Ncafu wovulala

Motalikitsa ndi yaikulu gawo la mafupa munthu femur. Iwo amakhala ndi anaŵerama thupi, kotero izo zikupanga saber mawonekedwe. Onse malekezero a gawo nawo mapangidwe mfundo yaikulu - m'chiuno ndipo bondo.

Chapamwamba (proximal) dera lili mutu fupa. Mu a acetabulum a mafupa a chiuno kumachitika ndi kasinthasintha.

M'munsi (wapotalikira) m'mphepete mwa fupa ankayimiridwa ngati condyles awiri TACHIMATA ndi chichereŵechereŵe hyaline. Iwo kutenga mbali mu mapangidwe bondo olowa.

Pafupifupi kutalika lonse la mafupa tendon Ufumuyo kapisozi mapangidwe ndi minofu osiyana.

Ncafu wovulala kumachitika mu gawo lirilonse la siteshoni. Akafike msinkhu winawake (zambiri penshioni) zambiri kukhala ovulalawo proximal (kumtunda) Division. Ichi ndi chifukwa kuwonongeka kwa trophism (kotunga) fupa minofu malo.

Ncafu wovulala akhoza zosamveka othyokathyoka, yopingasa, oblique, comminuted, mwauzimu.

Malinga malo kusiyanitsa matenda a mafupa kukhulupirika kwa mutu kapena khosi. Ncafu wovulala kungakhale transtrochanteric. Mtundu uwu wa avulala zambiri lililonse kwa anthu ukalamba.

Ncafu wovulala mu diaphysis (thupi) ndi wapotalikira kumapeto (condyles) kumachitika chifukwa cha kuchuluka mphamvu kayendedwe, zomwe cholinga chake ndicho aliyense wa malowa.

Zizindikiro za kukhulupirika fupa zimadalira mmene kuwonongeka. Ngozi kwa proximal kumapeto (pamwamba) limodzi ndi mapindikidwe m'dera m'chiuno, puffiness. Kumalekezero m'munsi amakonda atembenuza kunja ndipo anabweretsa mkati. Kupanga gulu pang'ono amakwiya mwadzidzidzi lakuthwa ululu mu ntchafu olowa. Thandizo ntchito akusowa.

Pamene zoopsa diaphysis ndi m'mphepete proximal ikusonyezedwa mapindikidwe, kutupa. Ncafu wovulala ndi kusamutsidwa akhoza yodziwika ndi kuyenda pathological makombo fupa. ankaona magazi ochuluka mu minofu zofewa wina matendawo ndi aakulu a kuyan'anila fupa okhulupirika. Fractures cha gawo lililonse ali limodzi ndi ntchito Kuthandiza ya nthambi m'munsi.

Kugwiritsa Ntchito zovuta munthu matenda deta matenda limachititsa molondola kwambiri kudziwa fupa kukhulupirika kuphwanya. Waukulu malangizo njira kuphunzira ndi radiographs. Pa nthawi yomweyo, kutenga nkhani za chitukuko cha achipatala, ntchito yopangidwa tomography ku matenda amalola molondola pazipita kuwulula zovuta ndi mmene kuwonongeka.

Ncafu wovulala. chithandizo

Today yaikulu achire njira ndi opaleshoni. Izo umalimbana kuchira wodwalayo posachedwapa.

Pakuti fractures a khosi femoral ambiri amangoti ntchito m'chiuno m'malo. Panthawi yake watsala kuteteza kwambiri, mofulumira osauka zosokonezeka.

Pamene zoipa za dera trochanteric, kawirikawiri ntchito metallosteosintez. Kugwiritsa kapangidwe wapadera chimathandiza kukonza zidutswa fupa, kupereka, motero, maphatikizidwe awo (kuphatikiza).

Pamene thupi fractures (diaphysis) a ntchito kusankha njira zimatengera mtundu wa kuwonongeka. Payekha kumatanthauza ntchito intraosseous ndi njira mbale fixation.

Tikumbukenso kuti ntchito yaikulu ya zoopsa pa nthawi yomweyo - kugwiritsa ntchito njira opaleshoni ya mankhwala kukwaniritsa zolondola kwambiri zidutswa ofananira fupa ndi ayambe galimoto ntchito ya nthambi.