Pseudarthrosis pashure kutsemuka. Nhema hudyu joini

pfupa kupodzwa mushure kutsemuka kunoitika nokuda paumbwe "callus" - anongoremberera shapeless zvinyama unobatanidza chikamu bvupa, uye inobatsira kudzorera kuvimbika kwayo. Asi Fusion haisi nguva dzose rinomhanya zvakanaka. Zvinoitika kuti zvimedu haana kuporesa, pfupa micheto inoorora, pamwe nguva kutanga kuwana pasi, sanded uye ndokudzora panze, zvichiguma nokuumbwa ane vagari kwenhema (pseudarthrosis). Mune zvimwe zviitiko, zvingaita kuti shwashwa rukoko pamusoro pemvura nezvimedu uye chitarisiko shoma kwemajoini mvura. In kurapwa tsika, zvikuru kugara vadyi venhema femur uye tibia.

zvokurwara Features

Pseudarthrosis kazhinji kuwana kana zvisingawanzoitiki zviitiko vachiberekwa. Zvinofungirwa kuti ichi chirwere vachiberekwa achiumbwa somugumisiro kutyorwa mapfupa inotungamirwa mu utero. kazhinji Pseudarthrosis vemunyika kunzvimbo dzakaderera gumbo, uye kuona zvokurwara ichi panguva apo mwana anotanga kutora ayo okutanga matanho. Ichokwadi zvakare vachiberekwa pseudarthrosis pamusoro clavicle. Akawana malformation hariwanikwi chaizvo. Zvisinei, izvozvo zvinogona kuwanikwa, iro kwakaoma chaizvo kubatwa.

inogona kuwanwa pseudarthrosis pashure nokutyora ipapo, mapfupa zvikure pamwe zvakanaka. Kazhinji zvinoitika mushure vapfurwa kana kukuvara rakashama. Dzimwe nguva chitarisiko chake nokuda vamwe zvomusejari kupindira pamapfupa.

Zvikonzero paumbwe pseudarthrosis

Kukura zvokurwara chokuita nokuvhiringidzirwa inowanzotorwa apore pashure pfupa kutsemuka yomuka. Common zvinokonzera chirwere kutungamirira nezvirwere asina kukanganisa kuti reparative patsva mapfupa uye muviri:

• kusimba;
• Kukuvara akawanda;
• pamuviri;
• endocrinopathy;
• kudhaka;
• bundu cachexia.

Bone zvimedu kazhinji regai kukura pamwe somugumisiro omunzvimbo zvinokonzera:

• kutyora ropa nerubatsiro pfupa zvimedu;
• kuvadza periosteum pakuvhiya;
• metalosteosynthesis muviri zvakaitwa, kurambwa nzara uye mahwendefa;
• pfupa kutsemuka multiple nezvimedu;
• kugamuchira steroid mahormone, anticoagulants;
• pashure pokuvhiyiwa zvimedu vari havaratidzi correlated pamwe nemumwe;
• panowanikwa hombe daro pakati penhindi pfupa somugumisiro simba traction;
• kutapuriranwa lesion kwakaguma paumbwe imwe suppuration pakati kutsemuka;
• osteoporosis;
• muzvidimbu kutadza kufamba haana kugara kwenguva refu;
• ganda zvakakanganisika vachifambidzana yokuchinja - irradiation, kutsva.

Kuchinja kuti kuitika maoko nemakumbo yakafanira kuti paumbwe zvokurwara akadai Joint kwenhema hafu zvose nyaya inobatsira kuti kuramba uye zvikuru urema kodzero.

nezvekugadzirwa pseudarthrosis

Kana rwunotanga kuumba venhema vadyi, pfupa zvimedu inoumbwa pakakoromoka izere connective zvinyama uye mapfupa nendiro anovhara chiteshi. Ndiwo musiyano mukuru pakati nonunion ari kunonoka Fusion mapfupa.

Sezvo chirwere anotanga mberi kunowedzera mufambo ari "vagari." Paumbwe randinenge pamwe hukawanika mativi pfupa zvimedu, iyo boka richitora mazamu pamwe nomumwe. Zvavakanga akaumba articular shwashwa. Modified fibrous zvinyama wakakomberedza "vagari" akaumba "Kamudzira", kunoitika synovial mvura.

chirwere zviratidzo

Zviratidzo nonunion chaizvo zvakananga, uye chiremba anokwanisa kuita rokutanga chirwere kunobva chete pamusoro pavo, achibva kunosimbiswa X-ray mufananidzo.

• Pathological mufambo munzvimbo remafupa, uko kazhinji zvikasaitika. Uyezve, anogona kuwedzera amplitude uye mirayiridzo kufamba mu muhudyu chechokwadi, hazvibviri mune utano munhu. mamiriro kwakadaro chinokurwadzai hudyu wenhema kumonwa.
• Pathological mufambo mumunda kunogona haawanzotauri kuoneka, asi dzimwe nguva kuitwa ndege zvose. Munguva okurapa pane zviitiko kana mutezo panzvimbo pseudoarthrosis zvayaitenderera paguyo kuburikidza 360 inegumi.
• Richiripo kupfupikisa. Kusvikira masendimita gumi kana kupfuura.
• Atrophy of gumbo netsandanyama.
• kutyora akasimba richiripo chaitika. Kutama murwere rinoshandisa madondoro uye mamwe vachibatsira midziyo yemagetsi.
• Nokuvimba tsoka kune marwadzo munzvimbo pseudarthrosis.

Asi pane nguva apo chirwere zviratidzo zviri zvishomanana kana kuti kunyange kusava pakugadzirwa Joint kwenhema rimwe dvuhkostnogo chidimbu mapfupa. Izvi zvinoitika kana sei mumwe mapfupa maviri kuti vanoumba rezasi gumbo kana honokono.

Kutsemuka of femoral mutsipa iri pangozi yokukuvadzwa, kunyanya kana pane vakwegura. Vakadzi vari nyore nokutyora kwakadaro, riri chokuita panowanikwa osteoporosis panguva kubereka. Osteoporosis kunoderedza pfupa arambe achirema, uye zvinoita nokuda kuchinja kwemakemikari omuviri panguva kubereka.

Diagnostics

Kuzosimbisa chirwere uchishandisa X-ray nzira. Pseudoarthrosis radiographically pachena nenzira mbiri:

• Hypertrophic pseudarthrosis - zviri zvakasimba kwazvo uye overgrowth repfupa rinenge munzvimbo pakakuvara kwomuzvarirwo ropa rive. On X-ray, unogona kuona kuwedzera kure pakati kumigumo pfupa zvimedu.
• Atrophic - chiitiko pseudoarthrosis kunoitika apo hapana kukwana kana pasina ropa rive. Musi X-ray kunogona kuva kwakanaka Kutarira kumicheto chakajeka miganhu nezvimedu dzaidzidziswa connective rinenge asi hazvina simba zvokutadza kuvakanganise nzvimbo pathological inotungamirwa.

mabatiro

Kana akaumba zvenhema kwemajoini kurapwa voitakura kunze chete tichibatsirwa pakuvhiya. With hypertrophic pseudarthrosis kuvakanganise zvimedu vachishandisa simbi osteosynthesis akabatana kusonanidzwa repfupa tishu. Zvadaro, kwevhiki dzinoverengeka, pane mineralization pamusoro shwashwa rukoko kwakakwana uye pfupa inotanga coalesce. In atrophic pseudarthrosis kubvisa migove pfupa zvimedu kuti kwakakanganiswa ropa rive. Zvadaro pfupa zvikamu zvakabatana mumwe, kubvisa zvachose mufambo yavo.

Pashure pokuvhiyiwa rokudzorera tsandanyama matauriro, mufambo pedyo mapfundo kuvandudza ropa wedzerai varwere, kurovedza muviri marapirwo, physiotherapy.

mhedziso

Saka, takakurukura chii vadyi nhema, zviratidzo chirwere ichi uye kurapwa kwaro zvakare vaiona. Kana paiva dambudziko, zvose chiremba kunenge zvinofanira kutevedzerwa uye kwete kuita kuti wakuvara kwenguva refu sezvinobvira, saka kuti mapfupa vari fused zvakanaka. Zvikasadaro pseudarthrosis anogona kukonzera chakakomba matambudziko.