Dislocation bondo olowa: zizindikiro zazikulu, chithandizo

Dislocation wa bondo olowa chifukwa cha mphamvu ya mwendo m'munsi, tibia moumiriza atigwira, hyperextension. Chifukwa, mphamvu amadza osamukira articular padziko tibia ndi a femur. Malinga ndi kusamutsidwa kwa tibia akutali kutsogolo ndi kumbuyo dislocations. Avulala kuwonongeka kwa Mitsemphayi. Nthawi zambiri ndi zochepa yabwino kuphatikiza: kuwonongeka kwa meniscus medial, lateral ndi medial zapambuyo cruciate mitsempha. Mwina olekanitsidwa kuwonongeka kwa mbali iliyonse ya zida za ligamentous.

Dislocation bondo olowa: zizindikiro

A mapindikidwe Amowabu wa miyendo pa bondo olowa, misalignment femur ndi tibia. olowa m'dera zikuchepa chowawa, palibe kusuntha. Malinga ndi malangizo a mphamvu ya bondo dislocation limodzi ndi kusamuka kwa tibia lapansi. Choncho, dislocation akhoza kumva ndi psinjika ziwiya lalikulu ndi misempha. Maziko nthawizonse fufuzani zimachitika mtsempha phazi, ndi kuchuluka kwa kutambasuka yogwira phazi.

kuwononga mitsempha

Ngati Mitsemphayi kuonongeka anati kusuntha pang'ono, kuphwanya kwa thupi, olowa effusion, kutupa mu olowa, hemarthrosis. Kudziwa lateral mitsempha choipa umabala atigwira ndi adduction tibia pa ntchafu lokhazikika. Kudziwa ndi cruciate kuvulala mitsempha ikuchitika mayeso kabati.

X-ray Kupenda ayenera kuchitidwa ngakhale aakulu chithunzi matenda. njira yodziwira ikuchitika kuti kuthetsa kuwonongeka fupa. Kulakwika pakati articular umatha mafupa ndi 10 mm, ndi zina umboni wa kuwonongeka kwa Mitsemphayi cruciate.

Dislocation wa bondo: chithandizo

chithandizo ndiwofatsa. Dislocation wa bondo kuchepetsa kofunika pogonekedwa ndi mankhwala. repositioning limagwirira kwathunthu limagwirira n'zosiyana kuvulazidwa: chopangidwa nthambi kutambasuka m'litali ndi kuthamanga pa articular malekezero kuchepetsa zosiyana choipa. chithandizo ndiwofatsa kumafuna kuwonongeka kwa Mitsemphayi ndi puncture bondo olowa, immobilization madzimadzi ndi kuthawa kwa masabata 3. Pamene tikugwira opareshoni kulephera kwa Mitsemphayi.

Opaleshoni chithandizo. Ngati siudzalandilidwa ngathi lamulo la femur mu kuonongeka olowa kapisozi sprain wa bondo kuchepetsa yekha ndi opaleshoni. Pambuyo kuchepetsa chatsekedwa, atapita masiku 3-4 khalidwe opaleshoni kuti kubwezeretsa Mitsemphayi ndi olowa kapisozi. Mu magawo oyambirira a ntchito amachitidwa pa zonse connectives yopuma amalowerera mfundo zingapo nodal kapena allo- kapena autoplasty anachita. Bondo fixation limodzi ndi gypsum ku zala za m'chiuno pamene sikutheka kuti achite alowererepo opaleshoni ikuchitika mu malo ambiri thupi ya mapeto: kupinda bondo ^pafupifupi 150-160. Kukhazikitsa kumatenga miyezi 2.

Physiotherapy. Pambuyo kuyanika, pulasitala amagwira ntchito UHF. Pambuyo kuchotsa bandeji - Kukonza: kutikitirako mankhwala kutentha, mankhwala thupi.