Bondo choipa. Meniscus: kuwonongeka, chithandizo, anatengera

Bondo olowa ali ndi dongosolo zovuta, chigawo kofunika kwambiri - ndi meniscus. Iwo amachita katundu kugwirizanitsa ntchito, kotero kwambiri atengeke kuvulala zoopsa. Kodi bondo choipa akhoza kuwasiyanitsa? ndi makhalidwe a matenda ndi mankhwala kuvulala zonsezi?

thunthu

Musanawerenge kuwonongeka yaikulu makamaka matenda awo ndi chithandizo ayenera kukhala bwino ndi thunthu la bondo. The meniscus ndi kachigawo woboola pakati chichereŵechereŵe, litayamba-zochepa. Izi ndi mbali yofunika ya bondo olowa, monga deta pa maphunziro ndi ntchito ya mayamwidwe mantha ndi olimba. Meniscus Wopanda padziko tibia, amene amaonetsetsa kuthamanga yogawa mulingo woyenera pa gulu. Monga bondo ndi meniscus awiri, amene ankatchedwa medial ndi lateral. meniscus yokha wapangidwa ndi thupi ndi nyanga - kutsogolo ndi kumbuyo. Wamba medial chichereŵechereŵe choipa, monga amakhala ndi kuyenda otsika chifukwa yolusa kudzera mkati lateral meniscus mitsempha. LaZimbawe, monga kuyenera medial ndi mafoni kwambiri ndi zochepa poyera kuti vutoli.

Mitundu ya bondo kuvulala olowa

Kuwonongeka kwa meniscus ndi ndi choipa sizachilendo, ndipo zimenezi zingapangitse zifukwa zosiyanasiyana. Bondo choipa (meniscus chawonongeka zambiri), malinga traumatology, nthawi zambiri amapezeka mu okalamba. Kodi ndi mitundu iti chimawononga tingaone?

1. Kulakwila ubwenzi wa meniscus - kupatulidwa ake. zodabwitsazi zambiri amapezeka mu zapambuyo ndi zapambuyo nyanga, osachepera - m'dera la thupi, parakapsulyarnoy nthambi.
2. Kuwonongeka kwa mitsempha mkati, amene ali ndi udindo kwa statics wa meniscus medial. bondo lake kuichotsa chichereŵechereŵe amapanga kwambiri yam'manja. Izi ndi zinanso yofunika ubwenzi kuvulazidwa zina, chifukwa mu kwambiri kuwonongeka ophatikizana angayambe.
3. Chophukacho nyanga ndi meniscus wa thupi, nthawi zambiri zimachitika m'dera transkhordalnoy.
4. Cysts, kumene kungakhale umodzi chipinda kapena Mipikisano chipinda ndi umodzi amaganiza ndi iwiri amaganiza. formations awa ndi chowulungika kapena kuzungulira mawonekedwe.
5. kusintha osachiritsika meniscus, zomwe zingachitike chifukwa zoopsa aakulu ndi kwa kapangidwe nthenda kapena matenda aliwonse zokhudza zonse. Nthawi zambiri, imeneyi ndi nkhani ndi kuliika medial meniscus, monga kayendedwe pang'ono akhoza kukhala zoopsa chifukwa microtrauma (munthuyo ngakhale mungazindikire), kenako kuyamba ndondomeko osachiritsika.

etiology

Waukulu chifukwa kuwononga meniscus wa - choipa omwe angagwe chifukwa olowa mwadzidzidzi kutambasuka, atypical rotational mwaulesi, komanso zimakhudza mwachindunji (mantha, dontho). The owopsa aakulu zoopsa, imene magawo koyamba angachititse kusapeza aliyense, ndipo kudzadzetsera kusintha osachiritsika. Izi zingachititse ena matenda zokhudza zonse, monga gout, la misempha kapena kuledzera aakulu.

zizindikiro

Pachimake nthawi kukuwonekera mwamsanga choipa bondo olowa. Panthawi imeneyi, wodwalayo nkhawa za ululu, kuchepetsa kayendedwe ka nthambi. Komanso, chingachitike anatseka misewu ya - kukonza nthambi mu malo ena. Kuwononga limodzi ndi magazi kuti patsekeke limodzi limene m'dera lino ali ndi khalidwe kutupa. Nthawi zambiri pa maziko a zizindikiro ndi matendawa "contusion" kapena "ong'ambika Mitsemphayi". chithandizo ndiwofatsa mongoyembekezera relieves wodwalayo, koma tsogolo kukonzanso choipa akhoza zokha anamvera.

Matenda nthawi, zomwe ndi zotsatira za zotupa pachimake, yodziwika ndi ululu watsopano. Chifukwa zodabwitsazi angakhale mtolo kwambiri kapena gulu mwadzidzidzi. Anapwetekedwa syndrome osati kumachitika pamene kuthamanga pa olowa. Movement yochepa, ndipo nthawi zina zikhoza kukhala nthawi anatseka misewu. Mu nthawi iyi zotheka kudzikundikira madzimadzi mu M'mimbamo, komanso monga kufooka minofu.

Popewa kusintha kwa aakulu pachimake nthawi mungathe ndi matenda mokwanira ndi mankhwalawa. Poyamba chizindikiro ayenera kukaonana ndi dokotala.

kuwonongeka madigiri meniscus

Yopuma akhoza kukhala mwina wathunthu kapena chosakwanira. Woyamba ndi zoopsa kwambiri ndi woopsa, imafunika nthawi yaitali mankhwala ndi kuchira. Kusintha ambiri umamumvera nyanga kutsogolo kapena imfa ophatikizana a nyanga. Komanso, kuvulala onse akhoza kugawidwa m'magulu awiri - ndipo popanda kukondera. Kachiwiri, choyamba amafunika konzanso yaitali.

diagnostics

matenda ikuchitika zochokera madandaulo ndi maphunziro apadera. Nthawi zambiri, odwala ankapatsidwa kuti ululu bondo flexion zimayambitsa. Nthawi zina ululu nkhawa, ngakhale pa mpumulo. Si zokwanira dongosolo ululu mankhwala, ndi matenda bwino. Anamnesis kwenikweni limodzi kupeza deta ndi kupezapo chifukwa cha kuvulala. The wodwala anafunsa ngati fractures anali sprains ndi kuvulala ena m'munsi malekezero, komanso kudziwa kupezeka kwa matenda zokhudza zonse zimene zingachititse kusintha osachiritsika chichereŵechereŵe.

Njira imodzi - Eppley matenda kafukufuku, imene udindo pa pamimba wodwalayo. Iye anafunsa kukhotetsa mwendo pa bondo limodzi ndi dokotala pa nthawi ino amaika kupanikiza pa chidendene, pamene dzanja ena amachita zolondola rotational kayendedwe mwendo ndi phazi. Zabwino chizindikiro ndi zosayembekezereka ya ululu.

Phunziro zolondola kwambiri ndi X-ray, ayenera kuvomerezedwa, ngati pali ululu komanso nkhawa, komanso ngati kudina bondo. A njira zambiri woyengeka ndi X-ray ntchito kusiyana sing'anga kuti kutumikiridwa mu bondo olowa M'mimbamo (Mosiyana artrorentgenografiya). Njira imeneyi zimathandiza kuti tifufuza ndi pang'ono kusintha pathological wa meniscus ndi Mitsemphayi.

Malo oyamba mwa mawu zambiri amatenga Kujambula (kulingalira maginito kumveka), amene amalola kuphunzira chikhalidwe cha zigawo olowa.

chithandizo

Pakuti matenda ayenera n'chiyani chithandizo. Kodi mankhwala chofunika pa kuvulala bondo? Meniscus - ndi mfundo za bondo olowa, yomwe imateteza absorber mantha. Pamene kuonongeka akatswiri zotheka ndiwofatsa mankhwala ikuchitika, lomwe limachitika pa kuvulala yaing'ono.

M'pofunika kuchepetsa katundu pa bondo olowa kum'patsa mtendere wachibale, koma immobilization wathunthu ali osavomerezeka. Imposition wa gypsum m'munda wa contractures olowa akhoza kupanga chifukwa pali chiopsezo kuti bondo ntchito adzakhalanso osati mokwanira. Full immobilisation chofunika pokhapokha ngati pali m'munsi nthambi fupa wovulala kapena Mitsemphayi kuichotsa (ophatikizana kuwonongeka). Kuwonjezera zinthu izi ndi mankhwala. Pa chiyambi cha mankhwala kawirikawiri chofunika analgesics kuti kuzilala ululu. Amafuna phwando hondroprotektorov (glucosamine, chondroitin sulfate). Kukonzekera izi imathandizira kaphatikizidwe wa chichereŵechereŵe minofu, komanso bwanji madzimadzi synovial.

kuvulala More aakulu amafunika chithandizo opaleshoni. Mwa zizindikiro kwa izo ndi:

• chiletso kuyenda mu olowa ndi kudina;
• ululu;
• exudate kuti patsekeke olowa;
• kwambiri mipata meniscus ;
• kusowa mphamvu ya mankhwala ndiwofatsa.

anatengera

Complete kubwezeretsa meniscus sadzafika nthawi yomweyo. Pambuyo pogwira zikunena achire analimbikitsa kuchita thupi ndi kutikita kuwala. Izi kuchepetsa nthawi ya nyengo ya anatengera ndi kuthetsa kufala kwa mapangidwe contractures. Zochita ayenera kuchitika nthawi zonse. olimbitsa zovuta ayenera mulibe kayendedwe aliyense lakuthwa, nawuza ayenera ikuchitika pang'onopang'ono bwino. Komanso nthawi imeneyi pamafunika kumwa mowa kwambiri ndi kutenga multivitamin kuti ali zotsatira zopindulitsa pa njira ya kubwezeretsedwa kwa chichereŵechereŵe minofu.

kupewa

Iwo m'pofunika kulabadira zodzitetezera kuti anthu kuchita nawo masewera osiyanasiyana. Choyamba, kupewa kayendedwe mwadzidzidzi pamene akuthamanga, anyonyomala ndi ntchito zina zokhudza bondo. Muyeneranso kulabadira nsapato wofewa, koma pamene akuchita Zochita kutsatira chikukonzekera nsalu pa mfundo bondo. kupewa woterenso kuchepetsa chiopsezo zoopsa mu nthawi pang'ono.

Bondo choipa (meniscus ndi mabungwe ena) amafuna chithandizo mwamsanga. Matendawa pa siteji oyambirira kupewa mavuto ndi akunjate ndi mankhwala ndiwofatsa. Choncho, zizindikiro woyamba kuwonongeka ayenera kuonana ndi dokotala, ngakhale nkhawa yekha ndi kusapeza pang'ono. njira zamakono kuthandiza kulenga chithunzi chenicheni cha matenda ndi nthawi kuyamba chithandizo.