The nemamiriro ibvi muhudyu

Tisave - rimwe remasangano muhudyu mumuviri. Sprains mupambare kashoma akanyorwa. Ivo kuchengetwa anenge 2% wevarwere (pachinhu dzimwe dislocations).

Sechivako ibvi muhudyu zvikuru kunzwisisa. It akaumba ibvi femur uye tibia. Kubva kurutivi yehudyu kusvikira ibvi chokuita paumbwe lateral uye medial femoral condyle, izvo vanoparadzaniswa ne intercondylar fossa. The medial condyle zvikuru lateral. Cranial femoral hukawanika vanoumba zvishoma concave pasi nokuda patella. By munzira, mbiya - ichi ndiko kuri sesamoid mapfupa, riri midzi muna quadriceps mudzira. The caudal pose patella rinosanganisira shwashwa. Munguva kwebasa patella iri misha panyaya femur uye intercondylar anotora nzvimbo kana hwakakungwa.

On chikamu rezasi gumbo nemamiriro ibvi joinhi inoumbwa pemvura tibia (medial uye lateral). Zvinofanira kucherechedzwa kuti vagari penyika womukati condyle zvishoma concave, uye lateral - a sandarara uye refu. Pakati condyles anomiririrwa intercondylar yapamusoro.

The nemamiriro ibvi muhudyu uye vadyi incongruence hukawanika pamusoro tibia uye femur ndanyarara hangu ne interarticular shwashwa, localizing pamusoro condyles ari tibia. Interarticular shwashwa mberi kwayo uye neshure miromo vari vasiyana intercondylar pakakwirira. Kubva cranial divi transverse shwashwa runosunganidza meniscus. Menisci vari Avenue serin'i, lateral kumucheto iyo zvishoma thickened uye adherent kune vagari Kamudzira uye medial rinotungamirirwa kupinda vadyi mhango, zvishoma akataura. The ventral pose meniscus yakati sandara; dorsal - zvishoma concave. Akapiwa chikamu ichi, ibvi joinhi muzvikamu zviviri: rezasi - mutswe-kufanana (meniscus-tibial), pamusoro (meniscus-pechidya). Nokuda hama dzayo kufamba uye elasticity, menisci ajairane siyana munzvimbo ibvi muhudyu, izvo, chokwadi, ane pesvedzero inobatsira biomechanics ayo.

The nemamiriro ibvi muhudyu kunoratidzwa ndechokuti rine sezvaanokudzwa intra-articular cruciate shwashwa, intersecting nemumwe, ivo yakavimbika kubatanidza tibia kusvika femur. Cranial cruciate shwashwa rinoenderera lateral condyle penyika femoral medial uye medially kusvika yomukati intercondylar tubercle. Caudal cruciate shwashwa anomhanya kubva lateral chinoumba medial femoral condyle kuchivanze intercondylar tubercle. Menisci pamwe kuita mabasa dzaimirirwa nemarunda yepakutanga kuturika.

Chearthritis majoini - vakawanda abnormality pakati mapfundo, iyo inobata dzinenge 20 muzana yevagari nyika. zvokurwara uyu yakabatana chinopedza pezvakaitwa kuti munguva hyaline shwashwa. With kukura pathological muitiro, shwashwa raparadzwa zvishoma nezvishoma, pamwe vagari mamiriro yaputswa, kuti, pane kugadzirisa uye mapfupa deformation. Izvi inobereka minzwa - osteophytes. With inotungamirwa yavo kunoitika kurwadza kwemajoini, dzisina kufamba.

Chearthritis majoini: kurapwa

Kune mhando mbiri Mabatirwo chemajoini mapfundo - kuchinja uye kushanda. Kana kuchinja mabatiro iri ushandiswe kuchirapa muviri, inodziya dzokugezera pamberi warara, physiotherapy (UVR, diadynamic dzenzvimbo), masaja, rinobva kurapa, intraarticular okisijeni kurapa. Zvinofanira kucherechedzwa kuti kuchinja kurapwa isashande. A akanaka mugumisiro kunoitwa panguva kuvhiya kupindira.