Ukwelashwa kwamadolo okuhlangene kuyinkinga engathà sina kodwa engavamile ye-ACL ukuhlinzwa
Enye yezinkinga ezingase zivele ngesikhathi sokuhlinzwa kwe-ACL ukutheleleka kwe-ACL graft. Ukwelashwa kokuhlinzwa kwe-ACL izinyembezi kuhilela ukubekwa kwegciwane elisha, kulandelwa izinyanga eziningana zokuvuselelwa .
Ukwelashwa emva kokuhlinzwa kwe-ACL ukuxazulula into engavamile. Izifundo zilinganisela ithuba lokuthuthukisa ukutheleleka okuhlangene, okubizwa ngokuthi ukuhlanganiswa kwe- septic , emva kokuhlinzwa kokulungiswa kwe-ACL kungaphansi kwe-1% (0.3% esifundweni esikhulu).
I- anterior cruciate ligament , noma i-ACL, ingenye yama-kneam ligaments amakhulu amane. I-ACL ibalulekile ekuzinzeni kwamadolo, futhi abantu abalimaza i-ACL yabo bavame ukukhalaza ngezimpawu zamadolo abo abaphuma ngaphansi kwabo. Ngakho-ke, iziguli eziningi ezisekela i-ACL izinyembezi zikhethe ukwelashwa okuhlinzekwa kulokhu kulimala.
Izimbangela Zokutheleleka Ngemva Kokuhlinzwa Kwe-ACL
Izifo zenzeka uma amabhaktheriya ekwazi ukukhula ngaphakathi emzimbeni wakho. Amasosha omzimba wakho angalwa nezifo uma ezincane, kodwa ezinye izifo zingase zibe nzima kakhulu ukuba amasosha omzimba akho aqede ngokwanele.
Izifo ziyinkinga emva kokuhlinzwa kwe-ACL ngezizathu ezimbili:
- Amalungu atholakala ekutheleleni isifo: Amakhemikhali ama-spaces anesithwathwa esinezivikelo ezincane zomzimba. Ngakho-ke, uma izifo zingena ngaphakathi komzimba, umzimba unokuvikela okulinganiselwe ngokutheleleka. Ukuhlinzwa kuyadingeka ukuhlanza ukujoyina ukuphathwa kokwelashwa .
- Ama-graft we-ACL awahlinzeki ngegazi: Ukufakelwa okusetshenziselwa ukuhlinzwa kwe- ACL kunokuphazamiseka kwegazi okuvamile; Lokhu kuyiqiniso kuwo wonke ama-graft avuna kusuka emzimbeni wakho noma ama-graft anikelwe kusuka kumcadaver. I-graft ayinayo i-blood supply, ngakho-ke ama-antibiotics ayinayo indlela yokufinyelela kumathisini we-graft.
Ukuhlinzeka ngegazi kubalulekile ekulwa nokutheleleka ngoba igazi legazi lithwala izivikelo zomzimba namagciwane.
Lokho kuyinkinga ngezifo ezitholakala kumalungu noma izifo zama-grafts. Ngemuva kokuhlinzwa kwe-ACL, izifo zinekhono lokukhula ngenxa yokuthi unamasosha omzimba omzimba ngokuhlanganyela futhi akunikezeli igazi kwi-ACL graft.
Ukwelashwa kwezifo Emva kokuhlinzwa kwe-ACL
Izifo ezihlangene emva kokuhlinzwa kwe-ACL ziphathwa ngokuhlinzwa nokulwa namagciwane. Ukwelashwa okudingekayo kudingekile ukuhlanza ukuhlanganiswa kwama-bacteria, futhi ama-antibiotic ahloselwe ukuvimbela ukuphindaphinda kwesifo.
Lapho ukutheleleka kutholakala ekuqaleni kokuqala kwawo, inqubo yokuhlinzwa yokuhlanza ukujoyina ingase yanele ukwelashwa. Kodwa-ke, uma ukutheleleka kube khona isikhathi eside, yonke i-ACL graft ingadinga ukususwa ukuze ihlanze ukutheleleka.
Uma lesi sinyathelo esicasulayo sisadingeka, ukukhishwa kwe-ACL kususwe, ukutheleleka kuqedwe, futhi ezinyangeni ezimbalwa kamuva, ukuhlinzwa kabusha kwe-ACL kwenziwa. Ukunquma ukuthi i-graft ingagcinwa nini kuncike ekubukeni kwe-ACL graft ngesikhathi sokuhlinzwa, kanye nokuphendula kokwelashwa. Uma ukuhlinzwa okuningi kwenziwa ngaphandle kokuthuthukisa ekutheleleni, ukuhlanganiswa kuzodingeka kususwe.
Ungakugwema Ukutheleleka kwe-ACL?
Yebo no cha. Siyazi ukuthi kunezinyathelo ezingathathwa ukuze kuncishiswe ingozi yokutheleleka, kodwa asizange sithole indlela yokwenza ubungozi bokutheleleka ku-0%.
Izinyathelo ezingathathwa zihlanganisa nokuqinisekisa inqubo oyinyumba ekamelweni lokubhedlela esibhedlela, ukunikeza ama-antibiotics ngenkathi yokuhlinzwa, nokufaka inzalo efanelekile kwamadolo athintekile. Buza udokotela wakho ngezinyathelo ongazithatha ukuqinisekisa ukuthi unethuba eliphansi kakhulu lokuthuthukisa ukutheleleka.
Imithombo:
Burks RT, et al. "Ukwelashwa kwezifo ezithathelwanayo ze-Postoperative Anterior Cruciate Ligament nge-Graft Ukususwa kanye nokuHlelwa kabusha kokuqala" Am. J. Sports Med., Meyi 2003; 31: 414 - 418.
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.
Williams RJ, et al. "I-Arthritis ye-Septic Ngemva kwe-Arthroscopic Anterior I-Ligament I-Ligament Ukwakhiwa kabusha: Ukuxilongwa Nokuphathwa" Am. J. Sports Med., Mar 1997; 25: 261 - 267.