Kuvhiya kweACL muIndore inzira yekuvhiya yakasarudzika inotsiva ACL yako yakabvaruka (anterior cruciate ligament) uchishandisa nzira dzisinganyanyi kukuvadza ibvi rako. Inowanzo kurudzirwa kuvarwere vane matambudziko makuru ekusagadzikana kwemabvi, vanhu vanoshanda nesimba, vatambi, kana avo vanotambura nekukuvara kwevarume pamwe chete nekubvaruka kwemasumbu. Kazhinji kuvhiya uku kunotora awa imwe kusvika mbiri, uye varwere vazhinji vanogona kuenda kumba zuva rimwe chete kana nguva pfupi mushure mekupinda muchipatara. Kazhinji, kupora kunotora mwedzi 6-12 kuburikidza nekuvandudzwa zvishoma nezvishoma. Kugadzikana kwemabvi uye kushanda zvakanaka kunowanikwa muvarwere vazhinji, kunyangwe mitambo ichienderana nezvimwe zvinhu zvakawanda.
Chii chinonzi kuvhiyiwa kwekugadzirisa ACL?
Kuvhiya kwekugadzirisa ACL inzira iyo ACL yakakuvara inotsiviwa ne graft yekubatsira ligament kugadzirisa ibvi. Kuvhiya kwekugadzirisa ACL kwakasiyana nekuvhiya kuri nyore kwekugadzirisa ACL nekuti kunosanganisira kugadzira ligament itsva kuburikidza ne graft ye tendon pane kuigadzirisa.
Arthroscopy ndiyo nzira chaiyo inoshandiswa mukuvhiyiwa uku, iyo inosanganisira kuisa kamera nezvimwe zvinoshandiswa pakuvhiya mumuviri kuburikidza nekucheka ganda diki. Iyi nzira ye arthroscopy ine kuvakazve ligament ndeimwe yemabasa edu matsva ekurapa maopaedhi paApollo Hospitals, Indore.
Kunzwisisa ACL neKnee Anatomy
Mabvi ane zvivako zvakaita se femur, tibia, patella, uye ligaments. ACL inopfuura nepamabvi uye inodzora mafambiro emapfupa ehudyu nemapfupa emumakumbo.
Chero kukuvara kupi zvako kunounzwa neACL kunogona kukonzera kusagadzikana kwemabvi panguva yemabasa akadai sekutenderera, kumhara, uye kucheka.
Zvinokonzera Kukuvara kweACL
Kukuvara kweACL kunogona kukonzerwa nekufamba nekukurumidza kana kurohwa nebvi, zvichikonzera kumanikidzwa kwakanyanya pajoini. Zvikonzero zvinosanganisira:
Kukuvara panguva yekutamba mitambo yakaita senhabvu, basketball, uye nhabvu
Kufamba nekukurumidza kunomonereka
Kumhara zvisina kunaka mushure mekusvetuka
Tsaona dzemotokari
kana
Kukuvara kwebvi
Zviratidzo zveACL Tear
Kune zviratidzo zvakasiyana-siyana zvinogona kuzviratidza zvichibva pakuoma kwekukuvara kwacho. Izvi zvinosanganisira zvinotevera:
Marwadzo mumabvi akabatanidzwa
Kuzvimba kamwe kamwe kwebvi
Kunzwa kuputika kwebvi panguva yekukuvara
Kusagadzikana kwebvi kana kunzwa kuti ibvi rinogona kubuda
Kusakwanisa kufambisa mabvi
Kuoma kufamba kana kuisa chero huremu pagumbo rakakanganiswa
Kugadziriswazve kweACL Kunokurudzirwa Rini?
Kuvhiyiwa kwekugadzirisa ligament yeACL kunogona kukurudzirwa kana paine:
Kutsemuka kweACL zvachose uye kusagadzikana kunoramba kuripo
Kuomerwa nekudzokera kumabasa enguva dzose kunyangwe kuvandudzwa kwemuviri
Kutora chikamu chakanyanya mumitambo inosanganisira kucheka nekutenderera
Kukuvara kweACL pamwe chete nekubvaruka kwemeniscal
Kukuvara kwemagumbo akawanda
Vamwe vanhu havadi kuvhiyiwa kuti varape ACL yavo yakabvaruka, kunyanya avo vasina simba rakawanda rekushanda. Izvi zvinoda kusarudzwa mushure mekubvunza chiremba wemapfupa.
Ko bvudzi reACL rinogona kurapwa pasina kuvhiyiwa here?
Zvechokwadi, mune dzimwe nguva dzeACL drinks , hapana chikonzero chekuvhiyiwa zvichienderana nerudzi uye mwero wekukuvara, kugadzikana kwebvi, mabasa emurwere, uye zvinangwa zvekurapa. Kurapa kwakachengeteka kunogona kusanganisira physiotherapy, kusimbisa maekisesaizi emhasuru dziri mupfundo rebvi, kushandisa mabraces emabvi , uye kugadzirisa mabasa ekudzivirira kurwadziwa uye kusagadzikana kwebvi.
Kana paine kusagadzikana kwemabvi, kubvaruka kweACL mumutambi, kutadza kutora chikamu muzviitiko zvake, uye kuvapo kwekukuvara kwakadai sekukuvara kwemeniscal kana ligament nezvimwewo, kuvhiyiwa kuchadiwa.
Kuongororwa kwekukuvara kweACL
Kuongorora chirwere pakutanga kunoitwa uchishandisa nhoroondo yechirwere uye kuongororwa kwemuviri. Chiremba anogona kuita bvunzo kuti aone kugadzikana kwemapfupa ebvi uye kuona kuzvimba uye mafambiro azvo.
X-rays inogona kubatsira kuona kutyoka kwemapfupa kana kusagadzikana kwemapfupa, nepo MRI scan yegumbo ichizopa ruzivo nezve ACL nedzimwe kukuvara kwemeniscal/cartilaginous/ligamentous.
Mhando dzeACL Grafts
Batanidza | mabviro | Kufunga kwakakosha |
Autograft | Mutsipa wemurwere pachake | Inowanzo shandiswa nevarwere vakawanda vechidiki uye vanoshanda |
Kuisa Hamstring ACL | Mutsinga weHamstring | Zvinogona kukonzera kusagadzikana kwemabvi zvishoma pane patellar tendon graft |
Kuisa patellar tendon graft | Mapfupa-patellar tendon-pfupa | Sarudzo yakasimba nekushandiswa kwagara kuripo kwekiriniki |
Allograft | Tishu yemupi | Inogona kufungwa nezvayo muvarwere vakasarudzwa; sarudzo yekuisa chisimbiso inoenderana nezvinhu zvemunhu mumwe nemumwe |
Panogona kunge paine mukana mudiki wekuti autograft isashande kana tichienzanisa neallograft muvarwere vadiki uye vari kushanda. Rudzi rwakanakisa rwegraft runoenderana nezera, huwandu hwebasa, uye mamiriro emuviri.
Kugadzirira Kuvhiyiwa kweACL Reconstruction
Vasati vavhiyiwa misodzi yeACL , timu yemapfupa inoita ongororo yemuviri yejoini rebvi uye kugwinya kwaro. Kugadzirira uku kungave nekutora mifananidzo, kuongororwa ropa, kana mimwe miedzo sezvinodiwa. Murwere anofanira kupa runyoro rwakakwana rwemishonga yaanotora asati avhiyiwa.
Kugadzirira kana physiotherapy zvinogona kunyorerwa kuderedza kuzvimba uye kuwana simba uye kusimba kwemapfupa emabvi.
Kuvhiyiwa kweACL Reconstruction Kunoitwa Sei?
Before Surgery
Murwere anoongororwa asati avhiyiwa uye anopihwa rudzi rweanesthesia rwakarongwa. Anesthesia yemusana kana yemusana inogona kushandiswa zvichienderana nemamiriro ezvinhu emunhu mumwe nemumwe.
Panguva Yokuvhiya
Panguva yekuvhiyiwa kweACL reconstruction ne arthroscopic , chiremba anoongorora ibvi achishandisa arthroscope. ACL yakakuvara inobva yagadziriswa, uye graft yakasarudzwa inoiswa panzvimbo yakakodzera kuti itsiviwe. Izvi zvinoitwa pamwe chete ne graft fixation pa femur ne tibia.
Mushure mekuvhiya
Marwadzo nekuzvimba zvinodzorwa nemishonga. Kufamba-famba nekukurumidza uye chirongwa chekurapwa zvakakosha pakugadzirisa mashandiro ebvi.
Zvakanakira ACL Reconstruction Surgery
Kuvhiyiwa kwemarunda emabvi kunobudirira kunobatsira mu:
Kuwana kugadzikana kwebvi
Kuwedzera kushanda kwebvi
Kubatsira varwere kuti vatangezve mabasa avo ezuva nezuva nemitambo
Kurapa kukuvara kunoenderana nemeniscus kana ligaments
Kuderedza zviitiko zvekusagadzikana kunoramba kuchiitika
Kunyange zvakadaro, kuvhiyiwa hakugone kudzivirira arthritis kana kukuvara zvakare mune ramangwana.
Njodzi Dzekunonoka Kuvhiyiwa kweACL
Kuramba kusina kugadzikana mushure mekukuvara kweACL kunogona kuwedzera njodzi yekukuvara kwetsinga dzemusana kana dzemusana, kunyanya kana ibvi rikaramba richidonha. Zvisinei, kuvhiyiwa hakufanirwe kunonotswa kana kuitwa zvichibva pakuongororwa kwechirwere chete; kurapwa kunofanirwa kuitwa zvichienderana nezviratidzo, mashandiro uye kukuvara kwakabatana nako.
Njodzi uye Zvinetso Zvinogoneka
Kufanana nedzimwe nzira dzekuvhiya, kuvhiyiwa kweACL reconstruction kune njodzi dzinogona kuitika, dzinosanganisira hutachiona, kuvhara ropa, kubuda ropa, kuomarara, kurwadziwa kunogara kuripo, kutadza kushanda kwe graft uye kusagadzikana kunowanzoitika. Matambudziko haawanzoitika, asi njodzi yemunhu mumwe nemumwe inosiyana zvichienderana nehutano, kuomarara kwekukuvara uye zvinhu zvinokonzeresa kuvhiyiwa.
Kupora Mushure mekuvakwazve kweACL
Stage | Kutarisa kwakajairika |
Vhiki yekutanga | Kudzora marwadzo nekuzvimba, kufamba zvinyoro nyoro uye kufamba kwakachengeteka |
Vhiki 2-6 | Dzorera mafambiro ekufamba uye tanga kusimbisa zvishoma nezvishoma |
Vhiki 6-12 | Kuvandudza simba, kuenzana uye kudzora kufamba |
Mwedzi 3–6 | Kusimbiswa, kumhanya uye kudzidziswa kushanda zvakanaka kana zvakakodzera |
Mwedzi 6–9+ | Kudzidziswa kwemitambo uye kuongororwa kwekudzoka kumitambo |
Nguva yekupora kweACL inosiyana zvakanyanya. Kazhinji, kupora kwakazara kunogona kutora mwedzi yakati wandei, uye murwere anogona kudzokera kumabasa emuviri akaoma mushure mekunge ibvi rake rawana simba rakakwana, kugadzikana, kufamba kwakaringana, uye kudzora tsandanyama dzetsinga.
Physiotherapy uye Rehabilitation
Kurapwa kweACL kunoita basa guru mukurapa kukuvara kweACL. Kurapa muviri kunobatsira murwere kuti awane simba rekufamba uye simba remabvi ake, kuenzana, uye kubatana. Maitiro ekurapwa kweACL anofanira kuitwa nhanho nhanho.
Mazano Emararamiro Mushure mekuvhiyiwa kweACL
Murwere anokurudzirwa kunyatsotevedzera nzira yekurapa yakapihwa, kuedza kuchengetedza huremu hwemuviri hwakakwana, kudya chikafu chakakwana, uye kudzivirira mitambo ine simba nekukurumidza. Kudzokera kumitambo nguva isati yakwana kunowedzera mukana wekukuvara zvakare.
Zviratidzo Zvaunoda Kutarisirwa Nechiremba Nekukurumidza
Tsvaga rubatsiro nekukasika kana uine kurwadziwa kwakanyanya, fivha, kutsvuka kweronda kana kubuda kwemvura mumuviri kuri kuwedzera, kuzvimba, kubuda ropa kunoramba kuchienderera mberi, kurwadziwa kwemuzongoza nekuzvimba, kunetseka kufema, kana kusagadzikana kwemabvi kuri kuwedzera.
Ngano vs Chokwadi Pamusoro Pekuvhiyiwa kweACL
Nhema | chokwadi |
Misodzi yeACL inogara ichipora pasina kuvhiyiwa. | Vamwe varwere vanozokwanisa kurarama vasina kuvhiyiwa, asi vamwe vanoda kugadziriswa. |
Kuvhiyiwa kweACL kunoitwa pavatambi vemitambo chete. | Kuvhiyiwa uku kunogona kubatsira varwere vasiri vemitambo vanoramba vachinzwa kusagadzikana. |
Kupora kunotora mavhiki mashoma. | Kupora kunotora mwedzi yakawanda. |
Kurapa muviri (physiotherapy) isarudzo. | Kurapa muviri (physiotherapy) kunosungirwa. |
Hauchakwanise kutamba chero mutambo zvakare. | Vamwe varwere vanotangazve kutamba mitambo vachishandisa physiotherapy yakakodzera. |
Mibvunzo Yekubvunza Chiremba Wako Wemapfupa
Usati wavhiyiwa, ungada kubvunza kuti:
Ndinoda kuvhiyiwa here panyaya yangu?
Ndeipi nzira yakakodzera kwandiri?
Zvinotora nguva yakareba sei kuti ndipore?
Ndichakwanisa rini kudzokera kubasa uye kuita maekisesaizi?
Ndichada here kudzoreredzwa?
Ndezvipi njodzi dzangu dzekuva nematambudziko kana kukuvara zvakare?
Mhedzisiro Yenguva Refu Uye Kudzokera Kumitambo
Kudzokera kumitambo kunoenderana nesimba, kunaka kwekufamba, kugadzirira kwepfungwa, zvinodiwa nemitambo uye kuongororwa kwekiriniki. Varwere vanofanira kugara vachitarisa pane zvinokurudzirwa kuti vagadziriswe kuti vagadziriswe nekukurumidza uye vasakuvara zvakare.
Sei Uchifanira Kusarudza Zvipatara zveApollo Indore Kuti Uvakezve ACL?
Vanachiremba vemapfupa kuApollo Hospitals Indore vanosanganisira kukuvara kwakasiyana-siyana kwemapfupa, majoini, tsandanyama, uye mitsipa pamwe nekurapwa kwavo. Zvikuru sei, Apollo Hospitals inorapa kukuvara kwemitambo, kunosanganisira kukuvara kwemitsipa uye kunosanganisira arthroscopy uye ACL, PCL uye MCL reconstruction . KuApollo Hospitals, varwere vanogonawo kutorwa mifananidzo, kuvhiyiwa, physiotherapy uye kugadziriswa.
Dhipatimendi reMafupa rine nyanzvi dzine ruzivo mukuvakazve majoini uye kurapa mabvi nemapfudzi nearthroscopic, vachipa kurapwa zvichienderana nezvinodiwa nemurwere. Varwere vari kutsvaga chipatara chekuvhiya cheACL muIndore vanogona kubvunza nyanzvi dzemafupa kuti vaongorore mamiriro avo uye nzira dziripo dzekurapa.
Ndirini Paunofanira Kubvunza Chiremba weMafupa?
Tsvaga pfungwa dzechiremba wemapfupa kana ibvi rako rakuvara, kana uine matambudziko akadai sekuzvimba, kurwadziwa, kukiya kana kusagadzikana, 'kurega kufamba' kunogara kuchiitika, uye kuoma kufamba. Izvi zvinogona kubatsira kuona kana paine ACL closure .
Mibvunzo Inonyanya Kubvunzwa
Nyanzvi Dzedu.
Chikwata Chenyu Chekutarisira.
Disclaimer:
Ruzivo rwuri papeji rino rwakagadzirirwa ruzivo rwese uye zvinangwa zvedzidzo chete. Kunyange zvazvo tichiita zvese zvatinogona kuti tive nechokwadi chekuti ruzivo rwacho rwakarurama, rwakavimbika, uye rwunoongororwa nguva nenguva, harufanirwe kuonekwa serunotsiva mazano echiremba, kuongororwa, kana kurapwa kwenyanzvi.
Kukodzera kwekurapwa, pamwe chete nemabhenefiti akwo, njodzi, kugadzirira, kupora, matambudziko angangoitika, uye mhedzisiro inotarisirwa, zvinogona kusiyana kubva pamunhu kusvika pamunhu. Nyanzvi yako yehutano ichaona kana kurongeka kwacho kwakakodzera zvichienderana nemamiriro ako ezvinhu uye nhoroondo yekurapa.
Ndapota bvunza nyanzvi yehutano ine hunyanzvi kuti uwane mazano akakodzera usati waita sarudzo maererano nechero nzira yekurapa.
Kuti uwane rumwe ruzivo nezvekuti zvinyorwa zvedu zvehutano zvinogadzirwa sei, zvinoongororwa, zvinovandudzwa, uye zvinochengetwa sei, ndapota verenga [Mutemo wedu weKunyora].