Jab Iskujira: waxa ay tahay, daaweynta, cawaaqibka

Waa maxay jab Iskujira? Tani waa waxa aan u sheegi doonaa in maqaalka hoos tixgelin. Waxa kale oo aad baran doontaa sida bogsiinta oo jab ah, sababta waxaa laga yaabaa in dib u soo kabashada bukaanka hoos u dhigi iyo sida daaweynta dhaawacyada.

Summary

jab Iskujira - ogaanshaha sida dhigeysa badan oo bukaan ah ay ku dhaawacmeen. Laakiin bukaan oo dhan ogayn in macnaha weedhan.

Maxaa yeelay, weedh la yaab leh noocan oo kale ah in uu buugga caafimaadka, dadka intooda badan ay yihiin gebi ahaanba ku kalifey. Inta badan xilli la xidhiidha cudurada kasta oo halis ah. Si kastaba ha ahaatee, jab Iskujira waa wax laga walwalo.

Waa maxay jab?

The dhakhtar qalliin, traumatologist - kuwa khubaro si heli by dadka lafaha jabay.

Jab - carqalad ah qayb ama guud ee daacadnimada unugyada lafuhu oo ka dhalatay hoos load, dhowr jeer ka badan xoogga qaybtii burburay ee lafaha. Xaaladani waxay bahal bixi kara ma aha oo kaliya sababo la xiriira dhaawac, laakiin sidoo kale iyadoo ay sabab u kala duwan cudurada uu weheliyay isbedelo waa weyn ee guryaha xoog lafta ah.

Jeestay qolka gargaarka degdegga ah oo lacag la'aan ah ama bixisay, bukaanka dhaawac ah isla markiiba hesho daaweynta. Waxay ku xiran tahay heerka uu adkaanta jabka, taas oo, markeeda, waxaa sabab u ah size ee lafaha jabay, sidoo kale ay tirada.

Waa in la ogaadaa in jab badan lafaha dhaadheer (oo weyn) inta badan keenayso lama filaan argagaxa iyo horumarinta dhiig la'aan daran. Si kastaba ha ahaatee, markii in ay bixiyaan qolka xaaladaha degdegga ah oo lacag la'aan ah ama bixisay, kuwaas oo heley la baajin karin. By habka, ka dib markii bukaanka la helo dhaawacyo sida soo kabsado si tartiib ah. xilliga ay soo kabashada qaadan kartaa dhowr bilood.

jab Iskujira - waa maxay?

"Xoojinta" Ereyga waa ka soo jeedo Latin. Waxay ka kooban tahay laba dhawaaqyada, kuwaas oo loo tarjumay sida "wada" iyo "xoojiyo". In si kale loo dhigo, xoojinta loola jeedaa ururka, xoojinta, is-dhexgalka ama xoojinta wax.

Sidaas waxa uu - xididaysan jabka? Khubarada waxa ay sheegayaan in muddo caafimaad oo tusmeeya hore u dhisnayd la callus jab dhismaha.

isuga qumman oo dhamaystiran oo lafaha ku dhaawacmay arrimaha soo socda:

• iyadoo u qardarin wanaagsan ee lafaha jabay;
• la dhigma buuxa oo kaamil ah jajabkii lafta,
• marka celinta wareegga aagga of dhaawac lafta,
• marka celinta ama dayactirka innervation aaga burburka unugyada lafta.

isuga sare

bogsashada Sare oo jab ah si ay u sameeyaan callus a cartilaginous waxay dhacdaa marka:

• gogo 'ku habboon dhamaystirnayn jajabkii lafta,
• qardarin jab xun;
• dhaqdhaqaaqa qaraabo jajabkii lafta,
• joojin dhicis;
• wareegga dhiigga oo xun iyo sahayda dareemayaasha aaga jabka.

Waa maxay sababta aan jab bogsata?

The dhakhtar qalliin, traumatologist - takhasus kuwaas oo ka jawaabi kartaa su'aasha ah sababta, mararka qaarkood, lafaha jabay aan u dhisnayd. Sida laga soo xigtay in ay opinion, sida ugub ah ayaa dhowr sababaha. Waxaan hadda u soo bandhigtid:

• xadgudub laf joojinta (waxyeello) iyo barakaca ah xubno ay si ixtiraam leh in midba midka kale;
• jajab lafaha barbardhigo dhammaystirnayn ama sax ahayn,
• xad gudub ku ah innervation ee degaanka oo ka mid ah jabka iyo wareegga dhiigga ee degaanka.

Trauma ka baxo guriga oo kaliya xaaladaha khatarta ah. Waa arrin aad u muhiim ah in takhasuska ahaa akhrin. Ka dib oo dhan, iyada oo dilaaca daran u baahan tahay in la isku daro si nudaha waxyeello lafta in dhacdaa ay xoojinta buuxa. Si kastaba ha ahaatee, waxaa la ogaadaa in isuga noocan oo kale ah waxa ay ku xidhan ma aha oo kaliya on xirfad ah ee dhakhtarka. Indeed, in habka cusboonaysiinta, waa in lagu daraa iyo dhamaan lakabyada unugyada lafta (tus, endoost, periosteum iyo channels Haversian).

Waxaan ma dhihi karo in, wada jir ah ula geeddi socodka dabiiciga ah nafsaaniga ah ee soo celinta daacadnimada lafaha sidoo kale dhacda resorption of hematoma post-traumatic. Waana mid ka, ee callus inta lagu guda jiro nadiifinta dhalashadii labaad ayaa qaab adag a dunmiiqa-qaabeeya yar.

Inta lagu guda jiro formation of layers of callus

Iskujira feeraha jabay iyo meelo kale oo lafaha - arrin si caddaalad ah wax caadi ah. Geedi socodka dib u soo kabashada ee callus lafta waxaa la aasaasay.

nadiifinta dhalashadii labaad waxa uu ka dhacayaa saddex marxaladood:

• horumarinta caabuq (aseptic) goobta jabka;
• geedi socodka samaynta lafta,
• habeyn callus.

Sidaas darteed, in goobta dhaawaca in aadanuhu, waxaa jira badashada u daran ee unugyada kanaalada Haversian iyo endoosta iyo unugyo iyo periosteum. Marxaladani waxay keenaysaa in xaqiiqda ah in lafta sameeyay callus goobta jabka. Waxay ka kooban tahay afar lakab:

• paraossalny;
• intermediarny;
• periosteal;
• endosteal.

5-6 maalmood iin dhaawac toos ah u dhexeeya lafaha jabay ka dib markii uu bilaabo inuu buuxiyo fibroblasts, unugyada osteoblast iyo weelasha yaryar, taas oo ay u sameeyaan unugyada osteoid ah.

Sidoo kale waa in la ogaadaa in taaganyihiin 3-yada formation callus ah. Kuwaas waxaa ka mid ah:

• fibrotic;
• carjawda;
• lafta.

Sidee dheer waxaa la aasaasay callus?

Formation of callus - geeddi-socodka ah halkii dheer. Waqtiga ay formation waa:

1. Primary (socdaa 4-5 asbuuc).
2. Sare (ka dib markii 5-6 toddobaad).

Sidoo kale waa in la ogaadaa in callus ee agaggaarka jabka ku xiran yahay habeyn dhowr sano. Tan waxa u sabab xaqiiqada ah in osteoblasts ku kor resorption ee lafta oo dhan jajabkii, jajabkii iyo qashin, iyo sidoo kale la baabi'iyo dhismaha xad-dhaafka ah ee wax callus.

In the case of trauma, sababa guriga, iyo sidoo kale bukaanka isaga qudhiisa ku abuuray xaaladaha oo dhan, waayo, isuga fiicnayn unugyada lafaha, waxa dhacaya xoojinta jab, (waayo, dhowr toddobaad ama bilood).

Sidee dheer lafaha isla baxaan? Sida laga soo xigtay khubaro ah, wayn qofka, ka xun yahay in ay dib u soo celinta. Tusaale ahaan, jab qoorta bidig waxaa ku xidhan odeyga ee sariirta, keenaysay dhibaatooyin kale sida pneumonia gabsiiya, lungemboli, boogaha decubitus, iyo kuwa kale.

Waa maxay sababta gaabis xoojinta?

Ma ahan mar walba oo aan dadka oo dhan waxay leeyihiin jab lafta si deg deg ah u wada koraan oo aan cawaaqib kasta. Xaaladaha qaarkood, xoojinta aagga ku dhaawacmeen caanuhu uga. Waa maxay sababta sida ugub ah?

sababaha Common accretion tartiib ah u lafo ka mid ah kuwa soo socda:

• sonkorowga, lafaha khafiif ah, ku xadgudub oo ka mid ah qiimo dhimis oo ka mid ah qanjidhada parathyroid;
• da'da ka weyn, dumar jinsiga, fiix ukun-side, cunto xumo,
• daaqa, uurka badan, stress,
• koritaanka Low, qaadashada maandooriyeyaasha qaarkood, dysmenorrhea;
• kansarka, sigaarka, ka saarida ugxan, badalida ee xubnaha gudaha, iyo wixii la mid ah.

Sida sababo degaanka, waxaa ka mid ah:

• helitaanka caabuq nabarka;
• disorder wareegga dhiigga,
• dhaawac burburin daran ee unugyada jilicsan inta lagu guda jiro dhaawacyada,
• jab badan,
• walxaha shisheeye ee boogta;
• interposition oo dhar iyo wixii la mid ah.

daaweynta jab

Maxaa la sameeyaa leh jabay ah iyo sida loo gaaro accretion deg deg ah ee lafaha? Tallaabada ugu horreysa waa in ay arkaan dhakhtar. By dhaqaaqin dhakhtar lafta waa in ay xaq iyo ammaan booska this by codsanaya malaastaan.

Maxaa la sameeyaa leh jabay, laakiin racfaan qolka gargaarka degdegga ah? Jab inay si dhakhso ah u wada koraan, khubaro ku talinaynaa qaadashada hormoonnada dhiska iyo hooyaday. Waxa kale oo loo oggol yahay inuu daaweynta dabiiciga ah iyo gaadhista trauma beerta electromagnetic.

Cawaaqib xumada daaweynta aan habboonayn

jab Iskujira - tani waa natiijada ugu wanaagsan ee dhaawac aadanaha. Si kastaba ha ahaatee, waxaa la ogaadaa in ay ka maqan yihiin daaweyn xoojinta sax ah ma dhici karo ama hoos.

Khubarada ayaa sheegaya in calaamadaha accretion gaabiska unugyada lafuhu ka jira dalalka soo socda:

• dhaqdhaqaaqa (bahal) lafta goobta jabka;
• xanuun aad u daran ee aagga dhaawacan,
• farqiga u dhexeeya lafaha, iyadoo baaritaan X-ray lagu calaamadeeyay.

Sidoo kale waa in la ogaadaa in uu yahay mid dheereysa oo sahlan in habka carruurnimada dayactirka iyo cusboonaysiinta unugyada lafuhu waxyeelo ka badan in dadka waayeelka ah iyo dadka waaweyn. Inta badan natiijooyinka isuga munaasib ahayn in formation of lafaha pseudoarthrosis. goysyada noocan oo kale ah soo saari kartaa dhowr ah oo dhibaatooyin caafimaad oo halis ah, sidoo kale waxay keeni raaxo bilicsanaanta.