I-anterior cruciate ligament rupture enja kanye nokulimala kwe-anterior cruciate ligament: indlela yokwelapha

Ngokwe-anatomically, i-anterior cruciate ligament (ACL) izinyembezi ezinjeni zifana nokulimala komuntu lapho i-anterior cruciate ligament yedolo ilahlekelwa ubuqotho bayo. Ezifuyweni ezifuywayo, lesi simo sibizwa ngokuthi i-cranial cruciate ligament (CCL) izinyembezi, noma isifo esivame kakhulu se-cruciate ligament, kuchaza i-American College of Veterinary Surgeons. 

Nakuba izinketho eziningi zokwelapha zikhona, i-Tibial-Plateau-Leveling Osteotomy (TPLO) iyindlela evamile yokwelapha lesi simo..

I-Cruciate Ligament Edabukile Ezinjeni nakubantu: Uyini Umehluko?

Nakuba izinyembezi ze-ACL kubantu zivame ukuhlotshaniswa nokuhlukumezeka, izinyembezi ze-cruciate ligament ezinjeni cishe zibangelwa ukuwohloka okuqhubekayo komgudu. 

Njengoba i-ligament iyancipha, umonakalo omncane ungenzeka okuzogcina kuholele ekuqhekekeni, ukungazinzi kokuhlangana kanye nokungakwazi ukusekela ngempumelelo umthwalo.

Ngokuphuka ngakunye okulandelayo, ilunga lizovuvuka kakhulu. Le nqubo ekugcineni iholela ku-osteoarthritis.

Izimpawu zokudabuka kwe-cruciate ligament ezinjeni

Kungase kubonakale sengathi ukuphuka kwe-KCL ezinjeni kwenzeka ngokuzumayo, kodwa ezimweni eziningi umsipha uba buthaka phakathi nezinyanga eziningi. Uma kukhulunywa ngokuxhuga, abanikazi bezinja bavame ukuqaphela ukuxhwala okungapheli okuthatha amahora angama-48 kuye kwangama-72. Ubuqhwala bungaba nzima noma bulinganisele.

Izimpawu ezilandelayo ezengeziwe zingase futhi zibonise ukugqashuka kwe-KKS enjeni:

• ubuthakathaka obumaphakathi noma obunzima bemisipha yethanga esithweni esithintekile;
• ukuqina kwengxenye yamathambo edolo elithintekile;
• uhla lwehla lokunyakaza kwedolo elithintekile;
• i-asymmetry endaweni yokuhlala, lapho ingxenye engezansi yelungu itholakala nge-engeli ukusuka emzimbeni.

Ezinye zalezi zimpawu zingase zicashe, noma zingabonakali nhlobo. Ubuhlungu obucacile akulona uphawu oluvamile lwe-CCL ephukile. Nakuba inja ingase ingakhululeki ngokunyakazisa idolo, ukuxhwala kungase kube ngenxa yokungazinzi esikhundleni sobuhlungu.

Izingozi Zezingozi

Akunakwenzeka ukunquma ukuthi inja ngayinye izothuthukisa ukuphuka kwe-CCL ngeminyaka, kodwa ezinye izilwane ezifuywayo zijwayele le nkinga kunezinye. Imvamisa, le pathology ibonwa ezinja ezineminyaka ephakathi ezivela ezinhlotsheni ezinkulu. 

Ngokocwaningo olushicilelwe kumagazini i-Acta Veterinaria Brno, izinhlobo ezisengcupheni yokuqhekeka kwe-CCL zihlanganisa amaLabradors, Rottweilers, American Cocker Spaniels, Chow Chows, German Shorthair Pointers, American Staffordshire Terriers kanye neBrazilian Mastiffs. Ezinye izifundo zibonisa ukuthi lesi esinye sezimo ezimbalwa ezingase zivame kakhulu kubangani abanemilenze emine exubile.

Izinja ezingenayo noma ezingenayo i-neutered zinamathuba amaningi okuba nokuqhekeka kwe-ACL. Ngaphezu kwalokho, ama-bitches avame ukuthambekela kakhulu kulesi sifo. Ukukhuluphala ngokweqile nakho kuyisici esiyingozi.

Ukuxilongwa nokwelashwa kokuphuka kwe-cruciate ligament ezinjeni

Odokotela bezilwane baxilonga i-KKL ephukile ngokusekelwe emiphumeleni yokuhlolwa komzimba, ukuguqulwa kwamalunga, nama-x-ray. Ezimweni eziningi, inja ingase idinge ukuthuliswa ukuze ihlolwe kanye nama-x-ray.

Nakuba ukuhlinzwa kwe-TPLO kuyindlela evame ukunconywa yezilwane ezifuywayo ezine-KKL ephukile, kunezinye izinketho zokuhlinzwa ezitholakalayo, ezihlanganisa:

• I-Simitri Stable in Stride implants;
• ukuthuthukiswa kwe-tibial tuberosity - i-TTA, i-Tibial Tuberosity Advancement;
• ukulinganisa i-osteotomy esekelwe ku-CORA - CBLO, i-CORA Based Leveling Osteotomy.

Nokho, izinja eziningi azisoze zahlinzwa. Ucwaningo olushicilelwe kuyi-Journal of Bone and Joint Surgery lubonise ukuthi ukuhlinzwa ngokuvamile akuhleliwe ngisho nokuhlelelwa. Ngakho-ke, izindlela zokulandela umkhondo manje sezicutshungulwa ngokuseduze. Lokhu kubandakanya:

• ukuncipha komzimba;
• ukuphumula okuqinile;
• izidakamizwa ezilwa nokuvuvukala;
• izithako zokudla okunempilo;
• Ukudla okunomsoco okulinganiselayo okwenzelwe impilo ehlangene nokulahlekelwa isisindo;
• i-physiotherapy.

Uma inja kutholakala ukuthi ine-KKL ephukile, udokotela wezilwane uzokwakha isu lokulungisa isimo futhi anqume ukuthi kuzodingeka yini ukuhlinzwa.

Ukuhlinzwa kwe-TPLO enjeni

I-TPLO ihilela ukusetshenziswa kokufakelwa ukuze kuqiniswe idolo. I-incision yenziwa ku-tibia bese iphenduka kancane ukushintsha i-engeli yemvelo yamandla asebenza emadolweni. Khona-ke, ipuleti elikhethekile lisetshenziswa ngaphandle kwedolo ukuze kuzinze yonke indlela.

Kubalulekile ukuqonda ukuthi kungcono kakhulu uma i-TPLO, njengakho konke ukungenelela kokuhlinzwa, kwenziwa udokotela ohlinzayo ochwepheshe bezinqubo ezinjalo. Ukuze wenze lokhu, udinga ukuthola udokotela oqinisekisiwe.

Ukululama ekuhlinzweni kwe-TPLO kungashesha ngokumangalisayo. Ezinye izinja ziyakwazi ukudlulisa isisindo esidladleni esisebenzayo cishe ngokushesha. Ngesikhathi esifanayo, noma yisiphi isiguli esinemilenze emine sizozuza enkambweni ye-physiotherapy. 

Izilwane ezifuywayo eziningi zidinga ukuthatha imithi yezinhlungu, futhi zonke kufanele zigqoke umshini wokuvimbela ukulimala esilondeni sokuhlinzwa, njengekholomu yokuzivikela. Ngemuva kokuhlinzwa, kuyadingeka ukunciphisa ngokuqinile izinga lomsebenzi wenja. Ukwenqatshwa kokufakelwa, lapho indlela yangaphakathi ihluleka, ngokuvamile ibonakala ezigulini ezisebenzayo ezingalawulwa kahle. 

Ngaphezu kwalokho, kubaluleke kakhulu ukuqonda imbangela yegebe. Isibonelo, uma inja ikhuluphele, ibeka ukucindezeleka okwengeziwe emalungeni, ngakho udokotela wezilwane cishe uzoncoma ukuthi inja yehlise isisindo ukuze igweme okunye ukuphuka kwe-CCL. Udinga ukulalela ngokucophelela izincomo zikadokotela mayelana nendlela yokusiza inja ukuba ilahlekelwe isisindo ngesikhathi sokululama. Angase futhi atuse ukwelashwa ngokomzimba ukuze kuqiniswe ilunga..

Ukunakekela izinja ezidabukile i-anterior cruciate ligament enjeni

Kubalulekile ukuqonda ukuthi zonke izinja ezine-cruciate ligament disease ekugcineni zizoba ne-osteoarthritis. Ezinye izilwane ezifuywayo zingadinga ukwelashwa ngokomzimba isikhathi eside kanye nemithi yokuphila konke, kodwa ngokuvamile ukudla okunomsoco kwanele ukulawula isimo.

Ukudla kwekhwalithi kubalulekile. Udokotela wakho wezilwane angase futhi atuse ukunikeza inja yakho isithasiselo sokudla okunempilo njengama-fatty acids, i-glucosamine, noma i-chondroitin. Zivame ukufakwa ekudleni okuseqophelweni eliphezulu ukusekela impilo yezinja ezinezinkinga zamalunga.