Kukonzanso kwa ACL

Kumangidwanso kwa ACL ndi opaleshoni yokonzanso minyewa yomwe ili pakatikati pa bondo lanu. The anterior cruciate ligament (ACL) imagwirizanitsa fupa lanu (tibia) ndi fupa lanu la ntchafu (femur). Kung'ambika kwa minyewa iyi kumatha kupangitsa kuti bondo lanu ligwe pansi mukamachita masewera olimbitsa thupi, nthawi zambiri mukamayenda pang'ono kapena poyenda.

Anthu ambiri amakhala ndi anesthesia asanafike opaleshoni. Izi zikutanthauza kuti mudzakhala mukugona komanso wopanda ululu. Mitundu ina ya anesthesia, monga anesthesia yachigawo kapena chipika, itha kugwiritsidwanso ntchito pochita opaleshoniyi.

Minofu yosinthira ACL yanu yowonongeka ibwera kuchokera mthupi lanu kapena kuchokera kwa wopereka. Wopereka ndi munthu amene wamwalira ndipo adasankha kupereka thupi lake lonse kapena gawo lina kuti athandize ena.

• Manja otengedwa m'thupi lanu amatchedwa autograft. Malo awiri omwe amapezeka kwambiri kuti atengeko minofu ndi tendon kapu kapena bondo. Mutu wanu ndi minofu kumbuyo kwa bondo lanu.
• Manja otengedwa kuchokera kwa woperekera amatchedwa allograft.

Njirayi imachitidwa mothandizidwa ndi arthroscopy ya mawondo. Pogwiritsa ntchito arthroscopy, kamera kakang'ono kamalowetsedwa mu bondo kudzera podula pang'ono. Kamera imagwirizanitsidwa ndi kanema kanema m'chipinda chogwirira ntchito. Dokotala wanu amagwiritsa ntchito kamera kuti ayang'ane mitsempha ndi ziwalo zina za bondo lanu.

Dokotala wanu azicheka pang'ono pakhosi panu ndikuyika zida zina zamankhwala. Dokotala wanu adzakonza zovuta zina zilizonse, kenako adzalowetsa m'malo mwa ACL potsatira izi:

• Mitsempha yoduka idzachotsedwa ndi kumeta kapena zida zina.
• Ngati minofu yanu ikugwiritsidwa ntchito kupanga ACL yanu yatsopano, dokotalayo adzadula kwambiri. Kenako, autograft idzachotsedwa podulidwa.
• Dokotala wanu amapanga ma tunnel m'mafupa anu kuti abweretse minofu yatsopano. Minofu yatsopanoyi idzaikidwa pamalo omwewo ndi ACL yanu yakale.
• Dokotala wanu azilumikiza minyewa yatsopanoyo pafupa ndi zomangira kapena zida zina kuti izikhala m'malo mwake. Momwe imachira, ma tunnel amadzaza. Izi zimagwirizira chingwe chatsopano.

Pamapeto pa opaleshoniyi, dokotalayo adzatseka mabala anu ndi masokosi (malusi) ndikuphimba malowo ndi kuvala. Mutha kuwona zithunzi mutatha kutsatira zomwe adokotala adaziwona komanso zomwe zidachitika panthawi yochita opaleshoniyo.

Ngati mulibe ACL yanu, bondo lanu likhoza kupitilirabe. Izi zimawonjezera mwayi wokhala ndi meniscus misozi. Kukonzanso kwa ACL kungagwiritsidwe ntchito pamavuto awa:

• Bondo lomwe limagonja kapena limakhala losakhazikika pazochitika za tsiku ndi tsiku
• Kupweteka kwa bondo
• Kulephera kubwerera ku masewera kapena zochitika zina
• Mitsempha ina ikavulazidwa
• Meniscus yanu ikang'ambika

Musanachite opareshoni, lankhulani ndi omwe amakuthandizani zaumoyo nthawi ndi khama lomwe muyenera kuchira. Muyenera kutsatira pulogalamu yokonzanso kwa miyezi 4 mpaka 6. Kutha kwanu kubwerera kuntchito yonse kudzadalira momwe mumatsatirira pulogalamuyi.

Zowopsa za anesthesia iliyonse ndi izi:

• Thupi lawo siligwirizana ndi mankhwala
• Mavuto opumira

Zowopsa za opaleshoni iliyonse ndi izi:

• Magazi
• Matenda

Zowopsa zina za opaleshonizi ndi monga:

• Kuundana kwamagazi mwendo
• Kulephera kwa mitsempha kuti muchiritse
• Kulephera kwa opaleshoniyi kuti muchepetse zizindikilo
• Kuvulaza mtsempha wamagazi wapafupi
• Ululu pa bondo
• Kuuma kwa bondo kapena kutaya mayendedwe osiyanasiyana
• Kufooka kwa bondo

Nthawi zonse muuzeni omwe akukuthandizani mankhwala omwe mukumwa, ngakhale mankhwala, zowonjezera, kapena zitsamba zomwe mwagula popanda mankhwala.

Pakati pa masabata awiri musanachite opareshoni:

• Mutha kupemphedwa kuti musiye kumwa mankhwala omwe amalepheretsa magazi anu kuphimba. Izi zimaphatikizapo aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), ndi mankhwala ena.
• Funsani omwe amakupatsani mankhwala omwe muyenera kumwa patsiku la opareshoni yanu.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena matenda ena, dokotala wanu akukufunsani kuti muwone omwe akukuthandizani chifukwa cha izi.
• Uzani wothandizira wanu ngati mumamwa mowa wambiri, kuposa 1 kapena 2 zakumwa patsiku.
• Ngati mumasuta, yesetsani kusiya. Kusuta kumatha kuchepetsa bala ndi mafupa. Funsani omwe akukuthandizani ngati mukufuna.
• Nthawi zonse muziwuza omwe akukuthandizani za chimfine, chimfine, malungo, kuphulika kwa herpes, kapena matenda ena omwe mungakhale nawo musanachite opareshoni.

Patsiku la opareshoni yanu:

• Nthawi zambiri mudzafunsidwa kuti musamwe kapena kudya chilichonse kwa maola 6 mpaka 12 musanachitike.
• Tengani mankhwala omwe mwauzidwa kuti mumamwe pang'ono.
• Mudzauzidwa nthawi yobwera kuchipatala.

Anthu ambiri amatha kupita kwawo tsiku lomwe mumachitidwa opaleshoni. Muyenera kuvala bondo pamasabata 1 mpaka 4 oyamba. Mwinanso mungafunike ndodo kwa milungu 1 kapena 4. Anthu ambiri amaloledwa kusuntha bondo atangochitidwa opaleshoni. Izi zitha kuthandiza kupewa kuuma. Mungafunike mankhwala a zowawa zanu.

Thandizo lakuthupi lingathandize anthu ambiri kuti ayambenso kuyenda komanso kulimbitsa thupi pa bondo lawo. Therapy imatha miyezi 4 mpaka 6.

Momwe mungabwerere kuntchito zimadalira mtundu wa ntchito yomwe mukugwira. Zitha kukhala kuyambira masiku ochepa mpaka miyezi ingapo. Kubwerera kwathunthu kuzochita ndi masewera nthawi zambiri kumatenga miyezi 4 mpaka 6. Masewera omwe amaphatikizapo kusintha kwakanthawi, monga mpira, basketball, ndi mpira, atha kutenga miyezi 9 mpaka 12 yokonzanso.

Anthu ambiri amakhala ndi bondo lolimba lomwe silipereka pambuyo pomangidwanso kwa ACL. Njira zabwino zopangira opaleshoni ndikukonzanso zadzetsa:

• Kupweteka pang'ono ndi kuuma pambuyo pochitidwa opaleshoni.
• Zovuta zochepa ndi opaleshoni yomwe.
• Nthawi yobwezeretsa mwachangu.

Kukonzekera kwapakati kwamkati; Kuchita maondo - ACL; Knee arthroscopy - ACL

• Kukonzanso kwa ACL - kutulutsa
• Kukonzekera nyumba yanu - opaleshoni ya mawondo kapena mchiuno
• Chisamaliro cha bala la opaleshoni - chotseguka

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Cheung EC, McAllister DR, Petrigliano FA. Anterior kuvulala kwaminyewa yaminyewa. Mu: Miller MD, Thompson SR, olemba. DeLee Drez & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier Saunders; 2020: chap 98.

Noyes FR, Barber-Westin SD. Anterior cruciate ligament kumangidwanso koyambirira: matenda, magwiridwe antchito, ndi zotsatira zamankhwala. Mu: Noyes FR, Barber-Westin SD, eds. Opaleshoni ya Noyes 'Knee Disorders, Kukonzanso, Zotsatira Zachipatala. Wachiwiri ed.Philadelphia, PA: Elsevier; 2017: mutu 7.

[Adasankhidwa] Phillips BB, Mihalko MJ. Zojambulajambula zam'munsi. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 51.