Teererai Aya Miedzo Kana Une Knee Pain
Kugadzirisa chinokonzera kurwadziwa kwemabvi kunotsigira kuongororwa kwakakodzera kwemavi akabatanidzwa . Unogona kushamisika kuti chiremba wako ari kutsvaga sezvaanenge achifamba uye achipfugama pamabvi ako panguva yekuongorora. Dzidza nezvekuti chiremba wako angakwanisa sei kuongorora mabvi ako kuti aone kuti chii chinokonzera marwadzo ako, uye ndeapi mimwe miedzo inogona kuitwa kuti uongorore.
Knee Kuzvimba
Vanhu vazhinji vanoziva kana mabvi avo ari kuvhuvhuta - vanogona kuona kana kunzwa kunzwa kuzvimba pasina chero kuoma.
Zvisinei, haasi munhu wese anoziva kuti pane kuwedzera kwemvura mumabvi akabatanidzwa. Chiremba wako anogona kumanikidzira kubatana kuti anzwe nekuda kwehuwandu hwemvura. Fluid inowanzounganidza pamusoro pemabhedha, uye inogona kusimbiswa munzvimbo ino. Fluid inowanzoonekwawo kumashure kwebvi, dambudziko vanhu vanowanzoreva seCyst ya Baker .
Knee Arthritis
Knee arthritis inogona kuonekwa kuburikidza nekutsvaga maitiro akaverengeka ekuongorora zviwanikwa:
- Crepitus: Crepitus ndiyo inonzwa inonzwa apo rough cartilage kana kuti yakafuridzirwa pfupa iri kubvongodza sezvo mabvi akadzikama. Muongorori achazonzwa, uye anganzwa, ichi kukuya sezvo mabvi ari kutenderera mberi uye mberi.
- Kuora mwoyo: Sezvo marti cartilage apera, mabvi anogona kuramba achigogodza-kupfugama kana kupfugama.
- Kutevedzana Kwakaitwa: Mafambiro emabvi anowanzova akawandisa kana arthritis, bone spurs , uye kudzima zvinodzivirira kufamba kwemazuva ose.
Yakabvarurwa Meniscus
Miedzo inoshandiswa kugadzirisa kana kune meniscus misodzi inosanganisira:
- Joint Line Tenderness: Joint line ruregerero inonyanya kuongororwa kwemaniscus macho. Nzvimbo ye meniscus inonzwa, uye kuedza kwakanaka kunofungidzirwa apo kune marwadzo munharaunda ino.
- Chiyero cheMcMurray : Kuedzwa kwaMcMurray kunoitwa nemurwere akarara pasi pamusana wake uye muongorori achikotama pamabvi. Tsvina inonzwika pamusoro pekudzivirira kwemazino sezvo mabvi anounzwa kubva kumativi ose kusvika kuwedzera.
- Ege's Test : Ege's test is performed with the patient squatting, clicking is heard / felt over the area of meniscus tear.
ACL Tear
- Lachman Test : Muedzo weLachman ndiyo yakanakisisa muedzo kuti uone kuti ACL yakachema . Uye nemabvi akadzikamisa zvishoma, muongorori anosimudza chidya paanenge achidhonza mberi. A ACL yakabvamburwa inobvumira shin kuti iende mberi zvikuru.
- Anterior Drawer Muedzo: Uyu muedzo unoitwawo nemurwere akarara pasi pamusana wake. Iro bhino rakapetwa madigiri 90 uye shin inotorwa mberi kuti iongorore kugadzikana kweAACL.
- Pivot Shift Test: Chirwere chepivot shift ndiyo nzira inonetsa yekuita kune murwere asiri pasi peaneshesia. Uyu muedzo unokonzera kushungurudzika pamabvi ekubatanidza izvo zvinokonzera kuparadzaniswa kwechikamu kune varwere vane ACL yakaora.
Zvimwe Ligament Kukuvara
- Tested Post Drawer Test : The posterior drawer inoitwa zvakafanana kune yekare mukati meodhi test. Uyu muedzo unoona kukuvadzwa kwaPCL . Nokusundira shure shure, basa rePCL rinoedzwa.
- Dhimato Ligament Kugadzikana: Kurutivi-ku-kumira kwakasimba kwebvi kunogadzirisa zvinetso zvezvibatanidza, MCL neLCL . Uye nemurwere akarara pasi, uye mabvi akabatwa zvishoma, bhenji rinoshandiswa kune rumwe rutivi. Kukuvadza kwaLCL kana MCL kunobvumira mabvi "kuzarura" zvakanyanya, chinetso chinonzi varus (LCL) kana valgus (MCL) kusagadzikana.
Kneecap Zvinetso
- Patellar Grind: Murwere anogara ari nechepamusoro. Muongorori anoita kuti murwere anzwe kurwadziwa kwemabvi nekusundira pasi pasi uye achikumbira murwere kuti achinje mahudyu ake. Cartilage inokuvadza inogona kukonzera kushungurudza kunonzi crepitus.
- Patellar Tenderness: Muongorori anokwanisa kusimudzira bhedecap uye nzvimbo inomanikidzana pamusana pekunyorera kwebhechi. Nokuita kudaro, muongorori ari kutsvaga nzvimbo dzisina kunaka dzetikiti.
- Patellar Apprehension: Ichi chiratidzo chomuti kneecap usina kugadzikana . Kunyange zvazvo muongorori achiisa kuomerera pamabvikete, murwere angave achinyunyuta pamusoro pemanzwiro ekuti bhedecap "ichabuda" yeropa rayo.
Sources:
Browne K, Kurtz CA. "Nzira yekuita nekuongorora kwakakwana kwamabvi" JAAPA. 2009 Jun; 22 (6): 20-5.