Kodi ACL ali bwanji?
ACL ili mkati mwa bondo. Imagwirizanitsa fupa la ntchafu (femur) kupita ku Tibia ndikulepheretsa Tibia kuchokera kutsogolo ndikuzungulira kwambiri. Mukang'amba acl yanu, kusintha konse kwadzidzidzi, monga kusunthika kwadzidzidzi kapena kuzungulira, nthawi yamasewera ngati mpira, basketball, maluso a rugby kapena andewu amalephera kulephera.
Milandu yambiri ya ACL Misozi imachitika chifukwa chosavulala chifukwa chopotoza bondo panthawi yophunzitsira kapena mpikisano. Osewera mpira osewera amathanso kukhala ndi vuto limodzilo akamawoloka mpira patali kwambiri, ndikuyika zipsinjo zambiri pa mwendo.
Nkhani zoipa za othamanga azimayi akuwerenga izi: Amayi ali pachiwopsezo chachikulu cha misozi chifukwa mawondo awo sagwirizana pakugwirizanitsa, kukula ndi mawonekedwe.
Osewera omwe amawononga AcL yawo nthawi zambiri amakhala ndi "pop" kenako ndikutupa kwa bondo (chifukwa chotuluka m'magazi ong'ambika). Kuphatikiza apo, pali chizindikiro chofunikira: wodwala sangathe kuyenda kapena kupitiriza kusewera masewera nthawi yomweyo chifukwa cha kupweteka kwa bondo. Kutupa mu bondo kumatha, wodwalayo angaganize kuti bondo silokhazikika ndipo ngakhale sangathe kuyimitsa, ndikupangitsa kuti wodwalayo azisewera masewera omwe amakonda kwambiri.
Ochita masewera angapo otchuka apeza misozi ya ACL. Izi zikuphatikiza: ztanan Ibrahimovich, Ruud Van Natlrooy, Francesco Totti, Paulcougne, Alan Shotcord, Tom Brady, Grand Showford, ndi Derrick Rose. Ngati mwakumana ndi mavuto ngati amenewa, simuli nokha. Nkhani yabwino ndiyakuti masewerawa adatha kupitiriza ntchito zawo za akatswiri atamanganso ACL. Ndi chithandizo choyenera, mutha kukhala ngati iwonso!
Momwe Mungadziwire Maso a ACL
Muyenera kupita ku GP yanu ngati mukuganiza kuti muli ndi acl. Adzatha kutsimikizira izi ndi matenda ndipo amalimbikitsa njira zabwino kwambiri. Dokotala wanu ayesa kuti adziwe ngati muli ndi misozi ya ACL, kuphatikiza:
Chiyeso Chathupi Momwe dokotala wanu ayang'anire momwe bondo lanu limayendera poyerekeza ndi bondo lanu lina losasinthika. Amathanso kuchita mayeso a lachman kapena kuyesa kwa nthochi kuti ayang'anire mayendedwe osiyanasiyana ndikugwira ntchito molumikizana, ndikufunsani mafunso okhudza momwe amamvera.
Mayeso a 2.x-ray komwe dokotala amatha kulamula kapena fupa losweka.
3.Mri scan yomwe idzawonetsa ma utoni anu ndi minofu yofewa ndikulola dokotala kuti awone kuchuluka kwa kuwonongeka.
Kusakanitsa kwa Is.Lustrasound kuti muwunikire misozi, tendon, ndi minofu.
Ngati kuvulala kwanu ndife ofatsa kuti simunawombetsani Acl ndipo ingotayinitsani. Kuvulala kwa ACL ndi kodongosolo kuti adziwe kuopsa kwawo motere.
Kodi Acl atha kuchiritsa zokha?
Acl nthawi zambiri samachiritsa bwino chifukwa ilibe magazi abwino. Zili ngati chingwe. Ngati kung'ambika kwathunthu pakati, ndizovuta kuti malekezero awiriwo alumikiza mwachilengedwe, makamaka kuyambira bondo nthawi zonse limayenda. Komabe, othamanga ena omwe amakhala ndi misozi yochepa chabe ya ACL itha kubwerera kukasewera boti komanso masewera omwe amasewera samakhudzanso magwero osanja (ngati baseball).
Kodi opaleshoni yomanganso aCL ndi yokhayo yongofuna chithandizo?
Kukonzanso ma ACL ndi kusinthidwa kwathunthu kwa Acl a Acl ndi "minofu yolumikizira" Ichi ndiye chithandizo choyenera kwa othamanga omwe ali ndi bondo losakhazikika ndipo sangathe kutenga nawo mbali pazinthu zamasewera pambuyo pa misozi ya ACL.
Tisanaganize za opaleshoni, muyenera kufunsa katswiri wothandizirana ndi dokotala woti alangizidwa komanso mankhwala ochiritsira. Izi zikuthandizani kubwezeretsa bondo lanu kuti musunthe komanso mphamvu, ngakhale kulola kuti kutentha kwa mafupa. Madokotala ena amakhulupiriranso kuti kuphatikizidwanso ndi chiopsezo chochepa cha nyamakazi yoyambirira (kusintha kwabwino) potengera zomwe zapezedwa pa X-ray.
Kukonza ACL ndi njira yatsopano yothandizira mitundu ina yamisozi. Madokotala amabwezeretsanso malekezero a ACL kupita kufupa la Thigh pogwiritsa ntchito chida chotchedwa bort. Komabe, misozi yambiri siiyenera kukonza molunjika. Odwala omwe akonza amakhala ndi kuchuluka kwa opaleshoni yowonjezera (1 mumilandu 8, malinga ndi mapepala ena). Pakali pano pali kafukufuku wambiri pakugwiritsa ntchito maselo a tsinde ndi pulasitiki wolemera kuti athandizire Acl. Komabe, maluso awa akuyesabe, ndipo "muyezo wagolide" udakalipo ntchito yomanganso aCL.
Ndani angapindule kwambiri ndi opaleshoni yomanganso acl?
1. Odwala okalamba omwe amatenga nawo gawo pamasewera omwe amafunikira kutembenuka kapena kusanja.
2.
3. Odwala Okalamba (monga zaka zopitilira 50) omwe amatenga nawo mbali pamasewera osankhika ndipo omwe alibe kusintha kwa bondo.
4. Ana kapena achinyamata omwe ali ndi misozi. Njira zosinthidwa zitha kugwiritsidwa ntchito pochepetsa chiopsezo chovulala.
5. Osewera omwe ali ndi kuvulala kwina kwa Agl, monganso misozi yamphamvu (PCL), Malawi (LCL), Metuscus, ndi Cartilage kuvulala. Makamaka kwa odwala ena omwe ali ndi Menossus misozi, ngati angathe kukonza ma acl nthawi imodzi, zotsatira zake zimakhala zabwinoko.
Kodi mitundu yosiyanasiyana ya opaleshoni ya ACL kuyimitsanso?
1. Tendon ya Hamton - Izi zitha kukololedwa mosavuta kuchokera mkati mwa bondo kudzera mu opaleshoni yaying'ono yomwe idachita opaleshoni (autograt). ACL yokhotakhota imathanso m'malo mwa tendon yomwe munthu wina (Allgraft). Osewera omwe ali ndi hypermobobility (hyperlaxity), mashaloni omasuka kwambiri (MCL), kapena malekezero ang'onoang'ono atha kukhala ofuna kukhala okonzanso bwino pa intaneti kapena patellar tendon.
2. Tendolar tenton - gawo limodzi mwa magawo atatu a gawo la Patelor, limodzi ndi mafupa ochokera ku Tibia ndi bondo la bondo, lingagwiritsidwe ntchito pa tetellar tendon. Ndizothandiza monga tendon kumezanitsa, koma kunyamula chiopsezo chachikulu cha ululu wa bondo, makamaka pamene wodwala agwada ndipo ali ndi kuwonongeka kwa bondo. Wodwalayo amakhalanso ndi gawo lalikulu kutsogolo kwa bondo.
3. Kuyandikira bondo wamba komanso kuphatikizika kwa tibial njira yolumikizira - kumayambiriro kwa opaleshoni yomanganso a ACL, opaleshoniyo amayendetsa mphika wowongoka (tubial Turnel) kuchokera ku Tibia kupita ku TIBER. Izi zikutanthauza kuti mpweya wampheke ku femur sikuti Acl anali wopezeka. Mosiyana ndi madokotala, madokotala amagwiritsa ntchito njira yofikira pamagulu a fupa ndi kuphatikizika koyandikira (kotomical) momwe mungathere. Opaleshoni ena amakhulupirira kuti kugwiritsa ntchito Typect tosy-to proces nener kumabweretsa kukhazikika kwa mawondo a mawondo a odwala.
4. Hamstst imodzi yokha ndiyofunikira kuti muzigwirizana pokonzanso Acl. Cholinga ndikuti njirayi itha kukhala yopweteka kwambiri komanso yopweteka kuposa njira yachikhalidwe.
5. Palibe kusiyana kwakukulu mu zotsatira za malo ophatikizika kapena ma aclo ophatikizira a ACL - Opanga maopaleshoni akwaniritsa zotsatira zokwanira pogwiritsa ntchito njira zonse ziwiri.
6. Kusunga mbale ya kukula - kuchuluka kwa achinyamata omwe ali ndi vuto la ACL kungokhalabe mpaka zaka 14 kwa atsikana ndi 16 kwa anyamata. Kugwiritsa ntchito njira yotsatiriridwanso ndi ACL Dokotalayo akuyenera kuwunika kuchuluka kwa wodwalayo asanachiritse, dikirani mpaka wodwalayo ataliza kukula, kapena kugwiritsa ntchito njira yapadera kuti mupewe kukhudza mbale (periyasteum kapena adventia).
Kodi nthawi yabwino kwambiri yomanganso ma acl pambuyo povulala?
Zoyenera, muyenera kuchitidwa opaleshoni mkati mwa milungu ingapo yovulala. Kuchedwa kuchitidwa opaleshoni kwa miyezi 6 kapena kupitilira kumawonjezera chiopsezo chowononga cartilage ndi nyumba zina bondo, monga meniscus. Asanachitidwe, ndibwino ngati mwalandira chithandizo chakuthupi kuti muchepetse kutupa ndikuyambanso kuyenda mosiyanasiyana, ndikulimbitsa minofu yanu ya quadhice (yakutsogolo ya ntsimba).
Kodi chiani chobwezeretsa pambuyo pa opaleshoni yolumikizidwanso ya ACL?
1. Pambuyo pa opareshoni, wodwalayo amva kupweteka pansi, koma dokotalayo adzakupatsa kupweteka kwamphamvu.
2. Pambuyo pa opareshoni, mutha kugwiritsa ntchito manyowa kuti muzimirira ndikuyenda nthawi yomweyo.
3. Odwala ena ali ndi vuto lokwanira kuti atulutsidwe tsiku lomwelo.
4. Ndikofunikira kulandira chithandizo chamankhwala mwachangu pambuyo pa opareshoni.
5. Mungafunike kugwiritsa ntchito ndodo mpaka masabata 6
6. Mutha kubwerera ku ofesi patatha milungu iwiri.
7. Koma ngati ntchito yanu ikukhudzana ndi ntchito yoopsa, zimakutenga nthawi yayitali kuti mubwerere kuntchito.
8. Zitha kutenga miyezi 6 mpaka 12 kuti muyambenso masewera, nthawi zambiri miyezi 9
Kodi mungasinthe bwanji maphunziro a opaleshoni yomanganso a ACL?
Malinga ndi kafukufuku wamkulu wa odwala 7,556 omwe omwe adakhazikitsanso ACL, ambiri mwa odwala adatha kubwerera m'masewera awo (81%). Odwala awiri mwa atatuwa adatha kubwerera ku masewera omwe adavulala, ndipo 55% adatha kubwerera ku gawo lalikulu.
Post Nthawi: Jan-16-2025
