Cruciate shwashwa atsamwira ibvi: zvinokonzera, rwekutanga, kurapwa

Kunotevera, izvo zvinogona kuitika chero nzvimbo uye mumamiriro ezvinhu akasiyana, ndiye atsamwira pamusoro cruciate shwashwa yacho ibvi. Kazhinji nokuda vakadaro kukuvara murefu kuvhiya vanhu vanotungamirira Mobile upenyu, uye vatambi. Vose nemarunda ibvi ndivo zvikuru kubatwa kukuparadzai cruciate sezvo zvezvisarudzo dzichipfekeka nemarunda uye anenge ose kufamba vari kunze avo kupindura.

papi kukuvara

Ibvi cruciate shwashwa atsamwira inotengwa nevanhu zvazvinoita kana simba rinotungamirirwa kubva shure ibvi, kana zvayaitenderera paguyo munzvimbo dzapasi gumbo ari hwakakungwa chinzvimbo. dzimwe nguva Kukuvara achabatsirwa mitswe majoini chete nemarunda, hunobata kurapwa kwacho. maviri lateral nemarunda uye articular Kamudzira mukukuvara kukuru zviri kuparadza zvose cruciate nemarunda yakasanganiswa, zvinokonzerwa zvinozarurwa nechitarisiko "kusunungura" pamusoro vagari uye nekusagona kushandisa makumbo kana achifamba. Kupatsanura kuti shwashwa kukuvara sezvinotevera:

• mwero kutambanuka zvinosanganisira kuenderera mudzira kukuvara uye nemaziso fibers vokutanga, kusagadzikana Kurwadziwa, akatsvuka ibvi, kuzvimba, zvishomanana zvava kundiomera kufambisa muviri;
• dhigirii yechipiri inosanganisira zvakawanda hwatsvuka fibers, Zviratidzo zvose zvataurwa pamusoro apa dziri kuratidzwa zvikuru dhigirii, vagari chikamu unotii;
• dhigirii rechitatu kunoratidzwa aparadzanisa pamusoro tsandanyama kwakakwana, pane kamwe kamwe kurwadziwa, pane hematoma guru, kuzvimba, vanovimba akuvara gumbo hazvibviri, pejoinhi dzakadekara ezvinhu.

Kuitisa zvokurapa ongororo

Anoongorora wakuvara nyanzvi - traumatologist, yaanosarudza kana anoitwa ibvi, zvichienderana kwokuomerwa akatyoka kudiwa. The kutanga kudzidza ndiko kuitisa ongororo uye palpation pakati njodzi ibvi.

Danho rechipiri iri nemwaranzi chirwere, zvichiguma lateral X-ray rinodhindira uye yakananga maberere. Mune zvimwe zviitiko, nokuti zviri nani maonero mapfupa vaishandisa computed tomography. Clear Visualization of nemarunda, tsandanyama tarirai MRI. Pashure paizvozvo, migumisiro kukuvara kunotemwa ane anokudzwa zvakarurama.

Chiremba akabata Lachman bvunzo, riri kuti murwere anoiswa pamusoro musana wake uye akafukidza rworudyi wake shure yehudyu. zvinyoronyoro Left ruoko sungisa ari proximal chikamu tibia mberi. The mhedziso yokuti mwero wokuparadza cruciate tsandanyama kuita, kwakavakirwa mukana nominating Joint mberi uye mataurirwo anotarisa zvimba ibvi.

Zviratidzo hanya ne ibvi kukuvara

Dzimwe nguva varwere vakagamuchira zvakakanganisika, regai kuteerera kuchinja unhu pejoinhi kana achifamba. Kana mwero kukuvadzwa chiedza, ipapo kusagadzikana pamusoro muhudyu pamusoro nguva inopfuura. Kusava nehanya zviratidzo yemajoini kunotungamirira kwemajoini kukura, kunyange pakati uye mangwanani zera. Pashure pfupi murwere anoenda kuna chiremba ane simba mumatenhere munyama dzakapoteredza ibvi. Kuzvimba ibvi anofanira kusunungurwa kubva pamwe mvura.

Anterior shwashwa atsamwira kunotungamirira kukudziri- hemarthrosis pamwe yakarohwa ropa clots mu yomukati pamwe mhango. Somugumisiro kushaya hanya utano kwakadaro kunoratidzwa kurwadziwa zvikuru kuti haibvumiri nyanzvi kuitisa ongororo ne palpation.

Cruciate shwashwa atsamwira pamberi ibvi

Zvaiitwa tsandanyama mudzira chinhu pamwe kudzivirira kubva vachikotama negwara risiri. By kunotevera kunokonzera mamiriro ezvinhu apo munhu zvakasimba tsoka wakasimba pamwe tibia, asi chinodiwa ezvidzidzo dzeraundi chitsungo chokunze. Impact zvinoreva kunanga mhando, uyewo kumhara pashure akatadza kusvetuka. Zvisina kunanga zvainoita ibvi vadyi ndiwo mugumisiro nemafambiro ari chikwata mumitambo.

The mhando chechipiri - zvakananga raparadza - zvinoreva avo zviitiko apo cruciate ibvi shwashwa atsamwira kunoitika apo kushandiswa nekukuvara yacho kana kuwa. Mitambo yakadai Hockey uye yebaseball anowanzoramba mukukuvara dzakadaro. Atsamwira nechemberi cruciate shwashwa ibvi kukuvara chakakomba uye chiri kubatwa nyanzvi. Kushandisa kuchinja nzira havasi kutungamirira kumigumisiro yakanaka, anenge zvose varwere vane kuzvimba uye kwakawedzera marwadzo mushure chiitiko.

Zvakuvadza rwemberi cruciate shwashwa

Ichi tsandanyama tendinous riri seri Anterior cruciate shwashwa. zvakakanganisika wayo ishoma, nokuti hunhu boka zvakanaka kudzivirira. Zvikonzero pakakoromoka shure nemarunda kuva simba nokurohwa pamberi ibvi kana kuderedza gumbo. Kurwisa kwakadaro rwakavapo netsaona, tsaona dzemotokari, mitambo makwikwi. Kana paine fungidziro kuti posterior mudzira atsamwira, tarisa kushanda hurumende polsterolateralnogo angled (posteroexternal kwemajoini dhipatimendi). In anopfuura 50% of dzichienderana pfupa kutsemuka uye posterior cruciate shwashwa atsamwira. Treatment rakaoma vaviri rutapudzo enyika.

Kuziva zveshure shwashwa atsamwira

The maitiro chiratidzo iri zvishomanana subluxation zviri tibia kurutivi rwemberi chinzvimbo, zvinogona kuonekwa zvakajeka pamusoro X-ray. Panyaya iyi Ultrasound haaratidzi kwokuomerwa dambudziko. Murwere anonzwa kurwadziwa ibvi, kuva zvinyama kuzvimba, vadyi kufamba kana muchifamba anova tyisa, pane kunzwa usingabatsiri uye kusagadzikana mune ibvi.

Kuchinja mabatiro yokuputsa shure tsandanyama

Kusiyana Anterior cruciate mudzira, posterior kurapa ane zvakanaka simba. Kudzorera cruciate shwashwa Kuda kutamba kunoda yatarwa quadriceps pechidya tsandanyama kuti anoita basa netsoka motokari. Kana chete zveshure shwashwa misodzi kunoitika, murwere vakazvimiririra aidaro vapore, kuita kunzwisisa zvinhu muviri.

Rokudzorera jimunasitikisi nyore asi rinomhanya dzose, maekisesaizi kunoita chiremba. Taurira Anti-anogumbura zvinodhaka, inonyaradza marwadzo omusoro, diuretics.

Kuvhiya Kupindira panguva yokuzorora posterior shwashwa

Kuvhiya kupindira akatsunga prosthesis muchibereko munhu chakaita zvokugadzirwa zvinhu, kana kuunzwa kuisirwa. Sadza nemarunda musaita, sezvo nzira iri akaneta. The chiremba inoshanda pamwe hunenge ibvi chete kana vaviri pakakuvara kana atsamwira chokuita nodes. Kana pane zvishomanana misodzi kana kuminyuka, mishonga rinoitwa sezvo vapore pashure akuvara.

Mabatirwo cruciate shwashwa atsamwira mberi uye neshure nzvimbo

Kubvisa ropa clots kubva munzvimbo yomukati ari muhudyu kuita ropa zvakabudiswa uchishandisa jekiseni. Chokwadi pane zvinosara pashure ichi mufambo nzira vanodzinga meniscal atsamwira uye seari gypsum.

Gumbo iri wakaiswa nzvimbo iri pamusoro mwedzi, ipapo anozodzidza kuchirapa masaja, panyama dzidzo uye physiotherapy unyanzvi, achiporesa chose ibvi cruciate shwashwa atsamwira. Rehabilitation zvinotora inenge 3-4 mwedzi, akadzorera kugona kushanda.

Kuvhiya ibvi kunoitwa pakarepo mushure kukuvara, pane ngozi yematambudziko ari pejoinhi. Kuita pakaita kuvhiya kupindira chete panyaya kana zvinokuvadza zvakaitika kukamurwa nekupatsanurwa repfupa tishu. Zvadaro chikamu ichi wanamatira runotikurudzira pfupa akaisa nesuko.

Yokutanga matanho kunotevera

Munhu akaiswa ari supine chinzvimbo. Akuvara gumbo anoiswa pachishandiswa shims kuitira kuti njodzi vadyi riri pamusoro ufanane nomuviri. Izvi zvinoita ane water drainage kuti Urume uye ropa kubva dambudziko munzvimbo. Shandisa chero nzira kutonhora ibvi, ndiyo yakanaka kushandisa tsonyera pamusoro chando kwemaawa maviri.

Kana paine mukaha cruciate ibvi nemarunda, nenguva inopiwa kubatsira kudzivirira chimiro yematambudziko, aivabatsira apore. Non-nyanzvi rokuongorora vasvike chiremba asati zvakaoma chaizvo, saka kana pane kubvuma kuti hapana gwanza, uye murwere yakagamuchira kuminyuka, unofanira kushandisa zvose njodzi kana yokumbozorora.

Quick rubatsiro kukuvadzwa mbiya

Kana murwere akakuvara wake ibvi, zvokuita panyaya iyi? The maminitsi rokutanga pashure zvinokuvadza kugadzirisa papfuura pakudzorera kwemajoini utano. Kana makuvaro kwakaitika mumugwagwa, dana amburenzi, asi yake kusvika pamberi kutora vokutanga matanho kuderedza kuzvimba. Murwere agere pagomo Somuenzaniso, imwe bhenji uye edza kuisa pasi akuvara gumbo upi zvinhu kuti gumbo pakuiswa yakakwirira sezvinobvira.

Shandisa chando pamusoro dambudziko, kana murwere akuvara wake ibvi. Zvakadini kana pasina chando? Kubatsira inotonhorera zvinhu: zvirongo, hombodo - zviri chinodiwa kuchitonhora mvura panguva pfupi zvikamu. Kutonhora achasika yomunzvimbo aienda midziyo ropa uye kuderedza kupararira edema, ropa.

Kudzivirira ibvi kukuvara haisi kunotevera zvakakwana nguva dzose zvinoitika tisingazvifungiri, saka rubatsiro rwekutanga kunokosha. Vamwe vanhu havana kuzviita kuti kukosha kune izvi, Kukuvadzwa chapfuura, asi dzimwe nguva makore mashoma dambudziko rinotanga kwemajoini mufambo nokuda zvishoma nezvishoma kuva matambudziko.

Mabatirwo patella kukuvara

Kana contusion simba rinoitwa ponji nechinangwa kubvisa vaunganidza ropa uye mvura mvura. Nokuti kurwadziwa unoshandiswa inonyaradza marwadzo omusoro akadai "Analgin", "diclofenac", "Dollar", "Ketanov" uye vamwe. Joint lubrication mafuta kubva mavanga unobereka nzvenga chiito. Kumanikidza kutara chifuramabwe usingabereki kuita kufamba zvachose, chete kunobatsira kudzivirira kusimba vadyi kubva zvisingakoshi mupfungwa.

Kushandiswa kuchirapa muviri

kurovedza muviri uye kurovedza anobatsira zvakazara kudzosera ibvi cruciate shwashwa atsamwira. zvakakomba Kukuvara zviratidzo kunyangarika, uye ndipo panouya pakupora nguva. Condition nokuti kutanga zvidzidzo ndiyo kumira marwadzo. Aidaro nguva, 2-3 kanomwe pazuva, itai zvose zviitwa 10 nguva imwe neimwe. Huru muviri ndiwo:

• extensors uye flexors pamusoro pebvi kwemajoini kufamba, izvo munyoro kukuvara chokuita mutoro, asi zviri vakurumidze atsamwira pakati nemarunda pashure mutoro;
• Pachirehwa ane unyanzvi pakati kunofambira mberi magetsi ari muhudyu uye neketani tsandanyama kunatsiridza matauriro uye zvinoita kuti ropa sezvo vapore pashure akuvara;
• kusimbisa gumbo tsandanyama norutsoka inoshandiswa tenderera kumativi;
• Mavhiki maviri pashure zvinokuvadza, vanoita nyore poluprisedaniya pamadziro, mabvi panguva iyoyowo kutarisira, shure dzitwasanuke;
• Zvinotevera muviri kuwedzera pamusoro tiptoes kuti maximize kusimbisa mhuru tsandanyama;

• Exercises anoteererwa nomwedzi wechitatu kurwisa kudzidzisa pashure kukuvara, tora dumbbells duku muruoko, squats anoitwa mune chinzvimbo;
• Kurovedza richava kunonoka vanofamba masitepisi uye nemakirasi ari mira bhasikoro.
• kuti zuva netsoka akatsunga nomumwe, zvichienderana mamiriro utano.

Kukuvara zviitike zvisingatarisirwi, asi unofanira kuvabata zvakakomba, haagoni kuregwa kana sprained shwashwa kukuvadzwa mune nyasha kuzara pabasa kana mamwe mabhizimisi. Usava kurapwa uye kukwana vapore anova chipingamupinyi kune dzose kushanda muhudyu mumakore anouya uye kupa chimwe chinhu chakarambidzwa kufamba mune vakwegura.