The Patella, wanda aka fi sani da gwiwar gwiwa, kashi ne na sesamoid kashi a cikin agogon Quadriceps kuma shi ne mafi girma sesamoid kashi a cikin jiki. Yana da lebur da gero-fasali, wanda ke ƙarƙashin fata da sauƙi jin daɗi. Kashi yana da fadi a saman kuma ya nuna ƙasa zuwa ƙasa, tare da m gaba da baya. Zai iya matsawa sama da ƙasa, hagu da dama, kuma yana kare hadin gwiwa. A bayan Patella yana da kyau kuma an rufe shi da guringuntsi, yana haɗa su da patelllar na femur. Gaban ne m, kuma quadrices hearson ya wuce ta.
Patelllar Chondromala cuta ce ta gwiwa ta gwiwa. A da, wannan cuta ta cika a cikin tsofaffi da tsofaffi mutane. Yanzu, tare da shaharar wasanni da motsa jiki, wannan cuta tana da babban aiki a tsakanin matasa.
I. Menene ma'anar gaskiya da kuma haifar da chondromaLacia Patella?
Chondroacacia patellae (CMP) hadin gwiwa ne na patelellememitis lalacewa ta hanyar lalacewar kumburi patelllar, wanda ke haifar da kumburi, da zubar da lalacewa, da zubar da ciki. A ƙarshe, da sabanin Cemoral Condyle guringa shi ma suna fuskantar canje-canje iri ɗaya. Gaskiya ma'anar CMP shine: Akwai canjin yanayin Patelllar Cartilage mai laushi, kuma a lokaci guda, akwai alamun patellar, da kuma alamu na Patellar maganganu, da quadrices atrophy.
Tun lokacin da articulage ba shi da jijiya ta jijiya, da raɗaɗin jin zafi lalacewa har yanzu ba a san shi ba. CMP shine sakamakon haɗarin tasirin abubuwan da yawa. Abubuwa da yawa waɗanda ke haifar da canje-canje a matsin lamba na Pellofemoror, yayin da suke sauya yanayin cikin gida na Chondromala.
II.Te mafi mahimmancin fasalin chondromae shine takamaiman canje-canje na cututtukan cuta. Don haka daga hangen canjin yanayi, ta yaya ake yin chondromalacia patellae graded?
Insall ya bayyana matakai guda hudu na CMP: Mataki na gundumage Siftening wanda Edema shine saboda fasa a yankin mai laushi, mataki na III shine yanki na carile na articular; Matsayi Iv yana nufin canje-canje na osteoarthritis da kuma bayyanar kasusuwa a kan farfado.
Tsarin grastridge grading ne mafi amfani ga kimanta patellar articar arcarge lesiens ko arthroscopy. Tsarin gruserbridge kamar haka:
Cewa: Kawai Carlage Carlage yana daɗaɗɗiya (rufe murfin rigar ruwa). Wannan yawanci yana buƙatar ra'ayoyi da ke da dabara tare da bincike ko wasu kayan aiki don tantancewa.
Sa Darasi na II: Rashin kauri-kauri mai wuce gona da iri 1.3 cm (0.5 a) a diamita ko kai kashi na subchondral.
Sa Darasi na III: Garin Carilage ya fi 1.3 cm (1/2 Inch) a diamita kuma ya shimfiɗa kashi ɗaya na ɓangare.
Sa iv: bayyanar kasusuwa na kashi.
III. Dukkanin cututtukan ciki da grading suna nuna jigon chondromaLacia Patella. Don haka menene muhimman alamu da masu binciken don ganowa chondromaCalaLachia Patella?
Cigaba da cutar galibi ana haifar da ciwo a bayan patella, wanda patelllar nika gwaji da gwajin squat guda ɗaya. Mayar da hankali yana buƙatar zama cikin rarrabewa ko akwai haɗarin rauni na menisisis da kuma ciwont arthritis. Koyaya, babu wata alaƙa tsakanin tsananin ƙarfin Patellar ChondromalaLalaLalaLancia da alamun cutar asibiti na ciwon kai na gwiwa. MRI shine mafi daidaitattun hanyoyin bincike.
Mafi yawan alama alama ce mara nauyi a bayan patella da kuma a cikin gwiwa, wanda borsens bayan hawa ko ƙasa.
Binciken zahiri ya nuna bayyanannu a bayyane a cikin Patella, gefe na Patellar kuma patelllar subing da sauti na Patellar kuma. Ana iya haɗin gwiwa tare da quadrices atrophy. A cikin lokuta masu tsauri, sinadarai na gwiwa da fadada suna da iyaka kuma mai haƙuri ba zai iya tsayawa a kan kafa ɗaya ba. A lokacin gwajin matsawa na Pamellar, akwai wata azaba mai zafi a bayan Patella, tana nuna alamar Patellar articulage, wanda yake mahimmancin bincike. Gwajin da ake ganin shi ne sau da yawa tabbatacce, kuma gwajin squat yana da kyau. Lokacin da gwiwa yake daidaita 20 ° zuwa 30 °, idan kewayon motsi na ciki da na waje na Patella, yana nuna ƙaddamar da sikelin Patella. Auna da kusurwar 90 ° a gwiwa zai iya nuna yanayin motsa jiki na mahaifa.
Mafi ingantaccen jarrabawa jarrabawa shine Mri, wanda sannu a hankali ya maye gurbin arthroscopy kuma ya zama abin da ba mai fama da cuta ba. Mataki na gwaji yafi mayar da hankali kan wadannan sigogi: PASLALAR HELBERBY (FTA), Patelllar Troild (PCA), Patelllar Troil (PCA), Patelllar Troild (PCA), Patelllar Troilt (PCA), Patelllar Taurari
Ana amfani da X-ray da MRR don auna tsayi patelllar (index, pH): a. Axial X-RA-RAy Matsayi mai nauyi tare da matsayi na gwiwa tare da sauƙin gwiwa a 30 °, b. MRI a wuri tare da gwiwa mai sassauƙa a 30 °. L1 shine kusurwa ta patelllar, wanda shine nesa daga mafi ƙasƙancin Pellofemororation footrous face a cikin tibellemororation surfer, da cathofemory hadin gwiwa, da kuma nuna alamar patellofemor = l1 / l2.
Ferelol Trovelar kusurwa ta kusurwa ta patelllar (PCA) da X-Ray da MRI: A. Axial X-RA-RA-ray tare da gwiwa sau biyu a 30 ° a matsayi mai nauyi mai nauyi; b. MRI tare da sinadarai a 30 °. Furucin Groove na grougov ya ƙunshi layin biyu, wanda mafi ƙarancin ma'ana c na tsakiya Trochlear archlear maƙaryaciya samaniya. ∠bac shine bukatuwan tsagi kusurwar. An zana tsararren tsagi na troove a kan hoton silsial na patella, sannan kuma aka zana BISECTER AD. Sa'an nan kuma layin madaidaiciya ae an zana shi daga mafi ƙasƙanci na tsagi na tsagi a matsayin asali ta mafi ƙasƙanci misali. An kusurwa tsakanin madaidaiciyar layin talla da AE (∠dae) shine kusurwar patelllar dace.
Ana amfani da X-ray da MRR don auna tsarin patellar kewaye da kusurwa (PTA): a. Axial X-RA-RAy Matsayi mai nauyi tare da matsayi na gwiwa tare da sauƙin gwiwa a 30 °, b. MRI a wuri tare da gwiwa mai sassauƙa a 30 °. Fatellar karkatarwa kusurwa shine kusurwa tsakanin layin da ke haɗa mafi girman maki na medial da kuma ƙarshen kewayon patella, watau ∠abc.
Hotunan tarihi suna da wuya a gane CMP a cikin farkon matakai har sai matakai masu yawa, lokacin da keɓaɓɓen sitires, da kuma ingantaccen tsarin kashin kashi, da kuma canje-canje na zamani a bayyane. Arthroscopy na iya samun ingantaccen ganewar asali saboda yana samar da kyakkyawan hangen nesa na haɗin gwiwa na Pellofemoror. Koyaya, babu wata yarjejeniya bayyananniya tsakaninta da tsananin ƙarfin patelllar chondromala bala'i da kuma yanayin bayyanar cututtuka. Sabili da haka, waɗannan bayyanar cututtuka kada su zama nuni ga Arthroscopy. Bugu da kari, arhrorage, a matsayin hanyar bincike mai ban sha'awa da kuma yanayi daya, ana amfani dashi sosai a cikin matakan cutar. MRI hanya ce ta bincike wacce ke yi alkawarin gano raunukan caresions har ma da dakon ciki na guringuntsi kafin asarar guringuntsewararru da ke bayyane ga ido mara nauyi.
IV. Chondrocacia Patellae na iya zama mai juyawa ko na iya ci gaba zuwa ga zane mai zane na Patellofemoral. Ya kamata a ba da ingantaccen magani na Conservative da sauri a farkon matakan cutar. Don haka, menene magani mai ra'ayin mazan jiya ya haɗa da shi?
An yi imani da cewa a farkon matakin (mataki na i zuwa II), gurinan patelllar har yanzu yana da ikon gyara, ya kamata a yi ingantaccen magani mara kyau. Wannan ya haɗa da ƙuntatawa na aiki ko hutawa, da kuma amfani da magungunan kumburi mai kumburi lokacin da ya cancanta. Bugu da kari, ya kamata a karfafa marasa lafiya su motsa jiki a karkashin kulawar mai tsaron lafiyar ta jiki don karfafa hadin gwiwa na gwiwa da dadewa.
Yana da mahimmanci a lura cewa a lokacin improbilization, takalmin gyaran gwiwa ko gwiwa ana guguwa sosai, kamar yadda zai iya sauƙaƙe rauni raunin guringuntsi; Kodayake toshewar na iya taimaka wa bayyanar cututtuka, bai kamata a yi amfani da su ba, kamar yadda suke hana synthany na glycoproteins da collagen da kuma shafar gyaran guringuntsi; Lokacin da aka yi amfani da kumburi da jin daɗi, ba zato ba tsammani, ana iya amfani da comfornes na kankara, da kuma cirewa ta jiki da kuma sauƙaƙe mai dumi ana iya amfani da shi bayan 48 hura.
V. A cikin marigayi marasa lafiya na marigayi, da gyaran gurinarrun larduna ba shi da kyau, don haka ra'ayin mazan jiya ba shi da amfani da magani. Menene magani mai zafi ya haɗa da?
Alamar tiyata ta hada da: bayan watanni da yawa na magani mai rikicewa, har yanzu zafin Patellar har yanzu akwai; Idan akwai nakasar da aka samu ko kuma an sami nakasar nakasar, ana iya la'akari da magani. Idan a zahiriBridge IIII-IV Castilage ya faru, ba zai taba cika da lahani na real articular Citylage Carlage. A wannan lokacin, kawai aske yankin lalacewar yanki tare da overical na kullum ba zai iya hana aiwatar da lalacewar articular.
Hanyoyin hanyoyin tiyata sun hada da:
(1) Tarian Arthroscopic yana da ɗayan ingantacciyar hanyar ganowa da magance chondomacala Patella. Zai iya kiyaye canje-canje na kai tsaye a cikin guringuntasa a karkashin microscope. A cikin lokuta masu laushi, karami raunuka a kan kayan kwalliya na patellar articar a cikin gawarwari don inganta gyara.
(2) Fimoral Fimoryle tsawa; (3) Patellar Carelage Roadage. Ana yin wannan tiyata ga marasa lafiya da ƙananan carlage lalacewa don inganta gurin gyaran. (4) Ana yin rikodin tsarin Patellar don marasa lafiya da lalacewar rauni ga patelllar cartillar.
Lokaci: Nuwamba-15-2024
