Mgbapu nke ubu nkwonkwo: ebute Usoro

Mgbapu nke ubu nkwonkwo bụ a ịwa ahụ, n'oge nke dọkịta ntinye agịga n'ime nkwonkwo. A usoro yiri a rụrụ maka achọpụta ọrịa na nzube ma ọ bụ n'ihi na ẹdude ọnọdụ ahụike. Nzube nke ndị dị otú ahụ a usoro - a ọnụ ọgụgụ nke nkwonkwo synovial ọmụmụ.

Abụọ na ụdị mgbapu

Surgeons ịmapusị kewara abụọ na ụdị:

• Agwọ ọrịa.
• Diagnostic.

nkwonkwo Mmebe

N'oge mgbapu nke ubu nkwonkwo dị mkpa iji gaa na akaụntụ ahụ e ji mara atụmatụ nke ya mmewere. The synovium - a casing nke na ya Ọdịdị na mbido iche serous membranes (dị ka a akpụkpọ ahụ nke pleura, peritoneum, pericardium). Isi ihe dị iche dabeere n'eziokwu na ya n'ime chere ihu n'elu na uji eze, anaghị nwere epithelium na endothelial lining. The akpụkpọ ahụ ọkpụrụkpụ dịgasị. Ke adianade do, o nwere ihe mụbara uche na thermal,-akpasasị uche, na-efe efe, na chemical-eguzogide.

Site hypersensitivity synovium na iche iche na-efe efe na-achọ ịgbasochi ka aseptic tupu mgbapu usoro, na n'iru emeghe articular oghere. Na mgbakwunye na ọ na-achọ ka amanyere bụ iwu akara. The nkwonkwo oghere nwere a obere ego nke synovial ọmụmụ, dị anọ milliliters. The synovial ọmụmụ bụ akpali mmasị, nwere a odo ahịhịa na agba na ya doro nnọọ anya. Ọ e ji elu viscosity, o nwere phagocytic mkpụrụ ndụ na-acha ọcha sel ọbara, ma ya antibacterial Njirimara dị nnọọ obere. N'ihi na eziokwu na jupụta mucopolysaccharides synovial ọmụmụ nke elu kpọmkwem ibu, ọ accumulates na nkwonkwo na bụghị-agbasa si ya oghere.

Usoro nke mgbapu nke ubu nkwonkwo ga-atụle n'okpuru.

About nkwonkwo ọmụmụ

Nweta nkwonkwo ọmụmụ na adịghị akpata ọrịa usoro bụ nnọọ ike n'ihi na nke obere ego nke na-adịghị mma nsogbu na elu viscosity. Nkwonkwo na-na-ezighị ezi mgbali:

• Mgbehu: 270-210 mm mmiri kọlụm.
• Stifle: 75-90 millimeters mmiri kọlụm.

Ọnụnọ nke na-adịghị mma mgbali akpata ọmụmụ nwayọọ nwayọọ amịkọrọ nke subchondral na synovial efere, ebe nkwonkwo cartilage emee nri.

Mgbapu nke ubu nkwonkwo na ike ụmụ mmadụ bụ obere.

The ọrụ nke synovial ọmụmụ

Isi ọrụ rụrụ site synovial ọmụmụ, nwere ike na-agụnye:

• Locomotor ọrụ. Synovial ọmụmụ na tandem na articular cartilage na-enye free ije nke articulated ọkpụkpụ ebupụta.
• Metabolic ọrụ. Synovial ọmụmụ na-agụnye metabolic Filiks aa n'etiti vaskụla akwa na articular ọmụmụ.
• Trophic ọrụ. Avascular synovial ọmụmụ nourishes na cartilage n'ígwé.

Ọ bụrụ na e nwere ihe mgbu usoro na nkwonkwo, na-synovial ọmụmụ na-abawanye na protein ọdịnaya. Nke a bụ n'ihi na ụba vaskụla permeability. The mmiri mmiri na-aghọ turbid, ọ enwekwu ọdịnaya nke neutrophils dapụtara nnukwu traumatic synovitis.

Mgbapu nke ubu nkwonkwo: a na nkwupụta

• Mkpebi siri ike nke na ọdịnaya nke ndị mejupụtara (na ọnụnọ nke a abu, exudate ma ọ bụ ọbara). Ọ bụrụ na ndị mebiri emebi na nkwonkwo nwere ọbara, ọ nwere ike ime ka synovitis, cartilage mmebi degenerative uwa, intra-articular adhesions. Na ikpe nke na-akpasasị uche haemarthrosis isi na mbufụt nyagide agwa na-mere n'ụzọ dị ukwuu mebiri emebi cartilage ọkpụrụkpụ na bụghị extravasated ọbara mmetụta. Imu nke cartilage emee na mgbanwe na proliferative akụrụngwa nke connective anụ ahụ. Bụrụ na nke mmebi nke shei emee zuru ezu ngwa coagulation wee kpụrụ-egbochi mkpụkọ, nke nwere ike ime ka a dị ịrịba ama mmụba nke anụ ahụ membranes. N'ihi ya, ọ na-amalite obliteration nke nkwonkwo oghere.
• E meniscus mmebi ke ikpere nkwonkwo iji pnevmoartrografii ma ọ bụ radiography.
• E ọnụnọ ke nkwonkwo oghere "osikapa ozu" ma ọ bụ "nkwonkwo ụmụ oke."

Iji mezuo nke a kara aka na-achọpụta ọrịa mgbapu nke ubu nkwonkwo.

Egosi maka usoro ọgwụgwọ ndị dị otú ahụ dị ka mgbapu

• Mwepụ nke ọbara hemarthrosis development.
• Mwepụ nke exudate, abu si articular uji eze, iwebata ọgwụ nje ngwọta.
• Introduction novocaine ngwọta na Mbelata na eze.
• Okwu Mmalite nke corticosteroids na Nchikota na Lydasum ọnụnọ nke arthrosis deformans.
• Okwu Mmalite nke oxygen ma ọ bụ ikuku maka nwayọọ usoro mgbaji ọkpụkpụ kpụrụ na ikpe nke fibrous adhesions articular adhesions. Okwu Mmalite nke oxygen na-ekwe omume iji weghachi moto ọrụ ma ọ bụ ịrịba ama redressatsii.

Iji mezuo nke a, a mgbapu nwere ike rụrụ ubu na ikpere nkwonkwo.

usoro

N'ihi na oké uche nke synovial ọmụmụ na-efe efe, n'oge na nkwonkwo mgbapu ga inexorably eso niile iwu nke asepsis na antisepsis.

Tupu ị mejuputa a mgbapu, na mgbapu saịtị a ga-juputara decontaminated. Ọ bụ amamihe na-eji semidesyatiprotsentnogo mmanya. Ozugbo ahụ na-mgbapu ebe a tee ise percent ayodiin ngwọta, ya remnants ga-ewepụ site na ikpochapụ na mmanya ugboro abụọ. Mwepụ nke mmapụta ayodiin, karịsịa na ukwuu lubrication a chọrọ n'ihi na eziokwu na ayodiin ọnụ na agịga nwere ike iru n'ime nkwonkwo uji eze, na a na-akpata iyatesịt na oké synovial mmeghachi omume apa ọkụ. Ke adianade do, ayodiin nwere ike banye X-ụzarị, nke pụrụ imetụta izi ezi nke picture - ọ pụrụ igosipụta ọzọ onyinyo agwagbu image.

Jiri obodo infiltration ná Nkụnwụ.

Olee otú ime ka a mgbapu?

Na ogologo nke mgbapu agịga maka 5-6 sentimita. Ọ bụrụ na iwebata oxygen a rụrụ, mgbe ahụ, agịga ga-eji a na mkpa, ruo otu millimeter n'obosara. Ma ọ bụghị ya, ndị gas nwere ike iru n'ime ndị adụ anụ ahụ gbara ya gburugburu na nkwonkwo. Nke ahụ, n'aka nke ya, na-akpalite a subcutaneous, periarticular muscle ma ọ bụ emphysema.

Skin mgbapu na n'ubu nkwonkwo ga-akpali n'akụkụ. Nke a na-enye ohere ka ehulata ọnya ọwa ekpe site na agịga, na n'akpụkpọ ahụ ya mgbe usoro a laghachiri ohere. Ndị dị otú ahụ na usoro ezere penetration nke ibute ọrịa site n'ahụ elu n'ime nkwonkwo oghere.

The agịga ga-akpali nnọọ nwayọọ nwayọọ, na-agbalị iji chọpụta mgbe ọgwụgwụ nke na ọ ga-ẹkenịmde na nkwonkwo. Ọ bụrụ na ndị glenoid oghere nwere ọbara, a ga-novocaine staining ngwọta na ntụtụ, ma ọ bụ ma ọ bụrụ na abu - ngwọta na-aghọ urukpuru.

About omimi na nke mgbapu, e nwere echiche dịgasị iche iche ga-emejuputa atumatu. Akwụkwọ ụfọdụ na-ekwu na agịga kwesịrị banye ruo otu sentimita, na ndị ọzọ na - na 2-3 cm.

Liquid mgbapu ga-inu a ntụtụ na olu nke 10 ruo 20 grams. Ọ bụrụ na chọrọ - ndinọ ọgwụ ọjọọ. Ke ama okodorode agịga abụchaghị eziokwu akpụkpọ a tọhapụrụ, si otú ekwe ọnya ọwa, na mgbapu saịtị na-ahụ-emeso ya na ihe na-aba n'anya na a akpali mmasị bandeeji etinyere.

Technology ịmapusị ubu nkwonkwo

Mgbapu nke nkwonkwo ga-rụrụ site n'akụkụ, n'ihu ma ọ bụ azụ. Ọ bụrụ na usoro a rụrụ n'ihu, mgbe ahụ, onye ọrịa kwesịrị itinye na azụ. Mgbe nke ahụ gasịrị, ndị dọkịta na-awa ga-ahụ coracoid usoro nke ubu pupụtara, nke bụ atọ sentimita ala karịa ngwụsị clavicle. The agịga ga-ndinọ n'okpuru ya ma na-edu n'etiti ubu ọkpụkpụ nke isi na ya mkpanaka na ntụziaka site n'ihu na azụ. The agịga na-etinyere ka a omimi nke 4 cm.

Ọ bụrụ na ndị mgbapu na-rụrụ site na-awa nke n'ubu nkwonkwo n'akụkụ, onye ọrịa kwesịrị itinye ndị na-abụghị akụkụ, mgbe aka ya enịm kpọmkwem tinyere ogwe. The obosara nke mkpịsị aka bụ ubé ala si ukwuu tuberositi nke humerus isi bụ isi ya. Agịga osisi bụ akụkụ n'okpuru acromion usoro, nke bụ ihe kasị protruding, wee na-enwe ọganihu ya site na deltoid muscle na frontal ụgbọelu.

N'ịrụzu n'azụ nke ndidi mgbapu usoro chọrọ dina n'elu ya afo. Mgbe nke ahụ gasịrị, ndị dọkịta na-awa na-ele maka deltoid muscle na ya ala nsọtụ. N'oge a, e nwere olulu, emi odude ubé ala karịa n'azụ ihu acromion usoro. N'ebe a ka ọ dị mkpa igba agịga na-etinye ya na a omimi nke 5 cm na ntụziaka nke scapula coracoid.