Hudyu kutsemuka

The chakarebesa uye Kudeuka chidimbu womunhu marangwanda ari femur. It kunoratidzwa vasiri Bends, saka zvinoita Saber chimiro. Vose kumugumo chidimbu havagovani paumbwe guru mapfundo - pamagaro uye ibvi.

The yokumusoro (proximal) nharaunda ine mafupa musoro. In iri acetabulum zviri chiuno kunoitika vachishandisa kutenderera.

The repasi (distal) kumucheto pfupa anomiririrwa sezvo condyles maviri zvinenge zvakazara hyaline shwashwa. Vanotora chikamu mune paumbwe ibvi rwakashodoka.

Zvinenge kureba yose pfupa-mudzira yakabatanidzwa Kamudzira inotungamirwa uye zvakasiyana tsandanyama.

Hip kutsemuka kunogona kuitika chero chidimbu kubva chechitima. Paaizosvika rimwe zera (kazhinji mudyandigere) kazhinji kuva akuvara proximal (repamusoro) Division. Izvi imhaka Kuipa trophism (wedzerai) pfupa tishu nzvimbo.

Hip kutsemuka inogona ichiparara, yakapatsanuka, transverse, oblique, comminuted, zononoka.

Zvichienderana nzvimbo musiyano kusagadzikana pfupa kuvimbika musoro kana mutsipa. Hip kutsemuka kunogona transtrochanteric. mhando iyi kukuvara rinowanzova chaiwo kuti vanhu vari kukwegura.

Hip kutsemuka mu diaphysis (muviri) uye distal magumo (condyles) kuchiitika somugumisiro yakawedzera kinetic simba, nechinangwa chero nzvimbo idzi.

Zviratidzo pfupa kuvimbika kuvimba rwakadini zvaparadzwa. Kukuvara kusvika proximal pakuguma (pamusoro) iri pamwe deformation ari muhudyu nzvimbo, puffiness. Rezasi kumugumo vanowanza tenderera kwekunze uye vakauya mukati. Kuita zvishomanana sangano chinokurwadzai pakarepo unopinza marwadzo ari muhudyu rwakashodoka. Rutsigiro basa chisipo.

Kana traumatizing diaphysis uye proximal mupendero segwapa deformation, kuzvimba. Hip kutsemuka pamwe misha inogona dzinoratidzwa pathological mufambo repfupa zvimedu. vaiona kunyanya ropa iri nyoro zvinyama Imwe dzakakomba yematambudziko pfupa kuvimbika kutyorwa. Mitswe chero chidimbu vari pamwe ne nokutsigira basa repasi richiripo.

Kushandisa kunzwisisa munhu kurapwa chirwere mashoko runoita kuti vakawanda zvakarurama kuona pfupa kuperera kukanganisa. Huru nzira paku pakudzidza ndiyo radiographs. Panguva iyoyowo, kufungisisa pave rwokurapa, kushandiswa computed tomography iri nechirwere achibvumira kunonyanyisa zvakarurama kuzivisa kunzwisisa uye kukura zvaparadzwa.

Hip kutsemuka. mabatiro

Nhasi kuchirapa nzira huru iri kuvhiyiwa. It nechinangwa murwere apore nokukurumidza.

Nokuti mitswe zviri pakati femoral pamutsipa anowanzodanwa kushandiswa hudyu kutsiviwa. Panguva Chaiyo kupindira ndiko kudzivirira zvakakomba, nokukurumidza dzichiri matambudziko.

Kana makuvaro ari trochanteric nharaunda, kazhinji kuiswa metallosteosintez. Kushandisa chaiyo magadzirirwo inoita kugadzirisa pfupa zvimedu, ichipa, saka, Fusion yavo (nenzvimbo).

Kana mitswe muviri (diaphysis) pakati operative pakusarudza nzira kunoenderana mhando kukuvara. Nomumwe kunorondedzerwa kushandiswa intraosseous uye nzira ndiro Kuda kutamba.

Zvinofanira kucherechedzwa kuti huru basa pfungwa panguva - kushandisa uchishandisa nzira kurapwa kuti vabudirire yakarurama zvikuru enzanirana pfupa zvimedu uye kuzoita gwenya kushanda maoko nemakumbo.