Ukwaphuka ezisezantsi umlenze neqatha.

ligqudu Umntu unamathambo ezimbini - le lesiquluba kunye lesiquluba. Lesiquluba enkulu, yaye ebangela ukuba isambuku nobunzima kwi ngamandla. Lesiquluba zingcakacile, iqhotyoshelwe kwedolo neqatha amalungu.

Amaqatha nga zizakujongwa njengo block. Ngoko ke, sindululo kulo kunokuba kuphela moya mnye - ukugoba kwaye kuzityeneneza. Joint ngokwayo luquka zombini i lesiquluba (amaqatha ngaphakathi langaphandle) - inxalenye esisigxina welungu kunye talus - ezishukumayo.

Ngenxa kwiingozi zendlela, amanxeba, ukwenzakala zemidlalo kunye nezinye iingxaki lwenzeka ukwaphuka le lesiquluba ngokuzimeleyo okanye idityaniswe kunye namaqatha nokunye. Ngamanye amaxesha Shin yoqhawulo bone ingakumbi xa kukho imfuneko yokuba ukoluka imilenze. Ekubeni ithambo shin ziyinxalenye amalungu e eziphelweni zombini, evela kuziphuko zendalo kule ndawo kunokuba periarticular kunye intraarticular. Kuzo zonke iingozi zendlela, ephela a lesiquluba nokunye, eyona inzima ke ingozi isithuthuthu. Ngesithuthuthu emva kwengozi urhuqa ethile ngexesha athi umntu iwela emlenzeni wakhe Sehla kanzima kuyo, nto leyo ebangela kwezinye iimeko, ukongeza ngokwaphulwa, kuyityumza ukulimala kwizihlunu ezithambileyo kunye nosuleleko. Kwaye ukuphelisa yonke kungase ebuhlungu kakhulu kuyo - iphuhlisa ekuboleni, ixhoba afe.

ukwaphulwa Tibial, ukufumana wolu umthwalo kwi sijamelane, ibithethwa sikhatshwe lesiquluba nokunye. Kodwa lesiquluba nga waphule bengahambi.

Umonakalo engundoqo eya diaphyseal amathambo tibial kufika iintlobo eziliqela: ezinqamlezayo, ngokumileyo, helical, comminuted. Ukuba lesiquluba ukwaphulwa luvaliwe, oko luphawu lo nokudumba likhula ngokukhawuleza, ukuhamba okungaqhelekanga, ukubana amaqhekeza kunye crepitus (egramza), iintlungu, umlenze kangako, umsebenzi kwemilenze. Oku kufuneka kukhatshwe yabanjwa kabuhlungu kunye nelahleko seengcamango. Ukonakala luvo ezikufutshane kunokubangela yaphula innervation yonyawo, nto leyo nokungakwazi izaliswe kwenyawo kunye nokutshintsha iqinelwa.

isakhiwo kwamathambo usemncinane esixineneyo ngakumbi ijiye. Ngoko ke, intsha waphuka uphuphu. Abathengi, emva kweminyaka 51 emathanjeni kuba ethe, nto leyo esisizathu sokuba kweli phakade rhoqo waphuka edandathekileyo. Ukwaphuka le lesiquluba kwamalunga lusoloko kunye yi umonakalo izixhobo lungu. Oku kunokubangela ukubana amaqhekeza ithambo yonakele. Umonakalo amalungu nga ekugqibeleni kukhokelela contracture, apho kunzima ngokwaneleyo ukulwa kwisithuba unyango nokubuyiselwa kwimo yesiqhelo.

Efile ukwaphuka le lesiquluba amaninzi ekhatshwa ukothuka kunye nokopha kakhulu. umonakalo olunjalo nzima suppuration, ngaloo ndlela behlise phantsi ukuhlanganiswa okanye nonunion zaphawula ngethambo, leyo kunokubangela osteomyelitis. Kule meko kuyimfuneko ukusebenza lomzimba ngokuphindaphindiweyo owenzakeleyo.

iqatha ukwa kwenzeka kaninzi ngokwaneleyo. Yena nzima ukunyanga, ngenxa yokuba yintoni maxa wambi iba unobangela yokukhubazeka.

Ngesi ukonzakala, njenge iimpawu namaqatha eyaphukileyo zezi: Ukudumba kakhulu, ukukhubazeka ze ukuhamba odibeneyo bezityholo, ukungakwazi ukuya kuma umlenze, buhlungu enamandla.

Indlela ephambili diagnostic ukuba umonakalo X-ray ochazwe ngasentla na uqikelelo ezimbini okanye Itomography ngekhompyutha. unyango zexesha elide kufuneka kwenziwa ziingcali kwizibhedlele ezikhethekileyo - traumatology. ixesha Rehabilitation kunokwenzeka iinyanga eziliqela okanye ngaphezulu.