Kugonjetsedwa kwa mawondo a bondo ndi vuto lalikulu koma losavuta la opaleshoni ya ACL
Imodzi mwa mavuto omwe angathe kuchitika pa nthawi ya opaleshoni ya ACL ndi matenda a graft ACL. Kuchiza opaleshoni ya misozi ya ACL kumaphatikizapo kukhazikitsidwa kwa mtsempha watsopano, wotsatiridwa ndi miyezi yambiri ya kukonzanso .
Kugonjera pambuyo pa opaleshoni yokonzanso ACL ndi vuto lalikulu. Kafukufuku amalingalira mwayi wokhala ndi matenda ovomerezeka, otchedwa septic joint , pambuyo pa opaleshoni yokonzanso ACL ndi osachepera 1% (0,3% pa kufufuza kwakukulu).
Nthenda yotchedwa antiter cruciate ligament , kapena ACL, ndi imodzi mwa zinayi zazikulu zamagetsi. ACL ndi yofunika kwambiri kuti bondo likhale losasunthika, ndipo anthu omwe amavulaza ACL awo amadandaula za zizindikiro za mawondo awo opereka pansi pawo. Choncho, odwala ambiri omwe amachirikiza ACL amalira kuti athe kuchipatala.
Zifukwa za matenda Patatha opaleshoni ya ACL
Matenda amachitika pamene mabakiteriya amatha kukula mkati mwa thupi lanu. Chitetezo chanu cha mthupi chimatha kulimbana ndi matenda pamene ali aang'ono, koma matenda ena akhoza kukhala ovuta kwambiri kuti chitetezo chanu cha mthupi chichotsedwe.
Matendawa ali ndi nkhawa pambuyo pa opaleshoni ya ACL pa zifukwa ziwiri:
- Amagulu amatha kutenga kachilombo: Zilumikizi ndi malo omwe amakhala ndi madzi omwe alibe chitetezo cha mthupi. Choncho, pamene matendawa alowa mkati, thupi limakhala ndi chitetezo chochepa pa matendawa. Kuchita opaleshoni n'kofunika kuyeretsa mgwirizano wothandizira matenda.
- ACL grafts alibe magazi: Kugwiritsidwa ntchito kwa opaleshoni ya ACL ili ndi momwe magazi amagwiritsidwira ntchito; izi ndi zoona kwa ma graft onse okololedwa kuchokera mthupi lanu kapena ma grafts omwe amaperekedwa kuchokera ku cadaver. Kuphatikizidwa sikukhala ndi magazi, ndipo motero antibiotics alibe njira yopita ku minofu yothandizira.
Magazi ndi ofunikira kwambiri polimbana ndi matenda chifukwa magazi amanyamula chitetezo cha mthupi komanso antibiotics.
Icho ndi vuto ndi matenda mu ziwalo kapena matenda a grafts. Pambuyo pa opaleshoni ya ACL, matendawa amatha kuphuka chifukwa muli ndi chitetezo chachikulu cha mthupi mwakagulu ndipo palibe magazi ku ACL graft.
Kuchiza kwa Matenda Patatha Opaleshoni ya ACL
Matenda ogwirizana pambuyo pa opaleshoni ya ACL amachiritsidwa ndi opaleshoni ndi maantibayotiki. Chithandizo chopangira opaleshoni n'chofunika kuyeretsa mgwirizano wa mabakiteriya, ndipo mankhwala opha tizilombo amayenera kuteteza matenda obwereza.
Ngati kachilombo ka HIV kamapezeka msanga, kuyambanso opaleshoni yoyeretsa mgwirizano kungakhale kokwanira kuchipatala. Komabe, pamene matendawa akhalapo kwautali, zonse zowonjezeretsa ACL ziyenera kuchotsedwa kuti ziyeretsedwe.
Pamene njira yowopsya imeneyi ikufunika, kuwonjezereka kwa ACL kumachotsedwa, matendawa amatha, ndipo patapita miyezi ingapo, opaleshoni yatsopano yomanga ACL ikuchitidwa. Kusankha pamene graft akhoza kusungidwa kumadalira maonekedwe a ACL graft pa nthawi ya opaleshoni, ndi yankho la mankhwala. Ngati opaleshoni yambiri ikuchitidwa popanda kusintha kwa kachilomboka, kuphatikiza kumafunika kuchotsedwa.
Kodi Mungapewe Matenda a ACL?
Inde ndi ayi. Tikudziwa kuti pali njira zomwe zingatengedwe pofuna kuchepetsa chiopsezo cha matenda, koma sitinapeze njira yothetsera chiopsezo 0%.
Njira zomwe zingatengedwe zikuphatikizapo kuonetsetsa kuti njira yopanda chithandizo mu chipatala chogwiritsira ntchito chipatala, kupereka antibiotic pa nthawi ya opaleshoni, komanso kuperewera kwa bondo lomwe lasokonezeka. Funsani dokotala wanu zomwe mungachite kuti mukhale ndi mwayi wotsika kwambiri.
Zotsatira:
Burks RT, ndi al. "Kuchiza kwa Postoperative Anterior Cruciate Ligament Infections ndi Graft Removal ndi Early Reimplantation" Am. J. Sports Med., May 2003; 31: 414 - 418.
Schulz AP, ndi al. "Mankhwala Opatsirana Opaleshoni a Knee Pambuyo pa Matenda Opangidwa ndi Matenda a Chilombo Choyambitsa Ligament: Njira Yothandizidwa ndi Matenda Ati" Am. J. Sports Med., Jul 2007; 35: 1064 - 1069.
Williams RJ, et al. "Mankhwala Opatsirana Opaleshoni Pambuyo pa Arthroscopic Anterior Cruciate Ligament Kumangidwanso: Kuzindikira ndi Utsogoleri" Am. J. Sports Med., Mar 1997; 25: 261 - 267.