Ko te pokanga whakahou ACL i Indore he tikanga pokanga motuhake e whakakapi ana i tō ACL pakaru (anterior cruciate ligament) mā te whakamahi i ngā tikanga iti rawa te whakaekenga hei āwhina i te whakau i tō turi. He maha ngā wā ka tūtohutia tēnei ki ngā tūroro he nui ngā raruraru o te turi kāore i te pumau, ki ngā tāngata kaha, ki ngā kaitākaro hākinakina, ki te hunga rānei e pāngia ana e ngā whara meniscal me ngā pakaru o te ligament. He pokanga 1-2 hāora te roa, ā, he maha ngā tūroro ka taea te hoki ki te kāinga i taua rā anō, i muri tata mai rānei i te whakaurunga ki te hōhipera. I te nuinga o te wā, e 6-12 marama te roa o te whakaoranga mā te whakaora āta haere. Ka tutuki te pumau me te mahi a te turi i te nuinga o ngā tūroro, ahakoa ka whakawhirinaki ngā mahi hākinakina ki ētahi atu āhuatanga maha.
He aha te pokanga hanga anō o te ACL?
Ko te pokanga whakahou ACL te tukanga e whakakapia ai te ACL kua pakaru ki tētahi tākai hei āwhina i te hononga kia pumau ai te hononga turi. He rerekē te pokanga whakahou ACL i te pokanga whakatika ACL noa nā te mea ko te hanga i tētahi hononga hou mā te tākai uaua kaua ki te whakatika.
Ko te Arthroscopy te tikanga motuhake e whakamahia ana i roto i tēnei pokanga, arā, ko te whakauru i tētahi kāmera me ngā taputapu pokanga motuhake ki roto i te tinana mā roto i ngā tapahi iti i te kiri. Ko tēnei tikanga arthroscopy me te hanga anō i ngā hononga tetahi o ā mātou ratonga orthopedic o te ao hou i ngā Hōhipera Apollo, Indore.
Te Mārama ki te ACL me te Anatomy Turi
Kei roto i te hononga turi ngā hanganga pēnei i te femur, te tibia, te patella, me ngā ligaments. Ka haere te ACL mā roto i te hononga turi, ā, ka whakahaere i ngā nekehanga o te wheua huha me te wheua papatahi.
Mā te whara o te ACL ka kore e tau te turi i ngā mahi pēnei i te hurihanga, te taunga, me te tapahi.
Ngā Take o te Whara ACL
Tērā pea ka puta te whara o te ACL i ngā nekehanga tere, i ngā whiunga rānei ki te turi, ka nui rawa te pēhanga ki te hononga. Ko ngā take ko:
Te whara i te wā e takaro ana i ngā hākinakina pēnei i te whutupaoro, te poitūkohu, me te whutupaoro
Te nekehanga tere o te takahuri
Te taunga pōuri i muri i te peke
Nga aitua mo te waka
Falls
Te whara ki te turi
Ngā Tohu o te Roimata ACL
He maha ngā tohu ka puta ake i runga i te kaha o te whara. Ko ētahi o ēnei ko:
Te mamae i te hononga o te turi
Te pupuhi ohorere o te turi
Te mamae o te turi i te wā o te whara
Te kore pumau o te turi , te ahua rānei ka ngaro pea te turi
Te kore e taea te neke i te hononga turi
He uaua ki te hikoi, ki te whakatakoto rānei i tetahi taumaha ki runga i te waewae e pāngia ana
Āhea te wā e taunakitia ai te hanga anō i te ACL?
Tērā pea ka tūtohuhia te pokanga mō te hanga anō i te hononga ACL mēnā:
He pakaru katoa o te ACL me te kore pumau tonu
He uaua ki te hoki ki ngā mahi noa ahakoa te whakaoranga
He nui ake te whai wāhi atu ki ngā hākinakina e uru ana ki te tapahi me te hurihanga
Te whara o te ACL me te haehae meniscal
Ngā whara maha o te hononga
Kāore ētahi tāngata e hiahia ki tētahi pokanga hei rongoā i te pakaru o te ACL, inā koa ko te hunga he iti te mahi. Me whakatau tēnei i muri i te kōrero ki tētahi taote pokanga wheua.
Ka taea te rongoā i te roimata ACL me te kore he pokanga?
He pono, i ētahi wā o ngā pakaru o te ACL , kāore he take mō te pokanga i runga i te momo me te nui o te whara, te pumau o te turi, ngā mahi a te tūroro, me ngā whāinga o te maimoatanga. Ko te whakahaere matawhānui ka uru pea ki te whakaora tinana, te whakapakari i ngā uaua o te hononga turi, te whakamahi i ngā tautoko turi , me te whakarerekē i ngā mahi hei karo i te mamae me te kore pumau o te turi.
Mēnā he ngoikore te turi, he pakaru katoa te ACL o te kaitākaro, kāore e taea te whai wāhi atu ki ngā mahi, me te kitea rānei ētahi atu whara pēnei i te whara meniscal, te whara ligament rānei, me ētahi atu, me mahi pokanga.
Te Tātaritanga o te Whara ACL
Mā te hītori me te whakamātautau tinana ka mahia te tātaritanga tuatahi. Tērā pea ka whakahaerehia e te taote pokanga he whakamātautau hei aromatawai i te pumau o te hononga turi me te whakatau i te pupuhi me te whānuitanga o te nekehanga.
Ka āwhina ngā hihi-X ki te tautuhi i ngā whati, i ngā momo wheua rānei, engari mā te matawai MRI o te hononga turi e whakarato ngā mōhiohio e pā ana ki te ACL me ētahi atu whara meniscal/cartilaginous/ligamentous.
Ngā momo o ngā tākai ACL
Kohanga | pūtake | Te whakaaro matua |
Hokoauaunoa | Te uaua o te tūroro ake | He mea e pai ana mō te nuinga o ngā tūroro taitamariki me ngā tūroro hohe |
Te hononga o te hamstring ACL | Te uaua o te hāma | Kāore pea e nui ake te mamae o te turi i te tākai uaua patellar |
Te honohono o te uaua patellar | Wheua-uaua patellar-wheua | He kōwhiringa kaha kua whakamanahia te whakamahinga haumanu |
Allograft | kiko kaituku | Tērā pea ka whakaarohia i roto i ētahi tūroro; ko te kōwhiringa o te tāmi ka whakawhirinaki ki ngā āhuatanga takitahi |
Tērā pea he iti ake te tūponotanga o te korenga o te tātaitanga-ā-roto ki te tātaitanga-ā-roto mō ngā tūroro taitamariki me ngā tūroro hohe. Ko te momo tātaitanga pai rawa atu ka whakawhirinaki ki te tau, te taumata mahi, me ngā whakaaro hanganga tinana.
Te Whakarite mō te Pokanga Whakahou ACL
I mua i te pokanga mō te haehae o te ACL , ka tirotirohia e te tīma orthopedic te hononga turi me te hauora whānui. Tērā pea ka uru atu ki tēnei whakaritenga i mua i te pokanga te whakaahua, ngā whakamātautau toto, me ētahi atu whakamātautau rānei e hiahiatia ana. Me whakarato e te tūroro te rārangi katoa o ngā rongoā ka tangohia e ia i mua i te pokanga.
Tērā pea ka tohua he maimoatanga whakapakari tinana, he whakaora tinana rānei hei whakaiti i te mumura me te whakahoki mai i te ngāwari me te kaha o ngā hononga turi.
Te Mahi a te Pokanga Whakahou ACL
I mua i te pokanga
Ka aromatawaihia te tūroro i mua i te pokanga, ā, ka whiwhi i te momo whakamoe kua whakaritea. Ka taea te whakamahi i te whakamoe whānui, te whakamoe tuaiwi rānei, i runga i te āhua o te mate.
I te wa o te pokanga
I te wā o te pokanga whakahou ACL arthroscopic , ka tirotirohia te turi e te taote pokanga mā te whakamahi i te arthroscope. Kātahi ka tirohia te ACL kua whara, ā, ka whakanohoia te tārai kua tīpakohia ki te tūranga tika hei whakakapi. Ka mahia tēnei me te whakapiri tārai ki te femur me te tibia.
I muri i nga Raru
Mā te rongoā ka taea te whakahaere i te mamae me te pupuhi. He mea nui te nekenekehanga wawe me te kaupapa whakaora hei whakaora i ngā mahi a te turi.
Nga painga o te ACL Reconstruction Surgery
Mā te pokanga angitu o te hononga turi ka āwhina i:
Te whakatutuki i te pumau o te turi
Te whakanui ake i te mahi a te turi
Te āwhina i ngā tūroro ki te tīmata anō i ā rātou mahi me ngā hākinakina o ia rā
Te whakahaere i ngā whara e haere tahi ana me te meniscus me ngā hononga
Te whakaiti i ngā āhuatanga o te kore pumau tonu
Ahakoa rā, kāore e taea e te pokanga te tiaki i te mate rumatiki , i te whara anō rānei a muri ake nei.
Ngā Tūponotanga o te Whakaroa i te Pokanga ACL
Ko te kore pumau tonu i muri i te whara ACL ka piki ake te mōrearea o te kino o te kiriuhi meniscal, o te hononga rānei, ina koa mēnā ka haere tonu te piko o te turi. Heoi, kaua te pokanga e whakaroa, e mahi rānei i runga i te tātaritanga anake; me whakarite te maimoatanga kia rite ki ngā tohu, te mahi me ngā whara e pā ana.
Nga Morea me nga Poauauautanga pea
Pērā i ngā tikanga pokanga kē atu, he tūponotanga pea kei roto i te pokanga hanga anō i te ACL, tae atu ki te mate pāwera, te totohu, te totohu, te pakari, te mamae tonu, te korenga o te hononga me te kore pumau tonu. He onge ngā raruraru, engari he rerekē te tūponotanga o ia tangata i runga i te hauora, te kaha o te whara me ngā āhuatanga pokanga.
Te Whakaora i Muri i te Whakahoutanga ACL
wāhanga | Arotahi noa |
Wiki Tuatahi | Te whakahaere i te mamae me te pupuhi, te nekehanga ngawari me te nekeneke haumaru |
Wiki 2–6 | Whakahokia te whānuitanga o te nekehanga me te tīmata i te whakapakari haere tonu |
Wiki 6–12 | Whakapai ake i te kaha, te taurite me te whakahaere nekehanga |
Marama 3–6 | Te whakapakari haere, te oma me te whakangungu mahi ina tika |
Marama 6–9+ | Te whakangungu motuhake mō te hākinakina me te aromatawai hoki-ki-te-hākinakina |
He rerekē te roanga o te wā whakaora i te ACL. I te nuinga o te wā, ka roa pea te wā e maha ngā marama e ora katoa ai, ā, ka taea e te tūroro te hoki ki ngā mahi tinana uaua i muri i te whiwhinga o te hononga turi i te kaha, te pumau, te whānuitanga o te nekehanga, me te mana whakahaere io-uaua.
Physiotherapy me te Whakaoranga
He mea nui te whakaora i te ACL i roto i te rongoā i te whara ACL. Mā te whakaora tinana ka taea e te tūroro te whakahoki mai i te nekenekehanga me te kaha o tōna hononga turi, te taurite, me te mahi tahi. Me mahi i ia taahiraa, i ia taahiraa te tukanga whakaora.
Ngā Tohutohu Āhua Noho i Muri i te Pokanga ACL
Me piri tonu te tūroro ki ngā tikanga whakaora kua whakaratohia, me ngana ki te pupuri i te taumaha tinana pai, ki te kai i te kai taurite, me te karo i ngā mahi taumaha i te wā wawe rawa. Mā te hokinga wawe ki te hākinakina ka nui ake te tūponotanga o te whara anō.
Ngā Tohu e Hiahia Ana Koe ki te Aro Hauora Tonu
Me rapu tonu i te rongoā mēnā ka pāngia koe e te mamae nui, te kirika, te whero haere o te patunga, te maringi rānei o te wai, te pupuhi, te toto tonu, te mamae me te pupuhi o te kuao kau, te uaua ki te manawa, te kino haere rānei o te koretake o te turi.
Ngā Kōrero Pakiwaitara me ngā Mea Pono mō te Pokanga ACL
Talatupu'a | Fact |
Ka ora tonu ngā pakaru o te ACL me te kore he pokanga. | Ka taea e ētahi tūroro te ora tonu me te kore pokanga, engari ko ētahi me hanga anō. |
Ka mahia te pokanga ACL ki ngā kaitākaro anake. | He pai pea te pokanga mō ngā tūroro ehara i te hunga hākinakina e mau tonu ana te kore pumau o te tinana. |
He wiki noa te roa o te whakaoranga. | E hia marama te roa o te whakaoranga. |
He kōwhiringa te whakaora tinana. | He mea whakahau te whakaora tinana. |
Kāore e taea e koe te tākaro anō i tētahi hākinakina. | Ka tīmata anō ētahi tūroro ki te tākaro hākinakina me te whakamahi i te whakaora tinana e tika ana. |
Ngā Pātai hei Pātai atu ki tō Taote Taote Tulang
I mua i tō pokanga, ka hiahia pea koe ki te pātai:
Me pokanga ahau mō taku mate?
Ko tēhea te pūwero tino tika mōku?
Kia pēhea te roa o te wā e ora ai ahau?
Āhea ahau ka taea ai te hoki ki te mahi me te whakakorikori tinana?
Me whai whakaora anō ahau?
He aha ngā tūponotanga ka pā mai ki ahau mō te whanaketanga o ētahi raruraru, te whara anō rānei?
Ngā Huanga mō te Wā Roa me te Hokinga ki ngā Hākinakina
Ko te hokinga atu ki ngā hākinakina e whakawhirinaki ana ki te kaha, te kounga o te nekehanga, te rite hinengaro, ngā hiahia motuhake mō te hākinakina me ngā whakamātautau haumanu. Me aro tonu ngā tūroro ki te akoranga whakaora kua tohua kia tere ai te ora, kia kore ai hoki e whara anō.
He aha i whiriwhiri ai koe i ngā Hōhipera Apollo Indore mō te hanga anō i te ACL?
Kei roto i ngā Hōhipera Apollo Indore ngā momo whara wheua, hononga, uaua, me te hononga me ā rātou maimoatanga. Ina koa, ka rongoatia e ngā Hōhipera Apollo ngā whara hākinakina, tae atu ki ngā whara hononga, tae atu ki te arthroscopy me te hanga anō i te ACL, PCL me te MCL . I ngā Hōhipera Apollo, ka taea hoki e ngā tūroro te whai whakaahua, te pokanga, te whakaora tinana me te whakaora.
Kei roto i te Tari Orthopedic ngā tohunga e mōhio ana ki te hanga anō i ngā hononga me te maimoatanga arthroscopic o ngā turi me ngā pakihiwi, e whakarato ana i te maimoatanga i runga i ngā hiahia o te tūroro. Ka taea e ngā tūroro e rapu ana i tētahi hōhipera pokanga ACL i Indore te rapu kōrero mai i ngā tohunga orthopaedic hei aromatawai i tō rātou āhua me ngā kōwhiringa maimoatanga e wātea ana.
Āhea koe me toro atu ai ki tētahi taote pokanga wheua?
Rapua te whakaaro o tētahi taote pokanga wheua ina whara tō turi, mēnā he raruraru pēnei i te pupuhi, te mamae, te mau, te kore pumau rānei, te 'tuku' tonu, me te uaua ki te hikoi. Tērā pea ka āwhina tēnei ki te whakatau mēnā kei te pakaru te ACL.
Pātai Auau
Ā Mātou Tohunga.
Tō Rōpū Manaaki.
Whakakape:
Ko ngā mōhiohio kei runga i tēnei whārangi he mea whakarite mō ngā kaupapa mōhiohio whānui me ngā kaupapa mātauranga anake. Ahakoa e whakapau kaha ana mātou ki te whakarite kia tika, kia pono, kia arotakehia hoki ngā mōhiohio i ia wā, kaua e kiia he whakakapi mō ngā tohutohu hauora ngaio, te tātaritanga, te maimoatanga rānei.
Tērā pea ka rerekē te tika o tētahi tikanga hauora, me ōna painga, mōrearea, whakaritenga, whakaoranga, raruraru pea, me ngā putanga e tumanakohia ana, i ia tangata, i ia tangata. Mā tō tohunga hauora e whakatau mēnā he tika tētahi tikanga i runga i tō āhua ake me tō hītori hauora.
Tena koa kōrero ki tētahi tohunga hauora whai tohu mō ngā tohutohu whaiaro i mua i te whakatau i tētahi tikanga hauora.
Mō ētahi atu kōrero e pā ana ki te waihanga, te arotake, te whakahou, me te tiaki i ā mātou ihirangi hauora, pānuihia tā mātou [Kaupapahere Etita].