Ngaba i-ACL Rehab iyaKhawuleza kwi-Athletes yokubuyela kwimidlalo?
Ukuhlinzwa ngokutsha kwe-ACL yonyango oluqhelekileyo elisetyenziselwa abagijimi abalimaza i-ligament yabo yesigxina (ACL). I-ACL yenye yezona ezine zigxina zamadolo kwaye zibaluleke kakhulu ekuncediseni ukuzinza kwamadolo. Ngaphandle kwe-ACL esebenzayo, udibeneyo ulungele ukuva. Ukungazinzi kwamadolo kwenza ukuthatha inxaxheba kwimidlalo emininzi kunzima okanye akunakwenzeka.
Ngenxa yeso sizathu, abadlali abaninzi baya kukhetha ukuthotyelwa ukulungiswa kwe-ACL. Emva kokuhlinzwa, kukho ukuvuselelwa ixesha elide kunye nokuzinzileyo ngaphambi kokubuyisela umsebenzi ogugu wamadolo, amandla kunye nokuzinza.
Ukubuyiswa kwe-ACL ephakamileyo kuthatha iinyanga ezi-7 ukuya kwezi-9 ukugqiba. Kwabadlali abaninzi , akuthethi kuphela oko kuthetha ukuphela kwexesha labo lezemidlalo, kodwa kunokuphazamisa ukulungelelwa kwabo ngexesha elizayo lokukhuphisana. Kodwa ingabe i-ACL ye-rehab yezinyembezi zokurhawula ikhulile? Kuze kube nini ufanele ulinde ngaphambi kokuba ubuyele kwimidlalo emva kokuhlinzwa kwe- ACL ?
Ubude be-ACL Rehab
Amajelo agcwaliswa ngeengxelo zabadlali abaye bahlaziya ngokukhawuleza baze babuyele kwimidlalo ngokukhawuleza kunokuba kulindeleke. Ngokuqhelekileyo uva ngeentlethi ezidumileyo eziqhutywayo kwaye zibuyele ngokukhawuleza kwimidlalo kunokuba ikulindeleke ekuqaleni. Ngaba oku kuthetha ukuba unokufumana ngokukhawuleza ngokukhawuleza emva kokuhlinzwa ngenxa yezinyembezi ze-ACL ?
Xa unokwakhiwa kwe-ACL , i- ligament entsha idalwe kwaye igcinwe emadolweni kunye nezixhobo okanye ezinye izixhobo zokulungisa.
I-ACL kufuneka iphose kule ndawo ukwenzela ukunyamezela ukunyanzeliswa okuphindaphindiweyo kunye nemisebenzi yezemidlalo . Ingxaki nayiphi na uhlobo lwe-ACL yokulungiswa kwe-graft yokwenza oko, ukuba, ngokuphindaphindiweyo ugxininisekile phambi kokuba i-graft iphilise kwindawo, ukulungiswa ekugqibeleni kuyaphela. Oko kuthetha ukuba i-ACL entsha yegraft ingakwazi ukukhululeka okanye iphinde ihlulwe.
Ngaphezu koko, kukho ezinye iingozi zokuvuselela ngokukhawuleza ngokukhawuleza. Ngokomzekelo, owayengumkeli we-NFL ububanzi uYerry Rice udumile wabuya emva kweenyanga ezi-3 ½ emva kokuphucula i-ACL ngo-1997. Emdlalweni wakhe wokuqala, waqhekeza i-kneecap yakhe (apho i-ACL graft efakwa khona). Ukulimala okutsha kuphelile ngexesha lakhe.
Ixesha elincinci le-ACL Inyembezi yokuvuselela
Ngokuchanekileyo ukuba i-ACL graft ithatha ixesha elide ukuphilisa ngokwaneleyo ivulekele ukuxubusha. Ukongezelela, ezinye zezemidlalo kunye nemisebenzi iya kufaka imfuno ephezulu kwi-ACL kunye nokuphilisa okungakumbi kubalulekile ngaphambi kokuthatha inxaxheba. Amagqirha amaninzi emathambo avuma ukuba ubuncinane ubuncinane beenyanga ezintandathu ngaphambi kokuba babuyele kwimidlalo yezokukhuphisana. Ngenxa yemingcipheko ye-reinjury, nangona kunjalo, baninzi batusa ukuba balinde iinyanga ezi-7 ukuya kwezi-9.
Kufuneka uhlale uxoxa ngokubuyela kwimidlalo kunye nodokotela wakho ogqirha, njengoko kukho ukuhluka kwi- ACL yokulungiswa komgangatho . Ukutshintshwa kwindlela yokuvuselela kungenziwa ngenxa yohlobo lokufakelwa kwegrafu , nayiphi na inkqubo eyenziwa kunye nokuhlaziywa (njengokulungiswa kwamadoda okanye ukulungiswa kwe-cartilage ), okanye ukukhethwa kwabagqithisi.
Ekugqibeleni, ukulungiswa kwe-ACL akukona nje umcimbi wexesha. Ukulungiswa kwe-ACL kubandakanya ukuqhubela phambili kwemisebenzi yonyango kunye nemidlalo.
Ukuze uqhube phambili kwisinyathelo esinye sokuvuselela ukuya kwesinye, kufuneka ukwazi ukugqiba imisebenzi ethile. Ukuba isiguli asikwazi ukuqhubela phambili, ukulungiswa ngokubanzi kunokubambezeleka. Yingakho ukusebenza nomgulana womzimba kubaluleke kakhulu emva kokuhlinzwa kwe-ACL.
Imithombo:
I-Larson RL kunye ne-Tailon M "I-Anterior Cruciate I-Ligament Insufficiency: Iimigaqo zonyango" J. Am. Acad. IOrn. Ukugula, uJan 1994; 2: 26 - 35.