Ukwakhiwa kabusha kwe-ACL

Ukwakhiwa kabusha kwe-ACL kungukuhlinzwa ukuze kuvuselelwe i-ligament maphakathi nedolo lakho. I-anterior cruciate ligament (ACL) ixhuma ithambo lakho le-shin (tibia) ethanjeni lakho lethanga (femur). Ukudabuka kwaleli ligament kungadala ukuthi idolo lakho linikele ngesikhathi sokuzivocavoca umzimba, imvamisa phakathi nokunyakaza kwesinyathelo esiseceleni noma sokuhamba.

Iningi labantu line-anesthesia ejwayelekile ngaphambi kokuhlinzwa. Lokhu kusho ukuthi uzobe ulele futhi ungenazinhlungu. Ezinye izinhlobo ze-anesthesia, njenge-anesthesia yesifunda noma ibhlokhi, nayo ingasetshenziselwa lokhu kuhlinzwa.

Izicubu ezizothatha indawo ye-ACL yakho eyonakele zizovela emzimbeni wakho noma kumnikeli. Umnikeli ngumuntu oshonile futhi wakhetha ukunikela konke noma ingxenye yomzimba wakhe ukuze asize abanye.

• Izicubu ezithathwe emzimbeni wakho zibizwa ngokuthi i-autograft. Izindawo ezimbili ezivame kakhulu ukuthatha izicubu kuyithenda le-cap cap noma i-tendon hamstring. Imisipha yakho yimisipha engemuva kwedolo lakho.
• Izicubu ezithathwe kumnikeli zibizwa ngokuthi i-allograft.

Inqubo ivame ukwenziwa ngosizo lwe-arthroscopy yamadolo. Nge-arthroscopy, ikhamera encane ifakwa emadolweni ngokusebenzisa ukusika okuncane kokuhlinzwa. Ikhamera ixhunywe kumonitha wevidiyo osegumbini lokusebenza. Udokotela wakho ohlinzayo uzosebenzisa ikhamera ukuhlola imisipha nezinye izicubu zamadolo akho.

Udokotela wakho ohlinzayo uzokwenza okunye ukusikeka okuncane okuzungeze idolo lakho bese efaka ezinye izinsimbi zezokwelapha. Udokotela wakho ohlinzayo uzolungisa noma yimuphi omunye umonakalo otholakele, bese engena esikhundleni se-ACL yakho ngokulandela lezi zinyathelo:

• I-ligament edabukile izosuswa nge-shaver noma ezinye izinsimbi.
• Uma izicubu zakho zisetshenziselwa ukwenza i-ACL yakho entsha, udokotela wakho ohlinzayo uzokwenza ukusika okukhulu. Ngemuva kwalokho, i-autograft izosuswa ngalokhu kusika.
• Udokotela wakho ohlinzayo uzokwenza imigudu ethanjeni lakho ukuletha izicubu ezintsha. Lesi sicubu esisha sizobekwa endaweni efanayo ne-ACL yakho endala.
• Udokotela wakho ohlinzayo uzonamathisela i-ligament entsha ethanjeni ngezikulufo noma amanye amadivayisi ukuyibamba. Njengoba iphola, imigudu yamathambo iyagcwalisa. Lokhu kubamba umugqa omusha endaweni.

Ekupheleni kokuhlinzwa, udokotela wakho ohlinzayo uzovala ukusikeka kwakho ngemisipho (imithungo) bese emboza indawo ngokugqoka. Ungakwazi ukubuka izithombe ngemuva kwenqubo yalokho okubonwe ngudokotela nokuthi kwenziwa ini ngesikhathi sokuhlinzwa.

Uma ungenayo i-ACL yakho eyakhiwe kabusha, idolo lakho lingaqhubeka lingazinzile. Lokhu kwandisa ithuba lokuthi ungaba nezinyembezi ze-meniscus. Ukwakhiwa kabusha kwe-ACL kungasetshenziselwa lezi zinkinga zamadolo:

• Idolo elinikezela noma elizizwa lingazinzile phakathi nemisebenzi yansuku zonke
• Ubuhlungu emadolweni
• Ukungakwazi ukubuyela kwezemidlalo noma eminye imisebenzi
• Lapho kulimala neminye imigqa
• Lapho i-meniscus yakho idabukile

Ngaphambi kokuhlinzwa, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nesikhathi nomzamo ozodinga ukuthi ululame. Uzodinga ukulandela uhlelo lokuvuselela izinyanga ezine kuya kweziyisithupha. Amandla akho okubuyela emsebenzini ogcwele kuzoncika ekutheni ululandela kanjani uhlelo.

Izingozi ezivela kunoma iyiphi i-anesthesia yilezi:

• Ukungezwani komzimba nemithi
• Izinkinga zokuphefumula

Izingozi ezivela kunoma yikuphi ukuhlinzwa yilezi:

• Ukopha
• Ukutheleleka

Ezinye izingozi ezivela kulokhu kuhlinzwa zingabandakanya:

• Ukuqina kwegazi emlenzeni
• Ukwehluleka kwe-ligament ukuphulukisa
• Ukwehluleka ukuhlinzwa ukukhulula izimpawu
• Ukulimala esitsheni segazi esiseduze
• Ubuhlungu emadolweni
• Ukuqina kwamadolo noma ububanzi bokuhamba obulahlekile
• Ubuthakathaka bamadolo

Hlala utshela umhlinzeki wakho ukuthi yiziphi izidakamizwa oziphuzayo, ngisho nezidakamizwa, izithasiselo, noma amakhambi owathengile ngaphandle kwencwadi kadokotela.

Phakathi namasonto ama-2 ngaphambi kokuhlinzwa kwakho:

• Ungacelwa ukuthi uyeke ukuthatha izidakamizwa ezenza kube nzima ngegazi lakho ukuminyana. Lokhu kufaka phakathi i-aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), nezinye izidakamizwa.
• Buza umhlinzeki wakho ukuthi yiziphi izidakamizwa okufanele usaziphuza ngosuku lokuhlinzwa kwakho.
• Uma unesifo sikashukela, isifo senhliziyo, noma ezinye izimo zezokwelapha, udokotela wakho ohlinzayo uzokucela ukuthi ubone umhlinzeki okuphatha ngalezi zimo.
• Tshela umhlinzeki wakho uma uphuze kakhulu utshwala, ngaphezu kweziphuzo ezi-1 noma ezi-2 ngosuku.
• Uma ubhema, zama ukuyeka. Ukubhema kunganciphisa ukuphulukiswa kwamanxeba namathambo. Cela abahlinzeki bakho bakusize uma uludinga.
• Njalo vumela umhlinzeki wakho azi nganoma yikuphi ukubanda, umkhuhlane, umkhuhlane, ukuphuma kwe-herpes, noma ezinye izifo ongaba nazo ngaphambi kokuhlinzwa kwakho.

Ngosuku lokuhlinzwa kwakho:

• Imvamisa uzocelwa ukuthi ungaphuzi noma ungadli lutho amahora ayisithupha kuya kwayishumi nambili ngaphambi kwenqubo.
• Thatha izidakamizwa zakho otshelwe ukuthi uziphuze ngophuzo oluncane lwamanzi.
• Uzotshelwa ukuthi ufika nini esibhedlela.

Iningi labantu lingaya ekhaya ngosuku lokuhlinzwa kwakho. Kungase kudingeke ukuthi ugqoke umkaki wamadolo amaviki okuqala ayi-4 kuya kwangama-4. Ungadinga nezinduku zokuhamba amasonto ayi-1 kuya kwayi-4. Iningi labantu livunyelwe ukuhambisa amadolo abo ngemuva kokuhlinzwa. Lokhu kungasiza ukuvimbela ukuqina. Ungahle udinge umuthi wezinhlungu zakho.

Ukwelashwa ngokomzimba kungasiza abantu abaningi ukuthi baphinde bathole ukunyakaza namandla emadolweni abo. Ukwelashwa kungahlala ezinyangeni ezi-4 kuya kwezi-6.

Ukubuyela kwakho emsebenzini maduze kuzoncika ohlotsheni lomsebenzi owenzayo. Kungaba kusuka ezinsukwini ezimbalwa kuye ezinyangeni ezimbalwa. Ukubuyela ngokugcwele emisebenzini nakwezemidlalo kuvame ukuthatha izinyanga ezi-4 kuye kwezi-6. Imidlalo ebandakanya ushintsho olusheshayo esiqondisweni, njengebhola likanobhutshuzwayo, i-basketball nebhola, ingadinga izinyanga ezi-9 kuye kwezingu-12 zokuvuselelwa.

Iningi labantu lizoba nedolo elizinzile elingavumeli indlela ngemuva kokwakhiwa kabusha kwe-ACL. Izindlela ezingcono zokuhlinzwa nokuvuselelwa kuholele kulokhu:

• Ubuhlungu obuncane nokuqina ngemuva kokuhlinzwa.
• Zimbalwa izinkinga ngokuhlinzwa uqobo.
• Isikhathi sokutakula ngokushesha.

Ukulungiswa kwe-ligament yangaphambi kokubanjwa; Ukuhlinzwa kwamadolo - ACL; I-arthroscopy yamadolo - i-ACL

• Ukwakhiwa kabusha kwe-ACL - ukukhishwa
• Ukulungisa ikhaya lakho - ukuhlinzwa ngamadolo noma okhalweni
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

I-Brotzman SB. Ukulimala kwangaphambili kwe-ligament. Ku: Giangarra CE, Manske RC, abahleli. Ukuvuselelwa Kwe-Orthopedic Clinical: Indlela Yethimba. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2018: isahluko 47.

UCheung EC, uMcAllister DR, uPetrigliano FA. Ukulimala kwangaphambili kwe-ligament. Ku: Miller MD, Thompson SR, ama-eds. UDeLee Drez & Miller's Orthopedic Sports Medicine. Umhlaka 5. IPhiladelphia, PA: Elsevier Saunders; 2020: isahluko 98.

INoyes FR, iBarber-Westin SD. I-Anterior cruciate ligament yokwakha kabusha okuyisisekelo: ukuxilongwa, amasu okusebenza, kanye nemiphumela yomtholampilo. Ku: Noyes FR, Barber-Westin SD, ama-eds. Ukuhlinzwa Kokuphazamiseka Kamadolo KukaNoyes, Ukuvuselelwa, Imiphumela Yomtholampilo. Okwesibili.IPhiladelphia, PA: Elsevier; 2017: isahluko 7.

UPhillips BB, uMihalko MJ. I-arthroscopy yomkhawulo ophansi. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.