Ulimaze i-knee yakho ukudlala ezemidlalo, kwaye wa tyelela ugqirha wakho wamazinyo owayalela i-MRI yakho emadolweni. Iziphumo zibuyele: i -ACL) , kwaye ugqirha wakho uncoma ukuhlinzwa ukuze uyilungise. Yintoni omele uyenze ukulungiselela ukuhlinzwa? Ngomnye, kufuneka uhambe ukhangele umphathiswa wakho wezonyango kwi-pre-op ye-ACL unyango.
Uphando lubonisa ukuba unyango lokuqala lwe-PT- phambi kokuba ube nokulungiswa kwe-ACL-lunokunceda ukuphucula iziphumo ezipheleleyo zomsebenzi emva kokuhlinzwa kwakho kwe-ACL.
Ulwaphulo lweMpilo lwe-ACL Sprains
I-ACL yakho inceda ekuxhaseni idolo ngokukhusela phambili ukutshatyalaliswa kwethambo lakho lesifuba phantsi kwethanga lakho. I-ACL i-splin iyakwenzeka xa uphazamisa igulo lakho ngokukhawuleza, ngokuqhelekileyo ngelixa unyawo lwakho litsalwa emhlabeni. Oku kwenzeka xa usika kwaye usebenza ngokukhawuleza okanye xa usuqa kwaye uhla.
Izibonakaliso neempawu ze-ACL zingabandakanya:
- Iintlungu zesisu
- Ukuvulela emadolweni
- Unzima ukuguqa okanye ukulungisa ngokupheleleyo idolo lakho
- Ukuziva ukungazinzi kwamadolo
Ukuba uyakrokrela ukuba unomsolo we-ACL, kufuneka uhambe ugqirha ugqirha ukuba ufumane ukuxilongwa ngokuchanekileyo kwaye uqikelele isicwangciso esifanelekileyo sokonyango kwiimeko zakho ezithile. Ugqirha wakho angenza iimvavanyo ezizodwa ukuze abone ukuba i-ACL yakho idwengulwe , kwaye i-MRI ingasetyenziselwa ukuqinisekisa ukuxilongwa. Ukunyangwa kwenkqonkqo ye-ACL inokuba yinto ekhuselekileyo, equkethe unyango lomzimba kunye nokuzivocavoca, okanye kunokuba kungangeniswa kakhulu, okubandakanya ukulungiswa kocwangco lwakho lwangaphambili lwe-ligament.
Akuyena wonke umntu onenkqonkqo ye-ACL idinga ukuhlinzwa. Abantu abaninzi banako ukusebenza ngokugcwele nge-ACL echithwe; i-ligament iphilisa nje kwaye i-knee ye-motion ye-motion (ROM) kwaye amandla akho omlenze abuyele ngokugcwele. Ingxaki kukuba imisebenzi enamandla kakhulu kunye nemidlalo ingaba nzima, ingakumbi ukuba imidlalo idinga ukuba ugxume kunye nomhlaba okanye uthathe inxaxheba ekunqumeni nasekutshintsheni izikhombisi ngokukhawuleza xa usebenza.
Kule meko, idolo lakho le-ACL elingeke likwazi ukulawula imikhosi ebeka phezu kwayo ngelixa lithatha inxaxheba kule mi sebenzi. Abantu abanqwenela ukubuyela kwimidlalo yezinga eliphezulu banokukhetha ukulungiswa kocando lwe-ACL yabo. Ugqirha wakho unokukunceda wenze isigqibo malunga nonyango olungcono.
Iimpawu ze-Pre-Op ACL PT Inkqubo
Ukuba unenkqonkqo ye-ACL kwaye ujongene nokuhlinzwa, kufuneka ucele ugqirha wakho ukuba unokwenza inxaxheba kwiprogram yokwelapha yangaphambili. I-PT yakho inokuvavanya imeko yakho kwaye imisele ukusetyenziswa okufanelekileyo ukukunceda uphucule i-ROM, amandla kunye nokuhamba ngokubanzi phambi kokuhlinzwa.
Iimpawu zeprogram ye-prehab yeprogram phambi kokuhlinzwa kwe-ACL ingaquka:
- Ukuzivocavoca ukuphucula idolo eROM
- Ukuzivocavoca ukuphucula i- quadriceps kunye nokunyusa amandla
- Ukulinganisela kunye nokuzilolonga
- Ukuvuselela umbane we-Neuromuscular (NMES) ukuphucula umsebenzi we-quadriceps
- Unyango lokulawula ukuvuvukala kwamadolo
- Uqeqesho lwe-Neuromuscular , olubandakanya ukufunda ukuxhuma kunye nomhlaba ngokufanelekileyo kunye nokuzinzisa ibhola lakho ngelixa uthatha inxaxheba kwimidlalo ephezulu kunye nemisebenzi.
Injongo ephambili ye-ACL yangaphambili ye-ACL ukubuyisela i-ROM idolo, amandla kunye nokuzinza ukuze ulungele ukuhlinzwa ukulungiswa kwe-ACL kwaye ube nesiphumo esihle kakhulu.
Kodwa ingabe unyango lwangaphambi kokusebenza luyaluxabisa?
Yintoni Ebonisa Uphando?
Xa uqwalasela unyango olwenziwe ngaphambi kokuba utyunjwe yi-ACL, kufuneka ube nolwazi oluyisiseko malunga noluphi uphando olushicilelweyo. Inokukunceda ukukhokela inkqubo yakho yokwenza isigqibo xa usenza isigqibo sokuya kwi-PT yangaphambili.
Uphando olupapashwe kwi- American Journal of Medicine Medicine luhlolisise imiphumo yexesha elide kunye neziphumo ezisebenzayo ezivela kwizigulane ezenza i-ACL yangaphambili yangaphambili kunye nabangenayo kwi-PT ngaphambi kokuhlinzwa kwabo kwe-ACL. Abaphandi bafumanise ukuba izigulane ezithatha inxaxheba kwindlela yokwelapha ngaphambi kokuba kusebenze u-ACL ukuhlinzwa kwakukho ukubuyela okukhulu kumgangatho wezemidlalo kunye namanqaku aphuculweyo kwimilinganiselo ethile yeziphumo zamadolo.
Ezi ntlawulo zahlala iminyaka engaphezu kwe-2 emva kokuhlinzwa. Izigulane ezithatha inxaxheba kwi-pre-op ACL rehab, okanye i-prehab, zineziphumo ezibhetele zokusebenza kunye namadolo abo. Ukubeka nje, iminyaka emi-2 emva kokuhlinzwa, izigulane ezenza iP PT phambi kokuhlinzwa okwenziwa yi-ACL zazingcono kunezo ezingabandakanyekanga kwi-pre-op yonyango lomzimba.
Olunye uphando lufumene ukuba izigulane ezithatha inxaxheba kwipilisi yangaphambili yokusebenza zineziphumo ezingcono zonyango lwe- hop hop eziveki ezili-12 emva kokuhlinzwa kwabo kwe-ACL. Uvavanyo olulodwa lomlenze we-hop luphawu oluthatywayo ukulinganisela ukulungela umdlali ukuba abuyele kwimidlalo emva kokuhlinzwa kwe-ACL. Izigulane ezithatha inxaxheba kweso sifundo nazo zafumana amanqaku angcono kwimilinganiselo yeziphumo zamadolo xa kuthelekiswa nezigulane ezingathathi nxaxheba kwi-PT yangaphambili.
Ezi zifundo zingakhokelela ekubeni ugqibe ukuba kunokuba luncedo olukhulu xa umntu ethatha inxaxheba kwipilisi yangokwenyama ngaphambi kokuhlinzwa okwenziwa yiC ACL.
Ukuyibeka Konke
Kutheni ungayiqwalasela unyango lokuqala ngaphambi kokuba usebenze nge-ACL? Ngaba igulo lakho aliyi kuhlupheka ngenxa yokuvuvukala, intlungu, nokulahleka kokuhamba ngenxa yokuhlinzwa? Ngaba zonke i-pre-op ziza kulahleka emva kokuhlinzwa?
Mhlawumbi kunjalo. Kodwa uphando lubonisa ukuba ukusebenza emadolweni eROM, amandla kunye nokulawulwa kwe-neuromuscular ngaphambi kokuhlinzwa kunokuvelisa iziphumo ezide zesikhathi eside. Ukuthatha ixesha lokunyusa ukuguqa kwamadolo ngaphambi kokuhlinzwa kwakho kunokukhokelela kwiziphumo eziphuculweyo emva kokuhlinzwa kwakho. Khumbula ukuba wonke umntu uhlukile, kwaye ukulimala kwabantu kunye nezidingo ziyahluka. Ukuqonda iingenelo ezinokwenzeka kwi-PT yangaphambili ngaphambi kokuhlinzwa kwakho kwe-ACL kunokukunceda wenze ukhetho olungcono kwiimeko zakho ezithile.
Ukuba utyumbile i-ACL yakho emadolweni, kufuneka uthethe nodokotela wakho ukuba eze necebo lokunyamekela okulungileyo kuwe. Abanye abantu abadingi ukuhlinzwa ngenxa yeC ACL yabo. Abanye abantu bangadinga ukuhlinzwa-kulandelwa yi-post-operative ACL kwakhona-ukukhuphula ukuhamba kwabo emsebenzini emva kokulimala kwabo.
Ukubandakanya kwiprogram yokhathaza umzimba ejolise ekuphuculeni ukuhamba kwamadolo kunye nokulawulwa kwemisipha kunokuba neenzuzo ezidlulileyo kwixesha lokugqibela. Ingqondo efanelekileyo yokuthetha nodokotela wakho okanye ugqirha uze ucele ukuba unyango lokuqala lwe-ACL lwenkqonkqo yakho yinkqubo yesenzo esifanelekileyo kwiimeko zakho.
> Imithombo:
> Failla, MJ, etal. Ngaba Yandisa Ukwenziwa Kokuvuselela I-Impoperative Impembelelo Iziphumo Eziyiminyaka emibili Emva kokuvuselelwa kwe-ACL? Isifundo sokuPhathelene nokuPhumelela phakathi kwe-MOON ne-Delaware-Oslo ACL Cohorts. Am J Sports Med. 2016 Oktobha; 44 (10): 2608-2614.
> Shaarani, SR, etal. Impembelelo yokuhlengahlengiswa kwisiphumo sokuvuselelwa kwangaphambili kwesigidi. AM J Sports Med. 2013 Sep; 41 (9): 2117-27.