Ukulimala kwe-Anterior cruciate ligament (ACL) - ukunakekelwa ngemuva

I-ligament iyi-band yezicubu exhumanisa ithambo nelinye ithambo. I-anterior cruciate ligament (ACL) itholakala ngaphakathi kokuhlangana kwamadolo akho futhi ixhuma amathambo omlenze wakho ongaphezulu nangaphansi.

Ukulimala kwe-ACL kwenzeka lapho i-ligament iseluliwe noma idabukile. Ukudabuka kwe-ACL okuyingxenye kwenzeka lapho kuphela ingxenye yeligament idabukile. Ukukhala okuphelele kwe-ACL kwenzeka lapho yonke i-ligament idwengulwa yaba yizicucu ezimbili.

I-ACL ingenye yemigqa eminingana egcina idolo lakho lizinzile.Kuyasiza ukugcina amathambo akho omlenze endaweni futhi kuvumela idolo lakho ukuthi lihambe liye emuva naphambili.

Ukulimala kwe-ACL kungenzeka uma:

• Shaywa kanzima ohlangothini lwamadolo akho, njengasesikhathini sokulwa kwebhola
• Sonta idolo lakho
• Ngokushesha yeka ukunyakaza futhi ushintshe indlela ngenkathi ugijima, ufika lapho ugxuma, noma ujika
• Land kabi ngemuva kokugxuma

Abashushuluzi nabantu abadlala i-basketball, ibhola, noma ibhola kungenzeka babe nalolu hlobo lokulimala. Abesifazane banamathuba amaningi okuthi badabule i-ACL yabo kunamadoda lapho ebamba iqhaza kwezemidlalo.

Kuvamile ukuzwa umsindo "ophumayo" lapho kwenzeka ukulimala kwe-ACL. Ungase futhi ube:

• Ukuvuvukala kwamadolo kungakapheli amahora ambalwa okulimala
• Ubuhlungu emadolweni, ikakhulukazi uma uzama ukubeka isisindo emlenzeni olimele

Uma unokulimala okuncane, ungaqaphela ukuthi idolo lakho lizizwa lingazinzile noma libukeka ngathi "liyadedela" lapho ulisebenzisa. Ukulimala kwe-ACL kuvame ukuvela kanye nokunye ukulimala kwamadolo, okufana noqwanga olubizwa nge-meniscus. Lokhu kulimala kungadinga futhi ukwelashwa ngokuhlinzwa.

Ngemuva kokuhlola idolo lakho, udokotela wakho angalawula lezi zivivinyo zokucabanga:

• Ama-X-ray ukuhlola ukonakala kwamathambo emadolweni akho.
• I-MRI yamadolo. Umshini we-MRI uthatha izithombe ezikhethekile zezicubu ngaphakathi kwedolo lakho. Izithombe zizokhombisa ukuthi ngabe lezi zicubu sezeluliwe noma zidabukile yini.

Uma unokulimala kwe-ACL, ungadinga:

• Izinduku zokuhamba kuze kube ngcono ukuvuvukala nobuhlungu
• I-brace yokusekela nokuzinzisa idolo lakho
• Ukwelashwa ngokomzimba ukusiza ukuthuthukisa ukunyakaza okuhlangene namandla omlenze
• Ukuhlinzwa ukwakha kabusha i-ACL

Abanye abantu bangaphila futhi basebenze ngokujwayelekile nge-ACL edabukile. Kodwa-ke, abantu abaningi bazizwa sengathi idolo labo alizinzile futhi kungenzeka "baphume amandla" ngemisebenzi eqinile. Izinyembezi ze-ACL ezingalungisiwe zingaholela ekulimaleni kwamadolo, ikakhulukazi kwi-meniscus.

Landela i-RICE ukusiza ukunciphisa ubuhlungu nokuvuvukala:

• Phumula umlenze wakho. Gwema ukubeka isisindo kuso.
• Iqhwa idolo lakho imizuzu engama-20 ngesikhathi ama-3 kuya ku-4 ngosuku.
• Cindezela indawo ngokuyigoqa ngebhandeshi nokunwebeka noma ukugoqwa kokucindezelwa.
• Phakamisa umlenze wakho ngokuwukhulisa ngaphezu kwezinga lenhliziyo yakho.

Ungasebenzisa ibuprofen (Advil, Motrin), noma naproxen (Aleve, Naprosyn) ukunciphisa izinhlungu nokuvuvukala. I-Acetaminophen (iTylenol) isiza ngobuhlungu, kepha hhayi ngokuvuvukala. Ungathenga le mithi yezinhlungu esitolo.

• Khuluma nodokotela wakho ngaphambi kokusebenzisa imithi yezinhlungu uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, noma uke waba nezilonda zesisu noma ukopha ngaphakathi esikhathini esedlule.
• Ungathathi ngaphezu kwenani elinconywe ebhodleleni noma ngudokotela wakho.

Ngemuva kokulimala kwakho, akufanele udlale imidlalo noma wenze ezinye izinto ezinzima kuze kube yilapho wena nodokotela wakho ninquma ukuthi yiluphi ukwelashwa okungcono kakhulu kuwe.

Uma uhlinzwa ukuze wakhe kabusha i-ACL yakho:

• Landela imiyalo yokuzinakekela ekhaya.
• Uzodinga ukwelashwa ngokomzimba ukuze uphinde usebenzise ngokugcwele idolo lakho.
• Ukubuyiselwa emuva kokuhlinzwa kungathatha cishe izinyanga eziyi-6. Kepha kufanele ukwazi ukwenza imisebenzi efanayo owawukwenza ngaphambilini.

Uma ungahlinziwe:

• Uzodinga ukusebenza nomelaphi womzimba ukunciphisa ukuvuvukala nobuhlungu futhi uphinde uthole uhla olwanele lokunyakaza namandla emlenzeni wakho ukuqala kabusha umsebenzi. Lokhu kungathatha izinyanga ezimbalwa.
• Ngokuya ngokulimala kwakho, ungahle ungakwazi ukwenza izinhlobo ezithile zemisebenzi engalimaza kabusha idolo lakho.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma unokunye kwalokhu okulandelayo:

• Khulisa ukuvuvukala noma ubuhlungu
• Ukuzinakekela kubonakala kungasizi
• Ulahlekelwa umuzwa ngonyawo lwakho
• Unyawo noma umlenze wakho uzizwa ubanda noma ushintsha umbala
• Idolo lakho liyakukhiya ngokuzumayo futhi awukwazi ukuliqondisa

Uma uhlinziwe, shayela udokotela ohlinzayo uma une:

• Umkhuhlane we-100 ° F (38 ° C) noma ngaphezulu
• Ukugeleza kwamanzi kusuka ekuqhekekeni
• Ukopha okungayeki

Ukulimala kwe-cruciate ligament - ukunakekelwa ngemuva; Ukulimala kwe-ACL - ukunakekelwa ngemuva; Ukulimala kwamadolo - ukubethelwa kwangaphambili

Amalungu amaPhaneli Wokubhala, Ukubuyekeza, kanye Nokuvota e-AUC Ekuvimbeleni nasekwelapheni Ukulimala Kwe-Ligament ye-Anterior Cruciate Ligament, uQuinn RH, uSaunders JO, et al. I-American Academy of Orthopedic Surgeons efanelekayo yokusetshenziswa ekuphathweni kokulimala kwangaphambilini kwe-ligament. J Amathambo Joint Surg Am. 2016; 98 (2): 153-155. I-PMID: 26791036 www.ncbi.nlm.nih.gov/pubmed/26791036.

UNiska JA, uPetrigliano FA, uMcAllister DR. Ukulimala kwangaphambili kwe-ligament (kufaka phakathi ukubuyekeza). Ku: Miller MD, Thompson SR, ama-eds. UDeLee noDrez's Orthopedic Sports Medicine: Izimiso kanye Nokuzijwayeza. Umhla wesi-4. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 98.

Reider B, Davies GJ, Provencher MT. Ukulimala kwangaphambili kwe-ligament ku-Reider B, Davies GJ, Provencher MT, eds. Ukuvuselelwa Kwamathambo Komgijimi. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 32.

• Ukulimala KwamaKnee Nokukhubazeka