Ukulimala kwe-posterior cruciate ligament (PCL) - ukunakekelwa ngemuva

I-ligament iyi-band yezicubu exhumanisa ithambo nelinye ithambo. I-posterior cruciate ligament (PCL) itholakala ngaphakathi kokuhlangana kwamadolo akho futhi ixhuma amathambo omlenze wakho ongaphezulu nangaphansi.

Ukulimala kwe-PCL kwenzeka lapho i-ligament yeluliwe noma idabukile. Ukudabuka kwe-PCL okuyingxenye kwenzeka lapho kuphela ingxenye ye-ligament idabukile. Ukukhala okuphelele kwe-PCL kwenzeka lapho yonke i-ligament idwengulwa yaba yizicucu ezimbili.

I-PCL ingenye yemigqa eminingi egcina idolo lakho lizinzile. I-PCL isiza ukugcina amathambo emilenze yakho esendaweni futhi ivumela idolo lakho ukuthi lihambe liye emuva naphambili. Yisigaxa esiqine kakhulu emadolweni. Izinyembezi ze-PCL zivame ukuvela ngenxa yokulimala kanzima emadolweni.

Ukulimaza i-PCL kuthatha amandla amakhulu. Kungenzeka uma:

• Shaywa kanzima kakhulu ngaphambili kwamadolo akho, njengokushaya idolo lakho kudeshibhodi ngesikhathi sengozi yemoto
• Awe kanzima edolweni eligobile
• Gobisa idolo emuva kakhulu (hyperflexion)
• Beka indlela engafanele ngemuva kokugxuma
• Hlukanisa idolo lakho

Ukulimala kwe-PCL kuvame ukwenzeka ngomunye umonakalo wamadolo, kufaka phakathi ukulimala kwezinzwa nemithambo yegazi. Abashushuluzi nabantu abadlala i-basketball, ibhola, noma ibhola kungenzeka babe nalolu hlobo lokulimala.

Ngokulimala kwe-PCL, ungahle ube:

• Ubuhlungu obumnene obungahle buqhubeke ngokuhamba kwesikhathi
• Idolo lakho alizinzile futhi lingashintsha njengoba "lihlehla"
• Ukuvuvukala kwamadolo okuqala ngqo ngemuva kokulimala
• Ukuqina kwamadolo ngenxa yokuvuvukala
• Kunzima ukuhamba nokuhla izitebhisi

Ngemuva kokuhlola idolo lakho, udokotela anga-oda lezi zivivinyo ze-imaging:

• Ama-X-ray ukuhlola ukonakala kwamathambo emadolweni akho.
• I-MRI yamadolo. Umshini we-MRI uthatha izithombe ezikhethekile zezicubu ngaphakathi kwedolo lakho. Izithombe zizokhombisa ukuthi ngabe lezi zicubu sezeluliwe noma zidabukile yini.
• I-CT scan noma i-arteriogram ukubheka noma yikuphi ukulimala emithanjeni yakho yegazi.

Uma unokulimala kwe-PCL, ungahle udinge:

• Izinduku zokuhamba kuze kube ngcono ukuvuvukala nobuhlungu
• I-brace yokusekela nokuzinzisa idolo lakho
• Ukwelashwa ngokomzimba ukusiza ukuthuthukisa ukunyakaza okuhlangene namandla omlenze
• Ukuhlinzwa ukwakha kabusha i-PCL futhi mhlawumbe nezinye izicubu emadolweni

Uma unokulimala kanzima, njengokuhlukaniswa ngamadolo lapho kudabuke imisipha engaphezu kweyodwa, uzodinga ukuhlinzwa ngamadolo ukulungisa ilunga. Ukuze uthole ukulimala okungatheni, kungenzeka ungadingi ukuhlinzwa. Abantu abaningi bangaphila futhi basebenze ngokujwayelekile nge-PCL kuphela edabukile. Kodwa-ke, uma umncane, ukuba ne-PCL edabukile nokungazinzi kwamadolo akho kungaholela ekubeni nesifo samathambo njengoba ukhula. Khuluma nodokotela wakho mayelana nokwelashwa okungcono kakhulu kuwe.

Landela i-RICE ukusiza ukunciphisa ubuhlungu nokuvuvukala:

• Phumula umlenze wakho futhi ugweme ukubeka isisindo kuwo.
• Iqhwa idolo lakho imizuzu engama-20 ngasikhathi, izikhathi ezi-3 kuye kwezingu-4 ngosuku.
• Cindezela indawo ngokuyigoqa ngebhandeshi nokunwebeka noma ukugoqwa kokucindezelwa.
• Phakamisa umlenze wakho ngokuwukhulisa ngaphezu kwezinga lenhliziyo yakho.

Ungasebenzisa ibuprofen (Advil, Motrin) noma naproxen (Aleve, Naprosyn) ukunciphisa izinhlungu nokuvuvukala. I-Acetaminophen (iTylenol) isiza ngobuhlungu, kepha hhayi ukuvuvukala. Ungathenga le mithi yezinhlungu esitolo.

• Khuluma nomhlinzeki wakho wezempilo ngaphambi kokusebenzisa le mithi uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, noma uke waba nezilonda esiswini noma ukopha ngaphakathi esikhathini esedlule.
• UNGATHATHI ngaphezu kwenani elinconywe ebhodleleni noma ngumhlinzeki wakho.

Uma uhlinzwa ukulungisa (ukwakha kabusha) i-PCL yakho:

• Uzodinga ukwelashwa ngokomzimba ukuze uphinde usebenzise ngokugcwele idolo lakho.
• Ukutakula kungathatha okungenani izinyanga eziyisithupha.

Uma ungenakho ukuhlinzwa ukulungisa (ukwakha kabusha) i-PCL yakho:

• Uzodinga ukusebenza nomelaphi womzimba ukuze unciphise ukuvuvukala nobuhlungu futhi uphinde uthole amandla anele emlenzeni wakho ukuze uqhubeke nomsebenzi.
• Idolo lakho kungenzeka lifakwe ku-brace futhi kungenzeka likwazi ukunyakaza okuvinjiwe.
• Kungathatha izinyanga ezimbalwa ukululama.

Shayela umhlinzeki wakho uma:

• Unokwanda kokuvuvukala noma ubuhlungu
• Ukuzinakekela kubonakala kungasizi
• Ulahlekelwa umuzwa ngonyawo lwakho
• Unyawo noma umlenze wakho uzizwa ubanda noma ushintsha umbala

Uma uhlinziwe, shayela udokotela uma une:

• Umkhuhlane we-100 ° F (38 ° C) noma ngaphezulu
• Ukugeleza kwamanzi kusuka ekuqhekekeni
• Ukopha okungayeki

Ukulimala kwe-cruciate ligament - ukunakekelwa ngemuva; Ukulimala kwe-PCL - ukunakekelwa ngemuva; Ukulimala kwamadolo - i-posterior cruciate ligament

• Umgogodla ongemuva wedolo

UBedi A, Musahl V, uCowan JB. Ukuphathwa kokulimala kwe-ligament posterior cruciate ligament: ukubuyekeza okusekelwe ebufakazini. J Am Acad Orthop Ukuhlinzwa. 2016; 24 (5): 277-289. I-PMID: 27097125 www.ncbi.nlm.nih.gov/pubmed/27097125.

UPetrigliano FA, uMontgomery SR, uJohnson JS, uMcAllister DR. Ukulimala kwe-ligament ngemuva. Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 99.

I-Sheng A, i-Splittgerber L. I-Posterior cruciate ligament sprain. Ku: Frontera, WR, Silver JK, Rizzo TD Jr, ama-eds. Okubalulekile Kwezomzimba kanye Nokuvuselelwa: Ukukhubazeka Kwemisipha, Ubuhlungu, Nokuvuselelwa. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2019: isahluko 76.

• Ukulimala KwamaKnee Nokukhubazeka