Ukuxhatshazwa kwamadolo ehlangene yinto engathandekiyo kodwa engavumelekanga yokuhlinzwa kwe-ACL
Enye yeengxaki ezinokuthi zenzeke ngexesha lotyando lwe-ACL usulelo lwe-ACL graft. Ukunyangwa kwonyango lwe-ACL izinyembezi kubandakanya ukubekwa kwegamentala elitsha, kulandelwa inyanga eziliqela zokubuyiswa .
Usulelo emva kokuhlinzwa ngokutsha kwe-ACL yinto engavumelekanga. Izifundo ziqikelela ithuba lokuhlawula isifo sobambiswano, esibizwa ngokuba yingxube ye- septic , emva kokuhlinzwa okwenziwa ngaphaya kwe-1% (0.3% kwisifundo esikhulu).
Ingqungquthela yomhlaba , okanye i-ACL, yenye yezona ezine zigulane zamadolo. I-ACL ibaluleke kakhulu ekuzinzileni kwamadolo, kwaye abantu abalimaza ii-ACL zabo bahlala bekhalaza ngeempawu zamadolo abo banikela phantsi kwabo. Ngoko ke, izigulane ezininzi ezigcina i-ACL izinyembezi zikhethwa ukuba zonyango olwenziwe ngolu hlobo.
Izizathu Zokugula Emva kokunyanga kwe-ACL
Izifo zenzeke xa iibhaktheriya ziyakwazi ukukhula ngaphakathi emzimbeni wakho. Amajoni akho omzimba anokulwa nezifo xa esincinci, kodwa ezinye iintsholongwane zinokuba nzima kakhulu ukuba isistim somzimba sakho sisebenzise ngokufanelekileyo.
Izifo zixhalaba emva kokuhlinzwa kwe-ACL ngezizathu ezibini:
- Amalungu atholakala kusulelo: amaqumrhu ahlala kwiindawo ezithathwa ngumkhuhlane onokuzikhusela okukhuselekileyo. Ngoko ke, xa ukusuleleka kukungena ngaphakathi kwendibano, umzimba unokukhuseleka okuncinci malunga nosulelo. Ugqirha kuyimfuneko ukucoca umdibaniselwano unyango losulelo.
- I-ACL grafts ayinaso ukunikezelwa kwegazi: Ukusetyenziswa kwe- ACL yokutyunjwa kwegazi kuphazamisekile; Oku kuyinyaniso kubo bobabini abavuniweyo abavuniwe emzimbeni wakho okanye ama-graft anikezwe kwi-cadaver. Igraft ayinayo igazi, kwaye ngaloo ndlela ama-antibiotics ayinayo indlela yokufikelela kwiisiski ze-graft.
Ukunikezelwa kwegazi kubaluleke kakhulu ukulwa nokusuleleka ngenxa yokuba igazi legazi lithwala izikhuselo zomzimba kunye neyeza-antibiotics.
Le ngxaki ngentsholongwane kwizifo okanye izifo zengqungquthela. Emva kokuhlinzwa kwe-ACL, ukusuleleka kukho ukukwazi ukuphumelela ngenxa yokuba unamavilo omzimba omzimba kunye kunye nokunikezelwa kwegazi kwi-ACL graft.
Unyango lwezonyango Emva kokuhlinzwa kwe-ACL
Izifo ezihlangeneyo emva kokuhlinzwa kwe-ACL ziphathwa ngokuhlinzwa kunye neyeza. Unyango oluphandwayo luyimfuneko ukucoca idibeneyo ye-bhakteria, kunye neyeza-antibiotics zenzelwe ukukhusela ukuphindaphinda kokusuleleka.
Xa usulelo lufunyenwe ekuqaleni kokuqala kwalo, inkqubo yokucoca ukucocelela umdibaniselwano inokwanela unyango. Nangona kunjalo, xa usuleleko lukhona ixesha elide, yonke i-ACL graft ingadinga ukususwa ukuze ihlambulule intsholongwane.
Xa le nyathelo elinobudlova liyimfuneko, ulwahlulo lwe-ACL lususwe, usulelo lupheliswa, kwaye emva kweenyanga ezimbalwa, uphando olutsha lwe-ACL lwenziwa. Ukugqiba xa i-graft ingagcinwa kuxhomekeke ekubonakala kwe-ACL graft ngexesha lotyando, kunye nokuphendula kwonyango. Ukuba utyando oluninzi lwenziwa ngaphandle kokuphuculwa kwintsholongwane, i-graft izakufuneka isuswe.
Ngaba Unokuziphepha ukukhuselwa kwe-ACL?
Ewe kunye no. Siyazi ukuba kukho amanyathelo angathathwa ukuze anciphise umngcipheko wokusuleleka, kodwa asifumananga indlela yokubeka umngcipheko we-HIV%.
Izinyathelo ezinokuthi zithathwe ziquka ukuqinisekisa inkqubo enyumbayo kwigumbi lokusebenzela esibhedlele, ukunika i-antibiotiki ngexesha lokuhlinzwa, kunye nokunyanzeliswa okufanelekileyo kwendoda echaphazelekayo. Buza ugqirha wakho malunga namanyathelo onokuthatha ukuze uqinisekise ukuba unethuba eliphantsi lokuhlawula isifo.
Imithombo:
Burks RT, et al. "Unyango lwezithuba ezingaphantsi kweeNkqubo zangasemva zokuThatywa kweLigament Infections kunye nokuSuswa kweGraft kunye nokuQala kabusha kwakhona" Am. J. Sports Med., Meyi 2003; 31: 414 - 418.
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.
Williams RJ, et al. "I-Septic Arthritis Emva kwe-Arthroscopic yangaphambili I-Ligament I-Ligament Ukwakhiwa kwakhona: Ukuxilongwa noLawulo". J. Sports Med., NgoMatshi 1997; 25: 261 - 267.