Uluhlu lweMigqaliselo yonyango olwazisiweyo
Xa umntu enesifo sekhefu , enye yezinto zokuqala umntu afuna ukwazi ukuba yinto embi kangakanani. Ukufumana ubunzima kunye nexesha / unyango, ixesha loogqirha liya kwenza i-X-ray. Kwezinye iimeko, bangasebenzisa ezinye iindlela zobugcisa, ezifana ne-computed tomography (CT) okanye i- IMM ), ngokukodwa i- pathologic fracture . Olu hlobo lokuphuka lubangelwa kungekhona ngengozi kodwa ngenxa yesimo sengonyango esenza buthathaka ithambo.
Njengesigulane, unelungelo lokusebenzisa ukuqonda ngokucacileyo zombini ukhetho lwakho kunye nokunyanga. Ukwenza njalo, uya kulungiswa kakuhle ukuqonda isigama esetyenziswayo ukuchaza ukuphuka.
Ukuchaza indawo yokuhlukana
Indawo ye-anatomical ye-fracture yimalunga ngaphezu kweyiphi ikhefu; ichaza uphawu lwesakhiwo sekhefu. Kule nto, oogqirha baya kusebenzisa ezi zinto zilandelayo:
- I-Diaphyseal: i-shaft (ephakathi) yethambo
- I-Metaphyseal: ifumaneke kwicala elinye lesithambo kodwa kungekhona kwidibeneyo
- I-Peri-articular: ifumaneke kummandla odibeneyo ekupheleni kwethambo
- I-intra-articular: i-fracture eyenza idibeneyo kunye ne-cartilage
- I-Proximal: isondele kufuphi neliziko lomzimba kwisiphelo esiphezulu sethambo
- I-Distal: ifumaneka ngakumbi ukusuka kwiphakathi lomzimba ekupheleni kwethambo
Iifracture ezibandakanya umgangatho ohlangeneyo zihlala ziphathwa kakubi ngenxa yokuba ukungapheleli kokulungelelanisa kunokukhokelela ekubeni i- arthritis ijongene.
Ukuchaza ukuHlanganiswa koLwaphulo
Ukuchithwa kwesiphulo kusitsho ukuba indlela ekude ngayo indawo ithambo itshintshile. Oogqirha baya kuchaza oku kumagama alandelayo:
- Abangenayo i-displaced: apho ithambo liphukile kodwa lilungelelanise ngokupheleleyo
- Abasemzini abasemakhaya: apho kukho ukutshintshana okukodwa kwindawo, ngokuqhelekileyo kungabalulekanga
- Ukugqithiswa: apho ithambo liye lafuduka ngokukhulu, iqondo elichazwe kwipesenti
- Ukudandatheka: ukuphulwa kwe-intra-articular (ehlangene) eye yachithwa ngaphandle kokulungelelanisa nethambo
- I-Angulated: i-angle apho amathambo ahlaziyiweyo, aphinde achazwe kwiidrees
- Ukunciphisa: isiphumo sibangelwa xa izihlunu ezijikelezayo zithatha ithambo liphela ndawonye ngokukhawuleza, ngokufutshane ukunciphisa ithambo
Ukuchonga iFractures Fractures
Kukho oogqirha abathile bexesha baya kusebenzisa ukuchaza ukuhlukana okubangelwa yimpembelelo ephezulu njengengozi yemoto okanye ukuwa okukhulu. Ziquka:
- Ukugqitywa: ikhefu okanye i-splinter yeethambo kwiingxube ezingaphezu kwembini (i-colloquially "
- Ukwahlula: ikhefu lesithuba apho iinqhezu ezininzi ezihlukeneyo zihlukeneyo nomzimba osisigxina sethambo
Ukuchonga iFractures Fractures
Izaphulelo ze-Pathologic zibangelwa xa ithambo lincipha ngenxa yesifo esingabagxotha amathambo okanye siphazamise isiseko semetabolism (ukulungiswa) kwethambo. Oogqirha baya kudlala ukuchaza ezi zinto zingalindelekanga:
- I-Osteopenia: imeko apho umzimba ungenzi amathambo amatsha ngokukhawuleza njengoko ubuyisela kwakhona ithambo elidala, kaninzi luba ngumphumo wezifo eziqhubekayo ezifana ne- osteoporosis
- I-Cystic: ibonakaliswe ngokubunjwa kwama-cyst njengoko kunokwenzeka ngomhlaza wesifo kunye nezifo ezithile ezingenayo umdlavuza
- I-Lesion: ukungavumelekanga okungaqinisekiyo okungabangela ukulimala kwethambo okanye nje ukulimala kwesikhumba esidlulileyo
Ukuqwalasela I-Bone Repair
Amathambo aphukile aqhele ukubonisa iimpawu zokuphilisa kwiiveki ezimbalwa zokulimala. Oogqirha baya kuchaza oku ngokwemigangatho eyavanya inkqubela yokulungisa. Ezi ziquka imiqathango efana nale:
- Ukuqhaqhaqhaqhaqhaqhaqha: ukukhula kwethambo olutsha malunga nekhefu kubonwa njengomqondiso olungileyo wokuthi amaqhekeza amathambo ahlangana
- Ukuhlanganiswa: elinye igama elisetyenziswe ukuchaza inkqubo eqhelekileyo yokulungisa amathambo ngenxa yokulungiswa
- Ukudibanisa-umanyano kwi-non-association : xa i-bone ephukile ayiphilisi ngokufanelekileyo ngenxa yokusasazeka kwemfuyo, ukusuleleka, ukunganyaniseki, okanye ezinye izizathu
> Umthombo:
> Marsh, J. "Ukwahlulelwa kwe-OTA yeFracture." Umbhalo we-Orthopedic Trauma. 2009; 23 (8): 551. INGXELO: 10.1097 / BOT.0b013e3181ad5e92.