Pseudarthrosis pambuyo wovulala. Onyenga m'chiuno olowa

fupa machiritso pambuyo wovulala ndi kumachitika chifukwa mapangidwe "callus" - lotayirira wopanda mawonekedwe minofu kuti zikugwirizana gawo la fupa, ndipo amathandiza kuti abwezeretse kukhulupirika kwake. Koma maphatikizidwe si nthawi zonse amayendetsa bwino. Zimachitika kuti makombo ankachiritsa, fupa m'mbali olimbikitsa, ndi nthawi kuyamba kutenga nthaka, sanded ndi ankawachotsera kunja, chifukwa mwa mapangidwe a limodzi onyenga (pseudarthrosis). Nthawi zina, angayambitse chichereŵechereŵe wosanjikiza pamwamba pa makombo ndi maonekedwe a pang'ono madzimadzi olowa. Zochita matenda, ndi zambiri zonyenga olowa wa femur ndi tibia.

kudwala Features

Pseudarthrosis zambiri yotengedwa kapena nthawi zina, kobadwa nako. Amaganiza kuti matenda kobadwa nako aumbike chifukwa cha kuyan'anila za fupa lomenyera utero. Pseudarthrosis zambiri isanafalikire kwa mwendo m'munsi, ndi kuzindikira kudwala ichi pa nthawi imene mwana amayamba kuchita zinthu chake choyamba. Ndi pseudarthrosis kobadwa nako wa clavicle lapansi. Anapeza malformation chosowa kwambiri. Komabe, angathe kukhala, zomwe ndi zovuta kuti iwo akuchitireni.

Pali anapeza pseudarthrosis pambuyo wovulala, mafupa kukula bwino. Nthawi zambiri zimachitika pambuyo gunshot kapena kuvulala lotseguka. Nthawi zina maonekedwe ake chifukwa ena zikunena opaleshoni pa mafupa.

The zifukwa mapangidwe pseudarthrosis

Kukula kwa kudwala kugwirizana ndi kusokonezeka kwa yachibadwa machiritso ndondomeko pambuyo fupa wovulala akuwuka. zimayambitsa Common matenda matenda kutsogolera muli ndi siudzalandilidwa ngathi lamulo la reparative kusinthika mafupa ndipo thupi:

• rickets;
• wavulala;
• mimba;
• endocrinopathy;
• kuledzera;
• chotupa cachexia.

Bone zidutswa samasankha zikulire pamodzi chifukwa cha zimayambitsa m'dera:

• kuphwanya kotunga magazi a zotsala fupa;
• kuwononga kwa periosteum pa opaleshoni;
• thupi metalosteosynthesis anachita, kukana misomali ndi mbale;
• fupa wovulala ndi makombo angapo;
• kulandira mahomoni steroid, anticoagulants;
• pambuyo zidutswa opaleshoni ali bwino chilamulira chikhalidwe ndi mzake;
• pakutchulidwa wa mtunda lalikulu pakati pa mbali ya fupa chifukwa cha samatha amphamvu;
• opatsirana chotupa kuti zinachititsa mapangidwe suppuration la fupa lothyoka la;
• kufooka kwa mafupa;
• nthambi kulephera kuyenda sizinakhalitse;
• khungu kuwonongeka m'munsili unasinthiratu - walitsa, amayaka.

Kusintha komwe kumachitika mu nthambi chifukwa mapangidwe kudwala monga olowa chonyenga theka la milandu onse amathandiza ufulu kulimbikira ndi aakulu chilema.

mapangidwe pseudarthrosis

Pamene amayamba olowa onyenga, makombo fupa popangidwa ndi kusiyana ladzala ndi minofu connective ndi fupa mbale atseka njira. Ichi ndi chifukwa chachikulu pakati nonunion wa maphatikizidwe pang'onopang'ono mafupa.

Monga matenda ayamba patsogolo kumawonjezera kuyenda mu "olowa." Mapangidwe ndi pamalo lililonse olowa malekezero a zotsala fupa, mating ndi mzake. Pamene iwo anapanga chichereŵechereŵe articular. Kusinthidwa fibrous minofu azinga "olowa 'anaumbidwa' kapisozi", umene umachitika madzimadzi synovial.

zizindikiro matenda

Zizindikiro za nonunion ali enieni ndithu, ndipo adokotala akhoza kupanga matenda kuyambirira akutsatira iwo, kenako zikutsimikiziridwa ndi X-ray fano.

• Pathological kuyenda mu malo a fupa, kumene nthawi zambiri zimachokeradi. Komanso, achuluke matalikidwe ndi malangizo kuyenda mu olowa chowona, chimene n'zosatheka munthu wathanzi. Chotero boma amakwiya onama m'chiuno olowa.
• Pathological sayenda m'munda akhoza kukhala sadzachitanso noticeable, koma nthawi zina ikuchitika ndege zonse. Mu zochiritsira pali milandu pamene nthambi mu malo pseudoarthrosis zimayenda kudzera madigiri 360.
• Ziwalo kufupikitsa. Mpaka masentimita khumi kapena kuposerapo.
• Manja minofu mwendo.
• Amphamvu kuphwanya nthambi ntchito. Pofuna kulimbikitsa mtima amagwiritsa ndodo ndi zina mafupa zipangizo.
• Mwa kudalira phazi pali ululu m'dera la pseudarthrosis.

Koma pali nthawi zina pamene zizindikiro matenda pang'ono kapena ngakhale kwina mapangidwe limodzi chonyenga limodzi la mafupa dvuhkostnogo gawo. Izi zimachitika ngati bwanji munthu mafupa ziwiri zimene zimapanga m'munsi mwendo kapena mkono.

Wovulala ndi khosi femoral ngozi kuvulazidwa, makamaka ngati pali okalamba. Akazi osatetezeka kwambiri wovulala chotero, chomwe amagwirizana ndi zosayembekezereka wa kufooka kwa mafupa pa kusintha. Kufooka kwa mafupa kumachepetsa mafupa, ndipo akufotokozera chifukwa kusintha m'thupi pa kusintha.

diagnostics

Kutsimikiza matenda ntchito X-ray njira. Pseudoarthrosis radiographically m'njira ziwiri:

• Hypertrophic pseudarthrosis - ndi kudya ndi overgrowth minofu fupa m'dera la fupa lothyoka ndi kotunga yachibadwa magazi. Pa x-ray, mukhoza kuona kuwonjezeka kwambiri mtunda pakati pa malekezero a zotsala fupa.
• Atrophic - yatsoka pseudoarthrosis kumachitika pamene pali osakwanira kapena ayi kotunga magazi. Pa X-ray kungakhale Tayang'anani pa m'mbali mwa omveka bwino a zotsala imene minofu connective, koma si amphamvu kwambiri kugwetsa malo mapangidwe pathological.

chithandizo

Ngati anaumba onyenga olowa chithandizo izo ikuchitika yekha mothandizidwa ndi opaleshoni. Ndi pseudarthrosis hypertrophic kugwetsa zidutswa ntchito zitsulo osteosynthesis osakaniza kumezetsanitsa fupa minofu. Kenako, kwa masabata angapo, pali mineralization wathunthu wa chichereŵechereŵe wosanjikiza ndi fupa akuyamba coalesce. Mu pseudarthrosis atrophic kuchotsa mbali makombo fupa amene akusokoneza ntchito yobweretsa magazi. Ndiye mbali fupa olumikizidwa kwa mzake, kuthetseratu sayenda awo.

Pambuyo pa opaleshoni kubwezeretsa minofu kamvekedwe, kuyenda pafupi ndi zimfundo ndi kusintha kotunga magazi mankhwala kutikita thupi mankhwala physiotherapy.

Pomaliza

Choncho, tinakambirana zimene ali olowa onyenga, zizindikiro za matenda ndi mankhwala yake Komanso ankaona. Ngati panali mavuto, malangizo adokotala onse ayenera kutsata osati kusuntha nthambi anavulala ngati n'zotheka, kuti mafupawo zinaphatikizidwa bwino. Apo ayi pseudarthrosis zingachititse mavuto aakulu.