ACL misodzi inowanzokuvadza kwemabvi inowanzoda kuti varwere vaite chirwere kuti vadzokerezve gumbo rakabvaruka. Vamwe varwere vanorwisana nechisarudzo chekuita chirongwa chekugadzirisa ACL nokuti pane zviitiko zvinogona kuitika zvekuvhiyiwa. Dzidza nezvimwe zvezvinetso zvakajairika zvekuvhiya kweAAC uye kuti iwe unogona sei kuvimbisa zvakanakisisa zvinoitika.
Anterior Knee Pain
Kunyanya kunetseka kweAACL kuvhiyiwa kunorwadza pamusana pemabhedecap .
Izvi zvinonyanya kukwirira kune varwere vanovhiyiwa vanoitwa ne patellar tendon graft, sezvo ava varwere vane pfuti yakabviswa kubva pamabhedecap sechikamu chekuvhiya kwakadaro. Ava varwere vanogona kunge vane zvinetso kusanganisira patellar kuputsika uye patellar tendon kuchema , kunyange zvazvo izvi zvisingawanzoitiki. Zvisinei, varwere vose, kunyange avo vane hamstring grafts kana vanopa mafura, vanogonawo kuva nezviratidzo zvehutano hwemabvi anterior.
Manzwiro emabvi akafanana anterior anofungidzirwa kuti akazoguma nemagadzirirwo emagetsi emubatanidzwa, uye anowanzogumburwa nehutano hwepanyama hwakanyanya. Kuteerera kumashure ekugadziriswa kwemashure rehabhi kunokosha kune vavanakomana kuti vaone kuti magetsi avo emabvi anovandudzwa.
Utachiona Mushure mekuberekwa kweAACL
Kutapukisa chinhu chisingawanzoitiki, asi chinogona kuva chakakomba kana ichiitika. Apo utachiona huri mukati memabvi akabatanidzwa, pane kunetseka pamusoro peAACL kushandiswa kutapukirwa . Mumuviri wako haugone kurwisa zvakakonzerwa nehutachiona pahuwandu, uye dzimwe nguva kubatanidzwa kunoda kubviswa kuitira kuporesa utachiona.
Kutora matanho ekudzivirira utachiona kunosanganisira kutevera vashandi vako vanoita mirayiridzo yekutanga uye shure kwekuvhiyiwa. Vanachiremba vakawanda vanokurudzira kuchenesa mabhe ne soda antibacterial mushure mekuvhiyiwa, uye zvino zvakakosha kutevera mirairo ipi neipi yebhanji mushure mekuvhiyiwa. Kana iwe une zviratidzo zvehutachiona kusanganisira fevha, chills, kuwedzera kwegumbo kurira kana kurwadziwa, rega chiremba wako azvizive nekukurumidza.
Kudzokororazve kwe ACL Graft
Dzokorora kuputsika kweAACL graft zvakare isiri, asi zvinoitika. Chero pose paine kubudazve kwekubatanidzwa, chiremba wako anofanirwa kuongororesa zvakanakira kuti zvigone kukanganisa kwekambani yekuvhiya kokutanga. Zvinetso zvinokwanisika zvinogona kutungamirira kutizve kubvarura kweAAC zvinosanganisira kuisa maitiro ekubatanidza, kusagadzikana kusina kukodzera pamubatanidzwa, kana kukundikana kwekugadziriswa kwechinyorwa.
ACL grafts yakasimba chaizvo. Ichokwadi, mavara e-autograft (tissue kubva patellar tendon kana hamstring tendon) yakasimba kupfuura yako ACL. Kukundikana kwezvikwereti izvi kazhinji kunokonzerwa neimwe yezvinetso izvi. Allograft tissue (michina yezvipo), kune rumwe rutivi, haisi yakasimba, uyezve kuderedza mitengo inozivikanwa kuti yakakwirira nehuwandu hwekubatanidza. Ndicho chikonzero kudai vatambi vechikwata vanowanzosarudza mavara avo, kunyange zvazvo rehab ingave yakaoma.
Kushushikana ( Arthrofibrosis )
Kushushikana mushure mekuvhiyiwa kweAACL kunowanzosangana. Nenzira yakanaka, vazhinji varwere vane ushingi vanogona kugadzirisa dambudziko iri nekugadzirisa hutsinye. Kunyange zvazvo zviitiko zvakawanda zvekuoma kunogona kutariswa ne rehab, imwechete inonzi cyclops lesion. A cyclops lesion inowanikwa apo bhora rezvisikwa zvitsvuku zvinomira pamberi pebvi, zvichiita kusakwanisa kugadzika zvakakwana mabvi mushure mekuvhiyiwa kweAACL.
Kuvhiyiwa kweArthroscopic kuchenesa kunze kwechivara ichi chinowanzodiwa kune varwere vane cyclops lesion.
Nhanho inonyanya kukosha yekudzivisa kuoma ndeyokuita kuti mabvi aende nokukurumidza mushure mekuvhiyiwa kweAACL. Munguva yakapfuura, vanachiremba vakashandisa magetsi chaiwo kuti vafukidze mabvi, anonzi mishonga yeCPM , kunyange zvazvo izvi zvisati zvaratidzwa zvinotungamirira pakuvandudza kwenguva refu. Vanachiremba vazhinji vanovhiya vari kuwedzera kukuvadza nekutangira rehab, nekudzivirira brasisi mushure mekuvhiyiwa , kuitira kuti mabvi aende nokukurumidza.
Sources:
Getelman MH naFriedman MJ "Kuongorora anterior cruciate ligament reconstruction opération" J Am Acad Orthop Surg May mai vol. 7 no. 3 189-198.
Schulz AP, et al. "Septic Arthritis yeKnee Mushure meAnterior Cruciate Ligament Surgery: A Stage-Adapted Treatment Regimen" Am. J. Sports Med., Jul 2007; 35: 1064 - 1069.
Magit D, et al. "Arthrofibrosis weKnee" J Am Acad Orthop Surg November 2007; 15: 682-694.