Fractures zidendene: Mitundu, Zizindikiro, Chithandizo

Lalikulu fupa phazi ndi chidendene fupa. Onse fractures wa fractures phazi zidendene m'posavuta mu zonse. Kawirikawiri chifukwa cha kuvulala ndi kugwa mu kutalika kwa chidendene, astragalus (ili pamwamba) ndi chidendene ndi uyo mu izo linagawanika.

mitundu ya fractures

Nthawi zambiri fractures zidendene zosiyanasiyana. Iwo akhoza kuchepetsa zidutswa kapena popanda akutali ndi malire, ochiritsira ndi zosamveka (kuphatikizapo comminuted). Kuyambira, pa udindo uliwonse pa pini amasiya inali, kudzadalira malangizo a kusamutsidwa makombo fupa ndi mzere wovulala. Pamene pali amphamvu akamalimbikira psinjika wovulala, izo angayambe pamene pamwamba kuwonongeka kwa mfundo kapena popanda izo. Nthawi zina zimachitika kuti pa nthawi yomweyo mafupa onse chidendene. Komanso, zidendene fractures kungakhale owonjezera articular ndi kwapakati pa-articular.

Zizindikiro za wovulala

The chizindikiro choyamba kuti Umaoneka wovulala aliyense - ndi, ndithudi, kupweteka kwa pabala. Chipilala Choncho umakhala athyathyathya ndipo m'dera chidendene likukula. Pa fractures zigawo mosavuta zizindikiro si kwambiri munthu akhoza kuyenda. The aakulu fractures zidendene - psinjika pamene fupa chidendene mu chinthu zoopsa kuti kugunda ndi mbamuikha ndi yopuma. Pankhaniyi, pamene kukanikiza mbali pa chidendene adzamva ululu, kuti afike pa phazi sizingatheke kudzuka pa zala zako, nayenso, sachiza, pamene mu bondo olowa kayendedwe kukhala. Pamene voteji wa gastrocnemius minofu soreness nakweza. Mu podlodyzhechnoy munda wa minofu zofewa kutupa, magazi kumachitika, pasukuluyi kufalitsa mwamsanga kwa Achilles tendon.

diagnostics

Fractures zidendene anapezeka ndi maphunziro radiological. The X-ray kuwaona n'kosavuta. Koma pamene pali wovulala chidendene kuchepetsa, n'zovuta molondola kudziwa mlingo wa kusamuka kwa zidutswa. Pankhaniyi, kupanga X-ray phazi wathanzi komanso anayerekezera zithunzi ziwiri.

chithandizo

Ngati anapezeka ndi fupa lothyoka popanda kusamutsidwa kwa chidendene pa phazi kukonza fupa mu malo anakhumba ntchito pulasitala. Chotsani pamene fupa limakula pamodzi, kuti pafupifupi 1.5-2 miyezi. Nthawi zina zimatenga nthawi zambiri msoko lapansi. Ngati zidutswa fupa ali zawo, simungakhoze kuchita popanda opaleshoni. Pamene wovulala anatsekedwa opaleshoni imagwiridwa pambuyo oipa a edema ndi kutupa m'malo olumikizirana mafupa. Kuti athandize kumbali iyi, kugwetsa mwendo kwa masiku angapo kukwera. Komanso, zinthu zoterozo zimathandiza kuti kubwezeretsedwa kwa khungu anatambasula. Open fractures zidendene, ndi kobvuta kosangalatsa ayenera ntchito yomweyo. Pa ntchito pogwiritsa ntchito zitsulo clamps wapadera kulumikiza zidutswa fupa. Pambuyo opaleshoni superimposed gypsum. mlingo wa kuchira zimatengera mtundu wa wovulala. Koma ngakhale ngati wodwalayo ali wokhoza kubwerera kwa mlingo wawo wakale ntchito pokhapokha 3-4 miyezi ya phapo (anatseka ndipo popanda kusamutsidwa). Mu fractures aakulu zina kuchira amatenga zaka zingapo ndipo nthawi zina ngakhale pa khama pazipita madokotala ndi wodwala angathe kubwezeretsa ntchito ya phazi ndi mwendo m'munsi.