Kutaya kwa calcaneus

Mphuno ya calcaneus ndi yochepa. Iwo amauka, monga lamulo, chifukwa cha kugwa kuchokera kumtunda kapena kufinya pa ngozi. Zotsatira za kupasuka kwa calcaneus ndizosavomerezeka, mapafupi, kupunduka kwa arthrosis, valgus deformation ya phazi ndipo, nthawi zambiri, matenda osteoporosis angapangidwe. Pofuna kupewa izi, muyenera kutenga chithandizo choyenera cha calcaneus, chomwe chimafuna kufufuza mwatsatanetsatane za vutoli.

Kutaya kwa calcaneus - zizindikiro

Choyamba, chitatha, ngati mutsekedwa, munthu amamva kuti sangadalire phazi chifukwa cha ululu.

Mphungu ikatseguka, chilondachi ndi chodziwikiratu, ndipo ichi ndi chizindikiro chachikulu chomwe chimachotsedwa kunja kwa chipatala: pakadali pano minofu yowonongeka, magazi, ndi zidutswa za mafupa zingathe kuwonedwa.

Kutsekedwa kotsekedwa "kumayankhula" payekha mwa kukula kwa chidendene, valgus ndi varus deformity, ndipo edema ikupezeka pa tsamba lovulala ndi hematoma. Kuyenda kumakhala kovuta panthawi imodzimodzimodzi ngati tchire cha chidendene chimatambasula.

Pa nthawi yomweyi, kutsekedwa kotsekedwa ndi koopsa chifukwa chowonongeka pang'ono ndi zizindikiro zowoneka bwino, wopwetekayo sangaganize kuti fupa lake lathyoledwa, powona kuti likuvulaza kwambiri ndipo chifukwa cha izi musafune thandizo. Choncho, choyamba, mutatha kulimbana kwambiri ndi chidendene, ngati pali kutupa ndi ululu pamene mukuyenda, nthawi zonse muzichita x-ray.

Kodi mungatani kuti muchepetse mankhwala a calcaneus?

Ngati pangakhale phokoso la calcaneus ndi kuthamangitsidwa, ndiye choyamba chitani anesthesia (omwe nthawi zambiri amagwiritsidwa ntchito ndi novocaine) ndipo mothandizidwa ndi kusintha kowonjezera pamapangidwe a matabwa ayika zidutswa zosalimba m'malo. Ngati malowa sakuwongolera ndipo amangokakamiza kuponyedwa, ndiye kuti pangakhale chitukuko chachikulu cha chitukuko cha minofu yamtundu wa minofu ndipo imalepheretsa kuyenda kwa khungu.

Nthawi imene fracture imachitika popanda chiwembu, nthambiyo imayimilira pambali. Wodwala ayenera kuyenda ndi ndodo, ndipo katundu pang'ono pamaso amaloledwa kokha pambuyo pa masabata 4.

Kuchotsa gypsum popanda vutoli kumachitika pafupifupi patatha miyezi 1.5, kenako nthawi yowonzanso imayamba, pamene wodwalayo ayenera kuchita nawo mankhwala ndi thupi.

Ngati kuchira ndi kupukuta kuli kosavuta, ndiye kuti wodwalayo amapatsidwa mankhwala a calcaneus fractures: iye ndi wopepuka kwambiri wa gypsum ndipo amagwiritsidwa ntchito pakatikatikati, pakati pa mankhwala ndi kukonzanso. Zimathandiza kuthetsa mtolo pang'onopang'ono ndipo nthawi yomweyo salola kuti atrophy ya minofu, kuchepetsa kutupa ndi kuchepetsa nthawi yowonetsera.

Kuchetsa pambuyo pa kupweteka kwa calcaneus kumatengera pafupi miyezi itatu pa chithandizo ndi kukonzanso: ndi kupyolera mu nthawi yochuluka yomwe n'zotheka kubwerera ku njira yakale ya moyo ndikukhala ndi katundu wodzaza pa phazi lowonongeka ngati palibe mavuto.

Kukonzekera pambuyo pa kupweteka kwa calcaneus

Kukonzekera kumathandiza kwambiri pa kupasuka kwa calcaneus fupa, chifukwa chiopsezo chakuti stop sichidzafanana ndi kale. Anthu ambiri osalandira chithandizo chabwino ndi kutchula mosanyalanyaza nthawi yobwezera, anakhalabe ndi posttraumatic flatfoot kapena deforming arthrosis ya subtala ophatikizana.

Choyamba, muyenera kuguguda ndi kupukuta mwendo pa bondo, ndipo nthawi iliyonse yonjezerani katundu kuti abweretse minofu pang'onopang'ono. Zochita zina ndi kujambulira ndi kuwonjezera zala zakumwa zazing'ono, zomwe ziyenera kuyambitsidwa masiku angapo mutangoyamba kumene.

Kuti mutambasule phazi, tengani botolo ndikulipukuta kumbuyo ndi kutsogolo: choyamba, ululu ukhoza kumverera, koma mutakhala ndi katundu wochepa pakapita masiku ochepa ululu udzadutsa. Komanso kubwezeretsa mapazi ndi misozi kumatulutsa bwino.