Ncafu wovulala okalamba: zotsatira akhoza kukhala sizingasinthe

Wovulala khosi la m'chiuno amatanthauza kwambiri ndi zambiri kuwononga dongosolo minofu ndi mafupa. Ali mwana ndi osowa. chakuti zimatengera nkhonya wokongola amphamvu - kusiya kapena kuvulala kwambiri chifukwa Mwachitsanzo, mu ngozi ya galimoto.

A chithunzi chosiyana zimawonedwa anthu chifukwa cha ukalamba. Kwa zaka zambiri, fupa mphamvu yafupika kwambiri. Chifukwa cha ichi - kufooka kwa mafupa, chimene ndi kupatulira ndi maganizo. Mafupa kukhala Chimaona ndi wosalimba.

matenda chipatala

Bwino analekerera m'chiuno wovulala okalamba. zotsatira zake zingakhale sizimadziwika kwambiri - kuyambitsa kulumala kapena ngakhale imfa. Fractures anawagawa mitundu itatu:

• pa khosi femoral;
• m'dera la mutu femoral;
• m'dera la trochanter wamkulu.

Komanso, iwo anawagawa:

• medial (medial) - intraarticular wovulala;
• mbali (lateral) - owonjezera articular fractures;
• fractures m'dera trochanteric, amene ali achilendo kwa okalamba ngakhale choipa zolimbitsa.

zizindikiro

Ncafu wovulala okalamba - zotsatira za mabvuto, matenda a mafupa minofu, zilonda kapena chosaopsa extramedullary zotupa. Owonetseredwa kugonjetsedwa kutchulidwa zizindikiro:

• Wongolerani anaikira groin ululu umachuluka ndi tokhala zazing'ono pa chidendene ndi kuwonongeka zotheka.
• A mwendo wosweka unnaturally anapotoza pang'ono kunja.
• Amowabu kufupikitsa mwendo wosweka - kuwonongeka kwa fupa amalola minofu kukokera nthambi pafupi m'chiuno.
• Zizindikiro "Anapitirizabe chidendene" - ndi kayendedwe zotheka flexion-kutambasuka kukhalabe kulemera sangathe anaweramuka miyendo.

Ngati wodwala chidatengedwa m'chiuno wovulala okalamba, zotsatira za zimenezi mu malo adzawonekera chimawononga boma lake psycho-maganizo. Pali mantha, moodiness, kawirikawiri mmene alili. Makamaka chifukwa cha kulephera kuyenda yaukapolo. Mwamsanga pamene pali mavuto zinafuna kupirira ndi kuleza mtima.

chithandizo

Mwina wodzilamulira splicing la fupa ndi otsika kwambiri, makamaka chifukwa chikhalidwe cha dongosolo ntchafu ndi kupereka magazi ake. Choncho, azichitira anakhumudwitsa ntchafu wovulala okalamba (zotsatira za mavuto zotheka sangathe ananeneratu) zovuta. M'mayiko ambiri, vuto ili anathana ukasintha - kupyolera opaleshoni.

1. Inde makombo a khosi femoral ndi zomangira cannulated - osteosynthesis. Complete ufulu kuyenda (ena) pambuyo opaleshoni n'zotheka miyezi inayi. Koma njira imeneyi pali zolephera. Chifukwa cha nonunion fupa pali mkulu Mwina wa limodzi onyenga.

Mmene angakhalire ndi ntchafu wovulala kumatengera zifukwa zambiri. Akulu wodwalayo komanso wautali nthawi kuyambira zoipa, wamkulu chiopsezo kulephera. The zaka akadakwanitsira wodwalayo, mu nkhani iyi - kwa zaka 60.

2. M'malo a m'chiuno olowa ndi olowa yokumba - olowa m'malo.

Mulingo woyenera wodwalayo zaka - zaka 60 mpaka 80. Pambuyo pa kutsimikizira matenda a "ntchafu wovulala", chithandizo, opaleshoni (njira ya kukhazikitsa) anatsimikiza ndi dokotala, kutenga nkhani munthu ndi zaka makhalidwe a wodwalayo.

3. Odwala comorbidities angapo ndi contraindications (matenda a mtima, matenda a shuga), ndi amene mwayi kusamutsa bwinobwino ntchito pafupifupi palibe anatumizidwa bezoperatsionnoe chithandizo ndiwofatsa.

ife ichi anauzidwa kuti choti boma. Koma nthaŵi yaitali mchitidwe athyoka amenewa anasonyeza kuti palibe mankhwala ndiwofatsa si kuthandiza ngati panali m'chiuno wovulala okalamba, zotsatira adzakhala ndi imfa. Madokotala anakakamizika kupita mochenjera ndi kutsatira njira za "bodza woyera." Odwala inanena kuti fupa lothyoka palibe, pali yotupa amphamvu. Akatulutsidwa othetsa ululu, pakuti kukonza splints akunja phazi superimposed ku pulasitala kapena mafupa jombo. Koma ankalimbikitsa kufunika kayendedwe yogwira, kumene kuli kwambiri ndi zofunika kwambiri njira za mankhwalawa:

• Mapangidwe bedsores.
• Kupondelezedwa kwa otaya m'mapapo mwanga magazi, kumene kumakhala kumabweretsa chibayo.
• wongokhala, amene zoipa amakhudza matumbo ndi amachititsa kudzimbidwa.
• Pakalibe nkhawa caviar minofu amachititsa zikusokoneza wa kufalitsidwa venous, zikubweretsa thrombosis wa malekezero a m'munsi.
• Asthenic syndrome. Patadutsa miyezi iwiri bedi zina kufooka kwa thupi la wodwalayo motero kuti sungathe palokha osati kuyenda, komanso pansi.

Kamodzi ululu umakhala pang'ono, mtima amaloledwa kukhala, miyendo yake dangling pa bedi. Patatha milungu iwiri, inu mukhoza kuima ndi thandizo la choyendera kapena ndodo. Patapita masabata atatu, zikhale ngati kuli kotheka kusuntha chifukwa cha chirichonse.

njira ya mankhwala si umalimbana ndi kuonetsetsa wovulala machiritso - pa m'badwo uwu sangathe, kenako atengere wodwala ndi kumuphunzitsa iye momwe moyo ndi angawa.

Chodabwitsa n'chakuti ndi udindo uwu analola kupulumutsa moyo ndi ntchito za odwala ambiri. Machenjerero a ntchito oyambirira odwala tsopano bwino losadziwika.