I-anterior cruciate ligament (noma i-ACL) ingenye yemigqa eyinhloko emadolweni. I-ACL ibalulekile ukuvumela ukunyakaza okujwayelekile kanye nemishini yehlangothini elihlangene. Uma i-ACL idiliziwe, abantu bangase babone izinkinga endleleni amadolo abo asebenza ngayo. Izimpawu ezivamile zomgwaqo we-anterior cruciate ligament ezilimalayo zihlanganisa:
- Ukuvuvukala kwe-Knee
- Ubuhlungu obuzungezile ngamadolo
- Ukucatshangelwa kwe-buckling noma ukunikeza ngaphandle kwamadolo
- Ukungazinzi okuncane
- Kunzima ngemisebenzi yezemidlalo
Ukulimala kwe-ACL kungaphelela noma kuyingxenye. Uma kukhona izinyembezi ezincane ze- ACL, isinqumo esinzima mayelana nokuhlinzwa kufanele senziwe. Ukuvuselelwa kwe-ACL kuhilela ukuvuselelwa okuphawulekayo nezinye izingozi zokusebenza. Ukunquma lapho ukwakhiwa kwe-ACL kuyadingeka kungaba inkinga enzima, ikakhulukazi uma i-ACL ihlukanisiwe kancane. Ngakho-ke sinquma kanjani ukuthi sizokwakhiwa kanjani i-ACL ehlukanisiwe kancane?
Izinyembezi ezihlukile ze-ACL
I-anterior cruciate ligament ingenye yezingxube ezine ezinkulu zamadolo, futhi ifaka ithambo lesthanga emthanjeni we-shin, i-femur eya e-tibia. Igcina i-tibia ingashiyi phambili kakhulu futhi isebenza eminye imisebenzi ukugcina ukuqina kwamadolo ngesikhathi sokujikeleza. Uma i-ligament ilimele, ibizwa ngokuthi i-sprain. Kuvame ukuhlwanyelwa noma kuphazamiseke ngenkathi kufika ukuqhuma noma ukwenza ushintsho ngokuzumayo ekuqondeni okuhambayo, noma ukuwa.
I-ACL i-sprains ihlungwa ngokusekelwe ukuthi ingakanani i-ligament eyonakalisiwe. I-grade 1 sprain ekungeneni okuncane nje kwegamentali kanye namadolo akho namanje azinzile. I-Grade 2 yinyembezi ye-ACL eyingxenye, ne-ligament ilule kakhulu kangangokuthi ivulekile futhi iwonakele. Lezi zingavamile. Phakathi naleso sikhathi, kuGrain 3 sprain ejwayelekile kakhulu, kukhona izinyembezi eziphelele ze-ACL, futhi amadolo ahlangene angaguquki futhi ukuhlinzeka cishe kungenakugwemeka uma kulungiswa.
Ukuhlinzwa kwezinyembezi ezihlukile ze-ACL
Ukwelashwa kwezinyembezi ze- ACL kuncike kakhulu ekutheni ukungazinzi kwamabhande kubangelwa ukulimala. Ngakho-ke, ayikho i-cutoff ebalulekile ngokwezinga le-ACL eliqhekekile. Ngizwile abanye abantu bathi batshele ukuthi uma ngaphezulu kuka-50% we-ligament idiliziwe, khona-ke ukuhlinzeka kuyodingeka. Lokhu kungaba yindlela enengqondo yokucabanga ngezinto, kodwa akukho cutoff okuye yonke into iboniswe ukuthi ibalulekile kwinqubo yesinqumo. Esikhundleni salokho, odokotela abaningi abahlinzayo basebenzisa isinqumo sokuthi ukulimala okubangele ukungazinzile kangakanani. Uma idolo lingakhazi, khona-ke ukuhlinzwa kunconywa. Uma idolo lizinzile, imithi engelapheki ingacatshangwa.
Isinqumo ngokuvamile sisekelwe ekuhlanganyeleni kwezimpawu kanye nokuhlolwa kokuhlolwa komzimba. Uma uzwa ukungazinzi kwamadolo futhi ube neziqephu zokuzwa ukuguqa ngamadolo, lokho kungaba yisici esinqunyiwe. Udokotela uzophinde ahlole izivivinyo ezenziwe ekuhloleni ngokomzimba, okuvame ukufaka ukuhlolwa kweLachman nokuhlolwa kwe- pivot-shift. Uma lokhu kuvumelana nokukhwabanisa kwe-ACL, ukubuyiswa kabusha kuyindlela enengqondo.
Ngeshwa, izinyembezi ezingaphelele ze-ACL zinzima ukuzihlola. Uma ubheka i-ACL eyalimala ngesikhathi i- arthroscopy , udokotela wakho ohlinzayo angakwazi ukuhlola ukubukeka nokuzizwa komgogodla wokwenza isahlulelo ngendlela yokulimala.
Kodwa-ke, lokhu kubonakala nokuzizwa ngendlela yokuzihlola i-ACL kunesithunzi kakhulu. Akuwona wonke umuntu ozovumelana ngalokho okubukeka kuhle futhi okubukeka kubi. Indlela engcono yokuhlola ukulimala okuyingxenye ye-ACL isekelwe ezimpawu ezibalulwe ngenhla kanye nokuthola okuhlolwayo.
Uma ukwelashwa okungahlinzekiwe kukhethwa, cishe uzonikezwa i-brace namacu okuvikela ibhande lakho. Ukwelashwa ngokomzimba wokuvuselelwa kuzoqala uma ukukhukhumeza kuthuthuka. Umgomo wezokwelapha okungenasidingo kuzoba ukugcina amandla emisipha ehambisana nokuhlanganiswa, nokuzama ukwenza ngcono ukuhlanganiswa nokuxilongwa kwemisipha nokuqeqeshwa kwe-neuromuscular.
I-brace yezemidlalo yangokwezifiso ingahle ifakwe iziguli ezifuna ukubuyela emsebenzini wezemidlalo.
Uma ukwelashwa okukhethiwe kukhethwe, ngokuvamile i-ACL izokwakhiwa kabusha ngokusebenzisa izicubu ezitholakala kwenye indawo emzimbeni noma kumnikezi. I-ligament entsha izokwakhiwa ukuze ithathe indawo yesigamu esonakalisiwe. Imizamo yokulungisa i-ligament eyonakalisiwe ingakabonakali njengemiphumela emihle, nakuba kunezinqubo ezintsha ezintsha zokuhlola, ezigxile ekuphulukiseni ukulimala kwe-ACL.
Izwi elivela
Ukwelashwa okuvame kakhulu kokulimala kwangaphakathi kokulimala komuntu osemncane, odlala umdlalo kunokwakhiwa kabusha kwe-ligament. Isinqumo sokuqhubeka nokuhlinzwa senziwa kahle ngokunquma inani lokungazinzi kwamadolo. Ukuzama ukuthola ukuthi mangaki amafayili e-ACL ahlangene kunzima, kanti abantu abanokungazinzi okukhulu abakwazi ukubuyela emisebenzini yezemidlalo. Uma kucatshangwa izinyembezi ezincane ze-ACL, udokotela ohlinzayo wama-orthopedic angasiza ekuhloleni izinga lokungazinzile futhi noma ukuvuselelwa kwe-ACL kungase kube ukuphathwa okunengqondo.
Umthombo:
Ukulimala kwangaphambili kwe-Cruciate Ligament (ACL), i-American Orthopedic Society for Sports Medicine, Mashi, 2014.
> Carey JL, Shea KG. "Umhlahlandlela Wokusebenza Ngezokwelapha I-AAOS: Ukuphathwa Kwemigodi Yokulimala Kwangaphambili Yomthetho: Isiqondiso Esisekelwe Emibukisweni" UJ Am Acad Orthop Surg. 2015 Meyi; 23 (5): e6-8.