Wovulala mwendo m'munsi ndi mawondo.

drumstick la munthu lili ndi mafupa awiri - ndi tibia ndi fibula. Tibia lalikulu, ndipo chimachititsa zambiri za kulemera pa yaikulu. Fibula woonda, zaikidwa bondo ndi mawondo mafupa.

kumwendo The mukhoza kutengedwa ngati chipika a. Choncho, kuyenda mu likhoza kukhala mu ndege imodzi - unakhota ndi kuwongoka. Olowa yokha tichipeza onse a tibia (amkati ndi kunja bondo) - gawo yoikika olowa ndi talus - kusuntha mbali.

Chifukwa cha ngozi zapamsewu, gunshot mabala, kuvulala masewera ndi chiwerengero cha mavuto ena amapezeka wovulala ndi tibia kwayekha kapena pamodzi ndi m'miyendo zikukhudza. Nthawi zina Shin yopuma fupa makamaka ngati pali kufunika kutalika miyendo. Popeza fupa atavalanso zoteteza zili mbali ya malo pa malekezero onse, ndi fractures mu malo awa akhoza kukhala periarticular ndi intraarticular. Ngozi za pamsewu, mathero ndi tibia zikukhudza, chovuta kwambiri ndi njinga yamoto ngozi. Njinga yamoto pambuyo ngozi nthawi zina kumawakoka munthu imagwera pa mwendo wake ndi amayikanikiza izo, zotsatira zina, kuwonjezera pa fupa lothyoka la, aphwanya choipa kwa minofu zofewa ndi matenda. Ndi mapeto a zonse mulole zomvetsa chisoni kwambiri - akufotokozera chilonda, munthuyo akhoza kufa.

Tibial wovulala, kulandira kuwawa katundu pa zoopsa, ali kwenikweni limodzi ndi fibula zikukhudza. Koma fibula akhoza kuswa ndi unaccompanied.

The kuwonongeka waukulu diaphyseal mafupa tibial kubwera ku mitundu angapo: yopingasa, oblique, helical, comminuted. Ngati wovulala tibia otsekedwa, ndi chizindikiro cha edema kukula mofulumira, nthenda zoyendayenda, kusamuka kwa makombo ndi crepitus (crunching), kupweteka m'munsi mwendo kupsyinjika, mkhutu nthambi ntchito. Izi zikhoza kukhala limodzi ndi mantha zopweteka ndi imfa ya chikumbumtima. Kuwonongeka kwa mitsempha pafupi zingachititse kuphwanya innervation phazi, zomwe zina zinadzala kulephera kuyenda phazi ndi kusintha kwa gait.

Mafupa mu wamng'ono kwambiri wandiweyani ndi olimba. Choncho, achinyamata kugawanika fractures. Makasitomala, patatha zaka 51 mafupa kukhala zosalimba, nchifukwa chake pa m'badwo uno nthawi zambiri maganizo fractures. Wovulala ndi tibia mu malo nthaŵi zonse ndi kuwononga zida za mitsempha. Kuchita zimenezi zingayambitse kusamutsidwa wa zidutswa kuonongeka fupa. Kuwonongeka kwa malo akhoza kudzabadwira contracture amene ali ovuta kokwanira kumenyana mu nthawi ya mankhwala ndi konzanso.

Gunshot wovulala tibia pa nthawi zambiri limodzi ndi mantha ndi amataya magazi. kuwonongeka otere kobvuta ndi suppuration, motero liwiro la kuphatikiza kapena mwambo nonunion fupa, zimenezi zingawachititse osteomyelitis. Pankhaniyi m'pofunika ntchito mobwerezabwereza anavulala nthambi.

kumwendo wovulala kumachitika kawirikawiri zokwanira. Iye ali ovuta kuchiza, chifukwa cha zimene nthawi zina amakhala ndi chifukwa cha kulumala.

Ndi choipa ichi, ngati zizindikiro wosweka kumwendo ndi: kutupa kwambiri, chilema ndi kuyenda anzake a kuphwanya, ndi kulephera kuima pa mwendo, ululu wamphamvu.

Chachikulu matenda njira pamwambapa anafotokoza X-ray kuwonongeka ali zolosera awiri kapena yopangidwa tomography. Yaitali mankhwala ayenera kuchitidwa mu zipatala apadera akatswiri - traumatology. Konzanso nthawi angayambe kwa miyezi ingapo kapena zambiri.