Izinyembezi ze-ACL zilimaza ngokuvamile emadolweni ngokuvamile okudinga iziguli ukuba zenziwe ukuhlinzwa ukuze zivuselele umgogodla ophukile. Ezinye iziguli zilwa nesinqumo sokuthola ukuhlinzwa kabusha kwe-ACL ngoba kunezimo ezingenzeka zokuhlinzwa. Funda ngezinye zezinkinga ezivamile zokuhlinzwa kwe-ACL nokuthi ungaqinisekisa kanjani umphumela ongcono kakhulu.
I-Anterior Knee Pain
Ukuhlukunyezwa okuvame kakhulu kokuhlinzwa kwe-ACL ubuhlungu buzungeza i-kneecap .
Lezi zinkinga ziphakeme kakhulu ezigulini ezihlinzekwe nge-patellar tendon graft, njengoba lezi ziguli zithinte amathambo kusukela ku-kneecap njengengxenye yale nqubo yokuhlinzwa. Lezi ziguli zingaba nezinkinga ezibandakanya ukuhlukunyezwa kwe- patellar kanye ne- patellar tendon izinyembezi , nakuba lezi zingavamile kakhulu. Kodwa-ke, zonke iziguli, ngisho nalabo abanezinsika ze-graft noma ama-graft donor, nazo zingaba nezibonakaliso zobuhlungu bezinyawo zangaphambili.
Ubuhlungu bendondo yangaphambili bendabuko bucatshangelwa ukuthi buwumphumela womshini ohlanganyelwe ohlangene, futhi ngokuvamile unganqotshwa ukwelashwa okujulile ngokomzimba. Ukuhambisana nemikhakha yokubuyisela emuva yokubheka kabusha kubalulekile kubadlali ukuqinisekisa ukuthi ama-mechanics awo aguqulwa.
Ukwelashwa Ngemva Kokuhlinzwa Kwe-ACL
Ukutheleleka kuyinkimbinkimbi engavamile, kodwa kungaba yingozi uma kwenzeka. Uma ukutheleleka kungaphakathi kwehlangothini lamadolo, kukhona ukukhathazeka mayelana nokufakelwa kwe- ACL . Umzimba wakho awukwazi ukulwa ngokutheleleka ukutheleleka ku-graft, futhi ngezinye izikhathi ukuhlanganiswa kudinga ukususwa ukuze ukwelaphe ukutheleleka.
Ukuthatha izinyathelo zokugwema ukutheleleka kuhlanganisa ukulandela abahlinzayo bakho iziyalezo eziqondile kokubili ngaphambi kokuhlinzwa nangemva kokuhlinzwa. Odokotela abahlinzayo abaningi batusa ukuhlanza idolo nge-soap antibacterial ngaphambi kokuhlinzwa, bese kubalulekile ukulandela noma yiziphi iziqondiso zebhanji ezithile emva kokuhlinzwa. Uma unezibonakaliso zokutheleleka kufaka phakathi umkhuhlane, ukubola, ukuvuvukala kwamadolo noma ubuhlungu, vumela udokotela wakho ohlinzayo wazi ngokushesha ngangokunokwenzeka.
Ukuvuselela kabusha kwe-ACL Graft
Phinda ukudilika kwe-ACL graft nakho kuvamile, kodwa kwenzeka. Noma kunini ukuhlukana kabusha kwe-graft, udokotela wakho ohlinzayo kufanele ahlole ngokucophelela ukuhluleka okwezobuchwepheshe bokuhlinzwa kokuqala. Izinkinga ezingenzeka ezingabangela ukuqeda kabusha i-ACL zibandakanya ukuma okunamandla kokuhlanganiswa, ukungezwani okungalungile ku-graft, noma ukuhluleka kokulungiswa kwe-graft.
Ama-graft we-ACL anamandla kakhulu. Eqinisweni, izicubu ze-autograft (izicubu ezivela kuthenda ye-patellar noma i-tendon hamstring tendon) zinamandla kune-ACL yakho siqu. Ukungaphumeleli kwalezi ziqhumane ngokuvamile kubangelwa enye yalezi zinkinga. Izicubu ze-Allograft (izicubu ezinikela), ngakolunye uhlangothi, alinamandla, futhi ukuphindaphinda amazinga kuyaziwa ukuthi uphakeme ngalolu hlobo lokuhlanganiswa. Yingakho abadlali abaningi abafuna ukudlala bavame ukukhetha izicubu zabo, yize noma ukuhlala kabusha kungase kube nzima nakakhulu.
Ukuqina ( Arthrofibrosis )
Ukuqina emva kokuhlinzwa kwe-ACL kuvame ukuhlangana. Ngenhlanhla, iziguli eziningi ezinzima zingakwazi ukubhekana nale nkinga ngokuvuselelwa okunonya. Nakuba izimo eziningi zobunzima zingabhekiswa nge-rehab, okunye okubizwa ngokuthi i-cyclops lesion. Isilonda se-cyclops senzeke lapho ibhola lesisindo esibomvu lidala phambi kwamadolo, okwenza kube nokuhluleka ukuqondisa ngokugcwele amadolo emva kokuhlinzwa kwe-ACL.
Ukuhlinzeka nge-arthroscopic ukuhlanza lezi zicubu ezibomvu kuvame ukudingwa iziguli ezine-lesi-cylindus lesion.
Isinyathelo esibucayi kakhulu sokugwema ukuqina ukuguqa amadolo ngemuva kokuhlinzwa kwe-ACL. Esikhathini esidlule, odokotela basebenzise imishini ekhethekile yokuguqa ngamadolo, okuthiwa yimishini ye-CPM , nakuba lezi zingakabonakali ziholela ekuthuthukiseni isikhathi eside. Abahlinza abaningi abahlinzayo baqala ukuhlukumezeka kakhulu nge-rehab zakuqala, futhi bagwema ama-brace ngemuva kokuhlinzwa , ukuze baguquke amadolo ngokushesha.
Imithombo:
I-Getelman MH noFriedman MJ "Ukubukezwa kwangaphambili kwe-ligament ligament ukuhlinzwa kabusha" J Am Acad Orthop Surg Meyi 1999 vol. 7 cha. 3 189-198.
I-Schulz AP, et al. "I-Arthritis ye-Septic ye-Knee Ngemva Kokuhlinzwa Kwe-Ligament Yokuqala I-Cruciate I-Ligament Surgery: I-Stage-Adapted Treatment Regimen" Am. J. Sports Med., Julayi 2007; 35: 1064 - 1069.
Magit D, et al. "I-Arthrofibrosis ye-Knee" J Am Acad Orthop Surg ngoNovemba 2007; 15: 682-694.