Acetabulum of pelvic mapfupa

Chimwe chezvinhu zvakafanana mukukuvara kutungamirira munhu muwiricheya muri mitswe ari acetabular nharaunda. Nhasi tinodzidza kuti ichi ndicho chikamu hudyu muhudyu, uyewo vamwe kwomuchipatara dysplasia kana zvimwe zvinetso nzvimbo ikoko. Tsvakaiwo kuti riripi acetabulum uye chii yematambudziko zvinogona kukonzera kuoma dzimwe nhengo dzomuviri kana pakakuvara kuti indentation.

Chii hudyu?

Ndiye kupfuura simba uye makuru ari mumuviri womunhu. Kuwedzera zvinhu zvakadai flexion uye uyewo kutapa hudyu sure mberi, padivi, rotational kufamba, Ari muzvirongwa menzvimbo muviri.

Zvinoitwa ichi kwemajoini nemamwe - wavanotipa anenge 40% yevanhu kufamba.

Zvinonzi inoumbwa musoro femur, uyewo kuora mwoyo, yainzi acetabulum. The hudyu vagari zvakadzika achienzaniswa pamafudzi. Vose kwayo chaikosha rakafukidza cartilaginous zvinyama, izvo zvinogona kupinza mutoro, kumeso inofamba apo tichifamba, achimhanya, nokuuruka panguva t. D.

anatomi

Acetabulum chinhu rusesi ari iliac mapfupa, inova chikamu hipbone. It anoita rinokosha uye kunzwisisa mashandiro mumuviri, dzakadai rutsigiro uye sangano. It ane hemispherical chimiro, zvemapuranga mukati shwashwa. Vanachiremba ega mberi uye neshure parusvingo acetabulum, uye ayo Arch. Sezvo chikamu ichi pelvic pfupa kunopa sangano kwevanhu, zvakakosha kukurumidza kuona abnormalities munzvimbo iyi uye nokukurumidza kubata.

Acetabulum aumbwa pubis, ischium uye mapfupa ilium panzvimbo maererano yavo.

kutsemuka

Kakawanda, kwakadaro pakanga pakaputsika chamazuva repfupa kunoitika pamusana petsaona. Uyewo, uku kunogona kuitika mushure kuwa kubva yakakwirira zvikuru.

Kutsemuka of acetabulum unogona kukamurwa 2 mhando:

1. Simple kukuvara. Izvi mitswe mbiru pamberi undovakira uye pakati pamadziro transverse kukuvara.
2. Complex kukuvara. Izvi kana pakakuvara mutsetse anomhanya mashomanana zvimedu pfupa. Izvi zvinosanganisira pamberi porusvingo kukuvara, transverse, zvose pembiru nevamwe.

Zviratidzo ane kutsemuka dzinosanganisira:

- Pain ari muhudyu uye muhudyu.

- The murwere zvakaoma kuvimba vakuvara gumbo.

- A zvakajeka kuratidzwa kupfupikisa ari muzvidimbu iyo ndeyokubvisa panguva pamagaro uye ibvi majoini. Gumbo zvayaitenderera paguyo outwards.

kutsemuka kurapwa

- Kana kutyora kuvimbika pfupa yakaitika pasina kwaakarerekera, ipapo murwere zvinoisa mwero bhazi, tepi uye rinokosha kuwedzera rezasi gumbo kwenguva 1 mwedzi. Iva nechokwadi kunan'anura nzira physiotherapy, electrophoresis.

- Kana acetabulum pamusoro pelvic mapfupa waizomedurwa yepamusoro uye neshure micheto, akatendeuka hudyu dislocation, ipapo kurapwa iri kuitwa skeletal traction. Mazvikokota anoitisa akataura epicondyles femur. Pamusana bata uku pamwe Kamudzira ruchatambanudzirwa, uye zvimedu vari rikazvisundira pamusoro acetabulum, kureva vachiwirirana. Duration Munotatamura kazhinji 1.5 mwedzi.

- Kana chaenga guru uye hazvibviri enzanisa, ipapo kuvhiya kunodiwa. Zvinofanira kuitwa vhiki mbiri dzokutanga pashure zvinokuvadza, kwete pava paya. Kugadzirisa muchimwiro zvimedu, vanachiremba vanovhiya vanoshandisa mundiro uye tightening screws.

Mushure kurapwa, pakakuvara kunokosha chaizvo panguva vapore.

Possible kuwana nzira

Kushanda mabatiro mitswe ari rusesi sezvo acetabulum, ndizvo chaizvo kwakaoma. Chokwadi kuti zvakaoma chaizvo kuti asvike nyanzvi kukuvara.

Mhando mitswe ari indentation yakawanda uye, chokwadi, nokuti mumwe nomumwe ane pachake nzira yayo kuwana. Zvinotevera unyanzvi Anonyanyowanika kushandiswa:

- Front kuwana.

- ilioinguinal nzira.

- Rear kuwana.

nzira mberi

Mune imwe nzira inonzi "ofemoralnaya mugwagwa." Rinoshandiswa reposition mitswe zvose rakavhurika rusvingo kumberi uye mbiru mukudzokera anonzi acetabulum. nzira More pamberi anogona kushandiswa mune kuvhiya dambudziko transverse mitswe.

Ilioinguinal kuwana

Rinoshandiswa kuti kuzarura mberi uye yomukati pechiso acetabulum. It rinogona kushandiswa chete-Danho kutsemuka Kuda kutamba rusesi uye misodzi sacroiliac rwakashodoka. Zvisinei, nzira iyi haripi kuwana kudzora nyanzvi posterior Mbiru uye rusvingo in.

shure nzira

Pachirehwa kuvhura rutapudzo uye osteosynthesis, kana pane kuvadza posterior parusvingo acetabulum, pashure kubviswa chinjika hudyu dislocation. Uyewo, nzira iyi inoshandiswa kubvisa nzvimbo shwashwa kubva pamwe mhango.

Zvipatara rwemberi mhango mucheto kutsemuka

Pane kudaro pathological kusanduka panguva tsaona kana kuwa kubva kumusoro. Asingatani uku kuti vakawanda nevechiduku. Kutsemuka achiperekedzwa vanoshanda zvimedu dislocations mapfupa, kuparadzwa articular hunoonekwa shwashwa. Pamucheto acetabulum of Anterior kuchengetwa kure zviitiko. Zvikamu Most padzakacherechedza mitswe posterior mbiru.

Muchipatara nyanzvi tichaongorora wacho, achishandisa kuongorora zviri chiuno X-ray. Sezvo nyaya yokukurumidzira pasi nhengo dzomuviri yokutindivadza kana intravenous yokutindivadza chiremba kuderedza dislocation. Pashure pomuedzo zvokuongorora rwakashodoka kukuvadzwa, kusanganisira X-ray ari ileum, Review, oblique, uye makombiyuta tomography. tsvakurudzo nzira dzakadaro anobatsira nyanzvi kuwana zvizere mufananidzo kukuvara pakadzika dzakadai acetabulum.

Kuisa munhu netsoka pane iyi kuchangoita kuvhiyiwa. Chiremba anoita chekawo kuti mutsetse apo Fragment vemunyika. Ipapo chiremba unocherekedza ari sikuruwa kana zvinobvumidzwa compression. Achaongorora Kugadzikana chitsetsu Kuda kutamba, uye ipapo sutures ronda.

kupora

Kana acetabulum ari pelvic mapfupa pashure nokutyora kuvimbika yaro akararamazve, zvakakosha kuchengeta mitemo inotevera Zvokusunungurwa:

- Daily kukurira chaiyo kufema kurovedza.

- Dzidza kodzero kufamba pamusoro madondoro, kuti vanotsika pamakumbo.

- berekai rinokosha akagadzirwa muchiitwa pasi pokudzora rimwe podiatrist: flexion uye kuwedzera nezvigunwe, inotsikwa pasi kutenderera, rokurera uye achideredza chiuno kutsigira musana utano kunzvimbo dzakaderera richiripo uye namaoko maviri.

Osteoarthritis of hudyu

A chiratidzo chirwere chiri nemultiple sclerosis pamusoro acetabulum, iri kuchengetwa chete X-ray. Izwi iri rinowanikwa rondedzero mifananidzo zvinoberekwa radiologists.

dambudziko iri anovandudza somugumisiro anogumbura kuchinja chete overgrowth pamusoro connective zvinyama mapfupa.

Acetabular kuoma dzimwe nhengo dzomuviri - mamiriro umo hapana okunze zviratidzo chirwere - arthrosis. dambudziko iri kwese vakwegura vanhu. The kukonzera kuora mwoyo vari kuoma dzimwe nhengo dzomuviri:

- rive dete kuti shwashwa.

- kutyora ropa wedzerai makumbo pamwe nezvirwere zvine chokuita muviri.

- nhaka kubatwa kuti arthritis, osteochondrosis.

- Dislocations kufamba.

- ndakagara mararamiro.

- vachiberekwa malformations mapfundo.

- Makuvaro panguva zvemitambo mitoro kukuvadza ligamentous midziyo.

- mitswe mu majoini.

- Kufutisa.

Mabatirwo chemajoini pamusoro hudyu, MS

Kurapa kunosanganisira:

- Massage.

- Exercises (kunze ari hwakakungwa gumbo ari supine nechinzvimbo).

- Physiotherapeutic nzira (chicherwa wakisi, rinobva).

- kuitwa anokosha dzokugezera pamwe radon, rehydrogen sulfide.

- Matambudziko Treatment NSAIDs "diclofenac", "Nimesulide" uye vamwe.

Unofanirawo kutirambidza uremu anosimudza hakubvumidzwi kwenguva refu kuti pasi. Jumping, kumhanya zvakare kurambidzwa.

Otto chirwere

Mune imwe nzira chirwere ichi anonzi "acetabular dysplasia." Uye zita raro, sezvo chirwere Otto, zvokurwara ichi inotengwa mushure munyori uyo akatanga kurondedzera nayo muna 1824 Chinhu vachiberekwa chirwere kuti kunoitika chete vakadzi. Dambudziko kunooneka pacharo ari akavarambidza nemafambiro ari muhudyu muhudyu (kutapa, adduction, kutenderera, vachigurisira maoko nemakumbo maduku). Muchiitiko chino, hapana kwokurwadziwa akanaka pabonde haafungi.

Kuzosimbisa chirwere "kuora mwoyo dysplasia" zvinokosha kuitisa ongororo:

- X-ray ari muhudyu muhudyu mune kunodiwa pamaberere.

- MRI.

- Ultrasound.

Acetabulum: kurapwa Otto chirwere

Treatment riri kuvhiya kupindira, izvo zvingasanganisira:

- Closed rutapudzo kuti dislocation.

- pokuvhiya nokuda Hiari.

- Open rutapudzo kuti dislocation.

- skeletal traction.

- Hip arthroplasty.

nopindirana kwakajairika rinoshandiswawo:

- A mhando chinokosha jira.

- kuchirapa muviri, jimunasitikisi.

- Massage.

- Treatment pamwe mishonga.

Kutsemuka pamwe nemamwe matambudziko

The misha yacho acetabulum kunogona kuitika munguva Mumatsutso guru chinhu ari chiuno, kudzvinya nayo iri frontal mundege kana Somuenzaniso, kana tsaona nemotokari.

In izvi kuoma mitswe, akavhuna contours ari muhudyu rwakashodoka. Kana posterior dislocation mukuru trochanter chichienderera mberi. Kana dislocation ari pakati, ipapo mate rinosakara zvakadzama. Kuti tinzwisise kuti misha nokutyora, zvinokosha kuita chinhu X-ray mu maberere mbiri, nokuti dambudziko vangava vari mberi kana mumashure.

Symptomatology yematambudziko:

- Active gumbo inofamba kurambidzwa zvikuru.

- repasi gumbo riri chikara ezvinhu.

Treatment hazvisi zvinotevera:

- Kushandisa wegadziriro skeletal traction. Akataura akatakurwa supracondylar nharaunda yehudyu ane chezano 4 makirogiramu.

- The gumbo anoiswa vane flexion uye upinze pamagaro uye ibvi majoini.

- Kuti uone musoro kutsvakwa nzvimbo nyanzvi vanoita traction kwemitsipa akabatana pedyo hinji kana skeletal traction ane kutanga mutoro 4 makirogiramu.

- Mushure rutapudzo mitoro vari hwakatamisirwa skeletal traction kusiya panobva sinker pamutsipa akabatana.

- makumbo anoonekwa nokuti 1 vhiki kunopiwa necheparutivi rworwendo 95.

Duration Munotatamura anobva 8 kusvika 10 mavhiki. Kunyange pashure 2 weeks vanobvumirwa kufamba mu pejoinhi. Full mutoro pamusoro rutsoka anobvumirwa chete pashure pemwedzi mitanhatu. Uye kukwanisa basa anodzorerwa mukati 7 months.

coxarthrosis

chirwere ichi ndicho chinopedza hunhu, iyo inobata vakwegura uye repakati. Kukudziridza chirwere zvishoma nezvishoma pamusoro akawanda.

Koksartroza zviratidzo vari:

- pathological ukama pakati femoral musoro uye acetabulum.

- medial quadrant musoro uri kurutivi.

- The pedenga acetabulum imbricate ichimuremera pamusoro pegomba, akafanana ari muromo.

- The pakureba Makomba uye padenga raputsika.

- cortical rukoko ari padenga dzegirini thickened.

Coxarthrosis achiperekedzwa marwadzo uye kukamurwa kwemajoini kufamba.

In akazotevera nzendo chirwere pane atrophy tsandanyama yehudyu.

VaBennett chirwere ichi vari rakakamurwa 2 mhando:

1. Primary coxarthrosis. It kunoitika nezvikonzero zvisingazivikanwi mushonga.
2. Secondary coxarthrosis. Unowanikwa somugumisiro zvimwe zvirwere.

Yokupedzisira Chirwere zvingaguma nei matambudziko akadai:

- vachiberekwa hudyu dislocation.

- Hip dysplasia.

- Aseptic necrosis of femoral musoro.

- hudyu chearthritis.

- Perthes Disease.

- kunotevera (pakakuvara ari hudyu, chiuno, sprains).

Nokuti coxarthrosis mberi. Kana ukatanga kurapwa vachiri chikuva zvino unogona kuita kuchinja kurapwa. Padanho papera imwe nzira inobudirira kuchangoita kuvhiyiwa.

coxarthrosis kurapwa

Pakurapa chirwere vanobatanidzwa orthopedists. Pakusarudza marapirwo anoenderana padariro chirwere.

1. Pazuva 1st uye 2nd chikuva basa zvinotevera kurapwa:

- The kuitwa Anti-anogumbura zvinodhaka. Zvisinei, kwenguva refu havashandisi navo nokuti angava kunambwa zvomukati.

- (. Mishonga yakadai "Arteparon", "rumalon", "chondroitin," "Struktum") hondroprotektorov yekushandiswa

- vasoconstrictor zvinodhaka (rinoreva "Trental", "Cinnarizine").

- Mishonga kwenyama dzemuviri.

- Intra-articular majekiseni nokushandiswa hormone vamiririri, akadai "Kenalog", "hydrocortisone".

- Shandisa chizoro nokudziya.

- Passage kuti physiotherapy mishonga (laser-, chiedza kurapa, UHF, rinobva kurapa), uyewo kukwizwa, inokosha jimunasitikisi.

2. oparesheni uri 3rd Danho chete nzira ndichiva kubvisa coxarthrosis. Murwere chakatsiva kuparadzwa pamwe endoprosthesis. The oparesheni rinoitwa pasi vakawanda yokutindivadza nenzira yakarongwa nenzira. Sutures vanobviswa pazuva rechi10 zuva, pashure iyo murwere akatumira outpatient kurapwa. Rehabilitation zviyero avhiyiwa kunokosha. Vanenge 100% of kuvhiyiwa kutsiva pejoinhi inopa rakazara dzichipfekeka kuzoita ukama gumbo. Panguva iyoyowo vanhu munguva yemberi anogona kushanda nokushingaira kufamba uye kunyange kutamba mitambo. Kupfeka prosthesis, anogona kusvika makore 20 kana zvose chiremba audzwa. Shure kwaizvozvo nguva refu zvichipi- kushanda kunodiwa kutsiva mumwe kare kumbopfeka endoprosthesis.

Matambudziko acetabular mitswe

Dambudziko, panzira, anowanikwa kashoma, asi vachiri vanhu vanofanira kuziva nezvazvo. By postoperative yematambudziko dzinosanganisira:

- Sepsis.

- Maronda ari Kuwedzera Kushata.

- Thromboembolism.

- Damage manzwiro.

- aseptic necrosis of femoral musoro uye acetabulum rusvingo.

- Kuoma diki uye unosvikirwa glute.

Kudzivisa kuwanikwa yematambudziko akadaro, vanachiremba vakawanda vanopa varwere vavo pakarepo arthroplasty.

mhedziso

Kana kuchinja, tsaukirai kudzamisa ichi sezvo acetabulum, zvakakosha chaizvo mangwanani Diagnostics, kusanganisira X-ray, Ultrasound, rinobva resonance kuri. Pachishandiswa zvidzidzo izvi, chiremba anofanira kusarudza zvakakodzera nzira kurapwa: a zvachose kuchinja kana nehasha - oparesheni. Uyewo zvikuru pashure kurapwa uye vapore nguva, nekuti vari kunzwisisa vaiumba murume akakurumidza unowana namakumbo ake.