Ukulimala kwangemva kokubethelwa komzimba (PCL) -khathalelo lwasemva kwexesha

I-ligament libhendi yethishu edibanisa ithambo nelinye ithambo. I-posterior cruciate ligament (PCL) ibekwe ngaphakathi kwamadolo akho kwaye idibanisa amathambo omlenze wakho wangasentla nangaphantsi.

Ukulimala kwe-PCL kwenzeka xa i-ligament isolulwe okanye ikrazukile. Ukuqhekeka kwe-PCL okwenzekileyo kwenzeka xa kuphela inxalenye yeligament ikrazukile. Iinyembezi ezipheleleyo ze-PCL zenzeka xa yonke i-ligament ikrazulwe yaziziqwenga ezibini.

I-PCL yenye yeendlela ezininzi ezigcina idolo lakho lizinzile. I-PCL inceda ukugcina amathambo emilenze emi endaweni yayo kwaye ivumela idolo lakho ukuba lihambe liye ngapha nangapha. Yeyona ligament yomeleleyo emadolweni. Iinyembezi ze-PCL zihlala zenzeka ngenxa yokwenzakala okunzima emadolweni.

Ukonzakalisa iPCL kuthatha amandla amaninzi. Inokwenzeka ukuba:

• Ukubetha kakhulu ngaphambili phambi kwedolo lakho, njengokushaya idolo kwideshibhodi ngexesha lengozi yemoto
• Yiwa nzima emadolweni agobileyo
• Bend ngedolo umva kakhulu (hyperflexion)
• Mhlaba ngendlela engeyiyo emva kokutsiba
• Khupha idolo lakho

Ukulimala kwe-PCL kuhlala kwenzeka ngomnye umonakalo wamadolo, kubandakanya ukwenzakala kwimithambo-luvo kunye nemithambo yegazi. I-Skiers kunye nabantu abadlala i-basketball, ibhola ekhatywayo, okanye ibhola ekhatywayo kunokwenzeka ukuba babe nolu hlobo lokulimala.

Ngokwenzakala kwe-PCL, unokuba:

• Intlungu emincinci enokuba mandundu ngokuhamba kwexesha
• Idolo lakho alizinzanga kwaye linokushukuma ngokungathi "linikezela"
• Ukudumba kwamadolo okuqala kanye emva kokonzakala
• Ukuqina kwamadolo ngenxa yokudumba
• Kunzima ukuhamba nokuhla ngezinyuko

Emva kokuvavanya idolo lakho, ugqirha unokuyalela olu vavanyo lokucinga:

• IX-reyi ukujonga ukonakala kwamathambo edolweni lakho.
• I-MRI yamadolo. Umatshini we-MRI uthatha imifanekiso ekhethekileyo yezicubu ngaphakathi kwedolo lakho. Imifanekiso iya kubonisa ukuba ezi zihlunu zoluliwe okanye zikrazukile.
• Iskena se-CT okanye iarteriogram ukukhangela nakuphi na ukwenzakala kwimithambo yegazi yakho.

Ukuba unokwenzakala kwe-PCL, unokufuna:

• Iintonga zokuhamba de ukudumba neentlungu zibe ngcono
• Izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ukuxhasa nokuzinzisa idolo lakho
• Unyango lomzimba ukunceda ukuphucula intshukumo ngokudibeneyo kunye namandla omlenze
• Ugqirha lokwakha kwakhona i-PCL kunye nezinye izicubu emadolweni

Ukuba wenzakele kakhulu, njengokutshintsha kwedolo xa i-ligament engaphezulu kwesinye ikrazukile, uya kudinga utyando lwamadolo ukulungisa ukudibana. Ukulimala ngokuqatha, akunakufuneka utyando. Abantu abaninzi banokuphila kwaye basebenze ngokwesiqhelo ngePCL eqhekekileyo kuphela. Nangona kunjalo, ukuba umncinci, ukuba ne-PCL eqhekekileyo kunye nokungazinzi kwamadolo kungakhokelela kwisifo samathambo njengoko uneminyaka yobudala. Thetha nogqirha wakho malunga nonyango olungcono kuwe.

Landela iRICE ukunceda ukunciphisa iintlungu kunye nokudumba:

• Phumla umlenze wakho kwaye unqande ukubeka ubunzima kuwo.
• Umkhenkce idolo lakho kangangemizuzu engama-20 ngexesha, ama-3 ukuya kuma-4 ngamaxesha ngosuku.
• Uxinzelelo indawo ngokuyisongela ngebhandeji elisikiweyo okanye isongelo sokucinezela.
• Nyusa umlenze wakho ngokuwuphakamisa ngaphezu kwenqanaba lentliziyo yakho.

Ungasebenzisa ibuprofen (Advil, Motrin) okanye naproxen (Aleve, Naprosyn) ukunciphisa iintlungu kunye nokudumba. I-Acetaminophen (iTylenol) iyanceda ngeentlungu, kodwa hayi ukudumba. Ungawathenga la mayeza eentlungu kwivenkile.

• Thetha nomboneleli wakho wezempilo ngaphambi kokuba usebenzise la mayeza ukuba unesifo sentliziyo, uxinzelelo lwegazi oluphezulu, isifo sezintso, okanye unezilonda esiswini okanye ukopha ngaphakathi ngaphambili.
• Sukuthatha ngaphezulu kwesixa esinconyelwe kwibhotile okanye ngumboneleli wakho.

Ukuba wenza utyando ukulungisa (ukwakha ngokutsha) iPCL yakho:

• Uya kudinga unyango lomzimba ukuze uphinde usebenzise ngokupheleleyo idolo.
• Ukuchacha kungathatha ubuncinci iinyanga ezi-6.

Ukuba awunayo utyando ukulungisa (ukwakha ngokutsha) iPCL yakho:

• Kuya kufuneka usebenze nonyango lomzimba ukunciphisa ukudumba kunye nentlungu kwaye uphinde ufumane amandla aneleyo emlenzeni wakho ukuze uphinde uqalise ukusebenza.
• Idolo lakho liya kufakwa kubakhethi kwaye linokuthintela ukunyakaza.
• Kungathatha iinyanga ezimbalwa ukubuyela kwimeko yesiqhelo.

Fowunela umnikezeli wakho ukuba:

• Unokonyuka kokudumba okanye kwentlungu
• Ukuzikhathalela akubonakali ngathi kuyanceda
• Ulahlekelwa yimvakalelo ngonyawo lwakho
• Unyawo okanye umlenze wakho uziva ubanda okanye utshintsha umbala

Ukuba utyando, biza ugqirha ukuba unayo:

• Umkhuhlane we-100 ° F (38 ° C) okanye ngaphezulu
• Umjelo ovela kwimisonto
• Ukopha okungayi kuyeka

Ukulimala kwe-ligament ye-cruciate - emva kokukhathalela; Ukulimala kwe-PCL-ukhathalelo lwasemva kwexesha; Ukulimala kwamadolo-umva wokubethelwa komqolo ongasemva

• I-posterior cruciate ligament yedolo

UBedi A, uMusahl V, uCowan JB. Ulawulo lokulimala kwangaphambi kokubethelwa komzimba: uphononongo olusekwe kubungqina. J Am Acad Orthop Surg. Ngo-2016; 24 (5): 277-289. IINKCUKACHA: 27097125 www.ncbi.nlm.nih.gov/pubmed/27097125.

UPetrigliano FA, uMontgomery SR, uJohnson JS, uMcAllister DR. Ukulimala kwe-ligament yangemva kwexesha elide. Ku: Miller MD, Thompson SR, ii-eds. UDeLee kunye noDrez's Amayeza oNyango lweMidlalo: Imigaqo kunye nokuziqhelanisa. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 99.

I-Sheng A, i-Splittgerber L.I-posterior cruciate ligament sprain. Ku: Frontera, WR, Isilivere JK, Rizzo TD Jr, ii-eds. Izinto ezibaluleke kakhulu kwiNyango yePhysical and Rehabilitation: Musculoskeletal Disways, Pain and Rehabilitation. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2019: isahluko 76.

• Ukulimala kwamadolo kunye nokuphazamiseka