Mhosva ye meniscus ndiyo inowanzovhiringidza kubatana kwebvi. Dambudziko iri rinowanzotarisirwa nevatambi nevashandi vemabasa ekuremara. Pakutanga zviratidzo zvekuputsa mukushanda kwemabvi akabatanidzwa, unofanira kubvunza chiremba. Izvi zvichabatsira munguva yekutanga kurapwa nekudzivirira migumisiro.
Mabasa emabvi akabatanidzwa meniscus
Chaizvoizvo, inhengo yemajoti. Nheyo ye meniscus is 70% yakagadzirwa ne collagen fibers. Mukuwedzera, anenge 0,6% elastin uye anenge 13% mapuroteni chaiwo ari pano. Chigadziko chemvura pachacho pachayo chinosanganisira zvikamu zvakadai:
- anterior horn;
- muviri;
- runyanga rwemashure.
Pamusana pekuti chikafu chinosungirirwa nejoka capsule neyekuti tibial uye yevakadzi, izvi zvinoita kuti zvive nyore uye zvine simba. Kune marudzi akadaro e meniscus:
- mukati kana mukati-kati;
- Kunze (inonziwo "lateral meniscus").
Mhuka dzakadaro dzakakosha zvikuru kune musculoskeletal system. Basa rayo rinotevera:
- ndiyo yakagadzirisa uye inokonzera kusununguka kwezvikwata zvemabvi;
- kunoderedza kukakavadzana pakati pevakadzi nevakadzi;
- inobata basa rekutyisidzira.
Mhando dzekukuvadza kune meniscus yemabvi akabatanidzwa
Zvose zvinokuvadza zvinogona kuenzaniswa maererano nemaitiro maviri: chiyero uye rudzi rwekuparara. Kuziva danho rekuparara kuchabatsira MRI. Mukuwedzera, kukuvara kwemabvi, meniscus macho inogona kuva yerudzi urwu:
- horizontal;
- oblique;
- vertical;
- radial.
Trauma ye lateral meniscus
Chikonzero chinokonzera kuparara uku ndechekubatana nekukuvadza, pamwe chete nekuputika kwechirwere. Kukuvara zvakananga kwekugadzirwa kwechirwere ichi hakuwanzoongororwa. Mukuwedzera, meniscus lateral yemabvi akabatanidzwa inogona kuora mwoyo pasi pesimba rerheumatic. Zvisinei, kukanganisa kwemazuva matatu ekugadzirwa kwepamusoro kunowanikwa kanomwe kanomwe kazhinji kupinda mukati.
Kukuvadzwa kwemuviri webvi rinobatanidza meniscus
Zvimwe zvinokonzera kukanganisa kune izvi zvakagadziriswa zvakagadzirwa zvakawanda:
- kuchinja kunopinza panzvimbo yemuviri;
- Kuwandisa kwepamusoro, izvo zvinotakura mutoro wakasimba pamusana wehutachiona;
- kutadza kushanduka nekudaro.
Mamwe madzinza evanhu anowanzoshungurudzika mune varume kunze kwevakadzi. Munharaunda yepamusoro dambudziko vatambi:
- vatambi vemabhola;
- vatambi vemateyheni;
- basketball players.
Kukuvadzwa kwemabvi akabatanidza meniscus - zviratidzo
Kuparara kwehutachiona hunobuda mumatambudziko akaoma uye asingagumi. Kukuvadza kwemazino edzimhosva emabvi akabatanidza zviratidzo zvinogona kuva izvi:
- kubhakwa kunokonzerwa nekudengenyeka kwezvisikwa zvechirasi;
- kana chikamu chemazino chinonzi meniscus chakanyatsobatana pakati pezviso zviviri, izvi zvinogona kukonzera kuvharwa kwemabvi;
- kurwadziwa, kukosha kwaro kunopesana zvichienderana nesiteji yekukuvara;
- edema yemabvi, zvichiratidza kuti meniscus uye ligament panguva imwechete yakaputsika;
- apo rutivi rwekunze rwechetilaginous lesion rakatambudzwa , hemarthrosis inokura.
Kuti ave nechokwadi chokuti kune meniscus inokuvadza, kuongorora kwakadaro kuchabatsira:
- Symptom Baikov - ibvi rinofanira kunge rakanamatira pamakona akanaka. Mushure mekurota kweiyo nzvimbo yakabatana. Panguva imwecheteyo, mabvi haasati achinetsa. Kana pakanga paine marwadzo akawanda-inoratidza kupumha mune meniscus.
- Landau chiratidzo - murwere anofanira kugara nemakumbo ake akapfuura. Kana pane kurwadziwa kwakanyanya mumabvi - ichi chiratidzo chokuti meniscus yakakuvara.
- Chiratidzo McMurray - murwere anoda kurara pamusana wake nemabvi bend. Mushure meizvi, kufamba kwekutenderera kunoitwa. Kutambudzika uye kurwadziwa nezvakadaro zvinoreva kudarika.
- Chiratidzo Polyakova - unofanirwa kureva nhema pamusana pako uye kusimudza gumbo rako rakanaka. Panguva imwechete iyo inokosha, yakamira pamapfudzi epafudzi uye chitsitsinho chegumbo rechipiri, zvishoma kuti irere mutumbi. Mushure mekuita basa rakadaro munharaunda yekuparara kwekugadzirisa maitiro, kuchava nekurwadziwa kukuru.
Dhigirii yekukuvadza kune meniscus
Kune zvidimbu zvakasiyana zvekuputsa. Iko kune mapoka matatu emaronda, apo pane meniscus kukuvara - zviratidzo ndezvi:
- danho rekutanga - kuonekwa kwekutyora kwechidiki;
- yechipiri chechipiri - chinangwa chekukuvadza kunowedzera;
- danho rechitatu - kune dambudziko.
Kukuvadza kumabvi akabatanidza meniscus - kurapa
Nebatsiro rwekushanda kwekushanda, munhu ane ruzivo rwechirwere chemaitiro anokwanisa kungotaura chete kuongorora. Kuziva chimiro chechirwere uye chakasimba, chiremba achakurudzira murwere kuongorora zvakare. I-X-ray yakajeka haina kunyatsodzidzisa munyaya iyi, sezvo isingaratidzi maitiro ekugadzirisa. Kukuvadza kwehwamanda yemadzinza evanhu kana zvimwe zvinetso zvinogona kubatsirwa nenzira dzakadaro dzokuongorora:
- Ultrasound;
- MRI ;
- CT.
Kubva pamigumisiro inowanikwa, muongorori wehutambudzi achasarudza zvakanakisisa kurapa regimen. Chirwere chisingaiti-chirwere chinonyanya kurongerwa kana:
- mabvi akabatanidzwa haana kudziviswa;
- kukanganisa kumambo wepakati pevanhu hakurevi;
- hapano kuvharidzirwa paunenge uchifambisa;
- kuparara kunokanganisa kwakaitika mune imwe murwere akwegura.
Chinokosha chekuchengetedza chirwere ndechekubvisa kubviswa kwemabvi akabatanidzwa. Kurapa kwakadaro kunomiririrwa nematanho anotevera:
- Kuvhara zvinhu zviri muhomwe yekubatana.
- Taura 10 ml ye 1% Procan solution kana 20 ml ye1% solution yeNovocain.
- Murwere anofanirwa kugara pachigaro chepamusoro kuitira kuti kona pakati pe shank nehudyu yakarurama.
- Maminitsi gumi nemashanu mushure mekutungamirirwa kwechirwere, chiremba anowedzera zvakananga kugadzirisa.
Kana inonzi meniscus inoparara, kubviswa kwacho kunobviswa mumatanho mana:
- Icho chinonzi traumatologist chinotengesa tsvina. Iyi nzira inogona kuitwa pamwe nemaoko kana nekubatsira kwechigunwe chakakura chinofukidza gumbo.
- Chiremba anotsanangurira shinyi nenzira yakasiyana kubva kumudzimai anodziviswa. Munguva yekushandiswa kwakadaro, nzvimbo yakabatana inowedzera. Somugumisiro, iyo meniscus inogona kunyange kuva munzvimbo yayo yepakutanga.
- Chiremba anoita shanduko dzekufambisa dzehuni, huchidzorera kunze kana mukati.
- Kurwisana kusina uye kuwedzerwa kwemabvi akabatanidzwa kunoitwa.
Kunyanya kazhinji mushure mekunge maitiro akadaro kubviswa kwacho kubviswa. Muchiitiko ichi, chiremba anoshandisa gypsum longure, zvichibva paminwe kusvika kune chechitatu chepamusoro chehudyu. Chengetedza murwere uyu bhanhire kwevhiki 5-6. Kana, mushure mekugadzirisa kwekutanga, iwe haugoni kubvisa kubviswa, inofanira kudzokororwa. Nhamba yakawanda yehutano hwakadaro nhatu. Zvose izvi zvinofanira kutungamirirwa nechiremba ane njodzi.
Mushure meizvi, chiremba anopa murwere chirwere chokuchengetedza. Anoziva zvaanofanira kuita ne-meniscus kukuvara, saka achakurudzira nzira inoshanda. Kazhinji kacho kurapa kunosanganisira zvinotevera:
- kushandisa therapy;
- ultra-high-frequency therapy;
- massage;
- kutora mishonga.
Hondoprotectors dzakaratidza kubudirira. Iyi mishonga inodzosera maratilaginous tissue. Mishonga yakadaro inogona kupa:
- Chondroitin;
- Glucosamine;
- Rumalon.
Bandage pamabvi neine meniscus kukuvara
Iyi bhopi yezvechiremba inoumbwa neshinda yakasununguka. Ane unhu hwakaoma, saka iwe unogona kupfeka bhanhire pasi pepfeko dzako. Kubvira pamabvi akabatanidzwa asina mazamu, haabvumi. Mabhanji akaparadzaniswa maererano nekumanikidzwa kunoitwa pamakumbo:
- Knee joints of the 1st compression class are used when a knee minor joint meniscus injury is diagnosed. Kushingaira kunoshandiswa kwavari ndeye 22 mm Hg. Bhanhire rakadaro rinodzivisa kuputika kwe meniscus.
- Knee pads 2 boka rekumanikidza - rakasarudzwa mushure mekushanda kwenguva. Zvinokurudzira kushanda kwemaitiro emakirini uye emhepo, zvichikurumidza kupora.
Meniscal kuipa - operation
Kupindira kwekuvhiya kunobvunzwa munyaya dzakadaro:
- kwaiva nekukuvadzwa kwehutano uye kukanganisa kwakadaro kunoenderana neropa;
- meniscus rupture yakakwana yakaonekwa;
- mutezo wemuviri unoperedzwa;
- kwaiva nekuparadzaniswa kwehwamanda;
- kurapwa kwakachengetedza hakuna kupa chibereko chaidiwa.
Rinopedza kukanganisa kwe meniscus mukati memabvi nerubatsiro rwetsika dzakadaro:
- arthroscopy - yakagadzirirwa pane zvikamu;
- meniskectomy - kusarura kana kukwana kushandiswa kwemaitiro ekugadzirisa;
- kuiswa - kushandiswa kwezvinhu zvakaparadzwa.
Meniscal kukuvara - kurapa
Kuvandudzwa kwemazuva ekushanda kwemazuva ano kunomiririrwa ne exercise therapy uye physiotherapy. Nguva yaro inotsamira pane chii chiri kukuvadza kwemazinesi uye iyo ipi yekugadzirwa kwekombiyuta yakashandiswa kuibvisa. Chinangwa chekudzorerwa uku:
- Bvisa zvibvumirano zvakaitika mushure mokunge madzimambo meniscus aparadzwa.
- Dzorerai pamwe chete uye simbisai gait.
- Simbisa masimba anogadzika mabvi.
LFK ine meniscus kukuvara
Iko kune zvakakwana zvakakwana zvekuvandudza maitiro. Vanofanira kutungamirirwa pasi pekutungamirirwa kweyanyanzvi vane ruzivo. Anoziva chii chinokonzerwa nekushungurudzika kana kupera mu meniscus. Mukuwedzera, anoziva kuti mutoro unobvumidzwa neizvi kana kuti danho rekudzorera. Saka, kushandisa chirwere muhutambudzi hwemabvi akabatanidza meniscus panguva yekushanda kwenguva inomiririra inomiririrwa nemafambisirwo akawanda ekuvandudza, ayo anongororwa kumapoka ose emasumbu. Pamugumo wakareba, kushandisa maitiro ekurapa kunomiririrwa nezvinotevera:
- achifamba kune rimwe divi rinopfurikidza nechepamusoro-soro (kumhanya nenzira inononoka);
- squats;
- kudzidzira pane gym ball;
- kusvetuka pane rimwe gumbo;
- basa pane bhasikoro;
- "Rutsoka rwetsoka" nezvimwe zvakadaro.
Kuchengetedza kwebvi rinobatanidza mushure mekuita kwemazino
Iyi nzira inoshandiswa mune zvose zvakarongedza chirwere uye postoperative nguva. Kana mabheji akabatana nevhudzi hwemaidiscus akaoneswa, kurapwa nehutambo kunobatsira kubudirira ichi:
- kuderedza kuzvimba kwemashupu;
- Kudzorerwa kwematauriri temazwi;
- kuderedza kurwadziwa kunzwisisika;
- kuwedzera kwekupararira kweropa mumasukisi.
Pagadziro rokutanga musasa unomiririrwa ne stroking uye kunyorova kubhabha. Izvi zvinotora mushure maminitsi matatu. Gare gare, kushandiswa kwakanyanyisa kunobatanidza, somuenzaniso, svirumusi uye yakagadzika zvakare. Kudzidzira kwakadaro kunoitwa kwemaminitsi 4-5. Pedzisa massage pamwe nekuchinja kushanduka uye kusagadzikana kwemakumbo. Panguva imwecheteyo, electrostimulation ye hip inogona kushandiswa.
Kukuvadzwa kwemabvi akabatanidzwa meniscus - migumisiro
Kana iwe ukaona dambudziko racho munguva uye wotanga kururamisa munguva, iwe unogona kudzivisa zvinetso zvakakomba. Dambudziko rekare remabvi rinobatanidzwa meniscus inokuvadza kunonyadzisa. Inogona kutungamirira pamigumisiro yakadaro:
- Inokurudzira kushandiswa kweArthrosis .
- Kugadzira kusagadzikana kwemabvi akabatanidzwa. Panguva ipi zvayo panguva yekufamba, kudzivirira kunogona kuitika.
- Tungamira pamakumbo uye kunyange kuputsika kwemapfupa.
Kana iyo meniscus kukuvara inotorwa pasi pekurapa kwachiremba munguva, murwere achadzoka munguva pfupi. Hongu, uye kupindira kwekuvhiya kunowanzoitika pasina zvinetso. Zvisinei, kune varwere vose vanopfuura makore makumi mana, mukana wekuvandudza mitezo yakaipa inowedzera. Izvi zvinokonzerwa nekuti panguva ino yezvigadziri zvigadzirwa zvinowedzera simba. Munhu ane ruzivo rwechirwere chetachiona achakubatsira kutsungirira dambudziko iri.