I-stroper cruciate ligament (okanye i-ACL) enye yeembondlo eziphambili kwixolo elihlangeneyo. I-ACL ibalulekile ukuvumela ukunyakaza okuqhelekileyo kunye nomatshini wexolo. Xa i-ACL idwenguliwe, abantu bangabona iingxaki ngendlela abadinga ngayo idolo. Iimpawu eziqhelekileyo zengozi yokulimala engaphaya komzimba ziquka:
- Ukuvuvukala kwe-Knee
- Ubuhlungu bujikeleze emadolweni
- Ukubonwa kwe-buckling okanye ukunikezela emadolweni
- Ukungazinzi komzimba
- Unzima ngemisebenzi yezemidlalo
Ukulimala kwe-ACL kungapheleliswa okanye kuyingxenye. Xa kukho iinyembezi ze-ACL, isinqumo esinzima malunga nokuhlinzwa kufuneka senziwe. Ukwakhiwa kwe-ACL kubandakanya ukulungiswa okubalulekileyo kunye nezinye izingozi zokusebenza. Ukwenza isigqibo xa ukulungiswa kwe-ACL kuyimfuneko kunokuba yingxaki enzima, ingakumbi xa i-ACL ihluthiwe. Ngoko sinokugqiba njani ukuba sinokuphinda sakha kwakhona i-ACL eneqhekeza?
Iinyembezi zeC ACL
I-intricate cruciate ligament ingomnye wezinto ezine eziphambili zegama, kwaye idibanisa ithambo lethanga kwisifuba shin, i-femur ukuya kwi-tibia. Igcina i-tibia isuka kwi-slide phambili kwaye isebenza eminye imisebenzi ukuze igcine ukuzinza kwegama ngexesha lokujikeleza. Xa i-ligament yalimala, ibizwa ngokuba yi-sprain. Ngokuqhelekileyo ihlonywe okanye idwengulwe ngexesha lokufika okanye ukutshintsha ngokukhawuleza kwindlela ehamba ngayo, okanye ukuwa.
I-ACL i-sprains ihlonyelwe ngokusekelwe kwinqanaba le-ligament. Umgca weBanga lo-1 ulwahlulo oluncinane kwi-ligament kwaye idolo lakho lisezinzile. I-Bakala 2 yinkqutyana ye-ACL, kunye ne-ligament isolwe kakhulu kangangokuthi ikhululekile kwaye ibonakele. Ezi zinqabile. Okwangoku, kwi-Grade 3, i-ACL iqhutywe ngokupheleleyo, kunye nexolo elihlangeneyo lingaqinisekiyo kwaye uphethwe ngokungathinteki ukuba kulungiswe.
Utyando lwee-ACL zezinyembezi
Unyango lwezinyembezi ze- ACL kuxhomekeke kakhulu kwizinga lokungazinzi kwamadolo kubangelwa yingozi. Ngoko ke, akukho cutoff ebalulekileyo malunga ne-ACL eninzi. Ndivile abanye abantu bathi baxelelwe ukuba ngaphezulu kwe-50% yegigament ichithwe, ngoko utyando luya kufuneka. Le nto ingaba yindlela efanelekileyo yokucinga ngezinto, kodwa akukho cutoff eboniswe ukuba ibalulekile kwiinkqubo zesigqibo. Kunoko, abaninzi abagqirha basekela isigqibo malunga nokuba ubunzima bokungabikho kokulimala kubangele. Ukuba idolo lingaqinisekanga, ngoko utyando luyacetyiswa. Ukuba idolo lizinzile, ngoko ke unyango olungagqirha lunokuqwalaselwa.
Esi sigqibo sisoloko sisekelwe kubambiswano lweempawu kunye nokufundwa kweemviwo. Ukuba uvakalelwa ukungazinzi kwamadolo kwaye uneziqabana zokuziva indlela yokuguqa ngamadolo, leyo ingaba yinto ebalulekileyo. Ugqirha uya kuqwalasela iimvavanyo ezenziwe kwimeko yokuhlola, okuqhelekileyo kubandakanye ukuhlolwa kweLachman kunye nokuhlolwa kwe- pivot-shift. Ukuba ezi zihambelanayo ne-laxity ye-ACL, kwakhona ukulungiswa kuyindlela efanelekileyo.
Ngelishwa, iinyembezi ezingaphelelanga ze-ACL zinzima ukuvavanya. Xa ukhangela i-ACL eyingozi ngexesha le- arthroscopy , ugqirha wakho unokuvavanya ukubonakala kunye nokuziva kwegamento yokwenza isigwebo malunga nokulimala.
Nangona kunjalo, le meko nendlela yokuziva ngayo yokuvavanya i-ACL yinto ephantsi kakhulu. Akuyena wonke umntu oya kuvuma kwizinto ezibukeka kakuhle kwaye ezibukeka zibi. Indlela efanelekileyo yokuvavanya ukulimala kwe-ACL inxalenye isekelwe kwimpawu ezikhankanywe ngasentla kunye nokufunyaniswa kweemviwo.
Ukuba ukhetho olungaphelelanga lukhethwa, uya kunikwa i-brace kunye neentonga zokukhusela idolo. Ulwaphulo olusisigxina lokuvuselelwa luya kuqalwa xa ukuvuvukala kuphucula. Injongo yonyango olungenalo unyango luya kubakho ukuqina kwamangxube ejikeleze umdibaniselwano kunye nokuzama ukulungisa ukuzinza kokubambisana kunye nokuxilongwa kwemisipha kunye nokuqeqeshwa kwe-neuromuscular.
Umdlalo wezemidlalo ungasenzela izigulana ezifuna ukubuyela kumsebenzi wezemidlalo.
Xa unyango olukhethiweyo lukhethiweyo, ngokuqhelekileyo i-ACL iya kuphinda ivuselelwe ngokusebenzisa izicubu ezifunyenwe ukusuka kwenye indawo emzimbeni okanye kumniki-mali. I-ligament entsha iya kudalwa ukuze ithathe indawo yesigidi esonakalisiweyo. Imizamo yokulungisa i-ligament eyonakalisiwe ayibonanga ukuba iziphumo ezilungileyo, nangona kukho ezinye iinkqubo ezintsha, zokuhlola, ezijoliswe ekuphulukisweni kokulimala kwe-ACL.
ILizwi
Unyango oluqhelekileyo unyango olwenziwe kakubi lwangaphakathi lugxininisa kumntu omncinci, onomdla ngokuphinda aphethwe ngokugqitywa kwe-ligament. Isigqibo sokuqhubeka nokuhlinzwa sisona senziwa ngokugqiba ukungazinzi kwamadolo. Ukuzama ukucacisa ukuba zininzi iindlela ze-ACL ezihambelanayo zinzima, kanti abantu abanokungazinzi okukhulu kunokwenzeka ukuba bangakwazi ukubuyela kwimidlalo yemidlalo. Ukuba inqabileyo ye-ACL ikhunjulwa, ugqirha wezinthambo unokukunceda ukuvavanya umlinganiselo wokungazinzi kwaye nokuba okanye ukulungiswa kwe-ACL kungenakho unyango olululo.
Umthombo:
Ukulimala kweLigament (ACL) Kwimimangaliso, i-American Orthopedic Society yeMicrosoft Medicine, Matshi, 2014.
> Carey JL, Shea KG. "I-AAOS Clinical Practice Guideline: Ulawulo lwe-Anterior Cruciate Ligament Injuries: Isikhokelo esisekelwe kwiNgcebiso" J Am Acad Orthop Surg. 2015 NgoMeyi; 23 (5): e6-8.