Ogbugbu nkwonkwo azụ , ma ọ bụ ACL, bụ otu n'ime isi njikọ anọ dị na ikpere nke na-enye nkwụsi ike na nkwonkwo. Mgbe onye ọrịa na-akwagidere ACL, ihe mgbaàmà nke enweghi ike , ma ọ bụ inyefe, nwere ike ịmalite na ikpere ahụ merụrụ ahụ. Ihe mgbaàmà a nke enweghị nsogbu na-esiri ndị na-eme egwuregwu ike na-achọ ịnọgide na-egwu egwuregwu.
Ụfọdụ egwuregwu na-esiri m ike ịnọgide na-ekere òkè n'egwuregwu ndị merụrụ ACL ha. Egwuregwu ndị a dị oke egwu , dị ka bọl, basketball, na lacrosse, na-agụnye mmebi ngwa ngwa na mmeghari nke na-achọ ACL.
Mgbe onye na-eme egwuregwu na-akwagharị ACL ha, ikpere ga-ejide onwe ya mgbe ọ na-atụgharị ma ọ bụ na-agbanwe ntụziaka na mberede. Iji weghachite nkwonkwo n'ikpere, dọkịta gị nwere ike ịkwado ịrụgharị ACL iji tinye ọnyá ọhụrụ na ebe ACL mebiri emebi. Azụlite ọhụrụ, nke a na-akpọ ntọala ACL abụọ, bụ nke e mepụtara iji mee ka ọrụ ACL nkịtị dịkwuo mma.
Akara ACL
A na-emejupụta ọkpụkpụ nkwonkwo ụkwụ nke anụ ahụ siri ike, nke na-agbapụta ụkwụ, na-ejikọta ya na akwara ụkwụ (n'apata ụkwụ) n'elu, na tibia (nku ọkpụkpụ) n'okpuru. A na-etinye ligament nke ọtụtụ puku ihe ntanye ọ bụla, nke na-ejikọta ACL.
A na-ahazi ụfọdụ n'ime ihe ndị a dị iche iche. ACL nkịtị nwere ụzọ isi abụọ nke eriri.
A na-ejikọta ihe ndị a n'otu ọnụ, n'otu ọrịa ụfọdụ na ACL nkịtị, ọ nwere ike isiri ike ịmata ọdịiche dị iche. Mana anyị maara na e nwere ụzọ abụọ bụ isi, a na-akpọkwa ụdị ọ bụla maka ọnọdụ ya.
A na-etinye usoro nhazi anteromedial ogologo oge n'ihu obere mkpịsị akwụkwọ nchịkọta.
Ịgba Ọrịa ACL Na-alụbeghị Nanị
Ihe ọtụtụ ACL nwughari nyocha na-eme site na iji nhazi nke otu. Otu nchịkọta ACL na-ejikọta ya na-eji mkpịsị aka aka dochie ACL adọkpụ. O di nwute, ACL enweghi ike idozi ya, ma obu kpochapu ya, ma a ghaghi iji ihe eji emeghari ya. Mgbe emere ka ACL rụzieghachi ya, a na-etinye graft ahụ n'ọnọdụ nke anteromedial bundle.
A na-edebe grafts na ebe site na-eme ka ọkpụkpụ na ọkpụkpụ a na-akpọ ọwara. A na-eme otu oghere n'ime femur na otu n'ime tibia. A na-ejide aka na ọkpụkpụ ya na ngwaọrụ mgbakwunye, mgbe mgbe a na-atụgharị.
Ịgba Ọgwụ ACL Abụọ Abụọ
Kama ịtụkwasị naanị otu nnukwu aka, usoro nchịkwa ACL abụọ nwere ike iji obere grafts abụọ. Ya mere, enwere nrughari nchighari n 'okpukpu abua, otu maka nke obula. Usoro nke abụọ na-achọ abụọ agbakwunyere ọkpụkpụ ọkpụkpụ iji nyefee aka nke abụọ na otu mbepụ ọzọ. Usoro ịwa ahụ nwere ike iwe ogologo oge karịa, ọ bụ ezie na ndị dọkịta na-awa na-eme usoro a mgbe ọ bụla ha nwere ike ịrụ ya n'otu ụzọ ahụ n'otu nchịkọta ACL.
Ndi Ogwe Ugboro abuo ka Mma?
Nnyocha e gosipụtara ụfọdụ uru nke nhazi okpukpu abụọ nke ACL. Ihe ọmụmụ ndị a na-egosi ọrụ 'nkịtị' nke nịnyeghachi a rụziri mgbe a rụchara ọrụ abụọ a na-arụ ọrụ ACL. Ihe a na-amaghị bụ ma ọ bụrụ na nke a pụtara na ndị ọrịa ga-enwe ọganihu ka mma na nkwonkwo ACL abụọ. Kpọmkwem, ikike ịlaghachi na egwuregwu n'otu ọkwa dịka tupu enwee mmerụ ahụ egosighi na ọ ka mma ma ọ bụ usoro nke ịmegharịghachi ACL.
Ịrụgharị okpukpu abụọ nke ACL bụ usoro ọhụrụ, yana dịka ọ dị na usoro ọhụụ ọ bụla, a naghị aghọta nke ọma ogologo oge.
Ọ ga-ekwe omume na usoro a ga-abụ mmelite na nhazi ọhụụ ACL, ma ọ ga-ekwe omume na ndị ọrịa a nwere ike ịnwe otu, ma ọ bụ ọbụna njọ, na-arụpụta oge dị ogologo. Ọ dịghị onye maara ihe ọ bụla.
Ugboro abụọ na-achọsi ike na usoro a, ọ dịkwa ole na ole dọkịta na-awa ahụ nwere ahụmahụ na usoro ịwa ahụ.
Ndabere ala
O doro anya na nhazi okpukpu abụọ nke ACL bụ usoro ka mma, ma ụfọdụ ndị ọrịa dị njikere ịnwale usoro ọhụrụ n'ime mgbalị iji meziwanye ọganihu ha ogologo oge. Ngwukota nke otu nchịkwa ACL nwere ngwọta dị mma, ihe dị ka pasent 90 nke ndị ọrịa nwere ike ịlaghachi ọrụ mgbe ha merụrụ ahụ. Otú ọ dị, ihe ndị a apụtaghị 100%, ụfọdụ ndị ọrịa na-enwekarị nkwarụ mgbe emezigharị ACL ma nwee ike ịmepụta nsogbu ọzọ na ndụ.
Nrụpụta okpukpu abụọ nke ACL bụ mgbalị iji meziwanye nsonaazụ nke usoro kachasị mma. Ọ bụrụ na ị nwere mmasị, gwa dọkịta gị gbasara usoro a. Dịka e kwuru, ndị dọkịta na-awa ole na ole na-arụ ọrụ nhazi okpukpu abụọ nke ACL. Ma, ị nwere ike ikwurịta ihe a na dọkịta gị ma mee ka ọ chee echiche na nhazi okpukpu abụọ nke ACL.
Isi mmalite:
> Li YL, Ning GZ, Wu Q, Wu QL, Li Y, Hao Y, Feng SQ. "Nanị otu ọkpụkpụ ma ọ bụ okpukpu abụọ maka nwughari ngwongwo mgbochi azụ: a meta-analysis" Knee. 2014 Jan, 21 (1): 28-37.
> Ahn JH, Kang HW, Choi KJ. "Nsonaazụ Mgbe ejiri okpukpu abụọ gbanwee ihe ọhụụ na-eme ka ọ dị mma" Arthroscopy. 2017 Sep 8. gaa: S0749-8063 (17) 30799-5.
> Dhawan A, Gallo RA, Lynch Nne. "Ọdụm Anatomic Tunnel in Anterior Cruciate Ligament Reconstruction" J Am Acad Orthop Surg. 2016 Jul, 24 (7): 443-54.