Astragalus: wovulala

Ndithu osowa azachipatala sichoncho? Inde, mtundu wa talus ndi kuti? mwana wanga limanena kuti dzina ndi ofanana ndi "Taranco." Iye ndi kukolezera nsomba. Guy nsomba Nkhaka, kupukuta kunja akuyitana Taranco ake, mosaganizira mtundu. Kodi ndi kuunikira fupa lino. Makamaka chifukwa pali kudwala monga wovulala talus lapansi.

Kotero izi amatchedwanso fupa nadpyatochnoy. Kosavuta, pomwe? Ndipamene pa bondo olowa - pansi. Mwa mafupa tarsal (chifukwa cha mafupa a phazi) anklebone mu ukulu lili pa nambala wachiwiri. A mafupa onse a thupi kwambiri yokutidwa ndi chichereŵechereŵe articular. Pa kuyenda kapena akuthamanga 100% ya thupi misa anthu adzatenge izi ndi fupa.

Wovulala talus ndi

Ambiri kudwala uyu ali osowa kwambiri, mlandu 1% milandu onse fractures nthambi. Komabe, zoopsa ngati amatanthauza kwambiri. Pafupifupi 1/3 milandu onse fractures talar kuyambitsa chilema cha wovulalayo.

chakuti kusintha amakwiya kupanda kotunga magazi fupa. Ngakhale choncho kumene kukhulupirika kwa mitsempha pa zifukwa sanali owonongeka chifukwa cha kufinya makombo, kapena edema, fupa zimafunika chakudya. choipa, makamaka pamene fractures sanali united, angathe kuutsa necrosis.

Kuyambira nyamakazi sekondale akuvutika subtalar olowa. Choncho, wosweka kumwendo ntchito. Wozunzidwayo amakhala woopsa woopsa ululu pamene ikuyenda.

zifukwa

Chifukwa ambiri ndi dontho mwachindunji kwa mwendo anaweramuka. Makamaka amapezeka wovulala khosi la fupa. Izi nthawi zambiri amapezeka chosayenerera ngati osakaniza ndi fractures ena. Makamaka, osakaniza ndi psinjika wovulala calcaneus lapansi.

Ine ndikuyembekeza owerenga adzakumbukira kuti talus wa - nadpyatochnaya? Apa okwana fractures chitende ndi mafupa nadpyatochnoy ndi ambiri. Kamodzikamodzi, fractures amenewa pamodzi ndi fractures mafupa ena phazi: ndi navicular, zakale, metatarsal.

zizindikiro

• Kulankhula phazi edema.
• Mavuto kudziwa malo a kudwala fupa.
• Palpation anatsimikiza kuchepetsa nadpyatochnoy (talus) fupa.
• Phazi flexion.
• Pamene galimoto kumwendo pali kupweteka kwambiri.
• Ululu pamene akuyesa kusuntha chala chake.
• Phazi chilema ndi kusamutsidwa a zotsala fupa.

diagnostics

Matenda a zovuta zingapo. The njira yabwino kwambiri ndi nkhani matenda kompyuta tomography. fupa ili mkati mwa nyumba zina fupa. N'chifukwa chake muyezo X-ray musalole kuti molondola kudziwa chikhalidwe cha kudwala lapansi.

chithandizo

Kuti musankhe ndondomeko chithandizo anatsimikiza mtima yoyamba kuwonongeka. Kudwala pachifukwa wovulala khosi kapena mafupa a thupi. Komanso, pali fractures mmphepete ndi comminuted, ndi kusamutsidwa a zotsala fupa kapena popanda izo. Kusamutsidwa ukulu anatsimikiza mwa kompyuta tomography.

Ndi njira imeneyi, mukhoza kuona enieni wovulala mzere, kuona kufunika opareshoni, chikhalidwe chake ndi ukulu. Makamaka ngati kukondera angafunikire kugwiritsa ntchito osteosynthesis. Ngati kusamutsidwa palibe, ndi wovulala talus azisonyeza conservatively.

chapadera kwambiri ndi nthawi postoperative. Astragalus pa splicing amafuna X-ray kulamulira, zonse cheke akuluakulu. Zinaphatikizidwa kwa angapo (inayi) miyezi. Choncho, pogwiritsa ntchito kwambiri masiku ano njira yodziwira ndi mankhwala, akwaniritsa bwino mwa kuchepetsa calcaneus lapansi.