Amaqiniso kanye nezinganekwane ze-ACL izinyembezi kubadlali abakhulu
Abagijimi abaningi bezobuchwepheshe baxoshwa lapho begcina izinyembezi ze-anterior cruciate ligament (ACL). Uma umdlali ochwepheshe eqinisa lokhu kulimala, uzovame ukuzwa imibiko yokulimala, ukubuyiswa, nethuba lokubuyela ezemidlalo. Kodwa abahlaziyi bezemidlalo bavame ukusho izinto mayelana nokuhlinzwa kwe-ACL okungenganekwane engaphezu kweqiniso. Funda kabanzi mayelana nalokhu kuhlinzeka nokuthi kungenzeka kanjani ukuthi kuthinte umdlali.
Inkolelo-ze: "Abagijimi Abafanayo Nabo"
Akuwona wonke umdlali othole ngokugcwele emva kokuhlinzwa kwe-ACL , kodwa izinkinga zilungile. Amaphesenti angaba ngu-90 abagijimi abakwazi ukubuyela ezingeni labo lokulimala ngaphambi kokuqashwa kabusha kwe-ACL. Abadlali bezobuchwepheshe be-Olimpiki nabadlali be-Olympic babuyele ekuncintiswaneni emazingeni aphakeme kakhulu ebhola lebhola, ibhola, basketball, nezinye imidlalo. Kungenzeka ukwenza ngisho nangaphambi kokuhlinzwa.
Abagibeli bezinga eliphakeme bavame ukubuya ekulimazeni abadlali abangcono kunangaphambi kwenqubo yabo. Abadlali be-Elite bangaphinda bavuselele amakhono abo okudlala imidlalo kalula. Kodwa-ke, bangakwazi ukunikela amandla amaningi kwezinye izici zokuqeqesha eziye zalahlekelwa ngenye indlela. Ngokugxila ekuqinisekiseni okuyinhloko nokuzivumelanisa nezimo, abadlali be-elite bangathola inzuzo yokuncintisana.
Inganekwane: "Amasu Amasha Okuhlinzeka Ngcono"
Ukuhlinzwa kabusha kwe-ACL sekuye kwaphela amashumi ambalwa eminyaka.
Kukhona ukulungiswa okuqhubekayo kumasu, kodwa kancane kushintshile mayelana nokuyisisekelo kokuvuselelwa kwe-ACL. Abagijimi babezobe sebebheke ukufana okufanayo eminyakeni eyishumi eyedlule.
Ezinye zokulungiswa okusha kwe-ACL ukuhlinzwa akubonwanga ukuthi zithuthukise imiphumela yomtholampilo. Isibonelo, ukuhlinzeka kabili kwe-ACL inqwaba kwahlolwa njengendlela yokwenza ngokuphindaphindiwe iphinde iphinde iphendule ngokujwayelekile i-ACL anatomy.
Noma kunjalo, lokhu akuboniswanga ukuthi kuneziphumo ekukhwameni komdlali ukuthi abuyele emidlalweni.
Inkolelo-ze: "I-ACL Izokwenziwa"
Ama-ACL aqothulwe ngokuphelele awanakulungiswa, avuselelwa kabusha. I-ACL eyonakele isuswe ngokuphelele njengoba kungavamile ukukwazi ukuphulukiswa kwe-ACL ephukile. Ukuze ube ne-ACL esebenzayo, i-ligament entsha kufanele idalwe. Inqubo ibizwa ngokuthi ukuvuselelwa kwe-ACL hhayi ukulungiswa kwe-ACL.
Ukufanisa okuhle ukuqonda izinyembezi ze-ACL ukucabanga ukuthi kwakunjani lapho i-tightrope idwenguliwe futhi ibheka njengokuphela komphetho we-mop. Ukwehlisa i-mop iphela ndawonye kungenza intambo ebuthakathaka, engasebenzi kahle. Ukuze ulungise umonakalo, kudingeka i-ACL entsha.
Kube khona izinqubo zokuhlola zokulungisa i-ACL , futhi okwamanje kukhona uphenyo lomtholampilo kumasu ukulungisa i-ligament. Ngokushesha kakhulu ukuthi ukwazi ukuthi le nqubo yokulungisa iphumelela njengokwakhiwa kwe-ACL yendabuko.
Inganekwane: "Ama-ACL Kumelwe Abe Okuvamile Ukubamba iqhaza Kwezemidlalo"
I-ACL ingenye yama-kneam ligaments amakhulu amakhulu abangela ukuzinza kwamadolo . Uma umuntu ekhalaza enye yalezi zinhlangothi ezine, idolo lingase lihlale lizinzile . Abanye abantu abaqeda i-ACL abanakho izikhalo zokungazinzi ngisho nalapho benza imidlalo, abanye baneziqephu zokungazinzile nemisebenzi elula engeyona imidlalo.
Ezinye zezemidlalo cishe zifuna njalo abahlanganyeli ukuba babe ne-ACL eqinile, noma kunjalo, imidlalo eminingi ayikho . Ngokuqinisekile kunengqondo ukuzama ukwelashwa kwe-ACL engeyona inqubo yokubuyisela eminye imidlalo.
Inkolelo-ze: "Ukwelashwa kwe-ACL Kuzokwenza Amacwecwe Nokugabha"
Njengoba kukhulunywe ngaphambilini, ukuhlinzwa kabusha kwe-ACL kuhlale kuhlanjululwa futhi odokotela abahlinzayo abaqeqeshwe kulokhu okukhethekile bayakwazi ukwenza lokhu njengenqubo encane yokuhlasela. Ngezandla ezinekhono, ukucubungula kungagcinwa encane. Ukuqonda kangcono ukulawulwa kobuhlungu, kufaka phakathi amasu okulawula ubuhlungu bokulungiselela ubuhlungu (ukulawula izimpawu ezibuhlungu ngaphambi kokuqala), kungenza ukwakha kabusha kwe-ACL kubekezelelwe kahle iziguli eziningi.
Okukhethwa kukho okusiza ukunciphisa ubuhlungu nokukhwabanisa ukusebenzisa amashini we-cadaver (okunikeziwe nge-ACL grafts) kunokuba ithamoni lisuke esigulini. Uma kusetshenziswe i- cadaver ukufakelwa , ukuboniswa akuncane, okungenani kunamamitha ambalwa amentimitha. Ukuqapha ukuthi kubagijimi, ama-graft donor aboniswe ukuthi angaphansi kakhulu kanti ukufakelwa kwamagrafu kuthathwe kwesiguli. Ngenxa yalesi sizathu, abagijimi abaningi esikoleni esiphakeme nabakolishi bazokhetha izicubu zabo nge-ACL yabo entsha.
Inkolelo-ze: "Ukuba ne-ACL yakho eyenziwe kusho ukuhlinzwa okwengeziwe ngaphansi komgwaqo"
Nakuba kuyiqiniso ukuthi ukuhlinzwa okwengeziwe kungadingeka, umgomo wesigqila sokuhlinza ukulungisa idolo ukuze isebenze ngokujwayelekile. Uma i-ACL isakhiwe kabusha, kulindeleke ukuthi iyosebenza ngendlela evamile empilweni yamadolo.
Izinganekwane: "Ukwelashwa kwe-ACL Kudinga Ukukhubazeka Kwesikhathi eside"
I-ACL rehab ithatha ubuncane bezinyanga ezimbalwa, kodwa lokho akusho ukuthi iziguli zihlala phansi. Izindlela eziningi zanamuhla ze-ACL rehab zithola iziguli zihamba ngokushesha ngemva kokuhlinzwa. Kwezinye izivumelwano ze-ACL rehab, iziguli ziqala ukuzivocavoca umzimba ngosuku lokuhlinzwa. Kuyiqiniso ukuthi imingcele iyadingeka, futhi ngokuvamile isifiso somdlali sizokwenza okungaphezu kwalokho umzimba wakhe ukwazi ukubekezelela.
> Imithombo:
> Monk AP, Davies LJ, Hopewell S, Harris K, DJ Beard, Price AJ. Ukuhlinzekwa okuhlinzekwayo okuphikisanayo okuhlinzekela ukulungisa ukulimala kwangaphakathi kwe-ligament. I-Cochrane Database yezibuyekezo ezihleliwe . Ngo-Mashi 2016. kufanele: 10.1002 / 14651858.cd011166.pub2.
> USherman S, uRaines B, uNaclerio E. Ukuphathwa kokulimala kwangaphakathi kwegamental? Yini engaphakathi nalokho okuphumayo? I-Indian Journal ye-Orthopedics . 2017; 51 (5): 563. doi: 10.4103 / ortho.ijortho_245_17.