Patella, uzwi cyane nka ivi, ni igufwa rya sesamiid ryakozwe muri quadrices ya quadrices kandi ni igufwa rinini rya sessoide mumubiri. Ni igorofa kandi ifite ishusho, iherereye munsi yuruhu kandi byoroshye kubyumva. Amagufwa arari hejuru hanyuma yerekanwe hepfo, hamwe nimbere kandi inyuma neza. Irashobora kuzamuka no hepfo, ibumoso n'iburyo, kandi irinda ivi. Inyuma ya patella iroroshye kandi yuzuye na karitsiye, ihuzaga hejuru yikipe ya femur. Imbere irakomeye, kandi teadrices irarengana.
Patellar Chondromalacia nindwara isanzwe ina. Kera, iyi ndwara yari isanzwe mu bageze mu za bukuru n'abasaza. Noneho, hamwe na pleansiyation ya siporo nubuzima, iyi ndwara ifite kandi umubare munini udasanzwe mu rubyiruko.
I. Ni ubuhe busobanuro nyabwo n'impamvu ya chondromalacia patella?
Chondromalacia Patellae (CMP) ni udukoni twa osteofechaltis ryatewe no kwangirika karanderekeranye na patellar cartilage ubuso, butera Cardilage kubyimba, gucika, kumena isuri, isuri, no kumena isuri. Hanyuma, isakariri zinyuranye z'umunyabwoba kandi zirimo impinduka imwe na patologiya. Ibisobanuro nyabyo bya CMP ni: Hano hari impinduka ya patellar Cartilage yoroshye, kandi icyarimwe, hari ibimenyetso nkibimenyetso bya patellar, amakimbirane ya patellar, na quadriceps atrophy.
Kubera ko karitsiri ya articular idafite imigezi, uburyo bwo kubabara buterwa na Chondromalanicia ntigisobanutse. CMP nigisubizo cyingaruka zihujwe nimpamvu nyinshi. Ibintu bitandukanye bitera impinduka mu gitutu cya patellofemmoral nimpamvu zo hanze, mugihe ibikoresho bya autoimmmone, kandi impinduka mumitutu rwimbere nimpamvu yimbere ya chondromalacia patelicia patetelecia patete.
II .Ibintu byingenzi bya chondromalacia patellae nigikorwa cyihariye cyinshi. Uhereye rero kubitekerezo byimpinduka za patologiya, nigute Chondromalacia Patellae yahawe amanota?
Ubushishozi bwasobanuye ibyiciro bine bya CMP: Icyiciro Ndi Cartilage Yoroheje yatewe na Edema, Icyiciro cya II cyatewe no gucengera ahantu h'agateganyo, icyiciro cya III ni ugutandukanya karitsiye articege; Icyiciro IV bivuga impinduka zikomeye za osteoarthritis kandi zigaragaza igufwa rya subchondral kumurongo.
Sisitemu yo hanze yinyuma ni ingirakamaro mu gusuzuma patellar articular artilage artilage artilage iyobowe na arthroscopi. Sisitemu yo hanze ya interineti ni izi zikurikira:
Icyiciro I: Gusa karitilage gusa irayoroshya (gufunga karitilage yoroshye). Ibi mubisanzwe bisaba ibitekerezo bya tactile hamwe na probe cyangwa ikindi gikoresho kugirango usuzume.
Icyiciro cya II: Inzego zubunini-Ubunini ntirirenze cm 1.3 (0.5 muri) muri diameter cyangwa kugera kumagufwa.
Icyiciro cya III: Ficure FISURE irenze cm 1,3 (1/2 santimetero) muri diameter kandi igera kumagufwa.
Icyiciro cya IV: Amagufwa yamagufwa.
III. Byombi pathologiya no gutanga amanota byerekana ishingiro rya Chondromalacia Patella. None nibimenyetso n'ibizamini bifatika byo gusuzuma chondromalacia patella?
Isuzuma ryinshi rishingiye cyane kububabare bwihishe inyuma ya patella, iterwa nikizamini cya patellar hamwe nikizamini cyamaguru. Imbere igomba kuba mugutandukanya niba hari ibikomere bya meniscus na artritis. Ariko, nta guhuza hagati yuburemere bwa patellar chondromalakiya hamwe nibimenyetso byubuvuzi bya syndrome yububabare bwa arterior. MRI nudusobanuzi muburyo bwo gusuzuma.
Ikimenyetso gikunze kugaragara ni ububabare butuje inyuma ya patella no imbere mu ivi, bigenda byimazeyo nyuma yo gukora cyangwa kuzamuka cyangwa kumanuka ku ngazi.
Isuzuma ry'umubiri rigaragaza ubwuzu bugaragara muri Patella, PeterLalla, Patellar Margin na Poterolior Patella, bishobora guherekezwa na patellar kunyerera hamwe nijwi rya patellar. Hashobora kubaho effusion hamwe na quadriceps atrophy. Mu bihe bikomeye, guhindagurika no kwagura bigarukira kandi umurwayi ntashobora kwihagararaho ku kuguru. Mugihe cyibizamini bya patellar, hari ububabare bukabije inyuma ya patella, byerekana ibyangiritse bya pater terticular artilage, aribyo bifite akamaro. Ikizamini cy'amayeho akenshi gikunze kuba cyiza, kandi ikizamini cya squat ni cyiza. Iyo ivi ihindagurika 20 ° kugeza 30 °, niba urwego rwimbere rwimbere kandi rwo hanze rwa patella rurenze 1/4 cya diamellase ya patella, byerekana amagambo ya patella, byerekana uburanga. Gupima Q ya 90 ° Flexion ipfumye irashobora kwerekana inzira ya patellar idasanzwe.
Ikizamini cyizewe cyane ni MRI, cyahagaritse buhoro buhoro arthroscopi kandi ihinduka uburyo budatera kandi bwizewe bwa CMP. Ibizamini byerekana cyane cyane kuri iyi parameter: Uburebure bwa Patellar (PH), POPER), PCA), PTA), PTA, na PTA, na PTA, na PTA) ya CMP kare.
X-Ray na MRI byakoreshwaga mu gupima uburebure bwa patellar (indangagaciro ya Caton, PH): a. Axial X-Ray mumwanya uhagaze hamwe nivi hamwe na 30 °, b. MRI mu mwanya hamwe n'ivi ryahindutse kuri 30 °. L1 ni patellar impengamiro, nikintu kiva muburyo bwo hasi bwimiterere yimpande zisumba izindi mpimbano zo muri tibial
Crochlear Croove Angle na Patellar Fight (PCA) bapimwe na X-Ray na MRI: a. Axial X-ray hamwe n'ivi ryahindutse kuri 30 ° mu mwanya uhagaze; b. MRI hamwe n'ivi ryahindutse kuri 30 °. Igishushanyo cya Trochlear Croove kigizwe n'imirongo ibiri, aribyo ingingo yo hasi cyane ya troklear, ingingo yo hejuru C ya Trochlear yo hagati, kandi ingingo ndende b ya Trochlear articular. ∠bac ni igikona cya kalekleral croove. Igituba cya Trochlear Croove cyashushanijwe ku ishusho ya Axial ya Patella, hanyuma Bisector Ad ya ∠bac yashushanijwe. Noneho umurongo ugororotse ae wakuwe mu ngingo yo hasi a ya Trochlear ya Trochlear ya Crokleral nkinkomoko yinkomoko yo hasi e ya Patellar Crest. Inguni hagati yumurongo ugororotse ad na ae (∠ddae) ni patellar ihuye ninguni.
X-Ray na MRI byakoreshwaga mu gupima patellar thelding (pta): a. Axial X-Ray mumwanya uhagaze hamwe nivi hamwe na 30 °, b. MRI mu mwanya hamwe n'ivi ryahindutse kuri 30 °. Patellar TILTLE ni inguni hagati yumurongo uhuza ingingo zisumba izindi zo hagati na femoral femosi ya pateli, ni ukuvuga ∠abc.
Radiografiya iragoye gusuzuma CMP mubyiciro byayo byambere kugeza igihe cyibanze cyikarito, mugihe igihombo kinini cyamakarito, gutakaza amagufwa ya magufa, hamwe nibisobanuro byamagufwa biragaragara. Arthroscopy irashobora kugera ku gusuzuma kwizewe kuko itanga amashusho meza cyane hamwe ningingo zipate; Ariko, nta isano isobanutse hagati yuburemere bwa patellar chondromalaa hamwe nurwego rwibimenyetso. Kubwibyo, ibi bimenyetso ntibyagomba kuba ikimenyetso cya arthroscopi. Byongeye kandi, arthrography, nkibikoresho byo gusobanura gutera no kwerekana, mubisanzwe bikoreshwa gusa mubyiciro byateye imbere. MRI ni uburyo bwo gusuzuma budahwitse asezeranya ubushobozi bwihariye bwo kumenya ibisigisigi byihariye ndetse no gutandukana imbere muri karitsiye mbere yuko habaho ijisho rya morphologi.
IV. Chondromalacia Patellae irashobora guhinduka cyangwa irashobora gutera imbere kuri rubagimpande rwa rubagimpande. Guhangana neza kubungabunga neza bigomba guterwa bidatinze mubyiciro byambere byindwara. None, ubuvuzi bukubiyemo iki burimo iki?
Muri rusange bizeraga ko mu cyiciro cya mbere (icyiciro I kugeza II), Catellar Cartilage iracyafite ubushobozi bwo gusana, kandi igenamigambi ridasanzwe rigomba gukorwa. Ibi birimo ahanini kubuzwa ibikorwa cyangwa kuruhuka, no gukoresha ibiyobyabwenge bitari byo kurwanya ibiyobyabwenge mugihe bibaye ngombwa. Byongeye kandi, abarwayi bagomba gushishikarizwa gukora siporo iyobowe numuvuzi wumubiri kugirango bashimangire imitsi ya quadrices kandi bayongereye ivi.
Birakwiye ko tumenya ko mugihe cyo kwibeshya, imitsi ivi cyangwa orthose ipfumo muri rusange, kandi ikosora ikosora yirinze ibishoboka byose, kuko ishobora kuganisha byoroshye gukomeretsa Artilage; Nubwo kuvura bikabije bishobora kugabanya ibimenyetso, imisemburo idakwiye gukoreshwa cyangwa gukoreshwa bike, nkuko babuza synthete ya glycoppesins na colagen kandi bigira ingaruka kumakarito; Iyo guhubuka no kubabara bidatinze, ice compresses irashobora gukurikizwa, kandi kuvura umubiri no guhagarika umutima birashobora gukoreshwa nyuma yamasaha 48.
V. Mu barwayi bo mu mpera z'ikigereranyo, ubushobozi bwo gusana akanyamakuru ni umukene, bityo kuvura ibihakanyi akenshi ntibisabwa ubuvuzi kandi bwo kubaga. Kwivuza birimo iki?
Ibimenyetso byo kubaga birimo: Nyuma y'amezi menshi yo kuvura abantu benshi, ububabare bwa patellar buracyahari; Niba hari ubumuga bwuzuyemo cyangwa butunganijwe, kubaga burashobora gusuzumwa. Niba hanze yinyuma ya III-IV Cartilage ibaho, inenge ntishobora na rimwe kuzuzwa no ko karisitu yumuhanzi. Muri iki gihe, kogosha gusa karilage kwangiza gari ya Cartilage hamwe no gushyuha karande ntashobora kubuza inzira yubuso bwa artular.
Uburyo bwo kubaga burimo:
. Irashobora kwitegereza neza impinduka mubuso bwa karitsiye munsi ya microscope. Mu manza yoroheje, ibikomere bito byo isuri kuri pater artilar artilage birashobora gusuzugurwa no guteza imbere gusanwa.
(2) femoral femoral cotution ubutumburuke; (3) Patellar Cartilage. Uku kubaga bikorwa kubarwayi bafite ibyangiritse bito bya karitsiye kugirango biteze imbere gusanwa na Cartilage; .
Igihe cyohereza: Nov-15-2024
