Ingabe i-ACL Rehab ingaba isheshayo kubadlali abazobuyela emidlalweni?
Ukwelashwa kabusha kwe-ACL yindlela yokwelapha evamile esetshenziselwa abagijimi abalimaza i-anterior cruciate ligament (i-ACL) yangaphambili. I-ACL ingenye yama-kneam ligaments amakhulu amakhulu futhi ibalulekile ekubambeni ekuzinzeni kwebhande elihlangene. Ngaphandle kwe-ACL esebenzayo, ukujoyina kufinyeleleke ekuzweleni kokunikeza. Lokhu kungabi khona kwamadolo kwenza ukuba iqhaza kwimidlalo eminingi kunzima noma kungenzeki.
Ngenxa yalesi sizathu, abagijimi abaningi bazokhetha ukuhlinzwa ukulungiswa kwe-ACL. Ukuhlinzwa okulandelayo, kukhona ukuvuselelwa isikhathi eside futhi okunamandla ngaphambi kokubuyisela umsebenzi wesigodi, amandla, nokuzinza okuvamile.
I-Standard ACL rehab ithatha izinyanga ezingu-7 kuya kwezingu-9 ukuqedela. Kwabadlali abaningi , lokhu akusho kuphela ukuphela kwenkathi yabo yezemidlalo, kodwa kungase kuphazamise ukulungela isikhathi sabo sokuncintisana esilandelayo. Kodwa ingabe i-ACL yezinyembezi zokudabuka ingase isheshe? Kuze kube nini kufanele ulinde ngaphambi kokuba ubuyele emidlalweni emva kokuhlinzwa kwe-ACL ?
Ubude be-ACL Rehab
Abezindaba bagcwele imibiko yabathile abenza ukuphola okusheshayo futhi babuyele ezemidlalo ngokushesha kunalindelekile. Ngokuvamile uzwa ngabathile abadumile abahlinzwa futhi babuyele ngokushesha emidlalweni kunokuba bekulindeleke ekuqaleni. Ingabe lokhu kusho ukuthi ungaba nokuvuselela ngokushesha ngemuva kokuhlinzwa kwezinyembezi ze-ACL ?
Uma unokwakhiwa kwe-ACL , i- ligament entsha idalwe futhi ibanjwe emadolweni akho ngezikrini noma amanye amadivayisi wokulungisa.
I-ACL kufanele iphole kule ndawo ukuze imelane nokucindezeleka okuphindaphindiwe okuhambisana nemisebenzi yezemidlalo . Inkinga nganoma yiluphi uhlobo lwe-ACL yokulungiswa kwe-graft yukuthi, uma kugcizelelwe kaningi ngaphambi kokuthi ukuhlanganiswa sekuphulukisiwe, ukulungiswa kuzogcina kuhluleka. Lokho kusho ukuthi i-ACL entsha ye-graft ingakwazi ukukhululeka noma ivuselelwe kabusha.
Ngaphezu kwalokho, kunezinye izingozi zokuvuselelwa ngokweqile ngokweqile. Isibonelo, lowo owayengumamukeli omkhulu we-NFL uJerry Rice wabuya wenza izinyanga ezingu-3 ½ emuva kokuqala ukuvuselelwa kwe-ACL ngo-1997. Emdlalweni wakhe wokuqala, waphula i-kneecap yakhe (lapho i-ACL graft isuswa khona). Lokhu kulimala okusha kwaphela isikhathi sakhe.
Isikhathi Esincane Sokuvuselela Izinyembezi ze-ACL
Impela ukuthi i-ACL graft ithatha isikhathi esingakanani ukuphulukisa ngokwanele ivulekile ukuphikisana. Ngaphezu kwalokho, ezinye zezemidlalo nemisebenzi izobeka isidingo esiphezulu ku-ACL futhi ukuphulukiswa okuningi kungadingeka ngaphambi kokubamba iqhaza. Odokotela abaningi bamazinyo bayavuma ukuthi okungenani izinyanga ezingu-6 kuyadingeka ngaphambi kokuba babuyele emidlalweni yokuncintisana. Ngenxa yengozi engase ibe yingozi ye-reinjury, noma kunjalo, abaningi bancoma ukuthi balinde izinyanga ezingu-7 kuya kwezingu-9.
Kufanele uxoxe ngaso sonke isikhathi ukubuyela emidlalweni nodokotela wakho ohlinzayo, njengoba kunezinhlobonhlobo zokuvuselelwa kwe-ACL evamile . Izinguquko ekuvuselelweni zingase zibangelwe uhlobo lokufakelwa kokusetshenziswa , noma yiziphi izinqubo ezenziwa kanye nokwakhiwa kabusha (njengokulungiswa kwamadoda noma ukulungiswa kwe-cartilage ), noma ukukhethwa kwabahlinzayo.
Okokugcina, ukulungiswa kwe-ACL akuyona nje inkinga yesikhathi. Ukuvuselelwa kwe-ACL kuhilela ukuqhubekela phambili kwemisebenzi ethile yokwelapha kanye nemidlalo.
Ukuze uthuthuke ukusuka kwesinye isinyathelo sokuvuselela kuya kwesinye, kufanele ukwazi ukuqedela imisebenzi ethile. Uma isiguli singakwazi ukuqhubeka nokuqhubeka, ukuvuselelwa jikelele kungase kubambezeleke. Yingakho ukusebenza nomhlengikazi womzimba kubaluleke kakhulu emva kokuhlinzwa kwe-ACL.
Imithombo:
Larson RL kanye no-Tailon M "I-Anterior Cruciate I-Ligament Insufficiency: Izimiso zokwelashwa" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, Jan 1994; 2: 26 - 35.