Nthendayi yamakono (ACL) ndi imodzi mwa zinayi zazikulu zamagetsi. Misozi ya ACL ndi yovulaza yokhudzana ndi masewera, ndipo nthawi zambiri imafuna kukonzanso opaleshoni. Popanda opaleshoni, othamanga okhala ndi ntchentche ya ACL akhoza kukhala ndi mavuto omwe amabwera chifukwa cha kusakhazikika kwa mawondo . Othandiza omwe ali ndi ACL omwe amang'ambika nthawi zambiri amakhala ndi zizindikiro za kumenyana kapena kugwiritsira ntchito mawondo, makamaka pamene akusewera masewera omwe amafunika kudula maulendo oyendayenda monga mpira, mpira wa mpira, kapena mpira.
Kuvulaza ndi Kubwezeretsa
Pambuyo misozi ya ACL, bondo nthawi zambiri limakhala kutupa ndi kupweteka. Odwala omwe amachiza vutoli samakhala omasuka ndipo amadziwa kuti ali ndi vuto lalikulu ndi mawondo awo. Kupweteka kumakhala nthawi yomweyo, ndipo othamanga ambiri amatha kukumbukira kumva pop yomwe imachitika pamene bondo lawo limapereka ndipo ligament imalira. Kutupa kumachitika mofulumira, kawirikawiri mkati mwa maola angapo, ngati bondo lidzaza ndi magazi kuchokera ku kuvulala kwa ndondomeko yotsekemera.
Odwalawa nthawi zambiri amamuwona ndi dokotala wawo, yemwe amadziwa kuvulala kwa ACL, ndipo amathandiza kuchiza zizindikiro zovuta . Pamene kutupa kumakula, ndipo ululu umatha, odwala angayambe kukhala bwino. Ululu wa kuvulala koyamba kumatha, kutupa kwa mgwirizano kumayamba kugwera, ndipo bondo limayamba kumva bwino. Pamene kuyenda bwino kumachitika, odwala ambiri amayamba kuyenda moyenera, ndipo akhoza kuyesedwa kuti ayese kubwerera ku masewera.
Zinthu Zofunika Kuziganizira
Odwala omwe amachiza ACL amalira ndiyeno amayamba kukhala bwino nthawi zambiri amadzifunsa ngati akufunikirabe opaleshoni yokonzanso mitsempha. Zingakhale zovuta kuvomereza kukonzanso zofunikira pambuyo pa opaleshoni ya ACL ngati bondo likuyamba kumva bwino. Kawirikawiri anthu amadzifunsa ngati mwinamwake kuvulaza sikuli koopsa monga poyamba kuopera, ndipo mwina akhoza kuchiritsa popanda mankhwala opaleshoni.
Mwamwayi, ngati ACL yathyoledwa kwathunthu, palibe mwayi wa mankhwalawa. Ngakhale kuti palibe aliyense amene akusowa ntchito ya ACL kuti achite ntchito zawo zosangalatsa, othamanga omwe amachita nawo masewera ena omwe amafunika kuyendetsa maulendo angakhale osatheka kubwerera popanda ACL yoyenera kugwira ntchito.
Choncho, pamene bondo lingayambe kukhala bwino, chisankho chachithunzi chotsatira chithandizo chiyenera kukhazikitsidwa pazifukwa zina osati momwe bondo limamvera. Chofunika kwambiri ndizofufuza zomwe zimapezeka, zotsatira za MRI, ndi kukambirana ndi dokotala wanu opita kuchipatala. Ngakhale kuti chithandizo chopanda opaleshoni chimathandiza kwambiri pa mankhwala a ACL, kuti bondo limayamba kumva bwino sikuyenera kukhala lofunika kwambiri pakupanga chisankho.
Chitsime:
Tambe AD, ndi al. "Kupyolera muzitsulo kosavomerezeka: kuchedwa kwa opaleshoni yazondomeko kumakhudzira zotsatira mu maseĊµera okondwerera." Int Orthop. 2006 Apr; 30 (2): 104-9.