Yaya aka yi ACL Harshen Harkokin Harkokin Harkokin Cutar Aikin ACL
ACL hawaye ne cin zarafin wasanni na yau da kullum da ake buƙatar samun magani. Da zarar ka yanke shawarar ci gaba da aikin tiyata na ACL, ka yi ƙoƙarin samun sabon ACL a cikin gwiwa. Koyi matakai na tiyata na ACL, da kuma yadda aka yi ACL da kuma kulla a cikin kwakwalwar ka.
Ƙayyade irin nauyin ACL Graft
Akwai nau'o'in ACL guda uku da aka fi amfani dashi.
Wadannan sun hada da kashin daji, suturar hamstring, da cadaver (donor). Akwai masarufi da fursunoni daban-daban na kowane nau'i, kuma yanke shawarar abin da yake mafi kyau a gare ku zai iya zama yanke shawara mai wuya.
Magani Arthroscopic Tiyata
Mataki na farko na tiyata shi ne saka wani arthroscope a cikin haɗin gwiwa don duba lalacewar da aka yi wa haɗin gwiwa. Kwararku zai tabbatar da ganewar asirin ACL hawaye, kuma duba sauran lalacewa. Za'a iya bincika maniscus, sigati, da sauran kayan haɗi don lalacewar da ta faru. An yi amfani da su da hawaye da kuma guraguni a lokaci guda yayin yin gyaran ACL.
'Girbi' da kuma Shirya Girbin ACL
Da zarar an tabbatar da ACL haushi, dole ne a samo takarda, wani tsari da ake kira "girbi" injin. Idan akwai wani mai bada kyauta , dole ne a narke nama. A lokuta inda gwargwadon yana fitowa daga masu haƙuri da sake sake gina ACL, za a yi incision don samo nama.
Bayan samun jigon, kayan da ake amfani da su don ƙirƙirar sabon ACL an shirya su zama tsayin da ya dace. Za'a iya yin wasu ƙaddamar don tabbatar da girman girman ginin. An ajiye wannan sutura har sai an saura gwiwa don sabon ACL.
Tsibial Tunnel
Mataki na gaba shine ƙirƙirar wuri don sabon ACL don zama a cikin gwiwa.
ACL yana daidai a tsakiyar tsakiyar gwiwa gwiwa kuma yana buƙatar a haɗa shi da kashi a sama da ƙasa da haɗin gwiwa. Sabili da haka, sabon ligament dole ne ya fara a ƙarshen cinyar cinya kuma ya ƙare a cikin ƙashin ƙashi.
An yi amfani da rawar jiki don yin rami a cikin ƙushin hanci. Ƙarshen wannan rami a cikin kwakwalwar gwiwa yana tsaye a inda ACL ya kamata ya haɗa da ƙashi.
Tunnel na Mata
Ta hanyar ramin tibial kawai aka halicce shi, an haye raguwa ta hanyar tsakiyar tsakiyar gwiwa . An sanya rami na kashi biyu daga cikin gwiwa har zuwa karshen femur. Wannan rami na rami zai riƙe ƙarshen sabon ACL, kuma ramin tibial zai riƙe ɗayan.
Shigar da Girbin
Tare da takaddun kashi biyu - daya a ƙarshen femur, da kuma wani a saman tarkon - sabon sakon ACL dole ne a shigo wuri. An rarraba babban tsuntsu ta hanyar alamu na kashi, kuma a haɗe zuwa ƙarshen fil shine sabon ACL. Sabuwar ACL ta jawo zuwa cikin rami na mata don haka za'a iya kare ɗayan a cikin mace. Sauran ƙarshen yanzu yana cikin tafkin tibial, kuma tsakiyar ɓangaren sashi yana tsakiyar cibiyar gwiwa don ɗaukar tsohon ACL.
Ƙungiyar Tsarin Tsakanin Tsakanin Tsaro
Da ACL sa a matsayi, dole ne a tabbatar da sutura a sabon matsayi.
Akwai hanyoyi da dama don tabbatar da satar. Ɗaya hanyar dayawa ta yin amfani da ita ita ce ta yin amfani da wani yunkuri don riƙe ƙarshen shinge a cikin rami. Za a iya yin gyaran fuska na karfe, kayan abu mai filastik, ko abin da ke da ƙwayar calcium wanda ya zama kashi. Kwararka zai iya bayar da shawarar wani abu na musamman, ko da yake babu wanda aka nuna "mafi alhẽri" a kulla kayan aikin.
Sashin Tibial Side of Graft
Da zarar an dasa gwaninta a kan ƙananan mata, an sanya tashin hankali a ƙarshen jigon don haka sabon ACL zai kasance m. An kafa bangaren tibial na sabon ligament, daidai da bangaren gefen mata. Bugu da ƙari, za'a iya amfani da kayan daban don gyara ginin a matsayi.
Yawancin lokaci, satar zai warkar da kashi masu rarraba, yin gyaran na'urori ba dole ba. Lokaci-lokaci, zauren shahararren da aka yi amfani da ita don riƙe da satar a matsayi zai iya cire bayan kimanin shekara guda. Idan ba a haifar da matsalolin ba, waɗannan abubuwa ana barin su a wuri.
> Sources:
> Prodromos CC, et al. "Magance a cikin ƙwayoyin da ke da ƙananan ƙwayoyin cuta Sigar cigaba Tsarin haɓakawa: Ƙirƙiri, Ƙamus, Ƙungiyoyi, Fitarwa, da Girbi" J. Am. Acad. Ortho. Surg., Yuli 2008; 16: 376 - 384.