Whati pokohiwi kaki: take, tohu, tātaritanga, me te maimoatanga

Peke taea te tangata ki te hanga i te rota o te kaupapa, te kaha tīwera o e ai rerekē. Tetahi kino ki tenei rohe i te pā tōraro i runga i te mahi o te pokohiwi, he manawataki ritenga pakeke o te ora. Ka taea e ratou pā wāhanga ngā o te taua hanganga pakarukaru. Nuinga o ngā wā, pāngia kaiwhakaako te whati o te kaki o te pokohiwi. Mō te āhuatanga, me te tikanga matua o te maimoatanga o taua whara ka e lāulea i roto i te tuhinga o tenei ra.

tohutoro kikokiko

Peke - Ko te hanganga tubular roa. Kei waenganui i te whatīanga me pokohiwi rohe whitiki, a ka ngā o rua diaphysis me epiphysis. He momo o ngā rohe whakawhiti i waenganui i enei wahi e nga metaphyses. māngai te mutunga o runga o te wheua e te matenga tahi, e rite te pōro. Kei te tū te reira i tika i raro i te pokohiwi kaki kikokiko. He onge piere nui i roto i tenei rohe.

Just raro te kaki o te pokohiwi he fepulopulasi nui, me te iti, e kua piri ki te uaua i memenge. Raro rere te "rohe" e wehe te diaphysis o wheua, me tona mutunga runga. Muri te kore e mohiotia ana ko "te kaki hāparapara o te pokohiwi." Ko tenei rohe maha kitea ki te whara.

whakaahuatia wehenga piere ki e rua ngā kāwai rawa petipeti. E āhuatanga ratou e te pikitia haumanu whānui. Na reira, ua faaoti te mau taote ki te whakakotahi ratou ki tetahi rōpū - whati kaki hāparapara o te pokohiwi.

Ko te take matua o wharanga

whakaaro te take matua o piere o tenei natura te ki he mahi aunoa autaki. Hei tauira, ka hinga i runga i te ringa whatīanga ranei. Ko te kupu i reira ko te flexion o te peke me te hua tukutahi i roto i te pēhanga ki runga i te reira axially. I roto i te wā onge, he tika ki te pānga tinana tika te kino.

Ko te tino noa i roto i nga wahine ruhiruhia whati o te kaki hāparapara o te pokohiwi. Ladies i runga i 50 tau kei i mōrearea nui o whētuki tika ki te maha o ngā āhuatanga:

• menopause me te whakawhanake i runga i te whakamārama o te wheua osteoporosis;
• huri i roto i te hanganga wheua.

kino e alangá mo Pūāhua whakaritea e te wāhi i te kau o te hinga. Ki tenei i roto i te ngakau, kei te pānga whati kaki pokohiwi, adduktsionnym me te kāhakitanga. Fakakaukau ki e tohu ia o nga taatou.

whati pānga

I roto i whara ngaukino katoa o tenei momo ko reira iti noa i roto i te katoa. A, no te Ko te ringa i roto i te tūranga kūpapa, engari haere tahi tenei e mahi mīhini, pāngia whati hake. tomo huānga wheua piringa ki te matenga tahi, hanga whati kua pānga o te kaki o te pokohiwi. Kei te katia tonu ia.

Adduktsionny whati

Tenei whara Ko te nuinga o te hua o te hinga i runga i te ringa piko. I te wa ano i runga i te rahi wairere pēhanga whatīanga. No te mea o te nekeneke o te taha raro o te peke distal hanga whakaiti mōrahi. e kore e etahi i rite nekeneke, na he kaurori moku, i roto i te rohe pokohiwi o runga. Ko te kupu i hanga te he hua e utaina ana te peke. tonu upoko Articular i roto i te wahi no te ārai o te nape-capsule pūrere raruraru o te horihori. Ka rite ki te putanga, i reira te mea he whati o te adduktsionny kaki pokohiwi.

I roto i te take o te whara o tenei natura neke te kongakonga wheua pokapū te whakamua, me te piringa - waho, me te maha atu. i hanga koki therebetween e oroko roto.

whati kāhakitanga

Ko taea taua kino ki te hinga i roto i te ringa wahi. Kei te tipu haere te kaha o te pēhanga i roto i te rua tohutohu wā kotahi. neke huānga wheua piringa roto. Ko tōna mata waho pāngia e hokinga whakamuri kongakonga pokapū i roto i peia tūranga. Na e whakakotititia ana te bit whakamutunga kei te whakararo me te whakamua. Ko te hua ko te koki whakatuwhera waho.

pikitia haumanu

Ki runga ki te taenga o te whatinga me whakapā atu tonu te tari taotū o te hōhipera tata. I runga i te kaki o te whara pokohiwi, te tikanga tohu te pikitia ngā haumanu. mana'o te pārurenga tuatahi mamae i roto i te rohe whati. e kore e taea te patua te reira e te Pë tikanga. E titau te reira i te awhina o painkillers puai e taea te whiwhi anake i roto i te fare ma'i.

Ko te pokohiwi rohe tahi o te ringa whati ngaro tona taumahinga, engari te kaupapa flexion i te whatīanga ētahi wā tohe tonu. maha mau te pärurenga te kikowhiti e alangá turoro. wa katoa tamata ahau ki te hanga i te kaupapa, haamata ia ki te ite i te mamae rahi.

e kore e ahua tahi huri. A, no te kia kāhakitanga whati hakari "retraction," rite i te raruraru pokohiwi. Ko te wharanga rawa hohoro putapu. I muri i te tahi mau wa, i reira te mea he kanokanototo, e tutuki rahi ētahi wā nui āhuatanga.

rere Rawa uaua whati pokohiwi kaki ki displacement. I roto i tenei take, kia kōpeke te mata o te wheua a tawhio noa kikokiko me iaia paihere, meinga nga tohu e whai ake nei:

• faaite pito edema;
• pāpāngia;
• te whanaketanga o te aneurysm;
• neurosis kiko ngohengohe.

I roto i te take o te whati pānga o te pikitia haumanu te tikanga lubricated, a kahore he mamae. Ka rite ki te putanga, te pärurenga kia, i roto i te torutoru ra i kore whakapae te oraraa o te whara, me te kore ki te rapu i tauturu a te taote.

tikanga o te tātaritanga

Ki te whakapae koe e whakapā atu he whati te tari taotū o te hōhipera tata. I te tīmatanga, me titiro te tākuta te pārurenga, ki te whakamārama i te amuamu ngā me tūkunga o whara. I muri i taua tautapatia te he maha o ngā whakamātautau atu mo te tātaritanga tika.

āhuatanga nuinga kōrero e X-ray o te whitiki pokohiwi. Pikitia tika whakamana i roto i te rua haurangi: te axial me tika. I roto i te take o ngā hua pāhekeheke ato'a kia rapua e CT. Ki te whakapae koe he whati o te ultrasound te pütahitanga anö, i whakaritea.

āwhina tuatahi

Ko te whakaaro matua o te āwhina tuatahi ki te pārurenga - manawa mamae. Ko reira tika hoki ki te ngana ki te immobilize te alangá kafó. I roto i te take tuatahi, e kore e taea te mahi i waho i te awhina o Pë. Tata nga rūnanga kāinga rongoā ko "Keterol", "Analgin" me "Nimesulide". kia whakaritea rongoā inenga i roto i runga i te tohutohu piri ki te medicament.

Ki te kore e taea e te hanga e koe i te tāpiri, me te X-ray ki te kia o te mafatukituki o te whara, i mua i te haere ki te hōhipera e tūtohu ana ki te immobilize te e alangá. Hoki tenei whakaaro i ngā rauemi e mau e taea te hangaia kosynochuyu takai. Ki hāngai ia tetahi kiko tauera ranei, he wahi o te kakahu. I roto i te puka e rite reira he tapatoru waerite. kia whakaritea tipare tapatoru i roto i te ara taua e tautoko ana te reira i te ringa i te whatīanga.

Āhuatanga therapy

He aha kia te tātaritanga "whati o te kaki pokohiwi" maimoatanga, whakatau te tākuta. I roto i tenei take, kia tango i te reira ki te pūkete tau o te manawanui, te āhua o tona whara me te aroaro o te wheua whatiwhatinga displacement. Na reira, ka taea e therapy hei takotoranga momo hāparapara ranei. E tohutohu ētahi tūroro te pamu kōhiwi. Maimoatanga o te whati i roto i te tūroro paari i te iti rerekē. he tika ki te whakaaro wehe tenei pātai.

whati maimoatanga kahore tohu rītaha

I roto i te whati ngāwari maimoatanga tūroro tūtohutia. Tuatahi, i te wahi o te kanokanototo, kōkuhu te tākuta he rongoā, a ka puta ki te uta o te kiri te raima mo Turner. immobilization mātau o te waewae pakaru ārai i te whanaketanga o contractures. Mau i te papa kiri e tūtohu ana hoki te 4 wiki.

Ko te wāhanga i muri o te maimoatanga tā whakahaere o sedatives me UHF. I roto i te marama tuatahi te manawanui e tūtohu whakatakotoria o mahi o momo pateko. Hoki te pānga tika i runga i te whatinga tono phonophoresis me electrophoresis ki ngā rongoā.

I muri wiki e wha o te immobilization puta ki whakanohonoho kaha. Hoki tenei whakaaro, ka taea e koe te haere ki tetahi pokapū maimoatanga whakanohonoho i reira ka taea e ngaio te whiriwhiri i te mahi hōtaka takitahi. Tikanga, kua tūtohutia nga ngā tukanga e whai ake nei mo te whati ngāwari:

• mirimiri;
• taiaho therapy;
• tono ki te parawini;
• therapy tinana;
• UV irradiation;
• balneotherapy;
• DDT.

whakahokia te kaha ki te mahi i muri i taua kino kei roto i te 2 marama.

Maimoatanga o te whati ki te displacement

A, no te titau i taua kino maimoatanga i roto i te taiao hōhipera. I roto i te nuinga o te wā, kei te hoki kawea reira i roto i na te tikanga o tikanga momo. Doctor te whakamahi i rehunga rohe whānui ranei rave tuatahi katia mai anō te ā. Kei te kawea te reira i roto i roto i te aronga whakamuri i te huarahi whara. I roto i tenei take e pā ana te huānga piringa kei ki whatiwhatinga pokapū wheua.

whakamana ana te tukanga ake te i roto i te tūranga te maungārongo. Te taote mahi wāhanga katoa o te whawhe me tataki nga mahi o kaiāwhina. I muri i te otinga o te takai e alangá papaka he kiri te raima ranei.

Roanga whati immobilization wāhikē he āhua 2 marama. kia aroturuki te tākuta te tukanga whakaora. Ki te mahi i tenei, me te manawanui ki te wā fetakinima matā. Paid X-ray e āhei ki a koe te tiki hua tonu. Ka taea te tangohia e te noa whare pikitia hauora ake te ra i muri. te tikanga hoki whakawhiwhi mahi e ki noa i muri i te 10 wiki.

Āhuatanga o te maimoatanga o piere i te paari

I roto i te nuinga o te wā, tango o te whati kaki pokohiwi i roto i te tūroro paari tono tikanga momo. A, no te whakaatu adduktsionnoy wharanga warea wawe o wahi mo 4 wiki. A, no te oma mahi kāhakitanga kino tuatahi mo te pamu, a ka puta ki te immobilization. I roto i ētahi wā, e titau te reira pokanga.

Ka rite ki hoki te mamae te tauturu o te wāhi kua pā, i reira e ano etahi here tono. Hei tauira, kia whiriwhiri te horopeta o te rongoā te raro. Kore, ko te nui haere tūponotanga o tauhohe taha houhou rite hypotension whanoke ranei. Ko tā hoki Treatment te whakarite o te tūroro katoa kaore he aweretanga, he maha o taero. Tuatahi o te katoa, ko reira taka konupūmā me ngā rongoā ki te whakapai ake i te tohanga toto. Ko te pānga pai o ratou riro kitea ina haamata te reira ki te coalesce whati o te kaki o te pokohiwi.

E wā o te ora te iwi Tawhito i muri pūkete whara ngāwari hoki e pā ana ki 2-3 marama. Kei te nuinga o whakaritea te roanga o te wā whakanohonoho i te huru whānui o te manawanui, mahi tinana rawaka. Kei te tino nui haere tenei wā, ki te te pārurenga i reira he raruraru hauora nui. I roto i te maha pathologies ma'i fakatu'utāmaki nui he mate huka.

Kei te uaua wawaotanga hāparapara whakaritea ki tūroro ruhiruhia e whai i kitea he whati o te pokohiwi kaki. Rehabilitation me i roto i tenei take ko reira nui roa. Ka rite ki te tikanga, ko reira he wā e pā ana ki te toru marama o. A, no te tenei momo o te wawaotanga tino whakanuia ana te mōrea o pōauautanga hopuhopu. maha hua te takanga o te thromboembolism i roto i tenei tau i roto i te mate.

Whati o te kaki o te pokohiwi me ona pānga

Fifi i whara o tenei momo - ko reira he āhuatanga tino noa. kia waiho ratou hei putanga o te maimoatanga takarepa (whati accrete he, pseudarthrosis). I te tahi taime te pānga kino o te whētuki meinga e te rongo ki te rohe pokohiwi. Hei tauira, i roto i piere maha pakaru tuhonohono me uaua, uaua me raru. Ka rite ki te putanga, i reira toto, disorders mahi neurological ranei i roto i te e alangá pāngia.

Hei whakakore i te tūponotanga nui o enei pōauautanga, he mea e tika ana i roto i te wā o te whara whakapae rapu tonu te tauturu ngaio hauora. I muri haere te whakamātautau, ka taea e te tākuta whakahau tika maimoatanga, ki te hiahiatia. kia utua ngā whakarongo ki te tukanga whakanohonoho. I roto i te piere uaua he pai ki te tahuri ki te pokapū motuhake o te maimoatanga whakanohonoho, e ka e taea ki te tīpako i te hōtaka whai hua tino mo te māori o nga ringa tohunga.