Inxalenye enkulu kunazo zonke emzimbeni womntu yidolo. Ukongezelela, kunokuhamba ngokukhulu kunabo kwaye kunika ukuzinza xa uhamba, ngoko umonakalo walo ubangela ukuphazamiseka okukhulu. Ukuqhekeka kwemigudu yexolo elidityanisiweyo kubangelwa ukuba amathambo e-femal ne-tibial apheliswe, kwaye ngokufanelekileyo, ingqibelelo kunye nokusebenza kwezixhobo zeemoto ayinakukhubazeka.
Ukuphakanyiswa kwemigqaliselo yamadolo
Isalathisi sokuqala ngexesha lokulimala lizwakala ngokukhahlela okanye ukukrunching, esi sandi sihamba kunye nomonakalo wee-collagen fibers.
Iziganeko ezilandelayo zokugqitywa kwemigudu yexolo elihlangeneyo:
- ukuvakalelwa kweshintsho sokushiya kwesokunxele okanye kwesokudla;
- ukuvuvukala okuqinileyo emadolweni, kunokubonakala ngathi uye wanda ububanzi;
- ubuhlungu, ukubhoboza intlungu kwindawo yomonakalo;
- ubunzima bokuthwala ubunzima emlenzeni ogulayo xa uhamba;
- ukukhubazeka kokuhamba kwesibambiswano: okanye isithintelo okanye ukuqiniswa (ukuvota kwe patella).
Iintlobo zokwahluka kwemigudu yamadolo
Uhlobo lokulimala olucatshangelwa ngokobunzima bengozi lubalwa ngolu hlobo lulandelayo:
- ukugqithwa okwexeshana kwemigqa yamadolo (i-degree ye-1);
- ukulimala okwemodareyitha (ibakala lesi-2), xa ngaphezulu kwe-50% yeefowuni ze-collagen zonakaliswe, kodwa ukudibanisa kusekhona;
- ukugqitywa kwemigqaliselo yamadolo (ibakala lesi-3).
Ngokuxhomekeke kwimeko yomonakalo, kwahlula:
- ukugqithwa kwe-ligal lateral (yangaphandle okanye yangaphakathi);
- ukuphuka kwe-cruciate ligament yegolo (yangaphambili okanye emva kwayo).
Ngokuqhelekileyo kukho ukulimala komlenze odibeneyo kunye neentlobo ezahlukeneyo zokulimala. Oku kukukhokelela ekuqhumeni kwegazi kunye nokunyusa ukuphuhliswa kwe-hemarthrosis.
Ukuphakanyiswa kwemigqaliselo yonyango oluhlanganyelwe ngamadolo
Isigaba esibaluleke kakhulu kunyango lwale nzakala yimihla embalwa yokuqala emva kokulimala. Ngeli thuba kubalulekile ukuqinisekisa ukuphumla okupheleleyo nokulungiswa kwamadolo ukuphepha ukuphuhliswa kweentlungu zesifo kunye nokuvuvukala. Ukongezelela, kwiiyure ezingama-24 ezilandelayo emva kokugqitywa kwemigqaliselo, kubalulekile ukuba ufake isicelo sokubanda kwintlambo emlenzeni. Oku kuya kuthintela ukubola kwamanzi ngenxa yokunciphisa imithana yegazi kunye nokunciphisa ukuvuvukala.
Unyango olongezelelweyo ukuzinzisa isikhundla esifanelekileyo semadolo ngamagaleji e-elastic, amabhandeki okanye amabhinti aqinile. Ukulungiswa kwakhona kuya kunceda ukuphepha izenzo ezingalunganga ekuqiniseni ukuhamba kwamathambo. Ngexesha lokulala okanye ukuphumula ebusuku, umlenze kufuneka uphakanyiswe (usekwe ngasentla kwinqanaba lesifuba) ukunciphisa ukuhamba kwegazi kwindawo yokulimala.
Ukususwa kweentlungu zesifo ezihamba kunye nokugqitywa kwemigudu yexolo elixhasayo kunikezelwa ngamachiza okuchasa (nonsteroidal), njenge- Ibuprofen , iDiclofenac okanye iKetorolac.
Ukuphakanyiswa kwemigqaliselo yendlela yokusebenzisana ngamadolo
Ingenelelo yokuphengulula iyadingeka kuphela kwisigxina sesithathu sokulimala. Kule meko, i-ligament igxininiswe ngexesha lokusebenza kwe-endoscopic.
Kwiimeko ezinqabileyo, ukutshintshwa kwezicubu ezinobungozi kunye ne-autografts okanye izinto zokwenza izinto zenziwe.
Ukuphakanyiswa kwemigqa yegama lokubuyisela idolo
Ukubuyiselwa emva koxinzelelo oluphantsi kokuqwalaselwa luquka imisebenzi elandelayo:
- ukufudumala kugxininisa kunye nokuxubha (ukusetyenziswa kwendawo yokufudumala, ukusetyenziswa kwamalungiselelo akhethekileyo asekuhlaleni, amafutha okuphucula ukujikeleza kwegazi);
- iinkqubo ze-physiotherapeutic (i-streadynamic currents, izicelo zeparafini, i- electrophoresis , i-magnetotherapy);
- ukucoca umzimba;
- ukuqeqeshwa ngokomzimba phantsi kolawulo lonyango lomzimba.
Ukuphakanyiswa kwemigqaliselo yeempembelelo ezihlangeneyo zamadolo
Njengomthetho, unyango olusifike ngexesha eliya kugqirha luqinisekisa ukubuyiswa okukhawulezileyo nokubuyiselwa kwemisebenzi eqhelekileyo yokudibanisa kunye neigaments. Olunye uhlazo lungenza kuphela ixesha elikhawuleza lonyango ngenxa yokunciphisa ukuhamba komlenze kunye nexesha lokuvuselela.