Ka hōʻeha ligament posterior cruciate (PCL) - ma hope o ka mālama ʻana

ʻO ka ligament kahi hui o kaʻiʻo e hoʻohui i kahi iwi i kahi iwi ʻē aʻe. Aia ka ligament cruciate hope (PCL) i loko o kou hui kuli a hoʻohui i nā iwi o kou wāwae o luna a me lalo.

Kū kekahi ʻeha PCL ke kikoo a haehae ʻia ka ligament. Kū kekahi waimaka PCL hapa ke haehae ʻia kahi hapa o ka ligament. Hana ʻia kahi waimaka PCL piha ke haehae ʻia ka ligament holoʻokoʻa i ʻelua ʻāpana.

ʻO ka PCL kekahi o nā liga e mālama paʻa i kou kuli. Kōkua ka PCL i kou mau iwi wāwae i kahi a ʻae i kou kuli e neʻe i mua a i mua. ʻO ia ka ligament ikaika loa i ka kuli. Kū pinepine nā waimaka PCL ma muli o ka ʻeha o ke kuli.

ʻO ka hōʻeha ʻana i ka PCL i ka ikaika nui. Hiki ke hana inā ʻoe:

• E paʻi ikaika loa i mua o kou kuli, e like me ke kuʻi ʻana i kou kuli i ka papa kuhikuhi i ka wā o kahi ulia kaʻa
• E hāʻule ikaika i kahi kuli i kūlou
• Kulou ke kuli i hope loa (hyperflexion)
• Pae i ke ala hewa ma hope o ka lele
• Wehe i kou kuli

Kū pinepine nā ʻeha PCL me nā hōʻino o nā kuli ʻē aʻe, me nā ʻeha i nā aʻa a me nā kīʻaha koko. ʻO ka poʻe Skiers a me ka poʻe e pāʻani ana i ka kinipōpō hīnaʻi, ka pōpeku, a i ʻole ke kinipōpō paha e loaʻa i kēia ʻano ʻeha.

Me kahi ʻeha PCL, loaʻa paha iā ʻoe:

• ʻEha ʻeha e ʻoi aku paha ka hewa i ka hala ʻana o ka manawa
• Paʻa ʻole kou kuli a hiki ke hoʻololi e like me "hāʻawi"
• Hoʻonui ka kukuli i ka hoʻomaka ma hope pono o ka ʻeha
• ʻOʻoleʻa ke kuli ma muli o ka pehu ʻana
• Ke hele wāwae paʻakikī a me ka iho ʻana i nā ʻanuʻu

Ma hope o ka nānā ʻana i kou kuli, hiki i ke kauka ke kauoha i kēia mau hōʻike kiʻi:

• X-ray e nānā ai no ka hōʻino ʻana o nā iwi i kou kuli.
• He MRI o ke kuli. Lawe kahi mīkini MRI i nā kiʻi kūikawā o nā kinona i loko o kou kuli. E hōʻike ʻia nā kiʻi inā ua kīloi ʻia a haehae ʻia paha kēia mau mea.
• ʻO kahi CT scan a i ʻole arteriogram e nānā ai i nā hōʻeha i kāu kīʻaha koko.

Inā loaʻa iā ʻoe kahi ʻeha PCL, pono ʻoe i:

• ʻO nā koʻokoʻo e hele a hiki i ka wā e maikaʻi ai ka pehu a me ka ʻeha
• Kahi paʻa e kākoʻo a hoʻokūpaʻa i kou kuli
• Hoʻoikaika kino e kōkua i ka hoʻomaikaʻi ʻana i ka neʻe ʻana a me ka ikaika o ka wāwae
• Ke ʻoki kino e kūkulu hou i ka PCL a me nā mea ʻē aʻe paha i ka kuli

Inā loaʻa iā ʻoe kahi ʻeha koʻikoʻi, e like me ka neʻe ʻana o ke kuli ke haehae ʻia ʻoi aku ma mua o hoʻokahi ligament, pono ʻoe i ke kīpē kuli e hoʻoponopono i ka hui. No nā hōʻeha māmā, ʻaʻole pono ʻoe i kahi ʻoki. Hiki i nā kānaka he nui ke ola a hana maʻamau me kahi PCL weluwelu wale nō. Eia nō naʻe, inā he ʻōpio ʻoe, ʻo ka loaʻa ʻana o kahi PCL i haehae ʻia a me ke kūpaʻa ʻole o kou kuli e alakaʻi ai i ka arthritis i kou mau makahiki. E kamaʻilio me kāu kauka e pili ana i ka lāʻau maikaʻi loa nāu.

E hāhai iā R.I.C.E. e kōkua i ka hōʻemi ʻana i ka ʻeha a me ka pehu.

• Hoʻomaha kou wāwae a pale i ka kau ʻana i ke kaupaona.
• Ice kou kuli no 20 mau minuke i ka manawa, 3 a 4 mau manawa i ka lā.
• Pākuʻi ka ʻāpana e ka wahī ʻana iā ia me kahi kāʻei uila a i ʻole ka wahī paʻa.
• Hoʻokiʻekiʻe kou wāwae me ka hāpai ʻana ma luna o ka pae o kou puʻuwai.

Hiki iā ʻoe ke hoʻohana i ka ibuprofen (Advil, Motrin) a i ʻole naproxen (Aleve, Naprosyn) e hōʻemi i ka ʻeha a me ka pehu. Kōkua ka Acetaminophen (Tylenol) i ka ʻeha, akā ʻaʻole ka pehu. Hiki iā ʻoe ke kūʻai i kēia mau lāʻau ʻeha ma ka hale kūʻai.

• E kamaʻilio me kāu kauka olakino ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi maʻi konohiki, a i ʻole nā ​​maʻi ʻeha o kou ʻōpū a i ʻole nā ​​kahe kūloko i ka wā i hala.
• Mai lawe i nā mea i koi ʻia ma ka ʻōmole a i ʻole nā ​​mea hāʻawi.

Inā he ʻoki ʻoe e hoʻoponopono (kūkulu hou) i kāu PCL:

• Pono ʻoe i ka hoʻōla kino e hoʻi hou i ka hoʻohana piha o kou kuli.
• Hiki ke lawe ma kahi o 6 mau mahina.

Inā ʻaʻohe ou ʻoki e hoʻomaikaʻi (kūkulu hou) i kāu PCL:

• Pono ʻoe e hana me kahi mea hoʻoponopono kino e hōʻemi i ka pehu a me ka ʻeha a loaʻa hou ka ikaika i kou wāwae e hoʻomaka hou i ka hana.
• E hoʻokau ʻia paha kou kuli i kahi mea paʻa a ua kapu paha ka neʻe ʻana.
• E hala paha kekahi mau mahina e ola.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe ka hoʻonui ʻana o ka pehu a ʻeha paha
• ʻAʻole kōkua ka mālama ʻana iā ʻoe iho
• Lilo kou manaʻo i kou wāwae
• ʻIke kou wāwae a wāwae paha i ke anuanu a i ʻole hoʻololi i ke kala

Inā he ʻoki koko ʻoe, e kāhea i ke kauka inā loaʻa iā ʻoe:

• ʻO kahi kuni o 100 ° F (38 ° C) a ʻoi aku paha
• Kahe mai nā ʻokiʻoki
• Kahe ʻana ʻaʻole e kū

ʻO ka hōʻeha ligament Cruciate - ma hope o ka mālama ʻana; ʻEha PCL - mālama ma hope; Hōʻeha ke kuli - ligament cruciate hope

• Ligament cruciate hope o ke kuli

ʻO Bedi A, Musahl V, Cowan JB. Ka mālama ʻana i nā ʻeha ligament cruciate hope: kahi loiloi e pili ana i ka hōʻike. ʻO J Am Acad Orthop Surg. 2016; 24 (5): 277-289. PMID: 27097125 www.ncbi.nlm.nih.gov/pubmed/27097125.

Petrigliano FA, Montgomery SR, Johnson JS, McAllister DR. Nā hōʻeha ligament cruciate hope. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine: Nā Kumu a me nā Hana. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 99.

Sheng A, Splittgerber L. Posterior cruciate ligament sprain. I: Frontera, WR, kālā JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou ʻana: nā maʻi Musculoskeletal, Pain, and Rehabilitation. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 76.

• Nā ʻeha a me nā maʻi o ke kuli