Halbowlaha Popliteal: anatomy iyo muuqaalka guud ee dhulka. Pathology ee halbowlaha popliteal

halbowlaha Popliteal - weel halkii weyn, si toos ah hoos u sii halbowlaha bidig. Waxay been ka kooban ee xidhmada neurovascular, la xididka ah homonymous iyo dareemaha tibial. At xaggiisa dambe, qayb ka mid ah fossa ku popliteal, Vienna been u dhaw in ay dusha sare ka badan oo halbowle ah; iyo dareemayaasha tibial - surfactant in ka badan xididdada dhiigga.

Location iyo muuqaalka guud ee dhulka

Laga bilaabo channel aperture hoose taasoo keentay, in la ku yaal hoos jireen jiirarkii polumembrannoy halbowlaha popliteal xiga hoose ee ugu horeeyay ee fossa ku popliteal ee lafta bawdada ah (bowdada si toos ah dusha sare), iyo dheeraad ah - si ay u qolof kaabsal jilibka.

Hoose xiriiro waaxda halbowlaha muruqa bowdada. Waxaa guskiisa galay meel cidhiidhsan ka dhexeeya Caloosheeda of muruqa gastrocnemius ah, taas oo uu dabooli waayo. Oo markuu gaadhay cidhifka muruqa tarar ah, markabka waxaa loo qaybiyaa hore iyo halbowlaha tibial danbe.

jihada halbowlaha popliteal iyadii ii talin,
• In qaybta sare ee markabka fossa popliteal leeyahay jihada a hoos iyo dibadda.
• Tan iyo markii ay heerka badhtamaha ee fossa popliteal ah, halbowlaha popliteal la faray si xooga vertical hoos.

The laamood halbowlaha popliteal

On jidka hoos halbowlaha popliteal siinayaa dhowr laamood:
• The laamood muruqa sare.
• The halbowlaha jilibka lateral sare.
• The halbowlaha jilibka sare.
• Celceliska halbowlaha jilibka.
• Hoos halbowlaha jilibka lateral.
• halbowlaha Hoose gaaray jilibka.
• halbowlayaasha Dibi (laba, dhif ah - dheeraad ah).

aneurysm halbowlaha Popliteal

Sida laga soo xigtay tirakoob caafimaadka, tani waa deegaamaynta ugu badan ee aneurysms in maqnaadaan: oo ku saabsan 70% of aneurysms durugsan yihiin kooban ee degaanka popliteal. Sababta ugu weyn ee gobolka cudurka waxaa loo arkaa inay atherosclerosis, tan iyo markii ay u dhisan ay tahay wax etiological in tirada ugu badan ee bukaannada qaba aneurysm halbowlaha popliteal.
aneurysm halbowlaha Popliteal horumarisa ku dhowaad loo eegin da'da, macnaheedu jir ah ku dhawaad 60 sano, iyo faafinta da '- min 40 ilaa 90 sano. dhaawaca laba geesoodka ah ayaa laga diiwaan geliyay 50% ee kiisaska.
Cadaato in ka badan inta badan cudurkan u saameeyaa rag.
Sawirka caafimaad oo waxaa ku badan calaamadaha lesions ischaemic of meesheedii ugu distal; lagu dari karaa oo riixo calaamadaha dareemayaasha iyo arooriye (la riixo oo ay aneurysm).
dhibaatooyin:
• thrombosis of aneurysm ah (saabka aneurysmal);
• dillaac aneurysm,
• kalshum aneurysm ah;
• riixo ee dareemaha.
Si loo ogaado codsan:
• ANGIOGRAFI;
• CT.
Wixii lagu daaweyn jiray ligation inta badan la sameeyaa of halbowlaha popliteal labada dhinac ee aneurysm ah (proximal iyo iyada distal), waxaana ku xiga qalliinka isku tallaalidda.

thrombosis halbowlaha Popliteal

Xasiloooni factor qaab oo ah dhiigxinjirowga halbowleyaasha, waxa jebiyey dusha hoose ee weelasha, kaas oo keena in arrimaha soo socda waxaa laga yaabaa:
• kayd atherosclerotic in derbiyada marinnada dhiigga;
• hypertension,
• diabetes;
• dhaawacyada derbiga vascular,
• vaskulitis.

daliilka kiliinikada

Thrombosis ee halbowlaha popliteal waxa muujiyay sifooyinka soo socda:
• Xanuun daran ee addinka ah in si xad dhaaf ah u muuqda. Bukaanka inta badan is barbar iyada muuqaalka la bang ah. In mustaqbalka, xanuunka laga yaabaa inay qaadato paroxysmal ee dabiiciga ah; iyo twinge ah u keenaysaa in muuqaalka kore ee dhididka on maqaarka. ahee Qaar ka mid ah xanuun oo ujeedadiisu ma waxay ka dhigan tahay in la hagaajiyo xaaladda bukaanka muddo.
• blanching maqaarka ee addinka saameysey.
• Yaree heerkulka maqaarka ee addinka saameysey.
• Muuqashada adag lugta; ay meel ku beegan tahay meesha uu heerka thrombus ah.
• In la yareeyo, iyo mar dambe - lumay ee dareenka on cagta, muuqaalka kore ee paresthesias.
• Yareeya dhaqdhaqaaqa ee addinka saameysey. Ka dibna waxa dhaqdhaqaaqa lagu gebi ahaanba laga badiyay karo.
Sida caadiga ah, calaamado si tartiib tartiib ah u horumariyaan, laga bilaabo muuqaalka kore ee xanuunka.
Maqnaanshaha tallaabooyin ku filan horumarin karaan dhibaatooyin qaab gangrene. gobolka Tani waxa lagu gartaa cad u kala soocnaadaan unugyada caadiga ah iyo necrotic. Ka dibna waxa necrotizing qayb mummified.
The ugu xun ee dhici - waa cudurka aagga necrotic. Xaaladdan waxa la ogaadaa by si degdeg ah horumarinta hyperthermia, calaamadeeyay leukocytosis ee dhiigga iyo jiritaanka burbur kolit.