Yintoni i-acl ikrint?
I-ACL iphakathi embindini wedolo. Idibanisa ithambo lethanga (i-femur) kwi-tibia kwaye ithintela i-tibia ukuba ihambele phambili kwaye ijikeleze kakhulu. Ukuba uyayikhupha i-ACL yakho, naluphi na utshintsho olukhawulezileyo, olunjengokuhamba emva kwexesha okanye ukujikeleza, ngexesha lezemidlalo njengebhola ekhatywayo, i-basketball, ubugcisa be-tegraphy, bunokubangela idolo lakho.
Uninzi lwamatyala eenyembezi ze-ACl zenzeka kwingozi engaqhagamshelwanga ebangelwa kukujija ngequbuliso kwedolo okanye kukhuphiswano. Abadlali bebhola ekhatywayo banokufumana ingxaki efanayo xa bewela ibhola ngaphezulu komgama omde, bebeka uxinzelelo olukhulu kumlenze omile.
Iindaba ezimbi kwiimbaleki zabasetyhini zokufunda oku: Abafazi basemngciphekweni omkhulu kwiinyembezi ze-ABL kuba amadolo abo ayingqinelaniyo, ubungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani kunye nobungakanani.
Iimbaleki ezichitha i-ACL zazo zihlala ziziva ngathi "i-pop" kwaye ke ukudumba ngequbuliso kwedolo (ngenxa yokopha kwi-ligament i-ligament ye-lecenin). Ukongeza, kukho uphawu oluphambili: isigulana asikwazi ukuhamba okanye siqhubeke nokudlala imidlalo ngokukhawuleza ngenxa yentlungu yedolo. Xa ukudumba edolweni kugqitywe, isigulana sinokuziva ngathi idolo alizinzanga kwaye lingakwazi ukwenza ukuba isigulana siyithanda kakhulu.
Iimbaleki ezininzi ezidumileyo ziye zanamathela kwiinyembezi ze-ALL. Oku kubandakanya: ZLatan Ibrahimovich, i-Rugu Dan van Nistelrooy, Francesco Totti, Paul Gaigne, uPaul Gradyr, Tom Crawford, noDerrick Rose. Ukuba ukhe wafumana iingxaki ezifanayo, awuwedwa. Iindaba ezimnandi zezokuba ezi mbaleki zazikwazi ukuqhubeka ngempumelelo imisebenzi yazo yobungcali emva kokwakhiwa kwakhona kwe-ACL. Ngonyango olufanelekileyo, unokufana nabo, nawe!
Indlela yokufumanisa i-acl i-acl
Kuya kufuneka undwendwele i-GP yakho ukuba ukrokrela ukuba une-acl ye-acl. Baza kuba nakho ukuqinisekisa oku ngesifo sokuxilonga kwaye bacebise amanyathelo afanelekileyo ngaphambili. Ugqirha wakho uya kwenza uvavanyo lokufumanisa ukuba unekratshi i-ACL, kubandakanya:
1.A Uvavanyo lomzimba apho ugqirha wakho uza kujonga njani ukuba i-joyine yakho yedolo ihamba ngokuthelekisa elinye, idoli engakhuselekanga. Basenokwenza uvavanyo lweLachman okanye uvavanyo lwangaphandle lokunxiba ukukhangela uluhlu lwentshukumo kunye nendlela edibeneyo ngayo, kwaye ndikubuze imibuzo malunga nendlela evakalelwa ngayo.
I-2.x-ray-ray apho ugqirha wakho unokugweba ithambo okanye ithambo elaphukileyo.
3.mtri Scan iya kubonisa iithenda zakho kunye nezicubu ezithambileyo kwaye zivumele ugqirha wakho ukuba ahlole ubungakanani bomonakalo.
Iskena se-ScanSound Scan ukuvavanya i-ligaments, iiteko kunye nezihlunu.
Ukuba ukonakala kwakho kungabi nakuqhelisele i-ACL kwaye wolula kuphela. Ukulimala kwe-ACL kuya kugqiba ukufumanisa ukuba kulandele ubunkunkqele ngolu hlobo lulandelayo.
Ngaba i-acl ye-acl iphithiwe?
I-ACL ihlala iphola kakuhle ngokwayo kuba ayinalo ubonelelo lwegazi oluhle. Inje ngentambo. Ukuba ikhutshiwe ngokupheleleyo embindini, kunzima kwiziphelo ezibini ukudibanisa ngokwendalo, ngakumbi kuba idolo lihlala lihamba. Nangona kunjalo, ezinye iimbaleki ezinezinyembezi ze-ACL kuphela ezinokubuyela ukudlala ixesha elide njengoko ihlangelwano lizinzile kwaye ezemidlalo abazidlalayo azizibandakanyi ukuhamba ngequbuliso (njenge-baseball).
Ngaba i-ACL yoNyango lwe-ACL ngokukuko kuphela kukhetho lonyango?
Ukwakhiwa kwe-ACL kukutshintsha okuphezulu kwe-acl ye-subl nge "fisture graft" (ngesiqhelo senziwe ngeethenda ukusuka kwithanga elingaphakathi) ukubonelela ngozinzo kwidolo. Olu luphawu olucetyiswayo lweembaleki ezinamadolo angazinzanga kwaye akakwazi ukuthatha inxaxheba kwimidlalo yemidlalo emva kwekratshi.
Ngaphambi kokuba uqaphele utyando, kuya kufuneka unxibelelane nogqirha wengcali kwingcali ekucetyiswe ngugqirha wakho kwaye unyango lomzimba. Oku kuyakunceda ukubuyisela idolo lakho kuluhlu olupheleleyo lwentshukumo namandla, ngelixa ikwavumela ukukhululeka komonakalo wethambo. Abanye ogqirha bayakholelwa ukuba ukwakhiwa kwakhona kwe-ACL kunxulunyaniswa nomngcipheko ongezantsi we-Arthritis yokuqala (utshintsho olwenziweyo) olusekwe kwiziphumo ze-X-ray.
Ukulungiswa kwe-ACL lukhetho lonyango olutsha kwezinye iinyembezi. Oogqirha baphinde babuyisele iziphelo ze-acl kwithambo lethanga lisebenzisa isixhobo esibizwa ngokuba yi-brace. Nangona kunjalo, uninzi lweenyembezi ze-ACL azilungelanga le ndlela yokulungisa ngokuthe ngqo. Izigulana eziye zalungisa zinomgangatho ophezulu wonyango ohlaziyiweyo (1 kwiimeko ezisi-8, ngokwamaphepha). Okwangoku kukho uphando oluninzi ekusetyenzisweni kweeseli zesiqu kunye neplati etyebileyo yePlatele yokunceda i-ACL iphilise. Nangona kunjalo, ezi ndlela zokuzivavanya, kwaye unyango lwegolide "lwegolide" lusenziwa utyando kwakhona lwe-ACL.
Ngubani onokufumana uninzi kunyango lokwakhiwa kwakhona kwe-ACL?
1. Izigulana ezisebenzayo zabantu abadala ezithatha inxaxheba kwezemidlalo ibandakanya ukujikeleza okanye ukuntywila.
2. Izigulana zabantu abadala ezisebenzayo ezisebenza kwimisebenzi efuna amandla amaninzi omzimba kwaye ibandakanya ukujikeleza okanye ukuhambisa.
3. Izigulana ezindala (ezinje ngeminyaka engama-50 ubudala) othatha inxaxheba kwimidlalo ethembekileyo kwaye engabenzi utshintsho olwenziweyo edolweni.
4. Bantwana okanye abakwishumi elivisayo kunye neenyembezi ze-ACL. Iindlela ezilungelelanisiweyo zinokusetyenziselwa ukunciphisa umngcipheko wokwenzakala kweplate.
I-5. Iimbaleki ezinamanye amadolo ngaphandle kweenyembezi ze-ALL, ezinje nge-LOPTEATE LIGAM (PCL), i-LCL), i-ligament ye-LCL), iMentiscus, kunye nokulimala kwengozi. Ingakumbi kwezinye izigulana ezineenyembezi zeMedisto, ukuba unokulungisa i-ACL ngaxeshanye, impembelelo iya kuba ngcono.
Zeziphi iintlobo ezahlukeneyo zonyango lwe-ACL ngokuphinda-phinda?
I-1. I-Hamstring thendon-oku kungavunwa ngokulula ngaphakathi kwedolo ngokuhlaselwa okuncinci ngexesha lotyando (Autograft). I-ACL yeqwengiweyo nayo inokutshintshwa nge-tendon enikelwe ngomnye umntu (isalo). Iimbaleki ezine-hypermoity (i-hyperlaxity), i-ligalities eninzi yeMedical (MCL), okanye iiTons ezinkulu ze-hatellar zinokuba zingcono kubagqatswa okanye i-patellar graft (jonga ngezantsi).
I-2. I-Patellar Teon-Isinye kwisithathu se-patellar ye-patellar, kunye neeplagi zethambo ukusuka kwi-tibia kunye nedolo, inokusetyenziselwa i-patellar autopraft. Isebenza njenge-tendori graft, kodwa ithwala umngcipheko ophezulu wentlungu yedolo, ngakumbi xa amagxa kwaye etyhutyha idolo. Isigulana siya kuba nesifuba esikhulu ngaphambili sedolo.
I-3. Indlela yedolo yedolo kunye ne-tibial tunmoral tunnel gonorry yotyando kwakhona, ugqirha ugqirha uthatha umjelo wethambo. Oku kuthetha ukuba i-bone ye-bone kwi-femur ayikho apho i-ACL yaqala khona. Ngokwahlukileyo koko, oogqirha besebenzisa iindlela zendlela yezamazama ukuzama ukubeka i-tunner kunye ne-graft kufutshane nendawo yokuqala (i-anatomical) yendawo ye-ACL kangangoko kunokwenzeka. Olunye lo tye logqirha bakholelwa ukuba ukusebenzisa i-tun-tun-tun-tun-the sunnel ye-thebnel-esekwe kwi-themoral ye-thebnel kukhokelela ekungazinzini kokungasebenzi kunye nokunyusa amadolo okuhlaziya kumadolo ezigulana.
I-4. I-All-Poitiquiquiquiquiquiiting / Graft I-APREPY PREAT-PATEAY PAINT isebenzisa ukugxotha ukunciphisa isixa sethambo ekufuneka lisuswe edolweni. Kukuphela kwengqwanga enye kuphela yokwakha ubusela xa wakha kwakhona i-ACL. Isimo sengqondo kukuba le ndlela isenokuba ingahlaseli kancinci kwaye incinci kakhulu kunendlela yemveli.
I-5. I-Bute-Bundle-Tunde-Bundes-Abanye oogqirha bazama ukwakha amaqhekeza amabini e-ACL ngokuqhuba imingxunya emine kwidolo esikhundleni sedolo. Akukho mahluko ubalulekileyo kwiziphumo ze-bundle enye okanye eziphindwe kabini kwi-Acl eyakhiweyo-oogqirha baphumelele iziphumo ezanelisayo zisebenzisa zombini iindlela.
I-6. Ukugcina iplate yokukhula - iipleyiti zokukhula zabantwana okanye abantwana abakwishumi elivisayo abanenzakalo ze-ACL bahlala bevulekile kude kube malunga neminyaka eli-14 yamakhwenkwe kunye ne-16 yamakhwenkwe kunye ne-16 yamakhwenkwe kunye ne-16 yamakhwenkwe kunye ne-16 yamakhwenkwe kunye ne-16 yamakhwenkwe. Sebenzisa indlela yokwakha i-ACL yokwakhiwa ngokutsha (i-Transversebral) inokuyonakalisa ipleyiti yokukhula kwaye iyeke ithambo lokukhula (ukukhula). Ugqirha utyando kufuneka ahlole iipleyiti zokukhula kwesigulana phambi konyango, linda de isiguli sigqibe ukukhula, okanye sisebenzise ubuchule obukhethekileyo ukunqanda ukuchukumisa iipleyiti zokukhula (i-periosteum okanye i-pieventitia).
Leliphi elona xesha lilungileyo lokwakhiwa kwakhona kwe-ACL emva kokulimala?
Ngokufanelekileyo, kuya kufuneka utyando kwiiveki ezimbalwa zokwenzakala kwakho. Ukulibazisa utyando kwiinyanga ezi-6 okanye ngaphezulu ukonyusa umngcipheko wokonakalisa i-cartilage kunye nezinye izinto zedolo, ezinje ngeMeniscus. Phambi kotyando, kungcono ukuba ufumene unyango lomzimba ukuze unciphise ukudumba kunye nokufumana uluhlu lwentshukumo, kunye nokomeleza i-quadriceps yakho.
Yintoni inkqubo yokubuyisela kwakhona emva koqhaqho lwe-ACL?
1. Emva kotyando, isigulana siya kuziva sinentlungu idolo, kodwa ugqirha uya kunika i-painkillers ezomeleleyo.
2. Emva kotyando, ungasebenzisa i-cruches ukuma kwaye uhambe ngokukhawuleza.
3. Abanye abaguli bakwimeko efanelekileyo yomzimba ukuze bakhutshwe kwangolo suku olunye.
4. Kubalulekile ukufumana unyango lomzimba ngokukhawuleza emva kotyando.
5. Kusenokufuna ukusebenzisa i-cruches ukuya kwiiveki ezi-6
6. Ungabuyela emsebenzini weofisi emva kweeveki ezimbini.
7. Kodwa ukuba umsebenzi wakho ubandakanya ukusebenza ngokomzimba, kuya kuthatha ixesha elide ukuba ubuye emsebenzini.
8. Ingathabatha iinyanga ezi-6 ukuya kwezi-12 zokuphinda isebenze imisebenzi yezemidlalo, ihlala i-9 iinyanga
Ungakanani uphuculo onokulindela emva kovavanyo lokwakha kwakhona?
Ngokutsho kophononongo olukhulu lwezigulana ezingama-7 556 abanesigulana esakhiwe kwakhona, uninzi lwezigulana zakwazi ukubuyela kwimidlalo yabo (i-81%). Isibini kwisithathu sezigulana sakwazi ukubuyela kwinqanaba labo lokudlalelanisa, kwaye i-55% yakwazi ukubuyela kwinqanaba eliphezulu.
IXESHA LOKUQALA: UJan-16 ukuya ku-15
