Pseudarthrosis emva zaphuka. hip False joint

ukuphiliswa bone emva ezinjengokwaphuka kwenzeka ngenxa ukuyilwa "callus" - inyama evakalala shapeless esithungelanayo yinxalenye aphuke ithambo, yaye inceda ukubuyisela ingqibelelo yayo. Kodwa fusion akusoloko ihamba kakuhle. Kuyenzeka ukuba ngamaqhekeza ukumphilisa, imiphetho bone echukumisayo, kunye ukuqala ixesha ukufumana emhlabeni, sanded kwaye egudise, ebangela ukuba kusekwe kwe sentlanganisela lobuxoki (pseudarthrosis). Kwezinye iimeko, luwuphuphumise umaleko intlala kumphezulu amaqhekeza kunye ukubonakala imali encinci ulwelo ngokudibeneyo. Ukuziqhelisa lwezonyango, joint osetyenziswe lobuxoki yifemur kunye lesiquluba.

Iimpawu zokugula

Pseudarthrosis ngokuqhelekileyo ezifunyenwe okanye kwiimeko ezinqabileyo, bekhubazekile. Kuthathwa ukuba kugula naso senziwa ngenxa kwephulwa ukuyilwa wethambo Esibelekweni. Pseudarthrosis ngokuqhelekileyo yenzelwe ukuba umzantsi womlenze, uze uchonge le kwegazi ngexesha xa umntwana eqalisa ukuba athathe amanyathelo yayo yokuqala. Kananjalo pseudarthrosis naso le clavicle. Kufumaneke malformation kunqabile kakhulu. Noko ke, oko emazifunwe leyo kunzima kakhulu ukuba baphathwe ngayo.

Kukho yaziwa pseudarthrosis emva ngokwaphulwa, amathambo kukhule ndawonye ngokufanelekileyo. Kaninzi kwenzeka emva kokudutyulwa okanye ukulimala ezivulekileyo. Maxa wambi imbonakalo yakhe ngenxa ezithile zongenelelo zotyando emathanjeni.

Izizathu ukuze kwakhiwe pseudarthrosis

Uphuhliso ngezifo ezinxulumene ukuphazamiseka kwenkqubo yesiqhelo impiliso emva ithambo evela. izinto eziqhelekileyo izifo yokugula abakhokelayo apho kukho ulwaphulo-mthetho ngokutsha reparative amathambo umzimba:

• yamathambo;
• elimele;
• nokukhulelwa;
• endocrinopathy;
• ukunxila;
• ithumba cachexia.

iziqwenga Bone ngokuqhelekileyo musa kukhule ndawonye ngenxa yezizathu zobulali:

• ephula igazi amaqhekeza bone;
• umonakalo periosteum ngexesha utyando;
• umzimba metalosteosynthesis reaction, bazishiya iinzipho kunye namacwecwe;
• ithambo ngamaqhekeza ezininzi;
• abafumana iihomoni steroid, anticoagulants;
• emva iziqwenga utyando zingqamene kakubi omnye nomnye;
• ukwenzeka umgama omkhulu phakathi kweengxenye ithambo ngenxa yokuba imoto olunamandla;
• sisilonda esidumbileyoesingaphakathi eziye neziphumo ukuyilwa kwento suppuration ye ezinjengokwaphuka;
• kwamathambo;
• omzimba nokungakwazi zange kube kudala;
• umonakalo isikhumba ehamba zaguquka - zokukhanya, ukutsha.

Iinguqu ezenzeka imilenze ngenxa ekumisweni ngezifo ezifana sentlanganisela nkohliso isiqingatha zonke iimeko negalelo kumalungelo yokukhubazeka zokunyanzelisa kakhulu.

ekumisweni pseudarthrosis

Xa uqalisa ukwakha edibeneyo lobuxoki, amaqhekeza ithambo akhiwa umsantsa izele kwizicwili kunye nepleyiti bone livale ijelo. Nguwo lo ke umahluko ophambili phakathi nonunion ye ezo olucothayo emathanjeni.

Njengoko esi sifo eqalisa inkqubela kwandisa ukuhamba ngendlela "ngokuhlangeneyo." Ukuqulunqwa kwe iindawo ezithile ngokuhlanganyela iziphelo amaqhekeza bone, ezikhwela omnye komnye. Njengoko Bakha intlala articular. Kulungiswe inyama ezinezikhondo ezingqonge 'njengeendlalifa' ukusekwa "philisi", nto leyo eyenzeka ulwelo synovia.

zesifo sifo

Iimpawu nonunion abasakwazi ezithile, yaye ugqirha iyakwazi ukwenza uxilongo lokuqala esekelwe kuphela phezu kwabo, emva koko ingqinwa umfanekiso X-ray.

• ukushukumiseka yezifo kwindawo ithambo, apho ngokuqhelekileyo oko akwenzeki. Ukongeza, oku kunokwandisa awo kunye kwicala intshukumo kwi joint yokwenene, akunakwenzeka emntwini esempilweni. Loo urhulumente evusa isinqe joint lobuxoki.
• ukushukumiseka yezifo endle kunokuba nzima kangako, kodwa ngamanye amaxesha yenziwe kuzo zonke iinqwelomoya. Xa yezonyango kukho iimeko xa omzimba kwindawo pseudoarthrosis ajikeleziswe ngokusebenzisa degrees 360.
• Lomzimba kokunciphisa. Ukuya kutsho iisentimitha ezilishumi okanye ngaphezulu.
• Yoma kwemisipha umlenze.
• iphula Strong of kwemilenze. Ukuhambisa isigulane usebenzisa iintonga, kunye nezinye izixhobo wamathambo.
• Ngokuthembela unyawo kukho intlungu kummandla pseudarthrosis.

Kodwa kukho amaxesha xa iimpawu zesifo mincinci okanye nokuba ndingekhoyo ukuyilwa sentlanganisela lobuxoki enye amathambo dvuhkostnogo ingxenye. Oku kuyenzeka ukuba elinye mathambo ezimbini eyenza asezantsi umlenze okanye yengalo abachaphazelekayo.

Ukwaphuka i intamo femoral ingozi yokulimala, ingakumbi xa kukho abadala. Abasetyhini basemngciphekweni kakhulu zaphuka ezinjalo, nto leyo ehambisana lubandakanywe kwamathambo ngexesha ukuya exesheni. Kwamathambo kunciphisa kwamathambo, kwaye yenzeka ngenxa utshintsho hormone ngexesha ukuya exesheni.

ekuxilongweni

Ukuze uqinisekise uxilongo usebenzisa indlela X-ray. Pseudoarthrosis kubonakala radiographically ngeendlela ezimbini:

• pseudarthrosis Hypertrophic - oko ngokukhawuleza kakhulu kwaye imithana esiqwini wethambo kwingingqi ezinjengokwaphuka kunye igazi yesiqhelo. On x-reyi, ungabona ukunyuka okubonakalayo umgama phakathi iziphelo amaqhekeza ithambo.
• Atrophic - ukwenzeka pseudoarthrosis kwenzeka xa kukho ayanelanga okanye akukho unikezelo gazi. Kwi-X-ray inokuba bazijongisise kungqameko imida ecacileyo ngamaqhekeza ezigcinwe kwizicwili, kodwa akukho womelele kakhulu ukuze yenze kwisiza ukwakhiwa yezifo.

unyango

Ukuba kwakhiwa unyango lobuxoki joint kuliwa kuphela ngoncedo zotyando. Nge pseudarthrosis hypertrophic yenze amaqhekeza usebenzisa osteosynthesis metal zidityaniswe kunye no- ithambo kwithishyu. Emva koko, ngokuba iiveki eziliqela, kukho amatshe epheleleyo umaleko intlala kunye ithambo iqala coalesce. Xa pseudarthrosis atrophic ukususa iinxalenye amaqhekeza aseleyo bone ukuba baphazamise ubonelelo igazi. Ke iindawo bone elidityaniswe omnye komnye, ukuphelisa ngokupheleleyo ukuhamba kwazo.

Emva kotyando ukubuyisela kwezihlunu, ukushukumiseka kufutshane amalungu nokuphucula ubonelelo igazi ukumisela umyalezo, umzimba, ukuyifundisa.

isiphelo

Ngenxa yoko, siye saxubusha oko joint ubuxoki, iimpawu zesi sifo yaye ngonyango kananjalo ingqalelo. Ukuba kukho ingxaki, zonke iingcebiso ugqirha kufuneka ilandelwe kwaye ukuhambisa lomzimba walimala elide kangangoko kunokwenzeka, ukuze amathambo ezinyibilikiswe ngokufanelekileyo. Kungenjalo pseudarthrosis kungabangela iingxaki kakhulu.