Mothapo Popliteal: human anatomy le sebopeho sa naha. Bolwetse ba mothapo ho popliteal

Popliteal mothapo - sejana se ho ena le tse khōlō, ka ho toba o tsoela pele fatše le mothapo femoral. Ho itšetlehile ka ea ho hlophisoa ha sosobaneng neurovascular, le mothapo homonymous le methapo ea kutlo tibial. Ka morao, karolo e ka ba fossa popliteal, Vienna larileng ka haufi le holim 'ho feta mothapo ho; le tibial methapo ea kutlo - surfactant fetang methapo ea mali.

Location le sebopeho sa naha

Ho qala ka ho ba kanale tlase lesoba tataise ntse teng tlas'a litoeba polumembrannoy mothapo popliteal haufi botebong ba oa pele oa ho ba fossa popliteal tsa femur (serope ka ho toba holim'a metsi), le ho eketsehileng - ho khetla lengole komiki.

mabitso a mang ka tlaase mothapo lefapha la serope mesifa. E kenella ka hare ho ka sebaka moqotetsane pakeng tsa limpa tsa mesifa gastrocnemius, e koahela e. Le ha eka o ile a fihla moeling oa mesifa soleus, sekepe e arotsoe ka pele le ka morao mothapo tibial.

Tataiso ea mothapo popliteal ho eena ka lebaka la ka:
• Ka karolong e ka holimo ea popliteal fossa sejana na tataiso e tlase le supa ka ntle.
• Ho tloha ka bohareng ba bo-boemong ba oa popliteal fossa, mothapo popliteal e lebisitsoe haholo fehlang tlase.

Makala a mothapo ho popliteal

Tseleng fatše mothapo popliteal fana tse 'maloa tsa makala:
• The holimo mesifa makala.
• The holimo lateral lengole mothapo.
• Upper medialnaya lengole mothapo.
• Ka karolelano lengole mothapo.
• fokotsa lateral lengole mothapo.
• Lower medial lengole mothapo.
• methapo Namane (a mabeli, ka seoelo - ho feta).

Popliteal mothapo aneurysm

Ho ea ka lipalo-palo tsa bongaka, sena ke diriswa fetisisa khafetsa aneurysms ka periphery ho: ba ka bang 70% ea aneurysms pheriferale ba localized sebakeng popliteal. Sesosa se ka sehloohong sa boemo lefu lena le nkoa e le atherosclerosis, kaha e thehilweng ka ntlha etiological ka boholo ba bakuli ba popliteal mothapo aneurysm.
Popliteal mothapo aneurysm develops hoo e ka bang ho sa tsotellehe lilemo; bolela lilemo tse ka bang 60 lilemo tse, le ho ata ha lilemo - tloha ka ba lilemo 40 ho ea ho 90. Omimvo lethopa e tlalehiloeng ka 50% ea linyeoe.
Taba ea bohlokoa ke hangata ho lefu lena ama banna.
The setshwantsho ea tleleniki e busitse ke matšoao a diso ischemic ea pheletsong distal; ka eketsa le compression matšoao methapo ea kutlo le mothapo (ka compression ea aneurysm bona).
mathata:
• thrombosis tsa aneurysm (aneurysmal cavity);
• aneurysm otlile;
• calcification tsa aneurysm ea;
• compression ea methapo ea kutlo e.
Ho fumana sebetsa:
• Angiography;
• CT.
Bakeng sa kalafo ya ligation fetisisa hangata ile a etsa tsa mothapo ho popliteal lehlakoreng ka tsa aneurysm (proximal le distal hae), lateloa ke ho buuoa kgaoleditse.

thrombosis Popliteal mothapo

Predisposing Ntlha e bakeng sa sebopeho sa clots ka methapo e hlōla ka hare holim 'a lijana, eo e etsa hore lintlha tse latelang ka' na ba e reng:
• atherosclerotic mobung ka marako a methapo ea mali;
• kgatelelo ya madi;
• lefu la tsoekere;
• ho sithabela ea leboteng vascular;
• vasculitis.

liponahatso tsa tleleniki

Thrombosis tsa mothapo ho popliteal se bontšoa ke likarolo tse latelang:
• bohloko Matla ka maoto le matsoho, a hlahella haholo. Bakuli ba atisa ho bapisa a shebahalang ka eona ka bang bang. Nakong e tlang, bohloko a ka nka paroxysmal tsa tlhaho; le twinge isang ponahalo ea mofufutso ka letlalo. Ba bang ba easing la bohloko ba se na sepheo se bolela ho ntlafatsa boemo ba mokuli ha nako e ntse.
• blanching tsa letlalo la leoto anngoeng ke likoluoa.
• Fokotsa mocheso tsa letlalo la leoto anngoeng ke likoluoa.
• The ponahalo ea leoto thickening; sebaka lona ketekeloang hong le sebaka sa boemo ba thrombus.
• Ho fokotsa, 'me hamorao - nyamele ba nahanela ka leoto; ponahalo ea paresthesias.
• fokotsa le tsamaiso tsa leoto anngoeng ke likoluoa. Ka mor'a moo tsamaiso ka lahleheloa ka ho feletseng.
Ka tloaelo ho, matšoao a ho ntshetsa pele butle-butle, ho qala ka ponahalo ea bohloko.
Ho ba sieo ha mehato e lekaneng ka ba le complication ka sebōpeho sa seso se kekang. boemong bona e tšoauoa ka ho na le phapang e hlakileng pakeng tsa dinama tse nyenyane tse tloaelehileng 'me necrotic. Ka mor'a moo necrotizing karolo mummified.
Mpe ka ho fetisisa bo ka etsahalang - e le tšoaetso ea sebakeng necrotic. boemo ena e fumanoa ka hyperthermia sharply hōla, tšoauoa leukocytosis maling le ho ba teng ha ulcerative disintegration.