Kodi fupa lanu losweka lachira molakwika? Kapena silikuchirabe? Tiyeni tikambirane za (Malunion ndi Nonunion Fractures)!

Ndizachilendo kuthyola fupa, monga mkono kapena mwendo, kamodzi kokha m'miyoyo yathu. Zimenezi zikachitika, timapita kwa dokotala mwachangu, kuika pulasitala, ndikudikira kuti lichiritsidwe. Nthawi zambiri, ndi chithandizo choyenera, mafupa oswekawa amachira bwino. Komabe, nthawi zina njira yochiritsirayi siichitika bwino. Pamenepo ndi pomwe timayenera kulankhula za matenda otchedwa `(Malunion)` (kusakhazikika bwino) ndi `(Nonunion)` (kulephera kuchira konse) . Izi zitha kukhala zokhumudwitsa pang'ono, kotero ndikofunikira kwambiri kudziwa izi.

Kodi mawu akuti `(Malunion)` ndi `(Nonunion)` awa amatanthauza chiyani? Tiyeni timvetse mosavuta, sichoncho?

Tangoganizani kuti muli ndi fupa losweka m'dzanja kapena mwendo wanu. Dokotala wayika bwino ndipo wayikapo pulasitala. Tsopano, zidutswa ziwiri zosweka za fupa ziyenera kubwerera pamodzi ndikufanana momwe zinalili.

• `(Malunion)` - Kusamvetsetsana:

Mwachidule, `(Malunion)` amatanthauza kuti mafupa awiri osweka agwirizana, koma osati bwino . Izi zikutanthauza kuti, fupa likhoza kukhala lolakwika, kapena lopotoka pang'ono, kapena lalifupi kuposa momwe liyenera kukhalira. Zili ngati kuyikanso zidutswa ziwiri zosweka za dothi molakwika. Zasakanikirana, koma sizolondola kwenikweni.

• `(Nonunion)` (Nonunion) - Kutayika kwa zomwe zili zoyenera:

``(Nonunion)`` ndi vuto lalikulu pang'ono. Chomwe chimachitika apa ndi chakuti zidutswa ziwiri zosweka za fupa, ngakhale zitachira kwa nthawi yayitali, sizigwirizana konse . Ndiko kuti, ngakhale patatha miyezi ingapo, palibe kulumikizana kwatsopano pakati pa mafupa awiriwa. Kunena zoona, fupa limaswekabe.

Mafupa akapanda kuchira bwino, zimatha kukhudza kwambiri kukhazikika kwa mafupa a thupi lathu komanso ntchito zomwe mafupawo amachita. Tangoganizirani ngati fupa la mwendo wanu litasokonekera, mutha kupunduka ndikumva kupweteka mukamayenda, sichoncho?

Nthawi zambiri, mabala amachira bwino ndi chithandizo choyenera. Pali zifukwa ziwiri zomwe izi sizingachitike. Choyamba ndi 'vuto la makina' . Izi zikutanthauza kuti zidutswa ziwiri zosweka sizinagwirizane bwino panthawi yochira. Chinanso ndi 'vuto lachilengedwe' . Izi zikutanthauza kuti thupi lanu lilibe michere ndi magazi omwe mafupa anu amafunika kuti achiritsidwe. Madokotala amaganizira zonsezi akamachiza matendawa.

Kodi mitundu ikuluikulu ya kusweka kwa mafupa osalumikizana ndi mafupa ndi iti?

Madokotala akamafufuza munthu amene ali ndi vuto losalumikizana ndi dokotala, amamuika m'gulu la matenda enaake. Izi zimawathandiza kumvetsetsa chifukwa chake fupa silikuchira komanso zomwe zimayambitsa vutoli. Pali mitundu itatu ikuluikulu:

Kodi `(Hypertrophic nonunion)` ndi chiyani?

Mu mtundu uwu, pali zizindikiro za maselo atsopano a mafupa omwe akupangidwa. Izi zikutanthauza kuti thupi likuyesera kuchiritsa fupa. Komabe, malekezero a zidutswa ziwiri za mafupa osweka sakugwirizana bwino. Izi zikutanthauza kuti thupi lili ndi zinthu zachilengedwe, koma zidutswa ziwiri zosweka sizimagwiridwa bwino ndipo sizimasweka panthawi yochira. Zili ngati pali simenti, koma matope samamangiriridwa bwino.

Kodi `(Atrophic nonunion)` ndi chiyani?

Pankhaniyi, palibe chizindikiro cha kupangidwa kwatsopano kwa fupa. Komanso, fupa silikhala ndi magazi okwanira. Izi zikusonyeza kuti zinthu zamoyo zikulepheretsa fupa kuchira. Nthawi zina, matenda amatha kuchitika m'fupa, zomwe zitha kusokoneza magazi. "Kusagwirizana" komwe kumakhala ndi matenda otere kumatchedwanso "Septic nonunion" .

Kodi `(Oligotrophic nonunion)` ndi chiyani?

Mu mtundu uwu, fupa latsopano lapangidwa, koma silinapangidwe mokwanira. Zidutswa ziwiri za fupa sizili pamalo oyenera. Mwina fupa silinakhazikitsidwe bwino pamene linakhazikitsidwa koyamba, kapena pambuyo pake linagwetsedwa ndi kusunthidwa. Zinthu zonse ziwiri zokhazikika komanso zinthu zamoyo zitha kukhalapo pano.

Kodi mumadziwa bwanji ngati muli ndi `(Malunion)`? Kodi zizindikiro zake ndi ziti?

Ngati fupa lasokonekera, lotchedwa "malonion," mungaone kapena kumva zinthu ngati izi:

• Zosintha zomwe zimaoneka kunja:
• Fupa lanu limawoneka lotambasuka kapena lopotoka .
• Fupa limawoneka ngati lapindika , kapena ngati likuzungulira .
• Fupa likhoza kuoneka lalifupi kuposa kale . Mwachitsanzo, mwendo umodzi ukhoza kukhala waufupi pang'ono kuposa unzake.

• Zovuta zomwe zimachitika mukamagwiritsa ntchito fupa limenelo:
• Pali ululu m'fupa.
• Pali kutupa pamenepo.
• Kupunduka poyenda (ngati ndi mwendo).

Mafupa onse m'thupi lathu amalumikizana. Choncho, fupa likakhala lofooka pamalo amodzi, limatha kukakamiza mafupa ena kwambiri. Chifukwa chake, ngakhale palibe ululu pamalo omwe pali "malonion", fupa limenelo likagwiritsidwa ntchito, lingayambitse ululu mbali ina ya thupi.

• Mavuto okhudzana ndi mitsempha:

Nthawi zina, mitsempha yapafupi imatha kupanikizika kapena kupsinjika ndi mafupa osakhazikika bwino. Ngati izi zitachitika, mutha kuwona zizindikiro monga:

• Kusanza kapena kumva kuwawa (`(Paresthesia)`) m'dera limenelo.
• Kufooka kwa minofu, kapena, kufooka kwa minofu.
• Kupweteka kwa mitsempha (neuropathy).

Kodi zizindikiro za `(Nonunion)` ndi ziti?

Ngati fupa silikugwirizana, ndiko kuti, pali "kusagwirizana", mungaone zizindikiro monga izi:

• Pali ululu waukulu komanso wokhalitsa pamene fupa limasweka. Ululuwu ukhoza kupitirira ngakhale chitsulocho chitachotsedwa.
• Mukagwiritsa ntchito fupa limenelo, mumamva kufooka kapena kusuntha pang'ono .
• Kusintha kooneka, mwachitsanzo, kugundana kapena mpata, kungawonekere kunja, ngati kuti fupa latuluka.

Nthawi zina, ngati pali matenda m'fupa, zizindikiro izi zimatha kuchitika limodzi kapena padera:

• Kutupa
• Malungo
• Kumva kuzizira komanso kukhala ndi chimfine (kuzizira)

N’chifukwa chiyani mabala osweka sachira bwino ndipo amachititsa kuti pakhale ``malonion`` kapena ``nonunion``? Kodi zifukwa zake ndi ziti?

Pali zifukwa zambiri zomwe fupa silingachiritse bwino. Zina tingathe kuzilamulira, zina sitingathe. Nazi zina mwa izo:

• Mtundu ndi kuopsa kwa kusweka kwa fupa:

Pali mabala ena omwe ndi ovuta kuchira. Mwachitsanzo, mabala osweka (omwe amasweka mozungulira) kapena mabala osweka (omwe amasweka m'zidutswa zambiri) , nthawi zambiri sakhazikika bwino. Komanso, ngati magazi opita ku fupa asokonekera chifukwa cha ngozi yayikulu, zimenezo zingakhudzenso kuchira.

• Momwe chithandizocho chinalandilidwira mwachangu komanso bwino:

Ngati fupa silinalandire chithandizo mwamsanga pambuyo poti lasweka, likhoza kuyamba kuchira molakwika. Komanso, ngakhale fupa litakonzedwa bwino ndipo litagwiritsidwa ntchito, limatha kusunthabe pamalo pake. Izi zitha kuchitika ngati chithandizo chachedwa kapena njira yomwe yagwiritsidwa ntchito (monga mphamvu ya fupa) sikokwanira.

• Kaya munapumula bwino ndi kudziteteza pamene mukuchira:

Pa nthawi yochira, ndikofunikira kwambiri kuti fupa losweka lisamayende bwino ndikukhazikika pamalo oyenera. Nthawi zina, zimatenga nthawi yayitali kuposa masiku onse kuti lichiritsidwe. Pazochitika zotere, mavuto angabuke ngati dokotala achotsa chitolirocho msanga kapena ngati mwayamba kugwiritsa ntchito fupalo msanga.

• Thanzi lanu lonse ndi mphamvu zanu zakuthupi zomwe zimafunika kuti muchiritse:

Pamene njira yochiritsira ikuyenda pang'onopang'ono, pamakhala mwayi waukulu wa malunion kapena non-unity. Kuchira kwa mafupa kumatha kuchedwa kapena kusakwanira mwa anthu okalamba , kusowa zakudya zokwanira (makamaka calcium ndi vitamini D), komanso matenda a kagayidwe kachakudya monga matenda a shuga ndi matenda a chithokomiro . Kugwiritsa ntchito fodya ndi nikotini ndi zinthu zazikulu zomwe zimafooketsa mafupa ndikuchedwetsa kuchira.

Kodi madokotala amazindikira bwanji molondola matenda awa a `(Malunion)` ndi `(Nonunion)`?

Ngati mukuganiza kuti muli ndi vuto ngati ili, dokotala adzakufunsani kaye za ngoziyo ndi matenda ena aliwonse omwe mungakhale nawo. Kenako, adzafufuza fupa. Adzafufuza kusintha kulikonse komwe kungawonekere kunja, ndipo adzakufunsani momwe mukumvera posuntha fupalo. Angakuuzeni kuti muyende, kapena angayese kutalika kwa fupalo.

Pambuyo pake, nthawi zambiri kuyezetsa fupa kumachitika. Izi zingaphatikizepo:

• `(X-ray)` (X-ray): Ichi nthawi zambiri chimakhala chinthu choyamba chomwe mumayang'ana.
• `(CT scan)` (CT scan): Ikhoza kupeza zithunzi zomveka bwino za fupa.
• `(MRI)` (MRI scan): Izi zimathandiza kuona ngati pali kuwonongeka kulikonse kwa minofu yofewa yozungulira mafupa, monga mitsempha.

Ngati dokotala apeza kuti fupa lachira m'malo osakhala a thupi, adzaganiza kuti ndi "malonion." Ngati fupa silinayambe kuchira kapena silinachiritsidwe bwino patatha nthawi yokwanira yochira, limadziwika kuti "kuchedwa kugwirizana" kapena "kusagwirizana." Nthawi yochira imatha kusiyana malinga ndi mtundu wa kuvulala, fupa lomwe lakhudzidwa, komanso thanzi lanu. Kawirikawiri, limatchedwa "malonion" ngati silinachiritsidwe patatha miyezi isanu ndi umodzi, isanu ndi inayi, kapena khumi ndi iwiri.

Kodi matenda awa a `(Malunion)` ndi `(Nonunion)` angachiritsidwe? Kodi mankhwala ake ndi otani?

Nkhani yabwino ndi yakuti si malunion iliyonse kapena nonunion iliyonse yomwe iyenera "kukonzedwa." Zimatengera fupa lomwe likukhudzidwa, kuchuluka kwa momwe mumagwiritsira ntchito, komanso momwe limakhudzira moyo wanu watsiku ndi tsiku. Komabe, ma nonunion ena amatha kuchepetsa kuyenda kwanu, kuyambitsa ululu, kapena kuyambitsa mavuto ena. Pazochitika zimenezo, opaleshoni ingakhale yofunikira kuti vutoli lithe. Madokotala amayesa kaye chithandizo chopanda opaleshoni kenako n’kuchita opaleshoni ngati sichikugwira ntchito.

Chithandizo cha `(Malunion)` (Mafupa Osakhazikika)

• Mankhwala osagwiritsa ntchito opaleshoni:
• Kulimbitsa Thupi: Mungapemphedwe kuvala cholimbitsa thupi kuti fupa likhale bwino mukachigwiritsa ntchito.
• Ma Orthotics: Ngati mwendo umodzi ndi waufupi, mungagwiritse ntchito choyikapo nsapato chapadera kuti muchepetse kusiyana.
• Kuchiza thupi: Izi zimaphatikizapo masewera olimbitsa thupi apadera omwe angalimbikitse minofu yoyenera ndikuchepetsa kupanikizika pa fupa.
• Mankhwala ochepetsa ululu: NSAIDs (mankhwala oletsa kutupa omwe si a steroidal) kuti achepetse ululu nthawi zinaMungagwiritse ntchito mankhwala ochepetsa ululu wamba monga.

• Chithandizo cha opaleshoni:
• Osteotomy: Dokotala wochita opaleshoni angadule fupa ndikusintha malo ake.
• Opaleshoni yotalikitsa miyendo: Ngati mkono kapena mwendo wafupikitsidwa kwambiri, opaleshoni ikhoza kuchitidwa kuti italikitse miyendo pogwiritsa ntchito chipangizo chapadera.

Chithandizo cha `(Nonunion)` (mafupa omwe sakugwirizana)

• Mankhwala osagwiritsa ntchito opaleshoni:
• Chithandizo chamankhwala: Ngati pali matenda omwe amakhudza thupi lonse (monga matenda a shuga), matenda, kapena kusowa zakudya m'thupi, ayenera kuchiritsidwa kaye.
• Ma Orthoses: Chogwirira, splint, kapena cast chimagwiritsidwa ntchito kuthandiza fupa kuchira ndikuliteteza kuti lisagwe.
• Chothandizira mafupa: Izi ndi zipangizo zapadera zomwe zimagwiritsa ntchito mafunde a ultrasound kapena mafunde a electromagnetic kuti zithandize kuchira mafupa.
• Jakisoni wachilengedwe: Ma stem cells kapena plasma yochuluka m'ma platelet amatha kulowetsedwa m'mafupa kuti alimbikitse machiritso ndi kukula.

• Chithandizo cha opaleshoni:
• Kuchotsa mafupa: Dokotala wa opaleshoni amachotsa minofu yakufa, yosachiritsa m'fupa.
• Opaleshoni ya mitsempha yamagazi: Ngati magazi asokonekera, opaleshoni ya mitsempha yamagazi ikhoza kuchitidwa kuti ibwezeretsedwe.
• Kulumikiza mafupa: Dokotala amatenga chidutswa cha fupa kuchokera ku gawo lina la thupi lanu (monga fupa la m'chiuno mwanu) kapena kuchokera ku fupa loperekedwa ndi wopereka ndikuchiyika m'gawo lomwe silikupezeka. Izi zimapangitsa kuti mafupa atsopano ayambe kukula bwino.
• Kutsegula ndi kutsekeka kwa mkati: Dokotala wa opaleshoni amaikanso zidutswa za mafupa ndikugwiritsa ntchito zomangira, mbale, kapena misomali kuti azigwirizanitse.

Kodi kuchira kumakhala bwanji pambuyo pa chithandizo?

Mankhwala onse osagwiritsa ntchito opaleshoni komanso opaleshoni ali ndi chiwopsezo chachikulu pochiza malunion ndi nonunion. Nkhani yabwino ndi imeneyo. Komabe, zingatenge nthawi kuti muchire bwino ndikubwerera ku moyo wabwinobwino (kubwezeretsa). Mungafunike kugwiritsa ntchito ndodo kapena chowongolera kuti muyende mpaka mutachira. Mungafunikenso chithandizo cha thupi.

Nthawi zina chithandizo chingalephereke. Izi zingachitike ngati fupa silingathe kugwiridwa bwino, kapena ngati madokotala sangathe kuwongolera zinthu zamoyo zomwe takambirana (monga magazi ndi zakudya).

Zinthu zofunika kwambiri zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kuthyola fupa kungachitikire aliyense. Nthawi zina sitidziwa nthawi yomweyo kuti tathyola fupa. Komabe, ngati muli ndi kukayikira pang'ono komwe mungakhale nako, ndi bwino kupita kwa dokotala nthawi yomweyo ndikupita kuchipatala.

• Mabala osweka amachira bwino akalandira chithandizo chabwino komanso msanga .
• Dokotala wanu adzayang'ana bala lanu ndikupeza zinthu zilizonse zomwe zingalepheretse kuchira.
• Adzakupatsani malangizo a momwe mungadzisamalire nokha kuti mupewe `(Malunion)` kapena `(Nonunion). Ndikofunikira kwambiri kutsatira malangizo amenewo mosamala.

Kotero, ndikukhulupirira kuti izi zikuthandizani. Ngati mwathyoka fupa, musachite mantha ndipo musaiwale kutsatira malangizo oyenera a dokotala. Izi nthawi zambiri zimatha kupewa mavuto ngati amenewa.

Kusweka kwa mafupa, malunion, kusalumikizana, malunion, chithandizo cha mafupa, opaleshoni ya mafupa