Fumana izizathu ezinokubangela ukuba lolu hlobo lwekhefu luphule
Ukuphulwa kwe- pathologic kwenzeka xa ithambo liphuka kwindawo esele ibuthathaka ngesinye isifo. Xa ithambo libuthathaka ngenye imeko yezokwelapha, umntu uya kuba yinto enokubhokoxa. Iimbangela zokunqongophala kwethambo ziquka i- osteoporosis , izicubu, ukusuleleka, kunye neengxaki ezithile zefa. Kwaye ezi zimbalwa zimbangela; kukho ezininzi izifo kunye neemeko ezingakhokelela ekuqhekekeni kwe-pathologic.
Xa ukuphuka kwethambo kwenzeka, kunokubakho ukulimala okunjengokuwa okuqhelekileyo kungabangela ukuba kuqhekeke, kodwa kwithambo elibuthakathaka liye laholela ekuqhekekeni. Okanye, xa ithambo libuthathaka kakhulu, i-fracture ingenzeka ngaphandle kwesiganeko esicacileyo esenzekayo. Ukuhamba nje okanye ukunyuka esihlalweni kunokukhokelela ekuphukeni xa ithambo libuthathaka kakhulu.
Ukuhlukana kwethambo kuza kwiimpawu ezininzi kunye neentlobo. Isizathu sokuthi ukuphuka kuthiwa yi-pathologic kukuba ithambo lancipha ngaphambi kokuba kuvele ukulimala. Ngamanye amaxesha i-pathologic fractures iyabonakala, kwaye ngamanye amaxesha akucaci ukuba kukho ingxaki ebangela ukulimala.
Indlela abaqhele ngayo
Ngokuqhelekileyo, xa umntu ephula ithambo, kungenxa yesenzo esinobudlova esibandakanya impembelelo engazelelwe. Ngokomzekelo, akuqhelekanga ukuba ithambo liphule ngexesha lomdlalo oqhagamshelwano olunjengebhola lebhola okanye iHockey, ngexesha lengozi yemoto , okanye xa ewela ngengozi.
Ukuhlukana kwe pathologic kwahluke ngoxa kudla njalo kwenzeka ngexesha eliqhelekileyo lomsebenzi. Ngokomzekelo, kunoku kwenzeka xa uhlamba amazinyo akho, uhlamba, okanye uya kwisitolo. I-cyst bone isenokukhula ibe yayizikhulu kwaye idle inxalenye enkulu yethambo ukuze ithambo lingakwazi ukuxhasa umsebenzi oqhelekileyo womzimba.
Indlela yokwazi ukuba ngaba unesifo sePathological Fracture
Ekubeni ungeke ukwazi ukubona okwenzeka ngaphantsi kwesikhumba xa ufumana ukulimala, kunokuba nzima ukuba ukwazi ukuba ikhefu lekhefu lenza ukuba buhlungu, kwaye ukuba kunjalo, luhlobo luni lwesithambo oluphulekileyo. Ngoko hamba ukhangele ugqirha wakho ukuvavanya ukufumanisa.
Iimpawu zaluphi na uhlobo lwenqabileyo zingabandakanya intlungu enobunzima ukuya kunzima, isalathiso esibheka kwindawo, ukunyunyuza, ukuvuvukala, ukunyamezela, ukunyakaza okanye ukubetha, kunye / okanye ubunzima bokuhambisa isilungu. Ugqirha wakho angancoma i- X-ray ukuchonga ukuba ingaba ithambo liphukile okanye cha.
Kodwa uyazi njani ukuba i-fracture i-pathological or not? Umgca wesigxina: Nasiphi isigulane esinokuphuka ngaphandle kokulimala okungasenza ukuba ikhefu liphulwe, kufuneka likhankanywe ukuba libe nefuthe le pathologic.
Ukulinganisa Isizathu Esisiseko
Uninzi lweemvavanyo lunokwenziwa ukuze kuncedwe imbangela yokuphulwa kwe-pathologic. Ezinye zezi ziquka:
- Iimvavanyo zeLebhu (kuquka ukuhlaziywa kwamanani egazi kunye namanqanaba e-calcium)
- Ukuphonononga iimvavanyo (kubandakanywa ukuhlolwa kwethambo kunye ne- MRIs )
- I-Bone biopsy (isampuli yethambo itholakala, mhlawumbi ngexesha lokulungiswa kweqhekeza okanye ngaphambi-lo vavanyo lunokukunceda ngakumbi xa i-tumor okanye intsholongwane ikhunjulwa njengesizathu)
Isicwangciso soTyango
Ukunyanga i-fracture, ngokwayo, unokufuna ukugqoka i- cast or splint . Ngamanye amaxesha ungadinga ukuhlinzwa ukuze ufake iiplati, izikhonkwane, okanye iifreythi ukugcina ithambo lisendaweni. Ungadinga ukuphumla ixesha elithile kwaye uzame ukuphepha ukwenza imisebenzi ethile ebandakanya inxalenye ethile yomzimba.
Ukuba i-fracture i-pathological in nature, ugqirha wakho uya kufuna ukunyanga imbangela ebangela ukuphuka kwethambo ukunceda ukukhusela ukuba kwenzeke kwakhona. Ukunyangwa kwesifo se pathologic kuxhomekeke kakhulu kwi-bone bone. Ezinye izinto ezibangela ukuphulwa kwe-pathologic zingaphazamisa ithambo, kodwa ingatshintshi impahla yokuphulukisa ithambo.
Ngakolunye uhlangothi, ezinye izinto ezibangela ukuphulwa kwe-pathologic zingakhusela ukuphulukiswa okuqhelekileyo kwithambo. Ngenxa yoko, ezinye iifractic pathologic fracture zidinga unyango olufanayo njengento eqhelekileyo yokuphuka, kanti abanye bangadinga ukunakekelwa ngokukhethekileyo.
> Umthombo:
> Scolaro JA, uLackman RD. "Ulawulo lokupakisha lwe-metastatic long break breaks: imigaqo kunye nobuchule" J Am Acad Orthop Surg. 2014 Feb; 22 (2): 90-100.