Jack, wani matashi mai shekaru 22 mai sha'awar kwallon kafa, yana buga kwallon kafa tare da abokansa kowace mako, kuma kwallon kafa ta zama wani muhimmin bangare na rayuwarsa ta yau da kullun. A karshen makon da ya gabata lokacin da yake buga kwallon kafa, Zhang ya zame ya fadi ba zato ba tsammani, mai zafi har ya kasa tashi, ba zai iya tafiya ba, bayan 'yan kwanaki yana murmurewa a gida ko kuma jin zafi, ko kuma ba zai iya tsayawa ba, wani abokinsa ya tura shi sashen kashin baya na asibiti, inda aka duba shi kuma aka inganta MRI na gwiwa, wanda aka gano a matsayin gefen cinyar cinyar cinyar, da kuma bukatar a kwantar da shi a asibiti don yin tiyatar arthroscopic mai ƙarancin tasiri.
Bayan kammala gwaje-gwajen kafin tiyata, likitocin sun tsara wani tsari na musamman don magance matsalar Jack, kuma suka yanke shawarar sake gina ACL ta hanyar amfani da dabarar arthroscopic mai ƙarancin mamayewa ta amfani da jijiyar autologous popliteal bayan cikakken tattaunawa da Jack. A rana ta biyu bayan tiyatar, ya sami damar sauka ƙasa kuma alamun ciwon gwiwa sun ragu sosai. Bayan horo na yau da kullun, Jack zai iya komawa filin wasa nan ba da jimawa ba.
Cikakken fashewar gefen femoral na jijiyar gaba ta cruciate ana iya gani ta hanyar microscopically
Jigon haɗin gwiwa na gaba bayan sake ginawa tare da jijiyar hamstring autologous
Likita ya yi wa majiyyaci tiyatar sake gina jijiyoyin arthroscopic mai sauƙin shiga jiki
Jigon haɗin gwiwa na gaba (ACL) yana ɗaya daga cikin jijiyoyi biyu da ke ratsawa a tsakiyar gwiwa, yana haɗa ƙashin cinya da ƙashin maraƙi kuma yana taimakawa wajen daidaita haɗin gwiwa. Raunin ACL yana faruwa sau da yawa a wasanni waɗanda ke buƙatar tsayawa mai kaifi ko canje-canje kwatsam na alkibla, tsalle da sauka, kamar ƙwallon ƙafa, ƙwallon kwando, rugby da tsalle-tsalle a kan dusar ƙanƙara. Abubuwan da aka saba gani sun haɗa da ciwo mai tsanani da kuma bugun sauti. Lokacin da raunin ACL ya faru, mutane da yawa suna jin "danna" a gwiwa ko kuma suna jin fashewa a gwiwa. Gwiwar na iya kumbura, jin rashin kwanciyar hankali, kuma tana da wahalar ɗaukar nauyinka saboda ciwon.
A cikin 'yan shekarun nan, raunin ACL ya zama ruwan dare gama gari a wasanni tare da ƙara mai da hankali kan motsa jiki mai kyau. Hanyoyin gano wannan raunin sun haɗa da: ɗaukar tarihi, gwajin jiki, da gwajin hoto. MRI a halin yanzu ita ce hanya mafi mahimmanci ta ɗaukar hoto ga raunin ACL a zamanin yau, kuma daidaiton gwajin MRI a matakin gaggawa ya fi sama da kashi 95%.
Fashewar ACL tana shafar kwanciyar hankalin haɗin gwiwa, wanda ke haifar da rashin daidaito da girgiza lokacin da haɗin gwiwa ya lanƙwasa, ya miƙe ya kuma juya, kuma bayan wani lokaci, yakan haifar da raunin meniscus da guringuntsi. A wannan lokacin, za a sami ciwon gwiwa, iyakataccen motsi ko ma kwatsam "makale", ba zai iya motsa jin ba, wanda ke nufin cewa raunin ba shi da sauƙi, koda kuwa an yi tiyata don gyarawa, gyaran rauni da wuri yana da wahala, tasirin kuma ba shi da kyau. Yawancin canje-canjen da rashin kwanciyar hankali na gwiwa ke haifarwa, kamar lalacewar meniscus, osteophytes, lalacewar guringuntsi, da sauransu, ba za a iya gyara su ba, wanda ke haifar da jerin abubuwan da suka biyo baya, kuma yana ƙara farashin magani. Saboda haka, ana ba da shawarar sake gina jijiyoyin arthroscopic na gaba bayan raunin ACL, don dawo da kwanciyar hankali na haɗin gwiwa.
Mene ne alamun raunin ACL?
Babban aikin ACL shine iyakance canjin tibia a gaba da kuma kiyaye daidaiton juyawarta. Bayan fashewar ACL, tibia za ta ci gaba ba zato ba tsammani, kuma majiyyaci na iya jin rashin kwanciyar hankali da rawar jiki a cikin tafiya ta yau da kullun, wasanni ko ayyukan juyawa, kuma wani lokacin yana jin cewa gwiwa ba ta iya amfani da ƙarfinta kuma tana da rauni.
Alamomin da ke ƙasa suna da yawa idan aka samu raunukan ACL:
①Ciwon gwiwa, wanda yake a 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 ƙarancin ƙarfi saboda ciwo mai sauƙi.
② kumburin gwiwa, saboda zubar jini a cikin ƙashi da haɗin gwiwa ke haifarwa, yawanci yana faruwa ne cikin mintuna zuwa awanni bayan raunin gwiwa.
Takaita tsawaita gwiwa, karyewar ligament ɗin ligament ya juya zuwa ga intercondylar fossa na gaba don haifar da kumburi. Wasu marasa lafiya na iya samun ƙarancin tsawaitawa ko lanƙwasawa saboda raunin meniscus. Idan aka haɗa shi da raunin ligament na tsakiya, wani lokacin yana bayyana azaman iyakance tsawaitawa.
Rashin daidaiton gwiwa, wasu marasa lafiya suna jin motsi mara kyau a haɗin gwiwa a lokacin da suka ji rauni, kuma suna fara jin motsin haɗin gwiwa (watau jin nakasa tsakanin ƙasusuwa kamar yadda marasa lafiya suka bayyana) lokacin da suka sake tafiya kimanin makonni 1-2 bayan raunin.
⑤ Ƙarfin motsi na haɗin gwiwa na gwiwa, wanda cutar synovitis ta haifar wanda ke haifar da kumburi da ciwo a haɗin gwiwa.
Likitan ya gabatar da cewa gyaran jijiyoyin haɗin gwiwa na arthroscopic an yi shi ne don gyara jijiyar haɗin gwiwa bayan fashewa, kuma maganin da ake amfani da shi a yanzu shine dashen jijiyar a cikin haɗin gwiwa don sake gina sabuwar jijiyar, wanda ba shi da wani tasiri sosai. An fi son dashen jijiyar da aka yi da ita fiye da jijiyar popliteal autologous, wadda ke da fa'idodin yankewa mai rauni, ƙarancin tasiri ga aiki, babu ƙin yarda, da kuma sauƙin warkar da ƙashin jijiyar. Marasa lafiya da ke da hanyoyin gyaran jiki bayan tiyata suna tafiya a kan sanduna a watan Janairu, suna tafiya a kan sanduna a watan Fabrairu, suna tafiya tare da an cire tallafin a watan Maris, suna komawa wasanni na yau da kullun cikin watanni shida, kuma suna komawa ga matakin wasanni kafin raunin da suka samu a cikin shekara guda.
Lokacin Saƙo: Mayu-14-2024
