Chii chinonzi ACL kubvaruka?
Iyo ACL iri pakati pebvi. Iyo inobatanidza chidya chefuro Kana iwe ukabvarura ACL yako, chero shanduko yekuchinja, yakadai seyakaganhurana kufamba kana kutenderera, panguva yemitambo yakadai senhabvu, basketball, tenisi, rights
Nyaya zhinji dzeACL misodzi dzinoitika mukukuvara kusiri kwekutangwazve kunokonzerwa nekukasira kwebvi panguva yekudzidziswa kana kukwikwidza. Vatambi venhabvu vanogona zvakare kuve nedambudziko rakafanana kana vachiyambuka bhora pamusoro marefu marefu, kuisa zvakanyanya kudzvinyirira gumbo rakamira.
Nhau dzakaipa dzevamiriri vechikadzi kuverenga izvi: Vakadzi vari panjodzi huru yemisodzi yemisodzi nekuti mabvi avo haachinjiki mukuenderana, saizi uye chimiro.
Vatambi vanobvarura ACL yavo vanowanzoita kuti "pop" uye nekukasira kuzvimba kwebvi (nekuda kwekubuda ropa kubva kune yakabvaruka ligament). Mukuwedzera, pane chirevo chakakosha: Murwere haakwanisi kufamba kana kuramba uchitamba mitambo nekukurumidza nekuda kwekurwadziwa kwebvi. Kana kuzvimba kwacho mubvi pakupedzisira kwapera, murwere anogona kunzwa kuti ibvi harina kugadzikana uye kutotadza kusimudza, zvichiita kuti zvisakwanise kumurwere kutamba mutambo wavanoda zvakanyanya.
Vamiriri vanozivikanwa vakati wandei vakawana acl misodzi. Izvi zvinosanganisira: Zlatan Ibrahimovich, ruud van nisillrooy, Francesco Totti, Paul Gascoigne, Alan Munyori, Tom Brady, Tom Woods, Jamal Crawford, uye Derrick Rose. Kana iwe wasangana nematambudziko akafanana, hausi wega. Nhau dzakanaka ndedzekuti vamiriri ava vakakwanisa kubudirira kuenderera mberi nebasa ravo ravanoita mushure mekuvakazve ACL. Nekurapa kwakakodzera, iwe unogona kunge wakafanana navo, zvakare!
Maitiro ekuongorora ACL kubvaruka
Iwe unofanirwa kushanyira GP yako kana iwe uchifungidzira kuti une yakabvaruka ACL. Vachagona kusimbisa izvi nechiratidzo uye vanokurudzira matanho akanakisa kumberi. Chiremba wako achaita mimwe miedzo kuti uone kana uine ACL misodzi, kusanganisira:
1.a bvunzo dzemuviri apo chiremba wako anotarisa kuti ibwe rako rakabatanidzwa riinhi mukuenzanisa nedzimwe, ibvi risingazungunuke. Ivo vanogona zvakare kuita test test kana anterior dhiri rekutarisa kuti vatarise huwandu hwekufamba uye kuti kubatana kwakabatana, uye kukubvunza mibvunzo pamusoro pekuti inonzwa sei.
2.x-ray bvunzo uko chiremba wako anogona kutongera kunze kana kuputswa pfupa.
3.Mri Scan iyo icharatidza ma tendons ako uye mitezo yakapfava uye bvumira chiremba wako kuti atarise huwandu hwekukuvara kwekukuvara.
4.ultrasound scan kuti uongorore iyo ligaments, tendon, uye mhasuru.
Kana kukuvara kwako kuri munyoro kungave kwakabvaruka iyo ACL uye chete yakatambanudza. Acl kukuvara kwakasungirwa kuti uone kuomarara kwavo sekutevera.
A A A A A A A A A A A ARL Inogona Kuporesa Ipa Yayo?
Iyo ACL kazhinji haaporese zvakanaka pachayo nekuti haina njere yakanaka. Zvakafanana netambo. Kana zvakabvaruka zvakakwana pakati, zvakaoma kuti iwo magumo maviri ekubatanidza zvakasikwa, kunyanya sezvo ibvi rinogara richifamba. Nekudaro, vamwe vatambi vanongova neiyo chikamu cheAC misodzi chete vanogona kudzokera kunotamba kwenguva yakareba seyakajaira kuti ibate uye mitambo yavanotamba inosanganisira kufambisa kamwe kamwe (kunge baseball).
ACL kuvhenganiswa kweiyo chete iyo chete kurapwa sarudzo?
ACL kuvakwazve kwakazara kweiyo yakabvaruka ACL ne "tishu graft" (kazhinji yakagadzirwa ma tendons kubva kune chigaro chemukati) kuti upe kugadzikana kwebvi. Uku ndiko kurapwa kwakakurudzirwa kune vatambi vane mabvi asina kugadzikana uye havakwanisi kutora chikamu mumitambo yemitambo mushure meACL kubvaruka.
Usati wafunga nezvekuvhiya, iwe unofanirwa kubvunza neanonyora yemuviri murapi anokurudzirwa nehope dzako uye rorema remuviri. Izvi zvichabatsira kudzoreredza mabvi ako kusvika zvizere zvekufamba uye kusimba, ukuwo uchibvumira zororo rekukuvara kwepfupa. Vamwe vanachiremba zvakare vanotenda kuti Kugadzirwazve kweACL kunosanganiswa nenjodzi yakaderera yekutanga kweArthritis (Degenerative shanduko) zvichibva pane X-ray kuwana.
ACL kugadzirisa ndeye nyowani yekurapa sarudzo yemamwe marudzi emisodzi. Vanachiremba vanoregedza mitezo yakabvaruka yeiyo ACL kune chidya chekero uchishandisa mudziyo wainzi Medial Brace. Nekudaro, yakawanda acl misodzi haina kukodzera izvi zvakananga kugadzirisa maitiro. Varwere vane kugadziriswa vane huwandu hwakanyanya hwekudzokorora kuvhiya (1 mune masere emakesi, maererano nemamwe mapepa). Parizvino pane rima rese rekutsvagisa kwekushandiswa kwemasero ematanda uye platelet-mupfumi plasma kubatsira acl kupora. Nekudaro, aya maitiro achiri kuyedza, uye "Goridhe yakajairika" kurapa kuchiri kuvhiyiwa neACL kuvhiyiwa.
Ndiani anogona kubatsira zvakanyanya kubva kuACL kuvhiyiwa?
1. Vanoshandisa varwere vakuru vanotora chikamu mumitambo inosanganisira kutenderera kana kudzima.
2. Varwere vakuru vane basa vanoshanda mumabasa anoda simba rakawanda remuviri uye rinosanganisira kutenderera kana kudzima.
3. Varwere vechikuru (vakadai vanopfuura makore makumi mashanu) vanotora chikamu mumitambo mikuru uye vasina shanduko dzinodzora mubvi.
4. Vana kana vari kuyaruka vane acl misodzi. Maitiro ekugadziridzwa anogona kushandiswa kuderedza njodzi yekukura kukuvara.
5. Vamhanyi vane kumwe kukuvara kweiyo ACL misodzi, yakadai seposeri cruciate ligament (PCL), Blateral Ligament (lcl), meniscus, uye kukuvara kwe cartilage. Kunyanya kune vamwe varwere vane misodzi yemidziyo, kana achigona kugadzirisa iyo ACL panguva imwe chete, mhedzisiro yacho ichave iri nani.
Ndeapi marudzi akasiyana eACL kuvhiyiwa?
1. Hamstring Tendon - Izvi zvinogona kuvheneka zviri nyore kubva mukati mebvi kuburikidza nekaboka kadiki panguva yekuvhiya (autograft). A ACL yakabvaruka inogona zvakare kutsiviwa ne tendon yakapihwa nemumwe munhu (allographter). Vatambi vane hypermobility (hyperlaxity), yakasununguka medalist collateral ligashington
2. Izvo zvinoshanda seganda reTendon, asi rinotakura njodzi yepamusoro yekurwadziwa kwebvi, kunyanya kana murwere achipfugama uye aine broche. Murwere achazovawo nehurukuro yakakura pamberi pebvi.
3 Izvi zvinoreva kuti iyo pfupa mugero mune femur haisi iyo iyo ACT yakatangira kuwanikwa. Mukupesana, vanovhiya vachishandisa maitiro epamhepo maitiro ekuyedza kuisa iyo Bone tunnel uye graft sewe padhuze nepakutanga (Anatomical) nzvimbo yeACL sezvinobvira. Vamwe vanachiremba vanovhiya vanotenda kuti vachishandisa nzira dzechifananidzo-dzakavakirwa vechiTunnel.
4. All-Medial / Grapt Attachment Technique - Iyo All-Medial maitiro anoshandisa kudzosera kuderedza kuderedza huwandu hwepfupa rinoda kubviswa kubva ibvi. Chete hamstring chete chinodiwa kuti ugadzire graft kana kuvaka zvakare iyo ACL. Iyo rationale ndeyekuti nzira iyi inogona kunge isinganyanyi kusanzwisisika uye isinganyanye kurwadza kupfuura nzira yechinyakare.
5. Imwe-bundle vs. kaviri-bundle - vamwe vanovhiya vanoedza kudzoreredza mabhuru maviri eACL nekukwevera makomba mana mubvudzi pane maviri. Iko hakuna mutsauko wakakosha mumhedzisiro yeimwe-bundle kana kaviri-bundle acl kugadzirisa - vanovhiya vakawana mhedzisiro inogutsa uchishandisa nzira mbiri idzi.
6. Kuchengetwa kwekukura ndiro - mahwendefa ekukura evana kana vayaruka vane kukuvara kweACL vanoramba vakasvinuka kusvika pazera 14 kuvanasikana uye nevakomana. Uchishandisa iyo Standard ACL Kugadzirwazve maitiro (translttebral) inogona kukuvadza mahwendefa ekukura uye kumisa pfupa kubva mukukura (kusungwa kwekukura). Chiremba anovhiya anofanira kuongorora mahwendefa emurwere asati arapa, kumirira kusvikira murwere apedza kukura, kana kushandisa hunyanzvi hwekudzivirira kubata mahwendefa ekukura (periostum kana adventitia).
Ndeipi nguva yakanakisa yekuve neACL kuvaka mushure mekukuvara?
Nenzira, iwe unofanirwa kuvhiyiwa mukati memavhiki mashoma ekukuvara kwako. Kunonoka kuvhiya kwemwedzi mitanhatu kana kupfuura kunowedzera panjodzi yekukuvadza cartilage uye zvimwe zvigadzirwa zvebvi, senge maarume. Asati avhiya, zvakanaka kana iwe wagamuchira kurapwa kwemuviri kuti uderedze kuzvimba uye kuwanazve zvizere zvekufamba, uye simbisa quadriceps yako (pamberi pebundu remberi).
Ndeipi nzira yekudzoreredza mushure mekushomeka kweACL kuvhiyiwa?
1. Mushure mekuvhiyiwa, murwere anonzwa kurwadziwa mabvi, asi chiremba achanyora vanorema.
2. Mushure mekuvhiyiwa, unogona kushandisa makaturu kumira uye kufamba nekukurumidza.
3. Vamwe varwere vane mamiriro akanaka emuviri kuti vadzingwe pazuva rimwe chete.
4. Izvo zvakakosha kuti ugamuchire kurapa kwepanyama nekukurumidza mushure mekuvhiyiwa.
5. Iwe ungangoda kushandisa makatsiwa anosvika masvondo matanhatu
6. Iwe unogona kudzokera kuhofisi basa mushure memavhiki maviri.
7. Asi kana basa rako richisanganisira kubata kwakawanda kwemuviri, zvinotora nguva yakareba kuti iwe udzokere kubasa.
8. Zvinogona kutora matanhatu kusvika gumi nemaviri ekutangazve mabasa emitambo, kazhinji mwedzi 9
Unganongedzo yakawanda sei iwe ungatarisira mushure mekuvhiyiwa kweACL kuvhiyiwa?
Maererano nekudzidza kukuru kwevarwere 7,556 avo vaive neACL kuvakazve, ruzhinji rwevarwere vakakwanisa kudzokera kumitambo yavo (81%). Zvikamu zviviri kubva muzvitatu zvevarwere zvakakwanisa kudzokera kune yavo yekutanga-kukuvara chikamu chekutamba, uye 55% vakakwanisa kudzokera kune imwe nhanho.
Kutumira Nguva: Jan-16-2025
