Ukwa Consolidated: ukuthi kuyini, ukwelashwa, imiphumela

Kuyini ophukayo elihlanganisiwe? Yilokhu sizokutshela esihlokweni okuxoxwa ngayo. Uyofunda mayelana nendlela ukuphulukiswa waphuka, kungani yokutakula nangesineke kungase ukubambezela nokuthi ukwelapha ukulimala.

Okufingqiwe

ukwa Consolidated - kokutshelwa ngokukhubazeka kwengane ubeka eziningi olimale. Kodwa akubona bonke iziguli ukwazi ukuthi lokho okushiwo yile umusho.

Ukubona umusho ongaziwa ezifana encwadini yakhe yezokwelapha, iningi labantu liyashesha bedidekile ngokuphelele. Ngokuvamile leli gama lihlotshaniswa iyiphi zokugula sina. Nokho, ukwa elihlanganisiwe kuyinto bakhathazeke ngalutho.

Kuyini ophukayo?

Udokotela ohlinzayo, traumatologist - labo ochwepheshe ukuthi atholakala abantu abane amathambo aphukile.

Ukwa - kuphazamisa ngokwengxenye noma ngokuphelele ubuqotho ithambo izicubu esiqubukile ngaphansi komthwalo, izikhathi eziningana ephakeme ukwedlula amandla wesabelo eyayonakele skeleton. Lesi simo sokugembula ezingase ziphakame hhayi kuphela ngenxa yokulimala, kodwa futhi ngenxa ezihlukahlukene nezifo ukuthi ahambisana izinguquko eziphawulekayo izakhiwo amandla wethambo.

Waphenduka wabheka la mahhala noma zikhokhelwe egunjini labadinga usizo oluphuthumayo, isiguli ngenxa yokulimala zisuka kokuthola ukwelashwa. It kuncike ngezinga elithile ngobucayi ukwa, okuyinto yena, kungenxa ubukhulu amathambo aphukile, kanye nenombolo yabo.

Kufanele kuqashelwe ukuthi waphuka multiple of amathambo eside (elikhulu) ngokuvamile iholela ukushaqeka kuhlasimulise kanye nokuthuthukiswa ezinzima ukopha. Nokho, isikhathi ukukhokha ngendlela mahhala noma zikhokhelwe egunjini labadinga usizo oluphuthumayo, lezi pathologies kungagwenywa. By endleleni, emva seziguli ezithola ukulimala enjalo alulame kancane kakhulu. isikhathi sabo yokutakula kungathatha izinyanga eziningana.

ukwa Consolidated - kuyini?

Igama elithi "ukuhlanganisa" livela Latin. Siqukethe amaqoqo amabili, okuyinto elihunyushwe ngokuthi "ndawonye" futhi 'amqinise'. Ngamanye amazwi, ukuhlanganiswa kusho inyunyana, ukuqiniswa, ukuhlanganiswa noma ukuhlanganiswa lutho.

Ngakho ukuthi - waqinisa ukwa? Ochwepheshe bathi lokhu kuyinto yigama lezokwelapha ukuthi lisho kakade tho ne callus kumiswa ukwa.

Fusion okuphelele futhi ephelele skeleton abalimele kulezi zimo ezilandelayo:

• nge nenkanuko edlulele ezinhle amathambo ngobugebengu;
• ngenombolo ehambisana okugcwele esiphelele izinsalela;
• lapho ubuyisela kwegazi endaweni umonakalo bone;
• lapho ubuyisela noma nokugcina innervation ezonini umonakalo ithambo izicubu.

Fusion yesibili

ukuphulukiswa yesibili waphuka ukwakha callus cartilaginous kwenzeka uma:

• Akuphelele ofanayo izingcezu izinsalela;
• ukwa nenkanuko edlulele ezimbi;
• ukuhamba eyisihlobo izinsalela;
• immobilization kwesikhathi;
• kahle kwegazi futhi izinzwa supply ezonini ukwa.

Kunganjani ukwa aphulukise?

Udokotela ohlinzayo, traumatologist - lezi zazi ungakwazi ukuphendula umbuzo othi kungani, kwezinye izimo, amathambo aphukile kungukuthi tho. Ngokusho imibono yabo, into enjalo kunezimbangela eziningi. Sethula manje:

• ukwephulwa ithambo immobilizing (yonakele) kanye displacement izakhi zawo maqondana nomunye;
• aliphelele noma alilungile ukuqhathanisa izinsalela;
• ukwephulwa of innervation endaweni ye ukwa kanye lendawo kwegazi.

Trauma eshiya ikhaya kuphela ezimweni ezimbi kakhulu. Kubalulekile kakhulu ukuthi uchwepheshe ukuba akwazi ukufunda nokubhala. Phela, lona wayelimele kakhulu ekhanda sina kufanele kuhlanganiswe ngakho ezilimele ithambo izicubu kwenzeka ukuhlanganiswa yabo ngokugcwele. Nokho, kufanele kuphawulwe ukuthi Fusion enjalo akancikile kuphela ikhono udokotela. Ngempela, le nqubo ukuvuselelwa kumele zifakwe nazo zonke zamatshe ithambo izicubu (isib endoost, periosteum neziteshi Haversian).

Asinakusho ukuthi, kanye izinqubo zemvelo bokuphila wokubuyisela ubuqotho skeleton futhi kwenzeka resorption of hematoma ukucindezeleka kwangemva kwenhlekelele. Phela, lo callus ngesikhathi ukuvuselelwa has ngesimo ukuqina encane othini lokuphotha emise.

Phakathi ukwakheka zamatshe callus

Ahlanganisiwe izimbambo Waphuka nezinye izingxenye skeleton - into lalivamile. Kumiswa Uhlelo lokutakula ithambo callus.

Lokhu ukuvuselelwa senzeka ngezigaba ezintathu:

• ukuthuthukiswa ukuvuvukala (aseptic) kusayithi ukwa;
• ithambo inqubo kumiswa;
• kabusha callus.

Ngakho, ngo-isayithi yokulimala e abantu, kukhona ukwanda okukhulu lamaseli emiseleni Haversian futhi endoosta kanye ezicutshini futhi periosteum. Le nqubo kuholela yokuthi ithambo kwakhiwa callus kusayithi ukwa. Siqukethe izingqimba ezine:

• paraossalny;
• intermediarny;
• periosteal;
• endosteal.

Ngemuva kwezinsuku 5-6 of ngqo ukulimala isici phakathi kwezingcezu ithambo iqala ukugcwalisa fibroblasts, osteoblast amaseli nezitsha ezincane, okuyinto ukwakha izicubu osteoid.

Kufanele kuqashelwe ukuthi ukuma 3 callus ukwakheka esiteji. Lezi zihlanganisa:

• fibrotic;
• uqwanga;
• ithambo.

kwakhiwa callus isikhathi esingakanani is?

Kumiswa callus - inqubo kunalokho eside. Isikhathi lasungulwa yilezi:

1. Eyisisekelo (ihlala amasonto 4-5).
2. Okwesibili (emva amasonto 5-6).

Kufanele kuqashelwe ukuthi le callus kusayithi ukwa kukhonjelwe kabusha iminyaka eminingi. Lokhu kungenxa yokuthi i-osteoblasts usuke ethuthukisa resorption kuzo zonke izinsalela, babutha izingcezwana eziyizinsalela imfucumfucu, kanye ukuqeda kumiswa ngokweqile callus impahla.

Endabeni ukuhlukumezeka, kubangelwa ekhaya, kanye isiguli ngokwakhe wadala zonke izimo Fusion kahle ithambo amaseli, kuyenzeka ukwa ukuhlanganisa (amasonto ambalwa noma izinyanga).

amathambo ukhule isikhathi esingakanani ndawonye? Ngokusho ochwepheshe, omdala umuntu, yokubi kuyinto ifake isandla ekubuyiselweni kwalo. Ngokwesibonelo, ukwa entanyeni femoral is eboshelwe embhedeni yaleli khehla, nokucupha yezinkinga ezifana nenyumoniya congestive, embolism yamaphaphu, decubitus izilonda, kanye nabanye.

Kungani okwehlisa ukuhlanganisa?

Hhayi ngaso sonke isikhathi futhi akubona bonke abantu bahlolwe amathambo waphuka kukhule ndawonye ngokushesha futhi ngaphandle nemiphumela. Kwezinye izimo, sokuhlanganiswa endaweni abalimala kubambezela kakhulu. Siyini isizathu into enjalo?

izimbangela ezivamile accretion kancane amathambo zihlanganisa lezi ezilandelayo:

• isifo sikashukela, amathambo mncane, ukunikezwa kwe-izaphulelo of nezindlala parathyroid;
• yobudala amadala, ubulili besifazane, izinhlumba wesibeletho, ukudla okungenamsoco,
• Ukuwohloka, nokukhulelwa izingane eziningi ngasikhathi, ukucindezeleka;
• ukukhula okuphansi, ngokuphuza imithi ethile, dysmenorrhea;
• Oncology, ukubhema, ukususwa ezikhiqiza amaqanda, ukufakelwa kwezitho zangaphakathi, nokunye.

Njengoba ngezizathu wendawo, lezi zibandakanya:

• kokuthola isifo isilonda;
• disorder kwegazi;
• ezinzima wayichoboza ukulimala kwezicubu ezithambile ngesikhathi ukuhlukumezeka;
• Ngokuvamile abantu baphuka izinqulu amaningi;
• izinto angaphandle wamanxeba;
• interposition izindwangu nokunye.

ukwelashwa ukwa

Okufanele ukwenze nge ephukile nendlela yokuyithola accretion okusheshayo amathambo? Isinyathelo sokuqala ukuba aye kudokotela. Yokuhamba udokotela ithambo kufanele ilungelo labo futhi evikelekile kulesi sikhundla ngokusebenzisa ukhonkolo.

Okufanele ukwenze nge ephukile kodwa banxuse lezimo eziphuthumayo? Ukwa kukhule ndawonye ngokushesha, ochwepheshe batusa ukuthatha hormone Anabolic futhi mummy. Libuye kuvunyelwe Physiotherapy nokuchayeka ukuhlukumezeka ensimini kagesi.

Imiphumela yokwelashwa engafanele

ukwa Consolidated - lokhu kuyimiphumela engcono yokulimala womuntu. Nokho, kufanele kuphawulwe ukuthi ukungabi khona ukwelashwa okufanelekile ukuhlanganisa ngeke kwenzeke noma ukubambezela.

Ochwepheshe bathi izibonakaliso accretion kancane ithambo izicubu kukhona uthi elandelayo:

• ukuhamba (sokugembula) ithambo kusayithi ukwa;
• nobuhlungu obukhulu endaweni ezilimele;
• Igebe phakathi kwezingcezu ithambo, emakwe-X-ray luhlolo.

Kufanele kuqashelwe ukuthi kusheshe futhi kube lula inqubo sasebuntwaneni ukulungisa nokuvuselelwa kwesimilo ezilimele ithambo izicubu kuka abantu abadala kanye nabantu abadala. Isikhathi esining impela okungafanele Imiphumela Fusion e ukwakheka skeleton pseudoarthrosis. amalunga omzimba okunjalo angakhiqiza eziningi izinkinga zempilo ezingathí sina, kanye ibakhathaze yobuhle.