Whara turi. Tīhaetia: kino, maimoatanga, urutaunga

Te tahi turi kua he hanganga matatini, tona wae tino nui - te tīhaetia. mahi te reira i te mahi kawenga whärite, koia te i haria tino ki whara ngaukino. He aha te turi whara taea te kitea? He aha e nga āhuatanga o te tātaritanga me te maimoatanga o te taua te whara?

anatomy

I mua i whakaaro kino nui rawa kia kia waia ki te tinana o te turi ratou tātaritanga me te maimoatanga. Ko te ngohe nga heitiki-āhua, kōpae-iti te tīhaetia. Ko te wāhanga nui o te tenei tahi turi, rite te raraunga i runga i te mātauranga ko te mahi o te ru absorption me te stabilization. Tīhaetia kiriata i runga i te mata o te tibia, e whakarite tohatoha pēhanga tino pai i roto i te kaupapa. Just turi he rua tīhaetia, i huaina te medial me lateral. tīhaetia iho e tito o te tinana me te haona - mua, a muri. More noa whara wheua ngohe medial, rite ki te āhuatanga reira e nekeneke iti tika ki putanga i te tikanga o te nape tīhaetia lateral roto. Lateral, rite te ātete ki te medial, rawa pūkoro me iti kitea ki te ahotea pāmamae.

Ngā momo o te turi wharanga tahi

Tūkino ki te tīhaetia ko te wharanga rawa noa, me tenei e taea arahi ki te whānuitanga o ngā take. Turi whara (pakaru tīhaetia te rawa maha), kia rite ki te traumatology, tino maha kitea i roto i te paari. He aha ngā momo o pakaru taea te tāutuhia?

1. Tūkinotanga o te tāpiritanga o te tīhaetia - tona wehenga. maha puta tenei āhuatanga i roto i te haona mārōrō me posterior, i te iti rawa - i roto i te rohe o te tinana, rohe parakapsulyarnoy.
2. Tūkino ki te nape ā-, i te mea te kawenga mō te statics o te tīhaetia. hanga pūkoro rawa tona wheua ngohe turi roimata. Ko te take predisposing ki te tāpiritanga o te whara atu tenei, hua i roto i te kino ngā atu kino taea puta.
3. Whaturama o haona me te tīhaetia o te tinana, e maha e wahi i roto i te rohe transkhordalnoy.
4. Cysts, e ai kia kotahi-ruma maha-ruma ranei me kotahi-taha, me te taha-rua. Ēnei ngā i te āhua porotītaha ranei a tawhio.
5. huringa degenerative tīhaetia, e kia puta tika ki whētuki ma'i ki a i te hanganga rerekē tetahi mate pūnahanaha ranei. Nuinga o ngā wā, he kaupapa ki te tīhaetia whakaritea tenei, kia rite ki e taea te kaupapa iti riro te microtrauma take pāmamae (kore ai te tangata noa kite reira), aru e te tukanga degenerative tīmatanga.

etiology

Ko te kino matua take ki te tīhaetia - whara e kia puta tika ki te tahi ia'na toronga, mohiotia hihiritanga hurihuri, me te pānga tika (ru, te maturuturunga iho). Ko te whētuki ma'i tino mōrearea, e kore ai meinga tetahi hūhi i roto i te wāhanga tuatahi, a te mutunga meinga huringa degenerative. Ka taea e ēnei meinga etahi mate pūnahanaha, pērā i kauti, rūmātiki haurangi ma'i ranei.

tohu

puta wā whakapeka tonu i muri i te wharanga o te tahi turi. I tenei wa, hoha'a te manawanui e pā ana ki te mamae kaha, whāiti kaupapa o nga wahi. I tua atu, i te pānga ka taea o te pā - whakatika wahi i roto i te tetahi tūranga. Kino haere tahi na roto i te toto ki te kōhao tahi, ai roto i tenei rohe kua he āhuatanga huamo. E mea pinepine i te pūtake o ēnei tohu e pāngia "contusion" ranei "haea tuhonohono". maimoatanga tūpato poto relieves te manawanui, engari i roto i te heke mai anō-whara e taea te hanga ite iho.

wā tonu, i te mea te putanga o pāpaka whakapeka, āhuatanga e mamae whakahoutia. Ko te take mō tenei āhuatanga kia meinga he kawenga nui rawa te kaupapa ohorere ranei. mamae Kakati syndrome kore anake puta ina te pēhanga ki runga ki te tahi. he iti Movement, a i roto i ētahi wā kia pā wā. I roto i tenei wā o haaputuputuraa taea o te wai i roto i te kōhao, me te uaua ngoikore.

Ārai i te whakawhitinga ki ma'i wā whakapeka taea te tātaritanga tino me te maimoatanga tika. I te tohu tuatahi kia kōrero te tākuta.

kino Waeine tīhaetia

Ka taea e Wehenga kia rānei oti ranei oti. Ko te ngaukino tino me mōrearea te tuatahi, e rapu ratou maimoatanga wā roa-a whakaora. Ko te kaupapa ki te haona mua te mate ngā o haona ranei te huringa tino noa. Hoki, ka taea te wehea wharanga katoa ki e rua ngā rōpū - ki a kahore rītaha. Ano, ko te rapu utu tuatahi he whakanohonoho roa.

tātaringa

kawea te tātaritanga i roto i runga i amuamu me rangahau motuhake. Nuinga o ngā wā, ka atawhai tūroro i ki taua turi flexion take mamae. I roto i ētahi wā i te manukanuka mamae, ara i era atu. e kore e ranei ma mahere mamae maimoatanga, he tātaritanga atu tino anake. Anamnesis tika haere tahi whiwhi raraunga ki te whakatau i te take o te whara. ui te manawanui kei ranei nga piere te takoki, me ētahi atu whara pito raro, me te kitea i te aroaro o te mate pūnahanaha e taea meinga huringa wheua ngohe degenerative.

Kotahi tikanga - Eppley uiuia ai tātaritanga, puritia nei i roto i te tūranga i runga i te puku o te manawanui. Kei te ui ia ki whakapiko i te waewae i te tahi turi, te tākuta i tenei wa e pēhanga ki runga ki te rekereke, i te tahi atu te ringa mahi tika kaupapa takahuri waewae, me te waewae. tohumate pai ko te takanga o te mamae.

Ko te ako tika tino ko te X-ray, kia waiho reira whakahauanga, ki te reira he mamae, me te hūhi, rite pai rite te mea te turi pakō. He tikanga parakore atu he X-ray te whakamahi i te reo rerekē e faaterehia e ki te kōhao tahi turi (rerekē artrorentgenografiya). hanga i tēnei tikanga e taea ki te ahu i te huringa pathological iti o te tīhaetia me tuhonohono.

Ko te wahi tuatahi i roto i ngā o te mōhiohio e te MRI (autō atahanga te kōwarotanga), e taea ana ki te ako i te āhua o te papa tahi.

maimoatanga

Hoki tātaritanga kia wero maimoatanga. He aha te therapy hiahiatia te i wharanga turi? Tīhaetia - he āhuatanga matua o te tahi turi, e mahi rite te absorber ru. A, no te te pakaru reira tohunga kawea taea maimoatanga momo i roto, e e wahi anake i whara iti.

He mea tika ki te whakaiti i te kawenga i runga i te tahi turi ki te whakarato ia ki te rangimarie whanaunga, engari e kore e te tūtohu i te immobilization oti. Whakapanga o gypsum i te parae o contractures tahi kia hanga i rite te hua i reira ko te mōrea e ka kore whakahokia te mahi turi ki te tonu. hiahiatia kuhua tonu te anake, ki te reira ko te raro whati alangá wheua tuhonohono roimata (ngā kino) ranei. Addition ki enei mahi he therapy tarukino. I te timatanga o te maimoatanga e maha hiahiatia Pë e ka haaparuparu mamae. hondroprotektorov e hiahiatia ana fariiraa (glucosamine, chondroitin pūkawa). Enei mau faaineineraa whakatere i te kōtuitui o wheua ngohe kikokiko, me te pā i te inu synovial.

rapu wharanga atu kino maimoatanga hāparapara. I roto i te tohu mo reira he:

• here o te kaupapa i roto i te tahi me te pakō;
• mamae nui;
• exudate ki te kōhao tahi;
• nui āputa tīhaetia ;
• kore o te pānga o te maimoatanga momo.

urutaunga

e kore e oti fakafoki mai o te tīhaetia puta tonu. I muri e mau ana i roto i tūtohutia wawaotanga haumanu ki te mahi mahi tinana, me te mirimiri marama. Tenei ka whakaiti i te roanga o te wā urutaunga me te whakakore i te mōrea o te hanganga o contractures. kia whakamana wā mahi. e kore e roto i taka porepore matatini tetahi nekehanga koi, kia kawea i roto i āta, me te pai ka tohutohutia. Ano hoki i roto i tenei wā titau te reira i inu nui, me te tango i te multivitamin e he hua i runga i te tukanga o te whakahokinga mai o te wheua ngohe kiko.

ārai

He mea tika ki te whakarongo ki āraihia ki nga tangata whai wāhi i roto i te hākinakina. Tuatahi o te katoa, ki te karo i nekehanga ohorere ka rere, squats me ētahi atu mahi e pā ana i te turi. kia utu koe ano whakarongo ki hu whakamarie, engari ka mahi ana mahi ki te tono takai whakatika i runga i te hononga turi. Ka whakaiti i taua ārai te mōrea o te whētuki i roto i te wa torutoru.

Turi whara (tīhaetia me ētahi atu hinonga) rapua e maimoatanga arä. Tātaritanga i te wā wawe ki te karo i pōauautanga me ki haapa'o noa i te therapy momo. Na reira, i te tohu tuatahi o te kino kia kite i te tākuta, ara, ki te he anake te āwangawanga te hūhi iti. tikanga Modern tauturu i te waihanga i tētahi pikitia pono o te mate, me te i runga i te wā ki te tīmata maimoatanga.