Pseudarthrosis bayan karaya. Arya hip hadin gwiwa

kashi waraka bayan wani karaya ya auku saboda da samuwar "callus" - sako-sako da m nama da ta haɗu da wani ɓangare na karye kashi, da kuma taimaka wajen mayar da mutunci. Amma Fusion ba ko da yaushe gudanar smoothly. Sai ya faru da cewa wani ɓaɓɓake bai warkar, kashi gefuna m, tare da lokacin fara samun ƙasa, sanded kuma smoothed fitar, sakamakon da samuwar na ƙarya hadin gwiwa (pseudarthrosis). A wasu lokuta, na iya haifar da da guringuntsi Layer a farfajiya na da wani ɓaɓɓake da kuma bayyanar da karamin adadin hadin gwiwa ruwa. A asibiti yi, mafi m ƙarya hadin gwiwa na femur da tibia.

Pathology Features

Pseudarthrosis yawanci samu ko a rare lokuta, nakasar. An zaci cewa wannan nakasar rashin lafiya da aka kafa a sakamakon keta kashi samuwar a utero. Pseudarthrosis yawanci sarrafa zuwa ƙananan kafa, da kuma gane wannan Pathology a lokacin da yaro ya fara dauka ta farko matakai. Shi ne kuma wani nakasar pseudarthrosis na clavicle. Found a malformation ne sosai rare. Duk da haka, shi za a iya samu, wanda shi ne mai wuya da za a bi.

Akwai aka samu pseudarthrosis bayan karaya, da ƙasũsuwa girma tare yadda ya kamata. Popular sau da yawa shi ya faru bayan da wani harbin bindiga ko bude raunuka. Wani lokaci da bayyanar saboda wasu m shisshigi a kan kasusuwa.

A dalilan samuwar pseudarthrosis

A ci gaba da Pathology dangantawa da rushewa daga cikin al'ada waraka tsari bayan kashi karaya tasowa. Common Sanadin rashin lafiya gubar cututtuka, a cikinsa akwai wani ƙeta na reparative farfadowa da ƙasũsuwa da metabolism:

• rickets.
• mahara raunin.
• ciki;
• endocrinopathy.
• maye.
• ƙari cachexia.

Kashi niƙaƙƙun yawanci ba su girma tare a sakamakon gida haddasawa:

• take hakkin jinin samar da kashi, niƙaƙƙun gaɓãɓuwa.
• lalata da periosteum a lokacin tiyata.
• metalosteosynthesis jiki dauki, kin amincewa da kusoshi da faranti.
• kashi karaya da mahara da wani ɓaɓɓake.
• samun steroid hormones, anticoagulants.
• bayan tiyata da wani ɓaɓɓake suna talauci dangantaka da juna;
• da ya faru na babban nesa tsakanin sassa na kashi a sakamakon karfi gogayya.
• dauke da kwayar cutar rauni cewa sa a cikin samuwar wani suppuration na karaya.
• osteoporosis.
• reshe immobility dade ba.
• fata lalacewar rakiyar juyo - sakawa a iska mai guba, konewa.

Canje-canje da faruwa a cikin wata gabar jiki saboda da samuwar irin wannan Pathology matsayin ƙarya hadin gwiwa a rabin dukkan lokuta taimakawa ga m, kuma mai tsanani tawaya hakkin.

samuwar pseudarthrosis

Lokacin da ta fara da nunawa ƙarya hadin gwiwa, da kashi, niƙaƙƙun gaɓãɓuwa kafa ta da rata mai cike da connective nama da kashi farantin rufe tashar. Wannan shi ne babban bambanci tsakanin nonunion na jinkirin fe daga cikin ƙasusuwansa.

Kamar yadda cutar fara ci gaba qara motsi a cikin wani "hadin gwiwa." A samuwar wani hali hadin gwiwa saman a iyakar da kashi da wani ɓaɓɓake, dabbar ta hanyar canjin da juna. Kamar yadda suka kafa articular guringuntsi. Modified fibrous nama kewaye da "hadin gwiwa" kafa "kwantena", abin da ya auku synovial ruwa.

cuta cututtuka

Alamun nonunion ne quite musamman, da kuma likita ne iya yin na farko ganewar asali tushen kawai a kan su, bayan da ya aka tabbatar da X-ray image.

• Pathological motsi a cikin wani wuri daga kashi, inda shi yawanci ba ya faruwa. Bugu da kari, shi na iya kara mawadãta, kuma shugabanci na motsi a cikin gaskiya hadin gwiwa, wanda ba zai yiwu ba a da lafiya mutum. Irin wannan jiha tsokani wani ƙarya hip hadin gwiwa.
• Pathological motsi a cikin filin iya zama kawai m, amma wani lokacin da za'ayi a duk jirage. A likita yi akwai lokuta idan reshe a wuri pseudoarthrosis juya ta 360 digiri.
• Reshe rage. Har zuwa goma santimita ko fiye.
• Atrophy na kafa tsokoki.
• Strong take hakkin reshe aiki. Don matsar da haƙuri yana amfani da crutches da sauran orthopedic kayan.
• By dogaro da kafar akwai zafi a yankin na pseudarthrosis.

Amma akwai sau lokacin da cutar cututtuka su ne kadan ko mai yiwuwa ma ya zama ba ya nan a cikin samuwar wani ƙarya hadin gwiwa a daya daga cikin ƙasusuwansa dvuhkostnogo kashi. Wannan zai faru idan shafa daya daga cikin biyu ƙasũsuwa cewa, samar da ƙananan kafa ko hannu da dantse.

Karaya na femoral wuyansa ne mai hatsarin rauni, musamman idan akwai tsofaffi. Mata sun fi saurin irin karaya, wanda ake dangantawa da ya faru na osteoporosis a lokacin menopause. Osteoporosis rage kashi yawa, kuma shi tasowa saboda hormonal canje-canje a lokacin menopause.

bincikowa da

Don tabbatar da ganewar asali amfani da X-ray Hanyar. Pseudoarthrosis radiographically bayyanannu a hanyoyi biyu:

• Hypertrophic pseudarthrosis - yana da matukar sauri da kuma overgrowth na kashi nama a yankin na karaya da al'ada jini wadata. A x-ray, za ka iya ganin wani gagarumin karuwa a cikin nesa tsakanin iyakar da kashi, niƙaƙƙun gaɓãɓuwa.
• Atrophic - aukuwa pseudoarthrosis faruwa a lokacin akwai kasa ko babu jini wadata. A cikin X-ray na iya zama mai kyau look a gefuna da hujjõji iyakoki da, niƙaƙƙun gaɓãɓuwa gudanar da connective nama, amma ba ma da karfi to immobilize shafin na pathological samuwar.

magani

Idan kafa ƙarya hadin gwiwa magani shi ne da za'ayi kawai da taimakon tiyata. Tare da hypertrophic pseudarthrosis immobilize, niƙaƙƙun gaɓãɓuwa yin amfani da karfe osteosynthesis a hade tare da grafting daga kashi nama. Bayan nan, domin da yawa makonni, akwai cikakken mineralization na guringuntsi Layer da kashi fara coalesce. A atrophic pseudarthrosis cire rabo daga kashi, niƙaƙƙun gaɓãɓuwa cewa sun lalace da jini wadata. Sa'an nan kashi sassa da alaka da juna, gaba daya kawar da motsi.

Bayan tiyata don mayar da tsoka sautin, motsi kusa da gidajen abinci da kuma inganta jini wadata ga rubũta tausa, motsa jiki far, physiotherapy.

ƙarshe

Saboda haka, mun tattauna abin da yake ƙarya ne hadin gwiwa, da bayyanar cututtuka da wannan cuta da kuma ta lura kuma dauke. Idan akwai wani rikicin, duk da likita ta shawarwari dole ne a bi, kuma ba don matsawa da suka ji rauni reshe dai zai yiwu, saboda haka cewa kasusuwa ne Fused yadda ya kamata. In ba haka ba pseudarthrosis iya sa mai tsanani da rikitarwa.