Jack, dan shekara 22 mai sha'awar kwallon kafa, yana buga kwallon kafa tare da abokansa kowane mako, kuma kwallon kafa ta zama wani bangare na rayuwar yau da kullum. A karshen makon da ya gabata lokacin da ake buga wasan kwallon kafa, Zhang ya zame da gangan ya fadi, yana jin zafi sosai har ya kasa tashi, ya kasa tafiya, bayan kwanaki kadan na warkewa a gida ko jin zafi, ya kasa tsayawa, wani abokinsa ya tura shi sashen kasusuwa na asibitin, likitan ya yi bincike tare da inganta MRI na gwiwa, an gano shi a matsayin ciwon gabobi na gabobi na raunin da ya faru a asibitin femoral na dan kankanin da ake bukata. arthroscopic tiyata magani.
Bayan kammala gwaje-gwaje na farko, likitocin sun tsara madaidaicin tsarin kula da yanayin Jack, kuma sun yanke shawarar sake gina ACL tare da dabarar arthroscopic mafi ƙanƙanta ta amfani da tendon popliteal autologous bayan cikakkiyar sadarwa tare da Jack. A kwana na biyu bayan tiyatar, ya iya gangarowa kasa kuma alamun ciwon gwiwa ya sami sauki sosai. Bayan horo na tsari, Jack zai iya komawa filin wasa.
Cikakken tsagewar gefen femoral na ligament na gaban cruciate da aka gani a microscopically
Jigilar cruciate na gaba bayan sake ginawa tare da tendon hamstring autologous
Likita yana ba majiyyaci tiyatar sake gina ligament kaɗan kaɗan
Jigon cruciate na gaba (ACL) yana ɗaya daga cikin haɗin gwiwa guda biyu waɗanda ke haye a tsakiyar gwiwa, suna haɗa kashin cinya zuwa ƙashin maraƙi kuma yana taimakawa wajen daidaita haɗin gwiwa. Raunin ACL yana faruwa sau da yawa a cikin wasanni waɗanda ke buƙatar tsayawa mai kaifi ko canje-canje kwatsam na shugabanci, tsalle-tsalle da saukowa, kamar ƙwallon ƙafa, ƙwallon kwando, rugby da tsalle-tsalle. Abubuwan gabatarwa na yau da kullun sun haɗa da kwatsam, zafi mai tsanani da buɗaɗɗen ji. Lokacin da rauni na ACL ya faru, mutane da yawa suna jin "danna" a gwiwa ko jin fashewa a gwiwa. Gwiwa na iya kumbura, jin rashin kwanciyar hankali, kuma yana da wahalar tallafawa nauyin ku saboda zafi.
A cikin 'yan shekarun nan, raunin ACL ya zama mummunan rauni na wasanni tare da ƙara mayar da hankali ga motsa jiki mai kyau. Hanyoyin gano wannan rauni sun haɗa da: ɗaukar tarihi, gwajin jiki, da kuma nazarin hoto. MRI a halin yanzu shine hanya mafi mahimmancin hoto don raunin ACL a zamanin yau, kuma daidaiton gwajin MRI a cikin babban mataki ya fi 95%.
Rupwar ACL yana rinjayar kwanciyar hankali na haɗin gwiwa na gwiwa, yana haifar da rashin daidaituwa da raguwa lokacin da haɗin gwiwa ya juya, ya kara da kuma juyawa, kuma bayan wani lokaci, yakan haifar da raunin meniscus da guringuntsi. A wannan lokacin, za a sami ciwon gwiwa, ƙayyadaddun motsi ko ma ba zato ba tsammani "manne", ba zai iya motsa jin dadi ba, wanda ke nufin cewa raunin da ya faru ba shi da haske, ko da idan kun yi tiyata don gyarawa fiye da gyaran gyare-gyare na farko yana da wuyar gaske, sakamakon kuma yana da kyau. Yawancin canje-canjen da ke haifar da rashin kwanciyar hankali na gwiwa, irin su lalacewar meniscus, osteophytes, ƙwayar guringuntsi, da dai sauransu, ba za a iya canzawa ba, suna haifar da jerin abubuwan da suka faru, kuma suna kara yawan farashin magani. Sabili da haka, gyare-gyaren gyare-gyare na arthroscopic anterior cruciate ligament yana da shawarar sosai bayan raunin ACL, don mayar da kwanciyar hankali na haɗin gwiwa.
Menene alamun raunin ACL?
Babban aikin ACL shine iyakance matsuguni na baya na tibia da kiyaye kwanciyar hankali na juyawa. Bayan fashewar ACL, tibia zai ci gaba ba tare da bata lokaci ba, kuma mai haƙuri na iya jin rashin kwanciyar hankali da damuwa a cikin tafiya ta yau da kullum, wasanni ko ayyukan juyawa, kuma wani lokaci yana jin cewa gwiwa ba zai iya yin amfani da ƙarfinsa ba kuma yana da rauni.
Alamomin da ke biyo baya sun zama ruwan dare tare da raunin ACL:
① Ciwon gwiwa, wanda ke cikin haɗin gwiwa, marasa lafiya na iya jin tsoron motsawa saboda ciwo mai tsanani, wasu marasa lafiya na iya tafiya ko ci gaba da motsa jiki mai tsanani saboda ciwo mai laushi.
② kumburin gwiwa, saboda zubar jini na cikin-articular wanda hadin gwiwar gwiwa ke haifarwa, yawanci yana faruwa a cikin mintuna zuwa sa'o'i bayan raunin gwiwa.
Ƙuntatawa na tsawo na gwiwa, kututturen ligament rupture ligament ya juya zuwa tsakiyar fossa na intercondylar don haifar da haushi mai kumburi. Wasu marasa lafiya na iya samun ƙayyadaddun tsawo ko juzu'i saboda raunin meniscus. Haɗe tare da raunin ligament na tsaka-tsaki, wani lokacin kuma ana bayyana shi azaman iyakancewar tsawo.
Rashin kwanciyar hankali na gwiwa, wasu marasa lafiya suna jin motsi mara kyau a cikin haɗin gwiwa a lokacin rauni, kuma suna fara jin motsin haɗin gwiwa na gwiwa (watau jin rauni tsakanin kasusuwa kamar yadda marasa lafiya suka bayyana) lokacin da suka fara tafiya game da makonni 1-2 bayan rauni.
⑤ Ƙaƙƙarfan motsi na haɗin gwiwa na gwiwa, lalacewa ta hanyar synovitis mai rauni wanda ke haifar da kumburi da zafi a cikin haɗin gwiwa.
Likitan ya gabatar da cewa gyaran gyare-gyare na arthroscopic anterior cruciate ligament yana da nufin gyara ligament na gaba bayan rupture, kuma jiyya na yau da kullum shine dasawa na arthroscopic a cikin haɗin gwiwa don sake gina wani sabon ligament, wanda shine hanya mai sauƙi. An fi son jijiyar da aka dasa zuwa tendon popliteal autologous, wanda ke da fa'idodin ƙarancin raunin rauni, ƙarancin tasiri akan aiki, rashin ƙin yarda, da sauƙi na warkar da ƙashi. Marasa lafiya da ke da santsin hanyoyin gyarawa bayan tiyata suna tafiya a kan sanduna a watan Janairu, a kashe crutches a watan Fabrairu, suna tafiya tare da tallafin da aka cire a cikin Maris, komawa wasanni na yau da kullun a cikin watanni shida, kuma su koma matakin wasanninsu na farko kafin rauni a cikin shekara guda.
Lokacin aikawa: Mayu-14-2024
