Patellar dislocation: zimayambitsa, zizindikiro, mankhwala ndi konzanso

Patellar luxation - ndi zosasangalatsa nthenda mkhalidwe umene munthu kusintha kosangalatsa wa patella lapansi.

Kapangidwe ka olowa

Choncho, anapereka olowa ndi imodzi mwa kuyenda kwambiri ndi olemedwa mu thupi la munthu. Pamafunikanso chowulungika fupa (patella), lomwe lili ndi minofu ndi Mitsemphayi, kuwateteza zisaonongeke.

moyenera ake amaperekedwa ndi a Mitsemphayi wa femoris quadriceps, mwini mtolo komanso minofu ena.

Patellar mitsempha ndi fupa lokha kungathandize kwambiri mu gulu la nthambi. Zimenezi zimathandiza kupereka quadriceps olowa mphamvu zokwanira kupinda miyendo. choipa chilichonse kwa gawo ili la bondo ana amakumana ndi mavuto aakulu, komanso kuletsa sayenda anthu.

mitundu kudwala

Dislocation wa patella akhoza wachinsinsi motere:

1. Kobadwa nako. Mtundu wa matenda ali osowa kwambiri. Chifukwa chachikulu cha boma imatengedwa osakwanira chitukuko cha zimakhala imene olowa wamangidwa.
2. Mantha kapena kugula. Pankhaniyi, kuwonongeka analandira chifukwa kugwa kapena zimakhudza mwachindunji. Ngati kusamutsidwa patellar ndi oposa 1 nthawi pachaka ndi nthawi, ndi dislocation Pankhaniyi angatchedwe mwachizolowezi.

Komanso, kudwala kwambiri ndipo nthaŵi yaitali. Ndipo inu mukhoza m'kagulu ndi dislocation la fupa motsogozedwa kusamutsidwa:

• Makina. The patella ali ankatembenukira nguli.
• Mbali. Zikuoneka chifukwa cha kugwa mu mwendo m'munsi anaweramuka kapena kachigawo.
• Choimirira. Mtundu wa kuvulala ali osowa kwambiri. Bone ndiye ankatembenukira ndege yopingasa ndi alowa kusiyana olowa.

Ndipo, mukhoza kugawanitsa mlingo wa kudwala fupa kusamutsidwa:

1. Easy. Pankhaniyi, wodwalayo nkomwe amavutika ndi zoopsa palokha likhoza kuonedwa pamene kuonera dokotala mwangozi.
2. Avereji. Apa gait akhudzidwa ndi kusintha, izo zambiri kugwa.
3. Lolemera. Iwo amakhala ndi ululu kwambiri, komanso chiletso wathunthu wa mwendo apaulendo. Femoris kwambiri omangika ndi ubwino chatsitsa.

Zimayambitsa matenda

Dislocation wa patella akhoza zidzayambike ndi:

• Direct choipa (mbali amadza lakuthwa nayenso).
• A chilema kapangidwe ka malo.
• Kwambiri zolimba minofu.
• Thupi makhalidwe a chamoyo.
• Yotupa osachiritsika matenda a bondo.
• Opaleshoni olowa.
• Dysplasia wa condyle femoral.
• A kugwa kuchokera kumwamba ndi.

Komanso, mitsempha patellar si zabwino mokwanira kugwira ntchito zawo. Izi zimayambitsa dislocation wa patella ndi zofala. Komabe, iwo angathe kupewedwa.

symptomatology kudwala

Asanayambe chithandizo, muyenera kuthana ndi kusonyeza kudwala. Choncho, ngati munthu likuvutika ndi dislocation wa patella ndi zizindikiro ndi awa:

1. M'dera anavulala limapezeka amphamvu ndi lakuthwa ululu.
2. Ndi opunduka patella.
3. The kusintha kosangalatsa mwina patella kuti uku kapena mmwamba ndi pansi.
4. Sangathe maondo kapena kuwongola bondo zina wapansi.
5. Kusapeza pang'ono ndi pang'ono nakweza.
6. Maonekedwe a kutupa mu zinkakhala m'dera.
7. Redness a khungu.
8. Maganizo Kusakhazikika kwa olowa.
9. Kulera kutentha olowa akhudzidwa.

Kodi nthawi yomweyo kudziwitsa dokotala ngati pali chimodzi kapena zingapo mwa zizindikirozi m'nkhaniyo. Apo ayi, munthuyo angathe kupeza mavuto aakulu. Komanso, musati paokha kuchepetsa ndi kneecap, ngati inu mungathe kukuchita poipa.

diagnostics Features

Mwachibadwa, wodwala ayenera kukumana bwinobwino wa masiyanidwe a. Popeza kuti m'pofunika kusiyanitsa pakati pa dislocation ndi wovulala patella, ndi akatsimikizire matenda ena. Matendawa zimaphatikizapo kugwiritsa ntchito njira izi:

• Kunja mosamala mtima, palpation kuvulazidwa bondo, ndi fixation madandaulo.
• Radiography. Ndipo upange chithunzi poyerekeza zimfundo onse. X-ray kuchitidwe zolosera angapo.
• MR. Ndondomeko maximizes chithunzi matenda, zomwe zingakuthandizeni kuti musankhe ndi mankhwala ogwira.
• Arthroscopy. njirayi ndi onse matenda ndi achire nthawi yomweyo. Izo ntchito kufufuza ngati njira zina anali uninformative.

Malinga ndi zomwe analandira zoopsa kapena utoto mafupa chakudya ndi kukhazikitsa mtima.

chithandizo ndiwofatsa wa dislocation

Chikadzangotha choipa kwa malo owonongeka ayenera kugwiritsidwa ntchito ozizira. Izi adzalola kuti ndikhadzikike magazi mkati (ngati), kuchotsa kutupa ndiponso kuchepetsa ululu. Ndithudi, bwino kugwetsa nthambi ndi dokotala kapena kupita ku chipinda mwadzidzidzi.

zochita Komanso madokotala ali motere:

1. The mwendo anavulala akhale dzanzi. Lidalembedwa injectable njira ya boma monga lili ndi zotsatira mwamsanga.
2. The patella kusamala bwino, kuti kuwononga chichereŵechereŵe ndipo alibe azitaya zosokonezeka.
3. Wapansi muyenera kuika chikukonzekera bandeji kapena pulasitala. Nthawi ntchito masabata 6.
4. Kudzera pulasitala ayenera konzekera olowa ntchito UHF.
5. Kamodzi bandeji atachotsedwa, katswiri amachita ulamuliro x-ray.
6. Ndiyeno nthawi pamene magwiridwe olowa.

ntchito alowererepo

Ngati wodwala alipo wovulala patella, kapena mankhwala ndiwofatsa sanali ogwira opaleshoni ntchito. Dokotalayo zimapangitsa olowa puncture pochotsa madzi anadzadza mkati. Pambuyo phukusi la wodwalayo kulandira Inde wina kuchira, nthawi imene ali osachepera masabata 9.

Pali mitundu ina ya opaleshoni:

1. Open pulasitiki medial mitsempha.
2. Arthroscopy.
3. Transposition ya ubwenzi wapotalikira wa Mitsemphayi.

Oyambirira ndi khalidwe labwino ntchito angathe kuthetsedwa hemarthrosis mbali kuonongeka kwa chichereŵechereŵe, kutenga ndi kukonza kapisozi olowa. Tikumbukenso kuti ngati dislocation ndi limodzi ndi chotupa cha Mitsemphayi kuti awapangile zosatheka. Kubwezeretsa olowa sayenda ntchito yokumba kapena mwiniwake minofu.

Kuthekera ndi kufunika alowererepo opaleshoni anatsimikiza ndi dokotala.

Konzanso pambuyo zoopsazo

The ndondomeko kuchira ayenera kutenga malo kuyang'aniridwa wapamtima podiatrist a. Konzanso zikuphatikizapo zotheka katundu pa kuonongeka limodzi mtima minofu, kutikita ndi physiotherapy.

Wodwala anasankha thupi Zochita munthu, amene adzabwezeretsa osiyanasiyana poyenda ndi magwiridwe a bondo mu zonse. Mwachibadwa, munthu sayenera kwambiri zimamuchulukira olowa, makamaka nthawi postoperative. Kuphunzitsa minofu ntchito flexion ndi kutambasuka Zochita miyendo. Ngodya sayenera lalikulu.

Pa bondo m'malo kothandizidwa matenda aubongo wodwala ntchito chikukonzekera nsalu wapadera kuti salola chikho kuwasuntha kachiwiri.

Kupewa mavuto matenda ndi zotheka

Kuti patellar dislocation sichinachitikepo, iwo ayenera kutsatira zinthu zoterozo zopewera:

• Tsiku lililonse, mufunika kuchita thupi Zochita yosavuta mulimbitse minofu ndi Mitsemphayi akugwira kneecap.
• Ndi bwino kupewa kayendedwe lakuthwa, kuthamanga kwambiri olowa.
• Pamene kutengera za kumtundu kapena olowa chilema ndi bwino kusiya kuvina, kutsetsereka, kudumpha.

Ngati munthu anapezeka ndi patellar dislocation, mankhwala ayenera kuchitidwa salephera. Apo ayi, nkotheka zosokonezeka. Mwachitsanzo, wodwala wayamba kukhala nyamakazi ya bondo. Komanso, dislocation akhoza kukhala chizolowezi. Ndiko kuti, patella kudzalimbikitsa ngakhale zazing'ono zofuna kukhetsa thukuta. Pankhaniyi, mankhwala ndi penapake zovuta.

Wina Vuto kudwala ndi alibe wa Mitsemphayi ndi chichereŵechereŵe. Wodwalayo amaoneka kufooka m'minofu, umene pafupifupi salola kusuntha phazi.

Ngati mankhwalawa ndi konzanso bwino madokotala ananena zawo matenda bwino. Ie olowa magwiridwe abwezeretsedwa kwathunthu Komabe, zimene zimachititsa kuchepetsa kubwereza, ayenera kuzipewa. Khalani wathanzi!