Pseudarthrosis ma hope fracture. Wahahee hip-ami

iwi ho'ōla ma hope o ka fracture ia lŘlŘ ku i ke kahua o ka "callus" - e wehe ai i shapeless'aʻaʻa e hoʻohuiʻia kekahi hapa o ka iwi i haki, a me kōkua kona ano hoopono, e hoʻihoʻi aku. Akā, kuʻi nukeliu mea i mau holo smoothly. Ua ka hana i na hakina i i hoola, ai ka iwi kihi pēnēia, me ka manawa e hoʻomaka ana e loaaʻi ka lepo, one, a me Kaulu mai, kūpono ana ma ke kahua o ka ami wahahee (pseudarthrosis). Ma kekahi mau hihia, e i ka cartilage, ahu iho ma ka ili o ka hakina, a me ka helehelena o ka uuku nui o ami loli. Ma lapaʻau hana, o ka loa pinepine wahahee ke ami hoi o ka femur a me ka tibia.

pathology Hiʻona

Pseudarthrosis ana loaʻa ai i loko o pohihihi keia hoopii, congenital. Ua Ua ea ae ka hana i keia congenital maʻi ua hanaʻia e like me ka hopena o ka 'aʻe' ana o ka iwi a ho okumu ma utero. Pseudarthrosis ana IIeEeAIEUIeXAIIUE i ka lalo wāwae, a me ka hōʻike i kēia pathology i kekahi manawa i ka wa a ke keiki hoʻomaka e lawe kona mua me ke kapuai hookahi. He hoi he congenital pseudarthrosis o ka clavicle. Loaʻa he malformation ka loa pohihihi keia. Naʻe, ka mea hiki ke loaa, i ka loa paʻakikī ia e hana.

Aia ua lilo pseudarthrosis ma hope o fracture, na iwi ulu pu laua a pono. Muli o kona kulana pinepine ia ka hana ma hope o ka gunshot a hamama nā palapū. I kekahi manawa, i kona helehelena no i kekahiʻoki lāʻau lapaʻau uao ai 'ma iwi.

Ke kumu no ka ho okumu ana o pseudarthrosis

Ka hooulu ana o ka pathology pili i ka hoʻohuikau 'o ka mea maʻamau e olaʻi kaʻina hana ma hope o ka iwi fracture i kupu mai. Common kumu o ka maʻi alakai mai i a he mea iʻaihue o reparative e noho ana o na iwi a me ka pūnao:

• rickets;
• mau nā palapū;
• hāpai keiki;
• endocrinopathy;
• intoxication;
• ʻeho cachexia.

Iwi koena ai pele mai e ulu pu laua a me ka hopena o kūloko kumu:

• 'aʻe' ana i ke koko lako o ka iwi koena ai;
• hoʻopilikia maoli i ka periosteum iʻoki kino;
• metalosteosynthesis kino naoh, rejection o kui a me ka papa;
• iwi fracture me ka mau hakina;
• loaa ana steroid hormones, anticoagulants;
• ma hope oʻoki kino koena ai i poorly correlated i kekahi i kekahi;
• ka hanana o ka mamao he nui ma waena o māhele o ka iwi i ka hopena o ka ikaika traction;
• infectious lesion e kūpono ana ma ke kahua o ka suppuration o ka fracture;
• osteoporosis;
• lala immobility i ole mau loa;
• ili ka pōʻino hele pū ana i ka popoiwi wahi - irradiation,'ā.

Loli i ana ma na lala aie a hiki i ke kahua o ka pathology me he ami wahahee ma ka hapalua o na hihia a pau he hoʻonui ai i ka paakiki a me ka loa kīnā o ke kino e pono ai.

ho okumu ana o pseudarthrosis

I ka wa e hoʻomaka i ka hana i ka wahahee hui, ka iwi hakina i hanaʻia ma ka nahā i ua piha me ka connective'aʻaʻa a me ka iwi papa e pani i ka moana. 'O kēia ka papa likeʻole ma waena o nonunion o ke kali kuʻi nukeliu o na iwi.

E like me ka maʻi hoʻomaka i ka holomua maoli ka ka hoʻoneʻe i loko o ka "ami." I ka ho okumu ana o ka typical mau surfaces ma nā wēlau o ka iwi koena ai, penei kekahi me kekahi i kekahi. E like me ka mea i hana i ka articular cartilage. Hoʻololi 'fibrous'aʻaʻa puni ka "hui" hana "mea hōʻikeʻikeʻuʻuku", a ia lŘlŘ synovial loli.

maʻi symptoms

Symptoms o nonunion e loa kekahi, a me ke kauka mea hiki ke hana i ka muaʻike, ma muli wale nō ma luna o ia mau mea, ma hope i kona ua hookupaa iho la ia ma ka X-Ray kiʻi.

• Pathological ka hoʻoneʻe i loko o ka wahi o ka iwi, kahi ia IeAUPIIe, IAa IO aole i kānāwai. Eia hou kekahi, ka mea i hoonui i ka ikaika hawewe a me ka ao ao o ka neʻeʻana i loko o ka ami oiaio, i mea hiki ole i loko o ke ola i ke kanaka. Oia ka moku'āina hoʻonāukiukiʻana mai o ka wahaheʻe hip-ami.
• Pathological ka hoʻoneʻe i loko o ke kula hiki e māhunehune kekahi ', akā, i kekahi manawa lawe mai i loko o nā mea a pau Kekoa. Ma ka 'inikua hana, aia no na hihia a pau, i ka wa o ka lala ma ka wahi pseudoarthrosis ke ka ao ma 360 degere.
• Lala hua'ōlelo. Up i umi mau kenimika a oi.
• Atrophy o ka'ūhā nāʻiʻo.
• Ikaika kue o ka lala kuleana pili i. E hele nei i ka hoʻomanawanui hoʻohana 'oaʻiʻo a me nā orthopedic nā mīkini home.
• Ma ka hilinai ana ma ka wāwae he meaʻeha i loko o ka wahi o ka pseudarthrosis.

Akā, he mau manawa, i ka wa o ka maʻi symptoms e hōʻemi iki paha i hiki hoi ma kahi ee i loko o ke kahua o ke ami wahahee i loko o kekahi o nā iwi dvuhkostnogo Hoʻohana. Kēia ka hana ina ka loli ana i kekahi o na iwi elua e hana i ka haʻahaʻa wāwae paha forearm.

Fracture o ka femoral ai o ka pilikia o ka hewa, o ka oi aku ina he mea ka kūpuna. Women i oi kūlana i na fracture, a ua pili i ka hanana o ka osteoporosis i menopause. Osteoporosis ho'ēmi i kā iwi nuʻa, a me ka mea e hoʻomōhala ana i ka hoʻopiʻi i hormonal loli i menopause.

lapaʻau '

E hoʻokūpaʻa i kaʻike, hoʻohana 'X-Ray hana. Pseudoarthrosis radiographically akaka ia ma nāʻaoʻao:

• Hypertrophic pseudarthrosis - ka mea, Aloha loa hoʻokēʻai a me ka overgrowth o ka iwi'aʻaʻa i loko o ka wahi o ka fracture me ka maʻamau koko lako. Ma m-Ray, oe ke ike i ka nui mahuahua i loko o ka mamao ma waena o nā wēlau o ka iwi koena ai.
• Atrophic - hanana pseudoarthrosis ia lŘlŘ ka wā he mea lawa pahaʻaʻohe koko lako. Ma ka X-Ray ke ia he maikai nana ma na kihi o ka akaka palena o nā koena paa ma connective'aʻaʻa, akā, ia mea i oi aku ka ikaika i ka immobilize i ke kahua o ka pathological ho okumu.

lapaʻau

Inā i hana wahahee ami lapaʻau ka mea, ua lawe mai ia me ke kōkua o keʻoki kino wale. Me ka hypertrophic pseudarthrosis immobilize koena ai ka hoʻohana metala osteosynthesis ma ka hui pu ana, me ka pakui o ka iwi 'aʻaʻa. Mahope, no ka kekahi mau pule, aia no he piha mineralization o ka cartilage, ahu iho, a me ka iwi hoʻomaka e coalesce. Ma atrophic pseudarthrosis wehe wahi o ka iwi hakina i ua o Nyos i ke koko lako. A laila, iwi māhele pili i kekahi i kekahi, pau loa ke kāpaeʻana i ko ka hoʻoneʻe.

Ma hope oʻoki kino e hoʻihoʻi Muscle leo, ka hoʻoneʻe kokoke i na ami a me ka hoʻoikaika 'ana i ke koko kokuaia e koi' ia lomilomi, me ka Inc, physiotherapy.

ka hopena

Pela, ua ana i ka hui wahahee, na symptoms o keia maʻi, a ua kona hana i manaoia. Inā he ua he hoʻoponopono ulia, pono e hahai i ke kauka mau koi a pau a me ka ole, e hoʻoneʻe i ka poino lala like loa me hiki, ai i na iwi i fused pono. I ole ia pseudarthrosis hiki i loa complications.