Consolidated wovulala: chimene icho chiri, chithandizo, zotsatira

Kodi wovulala Consolidated? Izi ndi zimene ife tinena m'nkhani pansi kulingalira. Inunso muphunzira za m'mene machiritso a fractures, chifukwa kuchira moleza mtima kuchedwetsa ndi mmene mankhwala kuvulala.

Chidule

Consolidated wovulala - matenda amenewa amaika kwambiri odwala anavulala. Koma si odwala tonse tikudziwa kuti tanthauzo la chiganizo ichi.

Kuona ngati mawu zachilendo m'buku lake mankhwala, anthu ambiri kusokonezedwa maganizo kwathunthu. Nthawi zambiri mawu amagwirizana ndi kudwala iliyonse yaikulu. Komabe, Consolidated wovulala kanthu nkhawa.

Kodi wovulala?

The dokotala, traumatologist - anthu Akatswiri amene kufika pa anthu ndi mafupa othyoka.

Wovulala - ndi tsankho kapena okwana kusokonezeka kukhulupirika minofu fupa zomwe zayamba pansi pa katundu, kangapo kuposa mphamvu za gawo kuonongeka kwa mafupa a. chikhalidwe ichi pathological angakhalepo osati chifukwa cha kuvulala, komanso chifukwa cha zosiyanasiyana matenda amene anatsagana ndi kusintha kwakukulu mu mphamvu katundu wa fupa.

Kutembenukira ku ufulu kapena analipira chipinda mwadzidzidzi, wodwalayo ndi kuvulazidwa yomweyo kulandira chithandizo. Izo zimatengera mlingo wa kukula kwa wovulala, amene nawonso, chifukwa kukula kwa mafupa othyoka, komanso chiwerengero chawo.

Tikumbukenso kuti fractures angapo mafupa yaitali (lalikulu) kaŵirikaŵiri kungachititse mantha zoopsa ndi chitukuko cha mavuto aakulu magazi. Komabe, nthawi kulipira mu ufulu kapena analipira chipinda mwadzidzidzi, pathologies izi zikhoza kupewedwa. Mwa njira, pambuyo odwala kulandira kuvulala ngati achire pang'onopang'ono. nthawi yawo kuchira zingatenge miyezi ingapo.

Consolidated wovulala - ndichiyani?

Mawu akuti "kuphatikiza" ndi lochokera Latin. Amakhala syllables awiri, omwe anamasuliridwa kuti "pamodzi" ndi "limbikitsa". M'mawu ena, kuphatikiza kumabweretsa mgwirizano, kulimbikitsa kusakanikirana kapena kuphatikiza chilichonse.

Kotero izo - anagwirizana wovulala? Akatswiri amanena kuti azachipatala kuti anam'patsa kale zinaphatikizidwa ndi mapangidwe wovulala callus.

Angwiro ndi wodzazidwa maphatikizidwe wa mafupa anavulala pa milandu zotsatirazi:

• ndi fixation zabwino mafupa kuthyoledwa;
• ndi ofananira zonse ndi changwiro makombo fupa;
• pamene kubwezeretsa makope m'dera la kuwonongeka fupa;
• pamene kubwezeretsa kapena kukonza innervation mu zone ya kuwonongeka fupa minofu.

maphatikizidwe yachiwiri

machiritso Secondary wa fractures kupanga callus cartilaginous kumachitika pamene:

• zidutswa chosakwanira ofananira makombo fupa;
• zoipa wovulala fixation;
• ndi kuyenda wachibale makombo fupa;
• mwadzidzidzi immobilization;
• makope osauka ndi kupereka mitsempha zone wovulala.

Bwanji wovulala amachiza?

The dokotala, traumatologist - akatswiriwa kuyankha funso la chifukwa, zina, mafupa othyoka si zinaphatikizidwa. Malinga ndi maganizo awo, chotero chodabwitsa ali zimayambitsa angapo. Ife kupereka iwo tsopano:

• kuphwanya immobilizing fupa (kuonongeka) ndi kusamutsidwa a zanyengo ndi ulemu wina ndi mzake;
• chosakwanira kapena pachithunzichi zidutswa poyerekeza fupa;
• kuphwanya innervation m'dera la fupa lothyoka ndi m'dera magazi.

Vutoli panyumba pokha pokha kwambiri. Nkofunika kuti katswiri anali kulemba. Ndipotu, ndi fractures kwambiri ayenera pamodzi kotero minofu kuonongeka fupa limene limapezeka kuphatikiza zonse. Komabe, tisaiwale kuti Zisudzo chimadalira osati pa luso la dokotala. Ndithudi, ndondomeko kusinthika ayenera kukhala mbali ndi zigawo zonse zimakhala fupa (mwachitsanzo, endoost, periosteum ndi njira Haversian).

Sitingathe kunena kuti, pamodzi ndi kusintha kwa zinthu zachilengedwe thupi kubwezeretsa kukhulupirika kwa mafupa a likugwiritsidwanso resorption wa chokumbukira zoopsa hematoma. Zodabwitsa ndizakuti, callus pa kusinthika ali maonekedwe a ang'ono thickening spindle woboola pakati.

Pa mapangidwe zigawo wa callus

Consolidated zikukhudza nthiti ndi mbali zina za mafupa - chodabwitsa zofala. The ndondomeko ayambe fupa callus aumbike.

kusinthika izi zikuchitika mu magawo atatu:

• chitukuko cha kutupa (aseptic) pa fupa lothyoka malo;
• fupa mapangidwe ndondomeko;
• kukonzanso callus.

Choncho, malo kuvulazidwa anthu, pali kwambiri kuchuluka kwa maselo m'ngalande Haversian ndi endoosta ndi minofu connective ndi periosteum. Zimenezi zimabweretsa chakuti fupa anapanga callus pa fupa lothyoka malo. Amakhala ndi zigawo zinayi:

• paraossalny;
• intermediarny;
• periosteal;
• endosteal.

Patapita masiku 5-6 ya mwachindunji choipa chilema pakati pa makombo fupa ayamba kudzaza fibroblasts, maselo osteoblast ndi ziwiya laling'ono, limene kupanga osteoid minofu.

Iwo ayenera kukumbukira kuti maimidwe 3 siteji callus mapangidwe. Njirazi ndi monga:

• fibrotic;
• chichereŵechereŵe;
• fupa.

nthawi yaitali bwanji aumbike callus?

Mapangidwe callus - njira m'malo yaitali. Nthawi mapangidwe ake:

1. Pulayimale (kumatenga masabata 4-5).
2. Secondary (pambuyo masabata 5-6).

Iwo ayenera kukumbukira kuti callus pa fupa lothyoka malo umamumvera kukonzanso kwa zaka zingapo. Ichi ndi chifukwa chakuti osteoblasts amalimbikitsa resorption onse fupa makombo, zidutswa ndi zinyalala, komanso kuthetsa mapangidwe kwambiri chuma callus.

Pankhani ya zoopsa chifukwa cha kunyumba, komanso wodwalayo iyemwini analenga zinthu zonse kwa mulingo woyenera maphatikizidwe maselo fupa, chimachitika wovulala kuphatikiza (kwa masabata angapo kapena miyezi).

nthawi yaitali bwanji mafupa zikulire pamodzi? Malinga ndi akatswiri, akulu munthu, zoipa ndi kumangidwanso. Mwachitsanzo, wovulala wa khosi femoral ataimangirira kukagona munthu wokalamba, kudzipheralo mavuto monga chibayo congestive, embolism m'mapapo mwanga, zilonda decubitus, ndi ena.

N'chifukwa chiyani liwiro kuphatikiza?

Osati nthawi zonse osati anthu onse ndi fupa fractures zikulire pamodzi mwamsanga ndipo popanda zotsatira iliyonse. Mu zina, kuphatikiza m'dera anavulala kubweza pansi kwambiri. Chifukwa chotero chodabwitsa chiyani?

zimayambitsa Common pang'onopang'ono accretion mafupa zotsatirazi:

• shuga, mafupa woonda, kuphwanya kuchotsera wa zopangitsa za parathyroid;
• akulu msinkhu, akazi jenda, cysts yamchiberekero, zakudya osauka;
• wakuta, mimba angapo, nkhawa;
• Low kukula, kumwa mankhwala ena, dysmenorrhea;
• Oncology, kusuta, kuchotsa thumba losunga mazira, ndi kupatsidwa zina za ziwalo, ndi zina zotero.

Monga zifukwa m'dera zikuphatikizapo:

• kutenga matenda a chilonda;
• magazi matenda;
• aakulu tulo choipa cha zimakhala zofewa pamene anakumana ndi zoopsazo;
• fractures angapo;
• zinthu zakunja chilonda;
• interposition nsalu ndi zina zotero.

wovulala chithandizo

Kodi kuchita ndi wosweka ndi mmene kukwaniritsa accretion mofulumira mafupa? Sitepe yoyamba ndi kuwona dotolo. Kupita dokotala fupa ayenera ufulu wawo ndi kuteteza malo zimenezi potsatira pulasitala.

Kodi kuchita ndi wosweka koma akaonekere kwa chipinda pangozi? Wovulala kukula pamodzi msanga, akatswiri amalangiza kuti anabolic mahomoni ndi Malemu. Ndi chovomerezeka kwa physiotherapy komanso kukhudzana ndi zoopsa m'munda mu atomu.

Zotsatira za mankhwala molakwika

Consolidated wovulala - izi zikhala bwino kuvulazidwa anthu. Komabe, tisaiwale kuti sitili pa kuphatikiza mankhwalawa akhoza sanalembedwepo kapena m'mbuyo.

Akatswiri amanena kuti zizindikiro za accretion pang'onopang'ono minofu fupa ali limati zotsatirazi:

• sayenda (pathological) fupa pa fupa lothyoka malo;
• kupweteka kwambiri m'dera zowonongeka;
• kusiyana makombo fupa, amalembedwa ndi X-ray bwino.

Iwo ayenera kukumbukira kuti ndi msanga ndiponso mosavuta mu ndondomeko ubwana kukonzedwa ndi kusinthika kwa minofu kuonongeka fupa kuposa anthu achikulire ndi akulu. Nthawi zambiri zotsatira zosayenera maphatikizidwe mu mapangidwe mafupa pseudoarthrosis. mafupa amenewa zingabweretse angapo matenda aakulu, komanso chifukwa zokongoletsa nkhawa.