Ukuhlinzwa kokwakhiwa kabusha kwe -ACL e-Indore kuyindlela ekhethekile yokuhlinzwa ethatha indawo ye-ACL yakho edabukile (i-anterior cruciate ligament) kusetshenziswa amasu amancane okusiza ukuqinisa idolo lakho. Kuvame ukuphakanyiswa ezigulini ezinezinkinga ezinkulu zokungazinzi kwamadolo, abantu abakhuthele, abasubathi, noma labo abahlushwa ukulimala kwabesilisa kanye nokudabuka kwamalunga. Ngokuvamile kuwukuhlinzwa kwehora eli-1-2, futhi iziguli eziningi zingaya ekhaya ngalolo suku noma ngokushesha ngemva kokungeniswa esibhedlela. Ngokuvamile, ukululama kuthatha izinyanga eziyi-6-12 ngokuvuselelwa kancane kancane. Ukuqina kwamadolo nokusebenza kwawo kufezwa ezigulini eziningi, yize imisebenzi yezemidlalo izoncika kwezinye izici eziningi.
Kuyini ukuhlinzwa kokwakhiwa kabusha kwe-ACL?
Ukuhlinzwa kokwakhiwa kabusha kwe-ACL inqubo lapho i-ACL eyonakele ishintshwa khona nge-graft ukusiza i-ligament ukuthi izinze i-knee joint. Ukuhlinzwa kokwakhiwa kabusha kwe-ACL kuhlukile ekuhlinzeni okulula kokulungisa i-ACL ngoba kuhilela ukudala i-ligament entsha nge-tendon graft kunokuyilungisa.
I-Arthroscopy iyindlela ethile esetshenziswa kulokhu kuhlinzwa, ehilela ukufaka ikhamera kanye namathuluzi okuhlinzwa akhethekile emzimbeni ngokusebenzisa izimbobo ezincane esikhumbeni. Le ndlela ye- arthroscopy enokwakhiwa kabusha kwemisipha ingenye yezinsizakalo zethu zamathambo zesikhathi esisha e -Apollo Hospitals, e-Indore.
Ukuqonda i-ACL kanye ne-Knee Anatomy
I-knee joint yakhiwe izakhiwo ezifana ne-femur, i-tibia, i-patella, kanye ne-ligaments. I-ACL idlula eknee joint futhi ilawula ukunyakaza kwethambo lethanga kanye nethambo lomzimba.
Noma yikuphi ukulimala okubangelwa yi-ACL kungabangela ukungazinzile kwamadolo ngesikhathi semisebenzi efana nokujika, ukufika, nokusika.
Izimbangela Zokulimala Kwe-ACL
Ukulimala kwe-ACL kungabangelwa ukunyakaza okusheshayo noma ukushaywa edolweni, okubangela ukucindezeleka okukhulu emalungeni. Izimbangela zifaka:
Ukulimala ngesikhathi udlala imidlalo efana nebhola, i-basketball, kanye nebhola
Ukunyakaza okusheshayo kokusonta
Ukuhlala phansi ngendlela engajwayelekile ngemva kokugxuma
Izingozi zemoto
Falls
Ukulimala edolweni
Izimpawu Zokuklebhuka Kwe-ACL
Kunezinhlobo ezahlukene zezimpawu ezingavela ngokusekelwe ebunzimeni bokulimala. Lezi zifaka okulandelayo:
Ubuhlungu emadolweni
Ukuvuvukala kwedolo ngokuzumayo
Ukuzwa ukubhonga edolweni ngesikhathi sokulimala
Ukungazinzi kwedolo noma umuzwa wokuthi idolo lingakhipha
Ukungakwazi ukuhambisa idolo
Ubunzima bokuhamba noma ukubeka noma yisiphi isisindo emlenzeni othintekile
Kunconywa nini ukwakhiwa kabusha kwe-ACL?
Ukuhlinzwa kokwakhiwa kabusha kwe-ACL ligament kungase kucebise ezimweni lapho kukhona:
Ukudabuka okuphelele kwe-ACL kanye nokungazinzi okuqhubekayo
Ubunzima bokubuyela emisebenzini evamile naphezu kokuvuselelwa
Ukubamba iqhaza okuphezulu kwezemidlalo okuhilela ukusika nokuguqula
ukulimala kwe-ACL kanye nokukhala kwe-meniscal
Ukulimala kwemisipha eminingi
Abanye abantu abadingi ukuhlinzwa ukuze belaphe i-ACL yabo edabukile, ikakhulukazi labo abangasebenzi kahle. Lokhu kudinga ukunqunywa ngemuva kokubonisana nodokotela ohlinzayo wamathambo.
Ingabe Ukwenyuka Kwe-ACL Kungelashwa Ngaphandle Kokuhlinzwa?
Ngokuqinisekile, kwezinye izimo zokudabuka kwe-ACL , asikho isidingo sokuhlinzwa ngokusekelwe ohlotsheni kanye nezinga lokulimala, ukuqina kwedolo, imisebenzi yesiguli, kanye nezinhloso zokwelapha. Ukuphathwa okunobulungiswa kungafaka phakathi i-physiotherapy, ukuqinisa izivivinyo zemisipha ejoyintini ledolo, ukusebenzisa izinsimbi zokubopha amadolo , kanye nokushintsha imisebenzi ukuze kugwenywe ubuhlungu kanye nokungazinzi kwedolo.
Uma kukhona ukungazinzile kwamadolo, ukudabuka okuphelele kwe-ACL kumdlali, ukungakwazi ukuhlanganyela emisebenzini yakhe, kanye nokuba khona kwanoma yikuphi okunye ukulimala njengokulimala kwe-meniscal noma i-ligament nokunye, kuzodingeka ukuhlinzwa.
Ukuxilongwa kwe-ACL Injury
Ukuxilongwa kokuqala kwenziwa kusetshenziswa umlando kanye nokuhlolwa ngokomzimba. Udokotela ohlinzayo angenza izivivinyo zokuhlola ukuqina kwamalunga edolo nokunquma ukuvuvukala kanye nobubanzi bokunyakaza.
Ama-X-ray angasiza ekuboneni ukwaphuka noma ukungalingani kwamathambo, kanti i -MRI scan yejoyinti ledolo izohlinzeka ngolwazi nge-ACL kanye nokunye ukulimala kwe-meniscal/cartilaginous/ligamentous.
Izinhlobo ze-ACL Grafts
Hlanganisa | Umthombo | Ukucatshangelwa okubalulekile |
I-Autograft | I-tendon yesiguli | Ngokuvamile kukhethwa iziguli eziningi ezisencane nezisebenzayo |
I-ACL ye-Hamstring graft | I-tendon ye-Hamstring | Kungabangela ukungakhululeki okuphansi kwamadolo kune-patellar tendon graft |
I-graft ye-patellar tendon | Ithambo-i-patellar tendon-ithambo | Inketho eqinile ngokusetshenziswa kwezokwelapha okusunguliwe |
I-Allograft | Izicubu zomnikeli | Kungacatshangelwa ezigulini ezikhethiwe; ukukhetha i-graft kuncike ezicini ngazinye |
Kungase kube nethuba elincane lokwehluleka kwe-autograft uma kuqhathaniswa ne-allograft ezigulini ezisencane nezisebenzayo. Uhlobo oluhle kakhulu lwe-graft luzoncika eminyakeni, izinga lomsebenzi, kanye nokucatshangelwa kokwakheka komzimba.
Ukulungiselela Ukuhlinzwa Kokwakhiwa Kabusha kwe-ACL
Ngaphambi kokuhlinzwa kwe-ACL izinyembezi , ithimba lamathambo lenza ukuhlolwa ngokomzimba kwejoyinti ledolo kanye nokuqina komzimba. Lokhu kulungiselela ngaphambi kokuhlinzwa kungabandakanya ukuthwebula izithombe, ukuhlolwa kwegazi, noma okunye ukuhlolwa njengoba kudingeka. Isiguli kufanele sinikeze uhlu oluphelele lwemithi esiyisebenzisayo ngaphambi kokuhlinzwa.
Ukwelashwa ngaphambi kwesikhathi noma ukwelashwa nge-physiotherapy kunganikezwa ukuze kuncishiswe ukuvuvukala futhi kubuyiselwe amandla nokuguquguquka kwamalunga edolo.
Indlela Ukuhlinzwa Kokwakhiwa Kabusha Kwe-ACL Okwenziwa Ngayo
Ngaphambi Kokuhlinzwa
Isiguli sihlolwa ngaphambi kokuhlinzwa futhi sithola uhlobo oluhleliwe lwe-anesthesia. I-anesthesia evamile noma yomgogodla ingasetshenziswa kuye ngesimo ngasinye.
Ngesikhathi Sokuhlinzwa
Ngesikhathi sokuhlinzwa kokwakhiwa kabusha kwe-ACL nge-arthroscopic , udokotela ohlinzayo uhlola idolo esebenzisa i-arthroscope. I-ACL elimele iyalungiswa, bese i-graft ekhethiwe ibekwa endaweni efanele ukuze ithathelwe indawo. Lokhu kwenziwa kanye nokufakwa kwe-graft ku-femur kanye ne-tibia.
Ngemuva Kokuhlinzwa
Ubuhlungu nokuvuvukala kulawulwa ngemithi. Ukuhamba kwasekuqaleni kanye nohlelo lokuvuselela kubalulekile ekubuyiseleni ukusebenza kwedolo.
Izinzuzo Zokuhlinza Kabusha kwe-ACL
Ukuhlinzwa okuphumelelayo kwe-knee ligament kuzosiza ku:
Ukufeza ukuqina kwedolo
Ukwandisa ukusebenza kwedolo
Ukusiza iziguli ukuthi ziphinde ziqale imisebenzi yazo yansuku zonke kanye nezemidlalo
Ukuphatha ukulimala okuhambisana ne-meniscus noma i-ligaments
Ukunciphisa izimo zokungazinzi okuphindaphindiwe
Noma kunjalo, ukuhlinzwa akukwazi ukunikeza isivikelo ekubhekaneni nesifo samathambo noma ukulimala kabusha esikhathini esizayo.
Izingozi Zokulibazisa Ukuhlinzwa Kwe-ACL
Ukungazinzi okuqhubekayo ngemva kokulimala kwe-ACL kungandisa ingozi yokulimala kwe-meniscal noma i-articular cartilage okulandelayo, ikakhulukazi uma idolo liqhubeka nokuwa. Kodwa-ke, ukuhlinzwa akufanele kubambezeleke noma kwenziwe ngokusekelwe kuphela ekuxilongweni; ukwelashwa kufanele kwenziwe ngabanye ngokwezimpawu, umsebenzi kanye nokulimala okuhambisanayo.
Izingozi Nezinkinga Ezingenzeka
Njengezinye izinqubo zokuhlinzwa, ukuhlinzwa kokwakhiwa kabusha kwe-ACL kunezingozi ezingaba khona, okuhlanganisa ukutheleleka, amahlule egazi, ukopha, ukuqina, ubuhlungu obuqhubekayo, ukwehluleka kokufakelwa kanye nokungazinzi okuphindaphindiwe. Izinkinga azivamile, kodwa ingozi yomuntu ngamunye iyahlukahluka kuye ngempilo, ubunzima bokulimala kanye nezici zokuhlinzwa.
Ukuvuselelwa Ngemva Kokwakhiwa Kabusha kwe-ACL
Stage | Ukugxila okuvamile |
Isonto lokuqala | Ukulawula ubuhlungu nokuvuvukala, ukunyakaza okuthambile kanye nokuhamba okuphephile |
Amaviki 2-6 | Buyisela ububanzi bokunyakaza bese uqala ukuqinisa okuqhubekayo |
Amaviki 6-12 | Thuthukisa amandla, ibhalansi kanye nokulawula ukunyakaza |
Izinyanga 3-6 | Ukuqeqeshwa okuqhubekayo, ukugijima kanye nokusebenza kahle uma kufaneleka |
Izinyanga 6-9+ | Ukuqeqeshwa okuqondene nezemidlalo kanye nokuhlolwa kokubuyela kwezemidlalo |
Isikhathi sokululama se-ACL siyahlukahluka kakhulu. Ngokuvamile, ukululama okuphelele kungathatha izinyanga eziningana, futhi isiguli singabuyela emisebenzini yomzimba enzima kuphela ngemva kokuba idolo laso lithole amandla anele, ukuqina, ububanzi bokunyakaza, kanye nokulawulwa kwemisipha yezinzwa.
I-Physiotherapy kanye nokuvuselelwa
Ukuvuselelwa kwe-ACL kudlala indima ebalulekile ekwelapheni ukulimala kwe-ACL. Ukwelashwa nge-physiotherapy kusiza isiguli ukuthi siphinde sithole amandla okunyakaza kanye namandla edolweni laso, ibhalansi, kanye nokuxhumana. Inqubo yokuvuselelwa kufanele ibe yisinyathelo ngesinyathelo.
Amathiphu Okuphila Ngemva Kokuhlinzwa Kwe-ACL
Isiguli selulekwa ukuba silandele ngokuqinile inqubo yokuvuselelwa enikeziwe, sizame ukugcina isisindo somzimba esifanele, sidle ukudla okunempilo, futhi sigweme imisebenzi enomthelela omkhulu kusenesikhathi. Ukubuyela kwezemidlalo ngaphambi kwesikhathi kwandisa amathuba okulimala futhi.
Izimpawu Zokuthi Udinga Ukunakekelwa Kwezokwelapha Ngokushesha
Funa ukwelashwa ngokushesha uma unobuhlungu obukhulu, umkhuhlane, ukubomvu kwenxeba noma ukuphuma kwamanzi kuya ngokuya kuba kubi, ukuvuvukala, ukopha okuqhubekayo, ubuhlungu bethole nokuvuvukala, ubunzima bokuphefumula, noma ukungazinzi kwamadolo kuya ngokuya kuba kubi.
Izinganekwane vs Amaqiniso Ngokuhlinzwa Kwe-ACL
Inganekwane | Iqiniso |
Izinyembezi ze-ACL zihlala ziphola ngaphandle kokuhlinzwa. | Ezinye iziguli zizobhekana nazo ngaphandle kokuhlinzwa, kodwa ezinye zidinga ukuvuselelwa. |
Ukuhlinzwa kwe-ACL kwenziwa kubadlali bodwa. | Ukuhlinzwa kungase kube kuhle ezigulini ezingezona ezemidlalo eziqhubeka nokungazinzile. |
Ukululama kuthatha amasonto ambalwa nje. | Ukululama kuthatha izinyanga. |
Ukwelashwa nge-physiotherapy kuyindlela yokukhetha. | Ukwelashwa nge-physiotherapy kuyimpoqo. |
Awusakwazi ukudlala noma yimiphi imidlalo futhi. | Ezinye iziguli ziqala ukudlala imidlalo ngokwelashwa okufanele kwe-physiotherapy. |
Imibuzo Okufanele Uyibuze Udokotela Wakho We-Orthopaedic
Ngaphambi kokuhlinzwa kwakho, ungase ufune ukubuza:
Ingabe ngidinga ukuhlinzwa esimweni sami?
Yisiphi isidakamizwa esifaneleka kakhulu kimi?
Kuzongithatha isikhathi esingakanani ukululama?
Ngizokwazi nini ukubuyela emsebenzini kanye nokuzivocavoca umzimba?
Ingabe ngizodinga ukuvuselelwa?
Ziyini izingozi zami zokuthola noma yiziphi izinkinga noma ukulimala kabusha?
Umphumela Wesikhathi Eside Nokubuyela Kwezemidlalo
Ukubuyela kwezemidlalo kuncike emandleni, ikhwalithi yokunyakaza, ukulungela kwengqondo, izidingo ezithile kwezemidlalo kanye nokuhlolwa kwezokwelapha. Iziguli kufanele zigxile njalo enkambisweni yokuvuselelwa enconywayo ukuze zithole ukululama okusheshayo futhi zigweme ukulimala kabusha.
Kungani Kufanele Ukhethe Izibhedlela zase-Apollo e-Indore Zokwakhiwa Kabusha kwe-ACL?
Odokotela bamathambo e-Apollo Hospitals Indore bahlanganisa izinhlobo ezahlukene zokulimala kwamathambo, amalunga, imisipha, kanye nemisipha kanye nokwelashwa kwazo. Ikakhulukazi, i-Apollo Hospitals yelapha ukulimala kwezemidlalo, okubandakanya ukulimala kwemisipha futhi kufaka phakathi i-arthroscopy kanye nokwakhiwa kabusha kwe-ACL, i-PCL kanye ne-MCL . E-Apollo Hospitals, iziguli zingaphinde zithole ukuhlolwa kwezithombe, ukuhlinzwa, ukwelashwa nge-physiotherapy kanye nokuvuselelwa.
UMnyango Wezamathambo uqukethe ochwepheshe abanolwazi lokwakha kabusha amalunga kanye nokwelashwa kwamathambo namahlombe nge-arthroscopic, behlinzeka ngokwelashwa okusekelwe ezidingweni zesiguli. Iziguli ezifuna isibhedlela sokuhlinzwa se-ACL e-Indore zingacela ukubonisana nochwepheshe bezamathambo ukuze bahlole isimo sabo kanye nezinketho zokwelapha ezitholakalayo.
Kufanele Ubonane Nini Nodokotela Ohlinzayo Wamathambo?
Funa umbono kadokotela ohlinzayo wamathambo uma idolo lakho lilimele, uma unezinkinga ezifana nokuvuvukala, ubuhlungu, ukukhiya noma ukungazinzile, 'ukuyeka' okuphindaphindiwe, kanye nobunzima bokuhamba. Lokhu kungasiza ekunqumeni ukuthi kukhona yini ukudabuka kwe-ACL .
imibuzo ejwayelekile ukubuzwa
Ochwepheshe Bethu.
Ithimba Lakho Lokunakekela.
Disclaimer:
Ulwazi olunikezwe kuleli khasi luhloselwe izinjongo zolwazi olujwayelekile kanye nezemfundo kuphela. Nakuba senza imizamo efanele yokuqinisekisa ukuthi ulwazi lunembile, luthembekile, futhi lubuyekezwa njalo, akufanele lubhekwe njengoluthatha indawo yeseluleko sezokwelapha, ukuxilongwa, noma ukwelashwa kochwepheshe.
Ukufaneleka kwenqubo yezokwelapha, kanye nezinzuzo zayo, izingozi, ukulungiselela, ukululama, izinkinga ezingaba khona, kanye nemiphumela elindelekile, kungahlukahluka kumuntu nomuntu. Uchwepheshe wakho wezempilo uzonquma ukuthi inqubo iyafaneleka yini ngokusekelwe esimweni sakho kanye nomlando wezokwelapha.
Sicela uthintane nochwepheshe wezempilo ofanelekayo ukuze uthole iseluleko esiqondene nawe ngaphambi kokwenza izinqumo mayelana nanoma iyiphi inqubo yezokwelapha.
Ukuze uthole ulwazi olwengeziwe mayelana nendlela okuqukethwe kwethu kwezokwelapha okudalwa ngayo, okubuyekezwa ngayo, okubuyekezwa ngayo, nokugcinwa kwayo, sicela ufunde [Inqubomgomo Yokuhlela] yethu.