Ukulimala kwangaphambili kwe-ligament (ACL)

Ukulimala kwangaphambili kwe-ligament kukuzolula ngaphezulu okanye ukukrazula i-anterior cruciate ligament (ACL) emadolweni. Inyembezi inokuba yinxalenye okanye iphelele.

Idolo elihlangeneyo lifumaneka apho ukuphela kwethambo lesithambo (i-femur) lidibana nomphezulu we-shin bone (tibia).

Imigudu emine ephambili idibanisa la mathambo mabini:

• I-ligament ye-collateral ligament (i-MCL) isebenza ngaphakathi kwedolo. Ithintela idolo ekubeni ligobe.
• I-lateral collateral ligament (LCL) isebenza ngaphandle kwedolo. Luthintela idolo ukugoba.
• I-Anterior cruciate ligament (ACL) iphakathi kwedolo. Ithintela ithambo le-shin ekutyibilikeni phambi kwethambo lethanga.
• I-posterior cruciate ligament (PCL) isebenza kunye ne-ACL. Ithintela ithambo le-shin ekutyibilikeni ngasemva phantsi kwe-femur.

Abasetyhini kunokwenzeka ukuba babe ne-ACL iinyembezi kunamadoda.

Ukulimala kwe-ACL kunokwenzeka ukuba:

• Ukubetha kakhulu kwicala ledolo lakho, njengaxa kuliwa ibhola
• Ukolula idolo ngokuhlangeneyo
• Khawuleza uyeke ukushukuma kwaye utshintshe icala ngelixa ubaleka, wehla ekutsiba, okanye ekujikeni

I-Basketball, ibhola ekhatywayo, kunye nokuskiya zizemidlalo eziqhelekileyo ezinxulumene neenyembezi ze-ACL.

Ukulimala kwe-ACL kuhlala kwenzeka ngolunye ukonzakala. Umzekelo, iinyembezi ze-ACL zihlala zenzeka kunye neenyembezi kwi-MCL kunye ne-cartilage yokutsala emadolweni (i-meniscus).

Uninzi lweenyembezi ze-ACL zenzeka embindini we-ligament, okanye i-ligament ikhutshiwe ithambo lethanga. Oku kwenzakala kwenza umsantsa phakathi kwemiphetho eqhekekileyo, kwaye ayizinyangi ngokwayo.

Iimpawu zokuqala:

• Isandi "sokuvela" ngexesha lokwenzakala
• Ukudumba kwamadolo kwisithuba seeyure ezi-6 zokonzakala
• Intlungu, ngakumbi xa uzama ukubeka ubunzima emlenzeni owenzakeleyo
• Ubunzima ekuqhubekeni nemidlalo yakho
• Ukuziva ungazinzi

Abo banokwenzakala nje okungephi banokuqaphela ukuba idolo liziva lingazinzanga okanye kubonakala ngathi "bayaliyeka" xa ulisebenzisa.

Jonga umboneleli wakho wezempilo ukuba ucinga ukuba unokwenzakala kwe-ACL. Sukudlala imidlalo okanye ezinye izinto de ubone umboneleli kwaye wanyangwa.

Umboneleli wakho unokukuthumela i-MRI yamadolo. Oku kunokuqinisekisa ukuxilongwa. Ingabonisa nokunye ukonzakala emadolweni.

Uncedo lokuqala lokulimala kwe-ACL kunokubandakanya:

• Ukuphakamisa umlenze wakho ngaphezu kwenqanaba lentliziyo
• Ukubeka umkhenkce edolweni
• Ukuthomalalisa iintlungu, ezinje ngeziyobisi ezichasayo (njenge-ibuprofen)

Unokufuna:

• Iintonga zokuhamba de ukudumba neentlungu zibe ngcono
• Brace ukunika idolo uzinzo
• 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 lukhalaza ngelithi idolo labo alizinzanga kwaye banokuthi "baphume" ngomsebenzi womzimba. Idolo elingazinzanga emva kweenyembezi ze-ACL zingakhokelela ekonakaleni kwedolo. Kukwanqabile ukuba ubuyele kwinqanaba elifanayo lezemidlalo ngaphandle kwe-ACL.

• SUKUTSHINTSHA idolo lakho ukuba wenzakele kakhulu.
• Sebenzisa i-splint ukugcina idolo ngokuthe tye ude ubone ugqirha.
• Ungabuyeli kumdlalo okanye ezinye izinto de unyangwe.

Tsalela umnikezeli wakho kwangoko ukuba wenzakele edolweni.

Fumana unyango kwangoko ukuba unyawo lupholile kwaye luhlaza okwesibhakabhaka emva kokonzakala edolweni. Oku kuthetha ukuba idolo elihlangeneyo linokususwa, kwaye imithambo yegazi elunyaweni inokwenzakala. Le yimeko yongxamiseko kwezonyango.

Sebenzisa iindlela ezifanelekileyo xa udlala imidlalo okanye usenza umthambo. Ezinye iinkqubo zemidlalo yasekholejini zifundisa iimbaleki indlela yokunciphisa uxinzelelo olubekwe kwi-ACL. Oku kubandakanya uthotho lokuziqhelanisa nokuzifudumeza. Kukho ukutsiba kunye nokuzivocavoca umhlaba okuye kwaboniswa ukunciphisa ukonzakala kwe-ACL.

Ukusetyenziswa kwamadolo ngexesha lokuqina kwezemidlalo (njengebhola ekhatywayo) kuyimpikiswano. Akuboniswanga ukunciphisa inani lokulimala kwamadolo, kodwa hayi ngokukodwa ukulimala kwe-ACL.

Ukulimala kwe-cruciate ligament-ngaphambili; Iinyembezi ze-ACL; Ukulimala kwamadolo-i-anterior cruciate ligament (ACL)

• Ukwakhiwa kwakhona kwe-ACL-ukukhutshwa

• Idolo le-arthroscopy
• Iidigri ze-ACL
• Ukulimala kwe-ACL
• I-anatomy eqhelekileyo yedolo
• Ukulimala kwangaphambili kwe-ligament (ACL)
• Ukulungiswa kwe-ligament yangaphambili ye-ligament-Uthotho

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Brotzman SB. Ukulimala kwangaphambili kwe-ligament. Ku: Giangarra CE, Manske RC, ii-eds. Clinical Ugqirha wamathambo: Indlela yeQela. Ngomhla we-4. IPhiladelphia, PA: Elsevier; I-2018: isahluko 47.

ICheung EC, iMcAllister DR, iPetrigliano FA. Ukulimala kwangaphambili kwe-ligament. Ku: Miller MD, Thompson SR, ii-eds. UDeLee, uDrez, kunye neMiller's Orthopedic Sports Medicine. Umhla we-5. IPhiladelphia, PA: Elsevier; 2020: isahluko 98.

IKalawadia JV, uGuenther D, Irarrazaval S, uFu FH. I-Anatomy kunye ne-biomechanics ye-anterior cruciate ligament. Kwi: Prodomos CC. I-Anterior Cruciate Ligament: Ukwakhiwa ngokutsha kunye neNzululwazi eSisiseko. Ngomhla wesi-2. IPhiladelphia, PA: Elsevier; I-2018: isahluko 1.

UMiller RH, uAzar FM. Ukulimala kwamadolo. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 45.

Nyland J, Mattocks A, Kibbe S, Kalloub A, Greene JW, Caborn DN. I-Anterior cruciate ligament yokwakha ngokutsha, ukuvuselela, kunye nokubuyela kumdlalo: uhlaziyo lwe-2015. Ukufikelela ngokuVulekileyo kwezeMidlalo. Ngo-2016; 7: 21-32. IINKCUKACHA: 26955296 pubmed.ncbi.nlm.nih.gov/26955296/.