Kodi fupa lanu silinakhazikike bwino mutathyoka? (Malunion & Nonunion Fractures)

O, kuthyoka fupa ndi chinthu chomwe simukufuna kuganizira, eti? Koma chingachitike pangozi, kugwa kuchokera kutalika, kapena ngozi yagalimoto. Nthawi zambiri, ndi chithandizo choperekedwa ndi madokotala, monga kugwiritsa ntchito mabandeji ndi mwina pulasitala, zidutswa za fupa zosweka zimatha kubwezeretsedwanso bwino. Koma nthawi zina, zinthuzi sizichitika mosavuta monga momwe mukuganizira. Chimachitika ndi chiyani ngati sizikugwirizana bwino, kapena ngati sizikugwirizana konse? Lero, tikambirana za zinthu ziwiri zotere: Malunion ndi Nonunion .

Kodi Malunion ndi Nonunion ndi chiyani?

Mwachidule, izi zikutanthauza milandu pamene fupa silikuchira bwino pambuyo poti lathyoka.

• Malunion ndi pamene mafupa osweka amalumikizidwa pamodzi, koma molakwika, pamalo olakwika . Monga zidutswa ziwiri zosweka za mbale zomwe zimamatiridwa molakwika. Mafupa amatha kukokedwa, kupindika, kapena kufupikitsidwa.
• Kusagwirizana ndi pamene mafupa osweka sanachiritsidwe konse, ngakhale patatha nthawi yaitali. Zili ngati zidutswa ziwiri zamatabwa zosweka zomwe sizingagwirizane.

Mwanjira imeneyi, ngati fupa lasokonekera, kapena ngati lasokonekera kwathunthu, likhoza kukhudza kwambiri kukhazikika ndi kugwira ntchito kwa mafupa a thupi lathu. Tangoganizirani momwe zingakhalire zovuta kuyenda ngati fupa la mwendo litasokonekera.

Nthawi zambiri, mabala amachira bwino ndi chithandizo choyenera. Ngati sachira, payenera kukhala chifukwa. Kungakhale vuto la makina - ndiko kuti, zidutswa zosweka sizinagwirizane bwino panthawi yochira. Kapena kungakhale vuto lachilengedwe - ndiko kuti, thupi lanu lilibe zinthu zokwanira zochiritsira fupa. Madokotala amaganizira zonsezi akamachiza matenda awa.

Kodi mitundu ikuluikulu ya osagwirizana ndi iti?

Dokotala wanu angatchule kusalumikizana kwanu ngati Hypertrophic'', Atrophic'', kapena Oligotrophic''. Kugawidwa kumeneku kumachokera pa umboni wa zomwe zimapangitsa kuti fupa lisachiritse.

• Kusagwirizana kwapadera: Apa ndi pamene fupa latsopano likupangidwa, koma malekezero a zidutswa za fupa losweka sakulumikizana bwino. Mwa kuyankhula kwina, fupa lanu lili ndi zigawo zonse zamoyo (monga magazi, maselo) zomwe zimafunika kuti zichiritsidwe, koma zidutswa za mafupa sizimagwirizanitsidwa bwino panthawi yochira. Tangoganizirani kukhala ndi zipangizo zonse zofunika pomanga nyumba, koma makoma sali omangika bwino.
• Kusagwirizana kwa minofu:Pankhaniyi, palibe fupa latsopano looneka, ndipo fupa sililandira magazi okwanira. Izi zikusonyeza kuti fupa silikuchira pazifukwa zachibadwa. Monga momwe chomera chimafota popanda madzi ndi zakudya. Nthawi zina, ngati pali matenda mkati mwa fupa (septic nonunion), magazi amathanso kusokonezeka.
• Kusagwirizana kwa mafupa: Pankhaniyi, fupa latsopano limapangidwa, koma silili lokwanira. Zidutswa za mafupa sizili pamalo oyenera. Mwina zidutswa za mafupa sizinakhazikitsidwe bwino poyamba, kapena pambuyo pake zinasakanizidwa. Pakhoza kukhala mavuto ndi kukhazikika kwa zidutswa za mafupa ndi zinthu zamoyo.

Kodi zizindikiro za malunion ndi ziti?

Pamene fupa lasokonekera (malonion), mungaone zinthu monga izi:

• Mafupa anu amaoneka otambasuka kapena opindika.
• Zikuoneka ngati fupa lapindika .
• Fupa likuwoneka lalifupi kuposa kale.

Mukagwiritsa ntchito fupa lomwe silikugwirizana bwino motere, mutha kuwona zizindikiro izi:

• Zimapweteka pamene pali fupa.
• Pali kutupa .
• Kupunduka poyenda (ngati ndi mwendo).

Mafupa onse m'thupi lathu amalumikizana. Choncho fupa likakhala lofooka pamalo amodzi, limatha kupangitsa mafupa ena kulemera kwambiri komanso kukakamizidwa. Chifukwa chake, mukagwiritsa ntchito fupa lovulala, mutha kumva kupweteka m'malo ena a thupi.

Tangoganizirani, ngati mitsempha yapafupi yatsitsidwa kapena kukokedwa chifukwa cha zidutswa za mafupa zomwe sizinayende bwino, izi ndi zizindikiro zokhudzana ndi mitsempha zomwe mungakumane nazo:

• Kumva ngati nyerere zikuthamanga mozungulira (paresthesia).
• Minofu m'dera lovulalayo imafooka ndipo imafooketsa.
• Kupweteka kwa mitsempha (neuropathy) kumachitika.

Kodi zizindikiro za munthu wosagwirizana ndi mgwirizano ndi ziti?

Ngati fupa siligwirizana (losalumikizana), mungaone zizindikiro monga:

• Pali ululu waukulu komanso wosalekeza pamalo osweka.
• Palinso kufooka kwina m'dera limenelo, kumva ngati simungathe kuyenda bwino .
• Kuchokera kunja, mutha kuwona kusiyana , mwina monga mfundo kapena mpata.

Nthawi zina, ngati pali matenda m'fupa, akhoza kukhala ndi zizindikiro izi kapena ayi:

• Kutupa
• Malungo
• Ndikuzizira.

Nchifukwa chiyani malunions ndi nonunions izi zimachitika?

Fupa likasweka, pali zifukwa zambiri zomwe zingachititse kuti lisachiritse bwino kapena kuti lisachiritse konse. Tiyeni tiwone zina mwa zifukwa zazikulu:

• Mmene inasweka, moyipa bwanji:Mwachitsanzo, mafupa opindika (spiral fractures) kapena osweka m'zidutswa zambiri (comminuted fractures) sachira bwino. Komanso, ngati muli ndi kuvulala kwakukulu (traumatic injuries) komwe kumakhudza magazi omwe amapita ku fupa, zimakhudza kuchira. Chifukwa magazi ndi ofunikira kuti fupa likhale ndi moyo ndikuchira.
• Kupeza chithandizo mwachangu komanso bwino: Ngati simunapite kwa dokotala mukangothyola fupa, likhoza kuyamba kuchira molakwika. Nthawi zina, ngakhale zidutswa za fupa zitakhazikika bwino, zimatha kusokonekera. Izi zimachitika kawirikawiri ngati chithandizo chachedwa kapena ngati chithandizocho sichili chokwanira.
• Kupuma ndi kudziteteza panthawi yochira: Ndikofunikira kwambiri kusunga fupa pamalo ake komanso pamalo oyenera pamene likuchira. Anthu ena amatenga nthawi yayitali kuposa masiku onse kuti fupa lichiritsidwe. Pazochitika zotere, mavuto angabuke ngati dokotala achotsa pulasitiki msanga kapena ngati mwayamba kugwiritsa ntchito fupa msanga.
• Thanzi lanu lonse komanso kuthekera kwanu kuchira: Pamene fupa likuchira pang'onopang'ono, nthawi zambiri limakhala malunion kapena non-unity. Anthu okalamba , kusowa zakudya m'thupi (makamaka calcium ndi vitamini D), kapena matenda a kagayidwe kachakudya monga matenda a shuga ndi matenda a chithokomiro amatha kuchepetsa kapena kuletsa kuchira kwa mafupa. Ndikofunikiranso kukumbukira kuti kugwiritsa ntchito fodya ndi nikotini kungafooketsenso mafupa ndikuchedwetsa kuchira.

Kodi madokotala amazindikira bwanji matenda amenewa?

Akapeza vuto ngati ili, dokotala adzakufunsani kaye za momwe kuvulalako kunachitikira komanso matenda ena aliwonse omwe mungakhale nawo. Kenako, adzayesa mwendo wanu. Adzayang'ana zinthu monga kusintha komwe mungawone kunja ndi momwe kumamvekera mukasuntha. Kutengera ndi komwe kuthyoka kwasweka, angafune kuyang'anira momwe mukuyendera kapena kuyeza kutalika kwa mwendo.

Kenako, ndithudi, zithunzi za fupa zimatengedwa (imaging). Izi zitha kugwiritsidwa ntchito poyesa monga X-ray , CT scan , kapena MRI .

Dokotala adzafufuza ngati fupa lachira pamalo osayenera komanso osayenera m'thupi. Ngati ndi choncho, adzazindikira kuti ndi malunion.

Ngati fupa silinachiritsidwe kwa nthawi yayitali, kapena ngati silinachiritsidwe kwathunthu, limatchedwa 'kuchedwa kugwirizana' kapena kusalumikizana. Nthawi yomwe imatenga kuti fupa lichiritsidwe imatha kusiyanasiyana kutengera mtundu wa kuvulala, mtundu wa fupa lomwe lasweka, komanso thanzi lanu lonse. Nthawi zambiri, zingatenge miyezi isanu ndi umodzi, isanu ndi inayi, kapena khumi ndi iwiri kuti fupa lichiritsidwe popanda kuchira.

Kodi malunions ndi non-unions awa angapangidwe?

Si malunion iliyonse kapena nonunion yomwe imafunika kukonzedwa. Zimatengera fupa lomwe lasweka, kuchuluka kwa fupa lomwe mumagwiritsa ntchito, komanso kuchuluka kwa vutoli komwe kumakhudza moyo wanu watsiku ndi tsiku. Koma nthawi zina, fupa lomwe silinachiritsidwe bwino lingapangitse kuti kuyenda kukhale kovuta, kuyambitsa ululu, kapena kuyambitsa mavuto ena. Zikatero, opaleshoni ingafunike kuti ikonzedwe. Dokotala wanu adzayesa kaye chithandizo chopanda opaleshoni kenako n’kukupatsani upangiri wa opaleshoni ngati sizikugwira ntchito.

Chithandizo cha Malunion

Mankhwala osagwiritsa ntchito opaleshoni:

• Kulimbitsa mafupa: Nthawi zina cholimbitsa mafupa chapadera chingagwiritsidwe ntchito kuti fupa likhale bwino.
• Ma Orthotics: Chovala cha nsapato chopangidwa mwapadera chingathandize kulimbitsa kutalika kwa mwendo.
• Kuchiza thupi: Kuchita masewera olimbitsa thupi enaake kungathandize kulimbitsa minofu yomwe yakhudzidwa ndikuchepetsa katundu pamafupa.
• Mankhwala ochepetsa ululu: Pa ululu nthawi zina, mungagwiritse ntchito mankhwala ochepetsa ululu wamba monga NSAIDs.

Chithandizo cha opaleshoni:

• Osteotomy: Pa izi, dokotala wa mafupa amadula fupa lolakwika ndikulibwezeretsa pamalo pake.
• Opaleshoni yotalikitsa miyendo: Ngati mkono kapena mwendo wafupikitsidwa, dokotalayo angagwiritse ntchito chipangizo chapadera kuti atalikitse miyendo.

Chithandizo cha Osagwirizana ndi Unduna wa Zaumoyo

Mankhwala osagwiritsa ntchito opaleshoni:

• Chithandizo chamankhwala: Mungafunike kuthandizidwa ndi matenda ena (monga matenda a shuga), matenda opatsirana, kapena kusowa zakudya m'thupi.
• Ma Orthoses: Chogwirira, splint, kapena cast chingathandize kuti fupa likhale losasuntha komanso kuti lichiritse.
• Chothandizira mafupa: Izi zimagwiritsa ntchito mafunde a ultrasound kapena electromagnetic kuti zithandize kuchira mafupa.
• Jakisoni wa biologic: Jakisoni wa maselo oyambira kapena plasma wolemera mu platelet angathandize kuchiritsa ndi kukula kwa mafupa.

Chithandizo cha opaleshoni:

• Kuchotsa mafupa: Pachifukwa ichi, dokotala wa mafupa amachotsa minofu yakufa m'fupa.
• Opaleshoni ya mitsempha yamagazi: Dokotala wochita opaleshoni ya mitsempha yamagazi akhoza kuchita opaleshoni pamitsempha yamagazi yanu kuti magazi abwererenso mumtima mwanu.
• Kulumikiza mafupa:Pankhaniyi, dokotala wa opaleshoni ya mafupa amatenga chidutswa cha fupa kuchokera ku gawo lina la thupi lanu, kapena kuchokera ku fupa loperekedwa, ndikuchiyika mu gawo lomwe likusowa. Fupa loikidwalo limapereka chiyambi chabwino cha kukula kwa mafupa atsopano.
• Kutsegula ndi kukhazikika mkati: Pachifukwa ichi, dokotala wa mafupa amalumikiza zidutswa za mafupa ndikuzikonza pamodzi ndi zomangira ndi mbale kapena misomali.

Kodi zinthu zili bwanji mutalandira chithandizo?

Mankhwala onse osagwiritsa ntchito opaleshoni komanso opaleshoni ali ndi chiwopsezo chachikulu pochiza malunions ndi non-unions. Komabe, kuchira ndi kukonzanso zimatenga nthawi. Mungafunike kugwiritsa ntchito ndodo kapena chowongolera mpaka mutachira. Mungafunikenso kuchitidwa physiotherapy kwa kanthawi. Nthawi zina, ngati mafupa sangathe kukhazikika bwino, kapena ngati dokotala sangathe kuwongolera zinthu zomwe zimayambitsa matenda, chithandizocho chingalephereke.

Kusweka fupa kungachitikire aliyense. Sizikudziwika nthawi zonse ngati muli ndi fupa losweka kapena ayi. Koma ngati mukuganiza kuti muli nalo, ndi bwino kupita kwa dokotala mwamsanga. Chifukwa mabala osweka amachira bwino akachiritsidwa mwachangu komanso moyenera. Dokotala wanu adzayang'ana kuvulala kwanu ndikupeza chomwe chingakulepheretseni kuchira. Kenako adzakulangizani zomwe mungachite kuti muthandize kuchira bwino, m'malo moyambitsa malunion kapena non-union.

Zinthu zofunika kwambiri kukumbukira (Uthenga Wopita Nawo Kunyumba)

Musachite mantha ngati mwathyola fupa. Koma musatenge mopepuka. Pitani kwa dokotala nthawi yomweyo ndipo mupeze chithandizo choyenera. Tsatirani malangizo a dokotalayo ndendende. Ngati mwapatsidwa pulasitala, pitirizani mpaka atakuuzani kuti muichotse. Ngati akukuuzani kuti muchite masewera olimbitsa thupi, chitani bwino. Idyani zakudya zopatsa thanzi, makamaka zakudya zokhala ndi calcium ndi vitamini D wambiri. Ngati ndinu wosuta fodya, kusiya kusuta kumathandiza kwambiri pakuchira. Chifukwa mafupa athanzi ndi ofunikira kuti mukhale ndi moyo wathanzi!