Tendon ululu phazi, pom'ng'amba motsatizana

Si chinsinsi kuti tendon pa mwendo chimagwira kutithandiza kuona ntchito thupi la munthu, ndipo ngati nacho chinachake (kutupa, sprain kapena wovulala), izo kwambiri zimasokoneza ufulu wathu wa kanthu. N'chifukwa chake mudziwe chifukwa chake zimachitika bwanji kupewa ndi mmene tiyenera kuchitira matenda amenewa ndi ofunika kwambiri.

Kodi tendon , nanga ntchito zake zazikulu

Pa mwendo tendon ndi mapangidwe minofu connective amene angagwirizanitse mafupa ndi minofu. Ntchito yawo yaikulu ndi kuonetsetsa Kusinthaku yake ndi ntchito khola ziwalo zonse. Komanso, kutsogolera kayendedwe ka malo. Monga ulamuliro, mawu akuti "Tambasula" si zoona ndithu, monga tendons okha sangathe anatambasula chifukwa chakuti alibe kusinthasintha chofunika ndi kutengera za izo. Ndipotu pali wathunthu kapena tsankho yopuma iwo.

Umawononga kuti tendon ndi

Kafukufuku amasonyeza kuti kupweteka kwa tendons mwendo zimachitika pa zifukwa zotsatirazi:

• Osiyana zochitika;
• Lakuthwa akutembenukira phazi pamene galimoto pa mtunda akhakula. Ndi zothandiza kuti theka la madandaulo za Mitsemphayi chinang'ambika amachokera akazi patapita kuyenda ndawala m'mbuyo.
• Tima masewera;
• Kuvala nsapato wovuta;
• nyamakazi;
• Kobadwa nako ofooka tendons;
• Nonstandard kukhalamo ndipo, chotero, chitukuko m'goli mu zigawo tsogolo la dongosolo minofu ndi mafupa. M'kukoma yosavuta - osiyana nthambi kutalika.
• Matenda a dongosolo minofu ndi mafupa;
• A zosiyanasiyana matenda.

Komanso, chophukacho wa tendon pa mwendo mChipangano "nthenda ya masewera", kuyambira pafupifupi 70% ya zodandaula analandira ndi othamanga ndi.

mitundu sprains

Monga mmene kuchita, zimene zimayambitsa mavuto anawagawa mitundu 2. Ndipo ngati mawonekedwe choyamba (otsika) ndi iwo amene chifukwa cha kuwonongeka ndi misozi kwa tendons, kudza mu mphamvu ya kukalamba thupi lonse ndi zambiri anapezeka ku anthu zaka, zomwe ndi zaka zoposa 40, mtundu wachiwiri (zoopsa) ndi mipata akuwuka chifukwa zosiyanasiyana mathithi, kayendedwe mwadzidzidzi kapena kunyamula zitsulo kwambiri. Chinthu chapadera cha tizilombo ta mtundu yamasika kuti zidzachitika mwadzidzidzi ndi yodziwika ndi ululu.

Palinso kugawikana m'magulu malinga kuyan'anila chinaperekedwa lililonse mtolo.

zizindikiro

Anatambasula za tendons phazi pamaoneka motere:

• ululu onse pa mpumulo ndi pa kuphedwa si zochita zovuta;
• kayendedwe m'malo zochepa pafupi gwero la zowawa (sangathe anachita flexion ndi kutambasuka miyendo);
• kutentha nyamuka;
• Bluish khungu kamvekedwe;
• A kusintha mu mizere kunja kwa olowa ndi, inali pafupi atangochimwa malo Nkosatheka kutambasuka;
• Ottokami osiyana;
• Nyimbo (clacking, crunching) pa pofuna kuti zowonongeka mwendo gulu;
• Timatha kumva kulasalasa ndi dzanzi m'dera limene muli ululu.

Koma m'pofunika kuganizira kuti zizindikiro zikusonyeza kuti asawononge tendons mu miyendo, mwina ndi makhalidwe awo enieni chofuna kuchita mtundu uliwonse makamaka yopuma.

kuwonongeka kwa meniscus ndi

Childs, tendon anawononga pa fupa lothyoka limodzi mwendo ndi chimodzi mwa zizindikiro zazikulu za ntchito zoipa meniscus. Ambiri mwa mavuto awa zimachitika mpikisanowo, amene amawapatsa okwanira mavuto. Koma chifukwa cha kufanana zizindikiro Sizotheka matenda yomweyo zolondola. Ake Mbali yekha kusiyanitsa ndi ululu amphamvu pamene inu muyesera kuwongola mwendo wopindidwa.

kumwendo sprain

Kumawononga kumwendo amasonyeza kutupa kwambiri, ndi posamutsa thupi pa mwendo akhudzidwa pali lakuthwa ululu umachuluka ndi kayendedwe. Komanso, mu milandu choipa amaganiziridwa, mungafunike fufuzani pa "kabati". Pankhaniyi, m'munsi mwendo ndi dzanja limodzi ankakhulupirira pansi, ndipo pakali pano ndi dzanja zina bwino kwambiri mbamuikha kumbuyo kwa mwendo, kukwaniritsa kusamutsidwa ake kutsogolo. Ngati matenda chachikulu chiri cholondola, ndiye effortlessly kusintha malo anu. Komanso, pali Mwina mkulu wa kudziwika magazi m'dera la kuvulala.

Kumbukirani motsatizana ndi tendons mu phazi zimakhala zochenjera (zambiri akudutsa mu masiku pang'ono), ndipo anawapatsa (Pankhaniyi chofunika mwamsanga thandizo la dokotala).

diagnostics

Monga ulamuliro, Woyambirira mtima kafukufuku ikuchitika chifukwa cha chokwanira dokotala zimene zinachitika kwa iye ndi otani iye akukumana pa nthawiyo. Ngati munthu anadandaula za kupweteka kwa tendons wa miyendo, anayendera woyamba kuchitikira wathanzi mwendo. Izi zachitika kuti dziŵani wodwala ndi ndondomeko za nkhaniyi ndipo kenako pamene iwonso angadze kwa phazi wakukuwazwa ule, iye ali mosalingalira okonzekera zimene anali kubwera pafupi. Motero, wodwalayo zimakhalanso chete amachitira mwai zonse zachipatala. Komanso, njira imeneyi zimathandiza adokotala kuyerekeza zotsatira, amene adalandira pa anayendera miyendo wodwalayo, amene m'tsogolo kwambiri atsogolere matenda.

Komanso, katswiri nkhani ndi maphunziro zina definitively kutsimikizira kapena kutsutsa matenda koyamba. Njirazi ndi monga:

• CT jambulani silingakhoze kokha kutsimikizira matenda, komanso younikira mphamvu ya mankhwala maphunziro.
• MRIs. mtundu wa kafukufuku limakupatsani infomeshoni enieni kwambiri ndi zimene zawonongekazo tendon mwendo wake, koma angati wosweka ulusi.
• X-ray bwino. tanthauzo lake zimathandiza kudziwa kuti n'zotheka kukhala mavuto (fractures ndi dislocations).
• Ultrasound mosamala limba kuonongeka.

thandizo mu nkhani chinang'ambika tendon phazi

Khalani limasonyeza kuti pamene pali n'zongochedwetsana amenewa, yapafupi zachipatala malo ili pa mtunda wa makilomita angapo. Choncho, mankhwala zina wopambana ndi wopanda mavuto osiyanasiyana, m'pofunika kupereka thandizo kwa wozunzidwayo, zomwe zikuphatikizapo mwai izi:

• Wosamasula mapazi zilonda ku nsapato ndi masokosi, umene kuchepetsa kuthamanga pa malo edematous.
• Kuonetsetsa ena m'dera zowonongeka, umene zimalepheretsa munthu pang'ono iye yakuyipsa tendons mu miyendo.
• Creation a gawo lapansi wapadera apangidwe kangapo nsalu ndi kuwayika iwo pansi pa malo owonongeka.
• Kutukula miyendo ndi kutalika pazipita kotheka (zambiri kwa mtima), umene uli kangapo bwino magazi.
• Kugwiritsa ku gawo molakwika kwa mbewu ayezi kapena nsalu isanafike madzi achinyezi ozizira. Koma, ngati zinthu amalola, ndi bwino kuti amachita Baibulo posachedwapa. A chidutswa cha ayezi bwino kuika pamwamba pa nsalu youma, kupewa necrosis minofu zofewa, zomwe zingabuke chifukwa frostbite amphamvu. Kugwiritsa oundana ankafuna maola awiri oyamba pambuyo choipa ndi imeneyi ya mphindi 20. Kenako, zidzakhala zokwanira maola awiri pa tsiku loyamba.

Kumbukirani, pa momwe ndondomeko izi idzachitike amadalira mlingo wa kuchira zina. Komanso, mphamvu ya ululu pamene analangiza kutenga mankhwala othetsa ululu.

mwendo tendons Chithandizo

Malinga mlingo wa anatambasula amapatsidwa miyeso osiyana achire. Mwachitsanzo, tsankho chotupa cha Mitsemphayi (1 digiri) amafuna mankhwala, momwe mu kuonongeka m'dera kudzera mwa bandeji zotanuka ntchito mmodzi bandeji Kuchepetsa sayenda zimfundo. nthawi yake kuvala zimasiyanasiyana masiku 3 mpaka 5. Komanso, iwo akhoza kupatsidwa mankhwala, kuchepetsa kutupa. Mwachitsanzo, pom'ng'amba tendon ya chala phazi, mtima wa Kwalamulidwa kwa ntchito loko wapadera ndi chala, ndipo ngati n'koyenera, ndi jekeseni wa mankhwala ochititsa. Komanso, kuonjezera outflow magazi venous, izo tikulimbikitsidwa kuti kupaka zowonongeka m'deralo gel osakaniza "Troxevasin".

Ndi maganizo mwachilungamo lofotokoza za ululu, kutupa ndi kayendedwe zochepa zimfundo (kalasi 2), immobilization zimfundo ayenera kwambiri yaitali khalidwe (masabata awiri). Komanso bwino mu masiku 3 kusunga phazi pamalo anamuukitsa. Monga tanenera kale, ayezi ayenera okhawo koyamba maola 24. Gel osakaniza angagwiritsidwe ntchito mofanana mu nkhani yapita.

Ngati zowonongeka anati pambuyo ululu kwambiri, Kulephela kugwila ngakhale kayendedwe pang'ono zimfundo (kalasi 3), zimene zinachitikira mungafunike ndi anakuta wa gypsum kapena opaleshoni miyendo tendon. Gwirani nyengo mwendo ukhoza kuposa mwezi umodzi (malingana ndi kuopsa kwa zoipa). Panthawi imeneyi, kutenga ululu mankhwala ndi jekeseni.

Kodi mwina zotsatira

Monga ulamuliro, pambuyo chithandizo madokotala ananena zawo bwino kwambiri ngati mankhwala anayamba pa nthawi. Apo ayi, tendon pa mwendo kungakhale pafupifupi mwathunthu ikutha ntchito yake, zimene pamapeto, mavuto aakulu pa sayenda anthu.

Zochita konzanso

Kubwezeretsa olowa sayenda pambuyo akukumana ndi choipa kumapeto kwa njira zochizira amapatsidwa njira yapadera konzanso, monga:

• Kuyenda mu nsapato omasuka, koma ziyenera kuchitika ndi mokoma mpukutu kuchokera zidendene ndi zala. chidwi ziperekedwe chakuti sitiyenera tsatira kwambiri sock kunja.
• Poluprisedaniya pa masokosi ndi kuwuka zina masokosi ndi awo obwereza wotsatira udindo poyambira.
• Komanso, muyenera kupeza nthawi Zochita zina za m'madzi, monga zinthu izi n'zotheka kukhala tendon kuonongeka popanda pofikira onenepa ake.

Chinthu chachikulu kuzindikira kuti mankhwala yake mu bungwe yoyenera mankhwala angathe kuchepetsa monga ndondomeko mankhwala ndi konzanso wotsatira.