Nigute kuvunika kabuharire bivurwa?

Ni izihe mpinduka za clinicopathologiya mugice cya Calcaneal?

Ihinduka rya clinicopathologiya zirimo ububiko bwa Calcaneali isenyutse, urukuta rwa talin Impinduka, Ingufu zo gukwirakwiza ibimera, kugenda hindfoot no kugenda bidasanzwe, imiterere yinyuma irahinduka, n'ingorabahizi zo kwambara inkweto.

Ni ubuhe buryo bwo kwigaragaza bwo kuvunika ca calcaneal?

Ibigaragaza nyamukuru byo kuvunika karatashya ni ububabare bwaho, ubwuzu, guhagarika amagufwa, kubyimba kwaho, ubumuga bwo munsi, ubumuga buke, kandi buke Kuvuka kwa caldcaneal hashobora kugaragara nkubyimbye bidashira, kubabara, ubumuga, no gukora agatsinsino, nko kutagira moteri, imbaraga zitwara uburemere, n'ingorabahizi zo kubyara.

Nigute wafata kuvunika ka Calcaneus?

Kuvura imigaragarire ya Calcaneal birashobora kugabanywamo no kwivuza no kubaga.

Kutivurizwa

•  Kuvunika birebire: Gutunganya Gukuramo birashobora gukoreshwa kubadafite imyambaro, hamwe no kugabanuka kuruhande hamwe no kugabanuka ka Calcaneal birashobora gukoreshwa kubarwayi bafite imyigaragambyo hamwe na plaster hamwe na plaster.

• Kuvunika kurwego rwa Tubercle: Abarwayi badafite imyambaro barashobora gukosorwa hamwe na plaster, kandi abafite kwimurwa barashobora kugabanuka no kugabanya gufungura no gutondekanya hamwe na screque niba manipulation idashobora kugabanuka.

• Nta kwimurwa hejuru ya Talus.

• Kuri kuvunika calcaneal, inyana irashobora gukosorwa hamwe no gukosorwa hanze, kandi kutagabanywa.

• Kugirango ikegereje hamwe nihuriro rya Calcaneal, niba nta kwimurwa, koresha plaster yo gukosorwa hanze; Niba hari umwanya munini wo kwimurwa, igituntu ca calcaneal igomba kugabanywaho no kugarura inguni ihuriweho n'inyeshyamba, kandi ubumuga bwa Calcaneus bugomba kugarurwa hanyuma bukenwa hamwe na plaque. . Byongeye kandi, kudatanga ubuvuzi nabyo byasuzumwe mu manza zikurikira: ① Abarwayi bafite imitima myiza y'imitima Kwiyubaka bihuriweho ni ibintu bitari ngombwa cyangwa bidafite ishingiro, abasaza badashobora kugenda cyangwa bafite imigereka; Kuvunika-intra-arcticular hamwe no kwimurwa <2mm.

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Kubwububiko bugaragara neza bireba hejuru yikibuto, ubuvuzi bwo kubaga burashyigikirwa.

Intego zo kuvura no kunegura kubitsa no kongera kubaka Calcaneus:

•  Mu kuvura ibirangaza ca calcaneal, ibiranga ibiranganya biremereye byinyuma byikirenge bigomba kugarurwa uko bishoboka;

• Kuvunika bigomba kugabanuka neza, kandi kugabanuka kwa anatomique bigomba kugerwaho kugirango bigerweho birimo hamwe hamwe nimibanire ya calcanecular hamwe nuburebure bwa kalcanecular hamwe nuburebure bwa Calcaneus n'ubugari bwa Calcaneus hagomba gusubirwamo. , Ibipimo bya geometrike byateye imbere, bigarura Gissane Angle, Böhler Angle, gukosora valus na valus, hanyuma ugarure amacakubiri yo kwikorera inyuma yikirenge cyinyuma;

• Uburyo bwo gukosora bugomba kwizerwa kandi buhamye, yemerera imyitozo yo hakiri kare no kubyara hakiri kare, bigabanya ububabare bwa nyuma no gukomera, kandi bigabanya ibibazo byo gukomeretsa imiti byoroshye.

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Ni ibihe bigoye bikunze gukomera byo kuvunika ca calcaneal? Nigute ushobora kubyitwaramo?

Ingorabahizi zisanzwe zo kuvunika ca calcaneal zirimo ibikomere byoroheje, kubyimba, kubyimba, syndrome kabiri, na veine yimbitse.

Gucunga imibyiko byoroshye birimo:

•  Uzamure ingingo zanduye kugirango iruta urwego rwumutima, kandi rushobora kuzanwa kurwego rwumutima mugihe syndrome yihuta ikekwa;

• Gushyira mu bikorwa ibiyobyabwenge birwanya kurwanya, nka 20% Mannitol yo mu bitonyanga.

• urubura rupakira ukonje;

• Koresha ibirenge byumutungo wa Arterial;

• Kubafite ibibi biragaragara, ibisebe birashobora kugitina, hamwe nande ya elastike nyuma yo kwanduza bikorwa.

Amahame yo kuvura ibishushanyo mbonera ni ukumenya hakiri kare, kwisuzumisha hakiri kare, no kwivuza ku gihe no guteza imbere indwara ku rugero runini, no kugarura imikorere y'ikirenge cy'ibasiwe ku rugero runini. Kwitondera bigomba kwishyurwa no gukumira, no kwitabwaho bigomba kwishyurwa kubimenyetso bishobora kuba ischemia mugihe hakiri kare. Niba usanga hari imyumvire yo guteza imbere indwara, bande iyo ari yo yose, pelaster, kandi ikanzu igomba kwirindwa. Ikirenge gishyizwe kurwego rwumutima kugirango wungukire ubuvuzi busubire kandi wirinde ischemia. Intera yo muri mannitol. Bimaze gusuzuma, bigomba gufata byihutirwa, kandi uburyo bwiza cyane ni fasiotomy kuri decompression.

Ingamba nyamukuru zo gukumira kuri vein trombose yimbitse niyi ikurikira.

• Ingamba fatizo zirimo: a. Imyitozo yo hakiri kare mu buriri; b. Kunywa amazi menshi, ongeraho amazi muburyo bukwiye, kandi bukosore hypovolemia; c. Koresha ibiyobyabwenge byo kugabanya abarwayi hamwe na hyperlipidemia na diyabete kandi gerageza kugenzura isukari yamaraso mu buryo busanzwe; d. Abarwayi bananira umutima bagomba kunoza imikorere ya Cardiac; e. Irinde cholesterol nyinshi n'amavuta; f. kubuza kunywa itabi, nibindi

• Inganda za mashini zirimo: a. Kwambara intambwe-yintambwe yo gukanda imigabane kugirango habeho hejuru; b. Gushyira mu bikorwa pompe ya linoar; c. Ibikoresho byigihe cyose.

• Kwirinda ibiyobyabwenge birimo heparin, uburemere buke bwa molecular, aspirine, vitamine, vitamine K Arwanya Sodium ya Pentosan.

  
  

Nigute ushobora gukora ubuyobozi bwo gusubiza inyuma nyuma yo kuvugurura caractire ya calcaneal?

Ibihome byagize ingaruka bigomba kuzamurwa nyuma yiminsi 3 nyuma yibikorwa, kandi ibikorwa bya pasiporo byamano bigomba gutangira amasaha 24 nyuma yo kubagwa; Ibikorwa bikora kandi bya pasiporo byamano hamwe ningingo zigomba gutangira amasaha 48, kandi ibikorwa bigomba guhindagurika cyane no kwaguka no gushimangira buhoro buhoro. Tangira nanone ibyumweru 4 kugeza kuri 6 nyuma yo kubagwa; Ibirenge byuzuye bisabwa ikirenge cyanduye birasabwa kuvunika byakize.

Nigute wahitamo isahani yaka Calcaneus?

Kubwububiko bwimurikabikorwa bwa Articular bwa Calcaneus, kugabanya gufungura no gukosora amalano biracyari uburyo bukunze gukoreshwa. Kugeza ubu, hari ubwoko bwinshi bw'isahani ikoreshwa mu kuvunika calcaneal, nk'isahani ya ao, 'h ' 'plaque, isaha y'ibihome, ibitego by'ikinyugunyugu, nibindi. kwizerwa kw'ikosora; bidashoboka; guhuza no kuvunika ibiranga nubunini bwa parafu; Guhuza ibiranga ibinyabuzima nkibikoresho byinyuma hamwe no gukora imibonano mpuzabitsina neza.

Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

Kuri Czmeditech , dufite umurongo wuzuye wibicuruzwa byubasaguro orthopperic bitera kandi nibikoresho bihuye, ibicuruzwa birimo Umugongo, Intramedillary Imisumari, Isahani, gufunga isahani, cranial-maxillofacial, prostas, ibikoresho by'ingufu, ibicuruzwa byo hanze, arthroscopy, Kwitaho ku matungo n'ibikoresho byabo byo gushyigikira.

Byongeye kandi, twiyemeje guhora dukura ibicuruzwa bishya no kwagura imirongo yibicuruzwa, kugirango duhuze ibyifuzo byabaganga nabarwayi benshi, kandi binatuma sosiyete yacu irushanwa mubicurarango byose bya orttopedic.

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