Callus: ponseponse kapena kudwala?

Callus anapanga pa maphatikizidwe mafupa. Iwo akhoza kukhala a mitundu inayi.

Intermediarnaya callus anapanga pakati mwamphamvu kulankhula zidutswa fupa, insofar monga kulephera kuyenda pazipita zidutswa awo. danga limeneli lili ndi maselo a kachitidwe Haversian ndipo zinamera ziwiya. Choncho, pali machiritso woona wa fupa.

Pokhalabe ndi kuyenda makombo fupa, komanso diastase vascularization amakhala zovuta kwambiri, mwinanso kosatheka. Zikatero, ndi paphiri fupa ukufanizidwa ndi mitundu zotsatirazi: paraossalnaya, periosteal, endosteal.

Paraossalnaya callus anapanga wa zimakhala zofewa kuti ali pafupi ndi malo wovulala. callus imeneyi yafotokozedwera mokulirapo pamene nsalu amenewa kwambiri anavulala wovulala kapena mwachindunji mu njira ya mankhwala. Paraossalnaya chimanga ngati mlatho kapena "mlatho" pakati makombo fupa otayika. Nthawi zina zingakhale kwambiri, koma sizitanthauza mphamvu ya msoko lapansi.

Ngati yachibadwa callus pambuyo wovulala si anapanga, n'zotheka kukhala fractures paraossalnoy chimanga ngakhale pa katundu wochepa.

Periosteal callus anapanga ndi chulutsa cambial maselo periosteal amene bwino kuti aziwapatsa magazi ndipo ali ndi luso labwino regenerative. callus ili kunja kwa fupa.

Endosteal callus anapanga ku maselo endosteal ndi maselo mafupa. Iwo lili mkati njira kuchokera m'mafupa.

Polenga zinthu yabwino kwa fupa maphatikizidwe limapezeka koyamba kupanga periosteal ndi endosteal callus, yomwe fixedly kugwira makombo fupa motalika mpaka callus intermediarnaya aumbike, ndiyeno iwo ali yafupika. Intermediarnaya callus ndi anasintha, kutenga zachilendo dongosolo fupa. maphatikizidwe izi ndi zopambana: mafupa amatipatsa kuchira bwino kwa nthawi yayifupi zotheka.

Ngati kusungidwa kusamuka kwa makombo, ndi maphatikizidwe kumachitika chifukwa cha periosteum ndi mapangidwe callus periosteal. fractures Diaphyseal mu mozoleobrazovaniya pochitika siteji ya chichereŵechereŵe, koma machiritso a cancellous fupa akudutsa popanda: connective callus likamadzakonzedwa mwachindunji mu fupa ndi periosteal callus ndi asanawonetseredwebe.

Ndiye kodi ayenera kusonyezedwa ndi paphiri fupa? Chithandizo ayenera idzachitika pa fupa lothyoka Kupha kupanga chimanga intermediarnaya, amene pambuyo kusintha adziwonetsa kapangidwe yachibadwa fupa. Final kusintha zimawatengera pafupifupi chaka.

Zochizira fractures amafuna zidutswa repositioning fupa, ndi fixation chawo mu nthawi ya intergrowth ndi mthandizi njira: physiotherapy, physiotherapy, kutikita umalimbana kubwezeretsa ukugwiradi ntchito ya kapangidwe zowonongeka. Komanso mankhwalawa fractures lotseguka udindo ankaimba ndi mankhwala chachikulu mabala.

Kuchepetsa ndi fixation akutsatiridwa mothandizidwa ndi njira ndiwofatsa komanso kugwira ntchito. chithandizo ndiwofatsa wa fractures imagwiridwa monga outpatient kapena m'chipatala (ichi anatsimikiza ndi chikhalidwe cha fupa lothyoka la), kugwira ntchito - yekha ku chipatala. Onse njira izi zili ponseponse mu zoopsa kuchita, ntchito yawo chifukwa zikuonetsa yeniyeni lililonse.

Muyike pena zidutswa fupa ikuchitika kapena pamanja kapena kudzera samatha. Atafika boma wabwinobwino wa makombo ikuchitika immobilization, kawirikawiri pulasitala chosungunula.