Lissafin hawan gizon da ke ciki , ko ACL, yana daya daga cikin manyan ligaments hudu a cikin gwiwa wanda zai ba da kwanciyar hankali ga haɗin gwiwa. Lokacin da mai haƙuri yana riƙe da hawaye zuwa ACL, jin dadi na rashin zaman lafiya , ko bawa, zai iya ci gaba a gwiwa. Wannan bayyanar cututtuka na rashin zaman lafiya yana da matsala sosai ga 'yan wasan da suke so su cigaba da aiki a wasanni.
Wasu wasanni suna da wuyar ci gaba da shiga cikin 'yan wasan da suka ji rauni a ACL. Wadannan wasanni masu haɗari , irin su kwallon ƙwallon ƙafa, kwando, da lacrosse, sun haɗa da kullun da sauri da kuma motsa jiki wanda ya buƙaci ACL marar kyau.
Lokacin da dan wasan ya yi watsi da ACL, gwiwa za ta yi amfani da shi lokacin da yake tasowa ko sauyawa shugabanci. Domin mayar da kwanciyar hankali ga gwiwa, likitanku na iya bada shawara ga sake gina ACL don saka sabon ligament a wurin ACL ta lalacewa. Wani sabon fasaha, wanda ake kira ladabi guda biyu na ACL, ya ci gaba da ingantawa don kyautata aikin ACL na al'ada.
ACL Bundles
Hanyar haɗin gwaninta na baya anyi shi ne daga wani abu mai laushi, mai fibrous wanda ya haɗa gwiwa ta gwiwa, ya danganta ga mace (cin kasusuwa) a saman, da ƙashi (ƙashi) a kasa. Ligar kanta kanta an yi ta dubban filaye guda, wanda ya hada ACL.
Wasu daga cikin waɗannan nau'ukan da aka shirya a cikin fannoni daban-daban. ACL na yau da kullum yana da nau'i biyu na firam.
Wadannan jikunansu suna da alaƙa a wuri guda, a wasu marasa lafiya tare da ACL na al'ada zai iya zama da wuyar fahimtar ɗakunan jigilar. Amma mun san akwai nau'i na farko guda biyu, kuma an ambaci kowane nau'in don wurinta.
An sanya jigon anteromedial mai tsawo a gaban ɗakin da ya fi guntu.
Ƙaramar Ƙwararrun ACL Tafiya
Yawancin cibiyoyin sake gina ACL sunyi amfani da su ta hanyar amfani da su guda ɗaya. Hanya guda da ACL ta sake amfani da shi don maye gurbin ACL mai tsage. Abin baƙin ciki, ACL hawaye ba za a iya gyara ba, ko kuma a haɗa su tare, kuma dole a yi amfani da sashi don sake gina haɗin. Lokacin da aka sake gina ACL, ana sanya sifa a matsayin matsayi na anteromedial.
Ana gudanar da gyare-gyare a wuri ta hanyar yin rami a cikin kashi wanda ake kira rami. An yi rami ɗaya a cikin mace da daya a cikin tibia. An dasa dashi a cikin kashi tare da na'urar gyaran kafa, sau da yawa a dunƙulewa.
Ƙararre biyu na ACL
Maimakon ajiye nauyin guda ɗaya mafi girma, ƙaddamarwa na ACL mai sau biyu yana amfani da ƙarami kaɗan. Sabili da haka, akwai gyare-gyaren ligament biyu, guda ɗaya ga kowannensu. Hanyar kafa guda biyu yana buƙatar karin kashi biyu da zaɓuɓɓuka kashi don saukewa na biyu da kuma ƙarin incision. Tsarin aikin magani zai iya ɗaukar dan lokaci kaɗan, kodayake magunguna masu yin wannan hanzari suna iya yin ta a cikin irin wannan hanya zuwa guda ɗaya na sake gina ACL.
Shin Ƙara Biyu ne Mafi Girma?
Nazarin sun nuna wasu amfanoni daga magungunan ACL guda biyu. Wadannan nazarin suna nuna karin 'al'ada' aikin ligament da aka sake ginawa bayan wannan dakin gyare-gyaren ACL na biyu. Abin da ba a sani ba shine idan wannan yana nufin marasa lafiya zasu sami nasara mafi kyau tare da sake gina magunguna ACL. Musamman, iyawar komawa wasanni a daidai matakin kamar yadda ba a taɓa nuna rauni ba ya fi kyau tare da wata fasaha ta sake gina ACL.
Cikakken ACL guda biyu yana da sabuwar hanya, kuma kamar yadda yanayin yake tare da kowane sabon tsari, ba a fahimta ba a lokaci mai tsawo.
Zai yiwu wannan hanya zai zama ci gaba a kan tsararru guda ɗaya na ACL, amma kuma yana yiwuwa waɗannan marasa lafiya suna da wannan, ko ma muni, sakamakon lokaci mai tsawo. Babu wanda ya sani har yanzu.
Kwancen sau biyu shine ƙirar hanya mafi mahimmanci, kuma akwai ƙwayar likitoci kaɗan da kwarewa a cikin wannan fasaha.
Layin Ƙasa
Ba a bayyana ba cewa ƙaddarar ACL guda biyu ita ce hanya mafi kyau, amma wasu marasa lafiya sunyi ƙoƙari su gwada wani sabon hanya a cikin ƙoƙari na iya inganta sakamako mai tsawo. Ƙididdiga guda ɗaya ACL gyare-gyare yana da kyakkyawan sakamako, tare da kimanin kashi 90 cikin 100 na marasa lafiya da suka iya komawa ayyukan a matakin da suke ciki. Duk da haka, sakamakon ba 100% ba, kuma wasu marasa lafiya suna ci gaba da rashin zaman lafiya bayan gyaran ACL kuma zasu iya haifar da matsalolin daga baya a rayuwa.
Hanya na biyu ACL ta sake ƙaddamarwa shine ƙoƙari don inganta sakamakon kyakkyawar hanya mai kyau. Idan kana da sha'awa, magana da likita game da wannan hanya. Kamar yadda aka ambata, ƙwararrun likitoci suna yin gyaran fuska biyu na ACL. Amma zaku iya tattauna wannan hanya tare da likitanku kuma kuyi tunaninsa akan ƙaddarar ACL guda biyu.
Sources:
> Li YL, Ning GZ, Wu Q, Wu QL, Li Y, Hao Y, Feng SQ. "Kaya ɗaya ko damuwa guda biyu don sake fasalin haɗin gwangwani na baya-bayanan: wani zane-zane" Knee. 2014 Jan, 21 (1): 28-37.
> Ahn JH, Kang HW, Choi KJ. "Ayyukan Bayan Bayanai Biyu-Ƙarar Ƙarƙashin Ƙarƙashin Ƙarƙwarar Lafiya" Arthroscopy. 2017 Sep 8. Koma: S0749-8063 (17) 30799-5.
> Dhawan A, Gallo RA, Lynch SA. "Tsarin Ruwa na Anatomic a Anterior Cruciate Ligament Reconstruction" J Am Acad Orthop Surg. 2016 Jul; 24 (7): 443-54.