Bondo choipa Kugwa mankhwala ndi kuchira

Bondo choipa - izi mwina mmodzi wa mavuto ambiri anakumana ndi anthu. Pambuyo pa bondo olowa ali ndi udindo waukulu ndi udindo osati chifukwa kuyenda, kuthamanga ndi kudumpha, komanso magulu ena ambiri.

Zoipa bondo ambiri

Chifukwa chakuti bondo olowa kwambiri dongosolo zovuta, akhoza ovulala m'nyanjazi ambiri - Mitsemphayi, minofu, chichereŵechereŵe, ndi fupa. Malinga ichi, kugawana mitundu zotsatirazi kuwonongeka:

• Chophweka - choipa zikuchitika patapita sitiroko kapena dontho;
• Bondo choipa kugwirizana ndi kutambasula Mitsemphayi kapena tendons amene amathandiza ndi kugwirizana patella;
• ong'ambika meniscus (izo ndi septum zotanuka pakati chapamwamba ndipo m'munsi olowa fupa);
• mitsempha kuwonongeka;
• ming'alu kapena fractures pa bondo kapu, pansi pa femur kapena pamwamba pa tibia ndi fibula, akuwuka pambuyo kugwa kapena amadza;
• dislocations mu patella ndi (zachilendo).

Bondo choipa Overloading

Aliyense choipa bondo pamwambapa zikuchitika monga chikhalidwe pachimake chifukwa zotsatira thupi olowa. Koma ena mwa iwo mwina chifukwa cha maganizo yaitali kapena kuchita mobwerezabwereza. Mwachitsanzo, kupalasa njinga, kukwera masitepe, kudumpha ndi kuthamanga lingachititse kuyabwa kapena kutupa ina zikuluzikulu za bondo.

Mankhwala apeza angapo kumawononga zokhudzana ndi mtundu uwu:

• Bursitis - kutupa zikwama synovial, mitigating ndi mikangano pakati pa mafupa bondo mitu olowa;
• tendonitis (kutupa) kapena tendinosis (mipata) tendons;
• Plika syndrome - kupotoza kapena thickening Mitsemphayi mu bondo;
• patellofemoral ululu syndrome - zikadzatha muyeso, owonjezera kulemera, kuvulala kapena olumala wa patella lapansi.

kuwonongeka kwa bondo olowa angathe atagwa?

Koma ambiri ndi bondo choipa mu kugwa, amene chimaonetsera yotupa ndi fupa lothyoka kapena mafupa othyoka.

Contusion, poyamba, angakhale osiyana kwa yokoka - ndi kumva kuwawa yosavuta kapena kufinya kwa matenda a khungu mmene magazi amasonkhana olowa a mkangano wa patapita nsupa pini. boma la mankhwala otchedwa hemarthrosis.

Pankhaniyi, wozunzidwayo zambiri amadandaula za kupweteka kwa bondo ndi vuto kuyenda, ndi olowa ndi kuchuluka kwambiri mu Volume ndi zina zooneka pansi pa khungu kufinya. Nthawi zambiri chifukwa atasunga okhutira anzake a wodwala angathe kuwongola bondo.

Nthawi zambiri, zizindikiro olowa choipa zayamba kutha ngakhale popanda mankhwala. Ngati ngakhale patapita nthawi yaitali pali kuphwanya ntchito bondo ndi ululu kulongolola, wovulalayo ayenera kukhala kufufuza zonse, kudziwa zotsatira zoopsazo.

Bondo choipa: meniscus

Molunjika bondo kuponya pa chinachake molimba kapena kulumpha mapazi ake ku kutalika kwambiri, ndipo kungawononge ndi mzake - onongani wa meniscus pakati pa kali articular. A lingakhoze ndipo kusiya kwa articular kapisozi ndi kutulukira lakuthwa mu gulu lawo (pa flexion kapena kutambasuka uncoordinated mapazi) meniscus.

Zodabwitsa ndizakuti kuonongeka lateral meniscus (mkati padziko tibia a) amapezeka nthawi 10 zosakwana medial (kunja kumzere wakumbali ndi). Pankhaniyi, wozunzidwayo kubva kuwawa kwambiri malo, phazi kuwongola zosatheka. Ndi nayenso ndi hemarthrosis monga mikwingwirima kwambiri.

Bondo choipa: mitsempha

Nthawi zambiri molumikizana ndi kuwononga limodzi kapena onse mchitidwe menisci ndi kuvulala kwa cruciate zapambuyo ndi / kapena tibial ina mitsempha.

Chifukwa cha ichi atha kutumikira ngati nkhonya kwa anawa ndipo Anabweza zakuthwa tibia uncoordinated pamodzi ndi gulu lake kunja. Kunja, ndi kutambasula kapena womwetula wa Mitsemphayi limasonyeza amphamvu akakufunsani ululu nthambi, mapazi womangika zoyendayenda, reflex nkhawa minofu yake, kutupa kuzungulira limodzi ndi mapangidwe effusion zochitika hemarthrosis.

Patapita choipa bondo zikutanthauza kuwonongeka kwa Mitsemphayi ndi, anavulala mwendo asungike mu malo okwera pa khushoni kapena mpukutu wa zovala superimposed pa wina bondo lanu (koma osati mwamphamvu!) Ndipo kuvala kwa mphindi 15-20. ozizira compress (pa tsiku angathe kugwiritsidwa ntchito kwa nthawi 3). Wodwala ayenera yomweyo kwa traumatologist ndi zamafupa.

mafupa zikukhudza bondo olowa

Pambuyo nkhonya amphamvu ndi bondo wake kapena dontho la angavutike kusonyeza fractures a patella, ndi mmunsi mwa femur, kapena kumtunda kwa fibula ndi tibia.

Dzina lake bondo choipa anasonyeza ululu, kukula ndi kayendedwe pang'ono phazi padziko olowa kutupa mofulumira anapanga, amakhala amodzi ndi mowonekera opunduka. A kutentha moleza mtima kuwuka ndi kupanga yotupa amphamvu.

Ngati mukukayikira mafupa othyoka, onetsetsani logwirana mwendo ndi aliyense molunjika chinthu yaitali mu malo amodzi kupewa kusamutsidwa makombo fupa. Pribintovyvayut mwendo kwa tayala amamwa ndi mabala alipo mankhwala njira antiseptic. Pofuna kuchepetsa edema ndi ululu kwa bondo akhoza kupanga ayezi compress, zomwe, poyamba, gwirani kwa mphindi yaitali kuposa 20. osavomerezeka.

Wodwala ayenera yomweyo kuchipatala thandizo zina.

Chithandizo cha kuvulala zosiyanasiyana bondo

Ngati wodwalayo choipa bondo, chithandizo kudzadalira wotani matenda adzaika akatswiri - kungakhale monga outpatient ndi n'kupuma. Wodwala chofunika kuchita ndi X-ray kuonongeka olowa kapena ultrasound.

Ngati chikupezeka, kapena wotsinidwa meniscus misozi, odwala anakumana ndondomeko pa amasulidwe. Kukachitika kuti pazifukwa zina zimenezi n'zosathekadi, kuchititsa kutambasuka olowa mwa zida wapadera. Mpumulo wa ululu wodwala yoikika "Indomethacin" mapiritsi, mafuta "diclofenac" mankhwala "Promedol" intramuscularly kapena miyala.

Zikavuta, pamene kuphwanya meniscus mtima chithandizo opaleshoni.

Pamene sprains ntchito wothandizila odana ndi yotupa (mafuta "diclofenac" kapena "Voltaren"), mafuta munali anticoagulants ( "Lioton"). Kwa atolankhani awa Chinawonjezeka ndi mafuta "Dimexidum" kuwongolera yobereka waukulu yogwira pophika mu nsalu.

Fractures ankachitira anakuta nsalu wapadera kupereka olowa stiffness, ndipo mu nkhani ya kukhalapo kwa zidutswa angapo adatengedwa ndi ntchito zawo poyerekeza anatomical dongosolo. Ngati kuonongeka chichereŵechereŵe mtima limasonyeza phwando hondroprotektorov mutsogolo ake kuchira ( "chondroitin," "rumalon" neri Al.).