Acromioclavicular vadyi: mamiriro, zvokurwara

Arthrosis of acromioclavicular muhudyu kunokudziridzwa, kazhinji zvichikonzerwa yepanyama kukwegura rikurumidze. Chimwe dzakakurumbira zvikonzero zvakakwana kuti funga vagari makuvaro hwose. Somuenzaniso, zvingava dislocation pakati acromioclavicular rwakashodoka. Zvokurwara zvakasiyana chinopedza, anogumbura hunhu. Mukutanga nzendo chirwere acromioclavicular vadyi zvinogona kupora. In akazotevera matanho zvinoda nguva yakawanda nesimba rokuporesa.

The nemamiriro pamwe

Acromioclavicular vagari ari chikamu pamapfudzi. Kufanana nevamwe, nekunyatsotsanangura ichi zvinosanganisira nemarunda uye Kamudzira. Acromion chinhu manda iyo rinoenderera chipande uye kwakabatana kuti clavicle. Nekunyatsotsanangura pamusoro pechifukidziro cartilaginous zvinyama panguva micheto mafupa. Pane zvinhu zvinoverengeka zvinhu kusiyanisa acromioclavicular rwakashodoka. Movement mairi achienzaniswa Somuenzaniso, hudyu kana kugokora vane amplitude duku. Saka kuti kushandiswa kwayo kunofanira kuva t zvakasimba ake. Kana deformation kuti hyaline shwashwa kukweshera isina inoputswa, izvozvo chinokurwadzai kurwadziwa. Ndivo chiratidzo chemajoini. Akaroromesawo amortization mashandiro ari chakaipa mamiriro ichipa kunyoroveswa pamafudzi mitoro, agova zvakare rive dete pamusoro shwashwa rukoko.

Zvikonzero kukundwa mapfundo

Chikonzero chikuru kuti kukura osteoarthritis, sezvataurwa pamusoro apa, zviri sechinhu dzinongoitika pakupfuura kwemajoini kusakara. At panosangana wehurumende uyewo isakarurama kukanganiswa rinorema muviri. Somuenzaniso, imwe loader, mhizha, vashandi pamwe ane jackhammer, miners kazhinji akaonekwa chemajoini pamusoro acromioclavicular rwakashodoka. Large uye kakawanda overloads kutungamirira kuziva chirwere pane achiri mudiki. Chimwe chikonzero zvakafanana chinokosha kukura chemajoini ndiko kukuvara. Unofanira kuziva kuti hapana kukuvara asingadi kupfuura pasina zvikasawanirwa. Vose Kukuvara sei mamiriro ezvinhu mapfundo, kuwedzera vaparadzwe. Panyaya iyi, nyanzvi dzinokurudzira zvakasimba zvose pfungwa kubata sprains, mitswe nezvimwe kukuvara. The zvakafanira zvinhu kuti dzose kupora muoti ndiko kuchengetwa post-dzechimwe, kushushikana kururamiswa.

zvekuchipatara mufananidzo

Zvakakuvadza acromioclavicular vagari haisi pakarepo anoita pachayo akanzwa. Zviratidzo zvakakanganisika ndeinotevera:

• The kurwadziwa pabendekete.
• Pohrustyvanie mukati nekunyatsotsanangura.
• Kuomarara pamusoro pamafudzi masangano.
• Kuneta.

Chokwadi chokuti kuchava kutanga kwekupwanyiwa chemajoini haina achiperekedzwa kwazvo zviratidzo, zvichiguma kushanya akazotevera kuna chiremba. Nyanzvi vanokurudzira kwete kunonoka kushanya kukiriniki. Hazvina Zvakakodzera kumirira nguva apo acromioclavicular joinhi zvakaipa wakaremara uye kudzorerwa kwaro zvinoda zvikuru matanho.

pavaipfuura chirwere

Osteoarthritis nekunyatsotsanangura panguva kutanga kwekupwanyiwa pamwe zviduku marwadzo nezvekufadza vari kumanikidza clavicle nharaunda, uyewo panguva kufamba pamafudzi uye maoko. Mune zvimwe zviitiko, marwadzo anogona kupararira munharaunda yacho remuromo nomuzongoza. In padariro rechipiri arthrosis achabatsirwa zvikuru zviratidzo. Kunyanya, kusimba marwadzo inowedzera zvinokosha, kune zvinetso zviri nedanho kupfeka, maoko shure misoro yavo, shure uye akayambuka navo pamusoro pachipfuva chake. Pakadaro, kana chikuru wakatsamwiswa chinhu anoita kunotevera papfudzi apo achiita kufamba kunzwisisa inogona kunzwika nekudzvanya ane hwezuva crackle.

Diagnostics

Kubva panguva yakafanira kuziva miedzo chemajoini kunoenderana kubudirira nekutambira kuchirapa kupindira. Panguva yokuongorora, chiremba havazomukizve chete kutarisana rokuongorora dambudziko nzvimbo. Kubva kukurukura murwere nyanzvi anowana kana kukuvara nzvimbo iyi, sei nguva murwere akaona zviratidzo zvokurwara, izvo kurovedza vari nyore uye zviri nyore kuita nemaoko ake. Zvinokoshawo kuziva uye chomunda marwadzo localization.

Mune zvimwe zviitiko, mamwe chirwere zvinokosha kuitisa wakakombwa. Inoitwa kudzidzisa shoma lidocaine kana zvimwe rufimbi munzvimbo pamwe mhango. In pamberi kuzvimba mushure blockade kwakaratidza kumira marwadzo. Kuti tiwane mufananidzo zvizere nehosha, kazhinji anogadza mazvikokota X-ray kuzviongorora. Kunoitawo kuti zvakarurama kuona ukuru kuparadzwa rwakashodoka. Maererano nokutsvakurudza chokuita mabasa basa, kubvumira rokudzorera acromioclavicular rwakashodoka.

mabatiro

Kuchirapa matanho vanogadzwa maererano mwero wokuparadza rwakashodoka. Zvichienderana nyaya hanya kurapwa ingatakura nehasha kana munyoro hunhu. Muzana rokutanga pachikuva, kazhinji vagari basa kupora kunoitika pasina kushandisa NSAIDs, corticosteroids, uye zvimwe zvinodhaka zvinoshandiswa kudzvinyirira marwadzo uye kuzvimba. Pasinei kwokuomerwa hosha, Zvinokurudzirwa narwo nzira chikumbiro chondroprotectors. zvinodhaka izvi zviri zvishoma nezvishoma asi chaizvo zvinobudirira chidzosai kwemajoini shwashwa.

Muzviitiko zvakaipisisa, vanachiremba havana kuita kushandisa hasha mishonga. Zvikurukuru, steroidal vamiririri, glucocorticoids (mishonga "Diprospan" "Kenalog") vakanzi kuderedza marwadzo. Mishonga iyi kunobatsirawo kubvisa edema. In mwero zviratidzo uye kuvakurudzira NSAID jekiseni. Akagadzwa mishonga yakadai se "Voltaren", "Diclofenac" "Ibuprofen", "Ksefokam".