Yala i delila ka gɛnɛgɛnɛ dimi yɔrɔnin kelen tuma min na i bɛ tulon kɛ, ka boli, walima ka jigin ɛrɛzɛnsun dɔ kan wa? Yala i ye ‘clicking’ mankan dɔ mɛn ka bɔ kɔnɔna na ani i y’a ye ko i gɛnɛgɛnɛ bɛna bɔ wa? Ni aw taara dɔgɔtɔrɔso la o waati sugu la, a bɛ fɛɛrɛ minnu kɛ ka aw gɛnɛgɛnɛ sɛgɛsɛgɛ, olu dɔ bɛ wele ko `Anterior Drawer Test`. An k’a lajɛ o ye min ye, a bɛ kɛ cogo min na, ani ni fɛn dɔ bɛ yen min ka kan ka siran.
Anterior Drawer Test ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, Anterior Drawer Test ye fɛɛrɛ kɛrɛnkɛrɛnnen ye min kɔnɔ dɔgɔtɔrɔ bɛ i gɛnɛgɛnɛ sɛgɛsɛgɛ ni bolo ye. O bɛ a lajɛ kɛrɛnkɛrɛnnenya la ni aw gɛnɛgɛnɛ ɲɛfɛla sɔgɔsɔgɔninjɛ (ACL) tiɲɛna, o kɔrɔ ye ko a tigɛra.
Miiri k’a filɛ, an gɛnɛgɛnɛ kɔnɔ, bandi barikamaw bɛ yen minnu bɛ cɛya kolo (Femur) ni senkɔni kolo (Tibia) siri ɲɔgɔn na. An bɛ o sɔgɔsɔgɔninjɛw wele ko `(Ligaments).` Olu de bɛ gɛnɛgɛnɛ sabati ani ka pan ka yaala-yaala kun tɛ. `ACL` ye o sɔgɔsɔgɔninjɛ ninnu dɔ ye. Walasa ka tiɲɛ fɔ, nin `ACL` in bɛ i senkɔni kolo bali ka pan ka taa ɲɛfɛ kun tɛ min na ka ɲɛsin cɛya kolo ma.
Anterior Drawer Test la, aw ka dɔgɔtɔrɔ bɛna aw gɛnɛgɛnɛ sama ka taa ɲɛfɛ siɲɛ caman. Ni aw ka ACL tigɛra, gɛnɛgɛnɛ bɛna bɔ kɛnɛma ka tɛmɛ a cogo kɔrɔ kan. O bɛ i n’a fɔ da bɛ se ka da nɔgɔya cogo min na ni a dakun karilen don. Nin ye sɛgɛsɛgɛli nɔgɔman ye min bɛ se ka kɛ biro kɔnɔ, wa a tɛ minɛn kɛrɛnkɛrɛnnen si wajibiya.
Dɔgɔtɔrɔ bɛ nin sɛgɛsɛgɛli in kɛ waati jumɛn?
Ni aw gɛnɛgɛnɛ joginna ani ni nin taamasiɲɛ ninnu bɛ aw la, aw ka dɔgɔtɔrɔ bɛ se ka siga ko ACL tiɲɛna. Nin sɛgɛsɛgɛli in bɛ se ka kɛ.
| ACL jogin taamasiɲɛ minnu ka teli ka ye | Cogojirali |
|---|---|
| Gɛnɛgɛnɛ dimi | Dimi jugumanba min bɛ kɛ joginni kɔfɛ dɔrɔn walima dɔɔni o kɔfɛ. |
| Ka kɛ i n'a fɔ gɛnɛgɛnɛ bɛ "ka bɔ a kun na". | Ni aw jɔlen don walima ni aw bɛ taama, gɛnɛgɛnɛ bɛ barika biri ani a bɛ kɛ i n’a fɔ a bɛ bɔ a yɛrɛ la. |
| Funuli | Gɛnɛgɛnɛ bɛ se ka funu miniti damadɔ kɔnɔ walima lɛri 4-6 jogin kɔfɛ. |
| Dantigɛli kɛli lamaga-lamagali la | Sebaliya ka gɛnɛgɛnɛ janya walima k’a kɔrɔta ka ɲɛ. |
| Taama gɛlɛya | Dimi walima basigibaliya ye taama senfɛ. |
Anterior Drawer Test bɛ kɛ cogo di ka ɲɛ?
Nin ye fɛɛrɛ nɔgɔmanba ye min tɛna dimi caman sɔrɔ. Miiri k’a filɛ, i dalen bɛ i ɲɛda kɔrɔta la ɛkizamɛn tabali kan.
| Taabolo minnu bɛ kɛ | Mun de bɛ ka kɛ? |
|---|---|
| 1. Ka jɔcogo ladilan | Aw kɛlen kɔ ka aw da aw kɔ kan, dɔgɔtɔrɔ bɛna aw cɛmancɛ kɔrɔta fo ka se degere 45 ɲɔgɔn ma. |
| 2. Gɛnɛgɛnɛ kurulen | O kɔ, aw bɛ aw gɛnɛgɛnɛ kɔrɔta degere 90 la, o kɔrɔ ye ko a kɛrɛ bɛnnen na, ka aw sen da dilan kan. |
| 3. Ka sen sabati | Dɔgɔtɔrɔ bɛna sigi i sen kan n’a girinya dɔɔni ye k’a sabati ka se dilan ma. |
| 4. Ka sama ka taa ɲɛfɛ | Sisan dɔgɔtɔrɔ bɛna aw gɛnɛgɛnɛ sanfɛla minɛ, gɛnɛgɛnɛ duguma dɔrɔn, ni a bolo fila ye, ka nɔgɔya kosɛbɛU kɛrɛ fɛ, o kɔrɔ ye ka sama ka taa ɲɛfɛ. |
A ka ca a la, dɔgɔtɔrɔ bɛna nin sɛgɛsɛgɛli in kɛ fɔlɔ i gɛnɛgɛnɛ kɛnɛman kan, o min tɛ nɔ bila . O ye walasa ka hakilina sɔrɔ i gɛnɛgɛnɛ lamagacogo nɔgɔman bɛ cogo min na. O kɔ, gɛnɛgɛnɛ min banana, o bɛna sɛgɛsɛgɛ. O kɔ, i bɛ se ka danfara ye o fila ni ɲɔgɔn cɛ ka jɛya.
Mun bɛ kɛ sɛgɛsɛgɛli kɛtuma na ani kɔrɔbɔli kɔfɛ?
A nafa ka bon aw ka to aw hakili la cogo bɛɛ la nin sɛgɛsɛgɛli in senfɛ. Aw ka dɔgɔtɔrɔ bɛna a fɔ aw ye ko aw ka aw sen fasaw lafiya, kɛrɛnkɛrɛnnenya la senkɔniw. Ni aw ye dimi dɔ ye lamaga o lamagatɔ, aw bɛ o fɔ aw ka dɔgɔtɔrɔ ye.
Min nafa ka bon kosɛbɛ, o ye ko nin sɛgɛsɛgɛli in tɛna tiɲɛni wɛrɛ kɛ aw gɛnɛgɛnɛ na. Hali ni ACL tigɛra, o tɛna dimi caman lase mɔgɔ ma. O la sa, kana siran.
Anterior Drawer Test kɔfɛ, ni siga bɛ ACL ɲɛjibɔ la, dɔgɔtɔrɔ bɛ se ka sɛgɛsɛgɛli caman wɛrɛw kɛ walasa k’a jira.
- MRI (Magnetic Resonance Imaging) Scan : O bɛ se ka tiɲɛni ye ka jɛya farikolo yɔrɔ nɔgɔlenw na i n’a fɔ ligaments ani meniscus (yɔrɔ minnu bɛ i n’a fɔ cushion).
- X-ray : O bɛ kɛ ka kolotugudaw tiɲɛ, i n’a fɔ a karilen don.
- Ultrason scan : Nin fana bɛ kɛ tuma dɔw la.
Aw bɛ se ka opereli fitinin dɔ fana kɛ min bɛ wele ko gɛnɛgɛnɛw lajɛ walasa ka gɛnɛgɛnɛ kɔnɔna tiɲɛniw lajɛ walima k’u labɛn. O ye ka kamera fitinin dɔ don gɛnɛgɛnɛ na. A ka ca a la, o ye tile kelen taabolo ye.
Sɛgɛsɛgɛli jaabiw kalan cogo di?
O nɔ tɛ jateden ye i n’a fɔ jatebɔ gɛlɛya jaabi. A ka ca ni ‘ɔwɔ’ walima ‘ayi’ fɔli ye.
- Jateminɛ ɲuman : Ni dɔgɔtɔrɔ ye aw gɛnɛgɛnɛ sama ka taa ɲɛfɛ, a bɛ na ɲɛfɛ ka tɛmɛ gɛnɛgɛnɛ kɛnɛman kan, o kɔrɔ ye ko ACL bɛ se ka tigɛ.
- Kɔnɔnafili jugu : Ni gɛnɛgɛnɛ lamagacogo jugu tɛ, o nɔ bɛ kɛ jugu ye.
Nka aw hakili to a la ko hali ni a nɔfɛko ma ɲɛ, o t’a jira ko ACL tɛ tiɲɛni kɛ 100%. A bɛ se ka kɛ ko sɔgɔsɔgɔninjɛ wɛrɛ walima gɛnɛgɛnɛ yɔrɔ wɛrɛ tiɲɛna. O de kama, Anterior Drawer Test ye sɛgɛsɛgɛli dafalen yɔrɔ kelen dɔrɔn ye.
Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?
Ni aw gɛnɛgɛnɛ joginna ani ni dimi bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la joona. Nka, ni nin fɛn ninnu dɔ bɛ aw bolo:Aw bɛ taa dɔgɔtɔrɔso dɔ la joona furakɛli yɔrɔ la (ETU).
| Darapo bilenmanw ni aw ka kan ka taa dɔgɔtɔrɔso la joona | |
|---|---|
| Dimi jugumanba | Dimi tɛ se ka muɲu. |
| Funu bɛ juguya ka taa a fɛ | Ni gɛnɛgɛnɛ funu bɛ ka caya dɔɔni dɔɔni. |
| Kulɛri caman bɛ ɲɔgɔn Changer | Ni gɛnɛgɛnɛ lamini fari bɛ kɛ bulama walima bulama ye. |
| Sebaliya ka lamaga | Ni aw tɛ se ka aw gɛnɛgɛnɛ lamaga hali dɔɔnin. |
Yala nin ɲɔgɔnna sɛgɛsɛgɛliw bɛ kɛ joli wɛrɛw la wa?
Ɔwɔ, fɛɛrɛ minnu bɛ kɛ ni Anterior Drawer Test ye, olu fana bɛ kɛ ka senkɔni ni senkɔniw joginniw sɛgɛsɛgɛ. Kɔrɔbɔli jɔyɔrɔ bɛ ɲɔgɔn ta dɔɔni ka kɛɲɛ ni kolotuguda kelen-kelen bɛɛ sigiyɔrɔ ye.
Danfara jumɛn bɛ Anterior Drawer Test ni Lachman Test cɛ?
`Lachman Test` ye fɛɛrɛ wɛrɛ ye min ka di kosɛbɛ, min bɛ kɛ ka `ACL` ɲɛji sɛgɛsɛgɛ. Danfaraba min bɛ u fila ni ɲɔgɔn cɛ, o ye gɛnɛgɛnɛ kɔrɔta hakɛ ye sɛgɛsɛgɛli kɛtuma na.
- Anterior Drawer Test: Gɛnɛgɛnɛ bɛ kɔrɔta fo ka se degere 90 ma ka a sɛgɛsɛgɛ.
- Lachman Test : Gɛnɛgɛnɛ bɛ sɛgɛsɛgɛ ni a kɔrɔtalen ye dɔɔni, degere 20-30 ɲɔgɔn.
Dɔgɔtɔrɔw bɛ se ka nin sɛgɛsɛgɛli ninnu dɔ la kelen walima u fila bɛɛ kɛ ni u bɛ sigasiga ko ACL jogin na.
Take-Home cikan
- Anterior Drawer Test ye sɛgɛsɛgɛli nɔgɔman ye, teliya la, bololabaara la, dɔgɔtɔrɔ bɛ min kɛ walasa ka a lajɛ ni ACL ligament tiɲɛna gɛnɛgɛnɛ na.
- Wajibi tɛ ka siran nin kɔrɔbɔli in ɲɛ. A tɛna dimiba lase aw ma walima ka tiɲɛni wɛrɛ kɛ aw gɛnɛgɛnɛ na.
- Nin ye sen kelen dɔrɔn ye bana sɛgɛsɛgɛli bɛɛ la. Tuma caman na, bana in bɛ tiɲɛ ni fɛn dɔ kɛli ye i n’a fɔ MRI sɛgɛsɛgɛli.
- Ni aw gɛnɛgɛnɛ joginna kosɛbɛ, ni dimi jugumanba don aw la, ni funu bɛ aw la, walima ni aw tɛ se ka aw sen lamaga, aw bɛ taa dɔgɔtɔrɔso la joona walima aw bɛ taa dɔgɔtɔrɔso la kɔrɔtɔko yɔrɔ la (ETU).
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