Kukuli eha. Meniscus: poino, lapaʻau, ka hoʻololiʻana

Ke kukuli ke ami hoi i ka luna '' ole, kona nui ke keʻena - ka meniscus. Ua hanaʻia ka mea e haawe balancing hana, nolaila, i ka loa susceptible i traumatic nā palapū. He aha kukuli eha hiki ke ike okoa? He aha nō nā 'ano o kaʻike, a me ka hana ana o na nā palapū?

'anatomia

Mua e manao nui poino ka oi aku lākouʻike, a me ka hana e pono e kama'āina i ka'anatomia o ke kuli. Ke meniscus He He crescent-hoʻokino cartilage, pā hōkū-emi. He mea nui i kekahi hapa o ke kuli hui, e like me kaʻikepili ma ka hoʻonaʻauao 'ana i ka hana o ka hawewe omo a me ka noaaeeecaoee. Meniscus kiʻiaka ma luna o ka ili o ka tibia, i hōʻoiaʻiʻo pau e pono ai ka puʻuwai o ka makana i ka hele. Just kukuli He mau meniscus, i i kapaia ka medial a me ka kīloi paʻewa. meniscus iho ua haku o ke kino a me kona mau pepeiao - alo a me ka hope. More, he pono ole medial cartilage poino, e like me ka mea ua wehewehe aku ma ka haʻahaʻa ka hoʻoneʻe 'ana i ka paʻa ana hoʻi ma ka mea o ka pā kīloi paʻewa meniscus ligament. Kīloi paʻewa, i kū'ē i ka medial, loa lawe lima a me ka emi paku ole ia i traumatic stress.

Ano o ke kukuli ami nā palapū

Poino i ka meniscus mea he nui loa e like me ka poino, a me keia ke alakai i kekahiʻano o nā kumu. Kukuli eha (meniscus ua poino loa pinepine), e like me ka traumatology, ka hapanui pinepine i loaʻa i loko o ka kūpuna. He aha 'ano o ka piʻi hiki ke hōʻike'?

1. 'Aʻe' ana o ka IeIIeYOA o ka meniscus - kona kaawale ana. O kŰia pinepine ia lŘlŘ ma ka anterior a me ka posterior mau pepeiao, ma ka liʻiliʻi loa - i loko o ka wahi o ka kino, parakapsulyarnoy ciia.
2. Poino i ka mea maloko ligament, i mea kuleana no na statics o ka medial meniscus. ʻO kona mau waimaka a kukuli cartilage mea oi lawe lima. He He predisposing ololi a hiki i ka IeIIeYOA o nā poino, kūpono ma ka hui hou loa pōʻino hiki ke kānāwai.
3. Rupture o kona mau pepeiao, a me ka meniscus o ke kino, a pinepine lawe wahi i loko o transkhordalnoy wahi.
4. Cysts, a i e hookahi-keʻena a nunui-keʻena a me ka hookahi-kapakahi a me ka papalua-kapakahi. Mau me ka ho okumu i ka'ololaha a puni shape.
5. Degenerative loli meniscus, i kānāwai no ka maʻi trauma ia, a mai ka'āno'ē 'ole ai kekahi systemic mai. Loa pinepine, keia mea malalo iho o ka paa medial meniscus, e like me ka mea iki neʻe ke lilo i traumatic kumu microtrauma (i ke kanaka ke ole i nana ole ia), ukali ma ka hoʻomaka 'degenerative keʻano o ka hanaʻana.

etiology

I ka papa kuhikuhiE kumu pohō i ka meniscus - eha i kānāwai no a hiki i ka palena manawa abrupt hui, atypical rotational mau kuko, a oae? A kaipaʻa (kŰia, kulu). Ka noho pilikia loa maʻi trauma, i loko o ka loiloi mua kahua o ka hoʻonaʻauao hiki ole i kekahi discomfort, a ho'ōla i degenerative loli. Kēia hiki i kekahi systemic maʻi, e like me gout, rumatika a maʻi intoxication.

symptoms

Huʻi au ia lŘlŘ koke ma hope o ka poino ana o ke kuli ami. I keia manawa, i ka hoʻomanawanui hoohihiaia e pili ana i ka pili eha, ke kaupalenaʻana ana o na lala. Eia hou, i ka hiki 'ole o ka blockade - hoʻopunipuni lala ma ka kekahi kūlana. Poino pu ma ka kahe ana ke koko i loko o ka ami lua, kahi e komo mai i loko o kēia wahi i ka haanou ana ano. Pinepine ma ka muli o kēia mau symptoms i diagnosed "contusion" a "haehaeʻia ligaments". Makeʻe kulana lapaau manawa relieves ka hoomanawanui, akā, i loko o ka wā e hiki mai hou-eha ke e ia iho, ikeia.

Maʻi i hala, i mea o ka hope o ka huʻi lesions, wehewehe aku ma ka hana hou ia eha. Ke kumu no keia kŰia i lilo i excessive haawe paha he ulia neʻeʻana. , Pili eha maʻi pale ole wale ia lŘlŘ ka wā i ka puʻe i ke ami. Honua mea i kaupalena ', a ma kekahi mau hihia i e papa'āweʻaweʻa kemika blockade. Ma kēia wā o ka hiki hoʻomāhuahua o ka loli i loko o ka lua, e like me ka pono me Muscle nawaliwali.

Pale aku i ka hoʻololi i ka maʻi huʻi wā e hiki i ka hoʻokolokolo ponoʻike, a me ka pono hana. Ma o ka hoailona mua, e nīnau aku i ke kauka.

Degere meniscus poho

Uhaʻi ia i hiki e kekahi piha paha kāpili. Ka mua nō i ka loa traumatic a me ka weliweli, ka mea e noi mai ana lōʻihi-makahiki lapaau a me ke ola. Ka loa, he pono ole loli mea malalo o ia ka mua pepeiaohao a me ka hui poho ana o kona mau pepeiao. No hoi, a pau nā palapū hiki ke maheleia i mau pūʻulu - me, a me ka pāʻewaʻewa. Hou, o ka mua he pono i ka lōʻihi hoʻopulapula.

lapaʻau '

I kaʻike, ua lawe mai ka nānā 'ana ma luna hoopii, a me kona haʻawina. Loa pinepine, ua malamaia lakou hoʻomanawanui iki mai me ia kukuli flexion mea, lalau mai eha. Ma kekahi hihia i ka eha hopohopo, a hiki ma maha. Alone mea,ʻaʻole lawa no ka eha lapaʻau manao, he oi hoʻokolokolo ponoʻike. Anamnesis pono pu loaaʻiʻikepili e hooholo i ke kumu o ka hewa. Ke hoomanawanui Ua noi ina fractures he sprains a me ka 'ē aʻe ma lalo nuku nā palapū, e like me huai ae i ke alo o ka systemic maʻi i hiki i degenerative cartilage loli.

Kekahi hana - Eppley PalekanaEND_LINKʻimi, a ua paʻa ia ma kulana ma luna o ka hoʻomanawanui ka abdomen. He ua noi e lena i ka uha mua i ke kuli hui, ke kauka i keia manawa e ukuhi i puʻe i ke kuekue wawae, oiai o ka lima 'ē aʻe hanaʻia pololei rotational ka hele wāwae a me ka wāwae. Maikaʻi symptom o ka hanana o ka eha.

Ka loa pololei study mea he X-Ray, ka mea e e OAXA, ina he mea eha a me ka discomfort, e like me ina na clicks kuli. A oi maemae iaoia ka X-Ray ka hoʻohana 'ana i kekahi Akä naÿe meakino i ka lawelawe i loko o ka iho ami lua (Akä naÿe artrorentgenografiya). Keia papa hana i ka mea hiki ke kumumea i ka iki pathological loli o ka meniscus a me ligaments.

Ka mua wahi ma ka hua'ōlelo o ka 'ike i ka MRI (ʻume mākenēki resonance kiʻi), e leie aku e noiʻi i ka moku'āina o na ami papa.

lapaʻau

No kaʻike, E ke ake lapaau. He aha Inc Ua koi 'ia ma kukuli nā palapū? Meniscus - he kī hehee ai o ke kuli hui, a hana like me ka kŰia absorber. I ka mea, ua poino poe akamai i hiki makeʻe kulana lapaʻau ua lawe mai, a lawe wahi wale maʻuʻuku nā palapū.

He mea pono e emi i ka haawe ana ma luna o ke kuli ke ami hoi i hoolako ia me ka pili aloha, akā, he piha immobilization ua ole paipai. Ka hoʻokō 'ana o gypsum i loko o ke kula o ka hui contractures e hana me ka hopena he mea kekahi kamepiula ka papa iho la e e hoihoi hou ia mai ai i ka piha ia. Ua koi 'ia Full immobilisation wale nō inā he mea he haʻahaʻa lala iwi fracture ole waimaka ligaments (hui pōʻino). Hou i kēia mau hana, he lāʻau Inc. I ka hoʻomaka o ka iapaau ana ua pinepine koi analgesics mea e hoʻonāwaliwali i ka eha. Koi? Eaia hondroprotektorov (glucosamine, chondroitin sulufahate). Mau hoomakaukau hōʻeleu i ke hoʻololi kemikala o cartilage'aʻaʻa, e like me lakou aloha ia i ka synovial loli.

More loa nā palapū i kauoha maiʻoki lāʻau lapaʻau lapaau. Mawaena o na nāʻikepili no ka mea, e:

• kapu o ka neʻeʻana i loko o ka hui a me ka clicks;
• loa eha;
• exudate i loko o ka ami lua;
• nui i wāhiʻia meniscus ;
• ka nele o ke kanawai o ka makeʻe kulana lapaau.

ka hoʻololiʻana

Piha hoihoi hou ia ana mai o ka meniscus, aole ia e ana koke. Ma hope o ka hooko ana mai pākōlea uao ai 'paipai e hana physical kino a me ka malamalama lomilomi. Kēia e emi ka lōʻihi like 'ole o ka ka hoʻololiʻana wā, a hoʻopau i ka pilikia o ke kahua o contractures. Kino e e hana mau. gymnastics eiiieaena e ole no kekahi mau pahi neʻe, kauoha ia e halihaliia oia mai lohi, a smoothly. Hoi kekahi poe kanaka i keia manawa i ka mea pono excessive inu ana, a lawe i ka multivitamin e loaʻa pono 'ole ma o ka keʻano o ka hanaʻana o ka hoihoi hou ia ana o ka cartilage'aʻaʻa.

Kāohi

He kupono e hoʻolohe i kāohi ana i ka poe i komo i loko o haʻuki. Mua o nā mea a pau, e pale manawa e neʻe ka wā e holo mai ana, squats a me nā kino pili i ke kuli. Oe E hoi e lohe i ka oluolu kāmaʻa, akā, i ka wa hana kino e pili ke haka pono maila bandages ma ke kuli ami. Oia Kāohi e emi i ka pilikia o ka trauma i loko o kekahi mau manawa.

Kukuli eha (meniscus a me nā ē aʻei) noi aku i ke ake lapaau. ʻike, ma ka kakahiaka nui ke kahua e pale aku complications, a, e hoopaa i ka makeʻe kulana Inc. No laila, ma o ka hoailona mua o ka poho e ike i ke kauka, a ina ka mea wale nō e hopohopo nei mea he uuku discomfort. Hoikehonua, ano kōkua hana i kekahi kiʻi oiaio o ka maʻi, a ma ka manawa e hoʻomaka lapaau.