Cruciate shwashwa of ibvi: kunotevera, kurapwa, vapore

The ibvi vagari - makuru ari mumuviri womunhu. Uye zviri pachena kuti hurongwa nemafambiro ayo uye anatomi vari vachiwirirana pavakapfimbana. Nokuti vadzidzi vezvokurapa chinhu kuoma kukunda artrosindesmologiya, ndicho nesayenzi mapfundo. Mugumo kunzwisisa kwakaita ibvi muhudyu anonzi. Uye asati kutaura nezvourwere hwake, tinofanira kutanga kunzwisisa mamiriro.

mapfupa

Hwaro paumbwe muhudyu muri mapfupa maviri refu - the femur uye tibia - uye patella imwe duku. Kusiyana nezvinofungwa nevakawanda, asi fibula kuitawo ibvi vadyi haingasviki kugamuchira. Iye ane vagari pamwe tibia chete pazasi. Pajinga kuguma pakati tibia , pane kwakadzikira mbiri, iyo vanonzi condyles. Dzinomirira yokumusoro chikamu muhudyu, uye akafukidzwa shwashwa. Pakatarisana divi tibial rwenze ane zvakakwana chimiro kuna condyles. Zvinonzi zvakare yakafukidzwa shwashwa nokuda nani zvishoma nezvishoma mumatope. Last sandara mapfupa - patella - riri pakati condyles ari zvikuru kuumbwa rusesi. All mapfupa muzvirongwa vagari vari kuchizvivanza hyaline shwashwa, millimeters mashanu paukobvu. Iye gobvu, kupenyerera kumeso kwazvo. Its basa ndiko kuti kuderedza mutoro munguva kufamba uye kuderedza kukweshera pakati mapfupa. Pamusoro yose mamiriro chakafukidzwa pedyo connective tishu Kamudzira.

mwanda

Kuti nokubatanidza mapfupa matatu pamwe chete, shwashwa hazvikwani kuti mumwe. Zvinotora chakanaka fastening mudziyo kuti zvose kuchinja uye akashinga, uye hunogara. basa iri kuteererwa peboka. Ivo aumba kubva connective gobvu zvinyama uye akatambanudza pakati mapfupa.

Saka, kurutivi hukawanika ari muhudyu dziri rubatso nemarunda kuti kusimbisa Kamudzira. Vaviri vavo: lateral uye medial. Mashandiro tambo idzi kuti dzisanyanya kwemajoini mufambo muruoko. Inside the Kamudzira anewo neboka. Vari chiri pakati articular hukawanika uye dzinonzi crosswise. basa ravo - kwete kupa zvakare kwemajoini kufamba nokuku. Anterior cruciate shwashwa pamusoro ibvi rinotanga tibia. Iye anticipates danho yake mberi uye kunzvenga kubva articular pamusoro. The posterior cruciate shwashwa pamusoro ibvi uyewo kutanga panguva tibia uye DZEMUNHU DZINODZORA sangano rayo shure hama kuti femur.

Pamwe chete, vanobatsira chengeta pejoinhi mumamiriro zvakanyatsoenzana, nechokwadi kugadzikana uye kumeso kufamba.

menisci

Nechokunze, vanotarira akafanana neboka, asi kusimba zvikuru rakafanana shwashwa. Zvayaiva pakati nepakati peguta tibia uye femur uye kudiwa vaparidzi congruence ari muhudyu. Chavainyanya Mabasa: chechetere kugovera uremu muviri pamusoro vagari uye kuona kutsiga kwayo kana kutyaira mune kunofambira mberi chinzvimbo.

Izvi zvinokosha zvikuru nokuti kana pakanga pasina meniscus, rose kurema muviri aizoisa pfungwa pane pfungwa shoma mukati vadyi, uye izvi zvaizokonzera akurumidze kunotevera nokuremara.

tsandanyama

Pamberi pechiso ibvi extensor tsandanyama dziri. Vari vasiyana pamusoro femur kudivi uye kune patellar mudzira - rumwe. Pavanenge akaderedzwa, pane gumbo kuwedzera vari vadyi, vachibvumira munhu kuti danho. Vazhinji basa anotora quadriceps.

By Femur ndiye boka tsandanyama-flexors. kuda pfungwa kwavari, zvakare, panguva musoro femur, asi pfungwa sangano riri seri pemvura tibia yakatarwa zvakasimba mudzira. Marwadzo ose tsandanyama idzi flex ibvi.

tsinga

Kukosha ibvi anonzi popliteal tsinga. Ndizvo chikamu huru sciatic etsinga uye kusiya vadyi, anopa mapazi matatu. Wokutanga anoenda tibia uye riri pedo rwemberi pamusoro. Wechipiri pamipendero fibula uye anopa mberi uye divi pechiso tibia. Uye pasi wechitatu kusvika tsoka. Chinhu yakavhenganiswa tsinga. Vane somunhu injini, uye Switch chikamu. Nokuti kukuvara ari ibvi vadyi inogona zvakakuvadza sechinhu chakajairika tsinga uye awo.

ropa zvitengeswa

Kana isu kutaura chete pamusoro vadyi, izvozvo zvinoita arterial kweropa network. It chakaumbwa:

• ari medial uye lateral Anterior ibvi arteries;
• posterior arteries;
• muMedhia akapiwa tsinga yacho ibvi;
• pamusoro-pasi pote ibvi arteries.

vari matavi dzose tibial tsinga, rwakatanga kubva kwokunze iliac tsinga. Uye iye, akavapindurawo, rinobva vanhuwo iliac.

Venous water drainage ari kuitwa chete zita mutsinga pematanho mumwe tsinga. The nemuteresi iri nechepazasi pamhango Vienna, iyo anodzoka ropa musana pamwoyo.

The zvinokonzera kukuvara of ibvi nemarunda

Chimwe chinonyanya kurwadza makuvaro anogona kuwanika ibvi - ndiyo kuvadza cruciate shwashwa. Kwete chete ndiye kutsiga yose mamiriro akashatirwa, izvozvo zvinoderedza bhuku zvemasanga uye pusa kufamba, saizvozvo okurapa muitiro achava rebei.

Zvikonzero chokuwana mupfungwa kwakadaro kunogona kuva sezvo kukuvara imba uye izvi, tsaona, pakarepo vachichinjana. Kakawanda richiwanika munyika nenyanzvi Vamhanyi - skiers, skaters, skaters, jumpers kana mutsimba. Kuti izvi zvisaitike, zvakakodzera kuchengeta kuchengeteka matanho kudzivisa yakakwirira kushushikana pamusoro majoini, zviri kunodiwa kutevera kudya achagadzira yakakwana kwevari collagen, kuchengetedza elasticity pamusoro nemarunda.

kiriniki

Kana murume akabvunza akafanana kukuvara, raakanga chema, kunzwa achipindura kuti chinhu chakadai: "anorwadziwa ibvi mu flexion uye anoshanda." Asi iye akanyarara pamusoro zvimwe zviratidzo.

- panguva akatyoka kusvikira the clicks kana kwomurazvo pakakoromoka;
- paiva kusagadzikana mune ibvi, kunzwa "laxity";
- ibvi kuzvimba panguva yokutanga maawa mashomanana pashure zvinokuvadza;
- kuunganidza mvura iri pamwe mhango (chiratidzo nokufamba);
- chengeto nemafambiro nemhaka kurwadziwa kana kuzvimba.

Naizvozvo, kana murwere anokuudza kuti ane hosha ibvi riri flexion uye inogona kureva cruciate shwashwa atsamwira kwete chete. Zvakakosha kuita zvizere vaongo- vasati kutora chisarudzo.

kupatsanura kukuvara

First dhigirii: atsamwira of Anterior cruciate shwashwa pamusoro pebvi vakaratidza zvishoma, kune marwadzo, zvishomanana kuzvimba. Movement ari muhudyu ndiyo yaita shoma, asi kunyanya nokuda edema, uye kwete nekuda yokukuvara. Kugadzikana hwaponeswa.

Second dhigirii: pane zvishomanana kuparara pakati cruciate shwashwa, wakakwana zvose zvaidiwa wokutanga dhigirii kukuvara. A nevamwe chinhu ndechokuti maronda aya zvinoodza recur. Uye kuzodzosera kukuvara kunogona kukonzerwa pashure ndoda nesimba pane yokutanga nguva.

Chechitatu Degree: aparadzanisa yakazara Anterior cruciate shwashwa yacho ibvi. Kurwadziwa, kuzvimba ndege ane zvokutora kukamurwa vanoshingaira uye pusa kufamba. Joint dzikasununguka, nokuputswa ayo rutsigiro chaitika.

Chokwadi, kupatsanura ichi haigoni kutakura kwose mabvi shwashwa kukuvara, asi zvinobatsira kuti maumbirwo nekuomarara yavo.

Diagnostics

Mushure kuongorora, anamnesis upenyu uye utano rokuongorora danho kunotanga. Chiremba anoedza kutsvaka sei kuzviitira manzwiro uwirirane chaicho chokwadi. iye pakutanga anoongorora gumbo zvakanaka, kusanganisira kubhadhara ngwariro chaiyo ibvi. Izvi zvinokosha kuti kukwanisa enzanisa uye zvakakanganisa Joint.

Kuti aone sei tagovera cruciate shwashwa pamusoro pebvi, chiremba ari kuedza achinakurira tibia uye kukwira mberi. Kana makuvaro iri, izvozvo anobudirira. Pane Yatanga Kuongorora akawanda dzakananga zvinoshandiswa muzviitiko izvi.

Pashure Chinyorwa tsvakurudzo iri richishanda. Zvinoti - X-ray yacho ibvi rwakashodoka. Kunoitawo kuti kuziva dzemakwiringwindi mitswe uye hwatsvuka. Chinotevera ndechokuti rinobva resonance kuri. Kunoitawo kuti ndisimbise chirwere zvinoshamisa zvakarurama. Asi dzimwe nguva unogona kukuvadza. Sezvo overdiagnosis anova chikonzero zvachose zvisingakoshi zvomusejari kupindira. Cruciate shwashwa of ibvi zvinogona wakaremara nenzira kuti kusagadzikana hakuitiki, uye pakakoromoka hombe kunoratidzwa pamusoro Monitor.

kuchinja mabatiro

Kunotevera haasi nguva dzose predispose varwere kuvhiyiwa. Panyaya iyi, inoratidza kuti kupindira hakusi chokwadi pamusoro pakaputsika uye kusagadzikana kwemakemikari pejoinhi. Izvi chinokosha. For mapfundo nemarunda anowanzoshandiswa immobilization uye zororo kusvikira kudzorerwa kuvimbika. Unogona kukugoverai muitiro kupinda akawanda zvokukura kurapwa.

1. The chenjera kumwedzi. Akuvara cruciate nemarunda yacho ibvi rwakashodoka. Treatment nechinangwa mukuderedza marwadzo uye vadyi kuzvimba. Akuvara zviri nani kwete kuedza kuchipatara pachavo. Kushandisa inotonhora Kukuvara nzvimbo, ipai inonyaradza marwadzo omusoro uye achipa rokuzorora kuti wakuvara. Kana paine kuunganidza ropa iri muhudyu, zvakakodzera nguva nenguva muchayamwa sirinji kwayo, kudzivisa clot uye mugogara pamusoro vadyi hukawanika, zvichikonzera kuzvimba.
2. Stale pakakoromoka. Kamwe kurwadziwa kwakaita yaserera, unokwanisa kutanga kudzidzisa kusimbisa tsandanyama. Hapana chinhu chiri nani kupfuura simba tsandanyama puranga, iyo kuchengeta kubva hyperextension uye misodzi pamusoro mapfundo nemarunda. Tanga diki, asi nguva kudzidziswa nomumwe kuri zvikuru kufamba amplitude inowedzerawo. Used orthoses (splints pamwe chinjika hinji maitiro) kukurambidza kufamba.
3. Blank bepa. Panguva iyi, chiremba anoongorora vagari sokunge kwakanga kusina kukuvara. Uye kana migumisiro naye, kureva, akadzokera mufambo, hapana marwadzo, kusagadzikana uye pathological nezviratidzo, mishonga inogona kunzi hwakabudirira.

Asi musafunga kuti rakanga kuguma, uye iwe unogona kumhanya ndangotanga yokungoi- ta bara. Long panopera yokurapa murwere achada kuzvitarisira akuvara gumbo, kuita chaiyo muchiitwa kurovedza tsandanyama yehudyu.

kushanda kurapa

Plastic Anterior cruciate shwashwa pamusoro ibvi rinoitwa kana pasina kwemajoini kugadzikana kana hazvina kururama. Kazhinji, zvinonzi rinoitwa mushure kuchinja kurapwa, kana pane zviitiko zvakanaka pamusoro tsandanyama hurongwa.

Kazhinji, kwema yakadai mukati memwedzi mitanhatu pashure zvinokuvadza. Asi kana pakakoromoka anoverengeka apfuura, uye nezviratidzo yakabuda achangobva - ndicho chikonzero kurega kuvhiyiwa. Kazhinji, vana mabatirwo ichi vari pasi vatambi vane yakabvamburwa Anterior cruciate shwashwa yacho ibvi. Operation chinhu mudzira prosthesis. Nokuti rinoshandiswa ave nemarunda nomunhu wacho, uye chakaita zvokugadzirwa prostheses. Simple stitching zvose yakabvaruka shwashwa yakanaka haaiti, uye dzimwe nguva hazviiti, zvazviri, nemhaka asinganyatsoita akakwirira. The itsva ibvi kwemajoini cruciate shwashwa vanofanira kutevedzera zvizere akwegura, kuita mabasa ayo uye zvakanaka papi.