Pseudarthrosis i muri i whati. tahi huha teka

wheua whakaora i muri i te whatinga puta tika ki te hanganga o "callus" - wewete kiko āhua kore e hono wahi o te wheua whati, ka āwhina ki te whakahoki tona tapatahi. Otiia e kore e he tonu rere pai hononga. tupu te reira e kore i whakaora i te whatiwhatinga, te pa taha wheua, ki te te wā tīmata ki te tiki whenua, ka u, ka mānia ki waho, hua i roto i te hanganga o te tahi teka (pseudarthrosis). I roto i ētahi wā, kia meinga te apa wheua ngohe i runga i te mata o te whatiwhatinga me te ahua o te nui iti o te wai tahi. I roto i te mahi haumanu, te tino auau tahi teka o te pūkaka me tibia.

Āhuatanga māuiuitanga

te tikanga whiwhi Pseudarthrosis i roto i wā onge, congenital ranei. Kei te riro te reira e hanga e tenei raruraru congenital te rite ki te hua o maumaui o hanganga wheua i roto i te utero. Pseudarthrosis te tikanga paetata ki te waewae o raro, a ka tautuhi i tenei māuiuitanga i te wa, ka tīmata te tamaiti ki te tango i ona kaupae tuatahi. Ko reira ano hoki he pseudarthrosis congenital o te āhei. Ko te tino onge kitea he malformation. Heoi, e taea te whiwhi reira, i te mea tino uaua ki te kia tukinotia.

He te riro pseudarthrosis i muri whati, tupu tahi nga wheua tika. Tino maha tupu te reira i muri i te pū a injuries tuwhera ranei. I te tahi taime tona ahua e tika ana ki etahi wawaotanga hāparapara i runga i wheua.

Ko te take mo te hanganga o te pseudarthrosis

Ko te whanaketanga o te māuiuitanga e pā ana ki te rangirua o te tukanga whakaora noa i muri wheua whati puta. take noa o mate mate mata i roto i nei i reira ko te hara o te whanautanga houtanga reparative o wheua, me te pākia:

• kōiwi;
• wharanga maha;
• hapūtanga;
• endocrinopathy;
• haurangi;
• cachexia puku.

Bone whatiwhatinga kore te nuinga e tupu tahi rite ki te hua o take rohe:

• takahi o te supply toto o wheua whatiwhatinga;
• tūkino ki te kiriuhi wheua i roto i te pokanga;
• metalosteosynthesis tauhohe tinana, makanga o whao me mau api;
• whati wheua ki whatiwhatinga maha;
• te fariiraa i hormones pūtaiaki, anticoagulants;
• i muri i te ruarua e fakafekau'aki whatiwhatinga pokanga ki ia atu;
• te takanga o te tawhiti nui i waenganui i ngā wāhanga o te wheua rite ki te hua o te pamu kaha;
• lesion hopuhopu i hua i te hanganga o te suppuration o te whati;
• osteoporosis;
• i kore muri e alangá mo immobility roa;
• kino kiri tahi i te wāhi koki - irradiation, weranga.

Huringa e puta i roto i nga waewae e tika ana ki te hanganga o taua māuiuitanga rite te tahi teka i roto i te hawhe o te wā katoa whai wāhi ki te tika hauātanga tamau, me te kino.

hanganga o te pseudarthrosis

A, no te haamata i te reira ki te hanga i te tahi teka, nga whatiwhatinga wheua i hanga e te āputa ki tonu i te kiko tūhonohono, me te kati pereti wheua te teihana. Ko te rerekētanga matua i waenganui i nonunion o te hononga puhoi o nga wheua tenei.

Ka rite ki tīmata te mate ki te ahunga whakamua whakanuia ana te nekeneke i roto i te "tahi." Ko te hanganga o te papa tahi angamaheni i nga pito o te whatiwhatinga wheua, kahui ki ia atu. Ka rite ki i hanga e ratou i te wheua ngohe articular. Whakarerekētia kiko kaiota e karapoti ana i te "tahi" i hanga "capsule", e puta wai synovial.

tohu mate

He tino motuhake tohu o nonunion, me te tākuta e taea ki te hanga i te tātaritanga tuatahi e hāngai ana anake i runga i a ratou, i muri i nei e whakapumautia ia e X-ray image.

• nekeneke pathological i roto i te wahi o te wheua, te wahi reira te tikanga e kore e puta. I tua atu, kia whakapiki ake i te reira i te kaha tīwera, me te ahunga o te kaupapa i roto i te tahi pono, i te mea e taea i roto i te tangata hauora. he āhua pērā whakaoho te tahi hip teka.
• nekeneke pathological i roto i te parae e taea e papaki ana kite, engari i ētahi wā kawea atu i roto i rererangi katoa. I roto i te mahi hauora i reira he take ka koané te alangá i wahi pseudoarthrosis i roto i 360 nga nekehanga.
• shortening alangá. Whakatika ki te tekau henimita atu ranei.
• Atrophy o nga uaua waewae.
• ofatiraa kaha o te alangá mahi. Hei nuku whakamahi te manawanui tootoo me ētahi atu pūrere orthopedic.
• Na roto i te whakawhirinaki i runga i te waewae ki reira, he mamae i roto i te rohe o te pseudarthrosis.

Ko reira he wā ina e iti nga tohu mate ranei kia ara kia ngaro i roto i te hanganga o te hononga teka i roto i tetahi o nga wheua dvuhkostnogo wāhanga. Tenei tupu ki te te pāngia tetahi o nga wheua e rua e hanga te waewae o raro kikowhiti ranei.

Whati o te kaki femoral ko te ati o te whara, rawa, ki te reira ko te kaumātua. He nui ake whakaraerae ki taua whati, e pā nei te ki te takanga o te osteoporosis i roto i menopause Women. Osteoporosis whakaiti wheua kiato, me whakawhanake i reira e tika ana ki ngā rerekētanga hormonal i roto i menopause.

tātaringa

Hei whakaū i te tātaritanga te whakamahi i te tikanga X-ray. Pseudoarthrosis radiographically kitea i roto i ara e rua:

• pseudarthrosis Hypertrophic - te reira tino nohopuku me te ururua hoki o te wheua kikokiko i roto i te rohe o te whatinga ki supply toto noa. I x-ray, ka taea e kite koe i te hua nui i roto i te tawhiti i waenganui i nga pito o te whatiwhatinga wheua.
• Atrophic - puta takanga pseudoarthrosis ka reira he iti kahore supply toto ranei. I te X-ray e taea e te titiro pai ki te taha o te mārama rohe o whatiwhatinga puritia e kiko tūhonohono, engari ehara i te mea kaha rawa ki te immobilize te pae o te hanganga pathological.

maimoatanga

Ki te hanga e te maimoatanga tahi teka te kawea reira i roto i anake ki te awhina o pokanga. Ki te pseudarthrosis hypertrophic immobilize whatiwhatinga whakamahi osteosynthesis whakarewa i roto i ngā ki täpiritanga o wheua kiko. I muri iho, mo te rave rahi wiki, i reira te mea he mineralization oti o te apa wheua ngohe me tīmata te wheua ki coalesce. I roto i te pseudarthrosis atrophic tango wahi o nga whatiwhatinga wheua e kua aukati te supply toto. Na wāhanga wheua hono ki tetahi ki tetahi, tino whakakore ratou nekeneke.

I muri i te pokanga ki te whakahoki uaua oro, nekeneke tata ki te hononga, me te whakapai ake i supply toto ki te whakahau mirimiri, mahi therapy, i tua.

mutunga

Ko te kupu, kōrero matou aha he tahi teka, nga tohu o tenei mate, me te te whakaaro hoki tona maimoatanga. Ki te reira ko tetahi fifi, me aru tūtohutanga katoa o te taote, me te kore ki te neke i te e alangá whara rite te roa rite taea, kia e tauta tika nga wheua. Kore e taea e pseudarthrosis meinga pōauautanga kino.