Iyo Anterior Cruciate Ligament (ACL) iri mumabvi uye inopa kugadzikana kwegumbo rose nehafu yepasi yemuviri. Icho chimwe chezvikamu zvina zvikuru mumabvi akabatanidzwa uye pamwe inonyanya kukosha, ichibvumira ibvi kukotama uye kumonyoroka pasina kusagadzikana kana kufamba kushoma. Iine zvinhu zvakafanana kune rakasungwa bhendi, iyo yekumberi yekurova ligament inogona kungodhonza, kumonyanisa kana kutambanudza kusvika zvino isati yaremara kana misodzi. Muchokwadi, kunyangwe ichisimuka zvisingaite inogona kungotambanuka yakatenderedza 2mm isati yatanga kubvaruka.
Iyo yakanyanya kuwanda yeanterior cruciate ligament misodzi inoitika kana ibvi richimonyorora, zvirongo kana kutambanudza nenzira isingafadzi. Izvi zvinowanzoitika nekukasira shanduko yedirection, kumhara kunorema mushure mekusvetuka kana kumira kamwe kamwe mushure mekumhanya nepamhanyisa, asi zvinogona zvakare kuve mugumisiro wekurovera kwakakanganisa. Kuchekerera kweACL ndiko kukuvara kwakanyanya mumitambo yekubatana kunoitwa nekumhanya senge nhabvu, basketball, hockey uye rugby. Iyo ACL misodzi inoratidzirwa ne â poppingâ ?? kurira panguva yekumonyoroka kufamba, kuchiteverwa nekusagadzikana kunogona kunzwa sekunge ibvi riri kudonha iwe uchiyedza kufamba. Mumaawa anotevera kukuvara ikoko panogona kunge paine huwandu hwakawanda hwekurwadziwa uye kuzvimba.
Nzira yakanakisa yekusimbisa yakadamburwa ACL ndeyeMRI scan padhuze neyemuviri scan. Zvichienderana nekuti ligament rakabvaruka zvakazara kana zvishoma, pane nzira dzinoverengeka dzekurapa dziripo. Kwekubvarura kwakasarudzika nzira yekurapwa kwemuviri inogona kukwana kudzoreredza simba kune ligament, kunyangwe zvisingaite kuti ichazombodzokera kumamiriro ayo yaive pamberi pekukuvara. Physiotherapy inogona zvakare kuve sarudzo kune avo vasina kunyatsoshanda. Kana iyo anterior cruciate ligament yakanyatso kubvaruka saka kuvhiyiwa kunowanzove sarudzo yakanakisa, uye sarudzo chete kune chero munhu anoda kudzokera kunotamba mitambo inokanganisa. Munguva yekuvhiyiwa kwe ACL hutano hwakasimba hwegament rinowanzo kutorwa kubva kumusana kana kugomera.
Tgeon inoita incision diki pazasi pemabvi ayo kneecap inogona kuwanikwa, pamberi peiyo yakakanganiswa ligament ichibviswa uye kubviswa. Iyo yekubatanidza inozoiswa uye ichengetedzwe munzvimbo uchishandisa masikuru kana samende-yakaita seglue. Iyo incision inogona kubva yakavharwa kumusoro. Kuvhiya kwe ACL kunotora kutenderera maawa maviri uye kunoitwa pasi peanesthetic. Ibvi rinenge rakaputirwa zvakanyanya nemabhandeji uye kupfeka zvichitevera kuvhiyiwa kuchengetedza ronda rakachena uye kuritendera kupora. Brace yegumbo inowanzo kupihwa uye iwe uchafanirwa kufamba nemadondoro kweinokwana vhiki ina, nepo imwe nzira yechiedza physiotherapy inogona kutanga muvhiki mushure mekuvhiyiwa. Kuti uwane kudzoreredza izere simba uye huwandu hwekufamba mumabvi akabatanidzwa, yakazara nzira ye physiotherapy inofanirwa kuitwa kweinenge 2-3 mwedzi. Mazhinji ekuvhiya ACL varwere havagone kudzokera kumakwikwi emitambo kwemwedzi mitanhatu.
Ndingawane kupi kupi ACL kuvhiya kunze kwenyika?
Nemutengo wekuvhiyiwa kwemabvi ligament kumba kuratidza kuti wakanyanya kudhura, varwere vazhinji vanobva kuUnited States neUnited Kingdom vanosarudza kutarisa kunze kwenyika kwehunhu, kuvhiyiwa kunodhura. Kune dzakawanda nzvimbo dzinoenda kutenderera pasirese nezvipatara nemakiriniki anonyanya kugadzirisa ACL yekuvakazve kuvhiya. Knee Ligament Kuvhiya (ACL) muIndia Knee Ligament Kuvhiya (ACL) kuGerman Knee Ligament Surgery (ACL) kuSpain Kuti uwane rumwe ruzivo, verenga yedu Knee Ligament Kuvhiya (ACL) Mutengo Wenongedzo,
| # | nyika | Average Cost | Kutanga Mutengo | Yakakwirira Mari |
|---|---|---|---|---|
| 1 | Speini | $11530 | $11530 | $11530 |
Pane zvinhu zvakawanda zvinogona kukanganisa mutengo
Knee ligament kuvhiyiwa (ACL) inoitwa kugadzirisa yakadamburwa anterior cruciate ligament (ACL). IAACL ligament mumabvi inopa kugadzikana kumabvi, nekubatanidza shin uye chidya mapfupa pane akabatanidzwa mumabvi. ACL kukuvara ndeimwe yekukuvara kwakawanda kwemitambo. Izvo zvinowanzoitika panguva yemitambo senge nhabvu kana skiing. Inogona kubvarura semhedzisiro yekufamba kamwe kamwe uye kana yangokanganisika, zvinogona kuita kuti zvive zvakaoma kuenderera mberi nekutamba mitambo. Varwere vazhinji vasina kunyanyoita basa vangasarudza kusavhiyiwa kana misodzi isinganyanye uye zviratidzo zvisiri kukanganisa hupenyu hwezuva nezuva. Nekudaro kuvhiyiwa kunokurudzirwa kune varwere vanoshanda kana mune zviitiko apo misodzi iri kukanganisa hupenyu hwehupenyu.
Varwere vanofanirwa kucherechedza kuti kusarudza kusavhiyiwa kuti vagadzirise misodzi kunogona kuparira dzimwe nguva kukuvara kwemabvi. Zera, mararamiro, uye kugadzikana kwemabvi zvinhu zvakakosha izvo zvinofanirwa kutariswa kana uchifunga nezve kana kwete kuvhiyiwa. Kuvhiya kwacho kunogona kuitwa sekuvhiya kwakashama kana sekuvhiya kushoma kunoparadza, uchishandisa arthroscope. Yakakurudzirwa Kugadzirisa zvakabvaruka kana kubvaruka zvachose anterior cruciate ligament.
Nguva inodiwa Nhamba yemazuva muchipatara 1. Usiku huno gara usingadiwe. Avhareji kureba kwekugara kunze kwenyika 1 vhiki. Mushure mekuvhiyiwa kweACL, varwere vachazoda kujekeswa kuti vabhururuke nachiremba anovhiya. Murwere anozoda kutevera kurapwa kwemuviri mumashure, zvisinei izvi zvinogona kurongedzwa padyo nepamba. Huwandu hwenzendo dzekune dzimwe nyika dzinodiwa 1. Kuvhiyiwa kunoda rwendo rwe1 kuenda kunze kwenyika, zvisinei varwere vanofanira kugara kwenguva yakareba kuti vagamuchire kurapwa kwemuviri, kana kuronga kurapa kwemuviri kudzoka kumba mushure. ACL misodzi inowanzo kukuvara kwemitambo, inokonzerwa nekukurumidza kuchinjisa nzira kana kudonha uye kumhara kubva pakakotama chinzvimbo.
Varwere vanowanzo kuve nekubvunzana nachiremba wemabhonzo kuti vakurukure nezve kuvhiyiwa uye kuve nechokwadi kuti vanokodzera kukwikwidza kunovhiyiwa. Kuvhiya kunowanzo kuverengerwa kudzamara kwemavhiki mashoma mushure mekukuvara kwekutanga, kuitira kuti tsandanyama dzisimbe.
Mune zvimwe zviitiko kurapa kwemuviri kunokurudzirwa usati wavhiyiwa kuti usimbise mhasuru dzinozobatsira pakuzorora mushure mekuvhiyiwa. Pamberi pekuvhiyiwa, chiremba achatora X-ray mifananidzo yemabvi uye mune dzimwe nguva CT (computed tomography) scan inogona kutorwa.
Varwere vanowanzo kupihwa neanesthetic isati yatanga kuvhiya, saka varwere vanorayirwa kuti varege kudya nekunwa mumaawa anotangira kuvhiyiwa. Zvinokurudzirwa kuronga kuti shamwari kana nhengo yemhuri ibatsire panguva yekudzoreredza, sezvo zvichizonetsa kufamba mumasvondo maviri ekutanga mushure mekuvhiyiwa.,
Varwere vanozopihwa neyakajairisa kuseta isati yatanga kuvhiya. Nepo kuvhiyiwa kwacho kuchigona kuitwa sekuvhiya kwakavhurika kana arthroscopically, kuvhiyiwa kwearthroscopic ndiyo nzira inosarudzika, sezvo iri inopesana uye iine nguva yekukurumidza yekudzosa. Chiremba anovhiya anotanga nekuita zvidiki zvidiki mumabvi uye nekuisa arthroscope kuburikidza neiyo incision yekuongorora kukanganisa kweACL. Iyo arthroscope ipombi yakatetepa uye inochinjika iyo yakaiswa mwenje uye kamera, iyo inotumira mifananidzo kukomputa inoongororwa nachiremba.
Kana paine zvakakomberedza kukanganisa kumabvi, chiremba anovhiya anogona kubatanidza zvidimbu zvidiki kune arthroscope yekugadzirisa kudiki. Kamwe iyo ACL yabvaruka, chiremba anovhiya anotora kubatanidzwa kwetishu kubva kumwe kunhu mumuviri, kazhinji kubva kumatoni ari mumhasuru kana tendoni kubva pabvi chivharo, kugadzirisa. Mune zvimwe zviitiko machira evanopa anogona kushandiswa kugadzirisa kana kugadzirwa kwekubatanidza kunogona kushandiswa. Chiremba anovhiya anozobvisa iyo yakakanganiswa ligament achishandisa maturusi akasungirirwa kune arthroscope uye anotsiva iyo ligament neiyo kubatanidza, kuichengetedza munzvimbo yayo nezvikwiriso kana zvidimbu.
Kufamba kwemabvi kunozoedzwa nachiremba anovhiya, kuve nechokwadi chekuti ibvi rine huwandu hwakazara hwekufamba. Iyo incision saiti inobva yavharwa nemasuture uye ronda rakapfeka. Anesthesia General anesthetic. Maitiro Ekureba Iyo Knee Ligament Kuvhiya (ACL) inotora 1 kusvika 2 maawa. Kuvhiya kwe ACL kunogadzirisa misodzi iri mu ligament.,
Kutumira maitiro Kuchengeta Mushure mekuvhiyiwa, ibvi rinenge richirwadza uye kuzvimba uye gumbo rakagadzika rinofanira kupfekwa kweanosvika mavhiki maviri mushure mekuvhiyiwa kudzora kufamba. Iyo incision saiti inofanirwa kuchengetwa yakachena uye yakaoma uye chiremba anowanzo kupa mishonga yekurwadziwa kuti agadzirise kurwadziwa kwekuvhiya kwepashure. Kamwe ibvi parinotanga kupora, varwere vanozogadzirirwa gumbo rekusimbisa gumbo iro rinozobvumira kufamba uye kubatsira murwere kufamba.
Varwere vanozoda kurapwa kwemuviri mushure mekuvhiyiwa kuti vavake simba mumabvi uye vaigadzikise. Izvi zvinowanzo fanirwa kwemwedzi mina kusvika kumatanhatu mushure mekuvhiyiwa. Kunze kwekurapwa kwemuviri, varwere havafanirwe kuita chero kumwe kurovedza muviri kwemwedzi mitatu yekutanga mushure mekuvhiyiwa. Zvinogona kusagadzikana Murwere anogona kunge ari lethargic kwemazuva akati wandei mushure mekuvhiyiwa pamwe nekutambura nekuzvimba pagumbo rakarapwa.,
Zvinotevera ndizvo zvakanakisa zvipatara gumi zveKnee Ligament Kuvhiya (ACL) munyika:
| # | chipatara | nyika | manzwiro | mutengo | |
|---|---|---|---|---|---|
| 1 | Artemis Hospital | India | Gurgaon | --- | |
| 2 | Sikarin Hospital | Tairendi | Bangkok | --- | |
| 3 | Medipol Mega University Chipatara | Teki | Istanbul | --- | |
| 4 | SIMS Chipatara | India | Chennai | --- | |
| 5 | European Hutano Center | Porendi | Otwock | --- | |
| 6 | ISAR Klinikum Munich | Jerimani | Munich | --- | |
| 7 | Pushpawati Singhania Research Institute ... | India | New Delhi | --- | |
| 8 | Teknon Medical Center - Quironsalud Group | Speini | Barcelona | --- | |
| 9 | Dharamshila Narayana Superspeciality Hos ... | India | New Delhi | --- | |
| 10 | Chipatara chePantai, Penang | Marazhiya | Penang | --- |
Anotevera ndiwo akanakisa madhokotera eKnee Ligament Kuvhiya (ACL) munyika:
| # | Chiremba | ZVINOKOSHA | CHipatara | |
|---|---|---|---|---|
| 1 | Chiremba (Brig.) BK Singh | Orthopedic Surgeon | Artemis Hospital | |
| 2 | Dr. Direk Charoenkul | Orthopedecian | Sikarin Hospital | |
| 3 | dr. Sanjay Sarup | Chiremba weOrthopedic Chiremba | Artemis Hospital | |
| 4 | Dr Kosygan KP | Orthopedecian | Apollo Hospital Chennai | |
| 5 | dr. Amit Bhargava | Orthopedecian | Chipatara cheFortis, Noida | |
| 6 | dr. Brajesh Kaushal | Orthopedecian | Chipatara cheFortis, Noida | |
| 7 | dr. Dhananjay Gupta | Orthopedecian & Joint Yekutsiva Chiremba | Fortis Flt. Lt. Rajan Dha ... | |
| 8 | dr. Kamal Bachani | Orthopedecian & Joint Yekutsiva Chiremba | Fortis Flt. Lt. Rajan Dha ... | |
| 9 | dr. Abhishek Kaushik | Orthopedecian & Joint Yekutsiva Chiremba | Fortis Escorts Mwoyo Inst ... |
Maitiro Ekutsvaga uye Chipatara
Sarudza zvaunogona
Bhuka chirongwa chako
Wagadzirira hupenyu hutsva uye hune hutano
Mozocare inzira yekurapa yekuwana zvipatara nemakiriniki kubatsira varwere kuwana kurapwa kwakanyanya nemitengo inodhura. Mozocare Insights inopa Hutano Nhau, Dzazvino kurapwa hunyanzvi, Chipatara chinzvimbo, Hutano Hwerengedzo Ruzivo uye Kugovana kweRuzivo.
Mashoko ari papeji ino akaongororwa uye akatenderwa na Mozocare timu. Iri peji rakagadziridzwa pa 04 Jan, 2021.