Chilendo Chachilendo Chakumva Chisoni Chomodzi
Matenda a plica, omwe nthawi zina amatchedwa "synovial plica syndrome," amachititsa kuti thupi likhale lopweteka kwambiri. Synovium ndi mtundu wa minofu yomwe imapangidwanso. Minofu ya synovial ili ndi malo ophatikizira ndipo imathandiza kupanga madzi omwe amadziwika bwino.
Mphuno ya synovial ndi mimbulu yomwe imasiyanitsa bondo ndi zipinda mkati mwa chitukuko cha mwana.
Izi zimakhala zochepa kwambiri m'zaka zitatu za kukula kwa fetus. Kwa akuluakulu, amakhalapo ngati manja a minofu yotchedwa "synovial folds," kapena pli. Mwa anthu ena, synovial plica ndi yotchuka kwambiri ndipo imatha kukhumudwa. Palibenso ntchito yodziwika bwino, yomwe ndi chabe kusiyana kwa anatomic komwe kulipo mwa anthu ena osati mwa ena.
Plica Syndrome
Zowoneka pambali mwa bondo, zomwe zimatchedwa pakati, zimakhala zovuta kwambiri kukhumudwa ndi kuvulala. Pamene bondo likuwongolera, zofiira zimakhala zovulaza, ndipo zimadwalanso poyambitsa syndromes . Pamene chiwonongeko chimakwiyitsa ndi kutentha, chikhalidwe chomwe chimatchedwa plica syndrome chimabweretsa.
Kuzindikira kwa matenda osokoneza bongo kumapangidwa ndi kuunika kwa thupi kapena nthawi ya opaleshoni yamakono. Matenda a pine ali ndi makhalidwe ofanana ndi omwe amachititsa kuti misozi isamangodzimva komanso misozi imatha kusokonezeka.
Zizindikiro zofala kwambiri za plica syndrome zikuphatikizapo:
- Zowawa zapakati pambali ya mkati
- Chifundo mwachindunji pamsana pa mapepala apakati
- Kutupa ndi kutentha padziko lonse
- Kuwombera ndi kudumpha pamene bondo likuwongolera
X-ray ya bondo nthawi zambiri imakhala yachilendo kwa wodwala ali ndi vuto lopweteka. MRI ingapangidwe kuthandizira ndi matenda, koma mayesowa si njira yabwino yodziwira vutoli.
Kuchiza kwa Plica Syndrome
Matendawa amathandizidwa bwino popumula mawondo ndi kulola kutupa kugonja. Mankhwala othandizira kuchepetsa kutupa ndi mankhwala a ice ndi mankhwala oletsa kupweteka . Izi ndizokwanira kuti zowakwiyitsa zikhazikitsidwe. Nthaŵi zina, jekeseni wa cortisone muwondo ndi zothandiza.
Ngati izi sizichepetsa zizindikiro, ndiye kuti kuchotsa opaleshoniyo kungakhale kofunikira. Njira yopaleshoniyi imagwiritsidwa ntchito opaleshoni ya knee , kapena kamera kakang'ono, yomwe imayikidwa mu bondo limodzi ndi zida zochotseramo matupi opsa. Zomwe zimapangidwira kwambiri zimakhala ndi zotsatira zabwino zoganizira kuti zimayambitsa zizindikiro. Kawirikawiri zimakhala zosavuta kuziwona pazowona zamakono. Pokhapokha ngati zizindikiro za wodwalayo zikugwirizana ndi plica syndrome, ndipo plica imawoneka yotentha ndi kukwiyitsa, izi zimangokhala zokha. Plica resection nthawi ya nyamakazi imangochitika ngati plica akuganiza kuti ndiye magwero a zizindikiro.
Kodi Ndi Vutoli?
Pali kutsutsana kuti ngakhale plica syndrome ilipo kapena ayi. Anthu ambiri ali ndi zovuta, ndipo ena amawoneka kuti akumva ululu pamalo amenewo pamene ena samatero.
Madokotala ena amakhulupirira kuti plica band ikhoza kubweretsa ululu pamene ena amaganiza kuti ululuwu ukhoza chifukwa cha vuto lina monga vuto la patellofemoral syndrome, kapena meniscus misozi.
Ochita opaleshoni ambiri amavomereza kuti ngakhale kutupa kwa synovial kukhoza kukhala chitsimikizo cha kupweteka kwa bondo komwe kuli kosazolowereka ndipo kungowonedwa kuti ndiko komwe kumayambitsa kupweteka pamene zina, zofala zambiri zakhala zitatulutsidwa. Ndithudi, kuyesetsa kuthetsa zizindikiro ndi mankhwala osamalidwa ayenera kuyesedwa musanayambe kuchitidwa opaleshoni kuthetsa vutoli.
> Chitsime:
> Ewing JW, "Plica: Pathologic kapena?" J. Am. Acad. Ortho. Opaleshoni., Nov 1993; 1: 117 - 121.