa kunezinhlobo ezintathu ikakhulukazi, okuyi-Autograft, Allograft, kanye ne-Synthetic Graft.

Isiphetho

Amathambo nemigqa ibalulekile ukuze umzimba wenze ukunyakaza. Noma yikuphi ukulimala okuhlobene namathambo noma kwemisipha kubangela iziqephu ezibuhlungu ezithatha isikhathi eside ukulungisa futhi zenze isiguli singabi nezinkinga ngokuphelele. I-ACL wuhlobo lokulimala okungenzeka noma kungadingi ukungenelela kokuhlinzwa. Ngosizo lwezindlela ezingezona zokuhlinzwa, ingelapheka kwezinye izimo.

Ukubonisana nodokotela ngesikhathi esifanele kuzovimbela umonakalo owengeziwe edolweni elimele. Kungcono ukwazi isizathu esibangela ubuhlungu bamadolo lapho udokotela wamathambo kuphela ongaxilonga. Ukugwema noma yiluphi uhlobo lokuzihlola nokulandela imiyalelo kadokotela kuyizindlela ezifanele zokulungisa umonakalo.