Kutsemuka of patella: Zviratidzo neMarapirwo

Kutsemuka of patella rinogona mhando dzakasiyana. Yemanyorero muitiro iri pamwe edema uye gumbo marwadzo nezvekufadza, izvo yakakura mune flexion uye anoshanda tibia. With ichi vagari kukuvadzwa sezvo murwere havagoni kufamba.

Anatomy of mbiya

Patella - a sandara woita pfupa rinogarira pemvura ibvi muhudyu kubva mberi. To pamusoro mbiya quadriceps mudzira zvakabatanidzwa, iri parutivi. Uyewo kutara rinoitwa uye kuderedza yayo patellar shwashwa. Kunze uye mukati pfupa inoomerera lateral nemarunda.

The anotsvedzerera pose patella riri mukati, yakabatana imwe pemvura yaiva pamusoro ibvi. The yokunze pamusoro ndiyo yakaoma. Zvinonzi akafukidzwa fibers mudzira. The patella ndiyo kudzivirirwa ibvi panguva ekushandiswa uye kukuvara.

The Mhando chikuru mitswe

Kusiyanisa pakati zvinotevera marudzi mitswe:

• Patella kutsemuka pasina misha. It kunoratidzwa ndechokuti chikamu zvakakuvadza pfupa, kwete misha, vari pedyo mumwe nomumwe. Kana kuzotadzira ichi mhando mapfupa yose kurapwa anoramba panzvimbo.
• Kutsemuka pakuvapo kutsvetera. It kunoratidzwa ne misha zvimedu ari patella pachinhu mumwe. Kazhinji, kuvhiya kunodiwa yokubatanidza zvimedu.
• Pakakuvara paine muzvizhinji zvimedu. It kunoratidzwa ndechokuti mbiya akapwanywa zvimedu anopfuura matatu. kuchinja uku kuonekwa chinonetsa uye kunoda kurapa-refu.

Open uye up siyana kutsemuka

Patella kutsemuka rakakamurwa akazaruka uye Akanyatsovharwa mhando.

In namahwindo chimiro pakakuvara ganda iri kutsemuka nzvimbo haisi pasi kukuvara. Ichingova node.

Pakachena mhando pane kutyora ganda mamiriro kubva icho kunoonekwa musoro mapfupa akasimba. Mukuwedzera, noruvazhe mhando kunokonzera zvakakomba nokuvhiringidzirwa chidziro dzakapoteredza nemarunda, nemarunda uye tsandanyama.

Sezvo pane kutsemuka?

Kazhinji, munhu pakakuvara pakati patella - mugumisiro kugamuchira yakananga kukuvara kana kuwira pasi ibvi flexed kana kushanda yakapinza kana zvakaoma zvinhu. Kunanga mhando kukuvara zvinogoneka kuburikidza kamwe marwadzo ari quadriceps femoris.

Kunopiwa mashandiro zvakavhenganiswa mhando, umo pakakuvara ndepana mubatanidzwa zvinhu zvakananga uye zvisina kunanga kukuvadza.

Patellar kutsemuka runowanzotaurwa nezvarwo, kuzotadzira vachikotama muchina yaiva divi (quadriceps mudzira fibers riri muhudyu).

Kana iwe Munoputsa nemarunda pane kusawirirana mune patellar mapfupa zvimedu.

symptomatology dhemeji

Sei hworatidza pacharo akatyoka mbiya?

Zviratidzo ndeinotevera:

• Kana zvaparadzwa sokuti kwazvo ibvi kuzvimba ari ibvi rwakashodoka.
• Palpation kwakaratidza marwadzo, pane kuvapo nemaburi nezvimedu rikauya hemarthrosis (vakamhanyira ropa iri ibvi vadyi).
• Kazhinji anozivisa zvemamiriro mufambo uye Kuwanikwa crepitations (crunch) pfupa zvimedu.
• Marwadzo kana ukaedza zvakabaya ibvi unopinza. Active ekisitenjeni zvisisakwanisiki kana nehasha shoma.
• Kana kukuvara pasina kuchinja murwere haadi havachakwanisi kufamba, asi kufamba vari pamwe unopinza kurwa manzwiro.
• Kutsemuka of patella pamwe pamberi kutsvetera kunoita kufamba hazviiti. Uyewo, murwere anogona kumutsa pabazi zvakazara unoratidzwa ehurumende uye kuti pave vanoshingaira kwebasa muhudyu.

diagnosing kukuvara

Diagnosing kutsemuka kunotevera chiremba kuitwa pahwaro ari kurapwa mufananidzo, izvo kwese hworudzi urwu lesion. Data yaunganidzwa X-ray diffraction kuongorora uyewo nokushingaira kushandiswa.

Zvimwe nzira diagnosing zvinokuvadza ari rinobva resonance kuri pakati njodzi rwakashodoka. Hemarthrosis kwakaitika chirwere ponji ari muhudyu.

Differential kuongorora chirwere

Kutsemuka mukombe ibvi riri kusiyaniswa patellar shwashwa atsamwira, atsamwira pamusoro quadriceps mudzira uye kuvapo arthritis, kana dzechimwe hunhu prepatellyarnogo bursitis. In ose pamusoro nyaya hazvigoni kurondwa kuvapo mukaha pakati mafupa zvimedu.

Kutsemuka of patella anofanira kusiyanisa nemunhu zvemamiriro kuvandudzika pejoinhi (kutsemura mbiya). Kusiyana nokutyora, zvokurwara ichi haasi kupa inopinza kunotevera uye kurwadziwa. Musiyano uri pakati pfupa zvimedu zvakasiyana evenness uye kumeso. Kazhinji, chirwere akadaro dzakaonekwa kumativi ose.

mabatiro

Selection imwe nzira yokurapa kunoenderana huru zviviri on: rudzi uye hunhu pakakuvara zvimedu zvaizopedza.

Mitswe vari yakatsiga uye kugadzikana. Kana yakadzikama chimiro ruchigona idzokere. Kusagadzikana chimiro zvinoreva kuvapo mitswe umo pfupa kwakaita kana anogona dzinofamba pamusoro nguva.

Misimboti kuchinja kurapa

Vanhu vakawanda vanonetseka sei kubatwa musoro mbiya? Marapirwo pamberi kutsvetera pamusoro 0.5 masendimita ari kuitiswa kuchinja nzira. Nokuti kuita kurapa kwakadaro anonyanya akaita veko yokutindivadza pakakuvara kuburikidza kutungamirira dzokutindivadza.

Chinozoiswa pachishandiswa Kuda kutamba ose njodzi muzvidimbu varinamire murwere tai apo kutamira pamusoro madondoro. Mushure dzichibvisa tai inokurudzirwa kuita kukwizwa, panyama kurapa muzvirongwa. Also vakatapwa physiotherapeutic kurapa (electrophoresis magnitolazer, et unto.).

Pasina kwaakarerekera wakakanganiswa muzvidimbu ndee mune kunogadzirisika mamiriro. Seari nebhazi nesuko pamusoro yehudyu kusvikira neketani pachayo. Kazhinji, nguva imwe Kuda kutamba akadaro mavhiki 4-6. It kunoratidzwa wakabata X-ray kuzvidzora.

Kuchinja mabatiro kunosanganisira refu immobilization pamusoro muhudyu, inova kukura - refu uye painstaking muitiro.

kuvhiya kupindira

Maererano kunotevera, pakakuvara ari patella pamwe patella misha nezvimedu kupfuura 2 mm kunoda kushanda umo nezvimedu zvakafanana, pane kudzorerwa articular pose patella uye Kuda kutamba. Kubvisa hurumende dzisiri kuvhiya nzira yakadaro hazvibviri.

Kana kuvhiya kupindira anogona kuiswa vachishandisa nzira dzakasiyana-siyana suture nyoro zvinyama, mapfupa muhudyu uye tsandanyama nemarunda mapurasitiki.

Method droops kunyanya dzakakurumbira vakava oparesheni Schultze-Berger, umo convergence nezvimedu kunoteverwa kupinza pamusoro patella munyama pedyo. Ya immobilization pashure Kuvhiya uri 1 mwedzi. Pashure nokubviswa tai kubva gypsum basa masaja, physiotherapy uye physiotherapy.

In pamberi mitswe zviri muzvizhinji nezvimedu uye nekusagona adzikunure patella akanga excised kuvhiya kupindira kushandiswa, iyo inosanganisira kubviswa pfupa zvimedu kana patella.

Kana zvichibvira kuponesa vadyi, haisi akakurudzira kuitisa kwacho.

How kutsanya ikarapwa pakakuvara ari mbiya? Treatment nguva kunobva mwero kusabatana pejoinhi. Kazhinji, vapore kunoitika muna 2 months. Kana vagari vatore ropa, zvinofanira kubviswa nokuda ponji yacho patella. Kana nyore siyana mitswe kupora yakazara kazhinji kunoitika mukati 3 months.

Rehabilitation uye physiotherapy

Pashure achibvisa tai kubva varinamire vanofanira zvakaitika remedial matanho, izvo zvinosanganisira kuva aikosha muviri, kurovedza kurapa, uye muviri. Zvakakosha kuti matanho ose vapore, maitikiro vavo vachasimbiswa kubudikidza kupinda chiremba.

An rinokosha iri reDare enderana muviri, sezvo ivo vari nzira yakanakisisa kukudziridza ukama rwakashodoka.

Akashandisa seti kurovedza vaigona kutarira seizvi:

• rutsoka A ineutano kuisa pasi akuvara gumbo, akaita kushingaira kufamba mudenderedzwa iri ibvi rwakashodoka.
• Murwere akamira pedyo pamadziro. Shure kwake huru bhora nayo akaita squats.
• It abudisa achifamba wekusimbisa muviri zvisizvo. Rate vanofanira kuva anopfuura 2 km paawa.
• Akaita chiitwa pamusoro mira bhasikoro pamwe chinoramba chichingorerutsa mitemo asisiri kupfuura masendimita 10. Chigaro inofanira papi nenzira kuti njodzi gumbo raigona anombotwasanudza zvachose.
• Kunze vachisvetuka pamusoro akuvara gumbo. An ezvinhu chinokosha kusavapo kurwadziwa.

zvinogoneka yematambudziko

Chii chinogona kukonzera pakakuvara ari mbiya nemigumisiro? Zvinofanira kucherechedzwa kuti kuchinja nzira kurapa chaizvo mukana Fusion emunhu mapfupa ari ibvi vadyi, izvo zvinozoita anogona kanganisa ayo nerevane kutungamirira kukudziri- chakakomba pathological ezvinhu akadai chemajoini kana gonarthrosis mbiya.

mhedziso

Patella kutsemuka chinhu kukuvara. Zvinofanira kucherechedzwa kuti ezvinhu akadaro pane kashoma zvakakwana. Kazhinji, kusabatana kunoitika apo anorovera kana tsaona. In zvinoitirwawo chirwere chakadaro chinofanira kuva nekukurumidza kukumbira rubatsiro kuna traumatologist. In kuitisa yakakodzera chirwere maitirwo ezvinhu chiremba anogona kuona ukuru kuparadzwa kwemajoini uye kusarudza zvakakodzera kurapwa nzira.