Syndesmosis - chii ichi? Tibiofibular syndesmosis atsamwira

Kana kutsvaka ruzivo pamusoro kukuvara siyana nemarunda uye mapfundo, anogona kuwanikwa rokuti "syndesmosis". Shoko iri rinoreva munhu anononoka-kubvongodzwa kana mira mapfupa vadyi dzemuviri. Kukuvara ichi shwashwa hazvizivani, kunyanya kana totaura vatambi kana vanhu vane basa rinosanganisira zvikuru kurovedza muviri. Saka chii chinonzi syndesmosis, uye mugumisiro achimukuvadza? Ko pakakoromoka ichi ngozi mhesano uye chii mishonga kupa mushonga ano?

Syndesmosis - chii ichi?

Sezvo chikazozikamwa, muna locomotor mamiriro mapfupa evanhu zvakajeka pamwe chete sezvo chinjwa uye mira. Somuenzaniso, pezvisungo zvenguvo marangwanda ari unobatanidza nhengo, achiita kufamba. Kana tiri kutaura pamusoro wakaiswa majoini, pane chokwadi kunzi syndesmosis. Izvi kubatana nzira nokuda gobvu connective tishu tambo. Zvivako kwakadaro regai kuriritira kufamba. Somuenzaniso, zvinonzi ndizvo articulated pakati yedehenya pfupa rimwe vertebrae spinous urongwa, uye tibia mapfupa honokono.

Chokwadi, pane akasiyana vanoverengeka yeimwe yakadaro. Kamudzira syndesmosis - ndizvo unogona kuona, funga kwemajoini fibula uye tibia. Asi mapfupa dehenya chokuita mumwe mhando dzakasiyana-siyana "vazvo".

Features syndesmoses Kukuvara

Haiwa, syndesmoses kukuvara haisi zvechienzi. Kazhinji pane mukaha pakati membranes tibia. Neketani Kukuvara kazhinji kunyorwa vatambi apo kusvetuka kana kumhanya. By chete Kukuvara asingatani ballerinas, gymnasts sekasi acrobats.

With dzechimwe pfungwa kukuvara uye kukuvara musana uve pakaputsika mapfundo pakati mapfupa. Neonates syndesmosis atsamwira pakati dehenya zvivako dzimwe nguva kunoitika munguva ndima kubudikidza nokuberekwa Canal. Asi kana munhu compression pakakuvara ari nomuzongoza murwere vari kuona haasaruri kukuvara kana ndichisveerera kuti fibers - nemarunda pakati vertebrae.

Distal tibiofibular syndesmosis uye pakakoromoka

Maererano nenhamba, 10% kukuvara neketani sprains nechokuita kunotevera mamiriro anonzi "tibiofibular syndesmosis." Zvinonzi kukuvara kubva ichi hapana angati, sezvo Kamudzira anogona ruchatambanudzirwa kana kukuvaradzwa apo yakasimba chokunze vachishandisa kutenderera rutsoka apo kuudza sock mukati.

Ukuwo, pane vanhu vari tichikurumidza kukuvara nokuda basa uku - ndicho vatambi, vachitamba, acrobats, uye zvichingodaro D. Nenzira, dzose akapfeka mukuru-heeled shangu, kunyanya kusagadzikana simuka, kunowedzerawo mukana wokuti ndichisveerera tibiofibular membrane..

Zviratidzo tibiofibular Kamudzira kukuvara

Damage distal syndesmosis - iri dambudziko zvakajairika, uye pamwe zvikuru kwazvo kunotoda mufananidzo. Kazhinji, wokutanga chiratidzo chinhu marwadzo. Zvisingafadzi nezvekufadza vari yakakura zvikuru panguva kufamba kana kana ukaedza kushandura nzvimbo rutsoka. Nounyoro pamusoro palpation zvakare kunowedzerwa.

Chimwe chiratidzo chinhu nyoro zvinyama kuzvimba vakakomba zvinokuvadza - kuzvimba inowedzera nokukurumidza, kuwedzera panyaya kwemaminitsi. Rutsoka murwere anowanzonakidzwa kumanikidzwa, kujairika nzvimbo - kakawanda zvikazooneka. Mukuwedzera, ganda munzvimbo kukuvara rakatsvuka, kazhinji zvichiita kuti mucherechedze duku subcutaneous hemorrhages.

Chokwadi, rokuongorora tibiofibular syndesmosis atsamwira, zvinoda vamwe yokuedzwa. On kuongororwa mumuviri, chiremba anogona nechekare chifungidziro kuvapo kunetseka kana Kamudzira zvakakanganisika, asi kuti kuongororwa zvakarurama uye kutsunga kurapwa regimens vanofanira kumbotambudzika X-ray kudzidza. Mifananidzo nyanzvi kunyatsoona pakuwedzera musiyano pakati mafupa, uyewo kuona yokuzorora mutsetse uye cherechedza kuvapo mitswe.

Kuchinja kurapwa uye mamiriro ayo

Nokuti kutanga anofanira kuchinja kurapa. Kuti aivabatsira murwere ezvinhu, marwadzo, yakasvikawo, vakabata novocaine blockade. Chinangwa chikuru chemusha yokurapa iyi - kuvakanganise pabazi tsonyera mezhdubertsovuyu pakakoromoka uye kubvumira nguva kuti munyama kudzorerazve hwavo. Zvinonzi saka chinokosha vanzwe kurapa ndiko chakakandirwa, iro rinoshandiswa nenzira imwe shangu. Kupfeka varinamire achava pamusoro 5-6 mavhiki.

Ipapo bhandeji yabviswa uye vakaritsiva pamusoro bvisika tai - iyi, vanoshingaira kufamba vari yemabhuku, asi murwere inoda vapore. Nokuti chinangwa ichi, vanhu vanowanzofunga kuti taurira zvakasiyana physiotherapy uye kugara kukwizwa. Zvakakodzera uye inokosha zvokurapa jimunasitikisi, riri kuitwa pasi pokudzora nyanzvi, kuti iye otora mumwe yakatarwa kurovedza, unopisa nguva uye runoenzanirana mutoro.

Syndesmosis atsamwira kazhinji Rinobatanidzwa mamwe makuvaro, kusanganisira nokuvhiringidzirwa ropa riyerere chakaipa. Somuenzaniso, matambudziko anogona kukonzera thrombosis ari mutsinga, saka mamiriro ezvinhu murwere kuti airinda akatibvunzisisa uye, kana zvakakodzera, kupinda zano anticoagulation mishonga.

Pakarepo zvinofanira kutaurwa kuti kuchinja kurapa - yakareba kwacho. Kazhinji, kuti zvakazara adzorere mufambo nemano mumuviri, murwere anoda zvinopfuura 6 mwedzi.

Mune zvimwe zviitiko, kuvhiya kunokosha?

Sezvineiwo, kumwe kurapa hakusi kubudirira ose nyaya. With simba kunotevera, kururama splicing mapfupa uye pasina kubata chaiko mishonga chiremba angasarudza kuvhiyiwa.

Nhasi, kune nzira dzakawanda kudzorera shwashwa. Kazhinji, iri nzira, muchibereko chisungo chitsva. Zvinonzi aumba kubva akachengetedzwa nemarunda, fascia Lata uye micheka yakatsemurwa Dacron. The tibia kuita chaiyo migero, izvo tutira vakasungira. Sezvineiwo, muna 92% nyaya kuvhiyiwa kuri kubudirira, uye kudzoka anoshivirira mufambo.

Pane imwe nzira, kureva kushandiswa compression screws akaita resimbi chiwanikwa. sikuruwa Izvi akasungirirwa makachengeteka mashandiro - nayo unocherekedza kuti tibia pane imwe nechokure, kwete achivabvumira kufamba kana coalesce.

Chero zvazvingava, zvakakosha kunzwisisa kuti hunenge syndesmosis - iri dambudziko chakakomba, uye nokuzvidzora ari kukodzera pano. Pakarepo mushure zvinokuvadza vanofanira kuona chiremba.