Iminyaka Emva kwee-ACL Izinyembezi, abaninzi abantu baya kuphuhlisa iArthritis ye-Knee yabo
Ukuxhatshazwa kwegnegament kungabangela ukulimala kabuhlungu kumdlali omncinci. Ngokuqhelekileyo kubangela ukungabikho ixesha elide kwiikomiti zezemidlalo, ukulungiswa okuphawulekayo, kunye nokuphazanyiswa kwindlela yokuphila eqhelekileyo, isigulane esiphezukileyo sokuguqula isigxalaba sinobungozi esatshiswa yinto nawuphi na umdlali osemtsha. Nangona kunjalo, abaninzi abagijimi, nabazali babo, abaqeqeshi, kunye nabalandeli, banenkxalabo ngokubuyela kwimisebenzi, kungekhona into eyenzekayo kwiminyaka elishumi okanye ngaphezulu kamva.
Ngelishwa, inyaniso kukuba, eyona nto ibaluleke kakhulu. Uphando olutsha lubonisa indlela abadlali abancinci abanokuguga ngayo emadolweni kunokwenzeka ngakumbi kunokuba bavelise isifo samathambo esabelana nabo kwishumi elishumi lokulimala kwabo.
Knee Ligament Injuries
Kukho ezine iigaments ezinkulu zegolo, ezi zimbini zomlenze emacaleni emadolo, kunye nezimbini ezibethekileyo eziwela phakathi kwidolo. Uninzi uphando oluphanda i-arthritis elandela ukulimala kwamadolo luye lwabadlali abaye baqhawula i-ACL.
I-ACL ibingumlenze obalulekileyo ekukhuseleni ukuvakalelwa kokungazinzi okanye 'ukukhupha' emadolweni xa wenza isenzo sokusika okanye ukuguqula ukutshintsha indlela. Iinyembezi ze-ACL zidla ukufuna unyango, ikakhulukazi abadlali abadlala inxaxheba kwimidlalo enkulu yengozi efuna ukuba utshintsho olukhawuleza lusetyenziswa njengenxalenye yokuthatha inxaxheba.
Utyando lwe-ACL eliqhekekileyo kukuba wenze i-ligament entsha, ebizwa ngokuba yindlela yokwakha kwakhona, ngokuqhelekileyo ngokuthatha isithoni okanye ligament ukusuka kwenye indawo emzimbeni. Impumelelo yokuhlinzwa ngokuqhelekileyo ilungile, nangona ingafezekanga. Uninzi lwabagijimi banako ukubuyela kwimidlalo yemidlalo emva kokuphuculwa komsebenzi. Nangona kunjalo, ukuphinda kulude kwaye kunzima , kubadlali abaphuma ngaphandle kweenyanga ezili-6 , kwaye ngamanye amaxesha ukuya kunyaka.
IArthritis yeNxulumene
I-arthritis ye-Knee ingxaki eqhelekileyo, kodwa ininzi idityaniswe nabantu abadala. Uhlobo oluqhelekileyo lwe-arthritis lubizwa ngokuba yi-osteoarthritis, kwaye lidla ngokuba libizwa ngokuba li-arthritis ye-arthritis. Xa isifo se-osteoarthritis senzeke emxolweni, umgangatho oqhelekileyo, ohlambulukileyo wokubambisana unxibekile, ushiye ubuqhophololo, utyhile amathambo. Le mqathango ibangela iimpawu zentlungu, ukuvuvukala kunye nokukhubazeka kokubambisana. Ngokuhamba kwexesha, imeko ingaba yingozi kwinqanaba lokuguqula idolo lingakhetha.
Njengoko kuthethwe, i-knee arthritis yimeko yokuguga. Uninzi lwabantu abane-arthritis base-60s okanye ngaphezulu. Kukho izinto ezinobungozi bokuphuhlisa i-arthritis engenza ukuba imeko ivele ngaphambili ebomini. Enye yale mngcipheko ixinzeleleka emadolweni, kwaye uhlobo oluqhelekileyo lokulimala ngukulimala kwamadolo. Abagqirha bama-orthopedic baye bazi ukuba abantu abaqhekeza iidologi zabo, kuquka i-ACL, banako ukuhlakulela i-arthritis, kodwa ukwazi ukuba ngokuqhelekileyo kwaye kungekudala oku kwenzeka ntoni kwacaca.
Ucwaningo lwango-2017 lubonise ukuba malunga nama-75 ekhulwini abantu abafumana ukuhlinzwa ngokutsha kwe-ACL babenokufumana iziphumo ze-arthritis kwi-x-ray yamadolo abo kwiminyaka eyi-10-15 yexesha lotyando.
Oku kufumanisa ukwethusa, kuqwalasela ezininzi iinyembezi ze-ACL eziphathwayo kwiminyaka engama-20 kunye nabadlali abancinci. Aba bantu abatsha bajongene nethemba lokulawula i-knee arthritis ngokukhawuleza kwi-30s yabo, ixesha apho iingcinga ze-arthritis zisoloko zingqondweni zabantu. Ingozi yokuphuhlisa i-arthritis iphakamileyo ngokukhethekileyo kubantu abatsha abawonakalisa i-meniscus cartilage okanye i-articular cartilage, kunokuba abo baye baxhala iinyembezi ze-ACL.
Isizathu esona sizathu se-arthritis asiqondwa ngokupheleleyo, kodwa mhlawumbi iimeko ezimbalwa ezahlukeneyo iingxaki. Okokuqala, ukulimala kokuqala kungonakalisa i-cartilage ehlangeneyo ngendlela engabonakaliyo.
Nangona kunjalo, i-cartilage ayinako ukukwazi ukuzilungisa, kwaye umonakalo ungabonakala ngakumbi ngexesha. Okwesibini, i-mechanics yeedolo ingatshintsha emva kokuhlinzwa ngokutsha. Ngelixa uphuhliso lwezobugcisa luphuhliswa ukuze lufezekise ukulungelelaniswa kweendlela eziqhelekileyo zamadolo emva kokuvuselelwa kwakhona, inzuzo yolu tshintsho ayilucaciswanga ngokupheleleyo.
Indlela yokuKhusela
Kucacile ukuba indlela efanelekileyo yokukhusela i-arthritis yokuqala kukukhusela ukulimala kwe-ACL, kunye nokulimala kwamadolo. Le ngongoma yeendlela ezininzi zophando zokunciphisa amathuba okulimala kwe-ACL. Kukho iziphumo ezithembisayo kwezinye zezi ndlela, kodwa akukho nkqubo yokukhusela iza kuphelisa zonke iinyembezi ze-ACL. Ukongezelela, ukuba ufunde ngoku kude, mhlawumbi wena okanye umntu onomkhathalelayo sele sele ulawula isigulane sokuguqa.
Ukuphinda kwakha uphuculo kubonwa ukuba yindlela efanelekileyo yokukhusela umonakalo omkhulu kumdibaniselwano. Njalo xa idolo linikezela, kukho umngcipheko wokulimala komdaka ohlangeneyo. Ngoko ke, abaninzi oogqirha bacebisa utyando lwe-ACL ukukhusela umonakalo omkhulu emadolweni. Inzuzo yokubetha idolo ingumxholo weengxoxo, kodwa i-ACL braces ayibonwanga ukuphucula iziphumo okanye ukukhusela i-arthritis emva kokuhlinzwa kwe-ACL.
Ukuphuhliswa kwexesha elizayo
Njengoko kuninzi lweengxaki zezokwelapha, kukho uphando oluninzi malunga nendlela yokuphucula iziphumo kubadlali abaselula abalimaza i-kneam ligaments. Kukho abaninzi abavakalelwa ukuba bafumene iindlela zokunciphisa amathuba okuphuhliswa kwe-arthritis, kodwa ukuphumelela kwexesha elide le ngcamango akubonakalwanga. Ezinye uphando ziquka:
- Ukuphucula umatshini we-ACL ukulungiswa ngokutsha: ezinye iindlela ezintsha zokucwangcisa ziye zaphuhliswa ukuze ziphinda ziphinda ziphinda ziphindaphinda kangcono iimpawu ze-ACL okanye zilungise kwakhona ii-ACL ezonakalisiweyo. Ukwakhiwa kwe-ACL ye-Double-bundle kunye ne-bridge yokulungiswa kwe-ACL yenziwe ngamanye amacandelo, kodwa ukuba oku kulunge ngaphezu kokuhlinzwa okwenziwa ngokutsha kwe-ACL akukwaziwa.
- Ukutshintsha i-biology yomxube emva kokulimala: Emva kokulimala kwintlangano, njengengqumbo yegilament, umzimba ukhupha iintlobo zempawu zamakhemikhali ngaphakathi. Ukuguqula iimpendulo zomzimba ukuqinisekisa ukuba umonakalo awuqhubeki, kwaye ukuphulukiswa kulungile, yindawo yokuphanda.
- Ukuthintela ukulimala komgudu: Uphando oluninzi lujoliswe ekuqondeni ukuba kutheni abanye abantu bekrazula imiqolo yabo, kwaye yintoni enokuyenza ukukhusela abo bakala. Ukugxininisa ekuqeqesheni i-neuromuscular , into ebizwa ngokuba yi-control control of the end, iboniswe ukuba incede ukukhusela ukulimala kwamadolo.
ILizwi
Ukulimala kwamagulane ezinjengeentlungu ze-ACL zilimala kakhulu ezibangelwa ukungahambi kunye nexesha kude nemidlalo. Ukubuyiselwa kwale nzalo kungadinga ukuhlinzwa kunye nokwandisa imizamo yokuvuselela. Kwaye ukuba oko akukwanele, ukugqithiswa kwexesha elide kungekuhle, kunye nabantu abaninzi abaphuhlisa i-arthritis kwiminyaka elishumi yokulimala. Uphando lwexesha elizayo lujoliswe ekuguquleni umngcipheko wokuphuhlisa i-arthritis, nokukhusela ukulimala kwamagulane okuvela kuzo zonke.
> Imithombo:
> Cinque ME, uDornan GJ, Chahla J, Moatshe G, LaPrade RF. "IiRhafu eziPhakamileyo ze-Osteoarthritis Ukuphuhliswa emva koPhulo oluPhakathi lweCermiate Ligament Surgery: Uhlalutyo lwaba-4108 izigulane" IJ Sports Med. 2017 Septemba 1: 363546517730072.
> Oiestad BE, Holm I, Aune AK, Gunderson R, Myklebust G, Engebretsen L, Fosdahl MA, Risberg MA. "Umsebenzi wokuhamba kunye nokuxhaphaka kwamadolo e-osteoarthritis emva kokuphambana nomgudu wokuvuselelwa komgudu: umntu oza kufundelwa kunye neminyaka eyi-10 ukuya kwe-15 yokulandelelana" I-J Sports Med. Ngo-2010 Nov; 38 (11): 2201-10.