Trehlodyzhechny ukwa: izimbangela, izimpawu kanye nezici ukwelashwa

Trehlodyzhechny ukwa kubhekwa kokulimala evame kakhulu. eqile ku ubuqotho phansi kudivayisi ithambo esitho - imbangela kuphela egunjini lokuhlolwa kwezifo. Imiphumela waphuka e inombolo kunenzuzo of amacala yaqashelwa, nokujaha isisulu ukuphila.

Ngubani engozini ukuze uthole iqakala ephukile?

"Inani Eliphakeme 'izibalo on the number elikhulu ukulimala uwela, njengoba umthetho, the nobusika. Engozini akuzona kuphela abantu asebekhulile, kodwa futhi abathandi imisebenzi yangaphandle, rock ekhuphuka, i-ice skating. Inqubo ukuphulukiswa ngokuvamile kuthatha izinyanga eziningana. Ukulimala eqakaleni uvame ukuhambisana displacement we izinsalela, subluxations futhi izinyembezi nemisipha. Self ukwa - ezingasehlela akuyona indlela engcono ukuze akunakwenzeka ukuze isheshe ngezinyawo zakhe ngomqondo ongokoqobo, kodwa ngoba walimala, kunesidingo esiphuthumayo nokufuna usizo lochwepheshe bezokwelapha.

Ukwa e iqakala: izinhlobo trehlodyzhechnyh umonakalo

Uma ezilimele iqakala ithambo waphuka zitholakala ngezinhlobonhlobo eziningana. Lapho amandla ku esitho phansi nangaphakathi kokucindezelwa we iqakala kwenzeka ukwa supinatsionno-adduktsionny. Pronation-ukuthunjwa zinhlobo ukuhlukumezeka kwenzeka uma ngokweqile enobudlova esonta iqakala ithambo ohlangothini elingaphandle. Endabeni eversion ezijulile loluphelele unyawo kuyoba yalokho engokwemvelo ukwa kwi-rotary ezingeni ngokuhlanganyela. Umonakalo ezithinta ubuqotho tibia - flexor aqhelelene futhi extensor ukulimala, okuyiwona isici isici iyona esingunxantathu bone isinqamu kuyinto.

Ezimweni ezimbi kakhulu zenzeka waphuka kuhlangene, amelela eziningi netimphawu tetinhlobo odlule umonakalo. Ukuze labo futhi zihlanganisa trehlodyzhechny uhlobo ukwa - ayingozi kakhulu, ngokuqondene kokubili iqakala uSangweni yena tibia. Timphawu isici ezibhekwa unokungaxhumani nemisipha, izitsha ukudabuka kanye umonakalo ka kwalapho kuhlangana khona imizwa.

umonakalo ezicini iqakala kungani ephukile?

Trehlodyzhechny ukwa dengwane kanye subluxation - ifomu kuyinkimbinkimbi umonakalo yebo, inomthelela ukukhetha yokwelashwa kanye nesikhathi nokuvuselelwa.
Izimbangela ukwephula ubuqotho amathambo iqakala ezimweni eziningi yilezi:

• ukusonta ngokuhlanganyela;
• tucking nonyawo;
• i umthwalo ngokweqile phezu kwezindlu zephalamende zombili kule ndawo iqakala;
• isandiso olunzulu flexion we ngokuhlanganyela.

Enye evame kakhulu imbangela trehdlodyzhechnogo ukwa ngisho webutho ku izicubu bone, njengoba fragility ngenxa kwehle calcium okuqukethwe microelements ewusizo. Ukushoda izinto ezibalulekile, ukuhlinzeka ithambo kwamandla omuntu - umphumela ukungondleki, ukusebenzisa kabi utshwala kanye nekhofi. Akuvamile ngokwanele ukuze abangele ukwaphuka we iqakala ngokuhlanganyela uyakwazi abolile cuphuluza osteomyelitis. Lesi sifo kwenzeka ngokuvamile ebuntwaneni, futhi nakanjani kuholela ukukhubazeka lesiguli.

Izimpawu eyinhloko esitho ukulimala

Ukuhlinzeka Usizo lwezempilo olunikezwa izisebenzi e ukuhlukumezeka iqakala kwasendaweni kwasekuqaleni kubalulekile ukufunda ukuhlonza ukwa. Isikhathi ukucabanga cha, kodwa kumelwe senze ngokushesha, futhi ngenxa yalokho ukuxilonga ubunjalo umonakalo owenziwe umuntu kwaba ngesikhathi yokulimala ukuba isisulu. Bona ukwa trehlodyzhechny - inkinga hhayi emaphashini akhe, kodwa ukubhekana nakho ngaphansi amandla ngamunye. Izimpawu zokuqala kokulimala ezinkulu ukuze esitho zimi kanje:

• ubuhlungu obuhlabayo, hhayi ashona isikhashana,
• uma uzama unyawo ubuhlungu kwaqina;
• ukuthuthukiswa ngokushesha edema;
• ukulinyazwa;
• nemilenze bluish e iqakala Imininingwane.

Ezinye izimpawu lokulimala iqakala ezindaweni ezintathu

hematomas Yangaphakathi kwenzeke ngemuva kwesikhathi esithile, esakaza phezu lonke unyawo, izinzwane. Ezinye izimpawu eveza khona trehlodyzhechnogo umonakalo zihlanganisa lezi zimpawu ezilandelayo:

• isikhumba Friend phezu imfucumfucu amathambo ngobugebengu;
• ukushintsha ifomu efanele iqakala ngokuhlanganyela;
• deformity liphinyiselwe senyawo;
• imingcele enzima ukunyakaza eminweni.

Uma izimpawu ngenhla uqondane imizwa lesiguli kuyinto kunesidingo esiphuthumayo wamnika luwukuphumula okuphelele immobilization we iqakala eziphukile. Ukushesha isiguli iyothathwa egunjini labadinga usizo oluphuthumayo, ayanda namathuba okuba yokufeza ukuxilongwa enemininingwane futhi ukwelashwa okufanele.

Offset futhi subluxation: kwetintfo ka waphuka

Uma trehlodyzhechny dengwane ukwa nzima ukuba zibukeke ingaze ngisho traumatologist, izinsolo we subluxation kungavuka eside lochwepheshe phambi imiphumela MRI izifundo. By endleleni, lokhu nenqubo ethile yokuthola isifo kuphoqelekile ophukayo ezinjalo eziyinkimbinkimbi we iqakala. Ukwehlukahluka kwezimangaliso ukulimala sizalwa nawo abalulekile igebe deltoid umsipha we ngokuhlanganyela iqakala. Thola ukwa nge subluxation kuba lula kakhulu kuneningi labafundi. Okuvame kakhulu "iskripthi" yokulimala kuyinto kuwa on ice, lapho:

• beka ezigoqwe maqondana ngaphandle;
• deltoid umsipha ukungezwani kwenzeka nge zokugwema ukuphuka okwalandela;
• ngenxa ophezulu amakhefu le lateral iqakala;
• ukuhamba ngokweqile talus kwandisa amandla nomthelela tibia futhi fibula.

Indlela esiphatha ngayo iqakala njengoba nokuvuselelwa ehlala njalo?

Trehlodyzhechny ukwa nge subluxation - omunye 'ethandwa' izimbangela eziningi kokungenela kuhlinzwa emisipheni yangaphakathi esitho engezansi. Ngezinye displacement izinsalela futhi abakwazi kube ngesandla misa nesineke njengoba operation ebekiwe. Trehlodyzhechny ukwa ikhambi ingaba yinye kuphela indlela - beletha ifomu anatomically efanele iqakala. Ukuze wenze lokhu, izinyanga ezingaphezu kuka-2, iziguli ebekiwe egqoke usimende ukhonkolo. Abalimala umlenze sivala udokotela, kusale kungahambi wakhe - imfuneko Fusion amathambo. Ekupheleni kwezinsuku 4-5 of, isiguli wasisebenzisa stirrups ekhethekile, ukuvumela ukuhambisa. Phakathi nezinyanga zokuqala 2-3 ukusebenza lesiguli kancane kancane uyalulama, futhi ngokushesha isiguli ungabuyela ukuphila okuvamile.

Ukuze nokuvuselelwa ngemva ukwa trehlodyzhechnogo baphumelele esifushane, odokotela misa amathambo izingxenye eziphukile, ezakha zonke izingcezu ndawonye futhi uzilungise uvalwe. Inqubo kungathatha indawo kokubili avaliwe futhi waphuka evulekile.

Ukungenelela nodokotela e inqubo yokwelapha

Ngokuzimela bahlanganyele endaweni ezilimele misa esitho akukwazi izenzo njengoba akufanele ngokomsebenzi engiwenzayo kungaholela Ukuwohloka isimo. Inqubo wenziwa ngaphansi izinzwa wendawo, futhi ngesikhathi sayo kwenza yokugcina-X-ray futhi silungise ophuke umlenze ukhonkolo.

Esimweni lapho qondanisa ithambo endaweni akunakwenzeka, ukuhlinzwa wenziwa. Ukuvimbela okungafanele splicing iqakala uSangweni yena tibial (fibula) amathambo, asikwazi ukuqhubeka ukubulawa kwabo ukuhlinzwa, ngakho ukusebenza wenziwa avame 3-4 izinsuku emva ukulimala. Ukuze uthole nenkanuko edlulele ngempumelelo posterior futhi anterior iqakala odokotela abahlinzayo zisebenzisa ngamathuluzi ahlukahlukene (izinaliti, ngezikulufo, izinzipho, njll). Ekupheleni ukuphathwa emlenzeni lesiguli nokuqalisa amanzi futhi isicelo usimende.

Kokusimama nokuhlunyeleliswa ngemva iqakala ukwa

Ukwelashwa trehlodyzhechnogo ukwa, eqinisweni, kuyinto immobilization eside esinye sezitho zomzimba wakho, ephelezelwa ukusetshenziswa ezifanele kwemithi. Thatha imithi Fusion okusheshayo lamathambo ezilimele, yokutakula obuqinile futhi izicubu zomzimba ezithambile kumelwe abe udokotela. Ngemva kokuhlinzwa isiguli futhi ekunike Yiqiniso kwamaphilisi ukuvimbela ukuvuvukala. Njengoba nokuvuselelwa trehlodyzhechnom ukwa nesineke ezinqunyiwe Physiotherapy, ukubhucungwa umzimba kanye iqoqo izivivinyo ezikhethekile ukusiza ekuvuseleleni izindawo esitho ukuhamba ubudala, balahle ubuhlungu okwesabisayo.

A amazwi ambalwa kufanele futhi unikwe ngemiphumela i ukwa iqakala, elinde abalimala. Ingozi deforming arthrosis sisalokhu siphakeme ngisho nalapho ukwelashwa abafanelekayo kanye nokuvuselelwa kanzima. Kwezinye izimo, iziguli zehlulekile kwelapheka ngalokugcwele, kuphumele ukukhubazeka sokugcina.