Femoral'ā'ī - he kūlana wahi o ko mākou kino

Inā he kanaka i uhai aku i ka femoral'ā'ī, ka holoʻokoʻa koi kaʻina hana, e lawe i ka ahonui, a me kona mau hui i ka puu o ka manawa a me ka akahele ana. Ke hoomanawanui iho, a me kona 'ohana ë he mähele wale no ka physiological a me ka hahaki pinepine anatomical a pau, i kumu no pōʻino i ka hip-ami.

He mea minamina, akā, aneane 90% o ka iwi fractures i loko o ka poʻeʻelemākule, e wāwahiʻia'ā'ī. Ke uie kekahi hapanui hewahewa o ka poe loli ana ma keia - wahine no 55 makahiki. Hip fracture, hoʻopulapula ma hope i pono i ka lōʻihi manawa, a me ka hailona o ka ho'āʻo pono i waena o nāʻano likeʻole o nā fractures, uaʻoi aku ma mua o 6%. I keia ino, e hoopai auanei kānana moe koena a me ka lapaʻau, i hiki ke lawe kekahi mau mahina. A wāwahi femoral'ā'ī ke alakai i ka make. Penei, e like me kekahi mau hoike, i waena o loaa ana o keia fracture oi ma mua o 20% (e like me nā kumu o ka oi ma mua o 40%) poʻe make.

Ka mea nui wale kumu o keia fracture mea i haule ma luna o nāʻano wahi o ke kino ma ka Hip ami (ma kaʻaoʻao). No ke aha la ka mea i hiki wawe ka wāwahiʻia femoral'ā'ī? Ke kumu nui o ka lōʻihi-manawa nele i kaʻai o kanaka kalipuna a me kekahi 'ē aʻe ka mahuaola a me nā minelala hao e i hoʻohanaʻia e ke kanaka kino no ka mea ana i hōʻano hou' ana o cartilage a me ka iwi'aʻaʻa. Mau fabrics mea he 'ano o ka rechargeable o na pu ki o ke kalipuna a me ka' ē nā minelala hao e haawi ia lakou i ka ikaika. Loa mai i kaʻai o ka mōhaiʻai a me ka iwi kai, e hemahema o ka haleʻuwī waiū huahana hiki aku ai i ka ulu shortage o ke kalipuna ma ka iwi nā'aʻaʻa. Keia maoli he lākou fragility, a ultimately welau a me ka osteoporosis.

Hip, mai hemo mai iwaena o na wahine hou pinepine no ka mea, he mea he nui lilo o ke kalipuna i hāpai keiki, a lactation. Eia hou kekahi, endocrine hoʻoponopono 'ia i loko o nā wāhine i menopause, paipai' leaching o ke kalipuna mai ka iwi.

Ma kona'anatomia femoral ai mea he mea ami. Femur i ke kīloi paʻewa ho okumu i loko o kona luna ua like no me ke kō, ua haha makou. Ua welau a me ke kahua o ka pahee convex hemisphere, a ua kapaia ka ami poo. Kēia hemisphere mea he kokoke ia e pono i loko o ka AYEIE hemispherical recess aia ma luna o ka pelvic iwi (acetabulum). Mānoanoa o ia mea, a hoʻoneʻe pilina ma waena o ia ua lako pono pae tendinous chords ua like no me hohola laholio auka e paa ai. Puu uuku ligament a connective me ka ho okumu ke aupuni 'ana a puni ka ami mea hōʻikeʻikeʻuʻuku nō kona panina ka hāʻuleʻanaʻilikai cartilage piha me synovial loli. Loko o ka mea hōʻikeʻikeʻuʻuku, i loko o ka naʻau o ke ami i loko o ke poo o ka femur, mai ka Hip iwi loaʻa i ka pūpū i nā ipu koko a me nā aʻalolo e hooluolu iho i ka iwi, a me ka ami.

Hip fractures i mea no ka mea, i loko o ka ami i neʻe ia lŘlŘ eha iwi hakina o ka puni nā'aʻaʻa, a hiki e alakai ai i ka hooulu ana o avascular necrosis. Ua hihia koi i ka Hip hope - ke kahua o kaʻimi hoʻopunipuni ke ami hoi i ka polymers paha i eliiaʻi ka mea,ʻaʻole i haalele ai ia ma ke kino, a me ka ae i kekahi mau lā, e hoʻoneʻe i ke kaupalenaʻeleu neʻeʻana.

Ka wā mawaho fractures (vnekapsulnyh) hiki ke hua mai la osteosynthesis - hoʻopunipuni ka fracture papa paha ka mea hiki ke hooheheeia kui. Hoʻopulapula ma hope o ka Hip fracture i loko o keia hihia i hoʻomaka mua, e like me ka makahiki ahonui obezdvizhevaniya hoemi, a me ka pilikia o complications. Ma kekahi ano hoopii, e kaupalena 'kauka e immobilization a me ka traction ma lalo lala. Mau nā mea maʻi pono hoʻopaneʻeʻia moe e maha ai , a akahele malama, e like me ka hoʻolōʻihiʻia moe koena ke alakai i ka puʻe mai hehe, constipation, pneumonia a me ka thrombosis hypodynamic nui aa koko femur a me ka tibia. A pau o kēia mau complications āpono loa a me ka pipiʻi lapaʻau, no laila, i ka pololei iapaau ana no e like me nā mea maʻi mea e pōʻino.