Hoʻohui a hoʻopaʻa fracture: He aha ia mea, lapaʻau, ka hopena

He aha mea he hoʻohui a hoʻopaʻa fracture? Kēia ka mea a mākou e hōʻike i ka 'atikala ma lalo o noonoo. Oe e hoi aʻo e pili ana ana i ka hoola ana o fractures, no ke aha la hoʻomanawanui ke ola e 'ūlōlohi mai ana, a pehea ka hana o nā palapū.

Summary

Hoʻohui a hoʻopaʻa fracture - kaʻike, e ukuhi i ka puu o ka hana ino iki mai nā mea maʻi. Akā, i nā mea a pau e hoomanawanui i ike i ke ano o keia olelo.

Ike aku ia i ka malihini hopuna'ōlelo i loko o kona 'inikua puke, ka hapanui kanaka i loa bewildered. Loa pinepine ka manawa ua pili i kekahi pathology nui. Eia naʻe, hoʻohui a hoʻopaʻa fracture mea ole e hopohopo ai.

He aha mea he fracture?

Ke surgeon, traumatologist - mau poe akamai i i lolouila e kanaka me ka pepe iwi.

Fracture - he hapa 'ole huina hoʻohuikau o ka pono o ka iwi'aʻaʻa i i kaua kipi ma lalo o haawe ana, kekahi mau manawa ma luna ma mua o ka ikaika o ka poino hapa o ka iwi. Kēia pathological ano e ku ae ole wale no ka hewa, akā, i like me ka hopena o keʻano o ka maʻi i komo pū ma ka mea hou i loko o ka ikaika waiwai o ka iwi.

Haliu ae la ia i ka noa a uku i ka pilikia lumi, ke hoomanawanui me ka pilikia ana, pono aku ka loaa lapaau. Ua hilinaʻi nui ma ke degere o ka oolea o ka fracture, a, ma ka huli, mea ku pono i ka nui o na iwi i haki, e like me kā lākou helu.

It E e hoʻomaopopo i ka mau fractures o nā iwi lōʻihi (nui) pinepine alakai i traumatic nń a me ka hooulu ana o ka loa i ke koko me keia poho. Naʻe, i ka manawa e uku ai noa a uku i ka pilikia lumi, mau pathologies hiki ke käpae '. Ma ke ala, ma hope o ka hoʻomanawanui iki mai ka loaa ana ia nā palapū ola loa lohi. Lākou loaa au i lawe kekahi mau mahina.

Hoʻohui a hoʻopaʻa fracture - He aha ka mea?

Ka manawa "ka hoʻohuiʻana" mea o Lakina kumu. Ua he a mau syllables, a i unuhi 'ia e like me ka "pu" a me ka "hooikaika". Ma nā hua'ōlelo, ka ka hoʻohuiʻana o ia hoʻi, hoao ana, hoʻoikaika, hoʻohui 'a me ka hoʻohuiʻana o kekahi mea.

No laila, he hana - hoʻohui a hoʻopaʻa fracture? Poe akamai i aku nei au ia ia mea he 'inikua kau i designates fused ano, me ka ho okumu fracture callus.

Hemolele a me ka piha kuʻi nukeliu o ka poino iwi i loko o ka kēia hihia.

• me ka maikai fixation o ka uhaʻi iwi;
• me ka piha a me ka hemolele'ālike o ka iwi koena ai;
• ka wā hoihoi holo i loko o ka wahi o ka iwi poho;
• ka wā hoihoi hou ana a me ka malama ana innervation i loko o ka ciia o ka iwi'aʻaʻa ka pōʻino.

haumāna kuʻi nukeliu

Secondary hoola o fractures e lilo cartilage palaoa ia lŘlŘ ka wā:

• Kāpili'ālike'āpana o ka iwi koena ai;
• heʻino paha fracture fixation;
• ka hoahanau ka hoʻoneʻe o ka iwi koena ai;
• untimely immobilization;
• ilihune holo a me nā aʻalolo kokuaia ma ka fracture ciia.

No ke aha la i fracture E hoola mai oe?

Ke surgeon, traumatologist - mau hoʻomalu ke pane i ka ninau o ke kumu, ma kekahi hihia, e ole fused uhaʻi iwi. E like me kā lākou mau manao, e like me ka kŰia loaʻa paha kekahi mau kumu. E hoʻonoho iā lākou i kēia manawa:

• 'aʻe' immobilizing iwi (poino) a me ka pohupani hale o kona oihana mua me ka pili ana i kekahi i kekahi;
• kāpili a pololei ole e like iwi koena ai;
• 'aʻe' ana o innervation i loko o ka wahi o ka fracture, a me ka kūloko koko holo.

Trauma make i ka hale wale nō i loko o loa hihia. He mea nui loa ia ka hoʻomalu ua literate. Ma hope o nā mea a pau, me ka nui fractures Pono e e hui ai ka poino iwi'aʻaʻa e ia lŘlŘ lākou piha ka hoʻohuiʻana. Naʻe, ka mea e e kaulana ia ia i ke kuʻi nukeliu mea e kaukaʻi ole wale ma ke akamai o ke kauka. No, i ka wa e noho kaʻina hana pono e komo pu a me nā papa o ka iwi nā'aʻaʻa (e laʻa me, endoost, periosteum a me Haversian auwai a).

Mākou hiki ole ke olelo ia, pu me ka aoao maoli physiological keʻano o ka hanaʻana o ka hoihoi ana i ka pono o ka iwi i ia lŘlŘ resorption o ka puka paha-traumatic hematoma. Incidentally, ka callus i noho i ke ano o kekahi mea uuku kālī-hoʻokino ai hanaʻia naʻe.

Ma ho okumu ana o na papa o ka callus

Hoʻohui a hoʻopaʻa fractured iwi aoao a me na wahi e ae o ka iwi - he 'ano, he pono ole kŰia. Ke loaa kaʻina hana o ka iwi callus ua hana.

Kēia e noho i wahi i loko o ekolu kahua o ka hoʻonaʻauao.

• ka hooulu ana o ka li nui (aseptic) ma ka fracture paena;
• iwi ho okumu kaʻina hana;
• ka kūkuluʻana callus.

Penei, ma ke kahua o ka poino i loko o kānaka, he mea, pili ka hoʻonuiʻana o ke keena Haversian Canal, a endoosta, a connective'aʻaʻa a me ka periosteum. Kēia kaʻina hiki aku ai i ka mea i ka hanaʻia iwi callus ma ka fracture paena. Ua ninoieo a eha papa:

• paraossalny;
• intermediarny;
• periosteal;
• endosteal.

Mahope o 5-6 lā o ka pololei eha hewa ma waena o ka iwi mamala hoʻomaka e hoʻopiha fibroblasts, osteoblast keena a me nā moku liʻiliʻi, a hana i ka osteoid'aʻaʻa.

It E e kaulana no hoi i ke ku 3 callus ho okumu ke kahua. Mau nā:

• fibrotic;
• cartilage;
• iwi.

Pehea lā ka lōʻihi o ua hana callus?

Ho okumu ana o callus - heʻano lengthy kaʻina. I ka manawa o kona ho okumu i:

1. N (mau 4-5 pule).
2. Secondary (ma hope o 5-6 pule).

It E e hoʻomaopopo pū i ka callus ma ka fracture paena mea paha i ka kūkuluʻana no kekahi mau makahiki. O ke kumu ho i ka mea i ka osteoblasts ka paipai 'ana i ka resorption o nā iwi koena ai, koena ai a me ka'ōpala hoʻi, e like me hoʻopau i ka excessive kahua o ka callus mea.

I ka hanana i ka trauma, kena ae la ma ka hale, e like me ka hoomanawanui iho i hana i na rula no e pono ai ke kuʻi nukeliu o pokou hehee wale, alaila, he mea he fracture ka hoʻohuiʻana (i loko o kekahi mau pule paha mahina).

Pehea lā ka lōʻihi o iwi e ulu pu laua? E like me ka poe akamai, i ka mua o ka kanaka, me ka ino o kona hoihoi hou ia ana. No ka laʻana, he fracture o ka femoral ai ua hoopaaia lakou i ke kanaka kahiko i ka moe, triggering complications e like me congestive pneumonia, pulmonary embolism, decubitus ulcers, a me na mea e ae.

No ke aha la e ka meheu o ka hoʻohuiʻana?

'Aʻole mau a me ka ole a pau kanaka i iwi fractures ulu pu laua a koke, a me kekahi hopena. Ma kekahi mau hihia, o ka ka hoʻohuiʻana o ka poino wahi 'aʻole hoʻi ia nunui. He aha ka ke kumu ia o ka kŰia?

Common kumu kali accretion o iwi nā nā kēia:

• mimikō, he wiwi iwi, he 'aʻe' ana o nā nā ho'ēmi kālā o ka parathyroid glands;
• mua makahiki, wahine hoohanau, ovarian cysts, ilihuneʻai;
• depletion, mau hāpai keiki, stress;
• Low ulu, e lawe i kekahi mau ai ', dysmenorrhea;
• oncology, pūnuku puhi, ana o ka ovaries, ka transplantation o na nā loko, a no laila, ma luna o.

Like no ka i nā kumu, i kēia mau loaʻa:

• noho ka maʻiʻaʻai i loko o kaʻeha;
• circulatory kāna hana;
• loa eha e hoea ana i pahee nā'aʻaʻa i trauma;
• mau fractures;
• haole mea i loko o kaʻeha;
• interposition o fabrics, a no laila, ma luna o.

fracture lapaʻau

He aha e hana me ka pepe, a pehea e hoʻokō kokololio accretion o ka iwi? Ke anu u mua mea, e ike i ke kauka. Ma ka neʻe maila i ka iwi kauka e ko lakou lima akau a me ka makau ole i keia oihana e ana puna.

He aha e hana me ka pepe akā, hoopii i ka pilikia lumi? Fracture e ulu hou koke pu, mākaukau Paipai 'e lawe lāʻau anabolic hormones a me mummy. Ua mea no hoi ana i ka physiotherapy a me ka waiū e trauma electromagnetic a kahua.

Ka hopena o ka kūpono lapaʻau

Hoʻohui a hoʻopaʻa fracture - keia mea i ka maikaʻi hope o kanaka eha. Naʻe, ka mea e e kaulana ia i loko o ka wa e kaawale aku o ka pono ka hoʻohuiʻana lapaʻau hiki ole i hoʻomaka ai 'ole' ūlōlohi mai ana.

Kilo'ōlelo aku nei au i na hoailona o ke kali accretion o ka iwi'aʻaʻa i ka penei Hawaii:

• ka hoʻoneʻe o (pathological) iwi ma ka fracture paena;
• loaʻeha i loko o ka pōʻino, ua make 'āpana;
• nahā i waena o ka iwi koena ai, ia me ka X-Ray ninaninau.

It E e kaulana no hoi i ka wikiwiki a me ka hiki pono o ka noho 'ana kamaliʻi kaʻina hana o ka hoʻoponopono a me ka noho ana o poino iwi'aʻaʻa ma mua o ka mua kanaka a me nā mākua. Loa pinepine kūpono kuʻi nukeliu iwi hiki aku ai i ke kahua o ka pseudoarthrosis. Oia ami hiki paha i kekahi kaumaha ola kino pilikia, a i aesthetic discomfort.