Ulimaze imidlalo yakho yokudlala emadolweni, futhi uvakashele udokotela ohlinzayo wamazinyo owayala i-MRI emadolweni akho. Imiphumela ibuyele: i- anterior cruciate ligament (ACL) yezinye izinyembezi , futhi udokotela wakho uncoma ukuhlinzekwa ukulungisa. Yini okufanele uyenze ukuze ulungiselele ukuhlinzwa? Ngesinye, kufanele uhambe ubone umhlinzeki wakho womzimba we-pre-op ye-ACL yokwelashwa.
Ucwaningo lubonisa ukuthi ukwelashwa kwangaphambi kokusebenza komzimba-PT ngaphambi kokuba ulungise ukulungiswa kwe-ACL-kungasiza ekuthuthukiseni imiphumela esebenzayo yomsebenzi ngemuva kokuhlinzwa kwakho kwe-ACL.
Ukwelashwa Kwemvelo ye-ACL Sprains
I-ACL yakho iyasiza ukusekela idolo lakho ngokuvimbela phambili ukujula kwesifuba sakho ngaphansi kwethanga lakho. I-ACL sprain ingenzeka uma uphazamisa amadolo wakho ngokuzumayo, ngokuvamile ngenkathi unyawo lwakho selitshalwe phansi. Lokhu kungenzeka uma usika futhi ugijima ngokushesha noma ngenkathi usuqa futhi ufika.
Izimpawu zemikhakha ye-ACL ingafaka:
- Ubuhlungu obukhulu
- Ukuvuvukala emadolweni akho
- Kunzima ukugoqa noma ukuqondisa ngokugcwele idolo lakho
- Ukuzwa ukungazinzi kwamadolo
Uma usola ukuthi unezinyembezi ze-ACL, kufanele uhambe uzobona udokotela wakho ukuze uthole ukuhlonza okuqondile futhi uhlele isu elifanele lokunakekela isimo sakho. Udokotela wakho angenza izivivinyo ezikhethekile ukuze abone ukuthi i-ACL yakho idwenguliwe , kanti i-MRI ingasetshenziswa ukuqinisekisa ukuxilongwa okusolakala. Ukwelashwa kwezinyembezi ze-ACL kungase kube nokuzimela, okubandakanya ukwelashwa ngokomzimba nokuzivocavoca umzimba, noma kungase kube yinkinga enkulu, ehlanganisa ukulungiswa okuhlinzekwa kwe-anterior cruciate ligament yakho.
Akuwona wonke umuntu onenkinga ye-ACL edinga ukuhlinzwa. Abantu abaningi bayakwazi ukusebenza ngokugcwele nge-ACL ephukile; i-ligament imane iphulukise kanye ne-knee range of motion (ROM) namandla akho omlenze abuyele ngokugcwele. Inkinga yukuthi imisebenzi enamandla kakhulu nemidlalo ingaba nzima, ikakhulukazi uma le midlalo idinga ukuba ugijime futhi usebenzise umhlaba noma uhlanganyele ekusika futhi ushintshe izinkomba ngokushesha ngenkathi usebenza.
Kulezi zimo, idolo lakho elimele i-ACL lingase lingakwazi ukubhekana namandla afakwe kuyo ngenkathi iqhaza kulezi zenzo. Abantu abafisa ukubuyela emphakathini wezinga eliphezulu bangakhetha ukulungiswa kokuhlinzwa kwe-ACL yabo. Udokotela wakho angakusiza ukuba unqume mayelana nokwelapha okungcono kakhulu kuwe.
Izingxenye zohlelo lwe-AC Pre-Op PTL
Uma unezinyembezi ze-ACL futhi ubhekene nokuhlinzwa, kufanele ubuze udokotela wakho uma ungahlanganyela ohlelweni lokuqala lokwelapha ngokomzimba. I-PT yakho ingahlola isimo sakho futhi ibeke imidwebo efanele ukukusiza ukuba uthuthukise i-ROM, amandla, nokuhamba kwakho konke ngaphambi kokuhlinzwa.
Izingxenye zesistimu ye-prehab yokwelapha ngaphambi kokuhlinzwa kwe-ACL zingabandakanya:
- Ukuzivocavoca ukuthuthukisa amadolo eROM
- Ukuzivocavoca ukuthuthukisa i- quadriceps nokufaka amandla amandla
- Ukuzilinganisa nokuzivocavoca
- Ukuvuselela kagesi we-neuromuscular (NMES) ukuthuthukisa umsebenzi we-quadriceps
- Ukwelapha ukulawula ukuvuvukala kwamadolo
- Ukuqeqesha nge-Neuromuscular , okubandakanya ukufunda ukugxuma nokuhlala kahle kahle nokuqinisa imodolo yakho ngenkathi uhlanganyela ezemidlalo ephezulu kanye nemisebenzi.
Umgomo oyinhloko we-pre-operative ACL PT ukubuyisela ama-ROM amadolo amakhulu, amandla, nokuzinza ukuze ulungele ukuhlinzwa ukulungiswa kwe-ACL futhi ube nemiphumela engcono kakhulu.
Kodwa ingabe i-pre-op therapy iwufanele ngempela?
Uyini Ucwaningo Lokubonisa?
Uma ucabangela ukwelashwa ngokomzimba ngaphambi kokuhlinzwa kwe-ACL, kufanele ube nokuqonda okuyisisekelo lokho okushiwo ucwaningo olushicilelwe. Kungasiza ukuqondisa inqubo yokwenza izinqumo uma unquma ukuya eP-pre op op PT noma cha.
Ucwaningo olunyatheliswa eMelika Journal of Sports Medicine luhlolisise imiphumela yesikhathi eside kanye nemiphumela esebenzayo evela ezigulini eziye zangena ngaphambi kwe-ACL rehab nalabo ababengenanga PT ngaphambi kokuhlinzwa kwabo kwe-ACL. Abacwaningi bathola ukuthi iziguli ezibandakanyekile ekwelapheni ngokomzimba ngaphambi kokuhlinzwa kwazo kwe-ACL zabuye zabuya kakhulu ezingeni lezemidlalo kanye nezikolo ezithuthukisiwe ezinyathelo ezithile zemiphumela yamadolo.
Lezi zinzuzo zahlala iminyaka engaphezu kwengu-2 emva kokuhlinzwa. Iziguli ezazibandakanya ku-pre-op ACL rehab, noma prehab, zaba nemiphumela engcono yokusebenza namadolo abo. Kulula nje, eminyakeni emibili emva kokuhlinzwa, iziguli ezenza PT ngaphambi kokuhlinzeka kwe-ACL zazingcono kunalabo abangazange bahlanganyele ekwelapheni kwangaphambi kokusebenza.
Olunye ucwaningo lwathola ukuthi iziguli ezithintekayo ekuhlinzeni ukwelashwa kwangaphambi kokusebenza zinezimo zokuhlola ze-leg hop ezingcono kakhulu ngemva kwamasonto angu-12 ngemuva kokuhlinzwa kwabo kwe-ACL yokulungisa. Isivivinyo esisodwa somlenze we-hop yisithuluzi esiqaphele sokukala ukulungela komdlali ukuthi abuyele emdlalweni ngemuva kokuhlinzwa kwe-ACL. Iziguli ezahlanganyela kulolu cwaningo nazo zathola izilinganiso ezingcono emigodweni yemiphumela yamadolo uma kuqhathaniswa neziguli ezingazange zihlanganyele PT yangaphambili.
Lezi zifundo zingakuholela ekuphetheni ukuthi izinzuzo ezinkulu zingenziwa uma umuntu ehlanganyela ekwelapheni ngokomzimba ngaphambi kokuba ahlinzekwe nge-ACL ephukile.
Ukubeka konke ndawonye
Kungani ungacabangela ukwelashwa kwangaphambi kokusebenza ngaphambi kokuhlinzwa kwe-ACL? Ingabe amadolo akho ngeke ahlupheke ngenxa yokuvuvukala, ubuhlungu nokulahlekelwa ukuhamba ngenxa yokuhlinzwa? Ingabe yonke inzuzo yangaphambi kokusebenza iyolahleka ngemuva kokuhlinzwa?
Mhlawumbe kanjalo. Kodwa ucwaningo lubonisa ukuthi ukusebenza ngamadolo akho eROM, amandla, nokulawulwa kwe-neuromuscular ngaphambi kokuhlinzwa kunika imiphumela emihle yesikhathi eside. Ukuthatha isikhathi sokwandisa ukuhamba kwakho kwamadolo ngaphambi kokuhlinzwa kwakho kungase kuholele emiphumeleni enhle ngemva kokuhlinzwa kwakho. Khumbula ukuthi wonke umuntu uhlukile, futhi ukulimala kanye nezidingo zomuntu wonke ziyahlukahluka. Ukuqonda izinzuzo ze-pre-op PT ngaphambi kokuba ukuhlinzwa kwakho kwe-ACL kungakusiza wenze ukhetho oluhle ngesimo sakho esithile.
Uma usuqede i-ACL yakho emadolweni akho, kufanele ukhulume nodokotela wakho ukuze uhlele uhlelo lokunakekelwa okulungile kuwe. Abanye abantu abadingi ukuhlinzeka nge-ACL yabo eboshiwe. Abanye abantu bangase badinge ukuhlinzekwa-kulandelwa yi-post-operative ACL rehab-ukukhulisa ukuhamba kwabo kokusebenza ngemva kokulimala kwabo.
Ukuhlanganyela ohlelweni lwezokwelapha olugxila ekuthuthukiseni ukuhamba kwamadolo nokulawulwa kwemisipha kungaba nezinzuzo ezihlala esikhathini esilandelayo. Kungumqondo omuhle ukukhuluma nodokotela wakho noma udokotela ohlinzayo bese ubuza ukuthi ngabe ukuklashwa komzimba ngaphambi kokusebenza kwe-ACL izinyembezi zakho kuyindlela efanele yesenzo esimweni sakho esithile.
> Imithombo:
> Failla, MJ, etal. Ingabe Iminyaka Eyiminyaka Engu-2 Ngemuva Kokuvuselelwa Kwama-ACL? Ucwaningo Lokusebenza Lokuqhathanisa Phakathi kwama-coorts MOON ne-Delaware-Oslo ACL. Am J Sports Med. 2016 Oct; 44 (10): 2608-2614.
> Shaarani, i-SR, ne-etal. Umphumela wokuvuselela umphumela we-anterior cruciate ligament reconstruction. I-AM J Sports Med. 2013 Sep; 41 (9): 2117-27.