Ni iki cyabaye ku ivi ryawe? Reka twige ku igeragezwa rya Anterior Drawer.

Hari igihe iyo twiruka, dusimbuka, cyangwa dukina siporo, amavi yacu ashobora kugorana gato, si byo se? Wenda nawe warabikoze. Rero, mu gihe nk'icyo, ikizamini cyoroshye abaganga bakoresha kugira ngo barebe niba hari icyangiritse ku mitsi y'ingenzi iri mu ivi ryawe, `(ACL)`, cyitwa `(Ikizamini cyo Guterura Ivi ry'imbere)`. Reka tubiganireho birambuye.

Ni ryari abaganga bakora iki "Anterior Drawer Test"?

Noneho ushobora kuba urimo kwibaza uti 'None se iki ni ikizamini ki?' Muri make, umuganga azagukorera iki kizamini niba hari ukeka ko umugozi wo ku ivi uri imbere mu ivi ryawe, twita Anterior Cruciate Ligament, cyangwa ACL mu magambo ahinnye, wacitse cyangwa waravunitse.

Urabizi, iyi `(ACL)` ni imwe mu mitsi ine y'ingenzi mu ivi ryacu. Iyi mitsi imeze nk'imishumi ikomeye. Iyi ni yo ihuza igufwa ryacu ryo mu itako (`(Femur)`) n'igufwa rikuru ryo mu kuguru ko hasi (`(Tibia)`) n'igufwa rito rijyanye na ryo (`(Fibula)`), kandi igatuma ingingo y'ivi iguma ihamye. By'umwihariko, inshingano ya `(ACL)` ni ukubuza ivi ryacu kujya imbere cyane no kuzunguruka cyane . Tekereza nka `(Ferake)` y'imodoka.

Rero iyo iyi `(ACL)` yangiritse, ni ukuvuga iyo yacitse, ibimenyetso byinshi bishobora kubaho. Akenshi, iyi ni imvune ibaho mu gihe cy'imikino . Niba urimo kubona ibi bimenyetso, muganga ashobora gukora iki kizamini:

• Kubabara mu ivi.
• Kumva "ivi rikubita hasi", bivuze ko ivi rihita rimera nk'aho rigiye kunanirwa.
• Kubyimba (bishobora gutangira ako kanya nyuma y'imvune, ariko bishobora no kugaragara nyuma y'amasaha ane kugeza kuri atandatu).
• Kudashobora kunama no kwagura ivi neza bivuze ko urwego rw'imikorere rugabanuka .
• Ubugwaneza.
• Kumva utameze neza iyo ugenda n'amaguru.

Iki gikorwa cya `(Ikizamini cyo gushushanya imbere)` gikorwa gute?

Ibi biroroshye cyane. Nta kibazo kinini uzagira. Muganga cyangwa umuforomo azagenzura aho ivi ryawe rigenda, ndetse niba hari ibice byimuka cyane. Dore intambwe:

• Uzakenera kuryama uryamye ku meza y'ibizamini.
• Muganga azamura ikibero cyawe nko kuri dogere 45 uvuye ku buriri (ni ukuvuga ko kitararambuye neza, kitaragoramye neza, ahubwo kiri hagati aho).
• Hanyuma ivi ryawe rizapfukama ku nguni ya dogere 90 (ni ukuvuga, rigororotse ku itako ryawe).
• Muganga azashyira igice cy'ibiremereye bye ku kirenge cyawe maze akigufashe kidahinduka.
• Hanyuma, umuganga azafata ukuguru kwawe ko hasi, munsi y'ivi, hanyuma akukurure buhoro buhoro amwerekezaho (ni ukuvuga kukwimurira imbere).

Hari igihe umuganga abanza gukora iki kizamini ku ivi ryawe rindi, ariko ritakomeretse .Ibi bizamuha igitekerezo cy'uburyo ivi ryawe rikora.

Muganga ashobora kandi gusuzuma ukuguru kwawe ko hasi akusunika kure ye, ayerekeza ku ruhande rw'ameza yo gusuzuma (`(Posteriorly)`). Ibi rimwe na rimwe byitwa `(Posterior Drawer Test)`. Abaganga bamwe na bamwe babikora icyarimwe n'`(Anterior Drawer Test)`.

Tekereza, niba `(ACL)` yawe yacitse, ukuguru kwawe ko hasi kuzagenda imbere kurusha uko bikwiye . Ubusanzwe, `(ACL)` ni yo ihuza ukuguru ko hasi n'ukuguru ko hejuru kandi ikakubuza kujya imbere cyane. Rero niba `(ACL)` yangiritse cyangwa yacitse, ukuguru ko hasi kuzagenda cyane kurusha uko bisanzwe kuko nta nkunga ifite.

Hari icyo nkeneye kwitegura mbere y'iki `(Ikizamini)`?

Oya rwose! Nta kintu kidasanzwe ukeneye gukora kugira ngo witegure iki "Kipimo cyo Gupima Ivi ry'Imbere". Ikintu cy'ingenzi ni ukubonana na muganga vuba bishoboka niba ufite ikibazo ku ivi ryawe, cyangwa niba ubonye ibimenyetso, nko kugorwa no kwimura ivi ryawe cyangwa kugenda.

Ni iki nkwiye kwitega mu gihe cy'ikizamini?

Ni ngombwa kuguma utuje uko bishoboka kose muri iki gihe. Muganga wawe azakubwira ko ugomba kugabanya imitsi n'indi mitsi mu gihe cyo gupimwa. Niba wumva ububabare ubwo aribwo bwose mu gihe cyo gupimwa, cyane cyane niba ufite aho uhagaze cyangwa ukagira intambwe runaka ituma wumva umeze nabi , bwira muganga wawe . Ntugahangayike, muganga wawe ntabwo agerageza kugukomeretsa.

Bigenda bite nyuma y'ikizamini?

Noneho ko umaze gusobanukirwa neza niba ACL yawe yacitse hakoreshejwe ikizamini cya Anterior Drawer Test, muganga wawe ashobora gusaba ko habaho ibindi bipimo bike kugira ngo yemeze ko yanduye. Iki kizamini akenshi kiba ari cyo cy’ukuri, ariko ibizamini byo gufata amashusho (nk’ibipimo bya scan) bishobora gufasha kumenya neza aho ACL yacitse n’aho yacitse. Ushobora gukenera gukora ibi bikurikira:

• Isuzuma rya MRI (Magnetic Resonance Imaging) ni ikizamini gishobora kubona neza ingingo zoroshye ziri imbere mu ivi, nk'imitsi n'imitsi.
• Gupima hakoreshejwe ikoranabuhanga rya Ultrasound.
• X-ray. Ibi bireba niba amagufwa y'ivi yangiritse.

Ushobora kandi gukenera gukorerwa arthroscopy yo mu ivi kugira ngo umenye cyangwa ukosore ibyangiritse mu ivi ryawe. Ubu buryo ni uburyo budakunze kugaragara cyane bukoresha kamera kugira ngo irebe imbere mu ngingo y'ivi ryawe binyuze mu gukata gato. Kenshi na kenshi, ushobora gutaha umunsi umwe nyuma y'ubu bwoko bw'ikibagwa.

Ese hari ingaruka zishobora guterwa n'iki "kizamini cy'imashini zikoreshwa mu gushushanya imbere"?

Nta ngaruka zihari.Iki kizamini ntabwo kizakwangiza ivi ryawe. Ushobora kumva ububabare cyangwa kutamererwa neza. Ariko, nubwo ACL yacitse, ntugomba kumva ububabare bukabije. Muganga azabikora yitonze cyane.

Ibisubizo ni ibihe? Bisobanura iki?

Ibisubizo by'iki "Anterior Drawer Test" ntabwo bisa n'ibindi bizamini. Ni ukuvuga ko aho gutanga agaciro cyangwa intera runaka, kibwira muganga niba "ACL" yawe yacitse cyangwa itacitse.

Mu by'ukuri, ibi ni nko gusubiza ikibazo cya 'yego' cyangwa 'oya' . Si nko kubona igisubizo gihamye ku kibazo cy'imibare.

Niba hari ikimenyetso cy'uko ACL yawe yacitse, bivuze ko ivi ryawe riri kugenda cyane imbere, muganga wawe azabifata nk'ibisubizo 'byagaragaje' . Ibisubizo 'byanduye' bivuze ko ivi ryawe ritagenda cyane imbere, bivuze ko ikizamini nta kimenyetso cy'ikibazo cya ACL yawe.

Ariko, ibisubizo bya ``Negative`` ntabwo bivuze ko utazakenera ibindi bipimo. Birashoboka ko ``ACL``` ikiri gucika, cyangwa hashobora kubaho ikindi cyangiritse imbere mu ivi. ``Ikizamini cy'Ikaramu y'Imbere`` ni kimwe mu bikoresho byinshi muganga akoresha kugira ngo amenye imvune yo mu ivi. Ni kimwe mu bigize isuzuma ryuzuye.

Ni ryari ngomba kujya kwa muganga?

Niba waragize impanuka ukaba ubabara mu ivi, menya neza ko wagiye kwa muganga. Jya mu cyumba cy’ubutabazi bw’ibanze (ER) byihutirwa, cyane cyane niba uhuye n’ibi bikurikira:

• Niba hari ububabare bukabije .
• Niba kubyimba bisa nkaho bikomeje kwiyongera .
• Iyo habayeho impinduka mu ivi (nk'ubururu cyangwa umuhengeri).
• Niba udashobora no kwimura amavi yawe.

Ni iki ``Anterior Drawer Test'' ikorerwa ku kaguru?

Ikizamini cya Anterior Drawer Test ku mvune zo ku kaguru gisa cyane n'icyakoreshejwe mu gushakisha aho ACL yacitse mu ivi. Nanone cyitwa Prone Anterior Drawer Test kuko bisaba kuryama ugaramye (ufite ubumuga). Muganga ashobora kugikoresha kugira ngo arebe niba imitsi yo ku kaguru yangiritse. Bikorwa gutya:

• Uzaba uryamye wubitse umutwe (`(Prone)`) ku meza yo gusuzuma, ukuguru kwawe kumanitse ku nkengero z'ameza.
• Muganga azagufata ukuguru kwawe ko hasi, hejuru gato y'akaguru.
• Hanyuma agufata inyuma y'agatsinsino kawe akongera akagasunika hasi (imbere).

"Ikizamini cyo gupima imbere mu gituza" ni iki?

Ikizamini cya Anterior Drawer ni kimwe n'ibindi bizamini byose ku rutugu - bifasha kumenya ibyangiritse cyangwa ibikomere ku ngingo y'urutugu rwawe. Ariko, iki kizamini cya Anterior Drawer gitandukanye gato n'icya Anterior Drawer Test:

• Ugomba kuryama uryamye .
• Muganga azakubwira kurambura ukuboko kwawe ku ruhande, ku buryo bugororotse ku mubiri wawe, nk'igice cya 'T'.
• Aragushyigikira agufashe ukuboko munsi y'ukuboko kumwe.
• Ukoresheje ukuboko gutandukanye, muganga azagukanda ku gituza buhoro, afashe icyuma cy'urutugu rwawe (`(Scapula)`) kidahinduka.
• Hanyuma muganga azamura ukuboko kwawe kurambuye hejuru y'urwego rw'igitanda (imbere) akareba.

Ni irihe tandukaniro riri hagati ya ``Anterior Drawer Test`` na ``Lachman Test``?

Ikizamini cya Anterior Drawer Test na Lachman Test byombi ni ibizamini by'umubiri abaganga bakoresha kugira ngo bamenye amarira ya ACL. Ikizamini cya Lachman ni verisiyo yahinduwe gato y'Ikizamini cya Anterior Drawer Test.

Aho gufata ikibero cyawe ku nguni ya dogere 45 nk'uko byagaragaye mu isuzuma rya Anterior Drawer, mu isuzuma rya Lachman, muganga afata ikibero cyawe ku nguni ya dogere 20 cyangwa 30 (bivuze hafi gato y'ameza uryamyeho).

Mu buryo nk'ubwo, muri "Anterior Drawer Test" (Ikizamini cy'Imbere cy'Ivuriro), muganga ashyira ikirenge cyawe ku meza akagifata hejuru afite uburemere. Ariko, muri "Lachman Test" (Ikizamini cya Lachman), muganga ashyigikira uburemere bw'ukuguru kwawe n'amaboko ye. Nk'uko bimeze muri "Anterior Drawer Test" (Ikizamini cya Anterior Drawer), muri "Lachman Test" (Ikizamini cya Lachman), muganga ahora akurura ukuguru kwawe ko hasi yerekeza ku ruhande rwe (imbere) kugira ngo arebe aho ingingo y'ivi igeze.

None se, ni ubuhe butumwa dukwiye kujyana mu byo twavuze byose?

Mu magambo make, ikizamini cya Anterior Drawer Test ni uburyo bwihuse kandi bwizewe muganga asuzuma niba ufite ACL yacitse mu ivi ryawe. Ntibisaba ibikoresho bidasanzwe kandi bishobora gukorwa mu minota mike. Ariko, ushobora gukenera ibizamini byo gufata amashusho (nk'ibipimo bya scan) kugira ngo wemeze ibisubizo by'iki kizamini.

Igikuru ni uko, niba hari ikintu kiguteye ku ivi, niba wumva ububabare, jya kwa muganga. Nibo bazamenya neza ikibazo kandi baguhe ubuvuzi ukeneye.

Uko ugenda ukira imvune ya ACL, komeza uganire na muganga wawe. Azakubwira icyo ugomba kwitega n'igihe bizaba byiza gukina siporo, kwiruka, cyangwa kongera gusimbuka. Ni ngombwa kwita ku mubiri wawe!

Ivi , ACL, Ikizamini cy'agasanduku k'imbere, Ibikomere byo mu ivi, Imitsi, Ibizamini by'ubuvuzi, Ibikomere bya siporo