Femoral khosi - malo osatetezeka cha thupi lathu

Ngati munthu wathyola khosi femoral, lonse kuchira ndondomeko adzatenga wodwala ndi gulu lake nthawi yambiri ndi kukonza mosamala. Wodwala iye ndi banja lake ayenera kudziwa monyanyira zonse zokhudza thupi ndi anatomical, zomwe zimabweretsa kuwonongeka kwa m'chiuno olowa.

N'zomvetsa chisoni, koma pafupifupi 90% ya fupa fractures okalamba, monga khosi. Ambiri ovutika ndi ichi - akazi pa zaka 55. Ncafu wovulala, konzanso pambuyo chimene chimafuna nthawi yaitali ndipo kwambiri khama pakati zosiyanasiyanazo fractures ndi wamkulu kuposa 6%. kuvulala Izi zimafuna okhwima bedi zina ndi mankhwala, amene angathe kutenga miyezi ingapo. A wosweka femoral khosi kungachititse kuti imfa. Choncho, malinga ndi malipoti ena, pakati analandira ngati fupa lothyoka oposa 20% (malinga ndi zina oposa 40%) anthu amafa.

Chifukwa chofunika kwambiri wovulala ichi ndi kugwa pa zosiyanasiyana m'dera la thupi mmene m'chiuno olowa (kumbali). N'chifukwa chiyani mosavuta wosweka femoral khosi? chifukwa chachikulu ndi kuchepekedwa yaitali mu zakudya kashiamu anthu ndipo ena zakudya zina ndi mchere kuti ntchito ndi thupi laumunthu, updating apitirize chichereŵechereŵe ndi fupa minofu. nsalu awa ali choyimira cha batire rechargeable kashiamu ndi mchere kuti awapatse mphamvu. Chowasiyanitsa ku zakudya za nyama ndi fupa msuzi, kulephera kwa mkaka kumayambitsa kuperewera kuchuluka kwa kashiamu mu zimakhala fupa. Zimenezi fragility lawo limene pamapeto pake umatha ndi kufooka kwa mafupa.

Ncafu akuswa mwa akazi nthawi zambiri chifukwa pali imfa kwambiri kashiamu pa mimba ndi mkaka wa m'mawere. Komanso, endocrine kusintha kunachitika akazi pa kusintha, kulimbikitsa leaching kashiamu fupa.

Mu thunthu ake femoral khosi ndi losavuta olowa. Femur ali ndi mapangidwe lateral mu mbali chapamwamba chokhala mzimbe khasu. Izo ukutha ndi mapangidwe yosalala otukukira kunja Chigawo wotchedwa mutu olowa. Chigawo ichi ndi zoyenera pafupi chogwirizana recess hemispherical ili pa fupa m'chiuno (acetabulum). Pamavuto ndi makina kugwirizana pakati pa iwo anaonetsetsa gulu tendinous makodi chokhala anatambasula mphira magulu. Ang'onoang'ono mitsempha ndi dongosolo connective ili mwachindunji kuzungulira kapisozi olowa ndi kutseka ake kutsetsereka pamwamba chichereŵechereŵe wodzazidwa ndi madzimadzi synovial. Mkati kapisozi, mu mtima wa olowa mu mutu wa femur ku ncafu fupa monga gulu monga mitsempha ndi mitsempha kuti kuyamwitsa mafupa ndi mafupa.

Ncafu fractures ndi oopsa chifukwa olowa pa gululi amapezeka zidutswa choipa fupa la zimakhala ozungulira, tingayambe chitukuko cha necrosis avascular. Zikatero amafunika m'chiuno m'malo - mapangidwe ndi olowa yokumba anapanga ma polima kapena zitsulo amene sanakukane ndi thupi ndi kulola masiku ochepa kusamukira zochepa kayendedwe yogwira.

Pamene fractures Link (vnekapsulnyh) akhoza kupangidwa osteosynthesis - kukonza wovulala mbale kapena pini zitsulo. Konzanso pambuyo ntchafu wovulala Pankhaniyi komanso ayamba kale, monga akuti mtima obezdvizhevaniya kuchepetsedwa ndi chiopsezo cha matendawo. Nthawi zina losavuta, madokotala okha immobilization ndi samatha pa miyendo m'munsi. odwalawo zimafunika yaitali bedi zina ndi chisamaliro kusamala, ngati yaitali bedi zina kungachititse kuti zilonda kuthamanga, kudzimbidwa, chibayo ndi thrombosis hypodynamic mitsempha yaikulu femur ndi tibia. Zonse zosokonezeka izi zimafunikira yaitali ndi mankhwala okwera mtengo, kotero mankhwala oyenera odwala zimenezi n'kofunika kwambiri.