Dhaawaca lafdhabarta hore (ACL)

Dhaawaca lafdhabarta hore ee jilibka waa kala-bixinta ama jeexitaanka laf-dhabarka laf-dhabarka (ACL) ee jilibka. Dillaacu wuxuu noqon karaa mid qayb ahaan ama dhammaystiran.

Isku-darka jilibka wuxuu ku yaal halka dhamaadka lafaha bowdada (femur) ay ku kulmaan dusha sare ee laf-dhabarka (tibia).

Afarta xididdo waaweyn ayaa isku xira labadan lafood:

• Isugeynta dammaanadda dhexdhexaadinta (MCL) waxay ku socotaa gudaha jilibka. Waxay ka hortageysaa jilibka inuu foorarsado.
• Lugta dammaanadda dambe (LCL) waxay ku socotaa banaanka jilibka. Waxay ka hortageysaa jilibka inuu foorarsado.
• Xididdada hore ee jilibka (ACL) waxay ku taal bartamaha jilibka. Waxay ka hortageysaa lafta jilibku inay ku soo dhacdo lafta bowdada horteeda.
• Xididdada 'Posterior Cruciate ligament' (PCL) waxay la shaqeysaa ACL. Waxay ka hortageysaa lafta jilibku inay gadaal gadaal ugu soo rogto femur-ka.

Haweenka waxay u badan tahay inay yeeshaan ilmada ACL marka loo eego ragga.

Dhaawac ACL ah ayaa dhici kara haddii aad:

• Aad ugu garaac dhinaca jilibkaaga, sida inta lagu jiro taakulaynta kubbadda cagta
• Kordhinta jilibka laabtiisa
• Si dhakhso leh u jooji dhaqaaqa oo u beddelo jihada intaad ordeyso, ka soo degayso boodbood, ama leexasho

Kubbadda koleyga, kubbadda cagta, kubbadda cagta, iyo barafka ayaa ah ciyaaro caan ah oo lala xiriirinayo ilmada ACL.

Dhaawacyada ACL badanaa waxay la yimaadaan dhaawacyo kale. Tusaale ahaan, jeexitaanka ACL wuxuu badanaa ku dhacaa iyada oo ay la socoto ilmo MCL iyo carjawda naxdinta leh ee jilibka (meniscus).

Inta badan ilmada ACL waxay ku dhacaan bartamaha lafdhabarta, ama lafdhabarta ayaa lagala baxayaa lafta bowdada. Dhaawacyadan waxay sameeyaan farqiga u dhexeeya geesaha jeexjeexan, oo iskood uma bogsan.

Calaamadaha hore:

• Dhawaaq "soo bood" ah waqtiga dhaawaca
• Jilib barar 6 saacadood gudahood dhaawaca ka dib
• Xanuun, gaar ahaan markaad isku daydo inaad culeys saarto lugta dhaawacan
• Dhibaato ku sii wadida isboortigaaga
• Dareen deganaansho la'aan

Kuwa kaliya oo qaba dhaawac fudud waxay ogaan karaan in jilibka uu dareemayo xasillooni la'aan ama ay u muuqato "inuu bannaanyahay" markii la isticmaalayo.

U tag daryeel bixiyahaaga haddii aad u malaynayso inaad qabto dhaawac ACL ah. Ha ciyaarin isboorti ama waxqabadyo kale illaa aad ka aragto bixiye oo lagaa daaweeyo.

Bixiyahaagu wuxuu kuu diri karaa MRI jilibka. Tani waxay xaqiijin kartaa cudurka. Waxa kale oo laga yaabaa inay muujiso dhaawacyo kale oo jilibka ah.

Gargaarka koowaad ee dhaawaca ACL waxaa ka mid noqon kara:

• Lugtaada oo aad kor ugu qaaddo heerka wadnaha
• Saarista barafka jilibka
• Xanuun joojiyeyaasha, sida daawooyinka nonsteroidal anti-bararka (sida ibuprofen)

Waxaad sidoo kale u baahan kartaa:

• Ulaha si ay u socdaan ilaa bararka iyo xanuunka ay ka fiicnaanayaan
• Guntin si aad jilibkaaga u siiso xoogaa deggan
• Daaweynta jirka si looga caawiyo hagaajinta dhaqdhaqaaqa wadajirka ah iyo xoogga lugta
• Qalliinka dib loogu dhisayo ACL

Dadka qaarkiis waxay ku noolaan karaan oo si caadi ah ugu shaqeyn karaan ACL jeexan. Si kastaba ha noqotee, dadka badankood waxay ka cawdaan in jilibkoodu aanu xasilloonayn oo laga yaabo inuu "ku sifo" dhaqdhaqaaqa jirka. Jilibka oo xasilloon ka dib ilmada ACL wuxuu u horseedi karaa dhaawac jilibka ah oo dheeri ah. Adiguna uma badna inaad ku soo laabato isla heerka isboortiga la'aantii ACL.

• HA dhaqdhaqaaqin jilibkaaga haddii aad qabtid dhaawac halis ah.
• Isticmaal kabniin si aad jilibka u toosiso ilaa aad dhakhtar u tagto.
• HA LOO laaban ciyaar ama hawlo kale ilaa lagaa daaweeyo.

Isla markiiba wac daryeel bixiyahaaga haddii aad qabtid dhaawac halis ah oo jilibka ah.

Hel daryeel caafimaad oo deg deg ah haddii cagtu qabow tahay oo ay bulug tahay dhaawaca jilibka ka dib. Tani waxay ka dhigan tahay in kala-goysyada jilibka laga jaro, xididdada dhiigga ee cagtuna ay dhaawacmaan. Tani waa xaalad caafimaad oo degdeg ah.

Isticmaal farsamooyin habboon markaad ciyaareyso isboorti ama jimicsi. Qaar ka mid ah barnaamijyada isboortiga kuleejku waxay bartaan cayaartoyda sida loo yareeyo culeyska saaran ACL. Tani waxay ku lug leedahay taxane ah layliyo diirimaad iyo leylis boodbood ah. Waxaa jira jimicsiyo boodboodi iyo degitaan oo la muujiyey si loo yareeyo dhaawacyada ACL.

Isticmaalka jilbaha jilbaha inta lagu jiro dhaqdhaqaaqa firfircoon ee jimicsiga (sida kubada cagta) waa muran. Looma muujin in la yareeyo tirada dhaawacyada jilibka, laakiin si gaar ah uma dhicin dhaawacyada ACL.

Dhaawaca jilibka ee jilibka - hore; Jeexitaanka ACL; Dhaawaca jilibka - lafdhabarta hore ee jilibka (ACL)

• Dib u dhiska ACL - dheecaan

• Jilibka arthroscopy
• Darajooyinka ACL
• Dhaawaca ACL
• Jirka anatomy ee caadiga ah
• Dhaawaca lafdhabarta hore (ACL)
• Dayactirka lafdhabarta hore - Taxanaha

Bolgla LA. Arrimaha jinsiga ee dhaawaca ACL. Gudaha: Giangarra CE, Manske RC, eds. Baxnaaninta Clinical Ortopedic: Qaab kooxeed. 4aad. Philadelphia, PA: Elsevier; 2018: cutubka 49.

Brotzman SB. Dhaawacyada jilibka ee hore. Gudaha: Giangarra CE, Manske RC, eds. Baxnaaninta Clinical Ortopedic: Qaab kooxeed. 4aad. Philadelphia, PA: Elsevier; 2018: cutubka 47.

Cheung EC, McAllister DR, Petrigliano FA. Dhaawacyada jilibka ee hore. Gudaha: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller Daawada Isboortiga Orthopedic. 5aad. Philadelphia, PA: Elsevier; 2020: cutubka 98.

Kalawadia JV, Guenther D, Irarrazaval S, Fu FH. Anatomy iyo biomechanics ee lafdhabarta hore. Gudaha: Prodomos CC. Dhibaatada Hore ee Dib-u-dhiska: Dib-u-dhiska iyo Sayniska Aasaasiga ah. 2aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 1.

Miller RH, Azar FM. Dhaawacyada Jilibka Gudaha: Azar FM, Beaty JH, Canale ST, eds. Xarunta Campbell ee lafaha. 13aad. Philadelphia, PA: Elsevier; 2017: cutubka 45.

Nyland J, Mattocks A, Kibbe S, Kalloub A, Greene JW, Caborn DN. Dib-u-dhiska lafdhabarta hore, dib-u-kabashada, iyo ku soo noqoshada ciyaarta: cusbooneysiinta 2015. Furan Hel J Sports Med. 2016; 7: 21-32. PMID: 26955296 pubmed.ncbi.nlm.nih.gov/26955296/.