Ukuqhaqha Lutho? Izimpawu, Izimbangela, Nokwelapha

Ukuqhaqha lutho kwenzeka lapho uqhaqhazela noma uqhekeza ama-ligaments axhuma amathambo akho kujoyinti. Cabanga ngama-ligaments njengemibandela eqinile, eguquguqukayo egcina amajoyinti akho ndawonye futhi iwagcine eqinile ngesikhathi sokuhamba.

Iningi lokuqhaqha lutho kwenzeka ezinqenqemeni, ezinqenqemeni zezandla, emadolweni, naseminweni yesandla ngesikhathi semisebenzi yansuku zonke noma imidlalo. Nakuba kungaba buhlungu futhi kuvimbele ukuhamba kwakho okwesikhashana, iningi lokuqhaqha lutho liyaphola kahle ngokunakekelwa okuhle nokuphumula.

Ziyini izimpawu zokuqhaqha lutho?

Uzoqaphela izimpawu zokuqhaqha lutho ngokushesha ngemva kokulimaza. Ubuhlungu nokuvuvukala kuvame ukuvela emahoreni ambalwa okuqala njengoba umzimba wakho uphendula ku-ligament elilimaziwe.

Nawa amanye aphawu avamile abonisa ukuthi ungase ube nokuqhaqha lutho:

• Ubuhlungu eduze nejoyinti elilimaziwe olubi kakhulu ngokuhamba.
• Ukuvuvukala okwenzeka ngokushesha ngemva kokulimaza.
• Ukuqhuma noma ukuguquka kombala eduze nejoyinti.
• Amandla amancane okuhambisa ijoyinti ngokujwayelekile.
• Ilizwi eliqhumayo noma umuzwa lapho ukulimala kwenzeka.
• Ubuhlungu lapho uthinta indawo.
• Ukungaqiniseki kwejoyinti noma ukuzizwa sengathi kungase "kuyeke"

Ubungeke balezi zimpawu kuncike ekulimala kakhulu kwe-ligament. Ukuqhaqha lutho okuncane kungase kubangele ukungakhululeki okuncane, kuyilapho okukhulu kungenza kube nzima ukusebenzisa ijoyinti nhlobo.

Ziyini izinhlobo zokuqhaqha lutho?

Odokotela bahlukanisa ukuqhaqha lutho zibe izigaba ezintathu ngokusekelwe ekulimala okwenzekile ku-ligament. Ukuqonda lezi zigaba kusiza ekutholeni indlela yokwelapha engcono kakhulu nesikhathi sokuphulukisa.

Isigaba 1 (Okuncane): I-ligament ilotshwe kodwa ayiqhekekile. Uzobe unebuhlungu nokuvuvukala okuncane, kodwa ijoyinti ihlala iqine. Abantu abaningi basaqhubeka behamba noma basebenzisa ijoyinti ngokungakhululeki okuncane.

Isigaba 2 (Ephakathi): I-ligament iqhekekile ngokuphakathi, ibangela ubuhlungu nokuvuvukala okuphakathi. Ijoyinti ingase izizwe ilukhuni noma ingaqinile, futhi ungase ube nobunzima bokuthwala isisindo noma ukusebenzisa ngokujwayelekile.

Isigaba 3 (Ekhulu): I-ligament iqhekekile ngokuphelele noma iphukile. Lokhu kubangela ubuhlungu obukhulu, ukuvuvukala okukhulu, nokungaqiniseki kwejoyinti. Ngokuvamile awukwazi ukuthwala isisindo noma ukusebenzisa ijoyinti ngaphandle kobuhlungu obukhulu.

Yini ebangela ukuqhaqha lutho?

Ukuqhaqha lutho kwenzeka lapho ijoyinti icindezelwe ngaphandle kwendawo yayo evamile yokuhamba, kubeka ukucindezela okukhulu kuma-ligaments. Lokhu kungenzeka ngesikhathi sesigameko esisodwa noma ngokucindezela okuphindaphindwayo ngokuhamba kwesikhathi.

Isimo esivamile esibangela ukuqhaqha lutho sifaka:

• Ukuwa okubangela ukuthi wehle ngendlela engafanele kujoyinti.
• Ukujikeleza noma ukujikeleza ngokushesha ngesikhathi sezemidlalo.
• Ukuwa okungalungile ngemva kokugxuma.
• Ukushaywa yinto noma omunye umuntu.
• Ukuhamba ezindaweni ezingalingani noma ezingamagwaza.
• Ukuphakamisa izinto ezisindayo ngendlela engafanele.
• Izingozi zezimoto ezibangela amajoyinti ukuthi ahambe ngendlela engafanele.

Eminye imisebenzi inezinselele eziphezulu kunabanye. Imidlalo efana nebhola lesoka, ibhola, itenisi, nokugibela isikhwama ihlala ihilela ukushintsha okusheshayo kwesikhathi okuthwala amajoyinti ngaphandle kwemingcele yawo.

Nini okufanele ubona udokotela ngokuqhaqha lutho?

Kufanele ufuna ukunakekelwa kwezokwelapha uma ucindezela ukuqhaqha lutho okuphakathi noma okukhulu noma uma izimpawu ezithile zivele. Ukubhekwa kwesiphakamiso kwangaphambi kwesikhathi kungavimbela ukuphazamiseka futhi kuqinisekise ukuphulukisa okuhle.

Xhumana nodokotela wakho noma uvakashele ukunakekelwa okusheshayo uma uhlangabezana nalokhu okulandelayo:

• Ubuhlungu obukhulu obungaphuli ngokuphumula namaphilisi okuhlunguza okuthengiswa ngaphandle kwesikripthi.
• Ukungaqondi ukuthwala isisindo noma ukusebenzisa ijoyinti.
• Ukukhahlela noma ukukhahlela endaweni.
• Izimpawu zokutheleleka njengoba khona ubushushu, imigqa ebomvu, noma ubushushu.
• Ukungaqondakali kwejoyinti noma ukungaqiniseki okubonakalayo.
• Alukho ulwazi ngemva kwezinsuku eziyi-2-3 zokunakekelwa ekhaya.

Uma uzwe umsindo olukhulu lapho ukulimala kwenzeka noma uma ijoyinti ibukeka ingaqondakali, funa ukunakekelwa kwezokwelapha ngokushesha. Lezi zimpawu zingase zibonise ukuqhekeka okuphelele kwe-ligament noma ukwenzeka kokukhahlela.

Ziyini izimbangela zengozi zokuqhaqha lutho?

Izinto eziningi zingandisa amathuba akho okuhlangabezana nokuqhaqha lutho. Ukuqaphela lezi zinto ezingaba yingozi kungakusiza ukuthi uthathe izinyathelo zokuvimbela futhi uhlale uqaphile ngesikhathi semisebenzi engozi.

Izinto zomzimba nendlela yokuphila ezingandisa ingozi yakho zifaka:

• Ukulimala kwangaphambili kwejoyinti okungase kube buthakathaka ama-ligaments.
• Ukungaqeqeshwa kahle komzimba noma ubuthakathaka bemisipha.
• Ukukhathala okuphazamisa ukuxhumana nesikhathi sokuphendula.
• Izicathulo ezingafanele umsebenzi wakho.
• Ukudlala imidlalo ezindaweni ezingalingani noma ezilukhuni.
• Ukuguquka okuphathelene nobudala ekuqinisweni nasemandleni amajoyinti.
• Izimo ezithile zezokwelapha eziphazamisa ibhalansi noma ukuxhumana.

Izinto ezizungezile nazo zidlalela indima. Isimo esimanzi noma esibandayo, izindawo zokudlala ezingalungile, nokukhanya okungafanele konke kungase kube yimbangela yengozi eholela ekuqhaqheni lutho.

Ziyini izinselele ezingase zenzeke ngokuqhaqha lutho?

Nakuba iningi lokuqhaqha lutho liyaphola ngaphandle kwezinkinga zesikhathi eside, ezinye izinselele zingase zenzeke uma ukulimala kukhulu noma akuphulukiswanga kahle. Ukuqonda lezi zinto ezingase zenzeke kusiza ukuthi uqaphele lapho ukunakekelwa kwezokwelapha okwengeziwe kungase kudingeke.

Izinselele ezingase zenzeke zifaka:

• Ukungaqiniseki okuqhubekayo kwejoyinti okwandisa ingozi yokulimala kwesikhathi esizayo.
• Ubuhlungu obuqhubekayo obuqhubeka ngaphandle kwesikhathi sokuphulukisa esivamile.
• Ukunciphisa ukunyakaza kwejoyinti elithintekile.
• Ukuthuthukiswa kwe-arthritis ejoyinti eminyakeni eminingi kamuva.
• Ubuthakathaka bemisipha eduze nendawo elimaziwe.
• Ukwenziwa kwesikhumba esivimbela ukunyakaza kwejoyinti.

Kwezinye izimo ezingavamile, ukuqhaqha lutho okukhulu kungalimaza izicubu zezinzwa noma igazi, okuholela ekuqhekekeni, ekuqhekekeni, noma ezingxeni zegazi. Lezi zinselele zidinga ukunakekelwa kwezokwelapha ngokushesha.

Ukuqhaqha lutho kungavikeleka kanjani?

Iningi lokuqhaqha lutho lingavikeleka ngokulungiselela okuhle, ukuqeqeshwa, nokuqaphela izindawo zakho. Ukuthatha izinyathelo zokuvimbela kubaluleke kakhulu uma uhlanganyela ezemidlalo noma emisebenzini ecindezela amajoyinti akho.

Izindlela zokuvimbela ezisebenzayo zifaka:

• Ukuqala kahle ngaphambi komsebenzi womzimba.
• Ukugcina amandla emisipha nokuqina okuhle.
• Ukugqoka izicathulo ezifanele umsebenzi wakho.
• Ukusebenzisa izinto zokukhuselwa uma kunconywa.
• Ukuqeda imisebenzi uma ukhathele kakhulu.
• Ukugcina izindlela zokuhamba nezitebhisi zikhanyisiwe futhi zicacile.
• Ukufunda izindlela ezifanele zezemidlalo nokuzivocavoca.

Ukuqeqeshwa kwebhalansi nokuxhumana kungasiza futhi ekuqedeni ingozi yakho. Imisebenzi elula njengokuma ngenye inyawo noma ukusebenzisa ibhodi lebhalansi ingaqinisa imisipha emincane esiza ekuqiniseni amajoyinti akho.

Ukuqhaqha lutho kuhlonzwa kanjani?

Udokotela wakho uzohlonzwa ukuqhaqha lutho ngokuhlolwa komzimba nangokufunda ngokuthi ukulimala kwakho kwenzeke kanjani. Bazohlola ukulimala futhi basuse ezinye izikhafu njengokukhahlela noma ukucindezeleka kwemisipha.

Ngesikhathi sokuhlolwa, udokotela wakho uzohlola ukuvuvukala, ubuhlungu, nokuhamba. Bangase bahambe kancane ijoyinti ukuhlola ukuqina kwayo futhi baqonde ukukhulu kokulimaza kwe-ligament.

Kwezinye izimo, ukuhlolwa kwezithombe kungase kudingeke. Ama-X-ray angasusa amathambo amakhahlelayo, kuyilapho ama-MRI scans enikeza izithombe eziningi zama-ligaments nezinye izicubu ezithambile. Lezi zivivinyo zivame ukugcinelwa ukulimala okukhulu noma lapho ukuxilonga kungacaci.

Iyini indlela yokwelapha ukuqhaqha lutho?

Ukwelapha ukuqhaqha lutho kugxile ekuqedeni ubuhlungu nokuvuvukala ngenkathi kuvumela i-ligament ukuthi iphulukise kahle. Indlela ethile kuncike ekulimala okukhulu nokuthi iyiphi ijoyinti ethintekile.

Indlela ye-RICE yenza isisekelo sokwelapha okuqala ukuqhaqha lutho:

• Ukuphumula: Gwema imisebenzi ebangela ubuhlungu noma ecindezela ijoyinti elilimaziwe.
• Iqhwa: Faka ama-ice packs imizuzu engu-15-20 yonke imizuzu engu-2-3 emahoreni angu-48 okuqala.
• Ukuqina: Sebenzisa ibhande le-elastic ukuqeda ukuvuvukala, kodwa hhayi ngokukhawuleza ukuba kuvimbele ukuhamba kwegazi.
• Ukuphakamisa: Phakamisa indawo elimaziwe ngaphezu kwezinga lenhliziyo uma kungenzeka.

Amaphilisi okuhlunguza okuthengiswa ngaphandle kwesikripthi njenge-ibuprofen noma i-acetaminophen angasiza ekuqedeni ubuhlungu nokuqeda ukuvuvukala. Udokotela wakho angase ancome imithi yokwelapha ubuhlungu obukhulu.

Ngokuqhaqha lutho okuphakathi noma okukhulu, ungase udinga ukungagcinwa ngebhuresi, i-splint, noma i-cast. Ukwelashwa komzimba kuvame ukuba kubalulekile njengoba ukuphulukisa kuqhubeka ukuze kuphinde kuqiniswe amandla nokukwazi ukuhamba.

Indlela yokwelapha ekhaya ngesikhathi sokuqhaqha lutho?

Ukunakekelwa ekhaya okuhle kungasheshisa kakhulu ukuphulukisa kwakho futhi kuvimbele izinselele. Ukulandela lezi zikhomba ngokuqhubekayo ezinsukwini ezimbalwa zokuqala ngemva kokulimaza kubaluleke kakhulu.

Izinyathelo zokwelapha ekhaya ezibalulekile zifaka:

• Faka iqhwa imizuzu engu-15-20 yonke imizuzu engu-2-3 ngenkathi uvukile.
• Gcina indawo elimaziwe iphakanyisiwe uma kungenzeka.
• Thatha imithi yokwelapha ubuhlungu njengoba kunconywe udokotela wakho.
• Gwema ukuthwala isisindo kujoyinti elilimaziwe kuze kube ubuhlungu buye buqede.
• Hambisa kancane ijoyinti ngokusebenzisa ukunyakaza kwayo okungabikho ubuhlungu.
• Qaphela izimpawu zokutheleleka noma izimpawu ezibi kakhulu.

Ngemva kwamahora angu-48-72 okuqala, ungaqala kancane ukusebenzisa ukwelashwa kokushisa ukuze uthuthukise ukuphulukisa. Ukugqoka amanzi afudumele noma ama-heating pads kungasiza ekuphumuleni imisipha nokuthuthukisa ukuhamba kwegazi endaweni elimaziwe.

Buyela emisebenzini evamile kancane futhi kuphela uma ungakwenza ngaphandle kobuhlungu. Ukubuyela ngokushesha kakhulu kungase kube yimbangela yokulimala kabusha noma izinkinga eziqhubekayo.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukuba ulungile nge-aphoyintimenti yakho kusiza ekuqinisekiseni ukuthi uthola ukuxilonga olunembile kakhulu nesiqondiso sokwelapha esifanele. Ukuba nolwazi olufanele okulungile kungasindisa isikhathi futhi kusize udokotela wakho ukuthi aqonde isimo sakho kangcono.

Ngaphambi kwe-aphoyintimenti yakho, bhala imininingwane mayelana nokulimala kwakho, kufaka phakathi indlela okwenzeke ngayo kanye nesikhathi lapho izimpawu zaqala khona. Qaphela ukuthi yimiphi imisebenzi ebangela ubuhlungu obukhulu noma obuhle.

Letha uhlu lwemithi yonke oyithathayo, kufaka phakathi imithi yokwelapha okuthengiswa ngaphandle kwesikripthi kanye nezinhlanganisela. Futhi, lungiselela imibuzo mayelana nesikhathi sakho sokuphulukisa, ukumisa imisebenzi, kanye nezibonakaliso zokuqaphela.

Uma kungenzeka, letha umuntu okuzosiza ukukhumbula ulwazi olubalulekile udokotela wakho alushiya. Cabanga ukugqoka izingubo eziqondile ezivumela ukufinyelela kalula endaweni elimaziwe.

Iyini into ebalulekile mayelana nokuqhaqha lutho?

Ukuqhaqha lutho kuyizikhafu ezivamile ezenzeka lapho ama-ligaments elotshiwe noma eqhekekile ngaphandle kwemingcele yayo evamile. Nakuba kungaba buhlungu futhi kuvimbele imisebenzi yakho okwesikhashana, iningi lokuqhaqha lutho liyaphola kahle ngokunakekelwa okuhle nokubekezela.

Ukuphulukisa okuphumelelayo yilokhu okulandelayo: ukulandela i-RICE protocol kusenesikhathi, ukwazi nini okufanele ufuna ukunakekelwa kwezokwelapha, nokungaqali ukubuyela emisebenzini evamile ngokushesha kakhulu. Iningi lokuqhaqha lutho okuncane liyaphulile phakathi kwezinsuku ezimbalwa kuya emavikini ngokunakekelwa ekhaya okuqhubekayo.

Khumbula ukuthi ukuphulukisa kudinga isikhathi, futhi wonke umuntu uphulukisa ngesivinini sakhe. Ukuba ngokuzeka ngenqubo nokulandela izincomo zedokotela yakho kukunika ithuba elihle lokuphulukisa ngokuphelele ngaphandle kwezinselele zesikhathi eside.

Imibuzo evamile ebuzwa mayelana nokuqhaqha lutho

Q.1: Kuthatha isikhathi esingakanani ukuphulukisa ukuqhaqha lutho?

Isikhathi sokuphulukisa kuncike ekulimala okukhulu kokuqhaqha lutho kwakho. Ukuqhaqha lutho okuncane kuvame ukuphulukisa phakathi kweviki eli-1-2, kuyilapho ukuqhaqha lutho okuphakathi kungase kuthathe amaviki angu-3-6. Ukuqhaqha lutho okukhulu kungase kudinge amaviki angu-6-12 noma isikhathi eside ukuze kuphulukise ngokuphelele. Ukulandela izikhombi zokwelapha ezifanele kusiza ekuqinisekiseni ukuphulukisa okuhle.

Q.2: Ngingahamba yini ngenqenqe eliqhaqhile?

Ukuthi ungahamba yini kuncike ekulimala okukhulu kokuqhaqha lutho kwakho. Ngokuqhaqha lutho okuncane, ungase ukwazi ukuhamba ngokungakhululeki okuncane. Noma kunjalo, uma ukuhamba kubangela ubuhlungu obukhulu noma awukwazi ukuthwala isisindo, kufanele ugweme ukuhamba futhi ufuna ukunakekelwa kwezokwelapha. Ukusebenzisa izintambo kungase kudingeke ngokuqhaqha lutho okuphakathi noma okukhulu.

Q.3: Kufanele ngisebenzise iqhwa noma ukushisa ngokuqhaqha lutho?

Sebenzisa iqhwa emahoreni angu-48-72 okuqala ngemva kokulimaza ukuqeda ukuvuvukala nobuhlungu. Faka ama-ice packs imizuzu engu-15-20 yonke imizuzu engu-2-3 ngenkathi uvukile. Ngemva kwesikhathi sokuqala, ungashintshela ekwelapheni kokushisa ukuze uthuthukise ukuphulukisa futhi uphumule imisipha. Ukushisa kusiza ekuthuthukiseni ukuhamba kwegazi endaweni.

Q.4: Uyini umehluko phakathi kokuqhaqha lutho nokuqhekeka?

Ukuqhaqha lutho kulimaza ama-ligaments (izicubu ezihlanganisa amathambo), kuyilapho ukuqhekeka kulimaza imisipha noma ama-tendons (izicubu ezihlanganisa imisipha namathambo). Ukuqhaqha lutho kuvame ukuvela emajoyintini futhi kubangele ukungaqiniseki kwejoyinti, kuyilapho ukuqhekeka kuvame ukuvela emisipha futhi kubangele ubuthakathaka bemisipha noma ukukhahlela.

Q.5: Ukuqhaqha lutho kungase kube yimbangela ye-arthritis kamuva ekuphileni?

Ukuqhaqha lutho okukhulu noma ukulimala okuphindaphindwayo kujoyinti efanayo kungase kukhulise ingozi yakho yokuthuthukisa i-arthritis eminyakeni eminingi kamuva. Lokhu kwenzeka ngoba ama-ligaments alimaziwe angase anganikeli ukuqina okuhle kwejoyinti, okuholela ekugqokeni okungalungile kwezindawo zejoyinti. Ukwelapha okuhle nokuphulukisa kungasiza ekuqedeni le ngozi.