Iminyaka Ngemuva kwezinyembezi ze-ACL, iningi labantu lizothuthukisa i-Arthritis ye-Knee yabo
Ukulimala komgogodla kungaba ukulimala okulimazayo kumdlali osemusha. Ngokuvame ukudala ukungabikho isikhathi eside kusuka kumaqembu ezemidlalo, ukuvuselela okuphawulekayo, nokuphazanyiswa endleleni yokuphila evamile, ukuguqulwa kwamadolo okulimaza kungukulimala okwesaba yinoma yimuphi umdlali osemusha. Kodwa-ke, abagijimi abaningi, nabazali babo, abaqeqeshi, nabalandeli, bakhathazekile ngokubuyela emsebenzini, hhayi okungenzeka kwenzeke eminyakeni eyishumi noma ngaphezulu kamuva.
Ngeshwa, iqiniso liwukuthi, okubi kakhulu kungase kube khona. Ucwaningo olusha luveza indlela abagijimi abasha abanamahlombe emilenze kunamathuba amaningi kunokuba bangahlakulelani isifo samathambo okuhlangana kwabo phakathi neminyaka eyishumi yokulimala kwabo.
Ukulimala Kwegciwane Ligament
Kunezintambo ezine ezinkulu zamadolo, izigxobo ezimbili zomgodla ezinhlangothini zamadolo, kanye nemigqa emibili ekhuphuka ewela esiphakathi kwamadolo. Iningi ucwaningo lokuphenya i-arthritis elandela ukulimala kwamadolo lubekwe kubagijimi abaye baqothula i-cruciate ligament (ACL) yabo yangaphambili.
I-ACL iyinigamento ebalulekile ekuvimbeleni izinzwa zokungazinzi noma 'ukuphawula' kwamadolo lapho wenza ukusika noma ukuguqula ukuhamba ukuze ushintshe isiqondiso. Izinyembezi ze-ACL zidinga ukwelashwa okukhethekile, ikakhulukazi abagijimi abamba iqhaza emidlalweni ephezulu engozini edinga lezi zinguquko ngokuzumayo njengengxenye yokubamba iqhaza.
Ukuhlinzekwa kwe-ACL echotshiwe ukwenza i-ligament entsha, ebizwa ngokuthi ukwakha kabusha, ngokuvamile ngokuthatha ithoni noma ligament kusuka kwenye indawo emzimbeni. Ukuphumelela kokuhlinzeka ngokuvamile kulungile, nakuba kungaphelele. Abagijimi abaningi bayakwazi ukubuyela emisebenzini yezemidlalo ngemuva kokuvuselelwa kokuhlinzwa. Kodwa-ke, ukutakula kuyinde futhi kunzima , nabagijimi bephuma ngaphandle kwezinyanga eziyisithupha , futhi ngezinye izikhathi kuze kube unyaka.
I-arthritis ye-Joint
I-arthritis ye-knee iyinkinga evamile, kepha ngokuvamile ihlotshaniswa nabantu asebekhulile. Uhlobo oluvame kakhulu lwe-arthritis lubizwa ngokuthi i-osteoarthritis, futhi luvame ukubizwa ngokuthi i-arthritis yokugqoka nokugabha emadolweni. Uma i-osteoarthritis ivela emhlangothini wegolo, indawo ejwayelekile yokushisa, yokugubha ingxenyana iyagqogqeka, ishiya isigqoko, sidalwe ithambo. Lesi simo sibangela izimpawu zobuhlungu, ukuvuvukala, nokukhubazeka kokujoyina. Ngokuhamba kwesikhathi, lesi simo singase sibe sibi nakakhulu kangangokuba ukuguqulwa kwamadolo kungaba yindlela yokukhetha.
Njengoba kushiwo, i-knee arthritis ngokuvamile isimo sokuguga. Iningi labantu abane-arthritis liseneminyaka engama-60 noma ngaphezulu. Kunezici ezithile zokubeka ingozi ekuthuthukiseni i-arthritis engenza isimo senzeke ngaphambi kwesikhathi empilweni. Enye yalezi zinto eziyingozi kuyingozi kakhulu emadolweni, futhi inhlobo evamile yokulimala okudabukisayo kungukulimala kwamadolo. Sekuyisikhathi eside ukuthi odokotela bama-orthopedic baziwa ukuthi abantu abadabula amabhodomu abo, kuhlanganise ne-ACL, banamathuba amaningi okuthuthukisa isifo samathambo, kodwa ukwazi ukuthi kuvame kangakanani ukuthi lokhu kungase kwenzeke kanjani.
Ucwaningo lwango-2017 lwathola ukuthi cishe amaphesenti angama-75 abantu abathola ukuhlinzwa kabusha kwe-ACL babethole ukutholakala kwamathambo emidlalweni yama-x emadolweni phakathi neminyaka engu-10-15 yesikhathi sokuhlinzwa.
Lokhu kuyisabisa ukukhathazeka, kucabangela izinyembezi eziningi ze-ACL ziphathwa emashumini amabili namashumi amabili abagijimi abasha. Laba bantu abasha sebebhekene nethuba lokuphatha i-knee arthritis ngokushesha lapho behlala eminyakeni yabo engama-30, isikhathi lapho imicabango ye-arthritis ingavamile engqondweni yabantu. Ingozi yokuthuthukisa i-arthritis iphezulu kakhulu kubantu abasha abalimaza futhi i-meniscus cartilage noma i-articular cartilage, kunokuba labo abaye bekhala izinyembezi ze-ACL.
Isizathu esiqondile sokuphefumula kwamagciwane asiqondakali ngokuphelele, kodwa kungenzeka ukuthi kunezinkinga ezimbalwa ezihlukene. Okokuqala, ukulimala kokuqala kungalimaza i-cartilage ehlangene ngendlela engabonakali.
Noma kunjalo, i-cartilage inamandla okukwazi ukuzilungisa ngokwawo, futhi umonakalo ungabonakala ngokwengeziwe ngokuhamba kwesikhathi. Okwesibili, i-mechanics yamadolo ingashintsha ngemva kokuhlinzwa okuvuselelayo. Ngenkathi amasu okuhlinzeka ethuthukiswa ukuze afinyelele kangcono ama-mechanics avamile emadolweni ngemva kokuvuselelwa, inzuzo yalezi zinguquko ayisobala ngokuphelele.
Indlela Yokuzivimbela
Kusobala ukuthi indlela engcono kakhulu yokuvimbela isifo samathambo okuqala ukuvimbela ukulimala kwe-ACL, nezinye ukulimala kwamadolo. Lokhu kuyinkinga yezindlela zocwaningo eziningi zokunciphisa amathuba okulimala kwe-ACL. Kukhona imiphumela ethembisayo kusuka kwezinye zalezi zindlela, kodwa akukho hlelo lokuvimbela oluzoqeda zonke izinyembezi ze-ACL. Ngaphezu kwalokho, uma ufunde lokhu kude, kungenzeka ukuthi wena noma umuntu omnakekelayo usuvele ulawula i-ligament legament izinyembezi.
Ukwakhiwa kabusha kokuhlinzwa kubonakala sengathi kuyindlela enhle yokuvikela umonakalo owengeziwe kuhlangene. Njalo lapho idolo linikezela, kunengozi yokulimala komzimba we-cartilage. Ngakho-ke, odokotela abaningi abahlinzayo bakhuthaza ukuhlinzwa kwe-ACL ukuvimbela umonakalo owengeziwe emadolweni. Inzuzo yokubhoboza idolo iyisifundo sempikiswano, kodwa amabhontshisi we-ACL awabonwanga ukuthuthukisa imiphumela noma ukuvimbela i-arthritis ngemuva kokuhlinzwa kokusebenza kwe-ACL.
Ukuthuthukiswa Kwesikhathi Esizayo
Njengenkinga eminingi yezokwelapha, kukhona uphenyo oluningi mayelana nendlela yokuthuthukisa imiphumela yabagijimi abasha abalimaza ama-kneam ligaments. Kuningi abanomuzwa wokuthi bathole izindlela zokunciphisa amathuba okuthuthukiswa kwe-arthritis, kodwa ukusebenza kwesikhathi eside kwale mibono akuzange kuboniswe. Ezinye uphenyo zihlanganisa:
- Ukwenza ngcono imishini ye-ACL yokuvuselela ukuvuselelwa: Ezinye izindlela ezintsha zokuhlinzekwa zakhiwe ukuze ziphindaphinda kangcono ubuciko obuvamile be-ACL noma zilungise ngisho ne-ACL ewonakele. Ukwakhiwa kabusha kwe-ACL yesibili kanye nebhuloho okuthuthukisiwe ukulungiswa kwe-ACL yizinye zalezi zindlela, kodwa uma lezi zingcono kunomsebenzi ojwayelekile wokuvuselela i-ACL aziwa.
- Ukushintsha i-biology yehlangene ngemva kokulimala: Ngemva kokulimala kokubambisana, njengenyembezi ye-ligament, umzimba ukhulula izikhangiso zamakhemikhali ezihlukahlukene ngaphakathi kokujoyina. Ukuguqula impendulo yomzimba ukuqinisekisa ukuthi umonakalo awuqhubeki, futhi ukuphulukiswa kuhle, kuyindawo yokuphenya.
- Ukuvimbela ukulimala komgogodla: Ukuphenywa okuningi kuye kugxile ekuqondeni ukuthi kungani abanye bakha izinyawo zabo, futhi yini engenziwa ukuvimbela labo abalimalayo. Ukugxila ekuqeqeshweni kwe-neuromuscular , okuthiwa ukulawula okunamandla komkhawulo, kuye kwaboniswa ukusiza ukuvimbela ukulimala kwamadolo.
Izwi elivela
Ukulimala kwamagciwane njenge-ACL izinyembezi kukhona ukulimala okukhulu okubangelwa ukungahambi kahle kanye nesikhathi kude nemidlalo. Ukubuyiselwa okuvela kulokhu kulimala kungadinga ukuhlinzeka nokuvuselela imizamo yokuvuselela. Futhi uma lokho kungenele, ukuguqulwa kwesikhathi eside kungase kungabi kuhle, nabantu abaningi abathuthuka isifo samathambo esikhathini esiyiminyaka eyishumi yokulimala. Ucwaningo lwesikhathi esizayo luhlose ukuguqula ingozi yokuthuthukisa i-arthritis, nokuvimbela ukulimala kwamagciwane kungenzeki nhlobo.
> Imithombo:
> Cinque ME, uDornan GJ, Chahla J, Moatshe G, LaPrade RF. "Amanani aphezulu e-Osteoarthritis athuthuka emva kokuhlinzwa kokuhlinzwa kwesiguli se-Anterior: Ukuhlaziywa kweziguli ezingu-4108" Am J Sports Med. 2017 Septhemba 1: 363546517730072.
> Oiestad BE, Holm I, Aune AK, Gunderson R, Myklebust G, Engebretsen L, Fosdahl MA, Risberg MA. "Ukusebenza komzimba nokusabalalisa kwe-knee osteoarthritis ngemuva kokuvuselelwa kwe-ligament reconstruction yangaphambili: okuzofundwa eminyakeni engu-10 kuya kwengu-15 yokulandelela" Am J Sports Med. 2010 Nov; 38 (11): 2201-10.