Cruciate umsipha ukudabuka amadolo: izimbangela, usizo lokuqala, ukwelashwa

Trauma, okungase kwenzeke ngasiphi indawo nangaphansi kwezimo ezihlukahlukene, iyona ukudabuka we umsipha cruciate ka kwedolo. Ngokuvamile ngenxa nomonakalo onjalo ukuhlinza nesineke abantu abaphila ukuphila lweselula, uphinde wenze abasubathi. Kuzo zonke imisipha ye kwedolo Lesi sifo siphatha kakhulu ukuba edwengula cruciate njengoba phakathi imisipha obusebenzayo kakhulu futhi cishe zonke ukunyakaza abazenzi nge iqhaza zabo.

sezingeni ukulimala

Amadolo cruciate umsipha ukudabuka is etholwe nomthelela noma amandla iqondiswe ngemuva kwamadolo, uma ijikelezwe ku umlenze aphansi esimweni insaliwe. Ukulimala is ngezinye izikhathi zihambisana waphuka emalungeni ne imicu yemisipha, ehlanganisa kuthinta inqubo yokwelashwa. ngenxa yokulimala kabi ecekela kokubili nemisipha cruciate lihambisana imisipha emibili ezilingene articular capsule, imiphumela ziyabonakala ukubonakala "ziba ngcono" we ngokuhlanganyela nokungakwazi ukusebenzisa imilenze uma uhamba. Ukwahlukanisa ukulimala umsipha kanje:

• ngezinga lokuqala ngilulekela zihlanganisa ukuqhubeka yokulimala umsipha yemisipha ngesibonakhulu, ukuqaleka yinto ubuhlungu, ububomvu ka kwedolo, bese kuba khona ukuvuvukala, a ukuhamba kancane elinganiselwe;
• besigaba sesibili zihlanganisa eziningi amakhefu endwangwini, zonke izimpawu ezichazwe ngenhla kukhonjiswa degree kakhulu, joint ingxenye uhamba;
• ngezinga lwesithathu libhekene uqhekeko ephelele imisipha, kukhona ubuhlungu obukhulu kungazelelwe, kukhona hematoma ezinkulu, ukuvuvukala, ancike emlenzeni elimele akunakwenzeka, joint esimweni esikhululekile.

Ukuqhuba ngihlolwa

Uhlola abalimele esitho Uchwepheshe - traumatologist, unquma ukuthi ukuhlinzwa edolweni, kuye ngobucayi ukulimala isidingo. Lolu cwaningo sokuqala ukuqhuba ucwaningo kanye palpation ka kwedolo ethintekile.

Isigaba sesibili iyona uphethwe ngemisebe, kuphumele lateral x-ray yezicathulo kanye emisebenzi oqondile. Kwezinye izimo, ukuze abone kahle lamathambo esetshenziswa computed tomography. Sula ngeso of nemisipha, imisipha ukubheka i-MRI. Ngemva kwalokho, imiphumela wokulinyazwa kunqunywa nge izinga eliphakeme lokunemba.

Udokotela kunesithembiso Lachman test, okuyinto ukuthi isiguli ibekwe emhlane wakhe wamboza Nesandla sakhe sokunene ngemuva ethangeni. ngesandla sobunxele ngobumnene qinisa ingxenye proximal we tibia phambili. Isiphetho ukuthi lokuphuma phambili okumisiwe imisipha ekubhujisweni cruciate musa, esekelwe kungenzeka zokuqoka ilunga phambili futhi indlela okubukeka ngayo ngesikhathi edolweni evuvukele.

Izimpawu indiva amadolo ukulimala

Ngezinye izikhathi iziguli abamukele umonakalo, musa unake izinguquko ukuziphatha ngokuhlanganyela uma uhamba. Uma izinga lomonakalo ungukukhanya ke nokuntengantenga we ngokuhlanganyela phezu isikhathi sihamba. Ukuziba izimpawu zesifo sokuqaqamba kwamalunga kuholela ukuthuthukiswa joint, ngisho e-yobudala emaphakathi futhi ekuqaleni. Ngemva kwesikhashana isiguli uya kudokotela nge ukuvuvukala enamandla kwezicubu ezizungezile kwedolo. amadolo evuvukele kumele adedelwe uketshezi ngokuhlanganyela.

Anterior umsipha ukudabuka kuholela hemarthrosis ukuthuthukiswa ephelezelwa hit amahlule ku kwangaphakathi ingaphakathi ngokuhlanganyela. Lokho kuntuleka umphumela ukunakekela impilo libhekene sebuhlungwini obunzima ukuthi akuvumeli uchwepheshe ukuqhuba ucwaningo nge palpation.

Cruciate umsipha ukudabuka phambi kwedolo

Umsebenzi we umsipha imisipha ukuzivikela ngokuhlanganyela ekuguqeni kolunye uhlangothi. Ngu ukuhlukumezeka kubangela isimo lapho umuntu ngokuqinile unyawo esinqunyiwe nge tibia, kodwa iyadingeka ukuze lelisu motion isiyingi kwangaphandle. Umthelela ibhekisela ohlotsheni ngokungaqondile, kanye kokwehla ngemva gxuma kuhlulekile. umphumela ongaqondile ku joint amadolo is phetho ukunyakaza ku team kwezemidlalo.

Uhlobo lwesibili - hit ngqo - libhekisela ikakhulukazi ezimweni lapho cruciate amadolo umsipha ukudabuka kwenzeka uma isetshenziswa obangelwe esihlokweni noma ekwindla. Ezemidlalo ezifana hockey ne-baseball ayisibonelo ngenxa yokulimala ezifana. Ukudabuka bengaphambili cruciate umsipha amadolo ukulimala kuyingozi iphathwa nguchwepheshe. Isicelo izindlela olandelanayo musa njalo nemiphumela emihle, cishe zonke iziguli ukuvuvukala futhi ngakhula ubuhlungu ngemva kwalesi senzakalo.

Ukulimala ezingemuva cruciate umsipha

Lokhu imisipha tendinous obangela anterior cruciate umsipha. umonakalo Its bungavami, ngoba ubunjalo kweqembu kahle bavikela. Izizathu igebe emuva nemisipha abe buhlungu eqinile phambi kwamadolo noma umlenze aphansi. ukuhlaselwa okunjalo kwenzeka izingozi, zomgwaqo, ezemidlalo imincintiswano. Uma kukhona izinsolo posterior umsipha ukudabuka, hlola ezisebenza esimweni polsterolateralnogo engela (posteroexternal umnyango ngokuhlanganyela). Ngo ezingaphezu kuka-50% we-kuqondaniswe imigqa ephezulu nephansi kanye posterior cruciate umsipha ukudabuka. Ukwelashwa nzima izinhlelo ezimbili ukunciphisa.

Ukuhlonishwa ezingemuva ukudabuka umsipha

Isici uphawu kuyinto subluxation kancane tibia kulesi sikhundla ngemuva, ke kungabonakala ngokucacile ku-X-ray. Kulesi simo ultrasound alibonisi kobukhulu inkinga. Isiguli azizwa ubuhlungu kwedolo, ukuthuthukisa izicubu ukuvuvukala, ukunyakaza ngokuhlanganyela lapho esihamba ngayo iba ezingezona ezemvelo, kukhona umuzwa wobuze nokungathembani kwedolo.

ukuphathwa okulondoloza lokwephula imisipha emuva

Ngokungafani anterior cruciate umsipha, impatho posterior has a Dynamics omuhle. Ukubuyisela cruciate umsipha nenkanuko edlulele kudinga quadriceps esinqunyiwe ethangeni imisipha eyenza umsebenzi unyawo traffic. Uma kuphela ezingemuva izinyembezi umsipha kwenzeka, isiguli ngokuzimela wahlanganyela nokuvuselelwa, okwenza ukuzilolonga eziyinkimbinkimbi eziyisisekelo.

yokuzijwayeza bokubuyisana elula kodwa uyagijima njalo, umsebenzi unikeza udokotela. Linqume eqeda ukuvuvukala izidakamizwa, amaphilisi ezinhlungu, isisu.

kokungenela Steel ngesikhathi sekhefu posterior umsipha

kokungenela Steel uzimisele sokwenziwa yenzeka we zokwenziwa impahla, noma ukwethulwa Ukufakelwa. nemisipha Okuyisisekelo ungaphenduki, njengoba lokhu Inqubo nampumelelo. Udokotela ohlinzayo usebenza nge idolo ezilimele kuphela uma zombili ukwa noma ukudabuka ISIZINDA okuhlobene. Uma kukhona izinyembezi esinqunyiwe noma isenyelo, ukuphathwa Kwenziwa njengoba nokuvuselelwa ngemva ukulimala.

Ukwelashwa nokuvikelwa cruciate umsipha ukudabuka phambi nesikhundla ezingemuva

Ukuze ususe amahlule kusuka endaweni engaphakathi ngokuhlanganyela ukwenza igazi amasampuli usebenzisa muphi umjovo. Impela kulokho okusasele ngemva kwalokhu izinqubo ukuhamba ngakususi ukudabuka meniscal futhi Gypsum esikhulu.

Umlenze esimweni engathutheki kuyisivumelwano esingangenyanga, bese udlulela massage zokwelapha, amasu imfundo Physiotherapy ngokomzimba, ephulukisa ngokuphelele amadolo cruciate umsipha ukudabuka. Ukuvuselelwa kuthatha izinyanga mayelana 3-4, abuyiselwe ikhono emsebenzini.

ukuhlinzwa amadolo kwenziwa ngokushesha emva ukulimala, kunobungozi yezinkinga emalungeni. Yakhetha esiphuthumayo kokungenela kuhlinzwa kuphela icala uma ukulimala iphutha eqhekeza nokuhlukaniswa ithambo izicubu. Khona-ke le ngxenye unamathele ithambo ecashile bese efakwa usimende.

Izinyathelo kuqala ukuhlukumezeka

Umuntu esamnika lisalele. Umlenze olimele ibekwe esebenzisa ukuqondiswa ukuze ngokuhlanganyela ethintekile ingaphezu ezingeni emzimbeni. Lesi simo sidala i outflow uketshezi negazi ezivela ezindaweni inkinga. Sebenzisa noma iyiphi indlela lwaluyophola amadolo, kuba isicelo ekahle cindezela eqhweni amahora amabili.

Uma kukhona igebe cruciate amadolo nemisipha, ngesikhathi esifanele enikeziwe ukusiza ukuvimbela ukuvela izinkinga ngemva kokuhlinzwa, lula inqubo yokwelapha. Non-Uchwepheshe ukuxilonga ngaphambi kokufika udokotela kunzima kakhulu, ngakho uma kukhona kucatshangwa ukuthi akukho igebe, kanti isiguli Uthole enyelisa, kufanele usebenzise zonke izinyathelo zokuphepha njengoba for sekhefu.

usizo Quick ngukulimala ivi

Uma isiguli walimala edolweni lakhe, ukuthi benzeni kulesi simo? Amaminithi kuqala emva ukulimala ukuxazulula kamuva kakhulu ekubuyiseleni impilo ngokuhlanganyela. Uma ukulimala iphutha emgwaqweni, shayela i-ambulense, kodwa ngaphambi kokufika kwakhe ngokuthatha izinyathelo kuqala ukwehlisa ukuvuvukala. Isiguli ehlezi entabeni, isibonelo, ebhentshini bese uzama ukubeka ngaphansi umlenze olimele kwanoma yiziphi izinto ukuze esitho yafakwa njengoba eliphezulu ngangokunokwenzeka.

Sebenzisa ice inkinga, uma isiguli walimala edolweni lakhe. Kuthiwani uma kungekho iqhwa? izinto ezilusizo abandayo: izimbiza, amabhodlela - kuyinto efiselekayo kuphole amanzi ngilokhu. Ukubandisa kuzodala ukuvaleka endawo imithambo yegazi kanye kunganciphisa ukusakazeka edema, ukopha.

Ukuvimbela amadolo ukulimala akuyona ukuhlukumezeka ngokwanele ngaso sonke isikhathi kwenzeka kungalindelekile, ngakho usizo lokuqala kubalulekile. Abanye abantu musa ulihlanganisa ukubaluleka kwalokhu, lo ilimaze sihamba, kodwa ngezinye izikhathi eminyakeni embalwa inkinga iqala nge ukuhamba ngokuhlanganyela ngenxa kancane kancane izinkinga.

Ukwelashwa nokuvikelwa patella ukulimala

Uma contusion eqinile wenziwa wokubhoboza ngenhloso ukususa igazi zanqwabelana futhi uketshezi. Ukuze ubuhlungu impumuzo isetshenziswa amaphilisi ezinhlungu, njengokuthi "Analgin", "diclofenac", "Dolar", "Ketanov" nabanye. Joint Lubrication wamafutha kusukela nemihuzuko ukhiqiza isinyathelo evasive. Abeke kokungathembeki isihlilingi ukuthi akukhawuleli ngokuphelele ukunyakaza, kusiza kuphela ukuvikela ngokuhlanganyela obuthaka kusuka ukucindezeleka okungadingekile.

Ukusetshenziswa umzimba zokwelapha

Ukuqeqesha umzimba kanye umzimba ukusiza ukubuyisa ngokugcwele amadolo cruciate umsipha ukudabuka. izimpawu ezinamandla ukulimala zinyamalale, futhi lapho kufika isikhathi ekululameni. Isimo ukuze kuqale amakilasi iyona ukumisa ubuhlungu. Ukwenza njalo, izikhathi 2-3 ngosuku, ukwenza wonke umzimba izikhathi 10 ngamunye. Izivivinyo eziyinhloko:

• extensors futhi flexors ka kwedolo ukunyakaza ngokuhlanganyela, okuyinto ukulimala omnene ukwenzani umthwalo, kodwa ukudabuka kwanoma nemisipha ngemva mthwalo;
• Lusebenza inqubo kagesi kazibuthe hip nasemaqakaleni imisipha ukuthuthukisa ithoni futhi ashukumise kwegazi njengoba nokuvuselelwa ngemva ukulimala;
• ukuqinisa imisipha nomlenze unyawo isetshenziswa ukuze uphendukisa ngapha nangapha;
• amasonto amabili ngemuva ukulimala, enze poluprisedaniya elula emdulini, amadolo ngesikhathi esifanayo abheke phambili, emuva ngqo;
• Ukusebenzisa Okulandelayo liphumele tiptoes ukukhulisa ukuqinisa imisipha ithole;

• Bonisa lwenziwa ngenyanga yesithathu ukuqeqeshwa ukumelana ngemva ukulimala, thatha dumbbells ezincane esandleni, squats kwenziwe esimweni aphansi;
• ukuqeqeshwa kuyoba uhambo kancane phezulu ezitebhisini kanye amakilasi ngebhayisikili emile.
• ukwenza nsuku zonke ukuhamba ibanga kunqunywa kumuntu ngamunye, kuya isimo sempilo.

Ukulimala kwenzeke kungalindelekile, kodwa udinga sibaphathe sina, asikwazi dengwane noma ukwenyela ukulimala umsipha esivuna ukuminyana emsebenzini noma amanye amabhizinisi. ukwelashwa okungafanele kanye nokuvuselelwa akuphelele iba isithiyo ukusebenza evamile joint eminyakeni ezayo futhi unikeze kwenkululeko kwasebekhulile.