Izingqondo zishintsha ukulungiswa kwe-ACL yezingane
Ukuhlinzwa kabusha kwe-ACL yindlela yokwelashwa ejwayelekile kubantu abasha, abakhuthele abeseka izinyembezi ze-ACL . Kodwa kwenzekani uma lowo muntu engumntwana? Ingabe ukuhlinzwa kwe-ACL kufanele kubambezeleke kuze kube yilapho ingane ikhulile, noma kufanele ukuvuselelwa kwe-ACL kwenziwe ngaphambi kokuvuthwa kwamagciwane?
Ukwelashwa Kwezingane Kungase Kuphuze, Kodwa Lokhu Kushintsha
I- anterior cruciate ligament (ACL) ukuxhumana phakathi kwamadolo kubalulekile ukuzinza okuhlangene.
Ngokwesiko, lapho ingane inokulimala kwe-ACL, odokotela abahlinzayo babengafuni ukusebenza nokuvuselela i-ligament ngaso leso sikhathi ngenxa yokwesaba ukulimaza ipulazi lokukhula.
Ukukhathazeka ukuthi ngaphambi kokuba ingane ifinyelele ukuvuthwa kwamathambo (cishe eminyakeni engama-12-13 ubudala kumantombazane noma iminyaka eyi-14-15 kubafana) lolu hlobo lohlinzekwa lwalubeka ingozi yokulimaza ipuleti lokukhula. Izinkinga ze-plateth ezikhulayo ezivela ekuhlinzekeni kwe-ACL zingaholela ekungalinganiseni ubude bomlenze noma ukubola kwe-angular. Kodwa-ke, ucwaningo lwamuva lubonisa ukuthi ingozi yokuxazulula izinkinga zeplate ingaphansi kwenengozi yokulimala kwamadolo uma i-ACL ingagcini.
Yiziphi Izitshalo Zokukhula?
Amacwecwe okukhula ayiyingxenye yethambo elikhula ngobude. Ukukhula kwamathambo amaningi kwenzeka eduze kwemikhawulo yamathambo amade kulezi zindawo ezibizwa ngokuthi amahlumela okukhula. Amapulangwe amabili okukhula asebenzayo emzimbeni angaphezu nje futhi angaphansi kwamadolo. Lezi zingqimba zokukhula zifaka ubude bomzimba wethethini (femur) ne-bone bone (tibia).
Ukuhlinzwa kwe-ACL kuthinta kanjani i-Plate Growth ezinganeni?
Ukuhlinzwa okwakhiwa kabusha kwe-ACL kuhilela ukwakha umhubhe esitokisini ngokuqondile endaweni yalezi zingqimba zokukhula. Ngesikhathi sokuvuthwa kwamathambo, ipulazi lokukhula livala. Uma ipulazi lokukhula livaliwe (noma livaliwe livaliwe) ingozi yokubangela ukuphazamiseka kokukhula sekuphelile.
Kodwa-ke, ngokubhoboza umgodi ngamapulangwe okukhula okuvulekile, umzimba ungavala isitsha sokukhula ekuseni. Lokhu kungaholela ekwenzeni okuphelele ukuvala ipuleti, okubangelwa ukungalingani ubude bomlenze, noma ukuvalwa kwekhasi lokukhula kancane, okwenza ukubola kwe-angular.
Ukukhubazeka kwamangqamuzana nakho kungaholela emadolweni angqongqoza (genu valgus) nemilenze yomnsalo (genu varus), Lezi zimo ziqhubeka zikhula ngokuqhubekayo nokukhula okunye futhi kungaholela ezinkingeni ezifana nokulimala okuhlanganyelwe kanye nesifo samathambo.
Ukushintsha isimo sengqondo ku-ACL Izinyembezi nokuvuselelwa kwezingane
Izinkathazo ezingaguquki ngenxa yezinyembezi ze-ACL zinethuba eliphezulu lamadoda wezinyembezi nokulimala kwe-cartilage. Odokotela abahlinzayo abaningi baye batusa ukuthi ukuhlinzwa kwe-ACL ezinganeni kubambezeleka kuze kube yilapho ingane isifinyelele ukuvuthwa kwamathambo. Ithemba lokuthi ngokubambezela ukuhlinzwa, ungagwema izinkinga ezingase zibe khona zokulimala kweplate ngenxa yomsebenzi we-ACL.
Izici ezimbili ziye zabangela ukuba odokotela abahlinzayo abaningi batusa ukuhlinzwa kwangaphambili kwe-ACL, ngisho nasezinganeni. Okokuqala, ucwaningo lwamuva luye lwahlola ingozi yokulimala kwekhasi ngokukhula uma kuqhathaniswa nokwehla kokuphuza ukwelashwa kokuhlinzwa kwe-ACL ephukile. Ingozi ye-meniscus izinyembezi nokulimala kwe-cartilage itholakala ekucwaningweni kwakamuva ukuthi kube ngaphezulu kunengozi yokuphazamiseka kokukhula.
Okwesibili, kukhona ukuguqulwa kwendlela yokuhlinzwa ye-ACL yendabuko evumela ukuba ipulazi lokukhula libe nezingane ezincane. Ngaphezu kwalokho, udokotela wakho angancoma uhlobo oluthile lokufakelwa ukusiza ekunciphiseni amathuba okulimala kweplate uma ukuhlinzeka ukwelashwa kukwenziwa. Ngakho-ke, odokotela abahlinzayo abaningi batusa ukuhlinzeka kwangaphambili kwe-ACL, ngisho nasezinganeni.
Okubalulekile ukuthi izingozi zokulinda (ukungazinzi okuhlanganyelwe, izinkinga zezinsizi kanye nokulimala kwe-cartilage) kubonakala kunkulu kunengozi yokulimala kweplate yokukhula ngokuqala kokuvuselelwa kwe-ACL nezinqubo zokuhlinzwa zamanje. Ngenxa yalokho, odokotela abahlinzayo namuhla baningi amathuba okuncoma ukwakha kabusha kabusha kwe-ACL.
Umthombo:
Umhlangano Waminyaka Yonyaka we-American Orthopedic Society for Sports Medicine (AOSSM), ngoJulayi 2009.