Raunin haɗin gwiwa na baya (ACL)

Raunin jijiyoyin wucin gadi a gaba shi ne, yawan faɗaɗawa ko yayyage jijiyar gabacin ƙugu (ACL) a gwiwa. Hawaye na iya zama na juzu'i ko cikakke.

Jointungiyar gwiwa tana kasancewa inda ƙarshen ƙashin cinya (femur) ya haɗu da saman ƙashin shin (tibia).

Manyan jijiyoyi huɗu sun haɗa waɗannan ƙasusuwa biyu:

• Maganin haɗin gwiwa na medial (MCL) yana gudana tare da cikin gwiwa. Yana hana gwiwa gwiwa.
• Layin haɗin gwiwa na gefe (LCL) yana gudana tare da waje na gwiwa. Yana hana gwiwa gwiwa.
• Gwajin haɗin gwiwa na baya (ACL) yana tsakiyar tsakiyar gwiwa. Yana hana kashin shinkafa zamewa a gaban kashin cinya.
• Posterior cruciate ligament (PCL) yana aiki tare da ACL. Yana hana kashin shin daga zamewa baya a karkashin femur.

Mata suna iya samun ACL hawaye fiye da maza.

Rashin rauni na ACL na iya faruwa idan ka:

• Kasancewa da ƙarfi sosai a gefen gwiwa, kamar lokacin wasan ƙwallon ƙafa
• Xtarfafa gwiwa gwiwa
• Da sauri dakatar da motsi kuma canza alkibla yayin gudu, saukowa daga tsalle, ko juyawa

Kwando, ƙwallon ƙafa, ƙwallon ƙafa, da tseren kankara wasanni ne na yau da kullun da ke da alaƙa da hawayen ACL.

Raunin ACL sau da yawa yakan faru tare da sauran raunin da ya faru. Misali, ACL hawaye yakan faru tare da hawaye zuwa MCL da guringuntsi mai ɗaukar damuwa a gwiwa (meniscus).

Yawancin hawaye ACL suna faruwa a tsakiyar jijiyar, ko kuma an cire jijiyar daga ƙashin cinya. Wadannan raunin sun haifar da tazara tsakanin gefunan da aka yage, kuma basa warkewa da kansu.

Alamun farko:

• Sauti "tashi" a lokacin rauni
• Kusa gwiwa a cikin awanni 6 na rauni
• Jin zafi, musamman lokacin da kake ƙoƙarin ɗora nauyi a ƙafafun da aka ji rauni
• Matsala a ci gaba da wasanninku
• Jin rashin kwanciyar hankali

Waɗanda ke da rauni kaɗan kawai na iya lura cewa gwiwa ba ta da ƙarfi ko alama ta ba da "lokacin amfani da shi.

Duba likitan ku idan kuna tunanin kuna da raunin ACL. Kada ku yi wasanni ko wasu ayyuka har sai kun ga mai bada sabis kuma an kula da ku.

Mai ba da sabis naka na iya aika ka don MRI na gwiwa. Wannan na iya tabbatar da cutar. Hakanan yana iya nuna wasu raunin gwiwa.

Taimako na farko don raunin ACL na iya haɗawa da:

• Isingaga ƙafarka sama da matakin zuciya
• Sanya kankara a kan gwiwa
• Masu ba da zafi, kamar su magungunan ƙwayoyin cuta marasa kumburi (kamar su ibuprofen)

Hakanan kuna iya buƙatar:

• Kirki don tafiya har kumburi da zafi su sami sauki
• Brace don bawa gwiwa gwiwa dan kwanciyar hankali
• Jiki na jiki don taimakawa inganta haɗin gwiwa da ƙarfin ƙafa
• Tiyata don sake gina ACL

Wasu mutane na iya rayuwa da aiki kwata-kwata tare da ACL da ta yage. Koyaya, yawancin mutane suna gunaguni cewa gwiwoyinsu basu da ƙarfi kuma suna iya "bayarwa" tare da motsa jiki. Kneearfafa gwiwa bayan ACL hawaye na iya haifar da ƙarin lalacewar gwiwa. Hakanan ba ku da wataƙila ku dawo daidai matakin wasanni ba tare da ACL ba.

• KADA KA motsa gwiwa idan ka sami rauni mai tsanani.
• Yi amfani da tsini don ci gaba da gwiwa har sai kun ga likita.
• KADA a koma wasa ko wasu ayyukan har sai an yi muku magani.

Kira mai ba ku sabis nan da nan idan kuna da mummunan rauni a gwiwa.

Sami kulawar gaggawa kai tsaye idan ƙafa yayi sanyi kuma shuɗi bayan raunin gwiwa. Wannan yana nufin cewa haɗin gwiwa zai iya zamawa, kuma jijiyoyin jini zuwa ƙafa na iya ji rauni. Wannan gaggawa ta gaggawa ce.

Yi amfani da dabaru masu dacewa yayin yin wasanni ko motsa jiki. Wasu shirye-shiryen wasanni na kwaleji suna koyar da yan wasa yadda zasu rage danniya da aka sanya akan ACL. Wannan ya ƙunshi jerin motsa jiki masu dumi da tsalle-tsalle. Akwai motsa jiki da tsalle-tsalle da aka nuna don rage raunin ACL.

Yin amfani da takalmin gwiwa a yayin wasan motsa jiki mai ƙarfi (kamar ƙwallon ƙafa) yana da rikici. Ba a nuna shi don rage yawan raunin gwiwa ba, amma ba musamman raunin ACL ba.

Raunin jijiyoyin wucin gadi - na baya; ACL hawaye; Raunin gwiwoyi - jijiya na baya (ACL)

• Maimaita ACL - fitarwa

• Gwiwa gwiwa
• ACL digiri
• ACL rauni
• Jikin gwiwa na al'ada
• Raunin haɗin gwiwa na baya (ACL)
• Gyaran jijiyoyin baya - Series

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Brotzman SB. Raunin jijiyoyin baya A cikin: Giangarra CE, Manske RC, eds. Gyaran gyaran kafa na asibiti na asibiti: Teamungiyar .ungiyar. 4th ed. Philadelphia, PA: Elsevier; 2018: babi na 47.

Cheung EC, McAllister DR, Petrigliano FA. Raunin jijiyoyin baya A cikin: Miller MD, Thompson SR, eds. DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th ed. Philadelphia, PA: Elsevier; 2020: babi na 98.

Kalawadia JV, Guenther D, Irarrazaval S, Fu FH. Anatomy da biomechanics na ligament na gaba. A cikin: Prodomos CC. Hanyar Cruaddamarwa ta teriorarshe: Maimaitawa da Kimiyyar Kimiyya. 2nd ed. Philadelphia, PA: Elsevier; 2018: babi na 1.

Miller RH, Azar FM. Raunin gwiwa A cikin: Azar FM, Beaty JH, Canale ST, eds. Bellungiyar Orthopedics ta Campbell. 13th ed. Philadelphia, PA: Elsevier; 2017: babi na 45.

Nyland J, Mattocks A, Kibbe S, Kalloub A, Greene JW, Caborn DN. Sake sake gina ligament, gyaran jiki, da dawowa don kunna: sabuntawa na 2015. Bude Dama J Sports Med. 2016; 7: 21-32. PMID: 26955296 pubmed.ncbi.nlm.nih.gov/26955296/.