Kuwonongeka kwa mitsempha (ACL misonzi) ndi kuvulaza kwamba ndi koopsa kwa othamanga. Pamene wothamanga akugwetsa ACL wawo bondo amamva kuti ndi osasunthika ndipo amatha kutaya pamene akuyesera kudula kapena kuyenda pakhosi. Ngakhale izi sizilepheretsa kutenga nawo mbali pa masewera onse, zimayambitsa mavuto akuluakulu poyesera masewera ambiri monga mpira ndi mpira.
Pachifukwa ichi, othamanga ambiri, makamaka achinyamata a kusekondale ndi achinyamata a ku koleji, angasankhe kukhala ndi opaleshoni yokonzanso ACL kuti apange mzere watsopano womwe umagwirizanitsa maondo.
Kuchita opaleshoni ya ACL sikumakonzanso mitsempha yowonongeka, koma kumapanga mitsempha yatsopano pogwiritsira ntchito minofu ina pamlendo (kawirikawiri timatope kapena tchutchu ). Kuchita opaleshoni nthawi zambiri kumapindula, ndipo kuganiza kuti wothamanga amachita bwino kukonzanso pambuyo pa opaleshoni, othamanga ambiri amatha kubwerera ku masewera awo. Komabe, pali mavuto otheka a opaleshoni ya ACL , kuphatikizapo kubwezeretsanso mzere watsopano.
Pali zifukwa zosiyanasiyana zomwe ACL ikhoza kubwezeretsedwanso pambuyo pa opaleshoni. Zina mwa nkhanizi zikukhudzana ndi opaleshoni, zina zimagwirizana ndi kuchiza, ndipo zina zimagwirizana ndi wodwalayo. Tiyeni tiyang'ane pa izi, ndipo munthu wina amene adang'amba ACL awo akhoza kuteteza kubwereza choipa ku bondo lomwelo.
Zinthu Zochita Opaleshoni
Chimodzi mwa zinthu zofunika kwambiri pa opaleshoni ya ACL opaleshoni ndi momwe kusuntha kulili mkati mwadongosolo. Osati opaleshoni iliyonse imachitidwa mofanana kwambiri, ndipo pali mitundu yomwe ingayambitse mavuto ngati ACL yatsopano siikhala bwino.
Zowonjezera ziyenera kubwezeretsa ntchito ya mgwirizano wamtunduwu, choncho iyeneranso kuimika mofananamo ndi mitsempha yeniyeni. Kuika malo osalumikizidwa bwino kungapangitse makina osalongosoka a mgwirizanowu ndi mwayi wowonjezereka wowonongeka. Kupeza dokotala wina opaleshoni yemwe amachita kawirikawiri opaleshoni ya ACL angathandize. Kuonjezerapo, njira zatsopano zakhala zikuyesa kuyambanso kubwezeretsa thupi la ACL , ngakhale kuti izi sizinasonyezedwe kuti zimapangitsa kusiyana kwakukulu kwa odwala.
Chinthu chinanso cha opaleshoni chomwe chikuwoneka kuti n'chosafunika ndi kukula kwake kwa kuphatikiza komwe kunayambitsidwa kupanga ACL yatsopano. Zithunzi zazing'onoting'ono zakhala zikuwonetsedwa kuti sizikhala zolimba kuposa ma graft akuluakulu. Izi ndizofunika kwambiri kuti musamangidwe ma grafts omwe sangathe kusintha mosavuta. Zing'onozing'ono zowononga zida zowonongeka zasonyezedwa kukhala ndi mwayi wapamwamba wokonzanso. Pomalizira, zakhala zikuwonetsedwera bwino kuti opereka zopereka amapereka chiopsezo chokwanira kwambiri kuposa mthupi la wodwalayo. Pachifukwa ichi, madokotala ambiri opaleshoni asankha kugwiritsa ntchito minofu ya autograft (wodwala) m'malo mwa allograft (wopereka) kwa othamanga achinyamata.
Kubwezeretsedwa Kuchokera ku Opaleshoni
Kukonzekera koyenera pambuyo pa opaleshoni ya ACL ndikofunika kwambiri kuti apambane opaleshoni yokonzanso.
Kuphatikizidwa kwatsopano sikuyenera kokha kukhala gawo la bondo lanu, ndondomeko yotchedwa kuphatikizidwa, koma muyenera kubwezeretsa mphamvu zowonongeka kuti muwone bwino kuti bondo liri lotetezedwa bwino.
Nthawi yowonjezeramo zizindikiro zimasiyana, koma opaleshoni ambiri amalimbikitsa kuteteza bondo kwa miyezi isanu ndi umodzi mutatha opaleshoni pogwiritsira ntchito autograft (minofu yanu) kapena miyezi isanu ndi iwiri pambuyo pa opaleshoni ya allograft (opatsa opaleshoni). Pamene ACL yatsopano imayikidwa pambali, nthawi zambiri imagwiritsidwa ntchito palimodzi. Izi zimayambira mu maonekedwe ndi makulidwe ambiri (mabatani, zilembo, zolemba), ndipo zina zimapangidwa ndi chitsulo pamene zina zimasungunuka.
Komabe, zida zonsezi zimangokhala zowonongeka pamene thupi lanu limaphatikizira minofu kuti likhale la ACL yanu. Kuchita zimenezi kumatenga nthawi, ndipo kuchita zambiri, posakhalitsa mu rehab yanu, kukhoza kuwononga kapena kubwezeretsanso.
Chinthu china chofunika pambuyo pa opaleshoni ndikumabweretsanso minofu yeniyeni yonse. Tidziwa kuti misozi yambiri ya ACL ndi chifukwa cha kuchepa kwa chifuwa cha mpweya wa m'mphuno ; Awa ndi mawu omwe amagwiritsidwa ntchito pofotokozera kukhazikika kwa kuyenda kwa thupi. Ochita maseŵera ena ali ndi mphamvu yabwino kwambiri yolamulira - thupi lawo nthawi zonse limakhala lolimba, losasunthika, mosasamala kanthu kayendedwe kake. Ochita maseŵera ena ali ndi vuto losauka la neuromuscular, ndipo thupi lawo limalowa m'malo omwe amachititsa kuti pakhale zovulaza, monga kuvulaza ACL. Gawo lachidziwitso kuchokera ku opaleshoni ndikukonza nkhani iliyonse ya kufooka kwa neuromuscular yomwe ingayambitse kuvulaza koyamba kwa ACL, ndipo ikhoza kuteteza mwayi wopweteka mtsogolo.
Zinthu Zoleza Mtima
Pali mbali zina za opaleshoni ya ACL ndi ngozi yobwezeretsa zomwe simungathe kuchita zambiri. Mwachitsanzo, othamanga achikazi ali ndi mwayi waukulu wowonongeka kwa ACL yawo pambuyo pa opaleshoni yokonzanso. Kuwonjezera apo, othamanga achinyamata amakhala pachiopsezo chachikulu chobwezeretsanso. Azimayi osakwana zaka 25 asonyezedwa kuti ali ndi mwayi wapamwamba kwambiri wokubwezeretsanso ACL wawo kuposa othamanga ena. Monga tanenera, palibe zambiri zomwe mungachite pa msinkhu komanso mmaiko, koma dokotala wanu ndi wothandizira ayenera kudziwa zambiri zomwe zimakhalapo pamene mtsikana angakhale pachiopsezo chachikulu chodzivulaza ku ACL yawo, ndikukonzanso machitidwe awo motero. Mwina njira yawo iyenera kukhala yochenjera kwambiri, kapena iyeneranso kuganizira kwambiri za kusintha kwa khunyu m'maganizo awo, koma lingaliro ndikutenga mfundo zokhudzana ndi chiopsezo ndikusintha zinthu zomwe mungathe kuziletsa kuti muchepetsere, kuvulaza kwa ACL.
Dziwani Zowopsa Zanu, Konzani Rehab Yanu
Chofunika kwambiri ndicho kudziwa ngati pali zinthu zina zomwe mumapeza kuti mukupeza bwino zomwe zimakupatsani mwayi wowonjezereka kuti mubwererenso ku ACL yanu yatsopano. Ngati muli pachiopsezo chachikulu chodzivulaza ku ACL yanu, yesetsani kukonzanso kwanu kuti muonetsetse kuti zonse zomwe mungachite ndizoletsa kuteteza kwa ACL. Palinso zinthu zina zomwe zingakhudze chiopsezo chodzivulaza ku ACL zomwe zimafunikira kufufuzidwa kuphatikizapo masewera ndi malo omwe amachitira , mpikisano wa wothamanga, ndi kuchuluka kwa kukhudzana komwe kumachitika. Izi ndi zovuta kuziyeza ndipo ndi zovuta kuphunzira, koma zingakhale zofunikira kumvetsetsa chiopsezo cha kuvulala.
> Zotsatira:
> "Zowopsa za Misozi ya ACL Maseŵera" AAOSNow. September 2016.
> Getelman MH, Friedman MJ. "Kukonzanso kwapadera kumapangidwe opanga opaleshoni yokonzanso" J Am Acad Orthop Surg. 1999 May-Jun; 7 (3): 189-98.
Werner BC, Gilmore CJ, Hamann JC, Gaskin CM, Carroll JJ, Hart JM, Miller MD. "Kubwezeretsanso Chitsulo Choyambirira Chakumapeto kwa Ligament: Zotsatira za Njira Yodzidzimitsira Njira Yogwiritsira ntchito Allograft Dowel Bone Kulemba Zowonongeka kwa Akazi Akazi" J Am Acad Orthop Surg. 2016 Aug; 24 (8): 581-7.