Acetabulum o te wheua papatoiake

Ko tētahi o nga wharanga tino noa e arahi te tangata ki te wīra, he piere o te rohe acetabular. I teie mahana te haapii mai tatou e ko te wahi o te tahi huha, me pera me etahi dysplasia tīkina atu raruraru o te wahi i reira ranei tenei. Hoki e kitea i roto i te wahi ko te acetabulum me aha pōauautanga taea meinga sclerosis whati ranei o te nukuhanga.

He aha te mea huha?

Ko te tino kaha me te nui rawa i roto i te tinana tangata ia. I tua atu ki ngā āhuatanga pērā i flexion me toronga, hope kāhakitanga whakamuri, whakamua, tītaha, nekehanga hurihuri, kei te whai wāhi hoki ia i roto i nga matapuna o te tinana.

Ko te āhuatanga o tenei ahurei tahi - te whakarato ratou 40% o nekehanga tangata.

Kei te hanga e te reira e te matenga o te pūkaka, me te korekore, ka karanga te acetabulum. Ko hohonu he mea whakarite ki te pokohiwi te tahi huha. Rua taupokina tona huānga te kiko cartilaginous, e taea e haru i te pikaunga, nekehanga maeneene i haere ana, rere, me te peke i roto i t. D.

anatomy

Acetabulum Ko te hikinga i roto i te wheua iliac, i te mea wahi o te hipbone. mahi te reira i te mahi nui, me te matatini i roto i te tinana, pērā i te tautoko me te kaupapa. He he āhua hemispherical, pani i runga i te wheua ngohe roto. tawhiti Physicians mua, me te taiepa muri o te acetabulum, me tona kikorangi. Hoatu e whakarato ana tenei wahi o te wheua papatoiake kaupapa tangata, he mea nui ki te kitea wawe abnormalities i roto i tenei rohe, me te hamani hohoro.

i hanga Acetabulum te puke, ischium me wheua Illium i wahi o to ratou hononga.

whati

Nuinga o ngā wā, he pakaru taua o tonu o wheua puta rite ki te hua o te aituā. Hoki, kia puta i tenei mate i muri i te hinga i te tiketike nui.

Ka taea te wehea whati o te acetabulum ki 2 momo:

1. kino Simple. Tenei piere nga pou mua, muri, me te waenganui whara hake taiepa.
2. kino Matatini. Tenei Ko ina rere te aho whati noa i te torutoru nga wahi o te wheua. Kei roto i tēnei te mua whara taiepa, hake, e rua pou me ētahi atu.

Tohu o te whati ngā:

- Pain i roto i te kopu, me te huha.

- He uaua te manawanui ki te whakawhirinaki i runga i te waewae whara.

- He whakakitenga mārama o te shortening o te e alangá, i te mea piko i te hope, me te turi hononga. koané waho waewae.

maimoatanga whati

- Ki te te tapatahi takahi o te wheua puta kahore rītaha, ka uta te manawanui he pahi paerewa, he rīpene me te toronga motuhake o te waewae o raro mo te wā o te 1 marama. Kia tino ki te tautapa i te akoranga o te tua, electrophoresis.

- Ki te pakaru te acetabulum o te wheua papatoiake i roto i te taha o runga, me te muri, tahuri raruraru hip, ka kawea te maimoatanga i roto i te te pamu kōhiwi. korero nga whakahaere mātanga mō epicondyles pūkaka. Kei te totoro mihi ki tenei whawhe o te capsule tahi, a ka kua aki nga whatiwhatinga ki te acetabulum, arā ki āu. Roanga totoro Ko te tikanga 1.5 marama.

- Ki te he kongakonga o te nui me te reira e taea ki te whakarite, ka hiahiatia pokanga te. kia whakahaere te reira i roto i te wiki tuatahi e rua i muri i te wharanga, e kore e muri. Hei whakatika i nga whatiwhatinga waka, te whakamahi i tākuta te pereti, me te tightening pokekore.

I muri i te maimoatanga, he tino nui i roto i whakanohonoho te whati.

tikanga uru pea

maimoatanga operative o piere o te hikinga rite te acetabulum, he tino wero. Ko te take i he te reira tino uaua ki te tae te wharanga mātanga.

Ngā momo o piere o te nukuhanga te rota me, o te akoranga, mo ia he ona tikanga ake o te whai wāhi. Kei te nuinga whakamahia te tikanga e whai ake nei:

- te uru mua.

- ara ilioinguinal.

- te uru muri.

ara mua

I roto i te ara tetahi e karangatia ana ko "ara ofemoralnaya." Kei te whakamahia te reira ki te mai anō te whatinga katoa tuwhera taiepa mua, me nga rawa tīwae huaina acetabulum. kia tono atu ara mua i roto i te maimoatanga hāparapara o piere hake.

uru Ilioinguinal

Kei te whakamahia te reira mo te whakatuwhera i te mua, me te mata i roto o te acetabulum. E taea hoki te whakamahi i te reira no te kotahi-wāhanga hikinga whati warea me roimata o te tahi sacroiliac. Heoi, e kore e hoatu e tenei tikanga uru ki te hunga mohio tīwae mana me te taiepa kōwhao hoki.

ara muri

tano te reira ki te whakatuwhera i whakaiti me te osteosynthesis, ki te mea i reira he kino ki te taiepa posterior o te acetabulum, i muri i whakakorenga o raruraru huha te whakarite. Ano hoki, whakamahia tenei tikanga te ki te tango wāhanga o ngohe i te kōhao tahi.

Therapy kōhao muri whati mata

He he he taua huringa pathological i roto i te aituā he taka i te teitei ranei. E pängia ana ki tenei mate mo te nuinga o te iwi taitamariki. Whati haere tahi e te neke whatiwhatinga dislocations o wheua, kārewa whakangaromanga o articular wheua ngohe. Ko te mata o te acetabulum o te mārōrō kitea i roto i te wā taratahi. kitea te nuinga o ngā wāhanga piere tīwae posterior.

I roto i te mātanga hōhipera ka titiro te pārurenga, mā te whakamahi i te rangahau o te papatoiake X-hihi. Ka rite ki te mea o te rūraa i raro i rehunga epidural tākuta rehunga rō-uaua ranei te whakaiti i te raruraru. I muri e te tātaritanga whakamutunga o kino tahi, tae atu i te X-ray i roto i te ileum, Arotake, matahao, me tomography rorohiko. tikanga rangahau taua tauturu ngaio whiwhi he pikitia ki tonu i te kino taua rawa rite te acetabulum.

Hei hoatu i te tangata i runga i te waewae i roto i tenei take e pokanga anake. hanga te tākuta te tarai mo te raina i reira paetata te kongakonga te. Na ka ata te tākuta te tīwiri te kōpeketanga tīkina ranei. Ka taki i pūmautanga kongakonga warea, a ka sutures te marutanga.

whakaora

A, no te i ka ora ake te acetabulum o te wheua papatoiake i muri i te ofatiraa i tona tapatahi, he mea nui ki te mau i te ture e whai ake nei o te whakanohonoho:

- mahi Daily ki mahi manawa motuhake.

- Ako i te tika ki te haere i runga i turu tootoo, ki manga i runga i te waewae.

- Kawea mai te huinga motuhake o mahi i raro i te mātakitaki o te podiatrist: flexion me toronga o nga matimati, kapu o te hurihanga, te whakatairanga, me te e tukupu ana i te papatoiake ki te tautoko i te piko hauora ki te e alangá raro me rua ringa.

Osteoarthritis o te huha

He tohu o te mate, ko te sclerosis maha o te acetabulum, kitea nei te anake i roto i te X-ray. Kei te maha kitea tēnei wā i roto i te whakaahuatanga o whakapakoko whakaputaina e radiologists.

Tenei raruraru whanake rite ki te hua o ngā whakarerekētanga inflammatory i roto i te wheua ki te ururua hoki o te kiko tūhonohono.

Acetabular sclerosis - he huru i roto i nei i reira he kore tohu waho o te mate - arthrosis. Ko angamaheni mo te iwi paari tenei raruraru. Ko te take matua o te korekore he sclerosis:

- thinning o ngohe.

- Tūkinotanga o te supply toto ki te waewae ki mate e pā ana ki te pākia e.

- predisposition tuku ki te rumati, osteochondrosis.

- dislocations i roto i te haere.

- āhua sedentary.

- malformations congenital o hononga.

- ki te whara i roto i nga pikaunga hākinakina tūkino taputapu ligamentous.

- piere i roto i hononga.

- mōmona.

Maimoatanga o osteoarthritis o te huha, MS

Treatment ngā:

- Massage.

- MAHI (motu o te waewae piko i roto i te tūranga te maungārongo).

- ngā tukanga Physiotherapeutic (kohuke ware pi, autō).

- Adoption o pati motuhake ki Radon, hauwai sulfide.

- Problems Treatment NSAIDs "diclofenac", "Nimesulide" me etahi atu.

kia whakawhāiti hoki koe rāhuitia te aranga ki taimaha te mo te wa roa ki te kia noho. E tarapekepeke, Kei te rāhuitia hoki rere.

mate o Otto

I roto i te ara tetahi huaina tenei mate ko "dysplasia acetabular." Na tona ingoa, rite te mate Otto, i whiwhi ai tenei māuiuitanga te i muri i te kaituhi e tuatahi fakamatala'i reira hoki i roto i te 1824 Ko te mate congenital e puta anake i roto i nga wahine. Ko te raruraru faaite ake i roto i te here o nekehanga o te tahi huha (kāhakitanga, adduction, hurihanga, shortening nga wahi o raro). I roto i tenei take, e kore e kore te mamae o te sex ataahua ite.

Hei whakaū i te tātaritanga "dysplasia whārua" he tika ki te whakahaere i te rangahau:

- X-ray o te tahi hip i roto i te haurangi e hiahiatia ana.

- MRI.

- ultrasound.

Acetabulum: maimoatanga mate a Otto

Treatment he wawaotanga hāparapara, e ai ngā:

- whakaiti kati o te raruraru.

- pokanga fakatonutonu mo Hiari.

- Open whakaiti o raruraru.

- te pamu kōhiwi.

- Hip arthroplasty.

Kei te whakamahia hoki tīkina tautoko:

- He momo motuhake o te takai.

- mahi Therapeutic, taka porepore.

- Massage.

- Treatment ki ngā rongoā.

Whati ki te pōauautanga

Ko te displacement o te acetabulum kia puta i roto i te hinga o te ahanoa nui i roto i te papatoiake, pēpēhinga reira i roto i te manureva frontal ranei, mo te tauira, ka he ati motokā.

I roto i enei piere faingataa, pakaru takiwa o te tahi huha. A, no te posterior raruraru neke trochanter nui mua. Ki te te raruraru o te pokapū, ka tuwhaina piko hohonu. Hei mahino e whatinga ngā, he mea e tika ana ki te mahi i te x-ray i roto i rua haurangi, no te mea kia te raruraru rānei i te mua hiku ranei.

fifi tohutanga:

- nekehanga waewae Active whāiti tino.

- he alangá raro i roto i te āhuatanga nanakia.

Treatment i roto i tenei take ko te whai ake:

- Tono o te pūnaha te pamu kōhiwi. Korero kawea rohe supracondylar o te huha ki te aki o 4 kg.

- whakanohoia te waewae i roto i te tūranga o te flexion me te kawe i roto i te hope, me te turi hononga.

- Ki te whakatau i te upoko ki te tohunga tūranga e hiahiatia ana te mahi pamu o nga tuaka kaki i te kopi te pamu kōhiwi ranei ki te kawenga tuatahi o 4 kg.

- I muri e whakawhiti nga kawenga whakaiti ki te pamu kōhiwi mahue te mahe pūtake i runga i te tuaka kaki.

- Kei te hoatu waewae mo te 1 wiki ki te koki o 95 nekehanga.

Roanga totoro Ko i 8 ki te 10 wiki. E whakaaetia Ahakoa i muri i te 2 wiki kaupapa i roto i te tahi. whakaaetia kawenga tonu i runga i te waewae e muri anake e ono nga marama. Na whakahokia te kaha ki te mahi i roto i 7 marama.

coxarthrosis

Tenei mate ko te āhua degenerative, e pānga te paari, me te waenganui-koroheke. Whakawhanake mate māmālie mo te maha o nga tau.

tohu Koksartroza he:

- hononga pathological i waenganui i te upoko femoral me te acetabulum.

- hautahi medial o te matenga ko i te taha.

- Ko te tuanui o te imbricate acetabulum iri i runga i te poka, rite te ngutu.

- Ko te roa o te poka, me te tuanui he pakaru.

- kahu cortical i roto i te depressions tuanui thickened.

Coxarthrosis tahi e te mamae, me te whāititanga o te kaupapa tahi.

I roto i te wāhanga i muri mai o te mate i reira he atrophy o nga uaua o te huha.

E wehewehea Take o tenei mate ki 2 momo:

1. coxarthrosis Paraimere. Puta reira hoki ngā take rongoā unknown.
2. coxarthrosis Tuarua. Kei te kitea te reira i rite ki te hua o te tahi atu mau ma'i.

Ko te momo o te mate o muri nei e taea e te hua o ngā raruraru pērā i:

- congenital raruraru huha.

- Hip dysplasia.

- iroiti necrosis o te matenga femoral.

- hip rumati.

- Perthes mate.

- whētuki (whati o te huha, papatoiake, te takoki).

Hoki kauneke coxarthrosis. Ki te tīmata koe i maimoatanga i te wā wawe, ka taea e koe te mahi i maimoatanga momo. I te wā i muri mai ka he tikanga whai hua pokanga anake.

maimoatanga coxarthrosis

Treatment o te mate wāhi orthopedists. Ko te kōwhiringa o te maimoatanga tei runga i te atamira o te mate.

1. I runga i te atamira 1 me te 2 te tautapatia ki te maimoatanga e whai ake:

- Ko te whakatamarikitanga o taero anti-inflammatory. Heoi, hoki te wa roa e kore e whakamahi ia ratou no te mea kia whai ratou i te pānga kino i runga i te whekau.

- (. Pēnei taero rite "Arteparon", "rumalon", "chondroitin," "Struktum") hondroprotektorov o whakamahi

- drugs vasoconstrictor (tikanga "Trental", "Cinnarizine").

- ki Medications akaanga te uaua.

- E tomo-articular werohanga ki te whakamahi o āpiha hormonal, pērā i "Kenalog", "hydrocortisone".

- Whakamahia te mahana hinu.

- Passage o maimoatanga i tua (laser-, therapy marama, UHF, therapy autō), me te massages, taka porepore motuhake.

2. Ko te mahi i runga i te atamira 3 anake te ara o te pae whakakahoretia o coxarthrosis. whakakapi te manawanui te endoprosthesis tahi ngaro. whakamana ana te mahi kei te i raro i rehunga whānui i roto i te tikanga whakamaheretia. E nekehia atu Sutures i te ra 10, i muri i nei tonoa te manawanui kei ki maimoatanga tūroro. mehua Rehabilitation i muri i te mahi he e tika ana. Tata 100% o te whakakapinga tahi hāparapara whakarato oti fakafoki mai o te mahi huha. I taea te iwi wa ano i roto i te heke mai te mahi kaha neke me te noa tākaro hākinakina. Kakahu i te prosthesis, ia taea ake ki te 20 tau ki te katoa tūtohutanga a te tākuta. I muri o te mahi toutou tenei wā roa, ko te tika ki te whakakapi i te endoprosthesis kua mau.

Fifi o piere acetabular

Problem, i te ara, puta uaua, engari tonu Me iwi ki te mohio e pā ana ki a ratou. Na roto i te pōauautanga postoperative ngā:

- Sepsis.

- hakihaki patunga.

- Thromboembolism.

- tūkino ki te raru.

- necrosis iroiti o te matenga, me te acetabulum taiepa femoral.

- pāpāngia o glute iti, me te reo.

Kia kore ai te takanga o taua pōauautanga, he maha kaiwhakaako whakahere ratou tūroro tonu arthroplasty.

mutunga

A, no te neke, tahuri tenei faahohonuraa rite te acetabulum, he tātaritanga wawe tino nui, tae atu X-ray, ultrasound, atahanga te kōwarotanga autō. I runga i enei akoranga, me te whiriwhiri i te tākuta te tikanga e tika ana o te maimoatanga: he tino momo ranei te riri - mahi. Ko te hoki reira tino nui i muri i maimoatanga me te whakanohonoho wā, no te mea i roto i te matatini hanga ake hohoro te tangata riro i runga i ona waewae.