Acetabulum wethambo zangasese

Enye ukulimala kwemininzi eqhelekileyo ezikhokelela umntu esinamavili, ezi kwamathambo kummandla acetabular. Namhlanje sifunda ukuba lo yinxalenye edibeneyo womlenze, kwakunye amanye amayeza dysplasia okanye ezinye iingxaki ndawo apho. Kwakhona ukufumanisa iphi na acetabulum yaye ziintoni ezinobuzaza kunokubangela sclerosis okanye ukwaphuka ubeko ngokuhambelana.

Yintoni hip?

Nguye lo enamandla kakhulu kwaye likhulu emzimbeni womntu. Ukongezelela iimpawu ezifana flexion kunye nokwandiswa, ukuthwala esinqeni umva, phambili, emacaleni, iintshukumo ejikelezayo, yena nayo inxaxheba kumathambeka zomzimba.

Iimpawu yalo eyodwa ngokudibeneyo - zinika malunga nama-40% zeentshukumo zabantu.

It ukhandwa yintloko yifemur, kwakunye ukudakumba, ngokuba acetabulum. Ilunga hip gangqa xa kuthelekiswa emagxeni. Zombini element layo ligutyungelwe inyama cartilaginous, leyo ukubamba umthwalo, isindululo agudileyo xa ehamba, ukubaleka, kwaye exhumaxhuma ngexesha t. D.

nokwakheka

Acetabulum i sekhefu kwethambo iliac, nto leyo eyinxalenye hipbone. Iqhuba imisebenzi ebalulekileyo kunye nezintsonkothileyo emzimbeni, ezifana ngenkxaso kunye nentshukumo. It has a imilo hemispherical, kugalelwe kwi intlala ngaphakathi. YooGqirha bodwa ngaphambili kunye nodonga elingasemva acetabulum, kunye Arch yayo. Njengoko sisazi ukuba le nxalenye ithambo zangasese inika intshukumo yabantu, kubalulekile ukubona ngoko nangoko ukuba ngaba kule ndawo nokunyanga ngokukhawuleza.

Acetabulum kwakheka pubis, ischium kunye namathambo ilium endaweni eziwafaka.

zaphuka

Amaninzi, kophulwe enjalo ukuqhubekeka ithambo kwenzeka ngenxa yengozi. Kwakhona, le ukwenzakala kunokwenzeka emva kokuwa evela babengabafo abade.

Ukwaphuka le acetabulum nokuba zohlulwa ngokwendidi 2:

1. umonakalo Simple. Oku kwamathambo iintsika ngaphambili, ngasemva kunye naphakathi udonga ezinqamlezayo kukwenzakala.
2. umonakalo Complex. Oku kuxa umgca ngokwaphulwa ukuba ubaleka nje iinkuni ezimbalwa ithambo. Oku kuquka phambi kodonga kukwenzakala, ezinqamlezayo, zombini iintsika kunye nabanye.

Iimpawu zaphuka ziquka:

- Pain kwi nasemiphakathweni kunye hip.

- Isigulana kunzima ukuthembela umlenze owenzakeleyo.

- A kubonakaliswa ecacileyo kokunciphisa kwesebe, leyo igotywe inyonga nedolo amalungu. Umlenze ajikelezwe phandle.

unyango zaphuka

- Ukuba ingqibelelo yaphula ithambo kwenzeke ngaphandle kokukhetha, isigulane ke ngoko inyanzela ibhasi eqhelekileyo, tape kunye ukwandiswa eyodwa umzantsi womlenze isithuba lenyanga 1. Qiniseka ukuba atyumbe kwikhondo ukuyifundisa electrophoresis.

- Ukuba acetabulum wethambo zangasese elaphulwe iikona aphezulu nongasemva, wajika dislocation womlenze, ngoko ke unyango ikhutshwa phandle imoto skeletal. Le siziphatha specialist wathetha ngenxa epicondyles yifemur. Ngenxa kule manipulation philisi joint angasolula, kwaye amaqhekeza acofiweyo nxamnye acetabulum, okt ofanayo. Ubude esisuka idla iinyanga 1.5.

- Ukuba isiqwengana enkulu kwaye akunakwenzeka ukuba ukuthelekisa, ngoko uqhaqho efunekayo. Kufuneka kwenziwe kwiiveki ezimbini zokuqala emva kokuba ukonzakala, hayi emva. Ukulungisa amaqhekeza emkhombeni, oogqirha sebenzisa ipleyiti kunye ngezikhonkwane buyaqhubeka.

Emva unyango, ezinjengokwaphuka ibaluleke kakhulu ngexesha kwimeko yesiqhelo.

Iindlela zokungena kunokwenzeka

unyango wokubambisana Ukophuka lekhefu njengoko acetabulum, kukuba kunzima. Inyaniso ukuba kunzima kakhulu ukufikelela yokwenzakala specialist.

Iintlobo kwamathambo ubeko ngokuhambelana eninzi kwaye, kakade, kuba nganye indlela yayo lokufikelela. Ezi ndlela zilandelayo ikakhulu kusetyenziswa:

- ukufikelela Front.

- indlela ilioinguinal.

- ukufikelela yangasemva.

endleleni phambi

Kwenye indlela ibizwa ngokuba "indlela ofemoralnaya." Isetyenziswa umise zonke Ukophuka udonga evulekileyo ngaphambili kunye emathambekeni kwikholam ebizwa acetabulum. Okuninzi indlela wangaphambili kusetyenziswa unyango zoqhaqho waphuka ezinqamlezayo.

ukufikelela Ilioinguinal

Isetyenziswa lokuvula ngaphambili kunye umphezulu engaphakathi acetabulum. Kananjalo kusetyenziselwa olunye-Inqanaba ngokwaphulwa nitrogen lokungahlangani kunye iinyembezi welungu sacroiliac. Nangona kunjalo, le ndlela akathabatheli ukufikelela kwabo abanezakhono umva column ulawulo kunye nodonga ukuqanda.

indlela diff

Usebenza ukuvula nokwehlisa osteosynthesis, xa kukho umonakalo nodonga ngomva le acetabulum, emva kubulawe adjustable hip dislocation. Kwakhona, le ndlela isetyenziswa ukususa iinkalo intlala ukusuka kwisisu ehlangeneyo.

Therapy kwisisu diff edge zaphuka

Kukho utshintsho zophendlo lwezifo ezifana ngexesha kwingozi okanye ukuwa ukusuka ephakamileyo. Athambekele kulo ukwenzakala ngenxa inkoliso yabantu abatsha. Ukwa kunye shift ngamaqhekeza dislocations amathambo, ukutshatyalaliswa articular iyabonakala intlala. Elunxwemeni acetabulum le cipande waphawula kwiimeko ekwanti. Uninzi neziqephu bekubona Ukophuka column ngomva.

Xa specialist esibhedlela iya kuvavanya ixhoba, kusetyenziswa isaveyi isinqe X-reyi. Njengomba ongxamisekileyo phantsi zomzimba ebulewe okanye ugqirha zomzimba efakwa anciphise dislocation. Emva koko uxilongo lokugqibela umonakalo joint, kuquka i-X-ray kwi ileum, Review, ngokumileyo, kunye Itomography ngekhompyutha. iindlela ezifana uphando kunceda iingcali ukufumana umfanekiso opheleleyo umonakalo engontsini ezifana acetabulum.

Ukuze ufake umntu ahamba ngeenyawo uya utyando kuphela kule meko. Ugqirha yenza eso basinqumla khona ukuba kude kufikwe kumgca apho isiqwenga yenzelwe. Ke ugqirha oqondela jija okanye ucinezelo avumelekile. Nokutshekishwa uzinzo Isiqwenga nitrogen, uze sutures inxeba.

ukululama

Xa acetabulum wethambo zangasese emva lokwaphula ingqibelelo awo, ndafa ke, kubalulekile ukuba bagcine nemithetho elandelayo yesiqhelo:

- deal Daily kunye imithambo yokuphefumla okhethekileyo.

- Funda ilungelo lokuba ahambe ngeentonga, ukuba anganyathela iinyawo.

- Ivelise iseti ekhethekileyo olulandelenayo phantsi kweliso podiatrist: flexion kunye nokwandiswa iinzwane, ekuncothukeni kweentende zeenyawo ujikeleziso, uphakamisa usehlisa isinqe ukuxhasa bent okunempilo ukuze kwesebe aphantsi kunye nezandla ezimbini.

Ukudleka kasikrobana

A umqondiso esi sifo multiple le acetabulum, apho kwabonwa kuphela kwi X-ray. Eli gama idla eyafunyanwa inkcazelo imifanekiso ekhutshwa radiologists.

Le ngxaki eyenzeke ngenxa yeenguqu ukudumba emathanjeni kunye imithana kwizicwili.

Acetabular sclerosis - imeko apho kukho akukho zimpawu ngaphandle kwesi sifo - arthrosis. Le ngxaki kuvamile ukuba abantu abadala. Iimbangi ezingundoqo ndidandatheka zezi sclerosis:

- hedge of intlala.

- Ukophulwa igazi ubonelelo imilenze kunye nezigulo ezinxulumene ukutya.

- nezici ilifa samathambo, osteochondrosis.

- Dislocations ukuhamba.

- ukuphila umzimba.

- malformations bekhubazekile amalungu.

- Ukwenzakala ngexesha imithwalo ezemidlalo ngokonakalisa isixhobo ligamentous.

- Ukophuka kwamalungu.

- BMI.

Unyango lwe osteoarthritis kasikrobana, MS

Treatment ibandakanya:

- Massage.

- Uqheliso lomsebenzi (ngaphandle yomlenze bent endaweni lisalele).

- Iinkqubo Physiotherapeutic (ezimbiwa Yanjengomthwebeba, magnetic).

- Ukwamkelwa ehomereni ezizodwa kunye radon, emanzini.

- Iingxaki Treatment NSAIDs "diclofenac", "Nimesulide" kunye nabanye.

Kufuneka kwakhona umda okukunyusa ubunzima kungavumelekanga ixesha elide ukuba phantsi. Ukutsiba, ukubaleka nalo uvaliwe.

isifo Otto ukuba

Kwenye indlela esi sifo kuthiwa "dysplasia acetabular." Kunye negama layo, njengokuba isifo Otto, le ngezifo ifunyenwe emva kokuba umbhali kuqala ezichazwe ayibuyisele 1824. Sisifo naso eyenzeka kuphela kwabasetyhini. Ingxaki esizibonakalisa nomqathango iintshukumo welungu womlenze (nokuxhwilwa, adduction, ujikelezo, kuphungulwe nemilenze). Kulo mzekelo, uvakalelwa kukuba akukho intlungu besini ngobulungisa.

Ukuze uqinisekise uxilongo "ukudandatheka dysplasia" kuyimfuneko ukuba kuqhuba isaveyi:

- X-ray welungu inyonga kwi projections ezifunekayo.

- MRI.

- ultrasound.

Acetabulum: unyango lwesifo Otto ukuba

Unyango Ukungenela ngotyando, enokuquka:

- ukuncitshiswa Ivaliwe of dislocation.

- utyando zolungiso for Hiari.

- ukuncitshiswa Vula dislocation.

- ibambelele skeletal.

- Hip arthroplasty.

amayeza ngokubambisana nayo kusetyenziswa:

- A uhlobo olulodwa kwembeleko.

- umzimba zonyango, imithambo.

- Massage.

- Unyango ngamayeza.

Zaphuka ne iingxaki

Ukubana le acetabulum kungenzeka kukuwa into enkulu isinqe, abenze ngayo kwi -moya ngokungqalileyo okanye, umzekelo, xa ingozi yemoto.

Kwezi iintanda nzima, uyaphule iikhonto welungu kasikrobana. Xa ngomva dislocation trochanter enkulu ihamba phambili. Ukuba dislocation lweziko, ngoko bamtshicela eshona nzulu. Ukuze uqonde ukuba ukwaphulwa abafudukayo, kuyimfuneko ukwenza i x-reyi e uqikelelo ezimbini, kuba ingxaki isenokuba nokuba phambili okanye uMqoshelisi.

ukungaphili Symptomatology:

- eshukumayo umlenze ezisebenzayo imiqathango kakhulu.

- omzimba olusezantsi kwimeko elikhohlakeleyo.

Unyango kule meko zilandelayo:

- Ukusetyenziswa lwenkqubo imoto skeletal. Wathetha wayisa ummandla supracondylar womlenze kunye ahlabe ka-4 kg.

- Umlenze ibekwe kwisikhundla flexion uze ungenise inyonga nedolo amalungu.

- Ukuze siqonde intloko ayinakuthi iingcali indawo efunekayo ukwenza imoto ahlangene emqaleni lomnyango okanye traction skeletal kunye umthwalo wokuqala we-4 kg.

- Emva kokuba imithwalo zokunciphisa zigqithiselwe kwi imoto skeletal eshiya kwemvelaphi sinker kwi esqwini entanyeni.

- Leg yeveki e-1 inikwa-engile 95 degrees.

Ubude esisuka uvela iiveki ezisi-8 ukuya 10. kwiiveki Kwanasemva kokuba 2 zivumelekile intshukumo kwi joint. umthwalo ngokupheleleyo kwi unyawo kuvunyelwa kuphela emva kweenyanga ezintandathu. Kwaye ukukwazi umsebenzi abuyiselwe kwisithuba seenyanga 7.

coxarthrosis

Esi sifo indalo sisiba mandundu, nto leyo echaphazela abadala kunye eliqina. Nesifo ngokuthe ngcembe kweminyaka emininzi.

Iimpawu Koksartroza zezi:

- ubuhlobo yezifo phakathi intloko femoral kunye acetabulum.

- ikota yesangqa medial yentloko ikwicala.

- Uphahla lo imbricate acetabulum obunokumhlela emhadini, efaniswe ngomlomo.

- Ubude pits uphahla yaphulwe.

- maleko cortical kwi misinga nophahla eqinileyo.

Coxarthrosis ekhatshwa intlungu ukunqongophala intshukumo ngokudibeneyo.

Kumanqanaba kamva zesi sifo kukho yoma kwemisipha kasikrobana.

Oonobangela kwesi sifo ziye zohlulwa ngokwendidi 2:

1. coxarthrosis Primary. Oku kwenzeka ngenxa yezizathu amayeza ezingaziwayo.
2. coxarthrosis Secondary. Kufumaniseke ngenxa nezinye izifo.

Uhlobo yokugqibela sifo kuba sisiphumo iingxaki ezifana:

- bekhubazekile hip dislocation.

- Hip dysplasia.

- Aseptic necrosis yentloko femoral.

- hip samathambo.

- Perthes Disease.

- bekhubazekile (ukwaphuka le kasikrobana, isinqe, komsipha).

Kuba coxarthrosis iqhubeka. Ukuba uqale unyango kusekwangoko, ngoko ungenza unyango endala. Kamva indlela ephumelelayo uya utyando kuphela.

unyango coxarthrosis

Unyango kwesifo ababandakanyekayo orthopedists. Ukhetho unyango ixhomekeke ibakala esi sifo.

1. Ngomhla 1 and 2 isigaba yabelwa unyango ilandelayo:

- Ukwamkelwa amachiza-ukudumba. Noko ke, kangangexesha elide ungayisebenzisi kuba kungenzeka ube nefuthe elibi enyama yangaphakathi.

- (. Iziyobisi ezifana "Arteparon", "rumalon", "chondroitin," "Struktum") hondroprotektorov lokusetyenziswa

- amachiza vasoconstrictor (lithetha "Trental", "Cinnarizine").

- Imithi imisipha.

- izitofu Intra-articular kunye nokusetyenziswa arhente hormone, ezifana "Kenalog", "hydrocortisone".

- Sebenzisa ukufudumala, linamafutha aqholiweyo.

- Passage unyango physiotherapy (laser-, unyango ukukhanya, UHF, unyango magnetic), kwakunye zokuthambisa, imithambo ezizodwa.

2. Olu tyando eqongeni 3 ekuphela kwendlela ndahlukane coxarthrosis. Isigulane ubeke endoprosthesis joint kutshatyalaliswa. Olu tyando lwenziwa phantsi zomzimba jikelele ngendlela ecwangcisiweyo. Sutures zisuswa ngomhla we-10, emva koko isigulane sithunyelwa kunyango kwesibhedlele. amanyathelo kwimo emva kokuba usebenzo kuyimfuneko. Phantse 100% malunga notshintsho ngotyando joint inika ekubuyiselweni ngokupheleleyo umsebenzi umlenze eyonakeleyo. Ngelo xesha abantu kwixesha elizayo nga isebenze kwaye lidlale imidlalo. Nxiba sokwenziwa, yena akakwazi ukuya kwiminyaka eyi-20 ukuba zonke iingcebiso kagqirha. Emva kweli xesha elide yokusebenza kuphindwa kuyimfuneko ukuba indawo endoprosthesis esele zonakele.

Iingxaki waphuka acetabular

Problem, ngasendleleni, kwenzeka kunqabile, kodwa abantu kufuneka sazi ngawo. Xa iingxaki postoperative ziquka:

- nokudumba.

- Achizayo amanxeba.

- Thromboembolism.

- Ukonakala luvo.

- necrosis aseptic lasentloko kunye acetabulum nodonga femoral.

- Ukukhubazeka glute ezincinane kunye neziphakathi.

Ukuthintela kukuvela iingxaki ezinjalo, oogqirha abaninzi banikele izigulane zabo nangoko arthroplasty.

isiphelo

Xa eziguquguqukayo, phambukela nzulu njengoko acetabulum, na uxilongo kubaluleke kakhulu ekuqaleni, kuquka X-ray, ultrasound, ngemagnethi ekuvakaleni kwelizwi umfanekiso. Ngokusekelwe kwezi zifundo, ugqirha kufuneka ukhethe indlela efanelekileyo yonyango: ngokungqongqo amasiko okanye ndlongondlongo a - umsebenzi. Kwakhona kubalulekile kakhulu emva kwexesha unyango kunye kwezimilo, ngenxa kwi entsonkothileyo yenza umntu ngokukhawuleza ukhwela ezinyaweni zakhe.