Misozi ya ACL ndi kuvulaza kwadondo komwe kumafuna kuti odwala achite opaleshoni kukonzanso ndondomeko yotsekemera. Odwala ena amakumana ndi chisankho chofuna kupaleshoni ya ACL chifukwa pali ngozi zotheka opaleshoni. Phunzirani za mavuto ena omwe amagwiridwa ndi opaleshoni ya ACL ndi momwe mungakhalire ndi zotsatira zabwino.
Anterior Knee Pain
Kuvuta kwapadera kwa opaleshoni ya ACL ndiko kupweteka pambali pa mawondo .
Izi zimakhala zovuta kwambiri kwa odwala omwe amachitidwa opaleshoni yokhala ndi patellar patellar graft, monga odwalawa amachotsera mafupa pamthambo ngati mbali ya opaleshoniyo. Odwalawa akhoza ngakhale kukhala ndi mavuto monga kuphwanya patellar ndi patellar tendon misozi , ngakhale izi sizizolowezi. Komabe, odwala onse, ngakhale omwe ali ndi hamstring grafts kapena donor grafts, angakhalenso ndi zizindikiro za ululu wamondo wamkati.
Kupweteka kwa bondo kumayambiriro kumaganiziridwa kuti ndi chifukwa cha makina osinthidwa, ndipo nthawi zambiri amatha kugonjetsedwa ndi mankhwala aakulu. Kugwirizana ndi mapulogalamu othandizira anthu omwe amagwira ntchito pambuyo pake ndi ofunika kwa othamanga kuti apange mawotchi awo apamwamba.
Kutenga Patatha Opaleshoni ya ACL
Kutenga ndi vuto losavuta, koma lingakhale lovuta pamene likuchitika. Pamene matendawa ali mkati mwa bondo, pali nkhawa yokhudzana ndi kugwiritsidwa kwa ACL . Thupi lanu silingathe kumenyana bwino ndi matenda pazitsulo, ndipo nthawizina mzerewo umayenera kuchotsedwa kuti uchiritse matenda.
Kuchitapo kanthu popewera matenda kumaphatikizapo kutsata opaleshoni anu opaleshoni malangizo omwe asanachitike ndi pambuyo pa opaleshoni. Ochita opaleshoni ambiri amalimbikitsa kuyeretsa bondo ndi sopo antibacterial musanayambe opaleshoni, ndiyeno nkofunika kutsatira malangizo enaake a bandage pambuyo pa opaleshoni. Ngati muli ndi zizindikiro za matenda kuphatikizapo malungo, kuzizira, kutupa kwa bondo kapena kupweteka, dokotala wanu adziwe mwamsanga momwe angathere.
Kubwereranso kwa ACL Graft
Kubweretsanso kugwidwa kwa ACL kusindikiza kumakhalanso kawirikawiri, koma kumachitika. Nthawi zonse pamene mukugwiranso ntchito, dokotala wanu amayenera kufufuza mosamala kuti kuthekera kosavuta kwazowona koyamba kuchitidwa. Zovuta zomwe zingayambitse kubwezeretsa kwa ACL zimaphatikizapo kuika pamtengowo pamtanda, kusagwirizana kolakwika pamtengowo, kapena kulephera kokonzekera.
ACL grafts ndi amphamvu kwambiri. Ndipotu, minofu ya autograft (minofu ya patellar tendon kapena hamstring tendon) ndi yamphamvu kuposa yanu ya ACL. Kulephera kwa graftzi nthawi zambiri kumakhala chifukwa cha chimodzi mwa mavutowa. Minofu ya Allograft (minofu yopereka), mbali ina, siilimbikitsanso, ndipo kubwezeretsa mitengo kumadziwika kuti ndi apamwamba ndi mtundu uwu wazitsulo. Ndichifukwa chake athawi apamwamba amafuna nthawi zambiri kusankha minofu yawo, ngakhale kuti rehab ingakhale yovuta kwambiri.
Kukhumudwa ( Arthrofibrosis )
Kuvutika pambuyo pa opaleshoni ya ACL kawirikawiri amakumana. Mwamwayi, odwala ambiri omwe ali ndi vutoli akhoza kuthana ndi vutoli ndi kukonzanso mwaukali. Ngakhale kuti nthawi zambiri kulimbika kumatha kuthandizidwa ndi rehab, kupatulapo kumatchedwa cyclops lesion. Kansalu ya cyclops imapezeka pamene mpira wa mawonekedwe owopsa kutsogolo kwa bondo, zomwe zimapangitsa kuti sangathe kuweramitsa bondo pambuyo pa opaleshoni ya ACL.
Kuchita opaleshoni yamakono yoyeretsa minofuyi nthawi zambiri kumafunikira kwa odwala cyclops ululu.
Chinthu chovuta kwambiri kuti mupewe kulimbika ndikuwondola bondo mwamsanga pambuyo pa opaleshoni ya ACL. M'mbuyomu, madokotala amagwiritsa ntchito makina apadera kuti apinde mawondo, otchedwa makina a CPM , ngakhale kuti izi sizinawonetsedwe kuti zitsogolere kwa nthawi yaitali. Madokotala ambiri opaleshoni akuyamba kukwiya kwambiri ndi kuyambiranso msanga, ndikupewa kupaleshoni pambuyo pa opaleshoni , kuti bondo liziyenda mofulumira.
Zotsatira:
Getelman MH ndi Friedman MJ "Kukonzekera koyambirira kwa opaleshoni yokonzanso opaleshoni" J Am Acad Orthop Surgery May 1999 vol. 7 no. 3 189-198.
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.
Magit D, et al. "Arthrofibrosis wa Knee" J Am Acad Orthop Surgery November 2007; 15: 682-694.