Nthenda yamtundu wa anterior cruciate ligament , kapena ACL, ndi imodzi mwazinthu zinayi zazikulu mu bondo zomwe zimapereka bata ku mgwirizano. Pamene wodwalayo amalira misozi ku ACL, kumverera kwa kusakhazikika , kapena kutaya, kungapangitse mu bondo lovulala. Zizindikiro za kusakhazikika zimakhala zovuta makamaka kwa othamanga omwe akufuna kukhalabe achangu m'maseĊµera.
Masewera ena ndi ovuta kwambiri kupitilizabe kutenga nawo mbali kwa othamanga omwe avulaza ACL yawo. Masewero oterewa, monga mpira, basketball, ndi lacrosse, amafuna kusuntha mwadzidzidzi komwe kumafuna ACL.
Wothamanga akamatulutsa ACL yawo, bondo limayamba kuthamanga pang'onopang'ono kapena kusintha mwadzidzidzi kutsogolo. Pofuna kubwezeretsa bata, dokotala wanu angalimbikitse kumanganso ACL kuti aike mzere watsopano m'malo a ACL owonongeka. Njira yatsopano, yotchedwa kukonzanso kachipangizo ka ACL, yakhazikitsidwa kuti ipangitse bwino ntchito ya ACL yachibadwa.
Makhalidwe a ACL
Nyerere yamtunduwu imapangidwa ndi minofu yolimba, yomwe imayendetsa bondo, yomwe imagwirizanitsa ndi ntchentche (thipa) pamwamba, ndi tibia (fupa fupa) pansipa. Ligilo lokha limapangidwa ndi masauzande ambirimbiri, omwe amapanga ACL.
Zina mwazitsulozi zimakhala zosiyana. Wachilendo wa ACL ali ndi zida ziwiri zoyambirira.
Mitundu imeneyi imayikidwa pamodzi, mwa odwala omwe ali ndi ma ACL abwinobwino zimakhala zovuta kuzindikira zolemba zosiyana. Koma tikudziwa kuti pali mabokosi awiri oyambirira, ndipo mtolo uliwonse umatchulidwa kuti uli.
Ndalama yayitali yowonongeka imayikidwa kutsogolo kwa mthunzi wamfupi.
Chikwama Chosakwatila Opaleshoni ya ACL
Opaleshoni yowonjezera yambiri ya ACL imagwiritsidwa ntchito pogwiritsanso ntchito kamangidwe kamodzi. Ntchito yokonzanso ACL imodzi yokha imagwiritsa ntchito mzere wothandizira kuti agwirizane ndi ACL. Mwamwayi, misonzi ya ACL silingakonzedwe, kapena kusonkhanitsidwa palimodzi, ndi kuphatikiza ziyenera kugwiritsidwa ntchito pokonzanso mitsempha. Pamene ACL imangidwanso, kuphatikiza kumayikidwa pamalo a bululo la anteromedial.
Grafts amachitidwa m'malo mwa kupanga dzenje mumphongo wotchedwa ngalande. Njira imodzi imapangidwira mu femir komanso m'modzi mwa tibia. Kuphatikizidwa kumaphatikizidwa m'phfupa ndi chipangizo chokonzekera, nthawi zambiri chingwe.
Opaleshoni Yachiwiri ya ACL
M'malo moyika graft limodzi limodzi lalikulu, ndondomeko yomangidwanso ya ACL yothandizira amagwiritsa ntchito grafts awiri. Choncho, pali zofunika zowonjezeredwa ziwiri, imodzi ya mtolo uliwonse. Njira ziwirizi zimaphatikizapo fupa linalake lophatikizapo fupa lachiwiri kuti likhale lopangira kachiwiri. Kuchita opaleshoni kungatenge nthawi yayitali, ngakhale kuti opaleshoni amachita opaleshoniyi nthawi zonse akhoza kuchita chimodzimodzi ndi kumanga kachipangizo kamodzi kokha.
Kodi Mtolo Wachiwiri Ndi Wopambana?
Kafukufuku wasonyeza ubwino wina wa kubwezeretsa ACL kachiwiri. Maphunzirowa amasonyeza ntchito yowonjezereka ya mgwirizano wokonzanso pambuyo pa opaleshoni yokonzanso ACL. Chimene sichidziwika ndi ichi ngati izi zikutanthauza kuti odwala adzakhala ndi ubwino wabwino ndi makonzedwe awiri a ACL. Mwachindunji, kuthekera kubwerera ku masewera pamlingo womwewo monga chisanachitike chisanawonetsedwe bwinoko ndi njira imodzi yokonzanso ACL.
Ntchito yomanganso ACL yatsopano ndi njira yatsopano, ndipo monga momwe ziliri ndi njira yatsopano, zotsatira za nthawi yaitali sizikumveka bwino.
N'zotheka kuti njirayi ikhale yopindulitsa pazomwe zimakhazikitsidwa ndikugwirizananso ndi ACL, komabe n'zotheka kuti odwalawa akhoza kukhala ofanana, kapena oipitsitsa, zotsatira za nthawi yaitali. Palibe amene akudziwa panobe.
Nthumba ziwirizi ndizofunikira kwambiri, ndipo pali opaleshoni ochepa omwe ali ndi chidziwitso mu njira yopangira opaleshoniyi.
Pansi
Sizachidziwikire kuti ntchito yomangidwanso ya ACL ndi njira yabwino, koma odwala ena amayesetsa kuyesa njira yatsopano kuti athe kusintha zotsatira zawo za nthawi yaitali. Makhalidwe abwino omwe amagwira ntchito limodzi ndi ACL ali ndi zotsatira zabwino, ndipo odwala 90 peresenti amatha kubwerera kuntchito pamsana wawo wovulazidwa. Komabe, zotsatira siziri 100%, ndipo odwala ena amakhala osasinthasintha mosavuta pambuyo pa zomangamanga za ACL ndipo akhoza kukhala ndi mavuto mtsogolo.
Ntchito yokonzanso ACL yowonjezera ndi kuyesa kusintha zotsatira za njira yabwino kwambiri. Ngati mukufuna, kambiranani ndi dokotala wanu za njirayi. Monga tanenera, ochita opaleshoni ochepa amachititsa zomangamanga za ACL. Koma mungathe kukambirana njirayi ndi dokotala ndikupeza maganizo ake pa zomangamanga za ACL.
Zotsatira:
> Li YL, Ning GZ, Wu Q, Wu QL, Li Y, Hao Y, Feng SQ. "Mtolo wamodzi kapena wawiri wotsitsimodzinso pazitsulo zowonongeka: kugwiritsira ntchito meta" Knee. 2014 Jan; 21 (1): 28-37.
> Ahn JH, Kang HW, Choi KJ. "Zotsatira Pambuyo Pachiwiri Chachigawo Chakumwamba Chitsulo Chomangika Ligament Ntchito yomanga" Arthroscopy. 2017 Sep 8. pii: S0749-8063 (17) 30799-5.
> Dhawan A, Gallo RA, Lynch SA. "Anatomic Tunnel Kukhazikitsidwa M'kati Mwachimake Chopangidwa ndi Ligament Ligament Kumangidwanso" J Am Acad Orthop Surg. 2016 Jul; 24 (7): 443-54.