ʻO ka hōʻeha ligament cruciate mua (ACL) - 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 mua (ACL) i loko o kou hui kuli a hoʻohui i nā iwi o kou wāwae o luna a me lalo.

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

ʻO ka ACL kekahi o nā liga e mālama paʻa i kou kuli.Mālama ia i kou mau iwi wāwae i kahi a ʻae i kou kuli e neʻe i mua a i mua.

Hiki i kahi ʻeha ACL ke hana inā ʻoe:

• Pā ikaika loa ma ka ʻaoʻao o kou kuli, e like me ka wā o ke kīpeku
• Wili kou kuli
• Hoʻoki koke i ka neʻe ʻana a hoʻololi i ke ʻaoʻao ʻoiai e holo ana, e pae ana mai kahi lele a i ʻole ke huli ʻana
• Kūleʻa ka ʻāina ma hope o ka lele

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. E haehae paha nā wahine i kā lākou ACL ma mua o nā kāne ke komo lākou i nā haʻuki.

He mea maʻamau ka lohe ʻana i ke kani o ka "popping" ke hiki mai kahi ʻeha ACL. Loaʻa iā ʻoe kekahi:

• Hoʻohuli ke kukuli i loko o kekahi mau hola o ka ʻeha
• ʻEha kukuli, keu hoʻi e hoʻāʻo e kau i ke kaupaona ma ka wāwae ʻeha

Inā loaʻa ʻoe i kahi ʻeha ʻoluʻolu, ʻike paha ʻoe i ke kuhi ʻole o kou kuli a i ʻole "hāʻawi i ke ala" ke hoʻohana ia. Kū pinepine nā hōʻeha ACL me nā ʻeha o ke kuli ʻē aʻe, e like me ka cartilage i kapa ʻia ʻo ka meniscus. Pono e mālama ʻia kēia mau ʻeha me ke kaha.

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.

Inā loaʻa ʻoe i kahi ʻeha ACL, 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
• Hana ʻoki kino e hana hou i ka ACL

Hiki i kekahi poʻe ke noho a hana maʻamau me ka ACL i haehae ʻia. Eia nō naʻe, manaʻo ka hapanui o ka poʻe he kūpaʻa ko lākou kuli a "hāʻawi" paha me nā hana ʻoi loa. Hiki i nā waimaka ACL hoʻoponopono ʻole ke alakaʻi i ka hōʻino hou o ke kuli, keu hoʻi i ka meniscus.

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

• Hoʻomaha kou wāwae. Hōʻalo 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 hoʻemi i ka ʻeha a me ka pehu. Kōkua ka Acetaminophen (Tylenol) me ka ʻeha, ʻaʻole naʻe me ka pehu. Hiki iā ʻoe ke kūʻai i kēia mau lāʻau ʻeha ma ka hale kūʻai.

• E kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana i nā lāʻau ʻeha inā loaʻa ʻoe i ka maʻi puʻuwai, i ke koko kiʻekiʻe, i nā maʻi puʻuwai, ai ʻole nā ​​maʻi ʻeha o ka 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 kāu kauka.

Ma hope o kou ʻeha, ʻaʻole pono ʻoe e pāʻani i nā haʻuki a hana i nā hana koʻikoʻi ʻē a hiki i ka hoʻoholo ʻana o ʻolua a me kāu kauka he aha ke kūpono maikaʻi loa no ʻoe.

Inā he ʻoki ou e kūkulu hou i kāu ACL:

• E hāhai i nā ʻōkuhi no ka mālama ponoʻī ʻana ma ka home.
• Pono ʻoe i ka hoʻōla kino e hoʻi hou i ka hoʻohana piha o kou kuli.
• ʻO ke ola ʻana ma hope o ke kaha ʻana he 6 mau mahina paha. Akā hiki iā ʻoe ke hana i nā hana like āu i hana ai ma mua.

Inā ʻaʻohe ou ʻoki kino:

• Pono ʻoe e hana me kahi mea hoʻoponopono kino e hōʻemi i ka pehu a me ka ʻeha a loaʻa hou ka nui o ka neʻe a me ka ikaika i kou wāwae e hoʻomaka hou i ka hana. E hala paha kēia mau mahina.
• Kaukaʻi ʻia i kou ʻeha, ʻaʻole hiki iā ʻoe ke hana i kekahi mau ʻano o nā hana i hiki ke hōʻeha hou i kou kuli.

Kāhea i kāu kahu mālama ola inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Hoʻonui i 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
• Laka koke kou kuli a ʻaʻole hiki iā ʻoe ke hoʻoponopono

Inā he ʻoki koko ʻoe, e kāhea i kāu kaukukō 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; Ka hōʻeha ACL - mālama ma hope; Ka hōʻeha kukuli - cruciate mua

ʻO nā lālā o ke kākau ʻana, ka loiloi ʻana, a me nā koho balota o ka AUC e pili ana i ka pale a me ka mālama ʻana i nā maʻi ʻo Ligament Anterior Cruciate, Quinn RH, Saunders JO, et al. ʻO ka American Academy of Orthopedic Surgeons e hoʻohana kūpono i nā pae hoʻohālikelike i ka mālama ʻana i nā ʻeha ligament cruciate mua. ʻO J Bone Hui Pū ʻIa Am. 2016; 98 (2): 153-155. PMID: 26791036 www.ncbi.nlm.nih.gov/pubmed/26791036.

Niska JA, Petrigliano FA, McAllister DR. Nā hōʻeha ligament cruciate mua (me ka hoʻoponopono). 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 98.

ʻO Reider B, ʻo Davies GJ, ʻo Provencher MT. Nā hōʻeha ligament cruciate mua i mua: Reider B, Davies GJ, Provencher MT, eds. ʻO ka hoʻihoʻi Orthopedic o ka mea haʻuki. Piladelapia, PA: Elsevier Saunders; 2015: chap 32.

• Nā ʻeha a me nā maʻi o ke kuli