Iinyembezi ze-ACL ziyingozi edlalwa ngamadolo ngokuqhelekileyo kufuna ukuba izigulane zenze utyando ukuze kulungiswe kwakhona i-ligament ephuthiweyo. Ezinye izigulane zilwa nomnqweno wokuba utyando lwe-ACL lwakhiwe ngenxa yokuba kukho iingozi zokuhlinzwa. Funda ngezinye zeengxaki eziqhelekileyo zokuhlinzwa kwe-ACL kunye nendlela onokuqinisekisa ngayo umphumo onokwenzeka kakhulu.
Interior Knee Pain
Inkxalabo eqhelekileyo ye-ACL yokuhlinzwa iyintlungu ejikeleze i-kneecap .
Le nkxalabo iphezulu kwizigulane ezithe zenziwa ngophando lwe-patellar tile, njengokuba ezi zigulane zithathiwe amathambo kwi-kneecap njengenxalenye yaloo nkqubo. Ezi zi gulane zinokuba neengxaki ezinjenge- patellar fracture kunye ne- tellar tendon izinyembezi , nangona ezi ziqhelekanga. Nangona kunjalo, zonke izigulane, kwanokuba zineenkampu zengqungquthela okanye i-graft donor, nazo zinokuba nezibonakaliso zentlungu yegolo.
Ubunzima bokuguqa ngamadolo obuyinto ebonakalayo bubangelwa ngumatshini odibeneyo odibeneyo, kwaye kanoku kunokubanjelwa ngonyango olunzulu lomzimba. Ukuhambelana neenkqubo zokubuyisela i-rehab kubalulekile kubadlali ukuba baqinisekise ukuba ama-mechanics abo aguqulwe.
Usulelo emva kokuhlinzwa kwe-ACL
Usulelo luyinto engaqhelekanga, kodwa ingaba yingozi xa kwenzeka. Xa usulelo luphakathi kwamadolo, kukho inkxalabo malunga ne- ACL graft . Umzimba wakho awukwazi ukulwa nentsholongwane ngokuthe ngqo kwi-graft, kwaye ngamanye amaxesha uhlengahlengiso kufuneka uwasuswe ukwenzela ukunyanga intsholongwane.
Ukuthatha amanyathelo okukhusela ukusuleleka kubandakanya ukulandela oogqirha bakho imiyalelo ethile ngaphambili nangemva kokuhlinzwa. Amagqirha amaninzi acetyisa ukucoca idolo nge-antibacterial soap ngaphambi kokuhlinzwa, kwaye ke kubalulekile ukulandela nayiphi na imiyalelo ebhanki emva kokuhlinzwa. Ukuba unayo imiqondiso yentsholongwane kubandakanywa umkhuhlane, ukubola, ukwanda kwamadolo okanye intlungu, vumela ugqirha wakho wazi ngokukhawuleza.
Ukuphindaphinda kwakhona kwe-ACL Graft
Ukuphindaphinda ukuphulwa kwe-ACL graft akuqhelekanga, kodwa kwenzeka. Naluphi na ukuphinda kuphinde kuqhekeke, utyando wakho kufuneka ahlole ngokucophelela ukuhluleka kobugcisa bokuqala kokuhlinzwa. Iingxaki ezinokuthi zikhokelela ekubuyiseni kwakhona i-ACL ziquka ukubeka indawo yokuxhoma, ukuxhatshazwa okungafanelekanga kwi-graft, okanye ukungaphumeleli kokulungiswa kwegraft.
I-ACL grafts inamandla kakhulu. Enyanisweni, izicubu ze-autograft (izicubu ezivela kwi-tendellar tendon okanye i-tendon hamstring tendon) zinamandla kune-ACL yakho. Ukungaphumeleli kwezi graft ngokuqhelekileyo kubangelwa enye yeengxaki. I-Allograft tissue (izicubu ezixhasayo), ngakolunye uhlangothi, alinamandla, kwaye ukuhlaziya amazinga ayaziwa ukuba aphezulu kunye nohlobo lohlulo. Yingakho iimfuno zeemfuno eziphezulu zivame ukukhetha izicubu zazo, nangona i-rehab ingaba nzima.
Ubunzima ( Arthrofibrosis )
Ukunyameka emva kokuhlinzwa kwe-ACL kudla rhoqo. Ngethamsanqa, ezininzi izigulane ezinzima zikwazi ukujongana nale nkcenkceshe kunye nokuvuselelwa ngokukhawuleza. Nangona iimeko ezininzi zokuqina ziyakwazi ukujongana ne-rehab, enye enye ibizwa ngokuba yi-cyclops lesion. I-cyclops lesion iyenzeka xa ibhola lesishubhu esilala phambili phambi kwegama, okwenza ukuba akunakwenzeka ukuguqula ngokupheleleyo idolo emva kokuhlinzwa kwe-ACL.
Ugqirha lwe-arthroscopic ukucoca le ngxube ebomvu kudla ngokufunekayo kwizigulane ezine-cyclops lesion.
Isinyathelo esibalulekileyo kunqanda ukugwema ukunyamezela kukuguqa amadolo emva kokuhlinzwa kwe-ACL. Kwixesha elidlulileyo, oogqirha basebenzisa oomatshini abakhethekileyo ukuguqa ngamadolo, okubizwa ngokuba yimishini ye-CPM , nangona oku kungabonakaliswa ukukhokelela ekuphuculeni ixesha elide. Amagqirha amaninzi aya kuba nobudlova kunye nokubuyiselwa kwangaphambili, kwaye ugweme ukukhwabanisa emva kokuhlinzwa , ukwenzela ukuba udolo luhambe ngokukhawuleza.
Imithombo:
I-Getelman MH noFriedman MJ "Hlaziya uphulo oluphambili lwe-ligament ukuvuselelwa ngokutsha" J Am Acad Orthop Surg Meyi 1999 vol. 7 akukho. 3 189-198.
Schulz AP, et al. "I-Septic Arthritis ye-Knee Emva kwe-Anterior Ulwaphulo lwe-Ligament: I-Regage-Adapted Treatment Regimen" J. Sports Med., Julayi 2007; 35: 1064 - 1069.
Magit D, et al. "Arthrofibrosis ye-Knee" J Am Acad Orthop Surg kaNovemba 2007; 15: 682-694.