Wovulala patella kuti: Zizindikiro ndi Chithandizo

Wovulala patella angakhale a mitundu yosiyanasiyana. Childs ndondomeko limodzi ndi edema ndi ululu mwendo zomverera, amene nakweza mu flexion ndi kutambasuka tibia. Ndi kuwonongeka ichi olowa monga wodwala kusuntha.

Matenda a kneecap ndi

Patella - lathyathyathya anamaliza fupa amene akukhala padziko bondo olowa kuchokera kutsogolo. Pamwamba wa kneecap quadriceps tendon Ufumuyo ili m'chiuno. Komanso chikukonzekera ikuchitika ndi kuchepetsa patellar yake mitsempha. Kunja ndi mkati fupa chimatsatira Mitsemphayi lateral.

Pamwamba yosalala patella ndi ili mkati, pafupi pamwamba ili pamwamba bondo. Pamwamba akunja ndi akhakula. Iwo ali ndi ulusi tendon. The patella ndi kuteteza bondo pa zotsatira ndi kuvulala.

The mitundu ikuluikulu ya fractures

Kusiyanitsa pakati pa mitundu zotsatirazi fractures:

• Patella wovulala popanda kusamutsidwa. Iwo amakhala ndi chakuti mbali ya fupa kuonongeka, osati zawo, ali pafupi wina ndi mnzake. Mu nkhani ya kuwonongeka kwa mtundu uwu fupa mu mankhwala akhala mu malo.
• Wovulala kukhalapo kwa kukondera. Iwo amakhala ndi kusamuka kwa ndalama wosweka wa patella poyerekezera ndi mzake. Nthawi zambiri, opaleshoni chofunika kugwirizanitsa makombo.
• Wovulala pamaso pa kuchuluka kwa zidutswa. Iwo amakhala ndi chakuti kneecap inasokoneza zidutswa zoposa zitatu. Kusinthaku akuti ndi ovuta kwambiri ndipo amafuna mankhwala yaitali.

Open ndi chatsekedwa mawonekedwe a wovulala

Patella wovulala lagawidwa mtundu poyera ndi chatsekedwa.

Mu chatsekedwa mawonekedwe wovulala ndi khungu pa fupa lothyoka malo kosamugonjera kuwonongeka. Iwo silinasinthe.

Mu mtundu poyera pali kuphwanya amphamvu a dongosolo khungu limene chimaonedwa zikukhudza fupa. Komanso, mtundu lotseguka amachititsa kusokonezeka kwambiri kapangidwe ozungulira Mitsemphayi, tendons ndi akatumba.

Monga pali wovulala?

Kawirikawiri, wovulala patella wa - chifukwa cha kulandira choipa mwachindunji pamene kugwa pa bondo flexed kapena mmene zinthu zakuthwa kapena zovuta. Sitipereka mtundu kuvulazidwa ndi zotheka ndi chidule mwadzidzidzi wa femoris quadriceps.

Zoperekedwa limagwirira a mtundu wosanganiza, imene wovulala limapezeka pa osakaniza zinthu chimawononga mwachindunji kapena kudzera m'njira zina.

Patellar wovulala amaganizira ndi kuwonongeka kwa mbali kupinda makina ili (quadriceps tendon ulusi ili mu ntchafu).

Pamene inu kuswa tendons pali zikusiyana mu patellar zidutswa fupa.

kuwonongeka symptomatology

Kodi kumaonekera zikukhudza kneecap?

zizindikiro ziri motere:

• Ngati zowonongeka limapezeka bondo aakulu kutupa mu bondo olowa.
• Palpation anaulula kupweteka kwambiri, pali kupezeka kwa mipata pakati pa makombo zimachitika hemarthrosis (akukhamukira magazi bondo olowa).
• Nthawi zambiri limasonyeza nthenda sayenda ndiponso kupezeka crepitations (crunch) makombo fupa.
• Ululu pamene inu muyesera kukhotetsa bondo lakuthwa. Yogwira kutambasuka kumakhala kovuta kapena zikuchepa zochepa.
• Mu nkhani ya choipa popanda kusuntha wodwala sasiya luso kuyenda, koma kayendedwe ndi kukopeka ndi munthu lakuthwa nkhondo.
• Wovulala ndi patella ndi kukhalapo kwa kukondera umatipanga kuyenda zosatheka. Komanso, wodwalayo sangathe kuukitsa nthambi kwathunthu anawonjezera boma ndi kubala kayendedwe yogwira olowa.

Kupeza Vuto kuvulala

Kupeza Vuto wovulala mwakayakaya dokotala ikuchitika pa maziko a chithunzi matenda, zomwe ndi mmene mtundu wa chotupa. deta akamagwira X-ray maphunziro mapindidwe akuwala nawonso mwakhama ntchito.

njira zina Kupeza Vuto zoipa ndi maginito kumveka kulingalira za olowa akhudzidwa. Hemarthrosis zikutsimikiziridwa ndi matenda puncture wa olowa.

matenda masiyanidwe

Wovulala chikho bondo ndi kusiyanitsidwa ndi patellar mitsempha chophukacho, chophukacho wa tendon quadriceps ndi kukhalapo nyamakazi, kapena zoopsa chikhalidwe prepatellyarnogo bursitis. Nthawi zonse pamwamba sangathe inachokera kuli kusiyana makombo fupa.

Wovulala patella ali kusiyanitsa ndi chitukuko nthenda ya olowa (kugawanika kneecap). Mosiyana ndi fupa lothyoka, mu kudwala si azipereka zoopsa lakuthwa ndi ululu. Kusiyana makombo fupa la evenness osiyana ndi kusalala. Childs, matenda otere wapezeka mbali zonse.

chithandizo

Kusankha njira winawake wa mankhwala kumatengera zifukwa zikuluzikulu ziwiri: mtundu ndi chikhalidwe cha makombo wovulala kuchepetsa.

Fractures ndi khola ndi wosakhazikika. Pamene mawonekedwe khola amamuchititsa kuimba. mawonekedwe wosakhazikika akusonyeza pamaso pa fractures imene fupa kwapita kapena kuloza pa nthawi.

Mfundo za mankhwala ndiwofatsa

Anthu ambiri amadabwa mmene amaliona zikukhudza kneecap? Mankhwalawa pamaso pa kukondera pa 0.5 masentimita wochititsidwa ndiwofatsa njira. Yokwaniritsira mankhwala amenewa kwenikweni anapanga m'dera ochititsa dzanzi wovulala ndi kugwiritsira dzanzi.

Akuyendera mwa fixation wa akhudzidwa nthambi pulasitala mtima tayala pamene analola kusuntha ndodo. Pambuyo kuchotsa tayala tikulimbikitsidwa kuchita zofikisa, magawo mankhwala thupi. Anagwiritsanso njira physiotherapeutic (electrophoresis magnitolazer neri Al.).

Popeza kukondera kuonongeka nthambi chili mu boma kudzatha. Superimposed basi wa pulasitala pamwamba pa ntchafu kwa bondo yokha. Monga ulamuliro, nthawi imeneyi fixation masabata 4-6. Imasonyezedwa akugwira X-ray kulamulira.

chithandizo ndiwofatsa kumafuna immobilization yaitali olowa, ndilo chitukuko - yaitali kalavulagaga ndondomeko.

alowererepo opaleshoni

Malinga zoopsa, fupa lothyoka la patella ndi patella kusamutsidwa makombo kuposa 2 mm amafuna opareshoni imene makombo akuyerekezedwa, pali kubwezeretsedwa kwa articular padziko patella ndi fixation. Kuthetsa ngati boma sanali opaleshoni njira n'zosatheka.

Pamene alowererepo opaleshoni angagwiritsidwe ntchito pogwiritsa ntchito njira zosiyanasiyana suture zofewa minofu, mafupa olowa ndi minofu tendons mapulasitiki.

Njira droops makamaka wotchuka anakhala ntchito Schultze-Berger, imene mgwirizano wa makombo anatsatira mwa mayikidwe a patella zimakhala pafupi. Kutalika kwa immobilization pambuyo opaleshoni 1 mwezi. Pambuyo kuchotsa tayala ku gypsum anatumizidwa kutikitirako physiotherapy ndi physiotherapy.

Pamaso pa fractures za kuchuluka kwa zidutswa alephera bwinobwino patella anali excised alowererepo opaleshoni ntchito, zomwe zikukhudza kuchotsa zidutswa fupa kapena patella.

Ngati n'zotheka kupulumutsa limodzi ndi osavomerezeka kuchita ntchito zimenezi.

Kodi kudya mankhwala wovulala kneecap chiyani? Chithandizo nthawi zimatengera pa mlingo wa kugawikana kwa olowa. Childs, konzanso chikuchitika mu miyezi 2. Ngati magazi olowa yolandira, ndi kuchotsedwa ndi puncture wa patella lapansi. Pamene njira yosavuta fractures kuchira bwino zambiri amapezeka mkati miyezi 3.

Konzanso ndi physiotherapy

Pambuyo kuchotsa tayala ku pulasitala ofuna kudutsa miyeso choipa, monga akonzedwa zolimbitsa thupi wapadera mankhwala thupi, ndipo kutikita minofu. Nkofunika kuti miyezo ya konzanso, pafupipafupi wao udzakhazikika ndi dokotala nawo.

Yofunika kwambiri ndi ankaimba ndi Zochita mwadongosolo, monga iwo ndi njira yabwino kwambiri kukhala olowa kuonongeka.

Ntchito ya Zochita akanakhoza kuyang'ana ngati izi:

• A phazi wathanzi ndi kuika pansi pa mwendo wovulala, anapanga kayendedwe kugwira ntchito bwalo bondo olowa.
• Wodwala waima pafupi ndi khoma. Kumbuyo kwake ndi mpira lalikulu limene anachita anyonyomala.
• Iwo anagwira kuyenda pa matayala mu iwowo. Mlingo sayenera oposa 2 Km paola.
• Ikuchitika zolimbitsa pa njinga yosasuntha ndi pedals salinso kuposa 10 cm. Mpando ayenera pabwino m'njira kuti mwendo akhudzidwa akhoza anaweramuka kwathunthu.
• Ikuchitika kulumpha pa mwendo wovulala. chikhalidwe n'kofunika pakalibe ululu.

zosokonezeka zotheka

N'chiyani chingachititse wovulala zotsatira kneecap? Tikumbukenso kuti njira ndiwofatsa mankhwala ndi chiopsezo kwambiri zosayenera maphatikizidwe wa mafupa bondo olowa, womwe imasokoneza ntchito yake ndi kuyambitsa chitukuko cha zinthu aakulu pathological monga nyamakazi kapena gonarthrosis kneecap.

Pomaliza

Patella wovulala ndi kuvulala kwambiri. Tikumbukenso kuti boma pali mocheperapo zokwanira. Monga ulamuliro, kugawikana kumachitika pamene tokhala kapena ngozi. Mu mwambo ngati matenda ayenera kukhala posachedwapa kupempha thandizo kwa traumatologist lapansi. Kuchititsa ndondomeko yoyenera matenda dokotala angathe kudziwa mlingo wa chiwonongeko olowa ndi kusankha chithandizo choyenera strategy.