Izimo zengqondo zitshintshe ukulungiswa kwe-ACL yabantwana
Ukuhlinzwa ngokutsha kwe-ACL yonyango oluqhelekileyo kubantu abancinci, abakhutheleyo abagcina i- ACL izinyembezi . Kodwa kwenzeka ntoni xa loo mntu engumntwana? Ngaba ukutyunjwa kwe-ACL kufuneka kulibaziseke kude kube umntwana ekhulile, okanye kufuneka ukulungiswa kwe-ACL ngaphambi kokuba kukhule ukukhula komzimba?
Ugqirha lwabantwana lungathatyathwa, kodwa oku kuguquka
I- anterior cruciate ligament (ACL) ukuxhamla phakathi kwamadolo kubalulekile ukuzinza ngokubambisana.
Ngokwesiko, xa umntwana enobungozi be-ACL, oogqirha babengafuni ukuqhuba nokuvuselela i-ligament ngoko nangoko ngenxa yokwesaba ukulimaza iplani yokukhula.
Ukukhathazeka kukuba ngaphambi kokuba umntwana afumane ukukhula ngokomoya (malunga nama-12-13 ubudala ubudala kumantombazana okanye iminyaka eyi-14 ukuya kubafana abafana) le ndlela yokuhlinzwa yanike umngcipheko wokulimaza iplani yokukhula. Iingxaki zeeplani zokukhula ezibangelwa ukuhlinzwa kwe-ACL zingakhokelela ekungalinganiseni ubude bomlenze okanye ukubola kweengxube. Nangona kunjalo, uphando lwangoku lubonisa ukuba umngcipheko weengxaki zeplati zokukhula zingaphantsi komngcipheko wokulimala kwamadolo xa i-ACL ingagqitywanga.
Ziziphi iiplati zokukhula?
Amacwecwe okukhula ayingxenye yethambo elikhula ngobude. Uninzi lwamahlumela oluthambo lubonakala ngasekupheleni kwethambo lamathambo kule mihlaba ebizwa ngokuthi iiplani zokukhula. Izibini ezimbini zokukhula okukhulayo emzimbeni ziphezulu kwaye zingaphantsi kweedolo. Ezi zicwecwe zokukhula zixhasa ubude bomzimba wethambo (femur) kunye nesifuba shin (tibia).
Ukugqithiswa kwe-ACL kuthinte njani iSicwangciso soKhula kubantwana?
Ukuhlinzwa okwakhiwa kwe-ACL yobuGcisa kubandakanya ukwenza i-tunnel esitrateni ngokuthe ngqo kwiindawo zamacwecwe okukhula. Ngexesha lokukhula komzimba, i-plate yokukhula ivala. Emva kokuba iplani yokukhula ivaliwe (okanye ivalwe ivaliwe) umngcipheko wokubangela ukuphazamiseka kokukhula kuphelile.
Nangona kunjalo, ngokubetha umgodi ngokusebenzisa ipulati yokukhula evulekile, umzimba ungasifaka iplani yokukhula ekuqaleni. Oku kungakhokelela ekugqibeleni ukuvalwa kwetafile, kubangele ukungalingani kwexesha lomlenze, okanye ukukhula okukodwa kwenqanaba, kubangele ukubola kwe-angular.
Ukukhubazeka kwe-Angular kungakhokelela ekugqibeleni ngamadolo (genu valgus) kunye nemilenze yomnsalo (genu varus), Le miqathango ikhula ngakumbi ngokukhula kunye kwaye ingakhokelela kwiingxaki ezifana nokulimala kunye kunye ne-arthritis.
Ukujonga isimo sengqondo kwiI-ACL Izinyembezi kunye nokuQiniswa kwakhona kwabantwana
Iimpawu ezinokungaqiniseki ngenxa yezinyembezi ze-ACL zinethuba eliphezulu lokuphuphuma kwezinye iindlebe kunye nokulimala kwe-cartilage. Abagqirha abaninzi baye batusa ukuba ukuhlinzwa kwe-ACL kubantwana kubambezeleka kude kube umntwana efikelele ekukhuleni komzimba. Ithemba liwukuthi ngokulibazisa ukuhlinzwa, unokuphephelela iingxaki ezinokubangela ukulimala kweplate ngenxa yocwaningo lwe-ACL.
Imiba emibini iye yabangela ukuba oogqirha abaninzi bakhuthaze ukuhlinzwa kwangaphambili kwe-ACL, kwanabantwana. Okokuqala, uphando olutshanje luye lwahlola umngcipheko wokulimala kweplate xa kuthelekiswa nokuhlabala ukuphuza unyango lweC ACL. Umngcipheko weemali ze-meniscus kunye nokulimala kwe-cartilage kufunyenwe kwiphononongo lwakutshanje luphakamileyo kunomngcipheko wokuphazamiseka kokukhula.
Okwesibini, kukho ukuguqulwa kwindlela yokuhlinzwa yase-ACL yemveli evumela ukuba iplani yokukhula ibe nefuthe elincinci kubantwana. Ukongezelela, ugqirha wakho unokuncoma uhlobo oluthile lokuxhoma ukunciphisa ithuba lokulimala kweplate xa ukunyangwa kwonyango kuqhutywa. Ngoko ke, oogqirha abaninzi baphakamisa ukuhlinzwa kwangaphambili kwe-ACL, kwanabantwana.
Umgca wokugqibela kukuba ingozi yokulinda (ukungazinzi ngokuhlangeneyo, i-meniscus kunye ne-cartilage injection) kubonakala kukukhulu kunomngcipheko wokulimala kweplate ye-ACL ukuvuselelwa kwangaphambili kunye neendlela ezikhoyo ezikhoyo. Ngenxa yoko, oogqirha namhlanje banokuphinda bacebise ukuvuselelwa kwangaphambili kwe-ACL.
Umthombo:
Umbutho Wama-Orthopedic Society weMidlalo YezeMidlalo (i-AOSSM) Intlanganiso Yonyaka, ngoJulayi 2009.