Yini i-acl acl?
I-ACL itholakala maphakathi nedolo. Ixhuma ithambo lethanga (i-femur) eTibia futhi livimbela i-tibia ukuthi ishele phambili futhi ijikeleze kakhulu. Uma uklebhula i-acl yakho, noma yikuphi ukuguqulwa kokuqondisa okungazelelwe, njengokunyakaza okulandelayo noma ukujikeleza, ngesikhathi semidlalo efana nebhola lezinyawo, i-basketball, i-tennial noma i-knee yakho, ingadala ukuthi idolo lakho lihluleke.
Izimo eziningi ze-ACL izinyembezi zenzeka ekulimaleni okungatholwanga okubangelwa ukusonteka kwedolo ngesikhathi sokuqeqeshwa noma ukuncintisana. Abadlali bebhola lezinyawo bangaba nenkinga efanayo lapho bewela ibhola ngamabanga amade, babeka ingcindezi enkulu emlenzeni omile.
Izindaba ezimbi zabasubathi besifazane befunda lokhu: Abesifazane basengozini enkulu yezinyembezi ze-ACL ngoba amadolo abo awahambelani nokuqondanisa, usayizi kanye nokwakheka.
Abasubathi abaklebhula i-acl yabo bavame ukuzwa "i-pop" bese kuvuvukala okungazelelwe kwedolo (ngenxa yokopha kusuka ku-ligament edwenguliwe). Ngaphezu kwalokho, kunesibonakaliso esingukhiye: Isiguli asikwazi ukuhamba noma ukuqhubeka nokudlala ezemidlalo ngokushesha ngenxa yobuhlungu bezinyosi. Lapho kuvuvukala edolweni ekugcineni, isiguli singase sibe nomuzwa wokuthi idolo lingazinzile futhi lingakwazi ngisho nokubamba, okwenza kube nzima ukubekezelela umdlalo abathanda kakhulu.
Abasubathi abaningi abadumile babone izinyembezi ze-ACL. Lokhu kufaka phakathi: zlatan Ibrahimovich, Ruud van Nistelrooy, Francesco Toti, Paul Shearrigne, Alan Shearse, Jamal Woods, Jamal Crawford, noDigel Wood. Uma uke wabona izinkinga ezifanayo, awuwedwa. Izindaba ezimnandi ukuthi laba basubathi bakwazile ukuqhubeka ngempumelelo imisebenzi yabo yobungcweti ngemuva kokwakhiwa kabusha kwe-ACL. Ngokwelashwa okulungile, ungaba njengabo, futhi!
Ungakuthola kanjani ukunye kwezinyembezi
Kufanele uvakashele i-GP yakho uma usola ukuthi une-acl edwenguliwe. Bazokwazi ukukuqinisekisa lokhu ngokuxilongwa futhi bancoma izinyathelo ezinhle kakhulu phambili. Udokotela wakho uzokwenza izivivinyo ezithile ukuthola ukuthi une-acl izinyembezi, kufaka phakathi:
I-1.A Ukuhlolwa ngokomzimba lapho udokotela wakho ezohlola ukuthi ukuhlangana kwakho kwedolo kuhambisa kanjani uma kuqhathaniswa nenye idolo lakho. Bangase futhi benze ukuhlolwa kwe-lachman noma ukuhlolwa kwekhabethe le-anterior ukubheka uhla lokunyakaza nokuthi kusebenza kahle kangakanani imisebenzi ehlanganyelayo, futhi bakubuze imibuzo ngendlela ezwa ngayo.
Ukuhlolwa kwe-2.x-ray lapho udokotela wakho angakhipha khona ukwaphuka noma ithambo eliphukile.
I-3.MRI Scan ezokhombisa ama-tendon zakho nezicubu ezithambile futhi ivumele udokotela wakho ukuthi ahlole ubukhulu bomonakalo.
I-4.ltrasound Scan ukuze ihlole ama-ligaments, ama-tendon, nemisipha.
Uma ukulimala kwakho kungukuthi ubushelelezi kungenzeka ungabi ne-acl futhi welule kuphela. Ukulimala kwe-ACL kufakwa graded ukunquma ukuqina kwawo ngale ndlela elandelayo.
Ingabe i-acl acl ingaphulukisa ngokwayo?
I-ACL imvamisa ayiphili kahle ngokwayo ngoba ayinakho ukunikezwa kwegazi okuhle. Kufana nentambo. Uma kudwengulwe ngokuphelele phakathi, kunzima emaphethelweni amabili ukuxhuma ngokwemvelo, ikakhulukazi njengoba idolo lihlala lihamba. Kodwa-ke, abanye abasubathi abanezinyembezi eziyingxenye kuphela ezibuyayo ezibuyayo ukuze badlale inqobo nje uma ukuhlangana kuzinzile futhi imidlalo abayidlalayo ayibandakanyi ukunyakaza okusontekile (njenge-baseball).
Ingabe ukwakhiwa kabusha kwe-ACL kwakhiwa kabusha kwendlela yokwelashwa kuphela?
Ukuvuthwa kabusha kwe-ACL Ukubuyiselwa okuphelele kwe-acl edwenguliwe "ngokuxhunyelelwa kwezicubu" (okuvame ukwenziwa ngama-tendon kusuka ethangeni elingaphakathi) ukuhlinzeka ngozolwazi edolweni. Lokhu ukwelashwa okunconywayo kwabasubathi abanamadolo angazinzile futhi abakwazi ukubamba iqhaza emidlalweni yezemidlalo ngemuva kwezinyembezi ze-ACL.
Ngaphambi kokubheka ukuhlinzwa, kufanele uthintane nodokotela ochwepheshe ngokomzimba onconywe udokotela ohlinzayo futhi wabika ngokomzimba. Lokhu kuzosiza ukubuyisa idolo lakho kuhlu oluphelele lokunyakaza namandla, ngenkathi livumela ukukhululeka komonakalo wamathambo. Abanye odokotela nabo bakholelwa ukuthi ukwakhiwa kabusha kwe-ACL kuhlotshaniswa nengozi ephansi yamathambo okuqala (izinguquko eziwohlokayo) ezisuselwa kokutholakele kwe-x-ray.
Ukulungiswa kwe-ACL kuyindlela entsha yokwelashwa kwezinhlobo zezinyembezi. Odokotela baphinde bagcwala imiphetho ye-acl ethanjeni lethanga besebenzisa idivaysi ebizwa ngokuthi i-medial brace. Kodwa-ke, izinyembezi eziningi ze-ACL azilungele le ndlela yokulungisa eqondile. Iziguli eziye zaba nokulungiswa zinezinga eliphakeme lokuhlinza kabusha (1 ezimweni eziyi-8, ngokusho kwamaphepha athile). Njengamanje kukhona ocwaningweni oluningi ngokusetshenziswa kwamaseli we-stem kanye neplasstalet-plasma ecebile ukusiza i-acl yephulukisa. Kodwa-ke, lezi zinqubo zisazama, futhi ukwelashwa "okujwayelekile kweGolide" kusahlinzwa kabusha kabusha kwe-ACL.
Ngubani ongazuza kakhulu kusuka ekuhlishweni kokwakhiwa kabusha kwe-ACL?
1. Iziguli ezikhulayo ezikhulayo ezibamba iqhaza kwezemidlalo ezibandakanya ukujikeleza noma okuvinjezelwa.
2. Iziguli ezikhulayo ezisebenzayo ezisebenza emisebenzini ezidinga amandla amaningi omzimba futhi zibandakanya ukujikeleza noma ukuzungeza.
I-3. Iziguli ezindala (ezineminyaka engaphezu kwengu-50 ubudala) ezibamba iqhaza emidlalweni e-Elite futhi ezingenazo izinguquko eziwohlokayo edolweni.
4. Izingane noma intsha enezinyembezi ze-acl. Amasu alungisiwe angasetshenziswa ukunciphisa ubungozi bokulimala kwezindawo zokukhula.
I-5. Abasubathi abanokulimala kwamanyene ngaphandle kwezinyembezi ze-acl, njenge-ligament ye-acl Ikakhulu ezinye iziguli ezinezinyembezi zasemanzini, uma ekwazi ukulungisa i-acl ngasikhathi sinye, umphumela uzoba ngcono.
Yiziphi izinhlobo ezahlukene zokuhlinzwa kabusha kwe-ACL kabusha?
1. I-hamstring tendon - lokhu kungavunwa kalula kusuka ngaphakathi kwedolo ngokuvela okuncane ngesikhathi sokuhlinzwa (Autograft). I-acl edwenguliwe nayo ingashintshwa nge-tendon enikelwe ngomunye umuntu (i-allograft). Abasubathi abane-hypermobility (i-hyperlaxity), ama-ligaments aphezulu e-Medial Collateral Ligaments (MCL), noma ama-tandons amancane we-hamstring angaba abazongenela ukhetho lwe-allograft noma i-patellar tendon graft (bheka ngezansi).
2. I-Patellar Tendlon - ingxenye eyodwa kwezintathu ye-patellar yesiguli, kanye nama-plugs amathambo avela eTibia naseKneecap, ingasetshenziselwa i-Patellar Tendon AutoGograft. Isebenza ngempumelelo njenge-tendon Fallfy, kepha ithwala ingozi ephakeme yobuhlungu bedolo, ikakhulukazi lapho isiguli siguqa futhi sinokuqhekeka kwamadolo. Isiguli sizophinde sibe nesilonda esikhudlwana ngaphambili kwedolo.
I-3. Indlela ye-Medial Knee kanye neTibial Alignment Tunnel Tounnel Technique - ekuqaleni kokuhlinzwa kabusha kwe-ACL, udokotela ohlinzayo ushayela umhubhe wamathambo aqondile (umhubhe we-tibial) osuka eTibia uye eTibia. Lokhu kusho ukuthi umhubhe wamathambo e-femur akayona lapho i-ACL yatholakala khona ekuqaleni. Ngokuphambene nalokho, odokotela abahlinzayo besebenzisa imizamo yenqubo ye-medial yokusizakala ukubeka umhubhe wamathambo nokuxhunyelelwa eduze nendawo yasekuqaleni (ye-anatomical) ye-ACL ngangokunokwenzeka. Abanye odokotela abahlinzayo bakholelwa ukuthi ukusebenzisa i-Tibial-based hiceveld tunnel deculvel inqubo iholela ekungazinzileni okushintshashintshayo kanye namanani okubuyekezwa anda kakhulu emadolweni eziguli.
I-4. Zonke izindlela zokunamathisela ezi-medial / ezixhumekile I-hamstring eyodwa kuphela edingekayo ukudala i-FALD lapho usakha kabusha i-ACL. Isizathu ukuthi le ndlela kungenzeka ingahlaseli futhi ibe buhlungu kunendlela yendabuko.
I-5. I-SINGLE-BUXTS vs. Double-Bundle - Abanye odokotela abahlinzayo bazama ukwakha kabusha izinqwaba ezimbili ze-ACL ngokumba izimbobo ezine ku-Knecap esikhundleni sababili. Akukho mehluko obalulekile emiphumeleni yenqwaba eyodwa noma i-acl-bundle acl acl - odokotela abahlinzayo bathole imiphumela egculisayo besebenzisa izindlela zombili.
I-6 Usebenzisa ubuchwepheshe beReval ACL Recordraction Technique (TransverteBral) bungalimaza amapuleti okukhula futhi bamise ithambo ekukhuleni (ukuboshwa kokukhula). Udokotela ohlinzayo kufanele ahlole amapuleti okukhula kwesiguli ngaphambi kokwelashwa, alinde kuze kube yilapho isiguli sesiqedile ukukhula, noma sisebenzise inqubo ekhethekile yokugwema ukuthinta amapuleti okukhula (i-periosteum noma i-adventtitia).
Isikhathi esihle sokuba nokwakhiwa kabusha kwe-acl ngemuva kokulimala?
Ngokufanelekile, kufanele ube nokuhlinzwa emavikini ambalwa wokulimala kwakho. Ukubambezeleka kokuhlinzwa izinyanga eziyisithupha noma ngaphezulu kwandisa ingozi yokulimaza i-cartilage nezinye izinhlaka zedolo, njenge-meniscus. Ngaphambi kokuhlinzwa, kungcono kakhulu uma ngabe uthole ukwelashwa ngokomzimba ukunciphisa ukuvuvukala futhi kuqinise ukwahluka okugcwele kokunyakaza, futhi kuqinise ama-quadriceps (amamisipha amangalo angaphambili).
Iyini inqubo yokubuyisa ngemuva kokuhlinzwa kabusha kwe-ACL kabusha?
1. Ngemuva kokuhlinzwa, isiguli sizozwa ubuhlungu bedolo, kepha udokotela uzonquma ama-painkillers aqinile.
2. Ngemuva kokuhlinzwa, ungasebenzisa imishini yokuma futhi uhambe ngokushesha.
I-3. Ezinye iziguli zisesimweni esihle sokwenza umzimba ezibonakalayo ukuze zikhishwe ngosuku olufanayo.
4. Kubalulekile ukuthola ukwelashwa ngokomzimba ngokushesha okukhulu ngemuva kokuhlinzwa.
5. Ungadinga ukusebenzisa imishini emavikini angafika kwa-6
6. Ungabuyela emsebenzini wehhovisi ngemuva kwamasonto amabili.
7. Kepha uma umsebenzi wakho uhilela ukusebenza okuningi ngokomzimba, kuzothatha isikhathi eside ukuthi ubuyele emsebenzini.
8. Kungathatha izinyanga eziyi-6 kuye kwezingu-12 ukuqala kabusha imisebenzi yezemidlalo, imvamisa izinyanga eziyi-9
Ukuthuthuka okungakanani ongakulindela ngemuva kokuhlinzwa kabusha kwe-ACL kabusha?
Ngokokutadisha okukhulu kweziguli ezingama-7 556 ezadlalwa kabusha kwe-ACL, iningi leziguli zakwazi ukubuyela kwazo (81%). Izingxenye ezimbili kweziguli zeziguli zakwazi ukubuyela ezingeni lazo lokulimala kwangaphambi kokulimala, kwathi ama-55% akwazi ukubuyela ezingeni eliphakeme.
Isikhathi sePosi: Jan-16-2025
