Unxantathu ongonwabisiyo (Idolo eliDibeneyo)

Umxholo

• Yintoni i-triad engonwabanga?
• Zithini iimpawu ezingonwabisi zoThixo oneziqu ezithathu?
• Yintoni ebangela ukuba uthixo angonwabanga?
• Uphathwa njani uthixo ongonwabanga?
• Zeziphi iintlobo zotyando ezisetyenziselwa i-triad engonwabanga?
• Ulungiso lwenyama
• Kuthatha ixesha elingakanani ukubuyela kwimeko yoqhaqho?
• Yintoni imbonakalo?

Yintoni i-triad engonwabanga?

I-triad engonwabanga ligama lomonzakalo omkhulu obandakanya izinto ezintathu ezibalulekileyo zamadolo akho.

Amanye amagama kuyo aquka:

• eloyikekayo
• Oothathu emnye uDonoghue
• idolo

Idolo lakho elihlangeneyo libaleka ukusuka ezantsi kwe-femur yakho, eyithambo lakho lethanga, ukuya phezulu kwitibia yakho, ithambo lakho le-shin. Imigudu idibanisa la mathambo mabini kwaye ibonelela ngozinzo edolweni.

Imigqa yomelele, kodwa ayinabuthathaka kakhulu. Ukuba bayazolula, bahlala bethe nca. Kwaye xa zolulwe kakhulu, zinokukrazuka.

Unxantathu ongonwabisiyo ubandakanya ukonakaliswa kwakho:

• I-ligament yangaphambili (ACL). I-ACL iwela idolo lakho langaphakathi ngokudibeneyo. Kuyanceda ukukhusela i-tibia yakho ekuhambeleni kude kakhulu kwaye uzinzise umlenze wakho xa ujika esinqeni.

• I-ligament ye-collateral ligament (MCL). I-MCL ithintela idolo lakho ekubeni ligobe kude kakhulu kwicala elinye idolo.

• I-meniscus ephakathi. Le yinqaba ye-cartilage kwi-tibia emadolweni akho angaphakathi. Isebenza njengesixhobo sokutsala xa uhamba okanye ubaleka ngelixa uzinzisa idolo lakho.

Funda ukuze ufunde ngakumbi nge-triad engonwabanga, kubandakanya ukuba inyangwa njani kwaye kuthatha ixesha elingakanani ukubuyela kuqhaqho.

Zithini iimpawu ezingonwabisi zoThixo oneziqu ezithathu?

Iimpawu zoonontathu abangonwabi ziza ngesiquphe nje emva kokuba wenzakele idolo.

Banokubandakanya:

• iintlungu eziqatha ngaphakathi kwedolo
• ukudumba okubalulekileyo okuqala kwimizuzu yokwenzakala
• ubunzima bokuhamba okanye ukubeka ubunzima emadolweni
• uziva ngathi idolo lakho liyakukhupha
• ukuqina kwedolo
• uvakalelo lokuba idolo lakho liyatshixa okanye liyabamba kwinto ethile
• ukugruzuka okuvela kwiintsuku ezimbalwa emva kokonzakala

Yintoni ebangela ukuba uthixo angonwabanga?

I-triad engonwabanga ihlala ibangelwa kukubetha okunzima kumlenze wakho ongezantsi ngelixa unyawo lwakho lutyaliwe emhlabeni. Oku kutyhala idolo lakho ngaphakathi, elingasetyenziswanga ukwenza.

Ikwabangela ukuba i-femur kunye ne-tibia yakho ijike ngendlela eyahlukileyo. Oku kubangela ukuba i-meniscus kunye ne-ligaments yakho yolule kakhulu, ibenze bathambekele ekukrazuleni.

Oku kunokwenzeka xa umdlali webhola ekhatywayo etyalwe emhlabeni ngelixa ebethwa ngamandla amakhulu emadolweni abo angaphandle.

Inokwenzeka kwakhona kwiskier xa iskiya sabo singakhululi kwizibophelelo ngexesha lokuwa. Iqatha alinakujika kwisihlangu se-ski, ngoko ke idolo liphela lijija, elinokolula okanye liqhekeze imisipha.

Uphathwa njani uthixo ongonwabanga?

Unyango luxhomekeke ekubeni wenzakalise kangakanani.

Ukuba iinyembezi kwimisipha yakho kunye ne-meniscus zithambile, unokukwazi ukunqanda utyando ngo:

• ukuphumlisa idolo lakho ukuze liphilise ngaphandle kokubi
• ukufaka iipakethe zomkhenkce ukunciphisa ukudumba nokudumba
• ukunxiba iibhandeji zoxinzelelo ukunciphisa ukudumba
• ukuphakamisa idolo lakho ngelixa uligcina lixhaswa nanini na kunokwenzeka
• ukwenza unyango lomzimba ukwandisa amandla kunye nokuhamba

Ukuphononongwa kweCochrane kufumanise ukuba abantu abadala abasebenzayo abanokulimala kwe-ACL babengenayo nayiphi na into enciphise ukusebenza kwamadolo kwiminyaka emibini kunye emihlanu emva kokulimala. Le yayiyinto efanayo kwabo bafumana unyango ngaphandle kwezonyango kunye nabo bakhetha ukwenza utyando.

Nangona kunjalo, iipesenti ezingama-51 zabo baphathwa ngaphandle kotyando baphela betyandwa kwisithuba seminyaka emihlanu ngenxa yokungazinzi kwamadolo. Le yinto ekufuneka uyigcinile engqondweni xa ucinga ngonyango lwakho.

Enye ingxaki enokubakho kukuba ngokulibaziseka kotyando, ukubakho kwesifo samathambo kubakhona ngenxa yokungazinzi okunokuchaphazela idolo njengoko isiguli sikhula.

Zeziphi iintlobo zotyando ezisetyenziselwa i-triad engonwabanga?

Ukuba ufuna utyando, zininzi iindlela onokukhetha kuzo ngokubhekisele kwinto ekufuneka ilungisiwe kunye nokuba wenzakele kangakanani.

Uninzi lotyando lwenziwa kusetyenziswa indlela encinci yokuhlasela ebizwa ngokuba yiarthroscopy. Oku kuvumela ugqirha ukuba afake izixhobo zoqhaqho ezincinane ngokusebenzisa isicatshulwa esincinci emadolweni.

I-triad engonwabanga ibandakanya ukonzakala kathathu, kodwa zimbini kuphela ezifuna utyando:

• I-ACL inokuphinda yakhiwe usebenzisa i-tendon graft evela kwimisipha emlenzeni wakho.
• I-meniscus inokulungiswa ngokususa izicubu ezonakalisiweyo ngenkqubo ebizwa ngokuba yi-meniscectomy. Ugqirha ugqirha unokuthatha isigqibo sokulungisa okanye ukutshintshela i-meniscus.

I-MCL idla ngokungafuneki ukulungiswa kuba iyaziphilisa yodwa.

Ulungiso lwenyama

Unyango ngokwasemzimbeni yinxalenye ebalulekileyo yokufumana kwakho nokuba utyandiwe na. Ugqirha wakho uya kuncoma ukuba enze iinyanga ezintandathu ukuya kwezilithoba zonyango kunye nokuvuselelwa ukuze uncede uphinde ufumane amandla kunye nohlu lokunyakaza emadolweni.

Kuthatha ixesha elingakanani ukubuyela kwimeko yoqhaqho?

Ukuba unokuhlinzwa, unokulindela ixesha lokufumana kwakhona ubuncinci iinyanga ezintandathu. Ekuqaleni, kuya kufuneka unxibe idolo okwexeshana ukugcina umlenze wakho ungashukumi.

Kwiiveki ezimbini ukuya kwezine emva kotyando, uya kugxila ekomelezeni onke amalungu kumlenze wakho kunye nokwenza umthambo ukuphucula uluhlu lwakho lokuhamba.

Ngokuthe ngcembe, ungaqala ukubeka ubunzima emadolweni. Kwiinyanga ezintlanu ezizayo, uya kugxila ekwenzeni imithambo yomibini yomeleze umlenze wakho kwaye uqhubeke nokuphucula uluhlu lwakho lokuhamba.

Uninzi lwabantu lunokubuyela kwinqanaba labo lomsebenzi wangaphambili emva kweenyanga ezintandathu ukuya kwezilithoba zokuchacha. Kodwa ukuba wenzakele kakhulu, ugqirha wakho unokucebisa ngezinto ezinempembelelo ephantsi, ezinje ngokubhukuda okanye ngebhayisikile, ukunciphisa inani lamandla abekwe edolweni.

Yintoni imbonakalo?

Ukwenzakala okungonwabisiyo koonxantathu yenye yezona nzakala zomdlalo zinzima. Uninzi lwamatyala afuna utyando kunye nexesha lokubuyisela kwiinyanga ezintandathu ukuya kwezilithoba. Kodwa ukuba uqhubeka nonyango lomzimba kwaye unika idolo lakho ixesha elaneleyo lokuphilisa, uya kuba nakho ukubuyela kwimisebenzi yakho yesiqhelo kunyaka ongaphantsi.