Syndesmosis - yintoni na le nto? Tibiofibular syndesmosis uqhekeko

Xa sifuna ulwazi malunga walimala kwemisipha kunye namalungu, zinokufunyanwa elithi "syndesmosis". Eli gama kubonisa amathambo kade-elihambayo okanye umile elidityanelweyo emzimbeni womntu. Ukwenzakala kule lungu eziqhelekileyo, ingakumbi xa kufikwa iimbaleki okanye abantu omsebenzi wakhe kubandakanya umsebenzi kakhulu emzimbeni. Ngoko ke yintoni na syndesmosis, yaye imiphumo iba kukwenzakala kwakhe? Ingaba esi sithuba kuhlangana yingozi kwaye unyango ukuba anikele amayeza namhlanje?

Syndesmosis - yintoni na le nto?

Njengoko waziwa, kwinkqubo weentshukumo amathambo abantu nokucacisa omnye nomnye njengoko ezinokususwa nezinto zokubhala. Ngokomzekelo, amalungu amathambo ilungu kokuxhuma, eyenza intshukumo. Ukuba sithetha kumalungu esisigxina, kukho kuya kuthiwa syndesmosis. Le indlela uqhagamshelo ngu ashinyeneyo imisonto zeethishu nokuqina. izakhiwo ezinjalo musa ukubonelela intshukumo. Ngokomzekelo, kubhaliwe ngoko kwathethwa ngokunempumelelo phakathi ithambo ukakayi lweenkqubo omqolo spinous, namathambo lesiquluba le yengalo.

Kakade ke, kukho iintlobo ezininzi iikhompawundi ezifana. Inwebu syndesmosis - le nto ungabona, cinga lesiquluba ngokudibeneyo kunye lesiquluba. Kodwa ke amathambo yokakayi ezidibene ngayo ezinye iintlobo ezahlukeneyo "beentanda".

ukulimala Iimpawu syndesmoses

Awu, syndesmoses ukwenzakala neze ingaqhelekanga. Lidla kukho umsantsa phakathi inwebu lesiquluba. ukwenzakala namaqatha abhalwe rhoqo kwi neembaleki ngelixa utsiba okanye ibaleka. Yi ukwenzakala enye webhaleyi ezithandwa, kaClark umthambo isekisi.

Belimele kwengqondo traumatic kunye nokwenzakala spinal inokuba kukophula amalungu phakathi amathambo. Neonates syndesmosis uqhekeko phakathi izakhiwo ukakayi maxa wambi kwenzeka ngexesha nokuwela emjelweni lokuzalwa. Kodwa xa ucinezelo ukwaphuka lomqolo yomguli nazo uchonge umonakalo buso okanye kukunaba Imisonto - nemisipha phakathi omqolo.

syndesmosis tibiofibular Distal umsantsa

Ngokutsho manani, 10% zokwenzakala komsipha namaqatha ezinento yokwenza nesakhiwo trauma ebizwa ngokuba "syndesmosis tibiofibular." Kuthiwa umonakalo kule akukho mntu ugonyiwe, kuba inwebu ukuba kolulwa okanye yonakele xa kujikelezo lwangaphandle ye unyawo ngamandla ngexesha siguqula sock ngaphakathi.

Kwelinye icala, kukho abantu usesichengeni olu hlobo yokwenzakala ngenxa wobugcisa - .. abadlali ngumntu, abadanisi, kaClark, njl Ngendlela, nokunxitywa izihlangu ezichophileyo rhoqo, ingakumbi ukunyuka ezingazinzanga, kwandisa amathuba ngokolula ndizayo tibiofibular.

Iimpawu tibiofibular ndizayo kukwenzakala

Yonakele syndesmosis distal - oku yingxaki eqhelekileyo, yaye oko kukhatshwa umfanekiso zazinzima kakhulu kwezonyango. Ngokuqhelekileyo, uphawu lokuqala i intlungu elibukhali. mizwa ekhathazayo ziyanyuswa kakhulu ngexesha intshukumo okanye xa uzama ukutshintsha indawo yonyawo. Isisa on Ngokucofa nalo ngcono.

Olunye uphawu a kwizihlunu ezithambileyo ukudumba ngeenxa ukonzakala - iindumbisa ukunyuka ngokukhawuleza, nikhulela umbandela imizuzu. Unyawo isigulane ngokuqhelekileyo ufumana ngesinyanzelo, isikhundla nemvelo - kwiimeko ezininzi yaba. Ukongeza, isikhumba kummandla we ukwenzakala ingqombela, kunokwenzeka rhoqo ukuze uqaphele hemorrhages ezincinane ongama.

Kakade ke, ukuba ukufumanisa tibiofibular syndesmosis komsipha, kufuneka uvavanyo oluthile. On ukuxilongwa ngokwasemzimbeni, ugqirha sele usola ubukho ungakhululekanga, okanye inwebu umonakalo, kodwa ukuxilongwa kunye nokuzimisela iirejimeni zonyango kufuneka bangenele izifundo X-ray. Imifanekiso specialist ungabona ngokucacileyo ukwandiswa umsantsa phakathi namathambo, njengokuba kwakunye ukujonga mgca kwaye qaphela ubukho waphuka.

unyango Conservative kunye neempawu zayo

Okokuqala kufuneka unyango endala. Ukwenzela ukuba kulungiselelwe yesigulane imeko, iintlungu, Laqhawula, ebambe novocaine kwafa. Eyona njongo iphambili yonyango kweli xesha - ukuba icele umsantsa mezhdubertsovuyu lomzimba cutha ze uvumele ixesha ancedisana ukubuyisa ngokwabo. Ngoko ke njengento ebalulekileyo unyango Umntu uphosa, olusetyenziswa ngokohlobo a idrive. Nxiba i udaka ziya kuba malunga 5-6 iiveki.

Ngoko ke walisusa lisusiwe kwaza endaweni phezu ivili elisusekayo - kweli thuba, iintshukumo sikhuthele sibali, kodwa isigulane sidinga kwimeko yesiqhelo. Ukulungiselela le njongo, abantu badla ukumisela physiotherapy ezahlukeneyo Ukolulwa rhoqo. imithambo zonyango eziyimfuneko kunye ezizodwa, esiqhutywa phantsi kweliso oyingcali, ukuba uziphakamisa iseti olulandelenayo, icwangcisa ixesha kunye nomthwalo ahambelanayo.

Syndesmosis uqhekeko kudla lu dityanisiwe nokunye ukulimala, kuquka ukuphazamiseka yokumpompoza kwegazi obuqhelekileyo. Ngokomzekelo, iingxaki kunokubangela thrombosis we imithambo, ngoko ke imeko yomguli ukuba babukela ngokusondeleyo kakhulu kwaye, ukuba kuyimfuneko, nakungena icebo unyango anticoagulation.

Ngoko nangoko ke kufuneka kuthiwe nothomalaliso endala - yinkqubo ethatha ixesha elide. Amaxesha amaninzi, ukuze ukubuyisela ngokupheleleyo iihambo kunye namandla omzimba, isigulane kufuneka ngaphezulu kweenyanga ezi-6.

Kwezinye iimeko, uqhaqho kuyimfuneko?

Ngelishwa, unyango elondoloza ayikho olusebenzayo kuzo zonke iimeko. Maxa unxinzelelo enamandla, amathambo usifake ezingachanekanga kwaye kungekho isiphumo nothomalaliso emzimbeni ugqirha unokwenza isigqibo uqhaqho.

Namhlanje, kukho iindlela ezininzi ukubuyisela lungu. Lidla kwinkqubo, umzila we iqhina entsha. It luqokelelane evela imisipha ezigcinwe, lata ifascia kunye imicu Dacron. Le lesiquluba ngokwenza amajelo ezizodwa, apho bundle yanamathela. Phela, 92% yamatyala operation ngempumelelo, abuyele ukuhamba nomonde.

Kukho nenye indlela, oko kukuthi ukusetyenziswa ngezikhonkwane ucinezelo ezenziwe ingxubevange yesinyithi. Le iqhosha lemenyu uqinisa ngokukhuselekileyo mechanism - it ilungisa lesiquluba kwi kumgama othile, angavumeli ukuba ukuhambisa okanye coalesce.

Enoba kunjalo, kubalulekile ukuqonda ukuba syndesmosis eyonakeleyo - le yingxaki enkulu, yaye umntu akufanelekanga apha. Ngoko nangoko emva kokuba ukwenzakala kufuneka ubone ugqirha.