Cruciate mitsempha chotupa bondo: zimayambitsa, thandizo, chithandizo

Vutoli, zomwe zingachitike pa malo aliwonse ndi m'mikhalidwe yosiyana, ndi chophukacho wa cruciate mitsempha ya bondo. Nthawi zambiri chifukwa kuwonongeka ngati maopaleshoni mtima ndi anthu amene amakhala ndi moyo m'manja, ndi masewera basi. Kwa tendons onse bondo ambiri atengeke akugwera cruciate pakati pa tendons kwambiri zinchito ndi pafupifupi magulu onse akutsatiridwa ndi chotenga mbali.

mmene kuwonongeka

Bondo cruciate mitsempha chotupa analandira mwa zimakhudza kapena mphamvu imatsogoleredwa kuchokera kumbuyo bondo, pamene zimayenda mu mwendo m'munsi mwa udindo wopindidwa. Ngozi nthawi zina limodzi ndi fractures mu zimfundo ndi tendons, amene amakhudza ndondomeko mankhwala. kuvulala aakulu akutiwonongera Mitsemphayi onse cruciate osakaniza tendons awiri lateral ndi articular kapisozi, zotsatira ali akuwonetseredwa mu maonekedwe a "tithe kumvetsa kumasulira" wa olowa alephera ntchito miyendo poyenda. Gulu la kuvulala mitsempha motere:

• mlingo woyamba wa anatambasula monga kupitiriza kuvulala tendon ndi ulusi tosaoneka ndi maso, kusapeza ndi ululu, redness a bondo, chotupa, pang'ono zochepa sayenda;
• digiri yachiwiri monga yopuma ambiri ulusi, zizindikiro zonse tafotokozazi amaoneka mu digiri kwambiri, olowa gawo chimachititsanso;
• mlingo lachitatu amakhala ndi chotupa wathunthu minofu, pali mwadzidzidzi ululu, pali hematoma lalikulu, kutupa, kudalira pa mwendo anavulala sizingatheke olowa mu mkhalidwe omasuka.

Kuchititsa Kupenda mankhwala

Amayesa anavulala nthambi katswiri - traumatologist, aganiza ngati opaleshoni bondo, malingana ndi kuopsa kwa choipa kufunika. Phunziro koyamba ndi kuchita kafukufuku ndi palpation bondo akhudzidwa.

Gawo lachiwiri ndi cheza matenda, chifukwa mu lateral zipsera x-ray ndi zolosera mwachindunji. Nthawi zina, kwa bwino view mafupa ntchito yopangidwa tomography. Chotsani zowonera wa Mitsemphayi, minofu kuyang'ana Kujambula lapansi. Pambuyo pake, zotsatira zoipa anatsimikiza ndi digiri yapamwamba molondola.

Dokotala akugwirizira Lachman mayeso, omwe ndi mtima aikidwa pa nsana wake wokutidwa dzanja lake lamanja kumbuyo kwa ntchafu. dzanja lamanzere mokoma kumangitsa gawo proximal wa tibia patsogolo. Potsimikiza kuti mlingo wa minofu chiwonongeko cruciate chiyani, zochokera kuthekera nominating limodzi patsogolo pa momwe izo zikuwoneka pa bondo kutupa.

Zizindikiro ananyalanyaza kuvulazidwa bondo

Nthawi zina odwala amene alandira kuwonongeka, samapereka tcheru kuti kusintha khalidwe la olowa poyenda. Ngati digiri ya kuwonongeka ndi kuwala, ndiye kusakhazikika kwa olowa pa nthawi akudutsa. Kunyalanyaza zizindikiro za nyamakazi kumabweretsa chitukuko limodzi ngakhale mu m'badwo pakati ndi oyambirira. Patapita kanthawi pang'ono wodwala amapita kwa dokotala ndi chotupa amphamvu zimakhala ozungulira bondo. Kutupa bondo adzamasulidwa ku madzimadzi olowa.

Zapambuyo mitsempha chotupa kumabweretsa chitukuko hemarthrosis limodzi kugunda magazi kuundana mtima wa olowa patsekeke. Chonchi chifukwa kupanda chidwi thanzi amakhala ndi ululu umene salola katswiri kuchita kafukufuku ndi palpation.

Cruciate mitsempha chotupa kutsogolo kwa bondo

Ntchito minofu tendon ndi chitetezo olowa kuchokera kupinda zosiyana. Ndi zoopsa amayambitsa vuto pamene munthu ali dwi phazi ndi tibia, koma chofunika kugwiritsa zozungulira zoyenda kunja. Impact amatanthauza mtundu mozungulira, komanso ankafika pambuyo kulumpha analephera. Zakhudza pa bondo olowa ndi zotsatira za kayendedwe masewera timu.

Mtundu chachiwiri - kukumenya mwachindunji - amatanthauza milandu aja kumene cruciate bondo mitsempha chotupa kumachitika pamene ntchito kwa ladziko nkhani kapena kugwa. Sports monga umodzi ndi mpira zikusonyeza kuti kuvulala amenewa. Chophukacho wa kutsogolo cruciate mitsempha choipa bondo n'lalikulu ndipo kuchizidwa katswiri. Kugwiritsa ntchito njira ndiwofatsa si nthawi zonse zotsatira zabwino, pafupifupi onse odwala ali ndi kutupa ndi kuchuluka ululu zitachitika.

Ngozi ya kumbuyo cruciate mitsempha

Izi minofu tendinous ndi kumbuyo zapambuyo cruciate mitsempha. kuwonongeka ake ndi zochepa wamba, chifukwa chikhalidwe cha gulu la bwino kumbuyo. The zifukwa kusiyana kumbuyo Mitsemphayi kukhala nkhonya amphamvu patsogolo pa bondo kapena mwendo m'munsi. kuukira zimenezi zikuchitika mu ngozi, ngozi zapamsewu, Mpikisano masewera. Ngati pali kukayikitsa zapambuyo tendon chophukacho, onani zikugwira ntchito boma polsterolateralnogo ngodya (posteroexternal olowa dipatimenti). Mu oposa 50% ya limagwirizana fupa wovulala ndi zapambuyo cruciate mitsempha chophukacho. Chithandizo imavuta ndi machitidwe kuchepetsa awiri.

Kuzindikila kumbuyo mitsempha chophukacho

The chizindikiro khalidwe ndi subluxation pang'ono za tibia mu malo kumbuyo, izo zimasonyeza bwinobwino pa X-ray. Pankhaniyi ultrasound sangosonyeza choopsa vuto. Wodwala akumva kupweteka bondo, kukhala minofu kutupa, olowa kayendedwe pamene kuyenda amakhala oyenerera, pali kumverera kwa wachabechabe Kusakhazikika mu bondo.

chithandizo ndiwofatsa yakuswa minofu kumbuyo

Mosiyana ndi zapambuyo cruciate tendon, chithandizo zapambuyo ali ndi mphamvu positive. Kubwezeretsa cruciate mitsempha fixation kumafuna quadriceps amodzi ntchafu minofu kuti amachita ntchito ya magalimoto phazi. Ngati kokha kumbuyo mitsempha kuichotsa zikachitika, mtima wa paokha chinkhoswe mu konzanso, kupanga zovuta Zochita zikuluzikulu.

Zobwezeretsa olimbitsa ophweka koma akuthamanga mosalekeza thupi amapereka dokotala. Mankhwala odana ndi yotupa mankhwala, mankhwala othetsa ululu, okodzetsa.

Opaleshoni alowererepo pa yopuma zapambuyo mitsempha

Opaleshoni alowererepo akufunitsitsa prosthesis implantation zakuthupi ndi kupanga kapena kumayambiriro kupatsa. Mitsemphayi Chakudya simutero, ngati njirayi ndi ineffectual. Dokotalayo ukugwira ndi bondo zowonongeka pokhapokha ngati onse a wovulala kapena chotupa kugwirizana mfundo. Ngati pali kuichotsa tsankho kapena sprain, mankhwala ikuchitika monga konzanso pambuyo kuvulala.

Chithandizo cha cruciate mitsempha chotupa kutsogolo ndi kumbuyo malo

Kuchotsa magazi kuundana ndi malo lamkati la olowa kuchita magazi zitsanzo zosankhidwazi ntchito jekeseni. Zedi zimene amakhalabe pambuyo njira imeneyi sayenda kukusalani meniscal chotupa ndi superimposed gypsum.

Mwendo mu malo atathana ndi za mwezi, pite ku achire kutikita, maphunziro ndi physiotherapy thupi njira, kwathunthu kuchiritsa bondo cruciate mitsempha chophukacho. Konzanso limatenga 3-4 miyezi, wobwezeretsedwa kuchita.

opaleshoni bondo zichitike mwamsanga pambuyo zoipa, pali chiopsezo cha matenda oyamba mu olowa. Anadza kwa alowererepo mwadzidzidzi opaleshoni okha ngati zifukwa zinachitika akuwaza ndi kulekana kwa minofu fupa. Ndiye gawo ili Ufumuyo fupa chimapangitsa ndi kuika mu pulasitala.

Njira yoyamba zoopsazo

Munthu anaikidwa malo supine. Ovulalawo mwendo aikidwa mwa shims kuti olowa akhudzidwa ndi pamwamba mlingo wa thupi. Zimenezi amalenga outflow wa madzimadzi ndi magazi ochokera m'madera vuto. Gwiritsani ntchito njira iliyonse chifukwa yozizira bondo, ndi ntchito yabwino compress pa ayezi kwa maola awiri.

Ngati pali kusiyana cruciate bondo Mitsemphayi, panthawi yake pofuna kupewa maonekedwe a mavuto, atsogolere lipole. Non-katswiri matenda asanafike a dokotala ndi zovuta, choncho ngati pali maganizo oti palibe kusiyana, ndi mtima analandira sprain, muyenera kusonyeza malangizo onse chitetezo ngati yopuma.

thandizo Quick ndi choipa kneecap

Ngati wodwala anavulala bondo lake, chochita mu nkhani iyi? The mphindi choyamba pambuyo zifukwa kuthetsa patapita nthawi yaitali kubwezeretsa thanzi olowa. Ngati zifukwa zinachitika pa msewu, itanani ambulansi, koma asanafike iye kutenga njira yoyamba kuchepetsa kutupa. Wodwala wakhala pa phiri, mwachitsanzo, mpando kuikapo pansi pa mwendo wovulala zinthu zimene kwa nthambi anaikidwa kukhala mkulu monga zotheka.

Ikani ayezi pa vuto, ngati wodwalayo anavulala bondo lake. Kodi ngati palibe ayezi? Zothandiza zinthu ozizira: mitsuko, mabotolo - ndi zofunika kuti kuziziritsa madzi pa intervals yochepa. Wozizilitsa adzalenga ndi kuchepetsa m'dera ziwiya magazi ndi kuchepetsa kufala kwa edema, kukha mwazi.

Kupewa choipa bondo si zoopsa zokwanira nthawi zonse zimachitika mosayembekezeka, kotero thandizo n'kofunika kwambiri. Anthu ena osati ngofunika iliyonse izi, ndi yotupa chitadutsa, koma nthawi zina zaka zingapo vuto akuyamba ndi kuyenda olowa chifukwa Pang'onopang'ono angayambe zosokonezeka.

Chithandizo cha kuvulala patella

Ngati contusion amphamvu imagwiridwa puncture ndi cholinga kuchotsa magazi anasonkhanitsa ndi madzimadzi. Kupweteka mpumulo ntchito mankhwala othetsa ululu, monga "Analgin", "diclofenac", "Dolar", "Ketanov" ndi ena. Olowa kondomu mafuta kuchokera mikwingwirima umabala kanthu evasive. Amalowerera chikukonzekera gulaye kuti si asagwiritse kayendedwe kwathunthu, zimathandiza kuteteza olowa lotereli kwa maganizo zosafunika.

The ntchito zokambirana achire

Kuchita masewera olimbitsa thupi ndi ntchito kuthandiza kubwezeretsa kwathunthu bondo cruciate mitsempha chophukacho. matenda choipa kutha, ndipo apo pakubwera nthawi kuchira. Chikhalidwe cha chiyambi cha makalasi ndi kutha kwa ululu. Chinkhoswe mu zonse, 2-3 pa tsiku, chitani mbali ya zochita zonse nthawi 10 aliyense. Zochita, chachikulu ndi:

• extensors ndi flexors bondo olowa kayendedwe, imene choipa wofatsa kuchita ndi katundu, koma msanga chotupa cha Mitsemphayi pambuyo katundu;
• Agwiritsidwa njira ya magetsi malo amodzi a m'chiuno ndi mawondo minofu kusintha kamvekedwe ndi yotithandiza magazi monga konzanso pambuyo kuvulala;
• kulimbikitsa mwendo minofu ya phazi ntchito atembenuza uku;
• masabata awiri pambuyo zoipa, kuchita poluprisedaniya yosavuta khoma, mawondo nthawi yomweyo kuyang'ana kutsogolo, kumbuyo molunjika;
• Kuchita zotsatirazi ndi kuwuka pa tiptoes kudzapeza kulimbikitsa ng'ombe minofu;

• Zochita zimagwiridwa mu mwezi wachitatu wa maphunziro kukana pambuyo choipa, kutenga dumbbells kakang'ono mu dzanja, anyonyomala anachita mu malo apansi;
• maphunziro adzakhala kuyenda pang'onopang'ono masitepe ndi makalasi pa njinga yosasuntha.
• kupanga tsiku ulendo anatsimikiza payekha, malinga ukupeza.

Kuvulala kuchitika mwadzidzidzi, koma muyenera kuchitira iwo kwambiri, simungathe kunyalanyaza kapena sprained kuvulala mitsempha mokomera kuchulukana pa ntchito kapena malonda ena. chithandizo choipa chosakwanira konzanso amakhala cholepheretsa kugwira ntchito za masiku onse olowa mu zaka kubwera ndi kupereka kuletsa gulu okalamba.