Ukulimala kwiLigamental Collateral Ligament of the Knee
I-latal collateral ligament, okanye i-LCL, yenye yezona ezine zigulane zamadolo . I-LCL idibanisa ukuphela kwethambo lesithanga (i-femur) ukuya phezulu kwincinci encinci ye-shin (i-fibula), ngaphandle kwendolo. I-LCL inceda ukunqanda ukunyanzelana ngokubanzi kwinqanaba lexolo . Xa i-LCL iqwengqelekile, idolo lidibene ligobe kakhulu ngaphakathi xa lixinezelekile.
Abantu abalimaza amadolo abo bangakhuthaza ukungazinzi kwamadolo. Ukukhubazeka kuyimpawu yodolo efuna ukusikhupha, okanye ukukhupha. Abantu abanokungazinzi kwamadolo banokuthi banokuvakalelwa ngokweqile kwamadolo abafuna ukuxhamla, okanye mhlawumbi bangabhuqa ngokukhawuleza baze bawa phantsi. Xa idolo lingaqiniseki, kaninzi ukwenza imisebenzi emininzi, ingakumbi ezo zinto zibandakanya ukuhamba ngokuthe ngcembe, ukuguquka, ukusika okanye ukuguqula. Ngenxa yalesi sizathu, imisebenzi edlalwa yimidlalo yebhola kunye nebhakballball ingaba nzima okanye ayinakwenzeka ukuba abantu abaneenkomo ze-LCL.
Iintlungu zeLCL
I-LCL ixhaphake ngexesha lezemidlalo okanye ukulimala okubi (ukuwa, njl.). I-LCL ihlanjululwe xa idolo ligosa ngaphakathi ngaphakathi, kwaye i-LCL ilwe kakhulu. Iinyembezi ze-LCL zifakwe ngokufanayo nakwezinye iinyembezi ze-ligament kwisilinganiso se-I ukuya ku-III:
- IBakala I-LCL Izinyembezi
Le ntsizi engaphelelanga yeLCL. I-tendon isaqhubeka, kwaye iimpawu zihlala ziphantsi. Izigulane zihlala zikhalaza iintlungu kunye nexinzelelo kwi-LCL, kwaye ziyakwazi ukubuyela kwimidlalo yazo ngokukhawuleza. Uninzi lwabagijimi balahlekelwa iiveki ezimbini ukuya kudlalwa.
- Ibanga leLCL II
Ukulimala kweBanga II kubhekiswa njengezinyembezi ezingaphelelanga zeLCL. Ezi zi gulane ziyakwenza isikhalazo sokungazinzi xa uzama ukunqumla okanye ukugxeka. Intlungu kunye nokuvuvukala kubaluleke kakhulu, kwaye ngokuqhelekileyo kuyimfuneko yexesha leentsuku ezintathu ukuya kwezine zokuphumla. - Ibhola le-LCL yeBakala III
Ukulimala kwebanga lesi-III yintlungu epheleleyo yeLCL. Izigulane ziba nobuhlungu obukhulu kunye nokuvuvukala, kwaye kaninzi kunzima ukuguqa ngamadolo . Ukukhubazeka, okanye ukunikezela, kuyinto eqhelekileyo yokufumana kunye neenyembezi zeBakala III. Iinyembezi zeBakala III ze-LCL zifuna ukuba kwakhiwe kwakhona uphando.
Iinyembezi zeBakala III ze-LCL zivame ukubonakala kwimeko ethile yomonakalo emadolweni. Ngokukodwa, iimbombo eziphambili zivame ukulimala ekusetyenzisweni kwezinyembezi zeBakala III.
Unyango lweeLCL Izinyembezi
Iingonyama zeBakala I ne-II zeLCL zinokuthi zifezekiswe ngamanyathelo alula avumela ukuba i-ligament iphumle kwaye ilungise ngokwayo. Amanyathelo okuqala kufuneka ajoliswe ekukhuseleni ukuvuvukala nokuvumela i- ligament ukuphumla. U unyango oluncedo luquka:
- Ukuphumla
Izigulane ziyakwenza ngcono ukusebenzisa iinqonga zokuvumela ukuba idolo liphumle. Imisebenzi kuquka nemidlalo kufuneka igwenywe de ligament iphiliswe. I-brace inokunceda ukuxhasa idolo ukukhusela uxinzelelo kwi-LCL yokuphulukisa. - Imithi echasayo
Amachiza anqabileyo angakunceda ukulawula ukuvuvukala nokukhusela ukuvutha. La mayeza kufuneka axoxwe kunye nogqirha wakho njengoko kukho iziphumo ezichaphazelekayo. - Izicelo zeqhwa
Isicelo seqhwa sinokukunceda ukulawula ukuvuvukala nokukhuthaza ukuhamba kwegazi kwindawo yokulimala. - Knee Exercises
Emva kokuba ukuvuvukala okunzulu kuphelile, ukusetyenziswa kwesifuba esisisiseko kunokunceda ukubuyisela ukuhambelana kunye nokukhusela amandla. Ukubuyela kwimidlalo akufanele kucatshangelwe de ukuhamba kunye namandla sele ubuyiselwe kwizinto eziqhelekileyo.
Xa kunobungozi obunzima, unyango oluphambili lungadinga ukucingelwa. Uninzi lwamaxesha amaninzi ukulimala kwenzeka kunye nezinye ukulimala kwegilament kuquka iintlungu ze-ACL, iinyembezi ze- PCL , okanye omnye umonakalo ngaphakathi kweedolo. Uphando olutsha lubonise ukuba izigulane ezithatha unyango lugqirha ukulungelelanisa ukulungiswa kwe-ligament kunye nezinye izicubu ( i-graft tissue ), kunokuba kulungiswe umgudu owonakele.
Imithombo:
Levy BA, et al. "Ukulungisa ngokumalunga nokuhlaziywa kwe-colbulaater ligamental kunye nekota yangemva kwimeko ye-multiligament-ibhola elimazi" Am J Sports Med. Ngo-2010 kuMva; 38 (4): 804-9. Epub 2010 Jan 31.
Schorfhaar AJ, Mair JJ, Fetzer GB, Wolters BW, LaPrade RF. I-Knee: Ukulimala kwesikhokelo kunye nokulandelelana kwamadolo emva kwedolo. Ku: DeLee JC, uDrez D Jr., iMiller MD, eds. DeLee kunye ne-Drez's Orthopedic Sports Medicine. Wesithathu. Philadelphia, Pa: Saunders Elsevier; 2009: isahluko 23;