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Kutamba nhabvu inokonzera kukuvara kweACL iyo inodzivirira kufamba zvishoma kusanzwisisika kuvhiya kunobatsira kuvaka Ligament ligament ligament

Jack, ane makore makumi maviri nemasere anofarira wenhabvu neshamwari dzake, anotamba nhabvu neshamwari dzake vhiki rega rega, uye nhabvu yave chikamu chakakosha chehupenyu hwake hwezuva nezuva. Vhiki rapfuura kana uchitamba nhabvu, Zhang akatsvedza uye akawira pasi, achirwadza kuti afambe, awonekwiira Invanive Arthroscopic Kuvhiya Kwekurapa.

Mushure mekupedza bvunzo dzekunyepedzera, vanachiremba vakagadzira chirongwa chairo chekurapa chirongwa chekurapa, uye vakasarudza kuvaka zvakare ACL neiyo Inthascopic maitiro eArthnique vachishandisa autologous popliteal tendon mushure mekukurukurirana kwakazara nejack. Pazuva repiri mushure mekuvhiya, aikwanisa kuburukira pasi uye zviratidzo zvake zvinorwadza zvaive zvakagadziriswa zvakanyanya. Mushure mekudzidziswa kwakarongeka, jack munguva pfupi ichakurumidza kudzokera kumunda.

ASD (1)

Zadza kuputika kwechikadzi chikamu cheiyo anterior crucate ligament yakaona microscopically

ASD (2)

Anterior cruciate ligament mushure mekuvakazve ne autologous hamstring tendon

ASD (3)

Chiremba anopa murwere zvishoma zvinosangana neArthroscopic ligramon yekuvakazve kuvhiyiwa

Iyo anterior crucate ligament (ACL) ndeimwe yemitsara miviri inoyambuka nepakati pebvi, inobatanidza bhegi remhuru kune iyo mhuru pfupa uye kubatsira kudzikamisa ibvi rakabatana. ACL kukuvara kunoitika kazhinji mumitambo inoda yakanyanya kupinza kana kuchinja kamwe kamwe kwekusvetuka, kusvetuka uye kusvetuka, senge nhabvu, basketball, rugby uye pasi uye pasi skiing. Chaizvoizvo mharidzo inosanganisira kamwe kamwe, kurwadziwa kwakanyanya uye kunonzwika kuputika. Kana iyo ACL kukuvara kukaitika, vanhu vazhinji vanonzwa "tinya" mubvi kana kunzwa kupwanya mubvi. Ibvu dzinogona kuzvimba, unzwe usina kugadzikana, uye unonetseka kutsigira uremu hwako nekuda kwekurwadziwa.

Mumakore achangopfuura, kukuvara kweACL kuve nekukuvara kukuru kwemitambo nekukuvara kwakawedzera uye kwakawedzera kutarisisa pane zvine hutano kurovedza muviri. Nzira dzekuona kuti kukuvara uku kunosanganisira: Nhoroondo yekutora, kuongorora mumuviri, uye kufungidzira kuongororwa. Mri parizvino ndiyo inonyanya kukosha yekufungidzira nzira yeACL kukuvara mazuva ano, uye kunyatsoongorora kweMRI kuongorora muActute nhanho inopfuura 95%.

Kubviswa kweiyo ACL kunokanganisa kusimba kwebvi, zvichikonzera kusagadzikana uye nekuwisikidza kana majoxi anopinda, uye mushure menguva yakati, inowanzo kukonzera kukuvara kweManiscus uye kukuvara kwe cartilage. Panguva ino, pachave nekurwadziwa kwebvi, kushoma kwekufamba kana kutomboerekana "zvakanamira", hazvigone kufambisa pfungwa, kana uchivhiyiwa kuti ugadzirise hwekukuvara kwekukuvara kwakaoma, mhedzisiro yacho zvakare iri murombo. Zvizhinji zvekuchinja zvinokonzerwa nekusagadzikana kwebvi, zvakadai sekukuvara kwebvi, osteophytes, cartilahytes, etc. Naizvozvo, arthroscopic anterior cruciate ligament kuvakwazve kwakakurudzirwa zvakanyanya mushure mekukuvara kweACL kukuvara, kudzoreredza kugadzikana kwebvi.

Ndezvipi zviratidzo zveACL kukuvara?

Basa rekutanga reACL ndeyekudzikamisa kufambisa kwekunze kweTibia uye chengetedza kugadzikana kwayo. Mushure mekunge ACL kusundira, iyo Tibia ichaenda kumberi panguva iyoyo, uye murwere anogona kunzwa asina kugadzikana uye achiedza mukufamba kwemazuva ese, mitambo yemitambo, uye dzimwe nguva anofunga kuti ibvi harisi kugona kushandisa simba rayo uye risine simba.

 

Zviratidzo zvinotevera zvakajairika neACL kukuvara:

①knee kurwadziwa, iri mubatanidzwa, varwere vanogona kutya kufambisa nekuda kwekurwadziwa kwakanyanya, vamwe varwere vanogona kufamba kana kuenderera mberi nekurovedza muviri kwakaderera nekuda kwekurwadziwa kwakanyanya.

Kuzvimba kwembeu, nekuda kweiyo intra-artular haemorrhage

Kudzoserwa kwebvi rekuwedzera, ligament rapture ligtum Stump yakatendeukira kune iyo Intercondylar Fosssa Foss Aterior kuti igadzire kushatirisa kutsamwiswa. Vamwe varwere vanogona kunge vakawandisa kana kushanduka nekuda kwekukuvara kwevanhu. Yakasanganiswa neyeMedial Collateral Ligament yekukuvara, dzimwe nguva inoratidzwawo seyakaganhurwa yekuwedzera.

Kusagadzikana kwebvi, vamwe varwere vanonzwa kufamba kwakashata mubvi panguva yekukuvara, uye tanga kunzwa kusanzwisisika pakati pemapfupa sezvakatsanangurwa nevarwere) pavanotanga kufamba-famba nemavhiki 1 mushure mekukuvara.

⑤ Yakatemerwa kusara kwebvi, yakakonzerwa nekushamisika synovitis inokonzerwa nekuzvimba uye kurwadziwa mubvi mubvi.

Chiremba akaunza kuti Arthroscopic anterior cruciate yekuvakazve kwekuvakisa iyo yekukwana kwekutenderera kweTogent Iyo yakatsanangurwa Tendon inosarudzwa kune Autologous popliteal tendon, iyo ine zvakanakira kushungurudzika kushungurudza, kushoma kuita basa, hapana kurambwa, uye kupora kwezvinhu zvipfukudzo zvepfupa. Varwere vane rakatsetseka rekugadzirisa maitiro vanofamba mumapendero muna Ndira munaFebruary, dzokera kumitambo yakawanda mumwedzi mitanhatu, uye udzokere kune yavo yekukuvara kwemitambo mugore rimwe chete.


Kutumira Nguva: May-14-2024