Ukadaulo wa Mafupa: Kukhazikika kwa Kunja kwa Mabala Osweka

Pakadali pano, kugwiritsa ntchitomabulaketi okhazikika akunjapochiza fractures, zikhoza kugawidwa m'magulu awiri: kukonza kwakunja kwakanthawi ndi kukonza kwakunja kosatha, ndipo mfundo zogwiritsira ntchito ndizosiyana.

Kukhazikika kwakunja kwakanthawi.
Ndi yoyenera odwala omwe matenda awo a m'thupi ndi m'deralo salola kapena sangathe kulekerera chithandizo china. Ngati palibe kusweka kwa mafupa chifukwa cha kupsa, ndi oyenera kapena ololedwa kokha kuti akonzedwe kwakanthawi ndi mabulaketi akunja. Matenda a m'thupi kapena am'deralo akasintha,kukhazikika kwakunjayachotsedwa. Kusoka kwa mbale kapena misomali mkati mwa fupa, koma n'zothekanso kuti kukhazikika kwakanthawi kwakunja kumeneku kusasinthe ndipo kumakhala chithandizo chabwino kwambiri cha kusweka kwa fupa.
Ndi yoyenera odwala omwe ali ndi mabala otseguka kwambiri kapena kuvulala kambiri komwe sikuli koyenera kuikidwa mkati. Ngati n'kovuta kusankha njira yabwino yamkati yochitira kuvulala kotere, kuikidwa kunja ndi njira yabwino yoikidwiratu.

Kukhazikika kwakunja kosatha.
Pogwiritsa ntchito chomangira chakunja chokhazikika pochiza kusweka kwa mafupa, ndikofunikira kudziwa bwino momwe ma scaffold omwe amagwiritsidwa ntchito amagwirira ntchito komanso momwe amakhudzira njira yochiritsira kusweka kwa mafupa, kuti muwonetsetse kuti ma scaffold akunja amagwiritsidwa ntchito nthawi yonse yochiritsira kusweka kwa mafupa, ndipo pamapeto pake apeze machiritso okhutiritsa a mafupa, komanso mavuto ena omwe angabuke panthawiyi, monga matenda a singano ndi kusasangalala kwapafupi, ayeneranso kuganiziridwa.
Mukagwiritsa ntchitokukhazikika kwakunjaMonga njira yokhazikika yochiritsira kusweka kwatsopano, stent yokhala ndi mphamvu yabwino yokhazikika kunja iyenera kugwiritsidwa ntchito, ndipo kukhazikika koyambirira komanso kokhazikika kungapereke malo abwino kwambiri oti minofu yofewa yapafupi ichiritsidwe komanso kuchira msanga kwa kusweka. Komabe, nthawi yokhazikika mkati mwa mkati siyenera kusungidwa kwa nthawi yayitali, chifukwa idzaletsa kupsinjika kwa m'deralo kwa kusweka ndikuyambitsa osteoporosis, kuwonongeka kapena kusalumikizana pamalo osweka. Malekezero osweka pang'onopang'ono amanyamula katundu, zomwe zimathandiza kulimbikitsa ndikulimbikitsa njira yochiritsira mafupa am'deralo mpaka kuswekako kuchira bwino. Mwachipatala, chochitika chochiritsira mafupa am'deralo chikachitika, malo osweka a callus oyambirira amapangidwa, ndipo pang'onopang'ono kunyamula katunduyo kumatha kusintha callus yoyambirira kukhala callus yochiritsa. Kupanikizika koyera kumeneku kapena kupanikizika kwa hydrostatic kumapeto kwa kusweka kumatha kuyambitsa kusiyana kwa maselo amkati, komwe kumafuna magazi okwanira am'deralo, apo ayi kudzakhudza njira yochiritsira mafupa. Zinthu zomwe zimakhudza njira yochiritsira mafupa zimaphatikizapo magazi am'deralo pamalo osweka ndi njira zakunja zokhazikika ndi zina zotero.

Pochiza kukhazikika kwakunja kwa mafupa osweka, kukhazikika kwamphamvu kwa m'deralo kuyenera kuchitika, kenako mphamvu yokhazikika iyenera kuchepetsedwa pang'onopang'ono kuti mbali yosweka inyamule katundu ndikulimbikitsa njira yochiritsira mafupa kuti agwirizane, koma zimatenga nthawi yayitali bwanji kuti asinthe mphamvu yokhazikika kuti kusweka kuthe? Nthawi yoyenera yoyambira kutenga katunduyo ndi yomveka bwino. Kukhazikika kwa mafupa osweka ndi chogwirira chakunja ndi mtundu wa chogwirira chosinthasintha. Mfundo ya chogwirira chosinthasintha ichi ndiye maziko a mbale yotsekera masiku ano. Kapangidwe kake ndi kofanana ndi kukhazikika kwakunja, kuphatikiza kugwiritsa ntchito mbale zazitali ndi zomangira zochepa kuti mupeze zotsatira zabwino. Zotsatira za chithandizo: Chomangira chimatsekedwa pambale yachitsulokuti mupeze zotsatira zothandiza zokhazikika.

Kutengera mfundo yomweyi, stent yooneka ngati mphete imafika pokhazikika koyamba kudzera mu ulusi wa singano wolunjika mbali zosiyanasiyana. Poyamba, kunyamula zolemera kumachepetsedwa kuti kukhale kolimba m'deralo. Pambuyo pake, kunyamula zolemera kumawonjezeka pang'onopang'ono kuti kuwonjezere ma axial fretting ndikupereka chilimbikitso kumapeto kwa kusweka kuti kulimbikitse kuchira ndi kukhazikika kwa kusweka. Chimangocho chimakhala cholimba komanso chokhazikika, ndipo zotsatira zomwezo zimapezeka pamapeto pake.