Syndesmosis - ndi chiyani ichi? Tibiofibular syndesmosis chophukacho

Pamene pofufuza nkhani pa kuvulala zosiyanasiyana za Mitsemphayi ndi mafupa, angapezeke mawu akuti "syndesmosis". mau awa amatanthauza munthu pang'onopang'ono kapena n'kupuma mafupa olowa m'thupi la munthu. Kuvulala kwa izi mitsempha sizachilendo, makamaka pankhani othamanga kapena anthu amene ntchito kumaphatikizapo kwambiri zolimbitsa thupi. Nanga ndi syndesmosis, ndi zotsatira za kuvulala wake? Kodi yoopsa kusiyana ziwirizi ndi zimene mankhwala kupereka mankhwala amakono?

Syndesmosis - ndi chiyani ichi?

Monga amadziwika, mu dongosolo locomotor a mafupa a anthu kulankhula ndi mzake monga makina ndi n'kupuma. Mwachitsanzo, mfundo za mafupa a membala polumikiza, kuwapangitsa kuyenda. Ngati tikulankhula za mafupa mapulani pali Onetsetsani kuti adzatchedwa syndesmosis. Izi njira kugwirizana ndi wandiweyani connective chingwe minofu. nyumba zimenezi si kupereka kwa gulu. Mwachitsanzo, kotero linanena pakati pa chigaza fupa la njira vertebrae spinous, ndi mafupa tibia wa mkono ndi.

Kumene, pali mitundu ingapo ya mankhwala amenewa. Kakhungu syndesmosis - izi ndi zimene inu mukhoza kuwona, taganizirani olowa fibula ndi tibia. Koma mafupa a Chigaza ndi olumikizidwa kwa mzake osiyanasiyana "matabwa".

Features syndesmoses kuvulala

Kalanga, syndesmoses choipa si zachilendo. Nthawi zambiri pali kusiyana pakati pa zomwe zimagwira ntchito zosiyanasiyana tibia. kuvulala kumwendo nthawi zambiri olembedwa othamanga pamene kulumpha kapena akuthamanga. Ndi zoipa zomwezo ballerinas sachedwa, gymnasts maseŵeralo acrobats.

Ndi kuvulala zoopsa ubongo ndi kuvulala msana akhale pakati zimfundo pakati pa mafupa. Neonates syndesmosis anawononga mgwirizano nyumba chigaza zina zidzachitika kudutsa ngalande kubadwa. Koma pamene psinjika wovulala msana wodwalayo amagwiritsidwa wapezeka kuwonongeka tsankho kapena anatambasula ulusi - Mitsemphayi pakati vertebrae lapansi.

Wapotalikira tibiofibular syndesmosis ndi ogumuka

Malinga ndi kafukufuku, 10% kuvulala kumwendo sprains ogwirizana ndi zoopsa dongosolo amatchedwa "tibiofibular syndesmosis." Akuti kuwonongeka kwa lino palibe amene sangayesedwe, kuyambira Kakhungu akhoza anatambasula kapena kuonongeka pamene wamphamvu kunja kasinthasintha phazi pamene kuyatsa sock mkati.

Komano, pali anthu amene ali sitichedwa umenewu kuvulazidwa chifukwa ntchito - .. othamanga Ndi, ovina, acrobats, etc. Mwa njira, zonse kuvala nsapato zazidendene zazitali, makamaka ndi kuwuka wosakhazikika, komanso kumachititsa wa anatambasula Kakhungu tibiofibular.

Zizindikiro tibiofibular Kakhungu kuvulala

Kuonongeka wapotalikira syndesmosis - ichi ndi vuto wamba, ndipo limodzi ndi aakulu ndithu chithunzi matenda. Kawirikawiri, ndi chizindikiro choyamba ndi kupweteka kwambiri. zomverera zosasangalatsa ali nakweza kwambiri pa gulu kapena pamene inu muyesera kusintha malo a phazi. Mwachikondi pa palpation amadziwikanso umalimba.

chizindikiro china ndi minofu zofewa kutupa padziko zifukwa - kutupa ukuwonjezeka mofulumira, kukula ndi nkhani ya mphindi. Phazi la wodwalayo kawirikawiri amatenga simuchita, zobwera malo - nthawi zambiri kunapezeka. Komanso, khungu m'dera la avulala wofiira, nthawi zambiri zotheka muzindikire yaing'ono kukha magazi subcutaneous.

Kumene, matenda tibiofibular syndesmosis chophukacho, zina kuyezetsa. Kuzionetsetsa thupi, adokotala akhoza kale akuganiza pamaso pa mavuto kapena Kakhungu kuwonongeka, koma kwa matenda zolondola ndi mtima wa regimens chithandizo ayenera kukumana ndi X-ray kuphunzira. The zithunzi katswiri akhoza kuona patsogolo kusiyana pakati pa mafupa, komanso kudziwa yopuma mzere ndipo onani pamaso pa fractures.

chithandizo ndiwofatsa komanso zochititsa

Choyamba ayenera kukhala ndiwofatsa mankhwala. Kuti atsogolere wodwala matenda, zowawa, cropped, atagwira novocaine anatseka misewu. Cholinga chachikulu cha mankhwala mu nthawi ino - kugwetsa nthambi compress mezhdubertsovuyu kusiyana ndi mpata kwa zimakhala kuti achire paokha. Choncho chinthu chofunika mankhwala ndi osewera, omwe umagwiritsidwa ntchito mawonekedwe a jombo. Kuvala pulasitala amakhala ndi za 5-6 masabata.

Ndiye bandeji atachotsedwa m'malo mwake pa tayala zochotseka - mu nthawi ino, kayendedwe yogwira ndi atali, koma wodwala akusowa konzanso. Chifukwa chaichi, anthu amakonda mankhwala physiotherapy osiyana ndi zofikisa zonse. Koyenera ndipo wapadera olimbitsa zachipatala, imene imachitika kuyang'aniridwa ndi katswiri, kuti iye anatenga ya Zochita amapereka nthawi ndi katundu kake.

Syndesmosis chotupa zambiri amagwirizana ndi kuvulala ena, kuphatikizapo kusokoneza otaya yachibadwa magazi. Mwachitsanzo, zosokonezeka zingachititse thrombosis wa mitsempha, kotero chikhalidwe cha wodwalayo amamuyang'anira kwambiri ndipo ngati n'koyenera, kulowa chiwembu cha mankhwala anticoagulation.

Mwakucimbidza ayenera ananena kuti ndiwofatsa mankhwala - njira yaitali. Nthawi zambiri, kuti abwezeretse bwinobwino sayenda ndi luso thupi, wodwala ayenera miyezi yoposa 6.

Nthawi zina, opaleshoni m'pofunika?

Mwatsoka, chithandizo ndiwofatsa si zothandiza pa vuto. Kupwetekedwa amphamvu, mafupa zosayenera splicing ndi pakalibe zotsatira za mankhwala thupi dokotala akhoza kugamula opaleshoni.

Masiku ano, pali njira zambiri kubwezeretsa mitsempha. Nthawi zambiri mu ndondomeko, implantation la mgwirizano watsopano. Iwo anapanga kuchokera osungidwa tendons, lata fascia ndi n'kupanga Dacron. tibia akuchita njira yapadera, amene mtolo ndipo ananamizira. Zodabwitsa ndizakuti, mu 92% milandu ntchito ukuyenda bwino, n'kubwerera ku sayenda mtima.

Pali njira ina, ndicho kugwiritsa ntchito zomangira psinjika unapangidwa aloyi zitsulo. wononga Izi omangika adzatsekeredwa limagwirira - izo atakhazikitsa ndi tibia pa mtunda wina, osalola kuti iwo asamuke kapena coalesce.

Mulimonsemo, m'pofunika kudziwa kuti syndesmosis zowonongeka - ichi ndi vuto lalikulu, ndi zinthu siwoyenera pano. Chikadzangotha zifukwa ayenera kuonana ndi dokotala.