Hip zaphuka

Ingxenye inde kwaye inkulu ngamathambo lomntu yifemur. Lubonakala yi bend komzimba, ngoko oko kwenza imilo saber. Zombini iziphelo kwicandelo inxaxheba ukuyilwa amalungu ezinkulu - inyonga nedolo.

I eliphezulu (proximal) mmandla iqulethe intloko ithambo. Xa ke acetabulum ye isinqe lwenzeka ukujikeleza.

I (distal) ungqameko olungezantsi ithambo uchazwa condyles ezimbini isale intlala hyaline. Bona bathathe inxaxheba lokusekwa joint idolo.

Phantse yonke ubude ithambo-imicu eqhotyoshelweyo philisi ukubunjwa kunye nezihlunu ezahlukeneyo.

Hip ukwa kungenzeka nayiphi na icandelo isikhululo. Emva kokuba iminyaka ethile (ngokuqhelekileyo umhlalaphantsi) kunokwenzeka ngakumbi ukuba proximal owenzakeleyo (phezulu) Division. Oku kubangelwa ukugxagxiseka trophism (ubonelelo) kwesayithi inyama ithambo.

Hip ukwa unako zahlukane, yahlukana, ezinqamlezayo, ngokumileyo, comminuted, zikhula.

Kuxhomekeka indawo bahlule ukuphazamiseka ingqibelelo lithambo entloko okanye emqaleni. Hip ukwa kungaba transtrochanteric. Olu hlobo ukwenzakala idla okufana abantu ebudaleni.

ukwa Hip kwi diaphysis (emzimbeni) kunye nesiphelo distal (condyles) yenzeka ngenxa yokwanda kumandla entshukumo, ejoliswe nayiphi na kwezi sayithi.

Iimpawu yokuthembeka ithambo kuxhomekeka kwindlela ngobungakanani bomonakalo. Ukwenzakala ukuya ekupheleni proximal (phezulu) sikhatshwa deformation kwindawo womlenze, sivakale sidumbile. Le esiphelweni ephantsi zithande ukuba uphendule ngaphandle, wamngenisa ngaphakathi. Ukwenza intshukumo kancinane evusa elibukhali ngequbuliso intlungu joint hip. Umsebenzi inkxaso engekhoyo.

Xa traumatizing diaphysis kunye edge proximal eliphawulwe deformation, ukudumba. ukwa Hip ne ukubana ingachazwa yi ukuhamba zophendlo lwezifo ngamaqhekeza ithambo. ingqalelo ukopha kakhulu kwi kwizihlunu ezithambileyo Enye iingxaki kakhulu zokuphula ingqibelelo ithambo. Ukophuka nayiphi ingxenye zihamba kunye umsebenzi axhasayo alo mlenze asezantsi.

Ukusetyenziswa umntu data diagnostic lwezonyango esimbaxa kwenza kube lula ukufumanisa kakhulu nangokuchanekileyo ukuhlukunyezwa ingqibelelo ithambo. Indlela instrumental iphambili kolu phando nguye radiographs. Kwangaxeshanye, kuthathelwa ingqalelo kuphuhliso lobugcisa zonyango, ukusetyenziswa Itomography ebaliwe kwi uxilongo ivumela ukuchaneka ubuninzi ukutyhila yobumbaxa kunye nobungakanani umonakalo.

zaphuka Hip. unyango

Namhlanje main indlela enyangayo yi uqhaqho. Ijoliswe awachacha yomguli ngokukhawuleza kangangoko kunokwenzeka.

Kuba kwamathambo entanyeni femoral kukho ezininzi eziqhele ukusetyenziswa replacement hip. Ungenelelo kwangethuba kukuthintela kakhulu, iingxaki olukhula ngokukhawuleza.

Xa konzakale kummandla trochanteric, ngokuqhelekileyo isicelo metallosteosintez. Ukusebenzisa uyilo ezizodwa sikwazi ukulungisa amaqhekeza ithambo, ngokubonelela, ngaloo ndlela, fusion yabo (consolidation).

Xa Ukophuka zomzimba (diaphysis) ngokukhethwa yokusebenza ndlela kuxhomekeke kuhlobo umonakalo. Ngabanye echazwe ukusetyenziswa ofaka kunye nendlela ipleyiti nitrogen.

Kufuneka kuqatshelwe ukuba umsebenzi engundoqo trauma ngexesha elinye - usebenzisa indlela yokusebenza ye unyango ukuze kufikelelwe amaqhekeza ithambo lomntu echanekileyo kunye nokufunyanwa umsebenzi lwemoto kwamalungu.