Fudzi nebhanhire: mishonga mapfundo

Fudzi nebhanhire unotora majoini shanu kuti zvinobatana mapoka maviri. In chikamu chokutanga scapular-humeral vadyi maviri kuberekesana hukawanika dziri mudungwe pamwe hyaline shwashwa. vagari ichi chinonyanya kukosha. Vagari Mabasa rechipiri subdeltoid muboka iri (sesaline), iyo ine mumwe zvishoma nezvishoma mumatope hukawanika. Hwakabatana mechanically pamwe pamafudzi vadyi, kuwana motokari kubva chechipiri.

Boka rechipiri inoumbwa mapfundo matatu: scapular-grudnokletochny kana scapular-thoracal, zvisina anatomical uye vasiri. Zvinoitawo kunokosha vari boka, kunyange zvazvo pasina mumwe aishamwaridzana zvemaziso, majoini havagoni kushanda. Next kumusoro ndiye acromioclavicular vadyi, riri panguva acromial kuguma clavicle. Vechokwadi uyewo sternal clavicular joinhi rakamiswa panguva sternal kuguma clavicle.

Kazhinji mapfundo enzvimbo pamapfudzi bhanhire inogona dzikarongwa akawanda chikonzero. Boka rokutanga ichasanganisira huru anatomic pamafudzi vadyi, ukuwo mechanically akabatanidza subdeltoid akabatanidza rwakashodoka. Boka rechipiri rinosanganisira huru vasiri scapular thoracal vadyi iyo mechanically rinobatanidza maviri kuyeuka anatomical vadyi - sternal clavicular clavicular uye acromion.

The muviri kukosha mukati pamafudzi bhanhire, ndiye papfudzi rwakashodoka. It ane idenderedzwa chimiro uye anoumba musoro mukuru humerus uye glenoid pechiso scapula. The vagari ane mukuru mufambo, vachibvumira flexion, kutapa, adduction, uyewo, dzeraundi inofamba uye vachishandisa kutenderera ruoko.

Bandauko joinhi takapoteredzwa bhegi kuti anoenda kubva pamutsipa humerus kumucheto chipande mhango. Joint Kamudzira kunosimbisa akapoteredza tsandanyama nemarunda vanobatisisa vagari vari mhango zvakakwana humeral musoro. Pamberi pechiso vagari hapana netsandanyama. Izvi zvinokonzerwa kupi kunoitika dislocation musoro mapfupa (humerus) uye Kamudzira raputsika.

Zvinotevera zvirwere rakajairika kuti chokuita bandauko nebhanhire. Izvi aienda mafudzi kwemajoini urwere, kusagadzikana musoro mapfupa (humerus), mafudzi kuomarara, madota deposits, kukuvara unoenderana vachishandisa kutenderera cuff mafudzi tsandanyama, arthrosis.

Papfudzi Joint: Treatment

Mumakore achangopfuura, zvirwere pamafudzi kwemajoini mishonga iri tibudirire. Kushandisa itsva mabikirwo endoscopy akavhiyiwa kuti murege zvinoda yokutanga mapfundo. The kuvhiya chidobi wakaitawo kuchinja kukura yepamusorosoro Ezvemutauro.

Vachishingaira kushandisa arthroscopic nzira iyo inobereka pakurapa papfudzi rwakashodoka. Nokuda dzakaonda richivhenekera arthroscopy kuongorora zvizere dzomunyika pamwe nzvimbo uye kurapa kurwadziwa mapfudzi, mafudzi kusagadzikana, kukamurwa kufamba, kutsakatisa deposits ose reraimu conglomerates rinovhuna cuff (rotator cuff) zvakasiyana mashandiro.

Mushure Kupindira (arthroscopic) marwadzo vasingakoshi. Unogona kutanga ipapa woenda uremu pamusoro pejoinhi. Uyezve, vanenge asingaoneki vazvo. Kunakisa zvakare iri zvinoitwa vazhinji outpatient kuvhiyiwa kana kuwanikwa pfupi murwere muchipatara. Arthroscopic nzira pakurapa pafudzi mapfundo zvinoda Kuwanikwa chiremba zvikuru vanokwanisa uye ruzivo, uyewo kushandisa zvinhu zvakakodzera uye zvokurapa michina.

papfudzi kwemajoini kurapwa zvibereko uye kushandisa yakakurumbira nzira kuita anorumanya vhiniga, vachidzipukuta hosha nzvimbo infusions ose hot, burdock midzi uye nemaruva Lilac. Mushure nzira, bandauko insulated, tieing sikavha. Zvisinei, zvinofanira kunzwisiswa kuti mushonga chakakura chirwere nenzira zvisingaiti.