Ukuphuka kwe-hip

Ingxenye ende kunazo zonke kanye namakhulu kunazo zonke amasosha omuntu yi- femur. Ihluke emigcekeni yemvelo, ngakho-ke inokuma okunjenge-saber. Zombili iziphetho zesigaba zibandakanya ekubunjweni kwamalungu amakhulu - i-hip namadolo.

Inqenqema engenhla (proximal) iboniswa yinhloko yethambo. E- acetabulum yamapulangwe, ukujikeleza kwalo kwenzeka.

I-loweral (distal) bone margin iboniswe njengama-condyles amabili ahlanganiswe ne-hyaline cartilage. Bamba iqhaza ekusungulweni kwamadolo.

Kule lonke ubude bethambo, ama-capsule-tendon formations kanye nemisipha ehlukahlukene ifakwe.

Ukuphuka kwe-hip kungenzeka kunoma iyiphi ingxenye yesigaba. Ngemuva kokufinyelela eminyakeni ethile (ngokuvamile impesheni), ukulimala komnyango ophezulu (ngaphezulu) kunamathuba amaningi. Lokhu kungenxa yokuwohloka kwe-trophism (okunomsoco) wezicubu zethambo zalesi sayithi.

Ukuhlukunyezwa kwe-femur kungase kube yinqamuzana, ishintshwe, iguquke, i-oblique, i-multi-lobed, ivunguza.

Kuye ngendawo, ukwephulwa kobuqotho bethambo kwekhanda noma intamo kuvelele. Ukuphuka kwe-hip kungaba futhi kukhulu. Ukuhlukumezeka okunjalo, njengomthetho, kubonakala kubantu asebekhulile.

Ukuqhekeka kwe-femur ku-diaphysis (umzimba) nokuphela kwe-distal (i-condyles) kwenzeka ngenxa yokwanda kwama-kinetic, okuqondiswa kunoma yiliphi lamasayithi.

Izimpawu zokuphazamiseka kwamathambo zixhomeke ezingeni lomonakalo. Ukulimala kwe-margin esiphezulu (ngenhla) kuhambisane nokuchithwa kwesifunda esifundeni se-hip, i-edema. Kulesi simo, umlenze ophansi, njengombuso, uphenduka ngaphandle bese ungeniswa ngaphakathi. Ukwenza ukunyakaza okuncane kususa ubuhlungu obungazelelwe ngokungazelelwe ekuhlanganyeleni kwe-hip. Umsebenzi wokubhekisela awukho.

Uma kulimazwa umkhawulo owedlula kanye ne-diaphysis, ukuguqulwa nokukhukhumeza kubonakala. Ukuqhekeka kwe-femur nge-displacement kungase kubonwe ukuhamba okungavamile kweziqephu. Enye yezinkinga ezinkulu zokwephulwa kwamathambo yi-hemorrhage eyingozi emathanjeni athambile. Ama-fractures kwanoma iyiphi ingxenye ahambisana nokunqotshwa komsebenzi osekelayo wesigungu esingaphansi.

Ukusetshenziswa kweyinkimbinkimbi yedatha yemitholampilo kanye neyokuhlonza kwenza kube lula ukucacisa ngokunembile ukwephula ubuqotho bethambo. Indlela eyinhloko yokudlala ekutadisheni i-radiography. Ngesikhathi esifanayo, ngokucabangela ukuthuthukiswa kobuchwepheshe bezokwelapha, ukusebenzisa i-computed tomography ekuxilongweni kwenza kube lula ukukhomba ubunzima kanye nezinga lokulimala ngokunemba okukhulu.

Ukuphuka kwe-hip. Ukwelapha

Namuhla, indlela yokwelapha eyinhloko ukuhlinzwa. Inhloso yokubuyisela isiguli ngokushesha ngangokunokwenzeka.

Ezimweni ze-hip fractures , i-endoprosthetics isetshenziswa kaningi. Ukungenelela okwesikhashana kuvumela ukuvimbela izinkinga ezinkulu, ezikhulayo ngokushesha.

Uma udabukisa isifunda esinqamule, njengombuso, i-metallosteosynthesis isetshenziswa. Ukusetshenziswa kokwakha okhethekile kuvumela ukulungisa izingcezu zethambo, ngaleyo ndlela kuqinisekiswe ukuhlanganiswa kwazo (ukuhlanganiswa).

Ngemizimba yomzimba (i-diaphysis), ukukhetha indlela yokusebenza kuxhomeke kuhlobo lokulimala. Ngamunye, ukusetshenziswa kwe-intraosseous and hepatic fixation kunqunywa.

Kumele kuqashelwe ukuthi umsebenzi oyinhloko we-traumatologist ukusebenzisa indlela yokuhlinza yokwelashwa ukuze kufezeke ukulingana okunembile kakhulu kwezingcezu zethambo futhi kubuyisele umsebenzi wezitho zomzimba.