Ukulimala kwangaphambili kwegulantshi (iinyembezi ze-ACL) yinto eqhelekileyo kunye neyoyikisayo kubadlali. Xa umgijimi enyembezi i-ACL idolo liziva lizinzile kwaye liyakwazi ukukhawuleza xa lizama ukusika okanye ukugxila emlenzeni. Ngoxa le nto inokuthi ithintele ukuthatha inxaxheba kuyo yonke imidlalo, ibangela iingxaki ezibalulekileyo xa uzama ukudlala imidlalo emininzi njengobhola bebhola kunye nebhoksi.
Ngenxa yoko, abaninzi abagijimi, ngokukodwa abasemagqatsheni aphakamileyo aphakamileyo kunye nabadlali beekholejini, baya kukhetha ukuba babe ne- ACL yokuvuselelwa ngokutsha ukuze benze i-ligament entsha ezinzisa ixolo.
I-ACL yokuvuselela ukulungiswa ayiyikulungiseli umgudu owonakele, kodwa kunokuba idale i-ligament entsha usebenzisa ezinye izicubu ezisuka emlenzeni (ngokuqhelekileyo ithenda ye patellar okanye ithethoni ye-hamstring ). Utyando luvame ukuphumelela, kwaye ukucinga ukuba umdlali wenza ukulungiswa okufanelekileyo emva kokuhlinzwa, abaninzi abadlali bayakwazi ukubuyela kwimidlalo yabo. Nangona kunjalo, kukho iingxaki ze-ACL yokuhlinzwa , kubandakanywa ukutshabalalisa i-ligament entsha.
Kukho izizathu ezahlukahlukeneyo zokuba i-ACL inokuphangwa kwakhona emva kokuhlinzwa. Enye yale micimbi inxulumene nophando, ezinye zihlobene nokubuyiswa, kunye nezinye ezihlobene nesigulane. Makhe sijonge nganye kwezi zinto, kwaye yintoni umntu oqhawula i-ACL yabo enokuyenza ukukhusela ukulimala kwakhona emxolweni ofanayo.
Izinto zoPhando
Enye yezona zinto zibalulekileyo kwi-ACL yokuphumelela ngempumelelo yindlela ukufakelwa kwe-graft kumiselwe ngayo ngaphakathi kweedolo. Ayikho yonke inkqubo yokuhlinzwa eyenziwa ngezinga elifanayo lokuchaneka, kwaye kukho iinguqu ezinokubangela iingxaki ukuba i-ACL entsha ayimisiwe kakuhle.
Ulwahlulo kufuneka lubuyisele umsebenzi wegrime eqhelekileyo, ngoko ke kufuneka imiswe ngendlela efanayo kwi-ligament eqhelekileyo. Ukuma okungachanekanga kwe-graft kungakhokelela kumatshini angaqhelekanga okudibeneyo kunye nethuba elongezelelweyo lokulimala kwakhona. Ukufumana udokotela ogqirha owenza rhoqo ukuhlinzwa kwe-ACL kunokunceda. Ukongezelela, iindlela ezintsha ziye zavela ukuzama ukubuyisela i-ACL evamile , nangona ezi zinto zingaboniswa ukuba zenze umlinganiselo omkhulu kwizigulane.
Enye into yokuhlinzwa okubonakala ibalulekile kukuba ubungakanani bobuqhetseba basebenzise ukudala i-ACL entsha. Iibrafti ezincinci ziye zaboniswa ukuba zihlale zingapheliyo kunezixhobo ezinkulu. Oku kubaluleke ngokukhethekileyo ukugxotha ingqungquthela engabonakali lula ngokubhekiselele kubukhulu. Amancinci amancinci amancinci aboniswe ukuba anethuba eliphezulu lokuphinda adilize. Ekugqibeleni, kuboniswe ngokucacileyo ukuba abaqashi be-donor banomngcipheko ophezulu wokukhawuleza ukutshabalalisa ngaphezu kweethambo zesigulane. Ngenxa yoko, abaninzi abagqirha baye bakhetha ukusebenzisa i-autograft (isigulane sakhe) izicubu kunokuba i-allograft (abaxhasi) kwiimbaleki eziselula.
Ukubuyiswa koBulala
Ukulungiswa ngokufanelekileyo emva kokuhlinzwa kwe-ACL kubaluleke kakhulu kwimpumelelo yokuhlinzwa ngokutsha.
Akukuphela nje ukuba i-graft entsha ibe yinxalenye yamadolo akho, inkqubo ebizwa ngokuba yi-graft incorporation, kodwa kufuneka uvuselele amandla asemasipha aqhelekileyo ukuqinisekisa ukuba idolo likhuselwe kakuhle.
Izihlandlo zokufakelwa kwama-Graft ziyakwazi ukuhluka, kodwa ezininzi iingcali zinconywa zincoma ukukhusela idolo iminyaka engaphantsi kweenyanga ezintandathu emva kokuhlinzwa ngokusebenzisa i-autograft (zakho izicubu) okanye iinyanga ezilisithoba emva kokuhlinzwa okwenziwa nge-allograft (i-donor tissue). Xa i-ACL entsha ibume kwixolo elihlangene ngokuqhelekileyo ligcinwe endaweni kunye ne-implant. Ezi zifakela ziza kwiimpawu ezininzi kunye nobukhulu (amabhonkco, i-screws, izithuba), kunye nezinye zenziwe zetsimbi ngelixa ezinye zichithwa.
Nangona kunjalo, zonke izimpembelelo zihlala zibambe i-graft ngelixa umzimba wakho ubandakanya izicubu ukuze zibe ngu-ACL yakho entsha. Le nqubo ithatha ixesha, kwaye ukwenza umsebenzi omningi, kungekudala kwirejista yakho, kunokukhokelela kumonakalo okanye ukuphinda uqhekeze ulwahlulo.
Enye into ebalulekileyo emva kokuhlinzwa iyaphinda iphinde ibe yinto eqhelekileyo yokusebenza kwemisipha yomphela. Siyazi ukuba ezininzi iinyembezi ze-ACL zibangelwa ukulawula kakubi kwe- neuromuscular of the end ; Lawa amagama asetyenziselwa ukuchaza ukuzinza komzimba. Abanye abagijimi banesimo esihle se-neuromuscular control - umzimba wabo uhlale unesimo esomeleleyo, esigxina, kungakhathaliseki ukuba bahamba njani. Abanye abagijimi banokulawulwa kakubi kwe-neuromuscular, kwaye umzimba wabo ufumana izikhundla ezandisa amathuba okulimala, njengokungcolisa i-ACL. Icandelo lokubuyiswa kwindlela yokuhlinzwa kukulungisa nayiphi na imiba yobuthakathaka be-neuromuscular engabangela ukulimala kokuqala kwe-ACL, kwaye inokuthintela ithuba lokulimala kwangomso.
Izinto eziPheleleyo
Kukho iinkalo ezithile zovavanyo lwe-ACL kunye nomngcipheko wokuphinda uphulaze ukuba awukwazi ukwenza okungakumbi. Ngokomzekelo, abagijimi bamabhinqa banethuba eliphezulu lokuphinda baqhekeze ii-ACL zabo emva kokuhlinzwa ngokutsha. Ukongeza, abadlali abasemncinci basengozini enkulu yokulimala kwakhona. Abasetyhini abangaphantsi kweminyaka eyi-25 baye baboniswa ukuba banethuba elikhethekileyo lokuphinda badilize ii-ACL zabo kunabanye abadlali. Njengoko kubonisiwe, akukho nto ongayenza malunga nobudala kunye nesini, kodwa ugqirha wakho kunye nodokotela kufuneka aqaphele ngakumbi le meko apho intombazana enokuthi ibe yingozi enkulu kakhulu yokulimala kwakhona kwi-ACL yabo, kwaye ilungelelanise i-rehab ngokufanelekileyo. Mhlawumbi inkqubela yabo kufuneka ibe yinkathalo encinane, okanye kufuneka bajonge ngokungakumbi kwi-neuromuscular control kwi-rehab yabo, kodwa ingcamango kukuthatha ulwazi malunga nemingcipheko kwaye ulungise utshintsho olwaziyo ukulawula ukunciphisa ithuba lokuba nzakala kwi-ACL.
Yazi Ingozi Yakho, Yenza ngcono iRehab yakho
Umgca ongundoqo kukuba ukwazi ukuba kukho iinkalo zokubuyiswa kwakho okukubeka kwindawo yokunyuka kwithuba lokulimala kwakhona kwi-ACL yakho entsha. Ukuba unomngcipheko ophezulu wokulimala kwakhona kwe-ACL yakho, hlengisa i-rehab yakho ukuqinisekisa ukuba yonke into ongayenza ijolise ekukhuseleni enye inyembezi ye-ACL. Kukho ezinye izinto ezinokuchaphazela umngcipheko wokulimala kwakhona kwi-ACL efuna uphando olongezelelweyo olubandakanya umdlalo kunye nesimo esikhatywayo , ulwaphulo lomdlali, kunye nomlinganiselo woqhagamshelwano owenzekayo. Oku kunzima ukulinganisa kwaye ngoko kunzima ukufunda, kodwa kunokubaluleka ekuqondeni umngcipheko wokulimala.
> Imithombo:
> "Izinto ezijongene nobungozi be-ACL Re-tears in Athletes" AAOSNow. Septemba 2016.
> Getelman MH, uFriedman MJ. "Ukuhlaziywa kwangaphambili kwintambo yokugungqulwa komgudu wokuvuselela" J Am Acad Orthop Surgery. Ngo-1999 ngoMeyi-Juni; 7 (3): 189-98.
> Werner BC, Gilmore CJ, uHamann JC, uGreykin CM, uCarroll JJ, uHart JM, uMiller MD. "Ukuhlaziywa kwangaphambili kweCigiate Ligament Ukwakhiwa kwakhona: Iziphumo zeendlela eziqhelekileyo Ukusebenzisa i-Allograft Dowel I-Bone Ukulungiswa kweeNkathazo zaBesifazane" J Am Acad Orthop Surgery. 2016 Aug; 24 (8): 581-7.