I-ACL Reconstruction Treatment iyinqubo yokuhlinzwa elungisa i-anterior cruciate ligament (ACL) edabukile edolweni. I-anterior cruciate ligament ixhuma i-femur (ithambo lethanga) ne-tibia (ithambo lethambo). I-ACL ingenye yemigqa emikhulu emadolweni, enikeza ukuzinza nokuvimbela ukugoba okudlulele phambili kwe-tibia okuhlobene ne-femur.
Kubantu abafuna ukwelashwa kokwakhiwa kabusha kwe-ACL e-Bhubaneswar, kubalulekile ukubonisana nabo odokotela abahlinzayo bamathambo abahamba phambili eBhubaneswar uchwepheshe kule nqubo ukuqinisekisa imiphumela emihle kanye nokuvuselelwa. CARE Izibhedlela yisibhedlela sokuqala ukwethula umnyango we-Sports Injury & rehabilitation e-Odisha futhi ifakwe odokotela bemithi yezemidlalo abahamba phambili eBhubaneswar.
Ukulimala kwe-ACL kubhekisela ekudabukeni noma ekunwetshweni kwe-anterior cruciate ligament edolweni. Ukunyakaza okungalindelekile, njengokuma kungazelelwe noma izinguquko lapho ubheka khona, umthelela oqondile ku- knee, noma ukusonteka ngokweqile kwamadolo, kungabangela ukulimala kwe-ACL. Ngenxa yemvelo yale misebenzi, abasubathi abazibandakanya kwezemidlalo efana ne-basketball, ibhola likanobhutshuzwayo, kanye nebhola kungenzeka ukuthi babe nokulimala kwe-ACL.
Kunezizathu eziningana zokuthi kungani izinyembezi ze-ACL zingenzeka. Esinye sezimbangela eziyinhloko zezinyembezi ze-ACL ukulimala okuhlobene nezemidlalo, ikakhulukazi leyo misebenzi ebeka ingcindezi engafanele emadolweni, njenge:
Ezinye izimbangela zokukhala kwe-ACL zihlanganisa ukuhlukumezeka, njengokushaywa okuqondile edolweni, noma izingozi ezifana nokuwa noma ukuphahlazeka kwemoto.
Lapho izinyembezi ze-ACL zenzeka, abantu bangase babe nezimpawu ezihlukahlukene, njenge:
Odokotela bamathambo abahamba phambili batusa ukuhlinzwa kokwakhiwa kabusha kwe-ACL kubantu abathola izimpawu eziphikelelayo kanye nokungaqini kahle kwamadolo ngemva kokukhala kwe-ACL. Isinqumo sokuhlinzwa senziwa ngemva kokuhlolwa okuphelele ngudokotela wamathambo oqeqeshiwe. Ngaphambi kokuncoma ukuhlinzwa, odokotela bacabangela izici ezifana nezinga lomsebenzi womuntu ngamunye, ubudala, isimo sempilo sisonke, ubucayi besimo, kanye nalokho okulindele.
Uma kusolwa izinyembezi ze-ACL, udokotela wamathambo uzokwenza izivivinyo ezihlukahlukene zokuxilonga ukuze aqinisekise ukuxilongwa, okuhlanganisa:
Ngaphambi Kokuhlinzwa
Ngaphambi kokuhlinzwa kabusha kwe-ACL, udokotela wamathambo uzohlola ngokucophelela idolo lesiguli. Lokhu kuhlola kungase kuhlanganise ukuhlolwa ngokomzimba, ukuhlolwa kwezithombe njenge-MRI, nezingxoxo ngomlando wezokwelapha wesiguli. Iziyalezo zangaphambi kokuhlinzwa, okuhlanganisa imihlahlandlela yokuzila ukudla kanye nemikhawulo yemithi, izonikezwa ukuze kuqinisekiswe inqubo yokuhlinzwa ephephile.
Ngesikhathi Sokuhlinzwa
Inqubo yokwakhiwa kabusha kwe-ACL ngokuvamile ihilela izinyathelo ezilandelayo:
Ngemva Kokuhlinzwa
Ukulandela ukuhlinzwa kokwakhiwa kabusha kwe-ACL, udokotela uzoqapha eduze isiguli ekamelweni lokutakula, kuye ngokuthi izincomo zikadokotela ohlinzayo. Bazonikeza imithi yezinhlungu ukuze balawule noma yikuphi ukungakhululeki. I-Physiotherapy kanye nokuvuselelwa kuzodlala indima ebalulekile enkambisweni yokululama ukubuyisela amandla amadolo, ukunyakaza okuhlukahlukene, nokuzinza emadolweni.
Njenganoma iyiphi inqubo yokuhlinzwa, ukuhlinzwa kwezinyembezi kwe-ACL kunezingozi ezithile. Lezi zingozi zihlanganisa ukutheleleka, ukopha, amahlule egazi, ukulimala kwemithambo yegazi noma izinzwa, kanye nokusabela okungekuhle ku-anesthesia. Udokotela ohlinzayo wamathambo uzoxoxa ngalezi zingozi nesiguli ngaphambi kwenqubo yokuhlinzwa futhi athathe izinyathelo ezifanele zokuzinciphisa.
Ukubuyisela ngemva kokuhlinzwa kwezinyembezi ze-ACL kuyinqubo eqhubekayo edinga isineke nokuzinikela. Ekuqaleni, isiguli kuzodingeka sisebenzise izinduku nezinsimbi zokusekela idolo ukuze zisekele idolo ngenkathi lilulama. Ukwelashwa ngokomzimba kuyoba okubalulekile enqubweni yokutakula, kugxile ekuqiniseni imisipha ezungeze idolo, ukuthuthukisa ububanzi bokunyakaza, nokubuyisela kancane kancane imisebenzi. Ubude besikhathi sokululama bungahluka kuye ngomuntu ngamunye, kodwa ngokuvamile kuthatha izinyanga ezimbalwa ngaphambi kokuba isiguli sibuyele kwezemidlalo noma emisebenzini eqinile yomzimba.
Ukwelashwa kwezinyembezi kwe-ACL eBhubaneswar kuyisixazululo esisebenza kahle kakhulu sabantu abahlushwa izinyembezi ze-ACL. Ngokuhlinzwa nokulandela uhlelo oluphelele lokuvuselela, iziguli zingakwazi ukuphinda ziqine, zinciphise ubuhlungu, futhi zibuyele ezingeni elifunayo lomsebenzi womzimba. Kubalulekile ukuxhumana nodokotela wamathambo oqeqeshiwe onguchwepheshe ekuhlinzeni kabusha kwe-ACL eBhubaneswar ukuze uqinisekise umphumela omuhle kakhulu.
Izibhedlela ze-CARE zingaba yisinqumo esingcono kakhulu kuwe sokwelashwa kokwakhiwa kabusha kwe-ACL ngenxa yezindawo zayo ezithuthukile kanye nethimba lochwepheshe bamathambo. Baqinisekisa imiphumela emihle kakhulu ngezinga eliphezulu lempumelelo ekuhlinzeni kuyilapho bebeka phambili inhlalakahle yesiguli ngaso sonke isikhathi.
Ukwakhiwa kabusha kwe-ACL kubhekwa njengokuhlinzwa okukhulu ngenxa yemvelo yayo ehlaselayo nokuba yinkimbinkimbi. Kudinga i-anesthesia ejwayelekile futhi kuhilela ukususa nokufaka esikhundleni se-ACL edabukile.
Ukwakhiwa kabusha kwe-ACL kuhilela ukususa i-ACL edabukile futhi esikhundleni sayo kufakwe igraft. I-graft ingase ithathwe esicutshini sesiguli noma kumthombo onikelayo. Isixhumi esisha sibe sesivikelwa endaweni kusetshenziswa izikulufu noma ezinye izinto zokulungisa.
Isikhathi sokutakula ngemva kokuhlinzwa kokwakhiwa kabusha kwe-ACL singahluka kuye ngokuthi umuntu nobukhulu bokulimala. Ngokuvamile, kuthatha izinyanga ezimbalwa zokwelapha ngokomzimba kanye nokuvuselelwa ukuze ululame futhi ubuyele ngokugcwele emidlalweni noma emisebenzini eqinile yomzimba.
Ukuhlinzwa kwe-ACL kwenziwa ngaphansi kwe-anesthesia ejwayelekile ukuze iziguli zingaboni ubuhlungu ngesikhathi senqubo. Phakathi nesikhathi sokululama, iziguli zivame ukuzwa ukungakhululeki nobuhlungu, okuyinto udokotela wamathambo alawulayo ngokunikeza imithi yobuhlungu.
Yebo, ukulimala kwe-ACL kubhekwa kubi kakhulu njengoba kungase kuthinte kakhulu ikhono lomuntu lokuhlanganyela emisebenzini yomzimba futhi kungase kubangele izinkinga zesikhathi eside uma kungelashwa.
Ngeshwa, izinyembezi ze-ACL azikwazi ukuphulukisa ngokwemvelo ngokwazo. I-ligament edabukile idinga ukulungiswa ngokuhlinzwa noma ukwakhiwa kabusha ukuze kubuyiselwe ukuzinza nokusebenza emadolweni.
Ukulandela ukudla okunempilo, okunomsoco kubalulekile ekusekeleni inqubo yokuphulukisa ngemva kokuhlinzwa kwe-ACL. Kutuswa ukugwema ukudla okungandisa ukuvuvukala, njengokudla okugayiwe, ukudla okulula okunoshukela, nenani eliningi lenyama ebomvu. Kunalokho, gxila ekudleni ukudla okunomsoco, okuhlanganisa izithelo, imifino, amaprotheni anomzimba, nokusanhlamvu.
Ukuhamba ngomonakalo we-ACL kungaba yinselele futhi kungabangela ubuhlungu nokungazinzi. Ukufuna isiqondiso sezokwelapha nokulandela uhlelo lokwelashwa kwezinyembezi olunconyiwe lwe-ACL, olungase luhlanganise ukuhlinzwa nokuvuselelwa, kubalulekile ukubuyisela umsebenzi ovamile emadolweni.