Ponji pakati pamafudzi kwemajoini: Lead unyanzvi

Ponji pakati pamafudzi muhudyu chinhu kuvhiya, panguva iyo chiremba zvinoshandisa pakurima tsono munzvimbo mekamudzira aka. A nemaitirwo rinoitwa kuti chirwere zvinangwa kana kuti aivapo zvokurapa ezvinhu. Chinangwa muitiro wakadaro - vasanyanye nhamba pamwe synovial mvura.

Two Mhando ponji

Vanachiremba ponji rakakamurwa mhando mbiri:

• Healing.
• Chirwere.

joini anatomi

Munguva ponji pakati pamafudzi muhudyu zvaanofanira kufunga maitiro zviri yakaitwa ake. The synovium - a casing izvo pamusoro wayo marongerwo uye mavambo zvakasiyana serous membranes (akadai Kamudzira pamusoro pleura, peritoneum, pericardium). Musiyano mukuru iri pakuti yomukati divi rayo rakatarisana pemvura iri mhango, harina epithelium uye endothelial lining. The Kamudzira ukobvu zvinosiyana. Uyezve, ane yakawedzerwa aikanganiswa chafariz, zvinorwadza, chirwere, uye makemikari nemishonga.

By hypersensitivity synovium zvirwere-siyana kunoda kunyatsotevedza aseptic risati ponji nzira, uye vasati kuzarura articular mhango. Mukuwedzera zvinoda fanira chisimbiso. Vagari mhango ine shoma synovial fluid anenge milliliters mana. The synovial Urume iri chena, ane yeyero mashanga ruvara uye zviri zvachose pachena. It kunoratidzwa yakakwirira viscosity, rine masero phagocytic uye ropa masero machena, asi ayo antibacterial ehupfumi kwazvo duku. Nokuda kuti yakazara mucopolysaccharides synovial mvura dzakakwirira zvakananga uremu, izvozvo rinoungana iri vagari uye kwete diffuse kunze kwayo mhango.

Chidobi of ponji pakati pamafudzi muhudyu ichakurukurwa pazasi.

About vagari mvura

Get vagari mvura uye haakonzeri chirwere kwacho kwakaoma chaizvo nokuti ayo shoma akaipa dzvinyiriro uye yakakwirira viscosity. Healthy majoini ndiwo kunaka kumanikidzwa:

• Neketani: 270-210 mm mvura mbiru.
• Tisave: 75-90 millimeters mvura mbiru.

Kuvapo kunaka kumanikidzwa kunokonzera Urume osmosis pamusoro subchondral uye synovial mahwendefa, apo vagari shwashwa kunoitika zvokudya.

Ponji pakati pamafudzi muhudyu muvanhu utano hariwanikwi.

Mashandiro ari synovial mvura

Huru mabasa kuteererwa synovial fluid zvingasanganisira:

• Locomotor basa. Synovial Urume mu tandem pamwe articular shwashwa inopa vakasununguka kwebasa articulated mapfupa hukawanika.
• Metabolic basa. Synovial Urume rinobatanidzwa metabolic pezvakaitwa kuitika pakati vascular mibhedha uye articular Urume.
• Trophic basa. Avascular synovial mvura zvinogara shwashwa akaturikidzana.

Kana paine chinhu kushoma majoini, ari synovial mvura kunowedzera mapuroteni kugutsikana. Izvi imhaka vawedzere vascular permeability. The mvura inova turbid, izvozvo anowedzera zviri neutrophils zvichizoita chakasimba chaizvo synovitis.

Ponji pakati pamafudzi muhudyu: mutsara

• Kutsunga zviri murwiyo (pamberi imwe pus, exudate kana ropa). Kana dzaparadzwa majoini aine ropa, zvinogona kukonzera synovitis, shwashwa kukuvara chinopedza hunhu, intra-articular adhesions. Kana dzechimwe haemarthrosis kuomarara uye kuzvimba namira hunhu kunokonzerwa zvikurukuru shwashwa inenge yakuvadzwa ukobvu uye kwete extravasated ropa maturo. Patsva zviri shwashwa kunoitika pamwe kuchinja proliferative chezvinonhuwira connective tishu. Kana kuvadza goko kunoitika zvakakwana nokukurumidza coagulation uye kuumbwa clots, izvo zvingaita kuti munhu chinokosha yokuwedzera tishu membranes. Somugumisiro, rwunotanga obliteration ari pamwe mhango.
• Achitanga kukuvara meniscus ari ibvi vadyi kushandisa pnevmoartrografii kana radiography.
• Achitanga kuvapo ari pamwe mhango "miviri mupunga" kana "vagari mbeva."

Kuti izvi yakatarwa chirwere ponji pamusoro pamafudzi rwakashodoka.

Zvairatidza kuti kurapwa akadai ponji

• Nokubviswa ropa panguva hemarthrosis kukura.
• Nokubviswa exudate, pus kubva articular mhango, pakatanga asingaurayiwi mhinduro.
• Nhanganyaya novocaine mhinduro pa rutapudzo kuti dislocation.
• Okusuma corticosteroids akabatana Lydasum kuvapo arthrosis deformans.
• Nhanganyaya reokisijeni kana mhepo kuti vanyoro nzira nokutyora akaumba panyaya fibrous adhesions articular adhesions. Nhanganyaya reokisijeni ndechokuti zvinogona kudzorera gwenya kushanda kana nhangaruvazhe redressatsii.

Kuti izvi zvidaro, mumwe ponji anogona kuitwa papfudzi uye ibvi majoini.

muitiro

Nokuda yokunyanyisa aikanganiswa ari synovial mvura zvirwere, panguva vagari ponji vanofanira zvisingadzoreki kutevera zvose nemitemo asepsis uye antisepsis.

Usati kushandisa ponji, kuti ponji nzvimbo dzinofanira decontaminated kwazvo. Zvinokurudzirwa kushandisa semidesyatiprotsentnogo doro. Kana ganda panguva ponji paIndaneti kwave azora shanu muzana ayodhini mhinduro, vakasara dzayo dzinofanira kubviswa nokuda achipukuta nedoro kaviri. Kubviswa residual ayodhini, kunyanya nezvizhinji lubrication kunodiwa nokuti kuti ayodhini pamwechete tsono anogona kupinda munzvimbo pamwe mhango, uye izvi zvinokonzera kutsamwa uye zvakakomba synovial kuita pakutsva. Uyezve, ayodhini anogona tibatsirwe maekisirei, izvo zvinogona kukanganisa rakarurama mufananidzo - zvinogona kuratidza mamwe mimvuri vasataura mufananidzo.

Shandisa vemunzvimbo infiltration yokutindivadza.

How kuti ponji?

Kureba tsono ponji nokuda 5-6 masendimita. Kana sumo reokisijeni rinoitwa, ipapo tsono anofanira kushandiswa nhete, kusvikira mumwe millimeter mu dhayamita. Zvikasadaro, gasi anogona kupinda munzvimbo nyoro zvinyama yakapoteredza pejoinhi. Izvi zvaizoitawo, pave nekukurukurirana subcutaneous, periarticular tsandanyama kana emphysema.

Skin ponji panguva fudzi vadyi anofanira vakatamira kurutivi. Izvi zvinobvumira zvakabaya ronda mugero wakasiya ne tsono, uye ganda pashure nzira adzorerwa pazvakaringana. Nzira yakadaro haambotauri kuti kupinda chirwere kubva mumuviri pemvura kupinda pamwe mhango.

The tsono zvinofanira kuzununguswa zvishoma nezvishoma, vachiedza kuona kana kuguma kwayo ichaitwa muna mekamudzira aka. Kana glenoid mhango ane ropa, pachava novocaine staining mhinduro iri sirinji, kana kana pus - mushonga anova Cloudy.

About kudzama panguva iyo ponji, pane pfungwa dzakasiyana anofanira rakatangwa. Vamwe mabhuku anoti tsono vanofanira pinda kusvika rimwe sendimita, uye mumwe - pa 2-3 cm.

Liquid ponji anofanira muchayamwa munhu sirinji ane Vhoriyamu 10 kusvika 20 magiramu. Kana raida - raitongwa zvinodhaka. Mushure nokubvisa tsono ganda norusaruro asunungurwa, nokudaro vaikunga vanga mugero, kuti ponji nzvimbo iri ipapo kurapwa ane doro uye chena bhandeji rakaiswa.

Technology kuponjesa papfudzi vadyi

Ponji of muhudyu yaifanira kubva parutivi, mberi kana shure. Kana nzira iri kuitwa pamberi, ipapo murwere anofanira kupfeka musana. Zvadaro, chiremba anofanira kuwana coracoid basa pamafudzi mashizha, riri masendimita matatu kuvatumwa distal kuguma clavicle. The tsono anofanira kuzviita pasi pake uye kutungamirira pakati pamafudzi mapfupa musoro wayo nhungirwa nenzira kubva mberi kusvika shure. The tsono akaiswa kuti kudzika 4 cm.

Kana ponji iri kuteererwa chiremba pakati pamafudzi kwemajoini divi, murwere anofanira rumwe rutivi, apo rwake yakaiswa chaizvo pamwe hunde. Upamhi nomunwe iri zvishoma kudzika kubva mukuru tuberosity pamusoro humerus musoro musoro wake. Tsono kamuti ndicho chikamu pasi acromion chichiitwa, ndoupiko unonyanya yakabudikira, uye zvino mberi nayo kuburikidza deltoid tsandanyama iri frontal ndege.

Paaiita rwemberi murwere ponji nzira hunodiwa kuti akazvambarara dumbu rake. Zvadaro, chiremba anonzwa nokuda deltoid tsandanyama uye ayo ezasi mucheto. Panguva ino, pane gomba, riri zvishoma kuvatumwa rwemberi pamucheto acromion kwacho. Munzvimbo iyi zvinokosha baya jekiseni netsono ndokuisa kuti kudzika 5 masendimita nenzira iri scapula coracoid.