Dislocation Patellar: oonobangela, iimpawu, unyango nokubuyiselwa kwimo

luxation Patellar - yinto engaqhelekanga ezingemnandi apho umntu ukutshintsha le patella.

Ubume welungu

Ngoko ke, edibeneyo thaca yenye yezona ezihambayo kwixesha lolayisho emzimbeni womntu. Oku kuquka ithambo elimbhoxo (patella), nto leyo iquka izihlunu kunye nemisipha, ukuba ubakhusele umonakalo.

imali yayo inikezelwa nemisipha lo femoris quadriceps, inyanda ngayo kwakunye nezinye izihlunu.

lungu Patellar kunye ithambo ngokwayo idlala indima ebalulekileyo intshukumo imilenze. Ezi zinto zinika netheko quadriceps amandla ngokwaneleyo Wayitsala imilenze. Nakuphi na ukwenzakala kule nxalenye idolo igcwele iingxaki ezinzulu, kwakunye nomqathango ukuhamba kwabantu.

iintlobo zokugula

Dislocation le patella ukuba zihlelwe ngolu hlobo lulandelayo:

1. Bekhubazekile. Olu hlobo sifo kunqabile kakhulu. Unobangela iphambili yale uburhulumente kuqwalaselwa uphuhliso zaneleyo izicwili joint yakhiwe kuzo.
2. Unxinzelelo okanye bathenga. Kulo mzekelo, umonakalo ifunyenwe ngenxa ukuwa okanye ifuthe ngqo. Ukuba ukubana patellar kuba ngaphezu kwe-1 xesha kunyaka ngamnye yaye ngamaxesha athile, lo dislocation kulo mzekelo ingabizwa njengesiqhelo.

Ukongeza, i-ngezifo zibi kakhulu yaye kudala ikho. Kwaye Cazulula dislocation wethambo kwicala ukufuduka:

• Rotary. Le patella ishenxiselwe kwi axis yayo.
• Side. Yena ivela njenge ngenxa ukuwa kwi umzantsi womlenze ayinakolulwa okanye icala.
• Nkqo. Olu hlobo nenxeba kunqabile kakhulu. ngoko Bone Bayeka-moya oxwesileyo kwaye Asikokungena isikhewu ehlangeneyo.

Kwaye, ungenza zahlule iqondo leengxaki of ukufuduka bone:

1. Easy. Kulo mzekelo, isigulane ngenkankulu lusiva intlungu nongcungcutheko ngokwayo kungabonwa kuphela xa zijongwe evela kugqirha ngengozi.
2. I-avareji. Apha umlenze ochaphazelekayo ukutshintsha, kunjalo nje bawe.
3. Enzima. Lubonakala yintlungu enkulu kakhulu, kwakunye kwesithintelo ngokupheleleyo umlenze motion. Femoris zaqina ngamandla kunye nentlalo-ntle kuguga.

Izinto ezibangela izifo

Dislocation le patella nga kuxhokonxwa:

• Ukwenzakala ngqo (kwicala impembelelo vula elibukhali).
• A isiphene kwi isakhiwo amalungu.
• izihlunu uyadana.
• iimpawu period of ephilayo.
• Kwiintetho ezikralayo, isifo sisiba mandundu le idolo.
• Utyando kwi joint.
• Dysplasia le condyle femoral.
• Uwa evela ephakamileyo.

Ukongeza, eli lungu patellar akulunganga ngokwaneleyo ukuze yenze imisebenzi yabo. Ezi oonobangela dislocation le patella ngendlela eqhelekileyo. Noko ke, nazo kuthintelwa.

symptomatology zokugula

Phambi kokuqala unyango, kufuneka asebenze kunye ukuze abonise ngayo ngezifo. Ngoko ke, ukuba umntu ubunzima dislocation le patella, iimpawu zezi zilandelayo:

1. Endaweni elimele ibonakala intlungu onamandla elibukhali.
2. Ngaba patella zikhubazekile.
3. Utshintsho elikhangeleka ngayo patella ujike okanye phezulu phantsi.
4. Umntu akakwazi ukugoba okanye ukuqondisa abanye kwedolo ngeenyawo.
5. Kuyaphela ebegqwese ziyanyuswa.
6. Imbonakalo ukudumba kummandla ochaphazelekayo.
7. Anozizi esikhumbeni.
8. Imvakalelo kozinzo entlanganweni.
9. Ukukhulisa lobushushu kwi joint ochaphazelekayo.

Kufuneka ngoko nangoko qhagamshelana nogqirha xa kukho enye okanye ngaphezulu kwezi mpawu thaca. Kungenjalo, ixhoba esinokuyifumana ezinobuzaza kakhulu. Kwakhona, musa ngokuzimeleyo anciphise ivi, njengoko ungenza kube kubi.

uxilongo Iimpawu

Ngokwendalo, isigulane kufuneka bangenele uviwo ngokucokisekileyo umahluko. Inyaniso ukuba kuyimfuneko ukwahlula phakathi dislocation kunye ukwaphuka le patella, nokuba zilawule ngaphandle nezinye izifo. Uxilongo lubandakanya ukusetyenziswa kwezi ndlela:

• noviwo lwangaphandle yomguli, Ngokucofa wokwenzakala amadolo, nenkanuko yezikhalazo.
• Ray. Uze wenze umfanekiso lokuthelekisa omabini amalungu. -X-reyi kwenziwe uqikelelo eziliqela.
• MR. Inkqubo nkulu umfanekiso lwezonyango, nto leyo eya kwenza kube lula ukwabela an unyango olusebenzayo.
• Arthroscopy. Le nkqubo zombini zokuxilonga nezinyangayo ngexesha elifanayo. Isetyenziswa ukuphanda ukuba ezinye iindlela baba uninformative.

Ngokusekelwe ulwazi wafumana umenzakalo okanye ipeyinti wezamathambo rejimeni kwaye novuselelo nomonde.

unyango Conservative of dislocation

Ngoko nangoko emva kokuba umonzakalo kummandla umonakalo kufuneka isicelo kubanda. Oku kuya kuvumela ukuthoba ukopha yangaphakathi (ukuba ikhona), susa ukufukuka nokunciphisa iintlungu. Kakade ke, kungcono ukuba icele kwesebe kukubizela na ugqirha okanye yiya egumbini zonxunguphalo.

amanyathelo anokuthathwa oogqirha zezi zilandelayo:

1. Umlenze owenzakeleyo ibe ndindisholo. Isebenzisa indlela injectable lolawulo, njengoko inika isiphumo ngokukhawuleza.
2. Le patella kufuneka ilungelo balumke, ukuze umonakalo intlala kwaye oko konyusa ingozi iingxaki.
3. Ngenyawo kufuneka ubeke umhlabelo initrogen okanye udongwe. Ubude kokusebenzisa kwiiveki ezi-6.
4. Esebenzisa udaka kufuneka zilifudumeza ilunga usebenzisa UHF.
5. Xa walisusa isusiwe, yingcali wenza ulawulo x-reyi.
6. Emva koko kulandela ixesha xa joint functionality.

ukungenelela operative

Ukuba isigulana ukwaphuka ikhoyo le patella, okanye unyango elondoloza akazange olusebenzayo, kusetyenziswa uqhaqho. Ugqirha yenza okuhlatywa joint, ukhupha ulwelo aqokelelwe ngaphakathi kuyo. Emva kokuba ungenelelo isigulane kuya kufuneka bangenele enye ikhosi kwakhona, ixesha apho engekho ngaphantsi kwe kwiiveki 9.

Kukho ezinye iintlobo ze kotyando:

1. Vula zeplastiki lungu medial.
2. Arthroscopy.
3. Transposition yesinamatheliso distal kwemisipha.

Early kunye nokuziphatha eyiyo imisebenzi lupheliswe hemarthrosis, izinto ezonakeleyo kufakwe le intlala, uthabathe uze ulungise philisi ehlangeneyo. Kufuneka kuqatshelwe ukuba ukuba dislocation ihamba komsipha kwemisipha ezenza nzima. Ukuze ukubuyisela ukushukumiseka joint usebenzisa izihlunu ngumntu okanye ukunikela.

Eziphathekayo kunye kwimfuneko yokungenelela ngoncedo ngotyando ugqitywa ngugqirha.

Rehabilitation emva kokwenzakala

Inkqubo yokubuyisa kufuneka kwenzeke phantsi kweliso n'wina a podiatrist. Rehabilitation iquka umthwalo kunokwenzeka kwi ezonakeleyo joint, ukomelezwa kwezihlunu, massage kunye ukuyifundisa.

Isigulana ekhethiweyo imithambo ngamnye emzimbeni, nto leyo eya abuyisele uluhlu isindululo kunye nokusebenza kwamadolo ngokugcweleyo. Ngokuqhelekileyo, umntu akufuneki kakhulu ukuzithwalisa imithwalo emikhulu joint, ingakumbi kwixesha postoperative. Ukuqeqesha imisipha kusetyenziswa flexion kunye nokwandiswa imithambo omzimba. Ikona akufunekile ukuba zibe nkulu.

Ngexesha edolweni replacement isigulane rehab Ungasebenzisa amabhandeji ithengise ekhethekileyo ukuba asivumeli indebe abavumi kwakhona.

Uthintelo kwezifo futhi iingxaki

Ukuze patellar dislocation lwenzeke, kufuneka ukuba athobele imiqathango enjalo yothintelo:

• Yonke imihla, kufuneka ukuba enze imisebenzi elula emzimbeni ukunceda womeleze izihlunu kunye nemisipha abayibambe ivi.
• Kungcono ukuthintela iintshukumo ezibukhali kwaye nzima phezu entlanganweni.
• Xa yofuzo okanye ukukhubazeka kwamalungu kungcono uyeke ukudanisa, Ukuskiya, ukutsiba.

Ukuba ngaba umntu une patellar dislocation, unyango kufuneka kwenziwe ngaphandle nakanjani. Kungenjalo, izigulo kunokwenzeka. Umzekelo, isigulane uqala ukuphuhlisa osteoarthritis le idolo. Ukongeza, le dislocation kungaba umkhuba. Oko kukuthi, patella uza kusuka amandla minor emzimbeni. Kulo mzekelo, unyango thile nzima ngakumbi.

Enye ingxaki ngezifo na angakwazi nemisipha kunye intlala. Isigulane kubonakala ubuthathaka zezihlunu, apho phantse awuvumeli ukuba ukususa unyawo.

Ukuba unyango olufanelekileyo novuselelo olusebenzayo ALS sifo intle. Okt ngokudibeneyo functionality ibuyiselwe ngokupheleleyo, nangona kunjalo, ukuba izinto ezibanga ilingane ngokuphindaphinda, kufuneka kuphetshwe. Hlala uphilile!