Abagijimi besifazane bayaziwa ukuthi banengozi ephakeme yokulimaza imithi yabo engaphambili , noma i-ACL, ngenkathi iqhaza emidlalweni yokuncintisana. Ithuba le-ACL izinyembezi kumathikithi wesifazane litholakale zibe izikhathi ezimbili kuya kwezi-10 eziphakeme kunabalingani besilisa. Ukuhlukahluka engozini ngokuya kwesibalo sokufunda, kuhlanganise nemidlalo ethile. Izinkolelo eziningi mayelana nokuthi kungani abesifazane bephuza i-ACL yabo ngokujwayelekile kunokuba amadoda asehlongozwayo.
Amaphuzu okucwaninga amasha kakhulu emibhalweni ye-biomechanics (indlela imizimba yethu ihamba ngayo) yabadlali besilisa nabesifazane. Izindaba ezinhle, njengoba uzofunda, ukuthi sinekhono lokushintsha amathuba okukhala kwe-ACL.
Izinkolelo Mayelana Nokungafani Kokulimala Kwe-ACL Phakathi Kwabesilisa Nabafazi
Kuye kwenziwa ucwaningo oluningi lokuphenya izinyembezi ze-ACL kubadlali besifazane, futhi yini eyaziwa kakhulu ukuthi ezemidlalo ezibeka isidingo esikhulu kwi-ACL , njengebholabhadi, ibhola lebhola, i-cheerleading, nabanye, ukulimala kwe-ACL kufinyelela izikhathi eziyishumi evamile kwabesifazane kunamadoda.
Akusiyo imfihlo ukuthi amadoda nabesifazane bakhelwe ngokuhlukile, baye benza ama-squeletti ngokuhlukile, futhi banezinhlobo ezahlukene zomzimba. Kodwa isizathu sokuthi izinga lezinyembezi ze-ACL lihlukile liyihloko yempikiswano enkulu.
Ezinye izinkolelo ziyi:
- Izingxabano ze-Anatomic
Kukhona umehluko omkhulu we-anatomic phakathi kwamadoda nabesifazane, kufaka phakathi ububanzi be-pelvis, u-Q-angle, ubukhulu be-ACL, nobukhulu bomshini wokukhipha imithi (lapho i-ACL idlula khona emadolweni). Ucwaningo olunomkhawulo lubonise umehluko kulezi zici, kodwa hhayi ikhono lokubikezela abantu abazosekela izinyembezi ze-ACL.
- Ukuhlukana Kwama-Hormonal
Kuyaziwa ukuthi i-ACL ine-receptors ye-hormone ye-estrogen ne-progesterone, futhi kucatshangwa ukuthi ukuhlushwa kwe-hormone kungadlala indima ekulimaweni kwe-ACL. Lokhu kwakuyi-theory ethandwayo, kodwa ososayensi abaningi bayavuma ukuthi umjikelezo wesimiso awunamthelela omncane, uma kunjalo, ekungeneni kwe-ACL izinyembezi.
- Izingqinamba ze-Biomechanic
Ukuzinza kwamadolo kuxhomeke ezintweni ezihlukahlukene. Okubili okubaluleke kunazo zonke yiziqu eziqinile nezishukumisayo zamadolo. Ukuqiniswa okuyizinyathelo eziyinhloko zamadolo, kuhlanganise ne-ACL. Ukuqina okunamandla kwamadolo kungumsizi namathemoni azungeze ukujoyina. Abesifazane bathole ukuthi banemibono yokunyakaza kwe-biomechanic yamadolo lapho kubonakala khona ukuqhuma, ukuxuma, nokufika - imisebenzi evame ukuholela ekulimazeni kwe-ACL.
Ubufakazi obuqine kakhulu buye bakhombise ukuthi amazinga okulimala kwe-ACL ashukunyiswa kakhulu yilokho umehluko kuma-biomechanics amadoda nabesifazane. Ezinye zezimiso zihlanganisa:
- Isikhundla sokufika: Uma abesifazane besuka endaweni yokugxuma, bajwayele ukuguqa ngamadolo ngokuqondile, badlulisele amandla emthelela emadolweni. Amadoda athambekele ekutholeni amandla amaningi emthelela ngokufika ngamadolo abo.
- Ukulungiswa kwe-Valgus: Abesifazane bane-valgus angle yokuguqa ngamadolo abo (ukubukeka okugwedekile) nokunyakaza kwendawo yokugcina ukucindezeleka okukhulu emadolweni okugudla ngenxa yalokhu kulungiswa.
Ukuvimbela Izinyembezi ze-ACL kuma-Athletic Women
Indlela esihamba ngayo (i-biomechanics yethu) ingashintshwa ngezinhlelo zokuqeqesha.
Lezi zinhlelo zokuqeqesha "zifundisa" umzimba wethu ephephile, ukunyakaza okuzinzile, okubeka kancane ukucindezeleka kumajoyini. Lezi zinhlelo zibizwa ngokuthi izinhlelo ze-neuromuscular.
Izinhlelo zokuqeqesha nge-neuromuscular zinganciphisa ingozi yokulimala kwe-ACL kubadlali besifazane. Ukuvimbela izinyembezi ze-ACL kuboniswe ukuthi kuphumelela ngokusetshenziswa kwalezi zinhlelo zokuqeqesha nge-neuromuscular. Lezi zinhlelo zifundisa imisipha yezemidlalo ukulawula kangcono ukuqina kwamalungu abo. Izifundo zibonise uma abesifazane besenza lezi zinhlelo zokuqeqesha nge-neuromuscular, ingozi yabo yezinye izinyembezi ze-ACL ihlaselwa engozini yamadoda aqeda i-ACL yabo (cishe engozini eyisishiyagalombili engozini).
Imithombo:
"U-Slauterbeck J, et al." Ukulimala kwe-ACL kwabesifazane: Kungani ukungalingani ngokobulili futhi sikunciphisa kanjani? "I- Orthopedics Namuhla 23: 1, Julayi 2003.
I-Sutton KM no-Bullock JM. "I-Ligament Yase-Anterior Yomzimba Ephakama: Ukungafani Phakathi Kwesilisa Nabesifazane" J Am Acad Orthop Surg. Januwari 2013; 21: 41-50.
Hewett TE, et al. "Umphumela wokuqeqeshwa kwe-neuromuscular on the incident of knee injury in athletes female: A okuzofundwa." Am J Sports Med 1999; 27: 699-706.