Ububabare Bwa Acl

Umujinya wa anterior cruciate ligament (ACL) ni umwe mu myanya y'ingenzi ifasha mu gutuma uruhuri rw'amavi rukomeye. ACL ihuza ipfundo ry'umugongo (femur) n'igitugu (tibia). Akenshi ivunika mu mikino isaba guhagarara cyangwa guhindura icyerekezo mu buryo butunguranye — nko mu mupira w'amaguru, basketball, tennis na volleyball.

Umujinya wa ACL ni ukwangirika cyangwa gukomeretsa umusemburo wa anterior cruciate (KROO-she-ate) ligament (ACL) — umwe mu mpande zikomeye z'umubiri zifasha guhuza ipfundo ry'umugongo (femur) n'igitugu (tibia). Imvune za ACL zikunda kubaho mu mikino isaba guhagarara cyangwa guhindura icyerekezo mu buryo butunguranye, gukubita no kugwa — nko mu mupira w'amaguru, basketball, football na ski yo ku musozi.

Abantu benshi bumva ijwi cyangwa bumva ikintu gisa n'icyavuye mu ivi iyo havutse imvune ya ACL. Ivi ryawe rishobora kubyimba, kumva ritameze neza kandi rikaba rubabaza cyane ku buryo udashobora gushyiraho ibiro.

Bitewe n'uburemere bw'imvune yawe ya ACL, ubuvuzi bushobora kuba harimo kuruhuka no gukora imyitozo yo gusubiza imbaraga n'ubukomeye, cyangwa kubagwa kugira ngo hahindurwe umusemburo wavunitse, hagakurikizwe ubuvuzi. Gahunda nziza yo kwimenyereza umubiri ishobora kugabanya ibyago byo gukomereka kwa ACL.

Ibimenyetso n'ibibonwa byo gukomeretsa ACL bikunze kuba birimo: Gududubuka cyane cyangwa kumva nk'aho hari ikintu cyavunitse mu ivi Kubabara cyane no kutazongera gukora imyitozo Kubyimbagira vuba Gutakaza ubushobozi bwo kugenda nkuko bisanzwe Kumva ko ivi ritashikamye cyangwa ko rishobora kugwa igihe uri ku maguru Shaka ubufasha bw'abaganga vuba bishoboka niba ikibazo cyose cyo mu ivi cyateye ibimenyetso cyangwa ibintu byo gukomeretsa ACL. Ivi ni urwego rugizwe n'amagufwa, imikaya, imitsi n'utundi duto dukorana. Ni ngombwa kubona isuzuma ryihuse kandi rihamye kugira ngo umenye uburemere bw'ikibazo kandi ubone ubuvuzi bukwiye.

Niba ikibazo cyose cyangiza ivi ryawe cyateye ibimenyetso cyangwa ibipimo byo kwangirika kwa ACL, shaka ubufasha bw’abaganga byihuse. Ivi ni urwego rugizwe n’amagufwa, imikaya, imitsi n’utundi duto dukorana. Ni ngombwa kubona isuzuma ryihuse kandi ricukumbuye kugira ngo umenye uburemere bw’ikibazo kandi ubone ubuvuzi bukwiye.

Udukoko ni imigozi ikomeye y'umubiri ihuza igice kimwe cy'igitugu n'ikindi. ACL, imwe mu migozi ibiri ica hagati mu ivi, ihuza umugufi wawe n'umugongo wawe kandi ifasha gukomera urugingo rw'ivi rwawe.

Imvune za ACL zikunze kubaho mu mikino n'imikino ngororamubiri bishobora gushyira umuvuduko ku ivi:

• Kugabanya umuvuduko utunguranye no guhindura icyerekezo (guca)
• Guhindura ikirenge cyawe gifashe neza
• Kugwa nabi uvuye mu kizunguzo
• Guhagarara gitunguranye
• Kugira igikomere ku ivi cyangwa kugongana, nko gukubitwa umupira w'amaguru

Iyo umugozi wangiritse, hariho akenshi umwenda utarimo cyangwa uhagaritse rwose. Imvune ntoya ishobora gukura umugozi ariko ikaba isigaye itangiritse.

Hari impamvu nyinshi zishobora kongera ibyago byo gukomereka umugongo wa ACL, birimo:

• Kuba umugore — bishobora guterwa n'itandukaniro mu miterere y'umubiri, imbaraga z'imikaya n'imiterere y'imisemburo
• Kwitabira imikino imwe n'imwe, nko gutera umupira w'amaguru, umupira w'amaguru, basketball, gymnastics na ski yo kumanuka
• Imikorere mibi
• Gukoresha imiterere mibi y'imigendekere, nko kwerekeza amavi imbere mu gihe wicaye
• Kwambara inkweto zitameze neza
• Gukoresha ibikoresho by'imikino bitarinda neza, nko gufunga skis zidatunganijwe neza
• Gukina kuri gazon y'imikino y'imikino

Abantu bagira ikibazo cya ACL bafite ibyago byinshi byo kurwara osteoarthritis mu ivi. Arthritis ishobora kubaho nubwo wakorerwa igikorwa cyo gusana umugongo. Impamvu nyinshi zishobora kugira uruhare mu kaga ka arthritis, nko gukomeretsa cyane, kugira imvune zijyanye mu ivi cyangwa urwego rw'imirimo nyuma yo kuvurwa.

Porogaramu zigamije kugabanya imvune za ACL zirimo:

• Imikino yo gushimangira imitsi yo hagati — irimo imiyoboro y'imbere, amagufwa y'imbere n'igice cyo hasi cya gatunduguye — hagamijwe gutoza abakinnyi kwirinda kwimura ivi imbere mu gihe cyo kugendera hasi
• Imikino ikomeza imitsi y'amaguru, cyane cyane imikino yo gushimangira imitsi y'amaguru, kugira ngo habeho ubusugire rusange mu gukomera kw'imitsi y'amaguru
• Gutoza no gukora imyitozo ishimangira ubuhanga bukwiye n'umwanya w'ivi mu gihe cyo gusimbuka no kugwa uvuye ku gusimbuka
• Gutoza kunoza ubuhanga mu gihe cyo gukora imyitozo yo guhindura iberekezo no guca Gutoza kunoza imitsi y'amaguru, imiyoboro y'imbere n'imitsi yo hagati — kimwe no gutoza kunoza ubuhanga bwo gusimbuka no kugwa ndetse no kwirinda kwimura ivi imbere — bishobora gufasha kugabanya ibyago byinshi byo gukomereka kwa ACL mu bakinnyi b'abagore. Kambara inkweto n'ibikoresho by'umutekano bikwiriye umukino wawe kugira ngo wirinde imvune. Niba ukina ski yo kumanuka, menya neza ko imifuka yawe ya ski yagenzuwe neza n'umunyamwuga watojwe kugira ngo skis zawe zizakurweho uko bikwiye niba uguye. Kwambara umukandara w'ivi ntibigaragara ko birinda imvune ya ACL cyangwa kugabanya ibyago byo gukomereka ukundi nyuma y'ubuganga.

Mu gupima umubiri, muganga wawe azasuzumira ivi ryawe niba hari kubyimba cyangwa ububabare—agereranyije ivi ryakomerekeye n’iryakomeretse. Ashobora kandi kuyimura ivi ryawe mu myanya itandukanye kugira ngo asuzume urugero rw’imigirire n’imikorere y’ingingo muri rusange.

Akenshi ubuganga bushobora gukorwa hashingiwe ku gupima umubiri gusa, ariko ushobora kuba ukeneye ibizamini kugira ngo habeho gukuraho izindi mpamvu no kumenya uburemere bw’imvune. Ibi bizamini bishobora kuba birimo:

• Ama rayons X. Ama rayons X ashobora kuba akenewe kugira ngo habeho gukuraho igicunamo cy’igitugu. Ariko, ama rayons X ntagaragaza imyanya yoroheje, nka ligamente na tendons.
• Magnetic resonance imaging (MRI). MRI ikoresha amajwi ya radiyo n’ikinyabiziga gikomeye cya magnétique kugira ngo ikore amashusho y’imyanya ikomeye n’iyoroheje mu mubiri wawe. MRI ishobora kwerekana uburemere bw’imvune ya ACL n’ibimenyetso byangirika ku bindi bice by’ivi, harimo na cartilage.
• Ultrasound. Ikoresha amajwi yo kubona ibice byo imbere, ultrasound ishobora gukoreshwa kugira ngo isuzume imvune muri ligamente, tendons n’imikaya y’ivi.