Ukwakhiwa kwakhona kwe-ACL

Ukwakhiwa kwakhona kwe-ACL kukuhlinzwa ukuze kuvuselelwe i-ligament embindini wedolo. I-anterior cruciate ligament (ACL) edibanisa ithambo lakho le-shin (tibia) kwithambo lakho lethanga (femur). Ukuqhekeka kwale ligament kunokubangela ukuba idolo lakho linike indlela ngexesha lomsebenzi womzimba, ngokufuthi ngexesha lokunyathela ecaleni okanye ukunyakaza kwecrossover.

Uninzi lwabantu luneeanesthesia ngokubanzi kanye phambi kotyando. Oku kuthetha ukuba uya kulala kwaye ungenazintlungu. Ezinye iintlobo ze-anesthesia, njenge-anesthesia yengingqi okanye ibhloko, inokusetyenziselwa olu tyando.

Izicubu zokutshintsha i-ACL yakho eyonakeleyo ziya kuvela emzimbeni wakho okanye kumnikeli. Umnikeli ngumntu osweleke kwaye wakhetha ukunikela konke okanye inxenye yomzimba wabo ukunceda abanye.

• Izicubu ezithathwe emzimbeni wakho zibizwa ngokuba yi-autograft. Ezi ndawo zimbini zixhaphakileyo zokuthatha izicwili ziitoni zemithambo yamadolo okanye umsipha wethambo. Imisipha yakho yimisipha esemva kwedolo lakho.
• Izicubu ezithathwe kumnikeli zibizwa ngokuba yi-allograft.

Inkqubo ihlala isenziwa ngoncedo lwe-arthroscopy yedolo. Nge-arthroscopy, ikhamera encinci ifakwa edolweni kusetyenziswa ukusika okuncinci kotyando. Ikhamera iqhagamshelwe kwisibekeli sevidiyo kwigumbi lokusebenza. Ugqirha wakho uza kusebenzisa ikhamera ukujonga iigaments kunye nezinye izicubu zamadolo akho.

Ugqirha wakho uza kwenza ezinye izicucu ezincinci ezijikeleze idolo lakho kwaye afake ezinye izixhobo zonyango. Ugqirha wakho uza kulungisa nawuphi na omnye umonakalo owufumanisileyo, emva koko athathe indawo ye-ACL yakho ngokulandela la manyathelo:

• I-ligament eqhekekileyo iya kususwa nge-shaver okanye ezinye izixhobo.
• Ukuba izicubu zakho zisetyenziselwa ukwenza i-ACL yakho entsha, ugqirha wakho wotyando uya kwenza ukusikwa okukhulu. Emva koko, i-autograft iya kususwa ngale ndlela isikiweyo.
• Ugqirha wakho uza kwenza iitonela kwithambo lakho ukuzisa izicwili ezintsha. Esi sicubu sitsha siza kubekwa kwindawo enye ne-ACL yakho endala.
• Ugqirha wakho uza kuncamathisela i-ligament entsha kwithambo ngezikrufu okanye ezinye izixhobo ukuyibamba endaweni yayo. Njengoko iphilisa, iitonela zeethambo ziyagcwalisa. Oku kugcina umtya omtsha endaweni.

Ekupheleni koqhaqho, ugqirha wakho uya kugqiba ukusika kwakho ngemisonto (imithungo) kwaye ugqume indawo ngokunxiba. Unokwazi ukujonga imifanekiso emva kwenkqubo yoko kubonwe ngugqirha kunye nokwenziweyo ngexesha lotyando.

Ukuba awunayo i-ACL yakho eyakhiwe kwakhona, idolo lakho liya kuqhubeka lingazinzi. Oku kwandisa ithuba lokuba ne-meniscus. Ukwakhiwa kwakhona kwe-ACL kunokusetyenziselwa ezi ngxaki zamadolo:

• Idolo elinikezela okanye eliziva lingazinzanga ngexesha lomsebenzi wemihla ngemihla
• Intlungu yedolo
• Ukungakwazi ukubuyela kwezemidlalo okanye eminye imisebenzi
• Xa eminye imigudu yenzakala nayo
• Xa i-meniscus yakho ikrazukile

Ngaphambi kotyando, thetha nomboneleli wakho wezempilo malunga nexesha kunye nomzamo oya kuyidinga ukuze uphinde ubuye. Kuya kufuneka ulandele inkqubo yokubuyisela kwimo yesiqhelo iinyanga ezi-4 ukuya kwezi-6. Ukukwazi kwakho ukubuyela kwimisebenzi epheleleyo kuya kuxhomekeka kwindlela oyilandela ngayo inkqubo.

Umngcipheko kuyo nayiphi na i-anesthesia yile:

• Ukunyanga kwamayeza kunyango
• Iingxaki zokuphefumla

Umngcipheko kulo naluphi na utyando zezi:

• Ukopha
• Usulelo

Eminye imingcipheko kolu tyando inokubandakanya:

• Igazi elijiyileyo emlenzeni
• Ukusilela kwethambo lokunyanga
• Ukusilela kotyando ukukhulula iimpawu
• Ukwenzakala kumthambo wegazi okufuphi
• Intlungu emadolweni
• Ukuqina kwamadolo okanye ukulahleka kohambo
• Ubuthathaka bamadolo

Soloko uxelela umboneleli wakho ukuba zeziphi iziyobisi ozithathayo, nditsho neziyobisi, izongezo, okanye imifuno oyithengileyo ngaphandle kommiselo.

Ngexesha leeveki ezi-2 ngaphambi kotyando lwakho:

• Unokucelwa ukuba uyeke ukuthatha iziyobisi ezenza kube nzima kwigazi lakho ukuba lijiye. Oku kubandakanya i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), kunye nezinye iziyobisi.
• Buza umboneleli wakho ukuba zeziphi iziyobisi omele uzithathe ngosuku lotyando lwakho.
• Ukuba unesifo seswekile, isifo sentliziyo, okanye ezinye iimeko zonyango, ugqirha wakho wotyando uya kukucela ukuba ubone umboneleli okunyangayo kwezi meko.
• Xelela umboneleli wakho ukuba ubusele utywala kakhulu, ngaphezulu kwesiselo esi-1 okanye esi-2 ngosuku.
• Ukuba uyatshaya, zama ukuyeka. Ukutshaya kungathoba amanxeba kunye nokuphilisa amathambo. Cela uncedo kubaboneleli bakho ukuba uyalufuna.
• Soloko umboneleli wakho azi malunga nokubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, okanye ezinye izifo onokuba nazo ngaphambi kotyando lwakho.

Ngomhla wotyando lwakho:

• Uya kuhlala ucelwa ukuba ungaseli okanye ungatyi nantoni na iiyure ezi-6 ukuya kwezi-12 ngaphambi kwenkqubo.
• Thatha amayeza akho oxelelwe ukuba uwathabathe ngesiphuzo esincinci samanzi.
• Uzakuxelelwa ukuba ufike nini esibhedlele.

Uninzi lwabantu lunokugoduka ngosuku lotyando lwakho. Kuya kufuneka unxibe idolo ngokuqinisa idolo kwiiveki zokuqala ezi-1 ukuya kwezi-4. Kananjalo usenokufuna iintonga zokuhamba ngeeveki ezi-1 ukuya kwezi-4. Uninzi lwabantu luvumelekile ukuba luhambise amadolo kanye emva kotyando. Oku kunokunceda ukuthintela ukuqina. Unokufuna iyeza kwintlungu yakho.

Unyango lomzimba lunokunceda abantu abaninzi baphinde bafumane ukunyakaza kunye namandla emadolweni. Unyango lunokuhlala ukuya kwiinyanga ezi-4 ukuya kwezi-6.

Ukubuyela kwakho kwakamsinyane emsebenzini kuya kuxhomekeka kuhlobo lomsebenzi owenzayo. Inokuba ukusuka kwiintsuku ezimbalwa ukuya kwiinyanga ezimbalwa. Ukubuyela ngokupheleleyo kwimidlalo nakwimidlalo kuya kuthatha iinyanga ezi-4 ukuya kwezi-6. Imidlalo ebandakanya utshintsho olukhawulezileyo kwicala, njengebhola ekhatywayo, ibasketball, kunye nebhola ekhatywayo, inokufuna ukuya kuthi ga kwiinyanga ezili-9 ukuya kwezi-12 zokuvuselelwa.

Uninzi lwabantu luya kuba nedolo elizinzileyo elinganikeliyo emva kokwakhiwa kwakhona kwe-ACL. Iindlela ezingcono zotyando kunye nokuvuselelwa kukhokelele:

• Intlungu encinci kunye nokuqina emva kotyando.
• Zimbalwa iingxaki zotyando ngokwalo.
• Ixesha lokubuyisela ngokukhawuleza.

Ukulungiswa kwe-ligament yangaphambili; Utyando lwedolo - ACL; Idolo le-arthroscopy-ACL

• Ukwakhiwa kwakhona kwe-ACL-ukukhutshwa
• Ukulungisa ikhaya lakho - idolo okanye utyando lwenyonga
• Unonophelo lwenxeba lotyando - luvulekile

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I-Noyes FR, iBarber-Westin SD. I-Anterior cruciate ligament yokwakha ngokutsha: ukuxilonga, ubuchule bokusebenza, kunye neziphumo zonyango. Ku: I-Noyes FR, iBarber-Westin SD, ii-eds. Uphando lweNoyes 'Knee Disorders, Ukuvuselelwa, iZiphumo zeKlinikhi. Ngomhla wesi-2.IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 7.

UPhillips BB, uMihalko MJ. IArthroscopy yesiphelo esezantsi. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.