Ke eng tendon: tlhaloso, mosebetsi, mehlala

Ke seo tendon? Ke karolo ea mesifa ea batho, e leng e emeloang ke dinama tse nyenyane tse connective. Ka lebaka la sena e ka khomaretse masapo le. Ba e ka ba nako e telele kapa khutšoanyane, ka bophara le e moqotetsane, na sebopeho fapaneng rarahaneng (lente-joaloka, threadlike, lekaneng ho).

Sebōpeho sa tendons

Ho tseba tlhaloso ea, u ka leka ho nahana ho hlaha ha elements mele. Ke seo tendon? Ena e le setlellane ho lokisetsa mangata e tšoanang le ea collagen le elastin likhoele. Fibrocytes leng teng pakeng tsa yarns ena. Haholo-holo ho nahana ka 'nete ea hore faeba likarolo ho rena holim'a ka seleng. Sena se etsa bonnete ba hore kaofela sebopeho matla le tlaase elongation.

Lijana le methapo kena tendon tswa mesifa kapa periosteum ka sebaka sa sephuthelwana lona. Ka lilemo, ba bang ba imbalance ikemiselitse kamanong le mesifa le tendon a mesifa ena. tendon A sa tsoa tsoaloa hoo e batlang e ntshetswa pele, 'me pele ho kena bonneng kapa bosaling tshebetso ya ho eketseha mesifa boima ka e tšoanang le kgolo ya likhoele collagen. Ka nako eo, ho fihlela ho lilemo tse mashome a mabeli a metso e mehlano, ka mafolofolo ho hōla ka karolo tendinous. Ka botsofali, masela le lahleheloa ke elasticity ea bona 'me ba ho feta senyeha habonolo.

tendons mosebetsi

Ke seo tendon? Ena ke karolo ea hore nang le mesifa e le khomarelang ho likarolo masapo. Ba fana ka mosebetsi oa tsamaiso ea musculoskeletal:

- tshehetso, i.e. bopa tšehetso bakeng sa litho tsa ka hare le dinama tse nyenyane tse bonolo hammoho le tšoara overlying likarolo tsa 'mele;
- lokomocja - e le karolo ea mesifa e amehang ka motsamao oa motho ka sebaka;
- le sireletsang - ka tsela e itseng ho sireletsa neurovascular sosobaneng le litho tsa ka hare ho tloha senya.

Mechanical thepa ea tendons itšetlehile ka boholo ba tsona le karo-karolelano ea collagen le elastin likhoele. The kgolo ee bophara e tetemang le collagen ho feta ho eona, kahoo, ho e matla. Ka lehlakoreng le leng, ba thinner le softer, ho ba bonolo ho e holofala.

ho ruruha

Tendons motho kotsing ho dithulaganyo pathological, hammoho le mohaho o mong le e mong ea 'mele. Ho na le mefuta e 'maloa ea mafu a hlabang tlholeho ka tendons, e leng di a tsamaea le mafu a ea tsamaiso ea musculoskeletal.

1. Tendonitis. E hlaha ho tswa ho nako e telele tsitsipano kamehla tendon. Ka tsela eo liphetoho tse ka tsoelang pele sebopeho dinama tse nyenyane tse, e leng ho ka etsa hore rusolla tsa mesifa tsekoloha. Ea mofuta ona e ruruha tendons haholo ho fokotsa matla a 'me ho eketsa monyetla oa fractures. Tendinitis e ka ba se hlahang ho yona a tšoaetsanoang, moo tšoaetso a kena ebang ke ka ho mo ntša kotsi kapa ke phallo ea mokelikeli ka 'mele, tse kang mali kapa lisele tsa mmele. From tendinitis holofatsang le tšekamelo ea ho utloa bohloko baatlelete.
2. Paratenonit. Ke aseptic ruruha dinama tse nyenyane tse e pota-potileng ea tendon. bolwetse ena e amanang hangata le likotsi iphetang manonyeletso. Ka sebaka pakeng tsa fascia le tendon tšela mali, le edema. Mora matšoao pele ea setsi hlabang e fetoloa dinama tse nyenyane tse fibrous. Tendon lahleheloang tsamaiso, 'me mekhatlo ea ba bohloko.

katoloso

Ke seo tendon? Ke motsoako oa collagen le elastin khoele ka karo-karolelano e itseng. Ha ho bapisoa le e fanoeng dibopeho anatomical sebelisoa lebotho la ka tsela e feteletseng, ebe ho na le khatello ea kelello tendon. Sena ke mofuta fetisisa khafetsa bobe ho letsatsi. Ka kakaretso o hlahellang teng lengole le leqaqailaneng'moho le mokhatlo oa e bohale.

Mesifa ea matla ka ho fetisisa la 'mele oa motho ka maoto a bona,' me ka hona ho tendons ba le matla le ea nang le bokhoni ea withstanding meroalo e boima. Empa ka linako tse ling ho na le tse mpe ho oa, mekhatlo itlelang feela hore qholotsa tsitsipano tendon.

Ho na le likhato tse tharo tsa otlolla ya:

1. Pele lengolo la - le bohloko hanyenyane hore ho eketsa le sisinyehang ka eona.
2. Ea bobeli lengolo la - utloe bohloko bo boholo ho tloha ho ruruha ea bobe, bofokoli mesifa le eketseha boemong bo sa thabiseng ka nako ho ikoetlisa.
3. boraro lengolo la - feletseng kapa leeme tendon otlile le, ka lebaka leo, le khutsufatso ea mesifa ena.

Otlile ea borashe le tshenyo tendons

The tendons ka hlakoreng le tšesaane haholo, empa ka matla, kahoo tšenyo e ka feela ba ka ho toba ho sithabela kapa likotsi tse kang kotsi liindasteri, tshwara kaba le thepa kaho le joalo-joalo. Ha e le hantle senyehile tendon tsa letsoho le forearm. Hangata ka ho fetisisa, sehlopha sa flexors.

The tendons ka letsohong le haufi-ufi e lohellane le lijana le methapo ea kutlo, ka hona, hangata o ne a fumana ho kopantswe lethopa mehaho anatomical. E le hore a boele a botšepehi ba lisele retelehela ho hlokomela ho buoa. opereishene e rarahaneng le e telele, kahoo mokhoa oa ho rokella e seng feela khaola ea tendon, empa hape methapo le methapo ea mali, hammoho le ho sheba hore na ho boloka ka mor'a hore manipulations kaofela ha mosebetsi letsoho.

Tshenyo tendons ea menoana

Tshenyo tendons ea menoana ea ka belaela ha ho na le ho na flexion mafolofolo phalanges, kapa manonyeletso monoana. Sena se bontša hore tsamaiso e lefu ke ka ntle feela le tebileng tsa digital flexor. E le hore ho hlahloba botšepehi ba dibopeho tse sa, mokhoa oa ho itsireletsa ho radiography.

Ho tšoara likotsi joalo hloka ngaka e ka feela. Ntle le mabaka a ba fractures bocha manonyeletso distal interphalangeal. Tabeng ena, u ka fumana ho fihlela ho libeke tse tšeletseng immobilisation. Tabeng ea likotsi tse bulehileng lokela ho qala ka emisa ho tsoa mali, koahela leqeba le apara nyopa le sebelisa bese ho e lokisa, 'me joale ntse ho retelehela ho kenella ho buoa.

Otlile le ho senya ho tendons ba leoto

The tendon ka leoto le boetse ho na le likhato tse tharo tsa tshenyo:

1. The pele - le bohloko hanyenyane ka leqaqailaneng ruruha. Ea entsoeng hampe a kgona ho hata ka maoto le. Boemong bo sa thabiseng disappears matsatsi a 'maloa ka mor'a qalo ea phekolo.
2. Ea bobeli - kopanetsoeng ho ruruha, utloe bohloko bo boholo ka nako e sisinyehang.
3. boraro - tendon otlile mosikong oa e khōlō kopanetsoeng ho ruruha, kamehla utloe bohloko bo boholo.

Otlile ea Achilles tendon, eo khomarelang ho lesapo serethe, le hlaha ka lebaka la ho tsitsipano matla. Karohano hangata e tletseng. Mabaka a ka nkoa e le thutsoe ho toba ka ntho e itseng e thata sebakeng seo, kapa fokotseha hlabang ka triceps mesifa ea leoto tlaase. ntša kotsi ena e atisa ho fumanoa baatlelete-baatlelete, haholo-holo limathi.

Phekolo ea otlile foreshe e sebelisa percutaneous suture ho tendon le superimposition ba lahletseng ho. Apara ee lokela ho ba bakeng sa khoeli eohle. Ka nako eo ho tla tlosoa ho tlosa suture, ebe lokisa leoto hape bakeng sa libeke tse seng ba bane. Ha lekhalo le khale, ka nako eo tlosa lisele tse senyehileng le grafting morago ga moo.

Bohloko tendons ho

tendon otlile e tsamaea le utloe bohloko bo boholo, empa ha feela mofuta ona ea bobe ka etsa hore boemong bo sa thabiseng. Lingaka tse ea letsatsi le letsatsi re thulana le ditletlebo bohloko tendons ena.

E le busa, ba bangata ba batho bana ba tla hlahisa tendinitis, tendinosis le tenosynovitis. Ba ka etsahala ka lebaka la ho mele mafutsana, a lutse ka maemo a sa phutholoha, kapa lebaka la ho hloka mofuthu-up pele mesebetsi lipapali. Hape, u se ke ua theolelo, 'me maloetse a tšoaetsanoang a kang ramatiki, e ka boela etsa hore bohloko tendons ena. Ho ba teng ha mehaho e shortened lesapo mora fractures e boetse e thusa ho hlaha ha bohloko, ka lebaka la mojaro kabo tsoekame lehlakoreng ka bophelo bo botle rwala ditlhako tsa tsoa ka potlako.

Ho ba teng ha bohloko tendons e amang lisele tse e potolohileng. bohloko mamelleha etsahala ha mobung oa calcifications, tlōlo ea lehetla e kopanetsoeng tsamaiso, tendinosis. Lebaka leo e ka boela ho be ka tsela e feteletseng ho mo qobella hore a etse mokhatlo oa leha e le efe, tekanyong ea matla a tendon ena. Nakong e telele mejaro matla ka ba le faeba degeneration le necrosis.