Ukuba unamahlombe emadolweni, ugqirha wakho wezonyango okanye ugqirha unokukwenza iimvavanyo ezizodwa zamadolo ukuqinisekisa ukuba i-ligament ingayibangela ingxaki yakho. Iimvavanyo ezikhethekileyo ze-Kne zixinzelele iigamente ezahlukahlukeneyo emadolweni, ukuvavanya ukunyaniseka kwazo ukukunceda ukukholisa i-knee pain diagnosis kwaye, ekugqibeleni, unyango lwakho.
Ibhokisi elihlangeneyo lizinzileyo ngeemigama ezine ezibalulekileyo . Le yimihlaba engummango ongezantsi, i-posterior cruciate ligament, i-ligament ye-ligament, kunye ne-lateral collateral ligament.
I-ligament nganye eyahlukileyo ivimbela ukunyuka okudlulileyo kwamadolo. I-stroke ephasayo yomhlaba igqithisa i-glide engaphezulu kwe-shin phantsi kwethambo lakho lesithambo. I-posterior cruciate ligament ivimbela ukunyuka kwesithuba esingaphantsi kweshintsho sakho ngaphantsi kwe-femur yakho. I-collateral ligament yakho inqanda ukukhutshwa ngokugqithiseleyo kwe-tibia kunye nabalindi amandla amakhulu kakhulu avela kwindawo engaphandle kwidolo. I-latal collateral ligament ivimbela ukukhutshwa ngokugqithiseleyo kwe-tibia kunye nabalindi ngokuchasene namandla angaphezu kwamandla avela ngaphakathi.
Xa unobungozi, idolo lakho lingaqiniseki kwinqanaba elenziwe lilintigament. Ukuba uyakrokrela ukuba uwonakalise isigulane segolo, kufuneka ukhangele kunye nogqirha wakho ukuze ufumane umfanekiso ochanekileyo wemeko yakho kwaye uqalise kunyango oluchanekileyo. Unokungenelwa ekutyelelaneni nomphathiswa womzimba ukuze uhlole idolo lakho. Angenza iimvavanyo ezizodwa zamadolo ukujonga ubungqina bodolo.
Kukho iimvavanyo ezine ezikhethekileyo ngamnye ukuvavanya imizila emine yedolo. Funda amagama ala mvavanyo, iigamentsi ezivandlakisayo kunye nendlela yokwenza ngayo. Khumbula, ukuba unempilo yedolo, qwa lasela ugqirha wakho ngaphambi kokuba wenze ezi zivivinyo ezizodwa zamadolo.
Uvavanyo lweBhodi yangaphakathi
Uvavanyo lwetraki lwangaphakathi lusetyenziselwa ukuvavanya ingqibelelo yakho yangaphambili ye-ligament (ACL). Le ligament ivimbela phambili ukutshatyalaliswa kwethambo lakho lesifuba phantsi kwethambo lakho lesithambo.
Uvavanyo luyenziwa ngokulala phantsi wakho emadolweni. Omnye umntu ubamba i-tibia yakho emva kwesondo lakho kwaye ngokukhawuleza uyakhupha phambili. Ukunyuka kwe-tibia yakho ngokweqile phantsi kwe-femur yakho kubonisa uvavanyo oluhle kwaye i-ACL izinyembezi inokukrokrelwa.
Uvavanyo lweDrama yangasemva
Uvavanyo lwe-drawer yangasemva luhlola i-poster cruciate ligament (i-PCL). Le ligament ivimbela isifuba shin sakho ukuba sishiye ngasemva phantsi kwethambo lakho lesithambo. Ukuze wenze lo vavanyo, faka idolo ngamanqanaba angama-90 kunye negulane elala phantsi kwaye unyawo luzinzile kwitafile. Ukuqonda umbandela ongaphakathi we-tibia phezu kwesifo sofuba kunye nokuqhubela phambili (ukususa i-tibia ngasemva) ngokunyanisekileyo. Ukuba i-tibia ihamba ngokugqithiseleyo ngaphezu kokuqhelekileyo (ukuthelekisa nomlenze ongenakunqunyiwe) uvavanyo lukhangelekile. Oku kubonakaliso kwimeko engaphantsi kwesigxina esilungileyo okanye isalathiso.
Uvavanyo lwe-Valgus Stress
Uvavanyo lwe-valgus okanye uxinzelelo lokuxinzelela uxinzelelo luvavanya i-ligament ye-collateral ligament (MCL). Ukuze wenze olu vavanyo, faka idolo ngamanqanaba angama-30. Ngelixa uzinzisa idolo, cinezela ngokuthe ngqo kwinqanaba elingaphandle lexolo ngelixa ubambe iqinqa lesigxina. Ukuba iidolo ezikhethiweyo kwicandelo elingaphakathi lomxhasi omkhulu kunesiqhelo (ukuthelekisa nomlenze ongenakunqunyiwe), uvavanyo luyinto enhle. Oku kubonakaliswa kwendoda yokuqhawula imilenze.
Ngokuqhelekileyo "i-clunk" iya kuvezwa xa yenza uvavanyo lokuxinzezeleka kwe-valgus ukuba unobungozi obugqithisiweyo.
Uvavanyo lwe-Varus Stress
Uvavanyo lwe-varus okanye ukunyuswa koxinzelelo lokuvavanya luhlola i-ligal collateral ligament (LCL). Ukuze wenze olu vavanyo, faka idolo ngamanqanaba angama-30. Ngelixa uzinzisa idolo, udonsa i-ankle. Ukuba idolo lidibanisa kakhulu kunokuba liqheleke (ukuthelekisa nomlenze ongenakunqunyiwe), uvavanyo luhle. Umele uqaphele ukutsalwa kwinqanaba elingaphandle kwamadolo. Amaninzi amaninzi "i-clunk" iya kuvelelwa ukuba i-colalateral colalateral ligament yenzakele okanye inqabile. Oku kubonakaliswa kwe-colalateral ligamentary tear.
Ukuba i-PT ifumanisa ukuba nayiphi na le mvavanyo ikhangelekile ukuba inqabile ingqumbo, unokwazi ukuqala unyango, kodwa ugqirha wakho unokuncoma ukuba uneMRI ukuqinisekisa ubungqina. I-knee ligament ehamba phambili ingadinga ukuhlinzwa ukuba ilungiswe, kodwa uphando lubonisa ukuba unyango lwangaphambi kokusebenza lunganika izibonelelo ezintle.
Ukuba ulimele lakho idolo, unokufumana inzuzo yonyango ekuncedeni ukuba uphinde uhambe ngokuqhelekileyo ngokubambisana. I-PT yakho inokwenza iimvavanyo ezizodwa zamadolo ukuvavanya iigaments ejikeleze idolo lakho. Ukuba i-PT iyakrokra i-ligament ephawulekayo ecaleni kweedolo, unokukucebisa ukuba uhlolisise kunye nodokotela ogqirha wamazinyo ukuvavanya imeko yakho.
> Imithombo:
> Failla, MJ, et al. Ngaba Yandisa Ukwenziwa Kokuvuselela I-Impoperative Impembelelo Iziphumo Eziyiminyaka emibili Emva kokuvuselelwa kwe-ACL? Isifundo sokuPhathelene nokuPhumelela phakathi kwe-MOON ne-Delaware-Oslo ACL Cohorts. Am J Sports Med. 2016 Oktobha; 44 (10): 2608-2614.
> Shaarani, SR, > etal >. Impembelelo ye > ukuvuselela > kwisiphumo sokuvuselelwa kwangaphambili kwesigidi. > AM > J Sports Med. 2013 Sep; 41 (9): 2117-27.
Ehlelwe yiBrett Sears, PT.