Dislocation Patellar: izimbangela, izimpawu, ngelashwa

luxation Patellar - akujabulisi normal lapho umuntu shift patella.

Isakhiwo ngokuhlanganyela

Ngakho, ngokuhlanganyela ethulwa ingenye ezihambayo kakhulu futhi ukulayishwa emzimbeni womuntu. Kuhlanganisa bone okusaqanda (patella), ehlanganisa imisipha kanye nemisipha, ukuze bazivikele umonakalo.

ukulinganisela kwaso bunikezwa nemisipha we femoris quadriceps, besigaxa siqu kanye nezinye izicubu.

umsipha Patellar bese ithambo ngokwayo linendima ebalulekile kulengqungquthela nasemilenzeni. Lezi zici unikeze quadriceps ngokuhlanganyela amandla anele ukuze agobe imilenze. Noma yimuphi ukulimala kule ngxenye ye kwedolo igcwele eziyingozi, kanye umkhawulo ukuhamba komuntu.

zokugula izinhlobo

Dislocation we patella kungenziwa labizwa ngokuthi elandelayo:

1. Azalwa naso. Lolu hlobo sifo ezingavamile kakhulu. Imbangela enkulu yalesi isimo kubhekwa ukuthuthukiswa enganele kwezicubu kuyiphi joint yakhiwe.
2. Obungapheli noma kuluthola. Kulokhu, umonakalo etholwe ngenxa ekwindla noma umthelela oqondile. Uma ukufuduka patellar ingaphezu 1 isikhathi ngonyaka futhi ngezikhathi ezithile, le dislocation kulesi simo kungenziwa ngokuthi evamile.

Ngaphezu kwalokho, zokugula kuyinto osekukade futhi esinzima. Futhi ungakwazi ahlukanisa dislocation wethambo bebheke ukufuduka:

• Rotary. I patella kugudlukela kuma-axis awo.
• Side. Ubonakala ngenxa yokuwa emlenzeni aphansi waqonda noma ukushaywa unhlangothi.
• Kuqondile. Lolu hlobo ukulimala kukalutshwana kakhulu. Bone wabe eseshintsha unyawo ngendiza evundla engena igebe ngokuhlanganyela.

Futhi, ungakwazi bahlukanise degree zokugula ithambo ukufuduka:

1. Easy. Kulokhu, isiguli neze uyazwelana nathi ebuhlungwini nokwethuka ngokwayo kungenziwa kuphela Kutholwe lapho libhekwa udokotela ngephutha.
2. Isilinganiso. Lapha Gait ethintekile uyashintsha, kungaba ngokuvamile bakhala ngaphansi.
3. Heavy. It libhekene sebuhlungwini obunzima kakhulu, kanye kwezithibelo ephelele umlenze ezinyakazayo. Femoris kakhulu some nenhlalakahle liwohloka.

Izimbangela isifo

Dislocation we patella kungenziwa senziwa:

• ukulimala okuqondile (ohlangothini umthelela esejika).
• A isici isakhiwo emalungeni.
• imisipha kakhulu ezihambisanayo.
• izici bokuphila i umzimba.
• Okuvuthayo isifo esiwohlozayo kwedolo.
• Ukuhlinzwa phezu ngokuhlanganyela.
• Dysplasia we condyle femoral.
• A bokuwa besuka endaweni ephakeme.

Ngaphezu kwalokho, umsipha patellar akukuhle ngokwanele ukuze ukwazi ukuthwala imisebenzi yabo. Lezi izimbangela dislocation we patella kukhona lalivamile. Noma kunjalo, ungase futhi kungavinjelwa.

symptomatology zokugula

Ngaphambi kokuqala ukwelashwa, kumele ubhekane kanjani ukuze sibonakalise egunjini lokuhlolwa kwezifo. Ngakho, uma umuntu enenkinga dislocation we patella, izimpawu zimi kanje:

1. Le ndawo abalimele ubonakala ubuhlungu eqinile futhi abukhali.
2. Ingabe patella sikhubazekile.
3. I shift okubonakalayo kwesibhakabhaka patella ukumelela noma up and down.
4. Umuntu angeke alithole bend noma qinisa lonke amadolo ngezinyawo.
5. Ukungakhululeki kancane kancane iyakhula.
6. Ukubukeka nokuvuvukala kwendawo ethintekile.
7. Ububomvu kwesikhumba.
8. Umuzwa ukuntengantenga we ngokuhlanganyela.
9. Ukukhulisa izinga lokushisa emalungeni ethintekile.

Kufanele axhumane ngokushesha ne udokotela uma kukhona okukodwa noma ngaphezulu izimpawu ethulwa. Kungenjalo, isisulu ungathola eziyingozi. Futhi, ningawenzi ngokuzimela ukunciphisa ivi, njengoba ungenza sibi kakhulu.

ukuhlola Izici

Ngokwemvelo, isiguli kumele ahlolwe ngokuphelele umehluko. Iqiniso lokuthi kuyadingeka ukuhlukanisa phakathi dislocation kanye ukwaphuka we patella, futhi siqambe nezinye izifo. Sifo kuhilela ukusetshenziswa yalezi zindlela:

• luhlolo sangaphandle esiguli, palpation we edolweni, futhi nenkanuko edlulele lwezikhalazo.
• X ray. Futhi kumelwe wenze isithombe nokuqhathanisa kokubili amalunga omzimba. X-ray kwenziwe emisebenzi eziningana.
• MR. Inqubo ikhulisa isithombe emtholampilo, okuzokwenza kungenzeka ukwabela yokwelapha ngempumelelo.
• Arthroscopy. Le nqubo kokubili zokuxilonga nokwelapha ngesikhathi esifanayo. Isetshenziselwa ukuphenya uma ezinye izindlela babe uninformative.

Ngokolwazi wathola ukuhlukumezeka noma upende wamathambo lwemithi kanye nokuvuselelwa nesineke.

ukuphathwa okulondoloza ka dislocation

Ngokushesha ngemva ukulimala endaweni ezilimele kufanele usetshenziswe abandayo. Lokhu kuzokuvumela ukuba ngizole ukopha zangaphakathi (uma ikhona), ukususa ukuvuvukala futhi ekunciphiseni izinhlungu. Yiqiniso, kungcono kubathene esitho futhi ushayele udokotela noma iya egunjini labadinga usizo oluphuthumayo.

izenzo obengeziwe odokotela zimi kanje:

1. Umlenze abalimele kumele kube ndikindiki. Isebenzisa umzila komjovo yokuphathwa, njengoba inikeza umphumela okusheshayo.
2. I patella kufanele baqaphe elungile, ukuze kungabi bikho ukulimala uqwanga futhi akusho kwandisa ingozi yokungenwa ukuxakeka.
3. Ngezinyawo udinga ukubeka ibhandishi kokungathembeki noma kakhonkolo. Isikhathi ukusetshenziswa emasontweni 6.
4. Through the ukhonkolo kufanele kulungele joint usebenzisa UHF.
5. Uma ibhandishi isuswe, onguchwepheshe wenza isilawuli x-ray.
6. Kube sekulandela inkathi lapho ukusebenza ngokuhlanganyela.

kokungenela op

Uma isiguli ukwa samanje patella noma ukwelashwa ngoludala wayengekho ngempumelelo, ukuhlinzwa isetshenziswa. Udokotela ohlinzayo kwenza wokubhoboza ngokuhlanganyela, nokususa ketshezi zanqwabelana ngaphakathi kwalo. Emva kokuhlinzwa isiguli ngeke abhekane omunye inkambo yokutakula, isikhathi engesiyo esingaphansi amasonto 9.

Kukhona ezinye izinhlobo zokuhlinza:

1. Vula plastic umsipha medial.
2. Arthroscopy.
3. Transposition we okunamathiselwe distal ka nemisipha.

Ukutholakala kwesifo ekuqaleni kanye ukuziphatha ngendlela efanele imisebenzi kungenziwa hemarthrosis iqedwe, izingxenye ezilimele we uqwanga, thatha futhi silungise egobolondweni lelunga. Kufanele kuqashelwe ukuthi uma dislocation kuhambisana ukudabuka of nemisipha ezenza engenakwenzeka. Ukubuyisela ukuhamba ngokuhlanganyela usebenzisa i izicubu bokuzenzela noma abanikelayo.

Zezinto eziphathekayo ezenziwe kanye nesidingo kokungenela kuhlinzwa kunqunywa udokotela.

Ukuvuselelwa ngemva ukuhlukumezeka

Inqubo yokutakula okufanele kwenzeke ngaphansi kokuqondisa abasondelelne wezinyawo. Ukuvuselelwa kuhlanganisa umthwalo nokwenzeka phezu ezilimele ngokuhlanganyela, imisipha ukuqiniswa, massage and Physiotherapy.

Isiguli akhethiwe umzimba ngamanye, oyobuyisela uhla motion kanye nokusebenza kwedolo ngokugcwele. Ngokwemvelo, umuntu akufanele kakhulu overload joint, ikakhulukazi esikhathini postoperative. Ukuze aqeqeshe imisipha esetshenziswa flexion nokwelulwa umzimba nasemilenzeni. I-engeli kumele lingabi likhulu.

Phakathi amadolo esikhundleni nesineke Rehab angasebenzisa ekhethekile kokungathembeki amabhandeshi ukuthi ungavumeli indebe ukuwushintsha futhi.

Prevention yezinkinga isifo futhi kungenzeka

Ukuze patellar dislocation lwenzeke, kuyadingeka ahambisane nalezi zinyathelo lokuvikela:

• Nsuku zonke, kudingeka enze umzimba ezilula ngokomzimba ukusiza ukuqinisa imisipha kanye nemisipha ukuthi ubambe ivi.
• Kungcono ukugwema ukunyakaza abukhali nokucindezelwa okukhulu phezu ngokuhlanganyela.
• Lapho yofuzo noma deformity ngokuhlanganyela kungcono ukuba bangayeki ukudansa, Ukushushuluza, ukweqa.

Uma umuntu ethola ukuthi unesifo patellar dislocation, ukwelapha kumelwe kwenziwe nakanjani. Kungenjalo, ukuxakeka kungenzeka. Ngokwesibonelo, isiguli ucala kutfutfukisa osteoarthritis ka kwedolo. Ngaphezu kwalokho, dislocation kungaba umkhuba. Okungukuthi, abangabantwana patella izoya ngisho kusukela kokuvivinya umzimba ezincane. Kulokhu, ayikho indlela yokuyelapha kancane kuyinkimbinkimbi nakakhulu.

Enye zokugula yinkinga lokhu angakwazi nemisipha futhi uqwanga. Sengathi isiguli ubuthaka imisipha, okuyinto cishe ayikuvumeli ukuhambisa unyawo.

Uma impatho efanele kanye nokuvuselelwa ephumelelayo isifo Izibikezelo sisihle. Okungukuthi ukusebenza ngokuhlanganyela ngokugcwele esimweni Nokho, izinto ezingaphazamisa Trigger offset uphinda, kufanele kugwenywe. Hlala uphilile!