,UVhfjvj
ØwlsV fyxkesUV o fefuldl
vkidk
?kqVuk vfrlaosnu'khy isphnk tksM+ gS ftlesa dHkh Hkh vkdfLed pksV yx ldrh gSA
f[kykfM+;ksa o meznjkt yksxksa dks vDlj gfM~M;ksa dh chekjh dk lkeuk djrs ik;k
tkrk gSA fpVdus dh vkokt+ ds lkFk ;fn ?kqVus esa vpkud nnZ o lwtu vk tk, rks ;s
,d xEHkhj leL;k gks ldrh gSA ,UVhfjvj ØwlsV fyxkesUV ;k fefuldl esa pksV ds
dkj.k ,slk gks ldrk gSA
 |
| DR SUSHEEL SHARMA , Orthopedic surgeon, Shri Medishine Hospital explaining the topic |
,UVhfjvj ØwlsV fyxkesUV ¼ACL½
?kqVus dh pksV esa lokZf/kd pksfVy gksus
okyk fyxkesUV gS ,UVhfjvj ØwlsV fyxkesUV ¼ ACL½A fyxkesUV dh lgk;rk
ls gh gfì;ksa ,d nwljs ls tqM+h jgrh gSA ØwlsV fyxkesUV ?kqVus esa ,d nwljs ls
dqN ,sls feyrs gSa fd vaxzsth ,yQkcsV ^X* cu
tkrk gSA vkxs dh rjQ okyk fyxkesUV ,UVhfjvj ØwlsV fyxkesUV dgykrk gSA ;s ?kqVus
ds tksM+ esa tk¡?k dh gìh ¼Qhesj½ ds ihNs ls fiM+yh dh gfì;k¡ ¼fVfc;k½ ds vkxs
rd vkrk gSA
ACL ?kqVus ds tksM+ dk fu;a=d gSA ;s fu;af=r djrk gS fd fiM+yh dh gìh]
tka?k dh gìh ds fu;a=.k esa gh mfpr nwjh rd tk, ;k eqM+sA
 |
| Anatomy knee |
fefuldl
?kqVus ds tksM+ esa tka?k o fiM+yh dh gìh
ds chp dBksj o jcj dh rjg yphys fV'kw ekStwn gksrs gSa tks fd fefuldl dgykrs
gSaA
;s 'kkWd vclcZj ¼vk?kkr vo'kks"kd½ dk
dke djrs gSaA ;s dBksj o bZykfLVd gksus dh otg ls tksM+ dks yphys gksus esa enn
djrs gSa o mldks fLFkj j[krs gSaA
dSls gkssrk gS vkgr ACL o fefuldl
,UVhfjvj ØwlsV fyxkesUV
o fefuldl esa vkgr ?kqVuksa dh vke leL;k gSA-lkSlj] QqVcky] ckldsVcky tSls [ksy
[ksyus okys f[kykM+h vDlj vutkus esa vius ,UVhfjvj ØwlsV fyxkesUV esa pksV
igq¡pk nsrs gaSA
,UVhfjvj ØwlsV
fyxkesUV dks rc uqdlku igq¡prk gS tc f[kykM+h vpkud ls fn'kk cnyrk gS ;k
nkSM+rs gq, ,dne ls /khek gksrk gS ;k :d tkrk gSA t:jr ls T;knk ?kqVuk lh/kk
djuk ;k eksM+uk Hkh ACL dks vkgr igq¡pk ldrk gSA
oks f[kykM+h tks
dkUVsLV LiksVZ [kyrs gSa muesa fefuldl fV;j gksus dk [krjk jgrk gSA gkykafd
fefuldl fdlh Hkh mez esa vkgr gks ldrk gSA [ksy ds nkSjku dbZ ckj ?kqVuk eqM+us rd fefuldl fVvj gks tkrk gSA
cw<+s yksxksa esa T;knkrj fefuldy fVvj
gks tkrk gS D;ksafd dkjVsfyt le; ds lkFk detksj o <hys gks pqds gksrs gSaA
cpko & ACL
[ksyrs o oftZ'k djrs le;
lgh rduhd dk mi;ksx djsaA T;knkrj dkyst esa f[kykfM+;ksa dks ,UVhfjvj ØwlsV fyxkesUV ij LVªsl de djus ds rjhds
fl[kk, tkrs gSaA
ACL pksV
ds fy, izkFkfed fpfdRlk
Û vkius iSj dks ân; ds ysoy ls Å¡ps ij j[ksaA
Û ?kqVus ij cQZ yxk,aA
Û isudhyj tSls fd vkbZcwQsu ysaA
ACL pksV
esa ;s fcydqy u djsa
Û xEHkhj pksV yxus ij viuk ?kqVuk u pky,aA
Û LifyaV dk mi;ksx djrs gq, ?kqVuk rc rd lh/kk
j[ksa tc rd fo'ks"kK ls ijke'kZ u ys
ysaA
Û tc rd vkidk mipkj u gks tk, rc rd fdlh izdkj
dk [ksy o dk;Z esa Hkkx u ysaA
fefuldl fVvj ls cpko
·
[ksy ds nkSjku lgh QqVfovj
dk pquko djds vki bl izdkj dh pksV ls cpko dj ldrs
gSaA
·
iSj dh ekalisf'k;ksa dks
;fn oftZ'k djds etcwr djk tk, o muesa f[kapko c<+k;k tk, rks fefuldl fVvj ls
dkQh gn rd lqj{kk izkIr dh tk ldrh gSA
·
[ksy esa lgh rduhd fefuldl
fVvj ls cpkus esa ennxkj gks ldrh gSA ftu [ksyksa dks xfr ls [ksyk tkrk gS
muesa dkVuk] eqM+uk o dwnrs oDr ySUM djus o :dus dh rduhd dks lh[kuk vko';d gSA
ACL VªhVesUV
ACL Bhd djus ds nks rjhds gS lftZdy o uku lftZdyA
uku lftZdy VªhVesUV
1- cszflax
& ;fn vki cqtqxZ gSa o vkidks de dk;Z djuk iM+rk gS rks fo'ks"kK
czsflax dh lykg ns ldrs gSa ftlesa vkidks Øfpl fn, tk,axs tks fd iSj ij vR;f/kd
Hkkj ls cpko djsaxsA
2- fQftdy
Fksjsih & lwtu tSls tSls de gksrh gS pqfuank oftZ'k iSj dh
ekalisf'k;ksa dks etcwr cukdj vkids
?kqVus dks pykus esa enn djus
yxrh gSA
lftZdy VªhVesUV
T;knkrj ACL fVvj dks iqu% flyk ugha tk ldrk gSA fo'ks"kK fV'kw xzkQ ls QVs gq,
fyxkesUV dks cny nsrs gSa ftlls fyxkesUV fQj ls cu tkrk gSA ltZjh djds MkDVj bl
izdkj ACL dks lgh djrs gSa o ?kqVus dh fLFkjrk ykrs gSaA
fefuldl VªhVesUV
vkjFkksLdksih oks
lftZdy rjhdk gS ftlls FkksM+k ;k fQj iwjk [kjkc fefuldl gVk fn;k tkrk gSA
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