Intamo Femoral - indawo sengozini ilungu elithile lomzimba wethu

Uma umuntu ongene ngobugebengu entanyeni femoral, yonke inqubo yokutakula kuzothatha nesineke nethimba lakhe isikhathi esiningi kanye nokugcinwa ngokucophelela. Isiguli yena nomkhaya wakhe kufanele bazazi zonke semfene bokuphila yokwakheka, elibangela umonakalo ngokuhlanganyela hip.

Kuyadabukisa, kodwa cishe 90% of amathambo waphuka kwasebekhulile, intamo nje ngobugebengu. Iningi labo abangenwa yilo - abesifazane oneminyaka engaphezu kwengu-55. Hip ukwa, nokuvuselelwa ngemva edinga isikhathi eside futhi eziningi umzamo phakathi izinhlobo ezahlukene waphuka mkhulu kunezinhliziyo 6%. Lokhu ukulimala kuzodinga esiqinile embhedeni ukuphumula kanye nokwelashwa, okungathatha ezinyangeni ezimbalwa. A intsamo femoral kungaholela ekufeni. Ngakho, ngokwale ndlela ezinye imibiko, phakathi wathola ukwa anjalo angaphezu kwangu-20% (ngokuvumelana neminye imithombo ezingaphezu kuka-40%) abantu befa.

Imbangela ababaluleke kakhulu kulo msebenzi ukwa Uyi ukuwa ezinhlotsheni ezihlukahlukene indawo emzimbeni lapho ngokuhlanganyela hip (ohlangothini). Kungani-ke kalula ngakho intsamo femoral? Isizathu esiyinhloko kusilela eside ekudleni-calcium womuntu nezinye izakhi nezithako ezisetshenziswa umzimba womuntu ngenxa Ukuvuselela okuqhubekayo cartilage bone izicubu. Lezi izindwangu kukhona uhlobo Ibhethri elishajekayo calcium ne namanye amaminerali ukuthi abanike amandla. Ukukhishwa kusukela ekudleni inyama kanye bone umhluzi, ukwehluleka imikhiqizo yobisi kuholela nokushoda yokwanda kokungabi calcium ithambo izicubu. Lokhu kwandisa fragility zabo, okwagcina iphela kwamathambo.

Hip iphula phakathi kwabesifazane kaningi ngoba kukhona ukulahleka okukhulu kwe-calcium phakathi nokukhulelwa kanye lactation. Ngaphezu kwalokho, endocrine ukulungiswa okwenzeka abesifazane ngesikhathi menopause ukukhuthaza leaching-calcium ethanjeni.

Ngo nokwakheka kwayo entanyeni femoral kuyinto ngokuhlanganyela elula. Kunawo wonke has a ukwakheka lateral ngokwengxenye layo elingenhla sifana isibambo kamoba. It iphela ekwakhekeni Nenkabazwe bushelelezi convex, othiwa ikhanda ngokuhlanganyela. Lokhu Nenkabazwe ngumuntu okwaziyo eduze in the angafundwa ikhefu hemispherical esisogwini nethambo lenqulu (acetabulum). uxhumano uqweqwe ezithathekayo phakathi kwabo kuqinisekiswa iqembu tendinous ukulele efana welulela bands zenjoloba. umsipha ezincane kanye okwakheke zezinzwa okokuhlaba emhlabeni egobolondweni lelunga kukhona ayo okuphetha ngokuhambisa ebusweni uqwanga egcwele uketshezi lwamalunga. Ngaphakathi capsule, enhliziyweni joint esihlokweni kunawo wonke enkothweni hip zihlanganisa kweqembu ebandakanya imithambo yegazi kanye emizweni uqinisa amathambo namalunga.

Hip waphuka kuyingozi ngoba emalungeni ngesikhathi ukunyakaza kwenzeka ukulimala izinsalela ka kwezicubu ezizungezile, okungaholela ukuthuthukiswa necrosis avascular. Ezimweni ezinjalo adinga esikhundleni hip - ekumiseni ngokuhlanganyela yokufakelwa eyenziwe polymers noma izinsimbi ezingenziwanga aliwa umzimba bese uvumele izinsuku ezimbalwa ukuba uthuthele ukunyakaza asebenzayo elinganiselwe.

Lapho waphuka yangaphandle (vnekapsulnyh) zingaba osteosynthesis - ukulungisa ipuleti ukwa noma iphini metal. Ukuvuselelwa emva ukwa hip kuleli cala futhi iqala ekuqaleni, njengoba obezdvizhevaniya nesineke eside sinciphile ingozi izinkinga. Kwezinye izimo ezilula, odokotela anqunyelwe immobilization kanye traction ku nemilenze aphansi. Lezi ziguli zidinga nokunwetshiwe embhedeni ukuphumula nokunakekela ngokucophelela, njengoba kuqhubeka isikhathi eside embhedeni ukuphumula kungaholela ingcindezi izilonda, ukuqunjelwa, inyumoniya futhi thrombosis hypodynamic emithanjeni ezinkulu kunawo wonke futhi tibia. Konke lokhu yezinkinga zidinga ukwelashwa eside futhi ayabiza, ngakho ukuphathwa efanele iziguli okunje kubalulekile.