Tsinga dzechikadzi

Tsinga dzechikadzi

Iyo tsinga yevakadzi, kana crural nerve, inopa kuvharika kune akasiyana mativi ehudyu, hudyu, uye ibvi.

Femoral nerve: anatomy

nzvimbo. Tsinga dzechikadzi dziri mudumbu nechepazasi.

mamiriro. Tsinga dzechikadzi ndiyo tsinga hombe inotangira kubva kulumbar plexus. Iyo inoumbwa nekunzwa uye mota tsinga fibers dzinobva kune lumbar vertebrae yemuzongoza, L2 kusvika L4 (1).

mavambo. Nheyo yevakadzi inotangira mudumbu, pamwero wepsoas guru muscle (1).

Nzira. Tsinga dzechikadzi dzinowedzera uye dzinodzika shure uye nechemberi kusvika pamwero webhanhire rechiuno.

Matavi. Tsinga dzechikadzi dzinopatsanurwa kuita matavi akati wandei (2):

  • Mapazi emota anoitirwa mamhasuru echikamu chepamberi chehudyu, pamwe chete nehudyu nemabvi majoini (1).
  • Matavi anonzwa kana akacheka akagadzirirwa ganda repamberi nepakati pechiso chehudyu, pamwe chete nechiso chepakati chegumbo, ibvi netsoka.

Kugumiswa. Kupera kwetsinga dzechikadzi ndiko (2):

  • Iyo saphenous nerve iyo innervates yepakati peganda chikamu chegumbo, tsoka uye hudyu, pamwe chete nemabvi akabatanidzwa.
  • Iyo yepakati femoral ganda tsinga iyo innervates anterior uye medial ganda pamusoro pechidya
  • Iyo mota tsinga yemhasuru dzehudyu inovharisa pectineal, iliac, sartorius, uye femoral quadriceps tsandanyama.

Mabasa echikadzi tsinga

Kutapurirana kunonzwa. Mapazi anonzwira tsitsi emutsinga wechikadzi anoita kuti zvikwanisike kutumira maonero akasiyana-siyana anonzwa muganda kune musana.

Dhiraivha kutapurirana. Iyo mota matavi eiyo femoral nerve inobata pachidya flexor uye mabvi extensor muscles (2).

Degenerative pathologies yefemoral nerve

Zvinetso zvakasiyana-siyana zvine chekuita netsinga dzechikadzi zvinonzi cruralgia. Izvi zvinogona kuratidzwa nekurwadziwa kwakanyanya muzvidya, mabvi, makumbo netsoka. Zvikonzero zvavo zvakasiyana-siyana asi zvinogona kunyanya kuva zvekuora mwoyo.

Degenerative pathologies. Yakasiyana pathologies inogona kutungamirira kukudzikira kunofambira mberi kwezvinhu zvemasero. Osteoarthritis inoratidzwa nekupfeka kwecartilage inodzivirira mapfupa emajoini. (3) Iyo herniated disc inoenderana nekudzingwa kumashure kweiyo nucleus ye intervertebral disc, nekupfeka kweiyo yekupedzisira. Izvi zvinogona kuita kuti tsinga dziri mumutsipa wepelinha compressing uye kusvika kumukadzi tsinga (4).

Mishonga

Zvinodhaka zvinodhaka. Zvichienderana nehutachiona hwakawanikwa, marapirwo akasiyana anogona kupihwa kudzora kurwadziwa nekuzvimba.

Kuvhiya kurapa. Zvichienderana nerudzi rwehutachiona hwakaonekwa, kuvhiya kunogona kuitwa.

  • Arthroscopy. Iyi nzira yekuvhiya inobvumira kuti majoini aonekwe uye ashandiswe.

Kurapa kwepanyama. Therapical Therapies, kuburikidza neakanyanya mapurogiramu ekurovedza muviri, inogona kupihwa senge physiotherapy kana physiotherapy.

Femoral nerve bvunzo

Kuongorora kwepanyama. Kutanga, kuongororwa kwekiriniki kunoitwa kuitira kucherechedza uye kuongorora zviratidzo zvinoonekwa nemurwere.

Chiremba imaging bvunzo. X-ray, CT kana MRI bvunzo dzinogona kushandiswa kusimbisa kana kudzamisa kuongororwa.

Cruralgia uye patellar reflex

Cruralgie. Marwadzo aya anosanganisirwa netsinga dzechikadzi ane zita rawo kune zita rekare re "crural nerve".

Patellar reflex. Yakabatanidzwa ne patella, inonyatsoenderana nereflex ye patellar tendon. Muedzo unoitwa nachiremba, iyo patellar reflex inoita kuti zvikwanise kunyanya kuratidza kukuvara kwetsinga. Murwere anoiswa panzvimbo yakagara makumbo akarembera. Murapi anobva abata nyundo pa kneecap. Kuvhundutsa uku kunomutsa tsinga dzetsinga dze quadriceps tsandanyama izvo zvinozotendera kutapurirana ruzivo kune musana kuburikidza netsinga yemukadzi. Mukutarisana nekuvhunduka, tsandanyama ye quadriceps inogona kubvumirana uye inokonzera kuti gumbo riwedzere. Kana pasina mhinduro inoitika, bvunzo inogona kuratidza kuvepo kwekukuvara kwetsinga (1).

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