Ukwaphuka we patella: Izimpawu kanye Ukwelashwa

Ukwaphuka we patella kungaba ezahlukene. Ngokuvamile inqubo kuhambisana edema nasemlenzeni ubuhlungu emizweni, okuyinto iyakhula e flexion nokwelulwa tibia. Nale umonakalo ngokuhlanganyela njengoba isiguli singenakukwazi ukuthuthela.

Anatomy of the ivi

Patella - ithambo flat oyindilinga ukuthi ihlala phezu joint amadolo kusukela front. Ukuze phezulu ivi quadriceps umsipha enamathiselwe, ise-hip. Futhi kokungathembeki Kwenziwa futhi inciphise yayo patellar umsipha. Ngaphandle nangaphakathi ithambo ithobela nemisipha lateral.

Ebusweni abushelelezi patella itholakala ngaphakathi eyayiseduze surface elise ngenhla kwamadolo. Ebusweni elingaphandle siyahedletela. It ihlanganiswa ne Imicu yotshani umsipha. I patella iyona lokuvikeleka kwezifiso ezisemqoka ezingumphumela amadolo ngesikhathi imithelela nokulimala.

Izinhlobo ezinkulu waphuka

Ukuze ahlukanise phakathi lezi zinhlobo ezilandelayo waphuka:

• Patella ukwa ngaphandle ukufuduka. It libhekene yokuthi ingxenye ithambo ezilimele, hhayi dengwane, kukhona eduze komunye nomunye. Endabeni ka umonakalo lokhu ithambo uhlobo lonke ukuphathwa usekhona.
• Ukwa yokubakhona noma ukuchema kuzo. It libhekene displacement we imvuthuluka we patella maqondana nomunye. Ezimweni eziningi, ukuhlinzwa liyadingeka ixhunyaniswe izinsalela.
• Ukwa phambi sebuningini imvuthuluka. It libhekene iqiniso lokuthi ivi niphihlizwe izingcezwana ezingaphezu kwezintathu. Lolu shintsho ubhekwa siyisinqumo esinzima kunazo zonke futhi kudinga ukwelashwa eside.

amafomu Vula bese avaliwe ukwa

Patella ukwa ihlukaniswe hlobo ovulekile futhi avaliwe.

Ngendlela ngasese ukwa isikhumba endaweni ukwaphuka lungekho ngaphansi umonakalo. It ihleli kahle.

Ngo uhlobo evulekile kukhona ukwephulwa enamandla isakhiwo isikhumba kusuka kulo ibhekwa ithambo lwavaveka. Ngaphezu kwalokho, uhlobo evulekile kubangela ukuphazamiseka ezibucayi isakhiwo ezizungezile nemisipha, imisipha kanye nemisipha.

Njengoba kukhona ukwa?

Ngokuvamile, ophukayo we patella - umphumela kokuthola ukulimala okuqondile lapho ehlela phezu kwedolo flexed noma umthelela izinto ezicijile noma kanzima. uhlobo ongaqondile yokulimala kungenzeka by ukusikwa okungazelelwe we femoris quadriceps.

indlela enikeziwe ohlobo okuxubile, lapho ukwa kwenzeka ngesikhathi inhlanganisela yezinto komonakalo nenkhulumombiko.

ukwa Patellar ivame ukuhlotshaniswa umonakalo ka ohlangothini umshini eguqa elise (quadriceps umsipha Imicu yotshani ise hip).

Uma zephule imisipha kukhona ukungahambisani ku patellar izinsalela.

umonakalo symptomatology

kuzibonakalisa waphuka kanjani ivi?

Izimpawu zimi kanje:

• Uma umonakalo ubonakala amadolo ezinzima nokuvuvukala ngokuhlanganyela kwedolo.
• Palpation wembula ubuhlungu obuhlabayo, kukhona khona izikhala phakathi kwezingcezu kwenzeka hemarthrosis (igazi sisakazwe joint amadolo).
• Ngokuvamile kwembula normal ukuhamba nokutholakala crepitations (ziwe) ka izinsalela.
• Ubuhlungu uma uzama agobe amadolo abukhali. isandiso Active, kusuka kube nzima noma ngokucijile elinganiselwe.
• Uma kwenzeka yokulimala ngaphandle ukuguquguquka isiguli akaphelelwa ikhono ukuhamba, kodwa ukunyakaza ahambisana abukhali imizwa lokulwa.
• Ukwaphuka we patella nokuba khona sokuchema kwenza ukuhamba engenakwenzeka. Futhi, isiguli singenakukwazi ukukhulisa esitho isimo enwetshiwe ngokugcwele futhi ukukhiqiza ukunyakaza asebenzayo we ngokuhlanganyela.

ekuxilongweni ukulimala

Ukuhlonza Ukugula ukwa ukuhlukumezeka udokotela ohlinzayo eyenziwa ngesisekelo isithombe zokwelapha, okuyinto ejwayelekile kulolu hlobo lesion. idatha etholwe-X-ray umumo womsebenzi izifundo baye nazo ngenkuthalo esetshenziswa.

izindlela engeziwe ye ekuxilongeni ukulimala kuyinto-magnetic resonance imaging we ngokuhlanganyela ethintekile. Hemarthrosis kuqinisekiswa wokubhoboza lekutfola emalungeni.

Imiphumela yaloku kuhlola okungenhla Ukwahlukaniswa

Ukwa inkomishi amadolo is umahluko kusukela patellar umsipha ukudabuka, ukudabuka we umsipha quadriceps futhi khona isifo sokuqaqamba kwamalunga, noma kuhlasimulise imvelo prepatellyarnogo bursitis. Kuzo zonke izimo ngenhla ingengaakwazi khona igebe phakathi kwezingcezu ithambo.

Ukwaphuka we patella has ukuhlukanisa nge ukuthuthukiswa okungavamile joint (ivi yokuhlukanisa). Ngokungafani ukwa, kule zokugula engekho ukuhlukumezeka abukhali futhi ubuhlungu. Igebe phakathi izinsalela of evenness ezahlukene kanye olubushelelezi. Ngokuvamile, leso sifo itholwa nhlangothi zombili.

ukwelashwa

Ukukhethwa indlela ethile yokwelashwa kuxhomeke ezicini ezimbili eziyinhloko: uhlobo nohlobo izingcezwana ukwa offset.

Ngokuvamile abantu baphuka izinqulu izinze futhi engazinzile. Lapho ifomu esitebeleni ivame ukuba bayeke. ifomu engazinzile kusho khona waphuka lapho ithambo uye wathuthela noma ungase ucabange ukuthi ubhekene ngokuhamba kwesikhathi.

Izimiso yokwelapha olandelanayo

Abantu abaningi bayazibuza iphathwa kanjani ivi Waphuka? Ukwelapha ebukhoneni sokuchema phezu 0.5 cm uqhutshwa indlela olandelanayo. Sokufeza yokwelapha enjalo ngokuyinhloko zendawo izinzwa ukwa ngu esasikhipha imithi ebulala izinzwa.

Kwasetshenziswa esebenzisa nenkanuko edlulele we ethintekile esitho usimende nesineke isondo ngenkathi ukuba azihambele ezayithola. Ngemva kokususa isondo Kunconywa ukwenza ukubhucungwa, sokuvivinya umzimba izikhathi. Futhi kwenziwe izinqubo physiotherapeutic (electrophoresis magnitolazer et al.).

In the engekho sokuchema ezilimele esitho iqinile esimweni kuyalungiswa. Okubekwe lebhasi usimende phezu nethanga iqakala uqobo. Njengomthetho, nesikhathi nenkanuko edlulele ezinjalo kuba amasonto 4-6. Lolo thando ungalubonisa ubambe ukulawula-X-ray.

ukuphathwa okulondoloza kuhilela immobilization eside joint, okuyinto ukuthuthukiswa - inqubo eside futhi wasakha ngokucophelela okukhulu.

kokungenela kuhlinzwa

Ngokusho ukuhlukumezeka, ukwa we patella ne ukufuduka patella imvuthuluka mkhulu kunezinhliziyo 2 mm idinga i operation lapho izingcezwana uqhathaniswa, kukhona ukubuyiselwa ebusweni articular we patella kanye nenkanuko edlulele. Ukuyeka indlela isimo non-kuhlinzwa enjalo ayinakwenzeka.

Lapho kungenzeka kokungenela kuhlinzwa kusetshenziswa izindlela ezehlukene suture izicubu zomzimba ezithambile, ithambo ngokuhlanganyela kanye imisipha imisipha Plastics.

Indlela droops athandwa kakhulu baba ukusebenza Schultze-Berger, phakathi kwesikhathi lapho convergence izingcezwana kulandele ukufakwa patella kwezicubu eseduze. Isikhathi immobilization emva kokuhlinzwa 1 inyanga. Ngemva ukususwa isondo kusukela Gypsum babelwe massage, Physiotherapy futhi Physiotherapy.

Ephambi kwezinduna waphuka we sebuningini imvuthuluka nokungakwazi alulame patella ukuthi excised kokungenela kuhlinzwa esetshenziswa, okuyinto zihilela ukususwa izinsalela noma patella.

Uma kungenzeka ukulondoloza joint, it is hhayi Kunconywa ukuba aqhube imisebenzi enjalo.

How fast iphathwa ukwaphuka we ivi? isikhathi Ukwelashwa kuncike ngezinga elithile nokwehlukaniswa emalungeni. Ngokuvamile, ukuvuselelwa yenzeka izinyanga 2. Uma igazi ngokuhlanganyela collect, kumelwe isuswe ngu wokubhoboza we patella. Lapho amafomu alula waphuka alulame ngokugcwele ngokuvamile kwenzeka ezinyangeni ezingu-3.

Ukuvuselelwa kanye nokwenziwa Physiotherapy

Ngemva kokususa isondo kusukela ukhonkolo kudingeka udlule zokulungisa, okuhlanganisa iqoqo umsebenzi okhethekile, ukubhucunga nokunyakazisa umzimba, futhi ukubhucungwa. Kubalulekile ukuthi zonke izinyathelo ukuvuselelwa, ukuvama kwazo uzaqiniswa ngu udokotela ukuba khona.

Indima ebalulekile udlalwa ngu umzimba ehlelekile, njengoba ziyindlela enhle ukuthuthukisa ngokuhlanganyela lilimele.

Usebenzise iqoqo umzimba ungase libukeke kanje:

• A unyawo enempilo lufakwa ngaphansi umlenze esaphukileyo, wenza ukunyakaza asebenzayo kumbuthano emalungeni kwedolo.
• Isiguli umi eduze udonga. Ngemva kwakhe kuyinto ibhola elikhulu ngawo kwenziwa squats.
• It eyenziwa ehamba phezu treadmill reverse. Ukukala kufanele kube hhayi ningi than 2 km ngehora.
• Kwenziwe umsebenzi ngebhayisikili emile nge eselishova ayisekho kuka-10 cm. Isihlalo kumele ibekwe ngendlela yokuthi umlenze ethintekile angase waqonda ngokuphelele.
• Kwenziwe jumping on emlenzeni elimele. Isimo esibaluleke kakhulu ukungabi khona ubuhlungu.

yezinkinga kungenzeka

Yini engabangela ukuba ukwaphuka we imiphumela ivi? Kufanele kuqashelwe ukuthi indlela olandelanayo yokwelashwa nengozi eliphezulu kakhulu Fusion engafanele amathambo emalungeni amadolo, nakho ungase uphazamise umsebenzi walo futhi kungaholela ekwakhiweni kwezimiso ezinzima sokugembula ezifana osteoarthritis noma gonarthrosis ivi.

isiphetho

Patella ukwa kuyinto kungadaleka ingozi embi kakhulu. Kufanele kuqashelwe ukuthi isimo esinjalo kukhona thukela ngokwanele. Njengomthetho, kwehlukana kwenzeka uma uhlevane noma izingozi. Esimeni leso sifo kufanele kube ngokushesha ngangokunokwenzeka ukuze sicele usizo traumatologist. Ekuqhubeni izinqubo ezifanele zokuxilonga udokotela kungacacisa degree of ukubhujiswa ngokuhlanganyela bese ukhetha isu ukwelashwa okufanele.