Jack, umusore wimyaka 22 ukunda umupira wamaguru, akina umupira ninshuti ze buri cyumweru, kandi umupira wamaguru wabaye ikintu cyingenzi mubuzima bwe bwa buri munsi. Mu mpera z'icyumweru gishize ubwo yakinaga umupira, Zhang yatembye ku buryo butunguranye aragwa, birababaza cyane ku buryo atashoboraga kwihagararaho, adashobora kugenda, nyuma y'iminsi mike yakira mu rugo cyangwa ububabare, adashobora kwihagararaho, yoherejwe mu ishami ry’amagufwa ry’ibitaro n’inshuti, umuganga yakiriye ikizamini anonosora ivi MRI, basuzumwa nk’ubuvuzi bw’imbere bw’imbere bw’ubuvuzi bwavutse.
Nyuma yo kurangiza ibizamini mbere yo gutangira, abaganga bakoze gahunda nyayo yo kuvura indwara ya Jack, maze bahitamo kongera kubaka ACL hakoreshejwe tekinike ya arthroscopique yoroheje cyane ikoresheje autologique popliteal tendon nyuma yo kuvugana na Jack. Ku munsi wa kabiri nyuma yo kubagwa, yashoboye kumanuka hasi maze ibimenyetso byo kubabara ivi byoroha cyane. Nyuma yimyitozo itunganijwe, Jack vuba azashobora gusubira mukibuga.
Gucika burundu kuruhande rwigitsina gore rwimbere rwimbere rugaragara microscopically
Imbere yimbere ya ligament nyuma yo kwiyubaka hamwe na autologique hamstring tendon
Muganga aha umurwayi byibura arthroscopic ligament yo kubaga
Ligamenti y'imbere (ACL) ni imwe mu mitsi ibiri yambukiranya hagati y'ivi, ihuza igufwa ry'ibibero n'amagufwa y'inyana kandi bigafasha guhuza ingingo y'amavi. Imvune za ACL zibaho kenshi muri siporo zisaba guhagarara gukabije cyangwa guhinduka gutunguranye kwicyerekezo, gusimbuka no kugwa, nkumupira wamaguru, basketball, rugby na ski kumanuka. Ibiganiro bisanzwe birimo gutungurwa, ububabare bukabije no kumvikana. Iyo imvune ya ACL ibaye, abantu benshi bumva "gukanda" mu ivi cyangwa bakumva igikomere mu ivi. Ivi rirashobora kubyimba, ukumva udahungabana, kandi bikagorana gushyigikira ibiro byawe kubera ububabare.
Mu myaka yashize, imvune za ACL zahindutse imvune ya siporo yiyongera cyane ku myitozo ngororamubiri. Uburyo bwo gusuzuma iyi mvune harimo: gufata amateka, gusuzuma umubiri, no gusuzuma amashusho. Muri iki gihe MRI ni bwo buryo bw'ingenzi bwo gufata amashusho ku mvune za ACL muri iki gihe, kandi ibizamini bya MRI mu cyiciro gikaze birenga 95%.
Kumeneka kwa ACL bigira ingaruka kumyifatire yikivi, bikavamo ubusumbane no kunyeganyega mugihe ingingo ihindagurika, ikaguka kandi ikazunguruka, kandi nyuma yigihe runaka, akenshi itera ibikomere bya menisque na karitsiye. Muri iki gihe, hazabaho ububabare bwo mu ivi, umuvuduko muke wo kugenda cyangwa ndetse no "gutsimbarara" mu buryo butunguranye, ntibishobora kwimura ibyiyumvo, bivuze ko igikomere kitari cyoroshye, nubwo waba ubaga kugirango usane kuruta gukomeretsa hakiri kare biragoye, ingaruka nazo ni nkeya. Impinduka nyinshi ziterwa no guhungabana kw'ivi, nko kwangirika kwa menisque, osteophète, kwambara karitsiye, nibindi, ntibisubirwaho, biganisha ku ruhererekane rw'ibikurikiranye, kandi binongera amafaranga yo kwivuza. Kubwibyo, arthroscopic anterior cruciate ligament kwiyubaka birasabwa cyane nyuma yimvune ya ACL, kugirango igarure ituze ryamavi.
Ni ibihe bimenyetso byo gukomeretsa ACL?
Igikorwa cyibanze cya ACL ni ukugabanya kwimura imbere ya tibia no gukomeza guhagarara kwayo. Nyuma yo guturika kwa ACL, tibia izatera imbere ubwayo, kandi umurwayi ashobora kumva adahungabanye kandi ahindagurika mu kugenda buri munsi, siporo cyangwa ibikorwa byo kuzunguruka, ndetse rimwe na rimwe akumva ko ivi ridashobora gukoresha imbaraga zaryo kandi rifite intege nke.
Ibimenyetso bikurikira birasanzwe no gukomeretsa ACL:
Ububabare bw'amavi, buherereye mu ngingo, abarwayi barashobora gutinya kwimuka kubera ububabare bukabije, abarwayi bamwe barashobora kugenda cyangwa gukomeza imyitozo ngororamubiri nkeya kubera ububabare bworoheje.
Sw kubyimba ivi, bitewe no kuva amaraso munda-articular biterwa no gufatana kw'ivi, mubisanzwe bibaho muminota mike cyangwa amasaha nyuma yo gukomeretsa kw'ivi.
Kubuza kwagura ivi, ligamente guturika ligament stump yahindutse intercondylar fossa imbere kugirango bitange uburakari. Bamwe mu barwayi barashobora kwaguka cyangwa guhindagurika bitewe no gukomeretsa kwa menisque. Ufatanije no gukomeretsa hagati yingingo, rimwe na rimwe bigaragarira no kugabanya kwaguka.
Guhungabana kw'ivi, abarwayi bamwe bumva kugenda nabi mu ivi mugihe cyo gukomeretsa, bagatangira kumva ibyiyumvo byo guhungabana kw'ivi (ni ukuvuga kumva gutandukana hagati y'amagufwa nkuko byasobanuwe n'abarwayi) mugihe bakomeje kugenda nyuma y'ibyumweru 1-2 bakomeretse.
Kugenda kugarukira kw'amavi, biterwa na synovitis ihahamuka bikavamo kubyimba no kubabara mu ivi.
Muganga yavuze ko kwiyubaka kwa arthroscopic anterior cruciate ligament bigamije gusana ligamenti yimbere yimbere nyuma yo guturika, kandi ubu buryo nyamukuru bwo kuvura ni arthroscopic transplantation ya tendon mumyanya y'amavi kugirango yubake ligamente nshya, aribwo buryo bworoshye bwo gutera. Ihindurwa ryimitsi ikundwa na autologique popliteal tendon, ifite ibyiza byo gukomeretsa gake, kutagira ingaruka kumikorere, kutangwa, no gukira amagufwa yoroshye. Abarwayi bafite gahunda yo gusubiza mu buzima busanzwe nyuma yo kubagwa bagenda ku nkoni muri Mutarama, bakava ku nkoni muri Gashyantare, bagenda bafite inkunga yakuweho muri Werurwe, bagasubira muri siporo rusange mu mezi atandatu, bagasubira mu rwego rw’imikino mbere y’imvune mu mwaka umwe.
Igihe cyo kohereza: Gicurasi-14-2024
