I-anterior cruciate ligament (ACL) ingenye yama-kneam ligaments amakhulu amane. Izinyembezi ze-ACL zilimala ngokuvamile kwezemidlalo, futhi ngokuvamile zidinga ukuvuselelwa kokuhlinzwa. Ngaphandle kokuhlinzwa, abagijimi abanezinyembezi ze-ACL bangase babe nezinkinga eziqhubekayo nokungazinzi kwamadolo . Abadlali abaphethe i-ACL abavuthiwe bavame ukuzwa izimpawu zokugwedla noma ukuphazamiseka kwamadolo, ikakhulukazi lapho bedlala imidlalo efuna ukusika izinyathelo ezinjengebhola, ibhola basketball, noma ibhola.
Inqubo Yokulimala Nokubuyiswa
Ngemuva kwezinyembezi ze-ACL, idolo livame ukuvuvukala futhi libuhlungu. Iziguli ezisekela lokhu kulimala azizwa zingakhululekile futhi ziyazi ukuthi zinenkinga enkulu emadolweni. Ubuhlungu buvame ukushesha, futhi abagijimi abaningi bakhumbula ukuzwa i-pop eyenzeka lapho idolo liphuma futhi i-ligament ikhala. Ukuvuvukala ngokuvamile kwenzeka ngokushesha, ngokuvamile phakathi kwamahora ambalwa, njengoba amadolo agcwalisa igazi kusukela ekulimazeni kuya emgodini ophukile.
Lezi ziguli zivame ukubonwa udokotela wabo, othola ukulimala kwe-ACL, futhi usize ukwelapha izimpawu ezinzima . Uma ukuvuvukala kuthuthuka, futhi ubuhlungu buya, iziguli zingase ziqale ukuzizwa zingcono kakhulu. Ubuhlungu bokulimala kokuqala buya phansi, ukuvuvukala komjoqo kuyaqala ukwehla, futhi amadolo aqala ukuzizwa ejwayelekile. Njengoba ukuhamba kuthuthuka, iziguli eziningi ziqala ukuhamba ngendlela evamile, futhi zingase zilingeke ukuba zibuyele emisebenzini yezemidlalo.
Izinto Okudingeka Uzicabangele
Iziguli ezisekela izinyembezi ze-ACL bese ziqala ukuzwa kangcono kakhulu zivame ukuzibuza ukuthi zisadingeka yini ukuvuselelwa kokuhlinzwa kwe-ligament. Kungaba nzima ukwamukela ukuvuselelwa okudingekayo emva kokuhlinzwa kwe-ACL uma idolo liqala ukuzizwa lihle futhi. Abantu bavame ukuzibuza ukuthi mhlawumbe ukulimala akunzima kangako njengokwesaba ekuqaleni, futhi mhlawumbe kungaphulukisa ngokuphathwa okungelashwa.
Ngeshwa, uma i-ACL igxiliwe ngokuphelele, ayikho ithuba lokuphulukiswa kwegamentli ngendlela efanele. Nakuba kungekhona wonke umuntu odinga i-ACL esebenzayo ukwenza imisebenzi yakhe ethandwayo, abagijimi abambe iqhaza emidlalweni ethile edinga ukuhamba okuhambayo cishe ngeke bakwazi ukubuyela ngaphandle kwe-ACL esebenza kahle.
Ngakho-ke, nakuba amadolo angase aqale ukuzizwa kangcono, isinqumo sesinyathelo esilandelayo ekwelapheni kufanele sisekelwe kwezinye izici kunendlela amadolo azizwa ngayo. Ukubheka okubaluleke kakhulu ukutholakala kokuhlolwa, imiphumela ye-MRI, kanye nengxoxo nodokotela wakho ohlinzayo mayelana nokulindela kokwelashwa. Ngenkathi ukwelashwa okungelayona ukuhlinzwa kunendima ekwelapheni kwe-ACL, iqiniso lokuthi amadolo aqala ukuzizwa kangcono akufanele abe yingxenye yaleso nqubo yokwenza izinqumo.
Umthombo:
Tambe AD, et al. "I-Anterior cruciate i-ligament insufficient: ukubambezeleka ekuhlinzekeni kwezinkomba kuthinta umphumela kubadlali bezokuzilibazisa." I-Int Orthop. 2006 Apr; 30 (2): 104-9.