Callus: kūmau 'ole pathology?

Callus i hanaʻia ma kuʻi nukeliu o na iwi. Ua hiki e mai o eha ano.

Intermediarnaya callus i hanaʻia ma waena o paa i ka hoʻomaopopoʻana iwi koena ai, insofar me ka i kā mākou immobility o ko lākou mau koena ai. Ua piha keia makahiki me ka keena o ka Haversian nenoai, a kupu ipu. No laila, he mea ka hoola oiaio o ka iwi.

Oiai ka malama ana i ka ka hoʻoneʻe o ka iwi koena ai, e like me diastase vascularization i nunui huikau, ina e hiki ole i. Ma ia he hihia, he iwi wini kakala ua poe ma ke kēia? Ueony: paraossalnaya, periosteal, endosteal.

Paraossalnaya callus i hanaʻia o ka pahee nā'aʻaʻa i mea e pili ana i ka paena o fracture. Kēia callus ua hoike ia ka nui loa i ka wa a mau fabrics i me ka nui loa eha fracture paha 'ana i loko o ka papa o ka iapaau ana. Paraossalnaya palaoa mea heʻano o ke alahaka a me "alahaka," ma waena o ka iwi hakina kiola. I kekahi manawa ka mea, hiki e nui, akā, 'aʻole ia i kumu hoʻomalu i ka ikaika o ka ulana.

Inā maʻamau callus ma hope o fracture uaʻaʻole i hanaʻia, he mea hiki, e hoʻomōhala fractures paraossalnoy palaoa a hiki ma haʻahaʻa wahie.

Periosteal callus i hanaʻia ma ka multiplication cambial periosteal aeee a i lako pono me ke koko, a i maikai regenerative nā mea hiki. Kēia callus Ua aia mawaho o ka iwi.

Endosteal callus i hana mai endosteal keena a me ka iwi lolo keena. Ua Ua Aia i loko o ka wai, mai ka iwi lolo.

Ka wā e pili ana 'ano kūpono no ka iwi kuʻi nukeliu ia lŘlŘ mua ho okumu i ka periosteal a me ka endosteal callus, a i fixedly paʻa i ka iwi hakina ai lōʻihi a intermediarnaya callus ka hana, a laila, e hoemiia ka mea. Intermediarnaya callus ua laila hoʻololi, e lawe maʻamau iwi 'ole. Kēia kuʻi nukeliu o ka maikaʻi: iwi hoʻolako i nā mea maikaʻi loaa no ka mea shortest e hiki manawa.

Inā waiho pohupani hale o ka hakina, ke kuʻi nukeliu ia lŘlŘ aie i ka periosteum me ke kahua o ka periosteal callus. Diaphyseal fractures ma mozoleobrazovaniya kekahi, i ke kahua o ka cartilage, akā, i ka hoola ana o cancellous iwi hele ole: connective callus ia iho me 'ana i loko o ka iwi a me ka periosteal callus mea unexpressed.

No laila, pehea e e hana me ka iwi wini kakala? Lapaʻau e halihaliia oia iwaho ma ka fracture hoʻopau e hana intermediarnaya palaoa, a ma hope o Ka hoʻololi 'ia iho i loko o ka maʻamau iwi' ole. Hope hou 'i ana o ka makahiki.

No ka iapaau ana o fractures koi repositioning iwi koena ai, a me kā lākou ikaika fixation ma ka wā o ka intergrowth a me ka mea nana e kokua epekema: physiotherapy, physiotherapy, lomilomi pahuna ma hoihoi ana piha ana o ka pōʻino, ua make 'ole. Eia hou, ma ka iapaau ana o ka hamama fractures o ka mea nui a Mānoa hoʻokani ma ka iniiaiie kanaka o ka eha.

Ka ho'ēmiʻana a me ka fixation e lawe mai me ke kōkua o ka makeʻe kulana a me ka operative ki ina hana like. Makeʻe kulana lapaʻau o fractures ua hana e like me ka outpatient paha i loko o ka haukapila (keia me ka nānā 'ana i ke' ano o ka fracture), operative - wale nō i loko o ka haukapila. Ua o kēia mau papa hana i laha ma ka hoʻomaʻamaʻa trauma, kā lākou noi ma muli o ke kūlike loa nāʻikepili ma kēlā me kēia hihia.

Reposition iwi koena ai ua lawe mai i kekahi hana lima paha Via traction. Hope a hiki i ka maʻamau moku'āina o na hakina ua lawe mai immobilization, IeAUPIIe, IAa IO puna e kipaku.