Fovea Capitis: Chikamu Chakakosha cheHuru Yako

Zvemukati

• Chii chinonzi fovea capitis?
• Chii chiri basa re fovea capitis?
• Ndezvipi zvakanyanya kukuvara fovea capitis?
• Chii chinokonzera kukuvara kune fovea capitis?
• Kukuvara kwe fovea capitis kunoonekwa sei?
• Chii chinonzi kurapwa kwekukuvara kwefovea capitis?
• Pane nzira nhatu dzekurapa:
• Kutora

Chii chinonzi fovea capitis?

Iyo fovea capitis idiki, denderedzwa-yakaita dimple pamagumo akafanana nebhora (musoro) pamusoro pechikadzi chako (chidya chepfupa).

Chiuno chako chibatanidzwa chebhora-uye-sokisi. Musoro wechikadzi ndiro bhora. Inokwana mukapu yakaita “socket” yakaita mukombe inonzi acetabulum muchikamu chezasi chepfupa rako renhengo. Pamwe chete, musoro wechikadzi uye acetabulum zvinoumba hudyu yako yakabatana.

"Fovea capitis" dzimwe nguva inokanganiswa nezwi rekuti "fovea capitis femoris." Ndiro rimwe zita remusoro wechikadzi.

Iyo fovea capitis inowanzo shandiswa seyakakosha apo vanachiremba vanoongorora chiuno chako paX-ray kana panguva yekuvhiya kwechiuno kwechiuno chinonzi hip arthroscopy.

Chii chiri basa re fovea capitis?

Iyo fovea capitis inzvimbo inogara ligamentum teres (LT). Iyo ndeimwe yemitsara mikuru inobatanidza musoro wechikadzi kune chiuno.

Iyi ligament inonziwo iyo yakakomberedza ligament kana iyo ligament capitis femoris.

Yakaumbwa kunge katatu. Mumwe mugumo wechigadziko chayo wakasungirirwa kune rumwe rutivi rwechidzitiro chehudyu. Imwe yekupedzisira inosungirirwa kune rimwe divi. Musoro wekatatu wakaumbwa kunge chubhu uye wakasungirirwa kumusoro wemukadzi pane fovea capitis.

I-LT inogadzikana uye inotakura kuwedzerwa kweropa kumusoro wechikadzi mumwana achangozvarwa. Vanachiremba vaifunga kuti zvakarasa zvese izvi zviitiko panguva yatakasvika kuva munhu mukuru. Muchokwadi, iyo LT yaiwanzobviswa panguva yekuvhiyiwa pachena kuti igadzirise hudyu.

Vanachiremba vava kuziva kuti pamwe chete nemisungo mitatu yakakomberedza chiuno chako (pamwe chete inonzi hip capsule), iyo LT inobatsira kudzikamisa hudyu yako uye nekuichengeta kubva pakuburitsa muhomwe yayo (subluxation) kunyangwe uine makore mangani.

Inoita seyakagadzika hudyu inonyanya kukosha kana paine dambudziko nemapfupa ako ehudyu kana zvivakwa zvakakomberedza. Mamwe ematambudziko aya ndeaya:

• Femoroacetabular impingement. Muhudyu mako mapfupa akabatana pamwe nekuti rimwe kana ese ari maviri ane chisina kujairika chimiro.
• Hip dysplasia. Chiuno chako chinotsemuka zviri nyore nekuti socket haina kudzika kuti ibate zvachose musoro wechikadzi panzvimbo.
• Capsular kurerutsa. Iyo kapuleti inosununguka, izvo zvinotungamira mukuwedzeredzwa kweLT.
• Joint hypermobility. Mapfupa ari muhudyu makobvu ane hukuru hwakawanda hwekufamba kupfuura hwaanofanirwa.

Iyo LT ine mitsipa inonzwisisa kurwadziwa, saka inoita chinzvimbo mukurwadziwa kwechiuno. Dzimwe tsinga dzinobatsira kukuzivisa iwe nezve chinzvimbo chemuviri wako nekufamba.

I-LT inobatsirawo kuburitsa iyo synovial fluid inonatsa kubatana kwechiuno.

Ndezvipi zvakanyanya kukuvara fovea capitis?

Mune, vatsvakurudzi vanofungidzira kusvika makumi mapfumbamwe muzana evanhu vanoenda muchiuno arthroscopy vane dambudziko reLT.

Inenge hafu yematambudziko eLT misodzi, ingave izere kana kukwana. I-LT inogona zvakare kuvhiringidzika pane kubvaruka.

Synovitis, kana kuzvimba kunorwadza, kweiyo LT inoumba imwe hafu.

Kukuvara kweLT kunogona kuitika uri wega (wakasarudzika) kana nekukuvara kune zvimwe zvivakwa muhudyu mako.

Chii chinokonzera kukuvara kune fovea capitis?

Kukuvara kwakanyanya kunogona kukonzera kukuvara kweLT, kunyanya kana kuchikonzera kutsemuka kwechiuno. Mienzaniso inosanganisira:

• tsaona yemotokari
• kudonha kubva panzvimbo yakakwirira
• kukuvara kubva kumitambo yekubata-yepamusoro sebhora, hockey, kutsvedza, uye jimunasitikisi

Kakawanda, inowanzoitika microtrauma nekuda kwecapsular laxity, joint hypermobility, orfemoroacetabular impingement inogona zvakare kukonzera kukuvara kweLT.

Kukuvara kwe fovea capitis kunoonekwa sei?

Kukuvara kweLT kwakaoma kuongorora pasina kunyatso kuiona neArthroscopic kana kuvhiya kwakavhurika. Izvi zvinodaro nekuti hapana zvimwe zviratidzo kana zviratidzo zvinoitika kana zviripo.

Zvimwe zvinhu zvinogona kuita kuti chiremba wako afunge kukuvara kweLT ndeizvi:

• kukuvara kwakaitika gumbo richimonyoroka kana iwe ukawira pabvi rakapetana
• kugomera kurwadziwa kunoyerera mukati mechidya chako kana magaro ako
• hudyu yako inorwadza nekukiya, kubaya, kana kupa
• unonzwa kusagadzikana paunenge uchigwinha

Kufungidzira bvunzo hakubatsiri zvakanyanya mukutsvaga kukuvara kweLT. Chete nezve kuongororwa nekuti vakaonekwa paMRI kana MRA scan.

Kukuvara kweLT kunowanzoonekwa kana chiremba wako achizviona panguva yeArthroscopy.

Chii chinonzi kurapwa kwekukuvara kwefovea capitis?

Pane nzira nhatu dzekurapa:

• jekiseni reSteroid muchiuno chako kwekuzorora kurwadziwa kwenguva pfupi, kunyanya kune synovitis
• kubvisa iyo yakakanganiswa LT tambo kana nzvimbo dze synovitis, inonzi debridement
• kuvaka patsva kwakabviswa zvachose LT

Kugadziriswa kwekuvhiya kunowanzoitwa arthroscopically, inoshanda nemazvo kunyangwe chii chakonzeresa kukuvara.

Kurapa kwaunoda kunoenderana nerudzi rwekukuvara.

Yakasarudzika misodzi uye yakakanganiswa maLTs anowanzo kurapwa neArthroscopic debridement kana radiofrequency ablation. Izvo zvinoshandisa kupisa "kupisa" uye kuparadza zvinyama zvefibisi dzakakuvadzwa.

Imwe yakaratidza zvinopfuura makumi masere muzana zvevanhu vane kukuvara kweLT kwakasarudzika kwakagadziriswa neArthroscopic debridement. Inenge 17 muzana yemisodzi yakadzokororwazve uye yaida kubviswa kwechipiri.

Kana kuchema kwapera, iyo LT inogona kuvhiyiwa zvakare.

Chikonzero chekukuvara chinorapwawo pazvinogoneka. Semuenzaniso, kuomesa iyo capsule ligaments kunogona kudzivirira kumwe kuchema kana kuchikonzerwa nemisungo yakatambanudzwa, chiuno chakasununguka, kana kusagadzikana.

Kutora

Iyo fovea capitis idiki, denderedzwa-yakaita dimple pamugumo wakaita sebhora wepamusoro pechidya chako pfupa. Ndiyo nzvimbo iyo ligament hombe (iyo LT) inobatanidza chidya chako pfupa kumusana wako.

Kana iwe ukasangana nechiitiko chinotyisa senge tsaona yemotokari kana kudonha kukuru, unogona kukuvadza LT yako. Aya marudzi ekukuvara akaoma kuongorora uye angangoda kuvhiya arthroscopic kuongorora uye kugadzirisa.

Kana uchinge wabatwa nekudzingwa kana kuvakwazve, maonero ako akanaka.