Pseudarthrosis ka dib markii jab. misigta been ah

bogsashada lafta ka dib markii jab uu dhacaa sabab u formation of "callus" - unugyada qaab la'aan dabacsan isku xira qayb ka mid ah laf jabtay, iyo waxay ka caawisaa in la soo celiyo ay daacadnimada. Laakiin isuga ma aha had iyo jeer ka waddaa si habsami leh. Waxaa dhacaya in jajabkii ma bogsiiyo, taabashada geesaha lafta, waqti laga bilaabo si ay u helaan dhul, keenan iyo smoothed soo baxay, taasoo keentay in formation of wadajir ah oo been ah (pseudarthrosis). Xaaladaha qaarkood, waxay keeni kartaa lakabka carjawda dushiisa jajabkii iyo muuqaalka kore ee qadar yar oo ah dheecaan wadajir ah. In nidaamka bukaan eegida, si wadajir ah ugu soo noqnoqda beenta ah ee lafta bawdada iyo soo gaaray.

Features cudurada

Pseudarthrosis sida caadiga ah helay ama marmar dhif ah, lagu dhasho. Waxaa la malaysan in meejeeda this dhasho waxaa la aasaasay iyada oo sababtu tahay xadgudubyada formation lafaha ee utero. Pseudarthrosis inta badan ku kooban in ay lugta hoose, iyo in la garto cudurada waqti ah marka uu ilmuhu bilaabo inuu qaadaan tallaabooyin ay ugu horeysay. Sidoo kale waa pseudarthrosis ah ee lagu dhasho ee kalxanta. Helay khalad ah waa mid aad u dhif ah. Si kastaba ha ahaatee, waa la helay karo, taas oo ah mid aad u adag in la daweeyo.

Waxaa helay pseudarthrosis ka dib markii jab, lafaha isla baxaan si sax ah. Marar badan waxaa dhacaya ka dib markii rasaas ah ama dhaawac furan. Mararka qaarkood saftay sabab u ah qaar ka mid ah waxqabadyada qalliinka ee lafaha.

Sababaha formation of pseudarthrosis

Horumarinta ee cudurada la xiriira carqalad ah habka bogsashada caadi ah ka dib markii jab lafta timi. Sababaha ugu badan ee cudurrada xanuun hogaanka taas oo ay jirto xadgudub ah nadiifinta dhalashadii labaad reparative lafaha iyo Dheef:

• rickets,
• dhaawacyo kala duwan,
• uurka;
• endocrinopathy;
• sarkhaan,
• cachexia buro.

jajabkii Bone inta badan ma wada koraan iyada oo sababtu tahay sababaha maxalliga ah:

• xad gudub ku ah qulqulka dhiigga jajabkii lafta,
• dhaawici in periosteum inta lagu guda jiro qalliinka;
• dareen-celin jirka metalosteosynthesis, diidmada musmaarro iyo taarikada,
• jab lafta la jajabkii badan;
• qaata hormoonnada steroid, xinjirowga lidka ku ah,
• ka dib markii qaliin jajabkii waxaa si xun ula kasta oo kale;
• dhacdo ee masaafada weyn oo u dhexeeya qaybo ka mid ah lafta iyadoo ay sabab u kala jar oo xoog leh,
• nabar faafa oo keentay in formation of suppuration ah jabka;
• osteoporosis;
• ma muddaada addinka aan muddo dheer socon,
• dhaawaca maqaarka socda dhibic ka leexdo - cindiga, gubasho.

Isbedelka ku dhaca addimada ay sabab u formation of cudurada sida wadajir ah war been ah in kala badh kiisaska oo dhan ay gacan xuquuqda naafada joogto ah oo aad u daran.

formation of pseudarthrosis

Marka uu bilaabo inuu dhiso oo wadajir ah oo been ah, Goosimo lafta sameeyay farqiga waxaa ka buuxsamay unugyo iyo saxan lafta xirtey channel. Tani waa faraqa u weyn ee u dhexeeya nonunion of isuga gaabiska lafaha.

Sida uu cudurku uga bilaabo inuu horumar kordhiyaa dhaqdhaqaaqa ee ah "wadajir ah." formation of a meelaha wadajirka caadiga ah ee ugu shishaysa ee lafaha, rimay kasta oo kale. Sidii ay u sameeyay carjawda articular. Wax kabadal unugyada buunshada ku wareegsan oo "si wadajir ah" aasaasay "kaabsal", taas oo dhacda dheecaan synovial.

calaamadaha cudurka

Calaamadaha nonunion waa kuwo gaar ah, oo dhakhtarku waa awoodaa inuu ogaado horudhac ah ku salaysan oo keliya iyaga on, ka dib markii taas oo uu xaqiijiyay by image X-ray.

• dhaqdhaqaaqa bahal meel of lafaha, halkaas oo sida caadiga ah ma dhici karto. Intaa waxaa dheer, waxay ku kordhin kartaa Ilodanimada inayan iyo jihada dhaqdhaqaaqa in si wadajir ah oo runta ah, kaas oo ah wax aan macquul aheyn in qof caafimaad qaba. xaalad noocan oo kale ah dhirfinaya wadajir ah hip been ah.
• dhaqdhaqaaqa bahal ayaa beerta ku jiri kara oo kali ah lagu dareemi karaa, laakiin mararka qaarkood fuliyay oo dhan diyaaradaha. In dhaqanka caafimaad, waxaa jira xaalado marka addinka in pseudoarthrosis meel wareejiyo iyada oo 360 digrii.
• yaraynta Addinka. Illaa toban sintimitir ama in ka badan.
• Atrophy murqaha lugta.
• xadgudub Strong of function Addinka. Si aad u guurto bukaanka isticmaalaa ulaha iyo qalabka kale ee lafaha.
• By ku tiirsan cagta waxaa jira xanuun degaanka ee pseudarthrosis.

Laakiin waxaa jira marar marka astaamaha cudurka waa yar ama xataa laga yaabaa maqan yahay formation of wadajir ah oo been ah in mid ka mid ah lafaha dvuhkostnogo gabal. Tani waxay dhacdaa haddii ay saameeyeen mid ka mid ah laba Lafo in ay u sameeyaan lugta hoose ama dhudhun.

Jab ah qoorta bidig waa khatar ah oo dhaawac, gaar ahaan haddii ay jiraan waa dadka waayeelka ah. Haweenku waa nugul jab sida, kaas oo la xidhiidha dhacdo ee osteoporosis inta lagu guda jiro dayska. Osteoporosis yaraynaysaa cufnaanta lafaha, iyo horumarineyso ay sabab u tahay isbedelka hormoon dayska.

Baadhista xanuunada

Si loo xaqiijiyo cudurka la isticmaalayo habka X-ray. Pseudoarthrosis radiographically cad laba siyaabood:

• pseudarthrosis Hypertrophic - waa si dhakhso ah oo juqda unugyada lafuhu degaanka ee jabka la siin dhiigga caadiga ah. On x-ray, waxaad ka arki kartaa koror weyn oo masaafada u dhexeysa darafyadiisa jajabkii lafta.
• Atrophic - pseudoarthrosis dhacdo waxay dhacdaa marka uu jiro aan ku filnayn ama ma qulqulka dhiigga. On the-X ray noqon kartaa eegno wanaagsan at cidhifyada oo ka mid ah xuduudaha cad jajabkii lagu qabtay by unugyo, laakiin ma aha in xoog badan in la fadhiisiyaa goobta dhismaha bahal ah.

daaweynta

Haddii sameeyay daaweyn wadajir been ah waxaa la fuliyay oo kaliya iyadoo la kaashanayo qaliin. Iyada oo pseudarthrosis hypertrophic fadhiisiyaa Goosimo iyadoo la isticmaalayo osteosynthesis biraha isku dhafan oo Grafting ee lafaha nudaha. Intaas ka dib, muddo dhowr toddobaad ah, waxaa jira mineralization dhamaystiran oo daaha carjawda iyo lafta uu bilaabo inuu Akhristoow. In pseudarthrosis Atrophic saarto qaybo ka mid ah jajabkii lafta in ay hakiyeen sahayda dhiigga. Markaas qaybaha lafaha ku xiran in midba midka kale, si buuxda baabi'inta ay dhaqdhaqaaqa.

Qalliinka ka dib si loo soo celiyo cabirida xaalada muruqa, dhow dhaqdhaqaaqa si laabatooyinka iyo hagaajin ququlka dhiiga ee u qoro massage, therapy jimicsi, daaweynta dabiiciga ah.

gunaanad

Sidaas darteed, waxaan ka wada hadalnay waxa si wadajir ah been, calaamadaha cudurka this iyo sida loo daweeyo waxaa sidoo kale loo arkaa. Haddii ay jirto ahaa dhibaato, talooyinka dhakhtarka oo dhan waa in la raaco oo aan u guurto addinka dhaawacmay ilaa iyo inta ay suurtagal tahay, si lafaha si fiican u dhisnayd. Haddii kale pseudarthrosis waxay keeni kartaa dhibaatooyin daran.