Lungu Cruciate of idolo: lokuthuthuzela amaxhoba, unyango, kwimo

Kwedolo joint - enkulu emzimbeni womntu. Kwaye kucacile ukuba ubucukubhede kweentshukumo kunye nokwakheka kwayo ifaniswe kakuhle. Kuba abafundi zonyango nto inzima kakhulu artrosindesmologiya, oko inzululwazi amalungu. Kuvuthondaba ukuntsonkotha entlanganweni idolo uthathwa. Kwaye phambi kokuba ukuthetha ngesigulo sakhe, kufuneka kuqala ukuqonda isakhiwo.

amathambo

Isiseko ukuyilwa le ntsebenziswano elide amathambo ezimbini - yifemur kunye lesiquluba - kunye patella encinane. Ngokwahlukileyo inkolelo ethandwayo, nxaxheba lesiquluba kwi joint amadolo akayi kwamkela. Yena uye kunye lo lesiquluba ngezantsi nje. Ekupheleni esezantsi ye lesiquluba , kukho ukuphakama ezimbini, ezibizwa condyles. Zimele nakumphezulu edibeneyo, yaye wambu intlala. Kwelinye icala kwihewu tibial unalo ukuba imilo okuphelele condyles. Kwakhona ligutyungelwe intlala ngenxa sliding ngcono. ithambo Last flat - patella - ibekwe phakathi condyles kwi elitywinwe ekhethekileyo kwakheka. Onke amathambo ababandakanyekayo ezingamadlelane lulungiselelwe intlala hyaline, ngemilimitha ezintlanu ububanzi. Yena kwisithokothoko, ecwebezelayo kunye agudileyo kakhulu. umsebenzi wayo kukunciphisa umthwalo ngexesha intshukumo kwaye ukukhuhlana phakathi amathambo. On top of ubume yonke sigqunywe inyama capsule nokuqina.

iinyanda

Ukuze ukudibanisa amathambo ezintathu kunye, intlala akwanelanga omnye. Kuthatha isixhobo ngesibopheleli elungileyo enokuguquguquka yaye liyaxhathisa, kwaye ixesha elide. Lo msebenzi wenziwa eli qela. Ziye ke zakha izihlunu ashinyeneyo nokuqina wazolula phakathi amathambo.

Ngoko ke, phezu iindawo icala ezingamadlelane ibekwe nemisipha wammela aqinisa philisi. Ababini kubo: osecaleni medial. Umsebenzi kwezi imisonto ukunciphisa ukushukumiseka ndibanisela ngesandla. Ngaphakathi philisi unalo iqela. Bona ephakathi imiphezulu articular kwaye zibizwa ngokuba crosswise. umsebenzi wabo - hayi ukunika ukuhambisa ngokudibeneyo kakhulu emva naphambili. SobuKristu cruciate lungu le idolo uqala kwi lesiquluba. Yena ilindele Ukufuduka kwakhe phambili kwaye n'ekiweebwayo ngaphandle umphezulu articular. Le ngomva cruciate lungu le idolo njengoko ukuqala kakuhle kwi lesiquluba kwaye ithintela nentshukumo yayo umva kuthelekiswa yifemur.

Bobabini, zinceda ukugcina ndibanisela kwimo lizama, ukuqinisekisa uzinzo kunye neentshukumo egudileyo.

menisci

Ngokwangaphandle, bakhangeleka ngathi iqela, kodwa ezakheke ezifanayo ngakumbi intlala. Ekubeni tiko phakathi lesiquluba kunye yifemur kunye nemfuneko ngokuhambelana nangakumbi entlanganweni. engundoqo imisebenzi yazo: i nokuba ukusasazwa ubunzima bomzimba kwi edibeneyo nokuqinisekisa uzinzo yayo xa uqhuba kwindawo static.

Oku kubaluleke kakhulu, kuba xa kwakungekho meniscus, ubunzima yonke umzimba wayeza kunikela ingqalelo iingongoma ezimbalwa ngaphakathi edibeneyo, yaye oku kuya kukhokelela ekubeni umothuko ngokukhawuleza kunye nokukhubazeka.

imisipha

Phezu phambi izihlunu idolo extensor ezikhona. Bona apha ngaphezulu yifemur kwicala elinye kunye imicu patellar - phezu kwezinye. Xa kuyehla ke, kukho ulwandiso umlenze kwi joint, avumele umntu ukuba enze linyathelo elibheka phambili. Uninzi lomsebenzi uthatha quadriceps.

Ngu yifemur liqela izihlunu-ukugoba. Ufakelelo indawo kubo, kakhulu, emantloko yifemur, kodwa ingongoma intshukumo kumphezulu esingasemva lesiquluba ezinzileyo yi imicu olomeleleyo. Nokuncipha ezi izihlunu ikhululeke kwamadolo.

izanya

Okubaluleke kakhulu idolo uthathwa luvo popliteal. Le yinxalenye luvo sciatic ezinkulu kwaye ishiya joint, unika amasebe amathathu. Eyokuqala uya lesiquluba kwaye ibekwe kufutshane kumphezulu angasemva. Iziketi yesibini lesiquluba ukunikezela ngaphambili kwicala kobuso lesiquluba. Kwaye ke yesithathu phantsi ezinyaweni. It is a luvo exutyiweyo. Kufuneka ibe injini, kwaye icandelwana sensor le. Kuba nokwenzakala entlanganweni amadolo zingamoshakala njenge luvo eqhelekileyo kunye amasebe awo.

igazi

Ukuba sithethe nje malunga joint, oko ondla uthungelwano wegazi igazi. It ukhandwa:

• i medial kunye osecaleni cipande idolo imithambo;
• ngomva imithambo;
• kwemithambo udibaniso idolo;
• top-phantsi kwaye bajikeleze kwemithambo idolo.

ke onke amasebe kwemithambo tibial, leyo evela yangaphandle iliac kwemithambo. Kwaye yena, naye, iphuma iliac eqhelekileyo.

ephuma lwemithambo ikhutshwa phandle igama elifanayo imithambo ezihamba umthambo ngamnye. Sokuqokelela le esezantsi ezibuhlazarha Vienna, leyo ubuyisela igazi umva intliziyo.

Ubangelwa ukwenzakala nemisipha idolo

Enye ukulimala kakhulu Iyandikhathaza ukuba ingafunyanwa kwi edolweni - umonakalo ukuya cruciate lungu. ayikho kuphela uzinzo ngesakhiwo lonke kuphazanyiswa, lunciphisa umthamo iintshukumo engenasizathu kwaye zezenzi, ngokunjalo nayo inkqubo ayengawokuphilisa iya kuba kakhulu elide.

Izizathu zokufumana trauma ezifana zingaba umonakalo zasekhaya kunye neempembelelo, iingozi, ubhekisa ngequbuliso. Kaninzi kwenzeka midlalo - abaqubhi, emkhenkceni, emkhenkceni, Jumpers okanye wrestlers. Ukuze uphephe oku, kufuneka ukuba bagcine amanyathelo okhuseleko xiphephana ophezulu amalungu, kodwa kananjalo kufuneka balandele ukudla uya kulifeza amazinga afanelekileyo collagen, ukulondoloza okubuyela kwimo yazo nemisipha.

ikliniki

Xa indoda yacela kunye njengokonzakala efanayo, leyo iyakhalaza, ukuva njengempendulo into efana nale: "Ibuhlungu idolo flexion kunye nokwandiswa." Kodwa yena cwaka malunga nezinye iimpawu.

- ngexesha wokwenzakala ide ecofa okanye womlilo isikhewu;
- kwakukho kozinzo kwi edolweni, yimvakalelo "komama";
- kwedolo ukudumba ngethuba leeyure zokuqala ezimbalwa emva kokonzakala;
- ukuqokelelana ulwelo em- ezidityanelweyo (ukuhla uphawu);
- kobudala zeentshukumo ngenxa yentlungu okanye ukudumba.

Ngoko ke, xa isigulane ukuxelela ukuba idolo yayinzima flexion nokwandiswa, oko kuthetha nje kuphela lungu komsipha cruciate. Kuyimfuneko ukwenza uhlolo ngokupheleleyo phambi kokuba bathathe isigqibo.

ngezigaba umonakalo

isidanga sokuqala: komsipha le sobuKristu cruciate lungu of idolo ngayo kancinane, kukho intlungu, iindumbisa okungephi. Movement kwi joint yi ukuyaphi, kodwa ngenxa ikakhulu nokudumba, ingaphumi, ngenxa yokwenzakala. Uzinzo liyagcinwa.

bolwesibini udidi: kukho komsipha kwenxenye cruciate lungu, gqibezela zonke iinkalo ukulimala isidanga sokuqala. Eyona lisahlulayo ukuba ezi izitshanguba zikholisa ukuba zenzeke. Kwaye kwakhona ukwenzakala ingabangelwa iinzame ngaphantsi emva kakhulu kwexesha lokuqala.

Degree Okwesithathu: uqhekeko epheleleyo sobuKristu cruciate lungu le idolo. ubuhlungu obukhulu, ukudumba jet kunye umda omkhulu yeentshukumo iyasebenza kwisixando sokwenziwa. Joint weza evakalala, kwaphulwa umsebenzi walo inkxaso.

Kakade ke, oluhlobo akanakukwazi ukubaginya bonke iintlobo ulimele idolo lungu, kodwa kuyanceda ukuba bamise lazo.

ekuxilongweni

Emva kokuba uphando, anamnesis kwesigaba yobomi kunye nokuhlola lwempilo luqala. Ugqirha izama ukufumana indlela luluvo iimvakalelo ungqamane nezibakala zokwenene. Okokuqala elihlola umlenze elungileyo, kuquka ukunikela ingqalelo ekhethekileyo kwamadolo. Oku kuyimfuneko ukuze bakwazi ukuthelekisa nezonakeleyo nti.

Ukuze ujonge indlela ezimashakeleyo cruciate lungu le kwedolo, ugqirha izama ukushenxisa lesiquluba kunye phezulu ngaphambili. Ukuba nenxeba, uphumelela. Kukho ixhokonxa ezithile ezininzi ezisetyenziswa kwezi meko.

Emva kophando ncwadana instrumental. Ezizezi - X-ray welungu idolo. It ikuvumela ukuba ukuchonga evela kuziphuko zendalo baberhabaxa kwaye breaks. Inyathelo elilandelayo ngemagnethi ekuvakaleni kwelizwi umfanekiso. It ikuvumela ukuba ukuseka uxilongo ngokuchanileyo emangalisayo. Kodwa ke ngamanye amaxesha kungaba nasengxakini. Ekubeni overdiagnosis uba namkhusane a zongenelelo engeyomfuneko ngokupheleleyo yotyando. lungu Cruciate le amadolo zingamoshakala ngendlela yokuba xenga ayenzeki, umsantsa omkhulu siboniswe esweni.

unyango elondoloza

Trauma akusoloko ezenza izigulane ukuba uqhaqho. Kulo mzekelo, lo ebonisa ukuba angenele na isibakala le isikhewu kunye ukungalingani entlanganweni. Le nto yandincedayo. Kuba amalunga nemisipha asetyenziswa rhoqo immobilization kunye abanye de nokubuyiselwa ingqibelelo. Uyakwazi ukwahlula inkqubo ngezigaba eziliqela zonyango.

1. Ithuba abukhali. nemisipha cruciate elimele welungu idolo. Unyango ijolise ekunciphiseni intlungu iindumbisa ezidibeneyo. Ixhoba kungcono ukuba azame ukuya esibhedlele ngokwabo. Ukuze isicelo site ukwenzakala ebandayo, nika ntlungu kunye nokunika luphumlo olupheleleyo sitho owenzakeleyo. Ukuba kukho ukuqokelelana igazi entlanganweni, kuyimfuneko ukuba ndimanyise ngamaxesha isirinji yayo, ukuthintela ihlwili ndizihlalise phezu imiphezulu edibeneyo, ebangela komtshiso oko.
2. gap sisidala. Xa iintlungu sele ewuthile, unako uqalise uqeqesho ukomeleza izihlunu. Akukho nto ilunge ngaphezu kokuba isakhelo eyomeleleyo izihlunu, nto leyo uya kubagcina ukususela hyperextension kunye iinyembezi phezu kwamalungu nemisipha. Qala encinane, kodwa uqeqesho ixesha ngalinye liya iintshukumo iqina ngakumbi awo ukunyuka. ezibamba Used (tinsimbi kunye nenkqubo lomnyango adjustable) ukuze kuthintelwe intshukumo.
3. iphepha engenanto. Kweli nqanaba, ugqirha wasikhangela joint ngokungathi bekungekho iingozi. Ke ukuba iziphumo kumkhawulela, oko kukuthi, wabuyela ukuhamba, ntlungu, kozinzo kunye nemiqondiso lwezidumbu, unyango kunokuthathwa yimpumelelo.

Kodwa musa ukucinga ukuba leyo isiphelo, kwaye kwangoko ukusebenza lokubaleka. Elide emva kokuphela unyango isigulane kuya kufuneka uthathe unonophelo komlenze owenzakeleyo, ukwenza umthambo ezikhethekileyo ukuqeqesha izihlunu kasikrobana.

therapy operative

Plastic cipande cruciate lungu le idolo lwenziwa ukuba akukho uzinzo joint okanye akukho echanekileyo. Ngokuqhelekileyo, oko kwenziwa emva unyango endala, xa kukho iziganeko ezihle malunga nenkqubo dystrophy.

Ngokuqhelekileyo, ezifana iintengiselwano zenziwa zingadlulanga iinyanga ezintandathu emva kokwenzakala. Kodwa ukuba umsantsa iminyaka embalwa edlulileyo, kunye nemiqondiso kwavela kutsha nje - ukuba akukho sizathu ukuba phezulu uqhaqho. Ngokuqhelekileyo, eli hlobo zonyango phantsi leembaleki abaye babe cruciate akudala baxakwe lungu le idolo. Operation sokwenziwa imicu. Kuba kubhaliwe isetyenziswa nemisipha zakhe umntu, yaye zitho zokwenziwa. Simple uthunge zonke iziphumo ezihle lungu ezifeleyo ayiwenzi, yaye ngamanye amaxesha kunzima, Nngokobuchwepheshe, ngenxa yokuba iindawo lingavumi. Eli lungu entsha lidolo cruciate kufuneka zihambelane ngokupheleleyo kunye elidala, ukuze yenze imisebenzi yayo ize ibekwe kakuhle.