Mwapweteka bondo lanu mukusewera masewera, ndipo mudapita kwa dokotala wanu wa opaleshoni wamatenda omwe adalamula kuti MRI apfuule. Zotsatira zimabwereranso: mvula yamakono (ACL) ikugwetsa , ndipo dokotala wanu amalimbikitsa opaleshoni kuti akonze. Kodi muyenera kuchita chiyani pokonzekera opaleshoni? Chifukwa chimodzi, muyenera kupita kukawona wodwala wanu wodwala wa mankhwala opangira opaleshoni ya ACL.
Kafukufuku amasonyeza kuti mankhwala opangira opaleshoni-PT asanayambe kukonza ACL-angakuthandizeni kusintha zotsatira zogwira ntchito pambuyo pa opaleshoni yanu ya ACL.
Thandizo la Thupi la ACL Sprains
ACL yanu imathandiza kuthandizira bondo lanu popewera kutsogolo kwa fupa lanu pansi pa ntchafu yanu. Mphepete mwa ACL ikhoza kuchitika pamene mukupotoza bondo lanu mwadzidzidzi, nthawi zambiri pamene phazi lanu limabzalidwa pansi. Izi zikhoza kuchitika pamene kudula ndi kuthamanga mofulumira kapena pamene kudumphira ndi kutsika.
Zizindikiro za mgwirizano wa ACL zingaphatikizepo:
- Kupweteka kwapakhosi
- Kutupa pa bondo lanu
- Kuvuta kugwedezeka kapena kuwongola bwino bondo lanu
- Kumverera za kusakhazikika kwa mawondo
Ngati mukuganiza kuti muli ndi ntchentche ya ACL, muyenera kupita kukawona dokotala wanu kuti apeze yankho lolondola ndikukonzekera njira yoyenera yothetsera vuto lanu. Dokotala wanu akhoza kuchita mayesero apadera kuti awone ngati ACL yanu inang'ambika , ndipo MRI ingagwiritsidwe ntchito kutsimikizira kuti munthu akudziwidwa. Kuchiza kwa misozi ya ACL kungakhale yowonongeka, yokhala ndi mankhwala opatsirana komanso kuchita masewera olimbitsa thupi, kapena ingakhale yowonjezereka kwambiri, yokhala ndi opaleshoni yowonongeka ya mzere wanu wamkati.
Sikuti aliyense amene ali ndi misozi ya ACL amafunika opaleshoni. Anthu ambiri amatha kugwira bwino ntchito ndi ACL yowonongeka; ligament imachiza ndikupitiriza kuyenda (ROM) ndi mphamvu yamlendo kubwerera kwathunthu. Vuto ndiloti masewera olimbitsa thupi ndi masewera angakhale ovuta, makamaka ngati masewerawa akufuna kuti mutumphuke ndi kulowera pansi kapena kuti muzicheka ndikusintha mauthenga mwamsanga pamene mukuyenda.
Pazochitikazi, bondo lanu lolephera likhoza kuthana ndi mphamvu zomwe zaikidwa pazimene zikuchitika. Anthu omwe akufuna kubwerera ku masewera apamwamba angasankhe kukonza opaleshoni ya ACL yawo. Dokotala wanu akhoza kukuthandizani kusankha pa chithandizo chabwino kwambiri kwa inu.
Mbali za Pre-Op ACL PT Pulogalamu
Ngati muli ndi misozi ya ACL ndipo mukuyang'aniridwa, muyenera kufunsa dokotala ngati mungathe kuchita nawo pulojekiti yapitayi. P PT yanu ikhoza kuyesa matenda anu ndipo imapereka zochitika zoyenera kuti zikuthandizeni kukonza ROM yanu, mphamvu zanu, ndi kuyenda kwathunthu musanachite opaleshoni.
Mbali za pulojekiti ya prehabym yokhazikika pamaso pa opaleshoni ya ACL ingaphatikizepo:
- Kuchita masewera olimbitsa ROM wamadzulo
- Zochita zolimbitsa quadriceps ndi kupaka mphamvu
- Zochita zolimbitsa thupi ndi zofunikira
- Kutsitsimutsa kwa magetsi (NMES) kusintha ntchito yotchedwa quadriceps
- Mankhwala amachititsa kuti thupi liziyenda bwino
- Maphunziro a Neuromuscular , omwe amaphatikizapo kuphunzira kudumphira ndi kumayenda bwino ndikuwongolera bondo lanu pamene mukuchita masewera apamwamba ndi zochitika.
Cholinga chachikulu cha operekera opaleshoni ACL PT ndi kubwezeretsa ROM, mphamvu, ndi bata kuti mukhale okonzeka kuchitidwa opaleshoni ya ACL ndikukhala ndi zotsatira zabwino.
Koma kodi chithandizo chamankhwala chisanayambe chikufunikadi?
Kodi Kafukufuku Amawonetsa Chiyani?
Mukamaganizira zachipatala musanayambe opaleshoni ya ACL, muyenera kumvetsetsa zomwe zafukufuku zikuwonetsa. Ikhoza kuthandizira kutsata zochita pakuganiza kuti mupite kukayambula PT kapena ayi.
Kafukufuku wofalitsidwa mu American Journal of Sports Medicine anafufuza zotsatira za nthawi yaitali ndi zotsatira za ntchito kuchokera kwa odwala omwe anachitapo kanthu pa ACL rehab ndi omwe sanapite ku PT asanayambe opaleshoni yokonza ACL. Ofufuzawa adapeza kuti odwala omwe adayamba kuchita opaleshoni ya ACL asanabwerere ku masewera a masewerawa ndi kubwereranso ku masewera a masewera komanso zomwe zinawathandiza kuti apite kuntchito.
Madalitsowa anakhalapo kwa zaka zoposa 2 pambuyo pa opaleshoni. Odwala omwe adagwira nawo ntchito yatsopano ya ACL, kapena prehab, anali ndi zotsatira zabwino zogwirira ntchito ndi mawondo awo. Mwachidule, patatha zaka 2 opaleshoni, odwala omwe anachita PT pamaso pa opaleshoni ya ACL anali abwino kuposa omwe sanachite nawo mankhwala opititsa patsogolo.
Kafukufuku wina anapeza kuti odwala omwe adagwira nawo ntchito yopanga opaleshoni yokha isanafike pakapita masabata 12 pambuyo pa opaleshoni yawo ya opaleshoni ya ACL. Chiyeso chimodzi choyendetsa galimoto ndi chida chodziŵika kuti ayese wokonzekera kubwerera ku masewera pambuyo pa opaleshoni ya ACL. Odwala omwe adagwira nawo phunziroli adalinso ndi zotsatira zabwino pazochita za knee poyerekeza ndi odwala omwe sanachite nawo PT.
Maphunzirowa angakuchititseni kuganiza kuti phindu lalikulu lingakhalepo ngati wina athandizidwa asanachite opaleshoni ya ACL.
Kuziyika Izo Palimodzi
Chifukwa chiyani mungaganizire chithandizo chamankhwala chisanayambe chisanachitike opaleshoni ya ACL? Kodi bondo lanu silikuvutika ndi kutupa, kupweteka, ndi kutaya moyo chifukwa cha opaleshoni? Kodi zonse zopindula zisanayambe zitayika pambuyo pa opaleshoni?
Mwinamwake. Koma kafukufuku amasonyeza kuti kugwira ntchito pa bondo lanu ROM, mphamvu, ndi chidziwitso cha neuromuscular musanachite opaleshoni kumabweretsa zotsatira zabwino za nthawi yaitali. Kutenga nthawi yowonjezera bondo lanu patsogolo musanachite opaleshoni yanu ikhoza kutsogolera zotsatira zabwino pambuyo pa opaleshoni yanu. Kumbukirani kuti aliyense ali wosiyana, ndipo kuvulala kwa aliyense ndi zosowa zimasiyana. Kumvetsetsa ubwino wa operekera PT pasanayambe opaleshoni yanu ya ACL ingakuthandizeni kupanga chisankho chabwino pa chikhalidwe chanu.
Ngati mwadula ACL yanu muondo, muyenera kulankhula ndi adokotala kuti mubwere ndi dongosolo la chisamaliro chomwe chili choyenera kwa inu. Anthu ena safuna opaleshoni ya ACL yawo. Anthu ena angafunikire opaleshoni-amatsatiridwa ndi post-operative ACL kubwezeretsanso-kupititsa patsogolo kayendetsedwe kawo kachitidwe pambuyo povulaza.
Pulogalamu yamakono yogwiritsira ntchito kupititsa patsogolo mawondo ndi kupsyinjika kwa mitsempha kungakhale ndi mapindu omwe amatha kumapeto kwa nthawi yopuma. Ndibwino kuti mulankhule ndi dokotala wanu kapena dokotala wa opaleshoni ndikufunseni ngati chithandizo chamankhwala choyambitsako chaching'onong'ono chanu cha ACL ndilo njira yoyenera yothetsera vuto lanu.
> Zotsatira:
> Failla, MJ, etal. Kodi Kupititsa patsogolo Ntchito Zowonongeka Kuwonjezeredwa Kumakhudza Zotsatira Zaka Zaka Zili Pambuyo pa Luso la ACL Lomangidwanso? Kufananitsa Kuphunzira Phunziro Pakati pa MOON ndi Delaware-Oslo ACL Cohorts. Am J Sports Med. 2016 Oct; 44 (10): 2608-2614.
> Shaarani, SR, etal. Zotsatira za kubwezeretsa pa zotsatira za kubwezeretsedwa kwagwiridwe kake. AM J Sports Med. 2013 Sep; 41 (9): 2117-27.