Ukulimala kwangaphambili kwe-ACL) -khathalelo lwasemva kwexesha

I-ligament libhendi yethishu edibanisa ithambo nelinye ithambo. I-anterior cruciate ligament (ACL) ibekwe ngaphakathi kwamadolo akho kwaye idibanisa amathambo omlenze wakho wangasentla nangaphantsi.

Ukulimala kwe-ACL kwenzeka xa i-ligament iseluliwe okanye ikrazukile. Inyembezi ye-ACL inxenye yenzeka xa kuphela inxenye yeligament ikrazukile. Iinyembezi ezipheleleyo ze-ACL zenzeka xa yonke i-ligament ikhutshwe iziqwenga ezibini.

I-ACL yenye yeendlela ezininzi ezigcina idolo lakho lizinzile.Inceda ukugcina amathambo emilenze akho kwaye ivumela idolo lakho ukuba lihambe libuye liye phambili.

Ukulimala kwe-ACL kunokwenzeka ukuba:

• Ukubetha kakhulu kwicala ledolo lakho, njengaxa kuliwa ibhola
• Jika idolo lakho
• Khawuleza uyeke ukushukuma kwaye utshintshe icala ngelixa ubaleka, wehla ekutsiba, okanye ekujikeni
• Umhlaba ngokungafanelekanga emva kokutsiba

I-Skiers kunye nabantu abadlala i-basketball, ibhola ekhatywayo, okanye ibhola ekhatywayo kunokwenzeka ukuba babe nolu hlobo lokulimala. Abasetyhini kunokwenzeka ukuba bakrazule i-ACL yabo kunamadoda xa ethatha inxaxheba kwezemidlalo.

Kuqhelekile ukuva isandi esithi "popping" xa kusenzeka ingozi ye-ACL. Unako nokuba:

• Ukudumba kwamadolo kwiiyure ezimbalwa zokulimala
• Intlungu yedolo, ngakumbi xa uzama ukubeka ubunzima emlenzeni owenzakeleyo

Ukuba wenzakele kancinci, ungaqaphela ukuba idolo lakho liziva lingazinzanga okanye libonakala ngathi "linika indlela" xa ulisebenzisa. Ukulimala kwe-ACL kudla ngokuvela kunye nokulimala kwamadolo, njenge-cartilage ebizwa ngokuba yi-meniscus. Oku kwenzakala kunokufuna nokunyangwa ngotyando.

Emva kokuvavanya idolo lakho, ugqirha unokuyalela ezi mvavanyo zokucinga:

• IX-reyi ukujonga ukonakala kwamathambo edolweni lakho.
• I-MRI yamadolo. Umatshini we-MRI uthatha imifanekiso ekhethekileyo yezicubu ngaphakathi kwedolo lakho. Imifanekiso iya kubonisa ukuba ezi zihlunu zoluliwe okanye zikrazukile.

Ukuba unokwenzakala kwe-ACL, unokufuna:

• Iintonga zokuhamba de ukudumba neentlungu zibe ngcono
• Izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ukuxhasa nokuzinzisa idolo lakho
• Unyango lomzimba ukunceda ukuphucula intshukumo ngokudibeneyo kunye namandla omlenze
• Ugqirha lokwakha ngokutsha i-ACL

Abanye abantu banokuphila kwaye basebenze ngokwesiqhelo nge-ACL eqhekekileyo. Nangona kunjalo, uninzi lwabantu luziva ngathi idolo labo alizinzanga kwaye banokuthi "banikezele" ngemisebenzi engqongqo ngakumbi. Ukulungiswa kwe-ACL iinyembezi kunokukhokelela ekuqhubekeni komonakalo emadolweni, ngakumbi kwi-meniscus.

Landela iRICE ukunceda ukunciphisa iintlungu kunye nokudumba:

• Phumla umlenze wakho. Kuphephe ukubeka ubunzima kuyo.
• Umkhenkce idolo lakho kangangemizuzu engama-20 ngexesha ama-3 ukuya kuma-4 ngamaxesha ngosuku.
• Uxinzelelo indawo ngokuyisongela ngebhandeji elisikiweyo okanye isongelo sokucinezela.
• Nyusa umlenze wakho ngokuwuphakamisa ngaphezu kwenqanaba lentliziyo yakho.

Ungasebenzisa ibuprofen (Advil, Motrin), okanye naproxen (Aleve, Naprosyn) ukunciphisa iintlungu kunye nokudumba. I-Acetaminophen (iTylenol) iyanceda ngeentlungu, kodwa hayi ngokudumba. Ungawathenga la mayeza eentlungu kwivenkile.

• Thetha nogqirha wakho ngaphambi kokusebenzisa amayeza entlungu ukuba unesifo sentliziyo, uxinzelelo lwegazi oluphezulu, isifo sezintso, okanye unezilonda esiswini okanye ukopha ngaphakathi ngaphambili.
• Sukuthatha ngaphezulu kwesixa esinconyelwe kwibhotile okanye ngugqirha wakho.

Emva kokulimala kwakho, akufuneki udlale imidlalo okanye wenze eminye imisebenzi enzima de ube ugqirha ugqibe kwelokuba loluphi unyango olulungele wena.

Ukuba utyando lwakhiwa kwakhona i-ACL yakho:

• Landela imiyalelo ngokuzikhathalela ekhaya.
• Uya kudinga unyango lomzimba ukuze uphinde usebenzise ngokupheleleyo idolo.
• Ukuchacha emva kotyando kunokuthatha malunga neenyanga ezi-6. Kodwa kuya kufuneka ukwazi ukwenza kwalemisebenzi uyenzileyo ngaphambili.

Ukuba awuhlinzwa:

• Kuya kufuneka usebenze nonyango lomzimba ukunciphisa ukudumba kunye nentlungu kwaye uphinde ufumane uluhlu olwaneleyo lokuhamba kunye namandla emlenzeni wakho ukuze uphinde uqalise ukusebenza. Oku kungathatha iinyanga ezimbalwa.
• Kuxhomekeke ekwenzakaleni kwakho, ngekhe ukwazi ukwenza iintlobo ezithile zezinto ezinokulimaza idolo lakho kwakhona.

Fowunela umboneleli wakho wezempilo ukuba unazo ezi zinto zilandelayo:

• Ukwanda kokudumba okanye iintlungu
• Ukuzikhathalela akubonakali ngathi kuyanceda
• Ulahlekelwa yimvakalelo ngonyawo lwakho
• Unyawo okanye umlenze wakho uziva ubanda okanye utshintsha umbala
• Idolo lakho liyatshixa ngequbuliso kwaye awukwazi ukulilungisa

Ukuba uyatyandwa, tsalela umnxeba ugqirha wakho ukuba:

• Umkhuhlane we-100 ° F (38 ° C) okanye ngaphezulu
• Umjelo ovela kwimisonto
• Ukopha okungayi kuyeka

Ukulimala kwe-ligament ye-cruciate - emva kokukhathalela; Ukulimala kwe-ACL-ukhathalelo lwasemva kwexesha; Ukulimala kwedolo-ukubethelwa kwangaphambili

Amalungu okuBhala, ukuHlola, kunye neePaneli zokuVota ze-AUC malunga nokuThintela kunye nokuNyanga abaKhubazekileyo beLigament yeLigament, uQuinn RH, uSaunders JO, et al. IAmerican Academy of Orthopedic Surgeons efanelekileyo yokusebenzisa imigaqo-nkqubo kulawulo lwengozi eyenzakalisayo yangaphambili. J Bone Ukudibana okuDibeneyo Am. Ngo-2016; 98 (2): 153-155. IINKCUKACHA: 26791036 www.ncbi.nlm.nih.gov/pubmed/26791036.

UNiska JA, uPetrigliano FA, uMcAllister DR. Ukulimala kwangaphambili kwe-ligament (kubandakanya uhlaziyo). Ku: Miller MD, Thompson SR, ii-eds. UDeLee kunye noDrez's Amayeza oNyango lweMidlalo: Imigaqo kunye nokuziqhelanisa. Ngomhla we-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 98.

Reider B, Davies GJ, Provencher MT. Ukulimala kwangaphambili kwe-ligament kwi: Reider B, Davies GJ, Provencher MT, eds. Ukunyanga kwamathambo kweembaleki. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 32.

• Ukulimala kwamadolo kunye nokuphazamiseka