Rashin raunin da aka yi wa masu tayar da hankali na ciki na Knee Joint
Laminin da ke tsakanin magunguna (MCL) yana daya daga cikin manyan ligaments hudu da suke da muhimmanci ga zaman lafiyar gwiwa . Ana yin ligament daga kayan abu mai tsanani da kuma ayyuka don gudanar da motsi mai yawa ta hanyar iyakance haɗin gwiwa. Hanyoyi hudu da suka hada da ciwon haɗin gwiwar gwiwa sune tsohuwar ligaments ( ACL da PCL ), da kuma jigilar magunguna na ciki (MCL da LCL ).
MCL ta yi nisa daga nisa daga ƙarshen femur (cinya kashi) zuwa saman gabas (ƙashi) kuma yana cikin cikin gwiwa gwiwa . MCL tana tsayawa wajen fadada ciki a cikin haɗin gwiwa, wanda za'a iya tunanin shi kamar hana "budewa" na gwiwa. Idan MCL ya tsage gaba ɗaya, rauni zai haifar da haɗin gwiwa don samun ƙarin digiri biyu zuwa digiri 5 na laxity. Idan wasu kayan laushi masu laushi sun lalace, to, adadin laxity za ta ninka biyu. Cikin MCL ba wai kawai kewayawa ba ne don buɗewa a ciki a gefen gwiwa, amma wannan shi ne babban maƙasudin wannan motsi.
MCL Tears
Saboda MCL yayi tsayayya da fadadawa a cikin gindin gwiwa, an haɗar da ligament lokacin da ake bugawa a waje da kafa gwiwa. Wannan karfi yana haifar da gwiwar gwiwa, da kuma ciki don fadadawa. Lokacin da MCL ya miƙa ta nesa, yana da saukin kamuwa da rauni.
Wannan shine raunin da aka gani ta hanyar " clipping " a wasan kwallon kafa.
Rashin ciwo ga MCL zai iya faruwa a matsayin rauni mai rauni, ko kuma yana iya zama ɓangare na ciwo mai tsanani ga gwiwa. Sauran ligaments, mafi yawan ACL, ko meniscus , za a iya tsage tare da rauni na MCL.
Don hana yiwuwar MCL hawaye, wasu 'yan wasa suna amfani da takalmin gyare-gyare don hana hana karfi a kan haɗin.
Wadannan sune mafi yawan suna sawa ta hanyar 'yan wasan kwallon kafa na Amurka, musamman ma dan wasan. Wa] annan 'yan wasan suna da ala} a da tsaka-tsaki a kan gwiwa, wanda zai iya haifar da rauni ga MCL. Mai amfani da wannan takalmin yana magana ne akan muhawara, amma akwai yiwuwar wani rauni kaɗan a cikin yanayin hana yiwuwar rauni lokacin da aka sanya takalmin a cikin waɗannan yanayi.
Kwayoyin cuta na MCL Tears
Mafi yawan bayyanar cututtuka da ke fama da rauni na MCL shine zafi kai tsaye a kan ligament. Kusawa zai iya bayyana a kan lagament da aka tsage, da kuma tayar da hankali tare da haɗin gwiwar da aka haɗaka su na gaba daya zuwa kwana biyu bayan rauni. A cikin raunuka mafi tsanani, marasa lafiya na iya kokawa cewa gwiwa yana jin dadi, ko kuma yana jin kamar gwiwa yana iya 'ba da' ko kuma zare.
Kwayoyin cuta na rauni na MCL sunyi daidai da irin wannan rauni. An samu ciwon raunin MCL a sikelin I zuwa III.
- Matsayi na MCL Hawan
Wannan ƙananan hawaye na MCL. Hakan yana ci gaba da ci gaba, kuma alamun cututtukan sun kasance kadan. Magunguna sukan koka da zafi tare da matsa lamba a kan MCL kuma zasu iya dawowa wasanni da sauri. Yawancin 'yan wasa ba su wuce mako guda ba. - Grade II MCL Hawan
Hakan na II raunin da ya faru yana dauke da hawaye na MCL. Wadannan marasa lafiya na iya kokawar rashin zaman lafiya lokacin ƙoƙarin yanke ko pivot. Abin zafi da kumburi yana da muhimmanci. Yawancin lokaci, tsawon makonni uku zuwa hudu na hutawa ya zama dole.
- Grade III MCL Tear
Raunin sa na III shine cikakken hawaye na MCL. Magunguna suna da ciwo mai tsanani da kumburi, kuma sau da yawa suna da wahala a durƙusa gwiwa. Sanarwa, ko badawa, wani bincike ne na yau da kullum tare da sauti na III MCL. Gilashi gwiwa ko mai yin gyaran kafa na gwiwa yana buƙatarci don ta'aziyya, kuma warkarwa yana iya ɗaukar makonni 10 zuwa 12.
Ɗaya daga cikin mawuyacin haɗin gwargwadon kwayoyi shine alamar Pellegrini-Stieda, wadda ake gani a cikin magungunan MCL na yau da kullum. Wannan mummunan abu yana gani akan X-ray lokacin da aka gano kwandon calcium a cikin MCL. Yawancin lokaci, ɗakin ajiya na kusa da abin da aka haɗe na ligament zuwa ƙarshen cinya.
Mutanen da ke fama da ciwo a wannan yanki suna cewa suna da Pellegrini-Stieda ciwo. Yin maganin wannan yanayin yawanci yana karɓa zuwa matakai mai sauki, koda yake a lokuta da yawa ana iya cire ajiyar ƙwayoyin sallah.
Jiyya
Yin jiyya na MCL hawaye yana dogara ne akan mummunan rauni. Jiyya koyaushe yana farawa tare da barin ƙananan ciwo don farawa kuma fara aiki a kan motsi. Ana biyo bayan ƙarfafa gwiwa kuma komawa wasanni da ayyukan. Bracing zai iya zama da amfani ga lafiyar MCL da raunin da ya faru. Abin farin cikin, yawancin tiyata ba wajibi ne don kula da MCL hawaye.
Sources:
> Miyamoto RG, et al. "Jiyya na Gudanar da Ƙungiyar Ligament Raunin" J. Am. Acad. Ortho. Surg ., Maris 2009; 17: 152 - 161.