Anterior cruciate ligament rupture ho ntja le kotsi ea anterior cruciate ligament: mokhoa oa ho phekola

Ka mokhoa oa anatomically, ho taboha ha lintja (anterior cruciate ligament (ACL)) ho lintja ho tšoana le kotsi ea motho eo ho eona karolo ea pele ea lengole e lahleheloang ke botšepehi. Liphoofolo tse ruuoang lapeng, boemo bona bo bitsoa cranial cruciate ligament (CCL) tear, kapa lefu le tloaelehileng la cruciate ligament, ho hlalosa American College of Veterinary Surgeons. 

Le hoja mekhoa e mengata ea phekolo e fumaneha, Tibial-Plateau-Leveling Osteotomy (TPLO) ke mokhoa o tloaelehileng oa ho phekola boemo bona..

Cruciate Ligament e Haotsoeng ke Lintja le Batho: Phapano ke Efe?

Le hoja meokho ea ACL ho batho hangata e amahanngoa le ho sithabela maikutlo, meokho ea cruciate ligament ho lintja e atisa ho bakoa ke ho fokotseha ho tsoelang pele ha ligament. 

Ha ligament e ntse e fokotseha, ho ka ba le tšenyo e nyenyane eo qetellong e tla lebisa ho senyeha, ho se tsitse ha lenonyeletso le ho se khone ho tšehetsa mojaro ka katleho.

Lenonyeletso le leng le le leng le hlahang, lenonyeletso le tla ruruha le ho feta. Ts'ebetso ena e qetella e lebisa ho osteoarthritis.

Matšoao a cruciate ligament hahola lintja

Ho ka 'na ha bonahala eka ho phatloha ha KCL ho lintja ho etsahala ka tšohanyetso, empa hangata ligament e fokola ka likhoeli tse ngata. Ha ho tluoa tabeng ea ho hlotsa, beng ba lintja hangata ba hlokomela ho holofala ho sa feleng ho nkang lihora tse 48 ho isa ho tse 72. Ho holofala ho ka ba matla kapa ho itekanetse.

Matshwao a tlatsetso a latelang a ka boela a bontsha ho phatloha ha KKS ho ntja:

• ho fokola ho leka-lekaneng kapa ho matla ha mesifa ea serope sebakeng se amehileng;
• ho teteana ha karolo ea masapo ea lengole le amehileng;
• ho fokotseha ha ho sisinyeha ha lengole le amehileng;
• asymmetry sebakeng seo ho dutseng ho sona, moo karolo e ka tlase ya leoto e leng teng ho tloha mmeleng.

A mang a matšoao ana a ka ba a poteletseng, kapa a se ke a bonahala ho hang. Bohloko bo totobetseng hase letšoao le tloaelehileng la CCL e phatlohileng. Le hoja ntja e ka 'na ea se ke ea phutholoha ho tsamaisa lengole, ho holofala ho ka bakoa ke ho hloka botsitso ho e-na le bohloko.

Lintho Tse Kotsing

Ho ke ke ha khoneha ho fumana hore na ntja ka bomong e tla hlahisa CCL ho phatloha ha lilemo, empa liphoofolo tse ling tse ruuoang lapeng li na le bothata bona ho feta tse ling. Hangata, lefu lena le bonoa ho lintja tse lilemong tse bohareng tse tsoang mefuteng e meholo. 

Ho ea ka phuputso e phatlalalitsoeng koranteng ea Acta Veterinaria Brno, mefuta e kotsing e kholo ea ho phatloha ha CCL e kenyelletsa Labradors, Rottweilers, American Cocker Spaniels, Chow Chows, German Shorthair Pointers, American Staffordshire Terriers le Brazilian Mastiffs. Liphuputso tse ling li bontša hore sena ke se seng sa maemo a seng makae a ka 'nang a ata haholo ho metsoalle ea maoto a mane a tsoakaneng.

Lintja tse se nang letho kapa tse se nang letho li na le monyetla oa ho ba le ho phatloha ha ACL. Ho phaella moo, li-bitches hangata li kotsing ea lefu lena. Ho ba boima bo feteletseng le hona ho baka kotsi.

Ho hlahlojoa le ho phekoloa ha cruciate ligament rupture ho lintja

Lingaka tsa liphoofolo li fumana KKL e phatlohileng ho latela liphetho tsa tlhahlobo ea 'mele, ho sebetsana le manonyeletso, le x-ray. Maemong a mangata, ntja e ka 'na ea hloka ho khutsuoa bakeng sa tlhahlobo le x-rays.

Le hoja opereishene ea TPLO e le mokhoa o atisang ho khothaletsoa bakeng sa liphoofolo tse ruuoang lapeng tse nang le KKL e phatlohileng, ho na le mekhoa e meng ea ho buoa e fumanehang, ho kenyelletsa:

• Simitri Stable in Stride implants;
• tsoelo-pele ea tibial tuberosity - TTA, Tibial Tuberosity Advancement;
• ho lekanya osteotomy e thehiloeng ho CORA - CBLO, CORA Based Leveling Osteotomy.

Leha ho le joalo, lintja tse ngata ha li na ho buuoa. Lipatlisiso tse hatisitsoeng ho Journal of Bone and Joint Surgery li bontšitse hore ho buuoa hangata ha hoa reroa le ho reriloe. Ka lebaka leo, mekhoa ea conservative e ntse e ithutoa haholoanyane. Tsena li kenyelletsa:

• boima ba 'mele;
• phomolo e thata;
• lithibela-mafu;
• phepo e nepahetseng;
• Phepo e nepahetseng e leka-lekaneng e etselitsoeng bophelo bo botle le ho theola boima ba 'mele;
• physiotherapy.

Haeba ntja e fumanoa e e-na le KKL e phatlohileng, ngaka ea liphoofolo e tla etsa moralo oa ho lokisa boemo le ho etsa qeto ea hore na ho tla hlokahala ho buuoa.

Opereishene ea TPLO ho ntja

TPLO e kenyelletsa tšebeliso ea ho kenya letsoho ho tsitsisa lengole. Sekhahla se etsoa ka har'a tibia ebe se potoloha hanyenyane ho fetola tsela ea tlhaho ea matla a sebetsang ka lengole. Joale, poleiti e khethehileng e sebelisoa ka ntle ho lengole ho tsitsisa mochine oohle.

Ke habohlokoa ho utloisisa hore ho molemo ha TPLO, joalo ka mehato eohle ea ho buuoa, e etsoa ke ngaka e buoang e sebetsanang le mekhoa e joalo. Ho etsa sena, o hloka ho fumana ngaka e netefalitsoeng.

Ho hlaphoheloa ho tsoa ho opereishene ea TPLO ho ka potlaka ka mokhoa o makatsang. Lintja tse ling li khona ho fetisetsa boima ho paw e sebetsang hoo e ka bang hang-hang. Ka nako e ts'oanang, mokuli leha e le ofe ea maoto a mane o tla rua molemo thutong ea physiotherapy. 

Liphoofolo tse ngata tse ruuoang lapeng li hloka ho noa meriana e bohloko, 'me kaofela li lokela ho roala lisebelisoa tse thibelang kotsi leqebeng la ho buuoa, tse kang molaleng o sireletsang. Ka mor'a ts'ebetso, ho hlokahala ho fokotsa ka thata boemo ba mosebetsi oa ntja. Ho hana ho kenya li-implant, moo mochine oa ka hare o hlōlehang, hangata o bonoa ho bakuli ba mafolofolo ba sa laoleheng hantle. 

Ho phaella moo, ke habohlokoa haholo ho utloisisa sesosa sa lekhalo. Ka mohlala, haeba ntja e le boima bo feteletseng, e beha khatello e eketsehileng manonyeletsong, kahoo ngaka ea liphoofolo e ka 'na ea khothalletsa hore ntja e fokotse boima ba' mele ho qoba ho phatloha ho hong ha CCL. U lokela ho mamela ka hloko litlhahiso tsa ngaka mabapi le mokhoa oa ho thusa ntja ho theola boima ba 'mele nakong ea ho hlaphoheloa. A ka boela a khothalletsa phekolo ea 'mele ho matlafatsa lenonyeletso..

Ho hlokomela lintja tse nang le mothapo o robehileng oa ka pele ho ntja

Ke habohlokoa ho utloisisa hore lintja tsohle tse nang le lefu la cruciate ligament qetellong li tla ba le osteoarthritis. Liphoofolo tse ling tsa lapeng li ka hloka phekolo ea nako e telele le meriana ea bophelo bohle, empa hangata phepo e nepahetseng e lekane ho laola boemo.

Lijo tsa boleng ke tsa bohlokoa. Ngaka ea hau ea liphoofolo e ka boela ea khothaletsa ho fa ntja ea hau lijo tse matlafatsang tse kang mafura a acids, glucosamine, kapa chondroitin. Hangata li kenyelelitsoe lijong tsa boleng bo holimo ho tšehetsa bophelo bo botle ba lintja tse nang le mathata a manonyeletso.