Pseudarthrosis ngemva ukwa. Amanga hip ngokuhlanganyela

ithambo ukuphulukiswa emva ukwa kwenzeka ngenxa ukwakhiwa 'callus "- izicubu shapeless okuxekethile exhumanisa ingxenye lapho eqondisa ithambo eliphukile, futhi usiza ukubuyisela isithunzi sayo. Kodwa Fusion akuyona njalo iqhubeke ngaphandle kwezihibe. Kwenzeka ukuthi izingcezwana akamphulukisanga, ithambo imiphetho ethinta inhliziyo, ne isikhathi ukuqala ukuthola phansi, sanded futhi esehlelembe, okuphumela ekwakhiweni kwe-ngokuhlanganyela zamanga (pseudarthrosis). Kwezinye izimo, kungase kubangele ungqimba uqwanga phezu izingcezwana futhi ukubukeka esincane uketshezi ngokuhlanganyela. Ngo umkhuba emtholampilo, njalo kakhulu ngokuhlanganyela bamanga kunawo wonke futhi tibia.

zokugula Izici

Pseudarthrosis ngokuvamile abalufundile noma ezimweni ezingavamile, azalwa nako. Kusolwa ukuthi kwakhiwa ngalokhu kugula azalwa naso is ngenxa ukwephula ithambo kwetinhlavu utero. Pseudarthrosis ngokuvamile yenziwe yaba yasendaweni ukuze umlenze ephansi, futhi kanjani lo zokugula ngesikhathi lapho ingane iqala ukuthatha izinyathelo zawo kuqala. Libuye libe pseudarthrosis azalwa naso we clavicle. Uthole malformation ivelakancane. Nokho, ingazuzwa, okuyinto okunzima kakhulu ngayo.

Kube lutholwa pseudarthrosis ngemva ukwa, amathambo kukhule ndawonye kahle. Kaningi kuyenzeka ngemva kokudutshulwa noma ukulimala evulekile. Ngezinye izikhathi ukubukeka kwakhe ngenxa zokungenelela kuhlinzwa amathambo.

Izizathu kumiswa pseudarthrosis

Ukuthuthukiswa kwe-pathology elihlobene ne ukuphazamiseka inqubo evamile ukuphulukiswa emva imigqa ephezulu nephansi engahlosiwe. izimbangela ezivamile izifo nokugula phambili lapho kukhona ukwephula kokuzalwa kutsha lokuvuselelwa reparative amathambo umzimba:

• yamathambo;
• ezindaweni eziningi;
• ukhulelwe;
• endocrinopathy;
• ukudakwa;
• isimila cachexia.

Izinsalela ngokuvamile ayibi ndawonye ngenxa izimbangela lendawo:

• ukwephulwa supply igazi izinsalela;
• kulimaze kuya periosteum phakathi nokuhlinzwa;
• umzimba metalosteosynthesis ukuphendula, bazilahla izinzipho kanye amapuleti;
• imigqa ephezulu nephansi ngezingcezwana zezinkwa amaningi;
• ethola hormone steroid, anticoagulants;
• emva kokuhlinzwa izingcezwana kabi kwehlisa nomunye;
• okuvela elide phakathi izingxenye ithambo ngenxa traction eqinile;
• lesion ezithathelwanayo esaholela ekwakhekeni suppuration we ukwa;
• kwamathambo;
• esitho baxhashazwe akuzange kuhlale isikhathi eside;
• umonakalo isikhumba ohambisana senguquko - ngemisebe, ukusha.

Izinguquko ezenzeka nasemilenzeni ngenxa ukwakheka zokugula ezifana ngokuhlanganyela kwamanga kwesigamu zonke izimo neqhaza amalungelo ukukhubazeka ophikelelayo nje futhi sinamandla.

kumiswa pseudarthrosis

Lapho uqala ukwakha ngokuhlanganyela amanga, izinsalela ezakhiwe igebe ligcwele sezicubu zezinzwa futhi bone ipuleti evala siteshi. Lena umehluko oyinhloko nonunion we Fusion kancane amathambo.

Njengoba isifo uqala intuthuko kwandisa ukuhamba ngendlela "ngokuhlanganyela." Kumiswa evele ejwayelekile ngokuhlanganyela enisemikhawulweni izingcezwana ithambo, ngokumitha kwemihlambi ngaphakamisa nomunye. Njengoba zakha uqwanga articular. Kushintshwe izicubu fibrous ezungeze "ngokuhlanganyela" wawubumba "capsule", okuyinto eyenzeka uketshezi lwamalunga.

izimpawu isifo

Izimpawu nonunion abasakwazi ethize, futhi lo dokotela uyakwazi lokwenza ukuxilongwa kwangaphambilini okusekelwe kuzo kuphela, okwathi ngemva kwalokho kuqinisekiswa-X-ray isithombe.

• ukuhamba sokugembula endaweni kwethambo, lapho kujwayele ukuthi kungenzeki. Ngaphezu kwalokho, kungase kwandise amplitude nendlela yekuhambisa sandla emalungeni kweqiniso, okuyinto engenzeki umuntu enempilo. isimo esinjalo kuphakamisa ezingamanga hip ngokuhlanganyela.
• ukuhamba sokugembula emkhakheni kungaba kancane obonakalayo, kodwa ngezinye izikhathi kwenziwe zonke izindiza. Ngo kwezokwelapha zikhona izimo lapho esitho endaweni pseudoarthrosis ijikelezwe ngokusebenzisa 360.
• Zokwenziwa kokunciphisa. Kufika amasentimitha ayishumi noma ngaphezulu.
• Yoma kwemisipha umlenze.
• ukwephulwa Strong kwemilenze noma. Ukuyisa isiguli usebenzisa izinduku kanye nezinye zikagesi wamathambo.
• Ngokuncika unyawo kukhona ubuhlungu endaweni pseudarthrosis.

Kodwa zikhona izikhathi lapho izimpawu zezifo okuncane noma kungenzeka ngisho ngingekho ekwakhekeni ngokuhlanganyela zamanga kwelinye amathambo dvuhkostnogo ingxenye. Lokhu kwenzeka uma abathintekayo omunye amathambo amabili akha umlenze aphansi noma ibhodi lemisindo.

Ukwaphuka we entanyeni femoral ingozi yokulimala, ikakhulukazi uma kukhona asebekhulile. Abesifazane kusengozini yokuthi ukwa enjalo, okuyinto lihlotshaniswa okuvela kwamathambo phakathi kwabadala. Lokhu kwakubangelwa ukukhumuzeka kwamathambo kunciphisa kwamathambo, futhi ithuthukisa ngenxa ukushintsha kwama-hormone ngesikhathi nambili kuya kwabadala.

ukuhlola

Ukuze uqinisekise uphethwe usebenzisa-X-ray indlela. Pseudoarthrosis sobala radiographically ngezindlela ezimbili:

• pseudarthrosis Hypertrophic - kungcono kakhulu futhi fast overgrowth ithambo izicubu endaweni ye ukwa ngegazi supply evamile. On x-ray, ungabona nokwanda okuphawulekayo ibanga phakathi imikhawulo izingcezwana ithambo.
• Atrophic - nesenzakalo pseudoarthrosis kwenzeka uma kukhona asanele noma kungekho igazi eligciniwe. Ku-X-ray kungase kube ukubhekisisa kahle emaphethelweni imingcele ecacile imvuthuluka aphethwe ezicutshini, kodwa akuyona eliqinile kubathene esizeni kumiswa sokugembula.

ukwelashwa

Uma kwakhiwa ukwelashwa ngokuhlanganyela zamanga ke Kwenziwa kuphela ngosizo ukuhlinzwa. Nge pseudarthrosis hypertrophic kubathene izingcezwana usebenzisa osteosynthesis metal lihambisana ngokuxhunyelelwa ithambo izicubu. Ngemva kwalokho, amasonto ambalwa, kukhona ezilamatshe aligugu ephelele ungqimba uqwanga bese ithambo uqala coalesce. Ngo pseudarthrosis atrophic ukususa izingxenye izinsalela ukuthi baphazamise igazi eligciniwe. Khona-ke amathambo izingxenye axhumene, ukubuqeda ngokuphelele ukuhamba kwabo.

Ngemva kokuhlinzwa ukubuyisela imisipha ithoni, ukuhamba eduze emalungeni ngcono umthamo wegazi ogciniwe ukuba linqume massage, umsebenzi yokwelapha, Physiotherapy.

isiphetho

Ngakho, saxoxa yini ngokuhlanganyela zamanga, izimpawu zalesi sifo kanye nokwelashwa yayo Uphinde abhekwe. Uma kwaba nenkinga, kumele zonke izincomo udokotela balandela hhayi ukuhambisa esitho abalimala eside ngangokunokwenzeka, ukuze amathambo tho kahle. Kungenjalo pseudarthrosis kungabangela yezinkinga ezinzima.