Syndesmosis - Iyini? Tibiofibular syndesmosis ukudabuka

Lapho sifuna ulwazi ukulimala ezihlukahlukene nemisipha futhi kwenza amalunga omzimba, kungatholakala igama elithi "syndesmosis". Leli gama kubonisa amathambo kancane ezihambayo noma umile ngokuhlanganyela zomzimba womuntu. Ukulimala kule umsipha zijwayelekile, ikakhulukazi uma kuziwa abasubathi noma nabantu abakuphila msebenzi uhilela yomsebenzi omkhulu emzimbeni. Ngakho yini syndesmosis, futhi umphumela ukulimala kwakhe? Ingabe lokhu igebe okuhlangana esiyingozi futhi yini ukwelashwa ukunikela kwezokwelapha zanamuhla?

Syndesmosis - Iyini?

Njengoba ayaziwa ohlelweni locomotor lamathambo abantu abakhuluma kahle nomunye njengoba nezinqe umile. Ngokwesibonelo, emalungeni amathambo endoda ilungu yokuxhuma, ukunika amandla ukunyakaza. Uma sikhuluma emalungeni fixed, kukhona qiniseka ubizwe syndesmosis. Le ndlela uxhumano nge aminyene zezinzwa izicubu imicu. izakhiwo ezinjalo unganikezi nokuhamba. Ngokwesibonelo, it is ngakho okushiwo phakathi amathambo skull of amathambo izinqubo spinous, futhi tibia amathambo ibhodi lemisindo.

Yiqiniso, kukhona izinhlobonhlobo eziningana ezibangela ezinjalo. Ulwelwesi syndesmosis - yilokhu ungabona, cabanga fibula ngokuhlanganyela kanye tibia. Kodwa amathambo Yekhanda axhunyiwe nomunye izinhlobo ezahlukene "ezivuzayo".

ukulimala Izici syndesmoses

Maye, syndesmoses ukulimala Izithombe ezinjalo zivamile. Kaningi kukhona igebe phakathi nolwelwesi tibia. ukulimala eqakaleni zivame ezilotshwe abasubathi ngenkathi uziphonsa emanzini noma egijima. Ngu ukulimala efanayo ballerinas ezithandwa, bomzimba isekisi wabavocavoci.

Nge ukulimala kobuchopho esikhungathekisayo futhi balimala eqolo kungenzeka esephule emalungeni phakathi amathambo. Neonates syndesmosis uqhekeko phakathi kwezizwe izakhiwo skull ngezinye izikhathi kwenzeka ngesikhathi nokuwela emgudwini wokuzala. Kodwa lapho kokucindezelwa ukwa yomgogodla isiguli futhi kutholwa umonakalo ngokwengxenye noma ngilulekela imicu - nemisipha ephakathi amathambo.

Distal tibiofibular syndesmosis futhi igebe

Ngokwezibalo, 10% ukulimala eqakaleni Ukwenyela zixhumene ne isakhiwo ukuhlukumezeka ngokuthi "syndesmosis tibiofibular." Kuthiwa umonakalo kusuka kule sonke sibhekana, kusukela ulwelwesi kungenziwa welulela noma ezilimele uma umjikelezo eqinile lwangaphandle unyawo ngesikhathi turning a Sock ngaphakathi.

Ngakolunye uhlangothi, kunabantu abanemizimba kule uhlobo ukulimala ngenxa mkhakha - .. abasubathi It sika, abadansi, wabavocavoci, njll By endleleni, njalo egqoke izicathulo ephezulu heeled, ikakhulukazi nge kuyanda engazinzile, futhi kwandisa amathuba esisuka ulwelwesi tibiofibular.

Izimpawu tibiofibular ulwelwesi ukulimala

Ezilimele syndesmosis distal - lokhu kuyinkinga evamile, futhi kuhambisana zazinzima kakhulu isithombe emtholampilo. Ngokuvamile, uphawu sokuqala ubuhlungu obuhlabayo. emizweni ezingemnandi kuthiwa iyakhula kakhulu phakathi naleyo nkathi ukunyakaza noma uma uzama ukushintsha isikhundla unyawo. Nesisa ku palpation futhi ithuthukiswa.

Olunye uphawu kuyinto izicubu zomzimba ezithambile ukuvuvukala emhlabeni ukulimala - ukuvuvukala inyuka ngokushesha, lwanda Ngemizuzwana. Unyawo isiguli ngokuvamile uthola bephoqeleka, isikhundla ezingezona ezemvelo - ezimweni eziningi Kwatholakala. Ngaphezu kwalokho, isikhumba endaweni yokulimala zibomvu, ngokuvamile kungenzeka ukuqaphela nokopha encane ongama.

Yiqiniso, ukuxilonga tibiofibular syndesmosis ukudabuka, zidinga ukuhlolwa abanye. On behlolwa, udokotela angase kakade usola khona ukungezwani noma ulwelwesi umonakalo, kodwa i ukusazi ngokunembile isifo esikuphethe nokuzimisela yokwelashwa zemithi kudingeka alandele cwaningo-X-ray. Izithombe Uchwepheshe ngokusobala ukunwetshwa igebe phakathi amathambo, kanye ukucacisa komugqa futhi uqaphele khona waphuka.

ukwelashwa okulondoloza kanye nezici zayo

Okokuqala kufanele kube ukwelashwa olandelanayo. Ukuze kube lula lesiguli isimo, ubuhlungu, ukunqampunwa, ubambe novocaine ukuvinjelwa. Injongo eyinhloko yawo yokwelapha kule nkathi - kubathene esitho cindezela mezhdubertsovuyu igebe nanesikhathi kwezicubu ukuze siphinde sithole bebodwa. Ngakho isici esisemqoka yokwelashwa umlingisi, okuyinto sisetshenziswa ngesimo ebhuthini. Gqoka usimende kuyodingeka amaviki 5-6.

Khona-ke ibhandishi is lasuswa futhi kwafakwa ku ithayi esikhiphekayo - kule nkathi, ukunyakaza ephilayo esiphikisayo, kodwa kudingeka ukuba isiguli sibe nokuvuselelwa. Ngenxa yale njongo, abantu bavame ukuba linqume Physiotherapy ezahlukene kanye ukubhucungwa njalo. yokuzijwayeza yezokwelapha Kudingekile futhi ekhethekile, esiqhutshwa ngaphansi kokuqondisa onguchwepheshe, ukuthi ucosha iqoqo umzimba, usetha isikhathi viral ehambisana.

Syndesmosis ukudabuka ngokuvamile lihlotshaniswa nezinye ukulimala, kuhlanganise ukuphazamiseka evamile ukugeleza kwegazi. Njengoba isibonelo, ukuxakeka kungabangela thrombosis ka imithambo ngakho ngezimo zesiguli ukubukelwa eduze kakhulu, futhi uma kudingeka, faka ku isikimu yokwelapha anticoagulation.

Ngokushesha kufanele kusho ukuthi ukwelashwa ngoludala - inqubo eside. Ngokuvamile, ukuze ukubuyisa ngokugcwele ukuhamba namandla omzimba kunjani, isiguli udinga izinyanga ezingaphezu kuka-6.

Kwezinye izimo, ukuhlinzwa kuyadingeka?

Ngeshwa, ukuphathwa olandelanayo alusebenti esimweni ngasinye. Nge ukuhlukumezeka eqinile, okungafanele splicing amathambo ngokungabi bikho umphumela elashwe ngokomzimba udokotela anganquma ukuhlinzwa.

Namuhla, kunamabandla amasu amaningi ukubuyisela umsipha. Kaningi, kule nqubo, yenzeka ngesibopho entsha. Kumiswa It is kusukela imisipha walondoloza, fascia lata kanye imicu Dacron. I tibia ukwenza iziteshi ekhethekile, okuyinto umqulu abethela. Phela, ngo-92% wabantu amacala ukusebenza kuphumelela, abuyele ukuhamba nesineke.

Kukhona enye indlela esingathola, okungukuthi ukusetshenziswa kokucindezelwa nezikulufi yazalwa ingxubevange metal. Lokhu isikulufa is some ngokuphephile indlela - ke elungisa tibia at ibanga elithile, singavumeli bathuthe noma coalesce.

Kunoma yikuphi, kubalulekile ukuqonda ukuthi syndesmosis ezilimele - lokhu kuyinkinga enkulu, futhi i-self okungalungile lapha. Ngokushesha ngemva ukulimala kufanele ubonane nodokotela.