UJack, umthandi webhola oneminyaka engu-22 ubudala, udlala ibhola nabangani bakhe masonto onke, futhi ibhola seliyingxenye ebalulekile yempilo yakhe yansuku zonke. Ngempelasonto edlule ngesikhathi edlala ibhola, uZhang washelela wawa ngephutha, ebuhlungu kangangokuthi wayengakwazi ukuma, engakwazi ukuhamba, ngemuva kwezinsuku ezimbalwa zokululama ekhaya noma ubuhlungu, engakwazi ukuma, wathunyelwa emnyangweni wamathambo esibhedlela ngumngane, udokotela wathola ukuhlolwa nokuthuthukisa i-MRI yedolo, okutholakale ukuthi iyingxenye ye-anterior cruciate ligament femoral yokwaphuka, isidingo sokulaliswa esibhedlela ukuze kuhlinzwe i-arthroscopic kancane.
Ngemva kokuphothula ukuhlolwa kwangaphambi kokuhlinzwa, odokotela bakha uhlelo lokwelapha oluqondile lwesimo sikaJack, futhi banquma ukwakha kabusha i-ACL ngendlela ye-arthroscopic engangenisi kakhulu besebenzisa i-autologous popliteal tendon ngemuva kokuxhumana okugcwele noJack. Ngosuku lwesibili ngemuva kokuhlinzwa, wakwazi ukuwela phansi futhi izimpawu zakhe zobuhlungu edolweni zakhululeka kakhulu. Ngemva kokuqeqeshwa okuhlelekile, uJack uzokwazi ukubuyela ensimini maduze.
Ukuqhekeka okuphelele kohlangothi lwe-femoral lwe-anterior cruciate ligament kubonakala nge-microscope
I-Anterior cruciate ligament ngemuva kokwakhiwa kabusha nge-autologous hamstring tendon
Udokotela uhlinza isiguli ngokuhlinzwa kokuvuselelwa kwemisipha ye-arthroscopic engangenisi kakhulu
I-anterior cruciate ligament (ACL) ingenye ye-ligaments ezimbili eziwela phakathi kwedolo, zixhumanisa ithambo lethanga nethambo lethole futhi zisize ekuqiniseni idolo. Ukulimala kwe-ACL kwenzeka kaningi emidlalweni edinga ukuma okubukhali noma ukushintshashintsha kwesiqondiso ngokuzumayo, ukugxuma nokufika, njengebhola, i-basketball, i-rugby kanye nokushushuluza eqhweni. Izethulo ezijwayelekile zifaka phakathi ubuhlungu obungazelelwe, obukhulu kanye nokugxuma okuzwakalayo. Lapho kwenzeka ukulimala kwe-ACL, abantu abaningi bezwa "ukuchofoza" edolweni noma bezwe ukuqhekeka edolweni. Idolo lingavuvukala, lizizwe lingazinzile, futhi libe nobunzima bokusekela isisindo sakho ngenxa yobuhlungu.
Eminyakeni yamuva nje, ukulimala kwe-ACL kube ukulimala kwezemidlalo okuvamile ngokugxila kakhulu ekuzivocavoceni okunempilo. Izindlela zokuxilonga lokhu kulimala zifaka: ukuthatha umlando, ukuhlolwa ngokomzimba, kanye nokuhlolwa kwezithombe. I-MRI njengamanje iyindlela ebaluleke kakhulu yokuthwebula izithombe yokulimala kwe-ACL kulezi zinsuku, futhi ukunemba kokuhlolwa kwe-MRI esigabeni esibucayi kungaphezu kwama-95%.
Ukuqhekeka kwe-ACL kuthinta ukuzinza kwejoyinti ledolo, okuholela ekungalinganini nasekunyakazeni lapho ijoyinti ligoba, landa futhi lijikeleza, futhi ngemva kwesikhathi esithile, kuvame ukubangela ukulimala kwe-meniscus kanye ne-cartilage. Ngalesi sikhathi, kuzoba nobuhlungu bedolo, ukunyakaza okulinganiselwe noma ngisho "ukunamathela" ngokuzumayo, akukwazi ukuhambisa umuzwa, okusho ukuthi ukulimala akukhanyi, noma ngabe wenza ukuhlinzwa ukuze kulungiswe, ukulungiswa kokulimala kusenesikhathi kunzima, umphumela nawo mubi kakhulu. Izinguquko eziningi ezibangelwa ukungazinzile kwedolo, njengokulimala kwe-meniscus, ama-osteophyte, ukuguguleka kwe-cartilage, njll., azinakuguqulwa, okuholela ochungechungeni lwezigameko, futhi kwandisa nezindleko zokwelashwa. Ngakho-ke, ukwakhiwa kabusha kwe-arthroscopic anterior cruciate ligament kunconywa kakhulu ngemva kokulimala kwe-ACL, ukubuyisela ukuzinza kwejoyinti ledolo.
Ziyini izimpawu zokulimala kwe-ACL?
Umsebenzi oyinhloko we-ACL ukunciphisa ukuhamba kwe-tibia ngaphambili nokugcina ukuzinza kwayo kokujikeleza. Ngemva kokuqhuma kwe-ACL, i-tibia izoqhubekela phambili ngokuzenzakalelayo, futhi isiguli singase sizizwe singazinzile futhi sixegaxekile ekuhambeni kwansuku zonke, kwezemidlalo noma emisebenzini yokujikeleza, futhi ngezinye izikhathi sizizwe sengathi idolo alikwazi ukusebenzisa amandla alo futhi libuthakathaka.
Izimpawu ezilandelayo zivame ukulimala kwe-ACL:
①Ubuhlungu bedolo, obutholakala emalungeni, iziguli zingase zesabe ukunyakaza ngenxa yobuhlungu obukhulu, ezinye iziguli zingahamba noma ziqhubeke nokuzivocavoca okuphansi ngenxa yobuhlungu obuncane.
② Ukuvuvukala kwedolo, okubangelwa ukopha kwangaphakathi kwe-articular okubangelwa yijoyinti ledolo, kuvame ukwenzeka kungakapheli imizuzu kuya emahoreni ngemva kokulimala kwedolo.
Ukuvinjelwa kokwandiswa kwedolo, ukuqhekeka kwemisipha yemisipha kuphendukele ku-intercondylar fossa anterior ukuze kubangele ukucasuka kokuvuvukala. Ezinye iziguli zingase zibe nokwandiswa okulinganiselwe noma ukugoba ngenxa yokulimala kwe-meniscus. Uma kuhlanganiswa nokulimala kwemisipha yemisipha yemisipha, ngezinye izikhathi kubonakala njengokunciphisa ukwandiswa kwemisipha.
Ukungazinzi kwedolo, ezinye iziguli zizwa ukunyakaza okungalungile edolweni ngesikhathi sokulimala, futhi ziqala ukuzwa umuzwa wokuzamazama kwedolo (okungukuthi umuzwa wokuhlukana phakathi kwamathambo njengoba kuchazwe yiziguli) lapho ziqala ukuhamba cishe ngemva kwesonto elilodwa kuya kwamabili ngemva kokulimala.
⑤ Ukunyakaza okulinganiselwe kwejoyinti ledolo, okubangelwa yi-synovitis ebuhlungu ebangela ukuvuvukala nobuhlungu ejoyintini ledolo.
Udokotela wethule ukuthi ukwakhiwa kabusha kwe-arthroscopic anterior cruciate ligament kuhloswe ukulungisa i-anterior cruciate ligament ngemva kokuqhekeka, futhi ukwelashwa okujwayelekile kwamanje ukufakelwa kwe-tendon edolweni nge-arthroscopic ukuze kwakhiwe kabusha i-ligament entsha, okuyinqubo engangenisi kakhulu. I-tendon efakwe kabusha ikhethwa kune-autologous popliteal tendon, enezinzuzo zokusikwa okuncane okubuhlungu, umthelela omncane ekusebenzeni, ukungalahlwa, kanye nokuphulukiswa kalula kwamathambo e-tendon. Iziguli ezinezinqubo zokuvuselelwa ezibushelelezi ngemva kokuhlinzwa zihamba ngezinduku ngoJanuwari, ziphume ezinduku ngoFebhuwari, zihambe ngokusekelwa okususiwe ngoMashi, zibuyele kwezemidlalo ezijwayelekile ezinyangeni eziyisithupha, futhi zibuyele ezingeni lazo lezemidlalo ngaphambi kokulimala ngonyaka owodwa.
Isikhathi sokuthunyelwe: Meyi-14-2024
