ʻO ka Patella,ʻo ia ka mea iʻikeʻia e like me ke kuli, he iwi sesamoid i hanaʻia ma nā iwi qadriceps ma ke kino. ʻO ia keʻano a me millet-shaped, aia ma lalo o kaʻili a maʻalahi hoʻi e manaʻo. Nui ka iwi ma luna o ka luna a kuhikuhi i lalo, me kahi mua a me kahi hope loa. Hiki iā ia ke neʻe a lalo, hema a hema, a pale aku i ke kuli o ke kuli. ʻO ke kua o ka Patella kahi mea i kālaiʻia a uhiʻia me Cartilage, e pili ana i ka papa hana o ka pākeke o ka femur. ʻO ka mua ka paʻakikī, a ua hala ka quadriceps tendon ma ia.
ʻO Patellar Chondromalacia kahi maʻi kūwaho maʻamau. I ka wā i hala aku nei, ua maʻamau kēia maʻi i waena o nā kānaka a me nāʻelemakule. I kēia manawa, me ka nui o ka hopena o ka hoʻokūkū a me ka maikaʻi, he pae kiʻekiʻe loa kēia maʻi ma waena o nā kānaka'ōpio.
I. He aha keʻano maoli a me ke kumu o Chondromalacia Patella?
ʻO Chondromalaciacenaceac (CMP) kahi mea hanaʻo PatteolterMarti i kahi o ka mokuahi o ka crollar ʻO ka mea hope loa,ʻo keʻano o ka condle condle cartleige e like me nā loli likeʻole. ʻO keʻano maoli o CMP: aia kahi loli patohorical o ka hanaʻana o ka cartilage, a i ka manawa like a me nā hōʻailona atroprol.
Mai ka loaʻaʻana o ka carticular cartilage i loko o ka loko o kaʻehaʻeha, keʻano o kaʻeha o kaʻeha e pili ana iā Chondromalacia. ʻO CMP ka hopena o nā hopena i hui pūʻia o nā mea nui. ʻO nā kumu likeʻole e hoʻololi i nā loli i ka neʻeʻana o ka pastlofemorm
II.ʻOi ka hiʻohiʻona nui o ka patlielacia patlinelacia i nā loli pathological kūikawā. No laila mai ka hiʻohiʻonaʻana o nā loli pathological, pehea pehea e kauʻia aiʻo chondromalacia pattellae
Ua weheweheʻo Insall i nā pae oʻehā o ka cmp: Stage i hanaʻia i ka subternage i hanaʻia e ka papa ma ka pā o ka corftedation E pili ana i ka hana IV maV i nā loli o ka erosive o ka osteoarthritis a me ka hōʻikeʻana o ka iwi subchondral ma luna o ka iwi articular.
ʻO ka'ōnaehana o waho o waho e pono ai no ka loiloiʻana i ka hana carticular articular articular articilage i lalo o kaʻike a iʻole ka arthroscopy. ʻO ka'ōnaehana GREDing Growbridge SCHANDER:
E helu inoa i:ʻO ka mea hana kiʻi kiʻi kiʻi kiʻiʻia (paʻa i keʻano o ka cartilage cartilage). Pono kēia e koi i ka'ōlelo TACTITE TACTITED me kahi mea hoʻolaha a iʻole kekahi mea hana e loiloi ai.
Palapala IM:ʻO nā hemahemaʻokoʻa-ʻokoʻa ma mua
Helu III: Uaʻoi aku ka nui o ka pahu pahu pahu ma mua o 1.3 cm (1/2 inch) i ka iwi subchondral
Palapala IM:ʻO ka hoʻolahaʻana o Socchondral Bone.
III. ʻO ka pathologyʻelua a me ke kiʻiʻana i keʻano o keʻano o keʻano o chondromalacia patella. No laila he aha nā hōʻailona nui loa a me nā hoʻokolohua no ka hoʻolahaʻana iā Chondromalacia Patella?
Ma muli o ka maʻi maʻi e pili ana i kaʻeha ma hope o ka Patela, kahi i hanaʻia e ka hōʻikeʻo Pateellar Grinding a me ka hōʻike hoʻokahi kiʻekiʻe. Pono ka mea e pono ai e hoʻokaʻawale i kahi mea i hōʻehaʻia a iʻole he mea hōʻeha a me nā seamritic. Eia naʻe,ʻaʻohe mea e hoʻoponoponoʻia ma waena o ka paʻakikī o ka colndromlacia a me nā hōʻailona maʻi o keʻano o ke alo o ke alo. ʻO MRI kahiʻano hana kūpono loa.
ʻO ka hōʻailona maʻamau loa kaʻeha nui ma hope o ka patella a i loko o ke kuli, he mau mea maikaʻi loa ma hope o ka hanaʻana a iʻole ka heleʻana a i lalo paha.
Hōʻike ka nānā kino kino i kaʻoluʻolu o ka patella, peripatella, patellar marlig a me nā patterior pateral. Aia paha he hui pūʻana a me nā quadriceps atrophy. I nā hihia koʻikoʻi, ua palenaʻiaʻo Kunee Flexion a me ka hoʻonuiʻana aʻaʻole hiki i ka mea maʻi ke kū i kahi wāwae. I ka wā o ka hoʻokolohua hoʻokūkū kūpono, aia heʻeha nui ma hope o ka Patela, e hōʻike ana i ka mea i pili i ka carticular artiticular. ʻO ka hoʻokolohua paʻakikī ka maikaʻi pinepine, a maikaʻi ka hōʻike squat. I ka wā e holo ai ke kuli 20 ° i 30 °, inā he neʻe o kaʻaoʻao o ka Patela, e hōʻike ana i ka cubluxation o ka patella. Ke anaʻana i ka qule o ka qule o 90 ° knee flexion hiki ke hōʻike i ka neʻeʻana o ka neʻeʻana i ka neʻe
ʻO ka loiloi koʻikoʻi nui loaʻo MRI,ʻo ia ka mea i hoʻololi i ka amthroscopy a lilo i kumu no ke komoʻana o CMP. ʻO ka noʻonoʻoʻana i nā loiloi nui i ka nānāʻana i kēia mau'āpana ka maʻi maʻi o ka hopena mua cmp.
Ua hoʻohanaʻiaʻo X-Ray a me MRI e ana i ke ana o ka Pallar kiʻekiʻe (Catch Index, PH): A. Axial X-ray ma ke kaumaha Mri ma ke kūlana me ka kuli i holo i ka 30 °. L1ʻO ka Affection Intellar Untle,ʻo ia ka mamao mai kaʻaoʻao o ka papa hana o ka patellofemorm.
Gromolear trochlear groclear growle angle a me nā kihi kūpono kūpono (pca) i anaʻia e x-ray a me mri: a. ʻO Axial X-ray me ka kuli i kūleʻe ma 30 ° i ke kūlana kaumaha; b. Mri me ke kuli a pau i 30 °. ʻO ka'ōpala wahineʻo Femorral Grochlear Growle oʻelua mau laina,ʻo ia ka mea haʻahaʻa loa i ka papa o ka frochlear dropular ∠BAC ka pahu wahine froomlear Growlear Grot. Ua hukiʻia ka pua pua manu o Angle, i ke kiʻi axial of the Patella, a laila ua hoʻokuke ka hoʻohikiʻana i kaʻoi aku. A laila ua hukiʻia kahi laina a AE mai kahi haʻahaʻa haʻahaʻa haʻahaʻa o ka wahine wahine wahine ma keʻano he haʻahaʻa haʻahaʻa e like me ka mea haʻahaʻa loa. ʻO ke kihi ma waena o ka laina pololei a AE (∠DAE)ʻo ia kaʻaoʻao kūpono kūpono.
Ua hoʻohanaʻiaʻo X-Ray a me MRI e ana i ke ana o ka attallar taltur tille (pta): A. Axial X-ray ma ke kaumaha Mri ma ke kūlana me ka kuli i holo i ka 30 °. ʻO ka kihiʻo Pallar Tille ma waena o kaʻaoʻao ma waena o ka laina e hoʻopili ana i nā kihi kiʻekiʻe loa o ka Patela a me nā Axiral Droteral a me ka Acister Fremeral.
He mea paʻakikī nā radiographs i ka diagnose cmp i kona mau kūlana mua a hiki i keʻano o ka scleilage, a me nā loli cubchondral. Hiki i ka arthroscopy hiki ke loaʻa i kahi maʻi hilinaʻi no ka mea e hāʻawi iā ia i kahi mea nānā maikaʻi loa Eia nō naʻe,ʻaʻohe correlation maopopo ma waena o ka paʻakikī o ka colndromlacia a me nā hōʻailona o nā hōʻailona. No laila,ʻaʻole pono kēia mau hōʻailona i kahi hōʻailona no ka aurtroscopy. Ma kahi o ka mea,ʻo ka artory. ʻO MRI kahi ala noninvasive diagnostic e hoʻohiki ai i ka hiki keʻike i nā leʻa cartilage ma mua o ka nānāʻana o ka carphical.
IV. Hiki ke hoʻololiʻia pahaʻo Chondromalaciaceaceacle a iʻole e holomua ana i ka patelolfelal arthritis. Pono e hāʻawiʻia i ka hana kūpono kūpono e hāʻawiʻia i nā pae mua o ka maʻi. No laila, he aha keʻano o ka mālama mālama conservative?
Ua manaʻo pinepineʻia ia i ke kūlana mua (Stage I II),ʻo ka mea kūʻai akuʻo Cattelilage, e hana pono i ka hana. ʻO kēia ka mea nui e pili ana i ka hana hana a hoʻomaha paha, a me ka hoʻohanaʻana o nā lāʻau lapaʻau anti-sterol anti-cheerol anti-inflammy anti-inflammy anti-inflamortory lāʻau lapaʻau inā pono. Eia kekahi, pono e hoʻoikaikaʻia nā poʻe maʻi ma lalo o ka hana ma lalo o ka mālamaʻana i kahi mea lapaʻau kino e hoʻoikaika ai i ka pā o Quadriceps.
He mea kūpono ia i ka wā i ka wā o ka immobilization, e paleʻia nā kuli a iʻole nā kuli orthoses, aʻo ke ala e hiki ai ke alakaʻi i ka pōʻino o ke kāleka articular ʻOiai hiki i ka hoʻopiliʻana i ka lāʻau lapaʻau ke hōʻoluʻolu i nā hōʻailona,ʻaʻole pono e hoʻohana a hoʻohanaʻia paha, e like me ke kāʻeiʻana i ka synthesis o ka cartcolage Ke hoʻokauʻia nei ka'ōpū a me kaʻeha o kaʻeha, hiki ke hoʻopiliʻia nā mea haunaele, a hiki ke hoʻopiliʻia nāʻano kino kino a me nā mea hōʻoluʻolu kino a me nā wela.
V. I nā mea maʻi ma hope o nā mea maʻi He aha keʻano o ka mālamaʻana i kaʻoihana?
Nā hōʻike no ka hanaʻana i nā mea hana: ma hope o kekahi mau mahina o ka mālama ponoʻana, e noho mau ana kaʻeha Inā he crisenital a i loaʻa i ka hana deformity, hiki ke noʻonoʻoʻia ka mālamaʻana. Ināʻaʻole e hiki i waho o ORTERBRIGE III-IV Cartilage,ʻaʻole hiki ke hoʻopihaʻia ka hewa i ka cartilage maoli. I kēia manawa, keʻoki wale nei i ka pōʻino o ka cartilage me ka moni o ka lehulehu i hikiʻole ke pale i ke kaʻina hana o keʻano o ka papa inoa o keʻano.
Nā Kūlana Kūʻai:
(1)ʻO ka hoʻomaʻamaʻaʻana o ka Artthroscopic Hiki iā ia ke nānā pololei i nā loli i ka pahu cartilage ma lalo o ka microscope. I nā hihia māmā,ʻo ka liʻiliʻi liʻiliʻi e liʻiliʻi i nā leona liʻiliʻi ma ka carticular articular articular carcilage hiki ke kahakahaʻia e hoʻolaha i ka hoʻoponopono houʻana.
(2)ʻO ka maʻi maʻi famousray manuahi manuahi; (3)ʻO kahi mea kūʻai akuʻo Patellar Cardilage. Hanaʻia kēia hana no nā maʻi me nā mea maʻi me ka liʻiliʻi o ka cartilage liʻiliʻi e hoʻolauleʻa ai i ka hoʻoponoponoʻana i ka cerxilage (4) Ua hanaʻia nā mea kūʻai aku no ka mea maʻi no nā mea maʻi me ka hōʻeha koʻikoʻi i ka papa o ka paterilage.
Post Time: Nov-15-2024
