He aha te mea te iohere: whakamāramatanga, mahi, tauira

He aha te mea he iohere? Ko te wahi o nga uaua tangata, fakafofonga'i nei e kiko tūhonohono. No te mea o tenei e taea te piri ai ki te kōhiwi. Ka taea e waiho ratou roa ranei poto, whānui me te kuiti, whai āhua rauangi rerekē (rīpene-rite, threadlike, häunga).

Ko te hanganga o tendons

E matau ana te whakamāramatanga, ka taea e koe te tamata i te feruri i te ahua o te huānga tinana. He aha te mea he iohere? Kei te compactly tenei whakaritea paihere whakarara o collagen me elastin muka. E kei Fibrocytes i waenganui i te ngangana. Rawa whakaaro i te meka e mua roa i te mea timatanga muka mo te pūtau. Mā tenei e te kaha hanganga katoa, me te elongation iti.

Oko me raru tomo te iohere i te uaua kiriuhi wheua ranei i te pae o tona āpitihanga. Ki te tau, i whakaritea etahi tāne i te i roto i te pā ana ki te uaua, me te iohere o te uaua. He iohere hou ngā whakawhanakehia, me te aroaro o te pūhuruhurutanga o tukanga o te whakanui ake i uaua papatipu kei roto i whakarara ki te tupu o muka collagen. Na, ki runga ki te rua tekau-rima tau, kaha tipu wahi tendinous. I roto i te tau tawhito, ngaro nga muka ratou elasticity me riro atu pakarukaru.

mahi uaua

He aha te mea he iohere? Ko te huānga e mau te uaua, me te piri ai ki nga wahi wheua tenei. whakarato rātou i te mahi o te pūnaha musculoskeletal:

- tautoko, i.e. hanga he tautoko mō whēkau me te kopa ngohengohe me te mau i te wāhanga overlying o te tinana;
- haereraa - hei wāhanga o te uaua whai wāhi i roto i te kaupapa o te tangata i roto i te wāhi;
- tiaki - i roto i te ara etahi ki te tiaki i paihere neurovascular me whēkau i kino.

āhuatanga pūkaha o tendons tei runga to ratou rahi, me te ōwehenga o te collagen me elastin muka. Ko te whānui te paihere me te ake collagen i roto reira, na ko reira kaha. Engari, te kikokore me ngawari, te māmā kua hauā reira.

mumura

tangata uaua i haria ki tukanga pathological, me te tetahi atu hanganga o te tinana. He maha ngā momo o mate inflammatory tūturu i roto i te tendons, e kua haere tahi e disorders o te pūnaha musculoskeletal.

1. Tendonitis. whakatika te reira i te roa mānukanuka iohere tamau. Ko te kupu huringa i roto i te hanganga kikokiko whakawhanake, e taea arahi ki haehae o te kongakonga uaua. Tenei ahua o te mumura o tendons tino whakaiti te kaha, me te whakanuia ana te tūponotanga o piere. Ka taea e Tendinitis kia o te take mai hopuhopu, te wahi i te mate tomo rānei i whara i te rere o te wai i roto i te tinana, pērā i te toto tīpona ranei ranei. Mai i tendinitis degenerative ahu ki te mamae kaitäkaro.
2. Paratenonit. Ko te mumura iroiti o te kikokiko e karapoti te uaua i memenge. e pā ana tēnei māuiuitanga te nuinga o ki whara recurrent hononga. I roto i te wāhi i waenganui i te fascia me iohere ringihia toto, me te edema. I muri i te tohu tuatahi o te pokapū inflammatory te puta ki kiko kaiota. Iohere ngaro nekeneke, me riro whakauaua nekehanga.

toronga

He aha te mea he iohere? Ko reira he huinga o te collagen me elastin miro i roto i te ōwehenga motuhake. Ki te i roto i te pā ana ki te hanganga kikokiko hoatu tono kaha nui, na reira he mānukanuka iohere. Ko te momo tino auau o te whara ki te rā tenei. Te reira i te tikanga puta i roto i te turi me te tahi pona ki te kaupapa koi.

Nga uaua kaha o te tinana tangata, me o ratou waewae, me reira nga tendons i te kaha, me te nehenehe o te pato kawenga taimaha. Ko ētahi wā i reira e kino hinga, nekehanga noa e whakapataritari mānukanuka iohere.

E toru nga nekehanga o totoro o:

1. tohu Tuatahi - he mamae iti e faarahi i te kaupapa.
2. tohu Tuarua - te mamae nui i pupuhi o te whara, uaua ngoikore, me te nui haere hūhi i roto i mahi.
3. tohu Tuatoru - whaturama iohere tonu te kanohi ranei me, no reira, te hukihuki o te uaua.

Whaturama o te paraihe, me te kino ki tendons

Ko te uaua i runga i te ringa tino kikokore, engari kaha, kia anake e taea e tika te kino whētuki whara, pērā i te ati ahumahi, whāwhā taratara ki taputapu hanga, me te pera i runga i ranei. Fele pakaru iohere o ringa me te kikowhiti. Nuinga o ngā wā, he rōpū o flexors.

Ko te uaua i runga i te ringa tata tuituia ki oko, me raru, na maha kitea lesion ngā o ngā hanganga kikokiko. I roto i te tikanga ki te whakahoki i te tapatahi o te kopa huihui ki te tiaki hāparapara. He matatini me te roa, kia pehea ki te tuitui kore tapahia anake te uaua i memenge, engari ano hoki raru me oko toto, me te ki te taki mēnā ki te whakaora i muri i nga whawhe katoa o te mahi ringa te mahi.

Tūkino ki uaua o maihao

Ka taea te whakapae kino ki uaua o maihao, ka kahore he flexion hohe o te phalanges, hononga maihao ranei. Tenei whakaatu e ko te tukanga mate i roto i te flexor mamati ausia, me te hohonu. I roto i te tikanga ki te tirohia i te tapatahi o te hanganga, e puritia ana ki te Radiography.

Hei te hamani Me hāparapara anake taua whara. Okotahi he piere hou o te hononga iho interphalangeal distal. I roto i tenei take, ka taea e te tiki koe ki runga ki te ono wiki kuhua. I roto i te take o whara tuwhera me te tuatahi mutu te toto, hipokina te motu ki te kakahu horomata me te whakamahi i te pahi ki te whakatika, a ka tonu ki te huihui ki wawaotanga hāparapara.

Whaturama me kino ki nga uaua o te waewae

Ko te iohere i runga i te waewae e hoki e toru nekehanga o kino:

1. Ko te tuatahi - he mamae iti i roto i te puku pona. taea ki te manga i runga i te waewae i te pärurenga he. riro hūhi e rave rahi ra i muri i tomokanga o te therapy.
2. Ko te tuarua - tetere tahi, te mamae nui i roto i te kaupapa.
3. Ko te tuatoru - whaturama tendon i te waewae o te puku tahi nui, tamau mamae kino.

Whaturama o te iohere Achilles, e piri ki te wheua rekereke, puta tika ki mānukanuka kaha. Ko te tikanga tonu wehenga. Ka taea te whakaaro e te take he hit tika ki te ahanoa pakeke i roto i te rohe, he heke koi i roto i te tengi ranei uaua o te waewae o raro. Kei te maha kitea tēnei whara i roto i kaitäkaro-kaitäkaro, rawa kaitiaki.

Kei te tono maimoatanga o te whaturama hou suture percutaneous ki te iohere me te superimposition o te maka. Kakahu me te mea mo te katoa marama. Na ka nekehia atu te reira ki te tango i te suture, a ka whakatika ano te waewae mo tetahi wha wiki. Ki te te āputa tawhito, na te tango o pakaru kikokiko ki täpiritanga muri.

Mamae i roto i te tendons

tahi iohere whaturama e mamae kino, engari e kore e anake tenei momo o te whara e taea meinga hūhi. rā fehangahangai Doctors ki amuamu o te mamae i roto i te tendons.

Ka rite ki te tikanga, te nuinga o enei iwi ka whakawhanake tendinitis, tendinosis me tenosynovitis. Ka taea e ratou puta tika ki tūranga rawakore, e noho ana i roto i te tūranga fiemālie, te kore o te mahana-ake ki te aroaro o ngā mahi hākinakina ranei. Ano, e kore e tukunoa'i, me ngā mate hopuhopu pērā i kaiponapona, e taea meinga hoki te mamae i roto i te tendons. whai wāhi hoki te aroaro o ngā hanganga wheua poroa i muri piere ki te ahua o te mamae, no te mea o te tohatoha kawenga asymmetrical mau taha hauora i roto i tere.

Ko te aroaro o te mamae i roto i te tendons pānga te kopa e karapoti ana. puta mamae fuu ka putunga o calcifications, takahi o te nekeneke tahi pokohiwi, tendinosis. kia hoki kia te take kaha nui ki te mahi i tetahi kaupapa, i te rohe o te kaha o te uaua i memenge. Ka taea e I roto i te roa pikaunga kaha whakawhanake te muka e hōloa me te necrosis.