Mabvi akabatanidzwa nemurume akaoma zvikuru. Mukati mawo pane maitiro maviri emakumbo anonzi cartilaginous, ayo anonzi menisci emakumbo echifu. Vanoita basa rekunyanya kunetseka pavanenge vachifamba, vachideredza kupesana mukati memubatanidzwa nekuderedza kuwedzera kwekufamba. Inonzi cartilage inonzi inonzi cartilage, uye musango wekunze unonzi lateral. Kazhinji kacho chikonzero chekutambudzika mumabvi ndechokuti meniscus inoparadza mabvi.
Zvinokonzera matambudziko nemasitoriji
Meniscus inogona kuputsa kana kuputsa zvachose - inoitika pasi pesimba rekusimba kwakasimba kwekombe, iyo inogara ichiitika nevatambi. Kukuvadza kunhengo dzomukati mumakata kunowanikwawo panguva yakajeka ye tibia mukati / kunze. Chimwe chinokuvadza chemabvi akabatanidzwa ndiko kuputika kwemazinisini nekuda kwebvi-kuvhara pakona ye stair.
Mhando dzinotevera dzekuparara dzakasiyana nerudzi rwekuparara:
- hazvina kukwana;
- complete;
- transversal;
- kupwanyika;
- flap-like;
- longitudinal.
Rudzi rwekupedzisira rwekukuvara runonziwo "kushandiswa kwemvura inogona".
Zviratidzo zvekutambudzika
Bhabhi rakakanganiswa rinosungirirwa meniscus rinoda kurapwa, uye zviratidzo zvinoratidzira kushungurudzika kungave zvakasiyana zvakasiyana. Sezvo mutemo, varwere vanonyunyuta pamusoro pazvo:
- kurwadziwa kwakapinza mumabvi - kusingaperi kana kuonekwa nekumwe kufamba kwetsoka;
- pakanamire kuenderera mberi nekukomba kwebvi;
- matambudziko mukukwira / kuburuka masitepisi;
- kurwadziwa panguva yekurovedza muviri, kutamba mitambo;
- kuzvimba kwechibatanidzwa.
Dzimwe nguva nokuda kwekutambudzika kwakadaro kweropa kuunganidzirwa pamwe chete - a hemarthrosis unhu.
Kazhinji, bhesi rakakanganiswa meniscus harisi kuzviita iro, uye izvo zvataurwa pamusoro apa zvinenge zvisiripo. Zvisinei, nekutambudzika kwakadaro, kune marwadzo nguva dzose mumabvi ekusiyana kwakasiyana uye nzvimbo yepamunharaunda - ndiyo chiratidzo chekutanga chemukanwa chinoda kurapwa nokukurumidza kumakiriniki ekutambudza.
Diagnostics
Kuzvimiririra kusimbisa, izvo zvakazova chikonzero chekuvharwa kwemabvi akabatanidzwa hazvibviri. Iyo inogona kukonzerwa kwete chete nekuparara kwe meniscus, asiwo nekukuvara kweanterior cruciate ligament, kana kuburikidza nekuvapo mubatanidzwa weplinter cartilage, iyo inofanirwa neKönig chirwere. Zvimwe zvinogona kuongororwa zvirwere ndeye osteochondral kuputsika, plica syndrome, nezvimwe zvakadaro.
Kuti asimbise chikonzero chekuvharidzirwa kwebvi rinobatanidza, vanachiremba vanoita magnetic resonance imaging - iyi nzira inoita kuti zvive nyore kunyatsoongorora menisci uye kusimbisa rudzi rwekuparara. Mune zvimwe zvipatara, panzvimbo yeMRI, ultrasound kuongorora kwekubatanidzwa inoshandiswa, asi inopa chinangwa chiduku chekukuvara. Asi iyo X-rayi mukuonekwa kwekukuvara kwakadaro hakubatsiri zvachose.
Kurapa kwemabvi akabatana nevarume
Usati watanga kubata bhiza rinokuvadza meniscus, murwere anofanira kupa rubatsiro rwekutanga. Isa chidimbu chinotonhora pamubatanidzwa, sveta mabvi nemabhanhire elastic.
Mushure mekunge vaongororwa, zvichienderana nemigumisiro yekuremera kwekukuvara, chiremba anorayira kurapwa kwakakodzera kana kurapwa. Yokutanga, sekutonga, inoratidzwa pakudzingwa kwemazinesi, pamwe nekudziviswa kwekubatana. Pashure pokudzokorora kwemavhiki anenge matatu, gypsum inoshandiswa uye isiri-steroid kugadzirira zvakanyorwa: Diclofenac, Ibuprofen, nezvimwewo. Kazhinji kagara yakagadzirirwa uye inogadziriswa , yakagadzirirwa kusimbisa kudzorerwa kwezvinyama zvegumbo.
Kushanda pamabvi ekubatanidza meniscus
Nekunyanya kukanganisa kwevanhu, arthroscopy inoratidzwa. Panguva yekushanda uku, kungoita zvidiki zviduku zvinenge masendimita masere zvakagadzirwa kuburikidza navo, chiremba anovhiya chikamu chemazinesi chinoputika (chakanga chisisakwanisi kuita mabasa ayo, saka naizvozvo hachibatsiri), uye zvakasara zvehutakiti zvinowirirana. Pakarepo mushure mokunge arthroscopy, iwe unogona kufamba, asi zvinotora mazuva mashomanana kana masvondo kuti agadzirise mabvi.