Ukwaphuka we umlenze aphansi nasemaqakaleni.

drumstick omuntu lwakhiwa amathambo emibili - tibia futhi fibula. Tibia esikhulu, futhi ebangela omningi walo isisindo ku ukuzikhandla. Fibula mncane, enamathiselwe kwamadolo nasemaqakaleni amalunga omzimba.

Iqakala kubhekwe njengento block. Ngakho-ke, ezinyakazayo kuwo kungaba e indiza eyodwa - goba bese uyaqondisa. Joint yakhiwe kokubili i-tibia (iqakala kwangaphakathi futhi yangaphandle) - ingxenye esimisiwe joint kanye talus - izingxenye ezinyakazayo.

Ngenxa zomgwaqo, okudutshulwa, ukulimala ezemidlalo eziningi nezinye izinkathazo kwenzeka ukwaphuka we tibia todvwa noma kuhlangene iqakala Waphuka. Ngezinye izikhathi shin amathambo ikhefu ikakhulukazi uma kunesidingo ukuze izandise imilenze. Njengoba ithambo shin bayingxenye emalungeni both qeda, le waphuka kule ndawo kungaba periarticular futhi intraarticular. Kuzo zonke zomgwaqo, ophela a tibia Waphuka, okunzima kakhulu iyona engozini yesithuthuthu. Motorcycle ngemva kwengozi isikhathi esithile udonsa indoda uwela ngomlenze wakhe futhi ngazo ke, eliphumela Kwezinye izimo, ngaphezu ukwa, sinyathele ekulimazeni izicubu zomzimba ezithambile kanye ukutheleleka. Futhi ukuqeda konke may edabukisayo kakhulu - eba esibhibhayo, isisulu singase siphele.

ukwa Tibial, ethola babekezelela umthwalo ngesikhathi elimele, is ngempela ephelezelwa fibula Waphuka. Kodwa fibula naphula futhi bengahambi.

Umonakalo eziyinhloko diaphyseal amathambo tibial beze izinhlobo eziningana: transverse, etshekile, Helical, comminuted. Uma tibia ukwa ivaliwe, kuyisibonakaliso we edema elikhula ngokushesha, angahlali normal, displacement izingcezwana futhi crepitus (crunching), ubuhlungu, ephansi umlenze ubunzima, kahle kwemilenze noma. Lokhu kungase kuhambisane shock ubuhlungu kanye nokulahlekelwa ukwazi. Ukulimala nezinzwa eduze kungabangela kokunikezwa kwe-innervation senyawo, elibuye baxhashazwe kubabangele senyawo nokuguqulwa Gait.

amathambo aqatha e esemncane kuyinto ayazika futhi eliqinile. Ngakho-ke, intsha waphuka okuhlukene. Amakhasimende, emva kweminyaka 51 amathambo abe ethambile, yingakho ngalesi leminyaka batholakale bephila kaningi waphuka ecindezelekile. Ukwaphuka we tibia emalungeni ngaso sonke isikhathi sihambisana ukulimala apharathasi umsipha. Lokhu-ke kungenza displacement we ezilimele izinsalela. Ukulimala namalunga angenza luholele a contracture, okuyinto okunzima okwanele ukulwa esikhathini ngelashwa.

Gunshot ukwaphuka we tibia uvame ephelezelwa ukushaqeka ukopha ezinzima. Umonakalo onjalo kube nzima suppuration, ngaleyo ndlela ingasheshi sokuhlanganiswa noma nonunion waphawula kwethambo, okungaholela osteomyelitis. Kulokhu-ke kubalulekile ukuba usebenze esitho abalimala ngokuphindaphindiwe.

iqakala ukwa kwenzeka ngokuvamile lokho kwanele. He is kunzima ukuyelapha, ngenxa yalokho ngezinye izikhathi iba imbangela ukukhubazeka.

Nale ukulimala, njengomuntu izimpawu iqakala eziphukile yilezi: ukuvuvukala ezinzima, deformity futhi ukuhamba ahlangene ukuhlukumeza, ukungakwazi ukuba ame umlenze, ubuhlungu obunamandla.

Okuxhunyanwa indlela inkinga umonakalo-X-ray ngenhla echazwe ungaphakathi projection ezimbili noma tomography ngekhompyutha. ukwelashwa wesikhathi eside kufanele kwenziwe ezibhedlela ezikhethekile ochwepheshe - traumatology. Ukuvuselelwa isikhathi singenzeka izinyanga eziningana noma ngaphezulu.