10-ka sare ee ciddiyaha ah ee caagga ah ee ciddiyaha.

Xirmooyinka taarikada

Burburinta unugyada jilicsan, heerka cudurka caabuqa ee sareeya, soo kabashada dheer

Ciddiyaha Antigrade

Khatarta dhaawaca wadajirka ah ee jilibka, hagaajinta aan ku filnayn, u nugul malaaqa

Xalka dtn

Qaadashada ugu yar ee loo yaqaan 'procesloft'

1Jabka jajabinta fog waa caadi, daaweyn dhaqameedyadu waxay leeyihiin xaddidaad

Jab jaban oo jilicsan ayaa ah nooca guud ee jabka lugta hoose. Daaweynta dhaqameed sida taarikada qufulka iyo cidisooyinka antregrade aduunku midkiiba wuxuu leeyahay dib-u-dhacyadooda. Taargooyinka qufulka waxay sababi karaan infekshinno ka dib ama dhalmada jilicsan ee necrosis jilicsan, soo kabashada, soo kabashada; In kasta oo ciddiyaha dhinaceeda ee Antigrade ay si yar u quusitaan, waxay dhaawici karaan wadajirka jilibka, sababi kara xanuun, oo waxay wataan halista hagaajinta ama xumaanta, ka hortaga soo kabashada.

2Xalka cusub: ciddiyaha fog (DTN)

Xulashada Daaweynta ee DAAWEYNTA-DIIWAANKA - DTN)-DTN) - DTN)-DTN)-DTN)-DTNASS Muuqaal cusub oo loogu talagalay maaraynta jabka fogaanka fog oo leh naqshadda dib-u-celinta ee gaarka ah.

Jaantuska 1: Dib-u-soo-nooleynta DTN Revn

1Meelaynta bukaanka iyo diyaarinta dhimista

Bukaanka waxaa lagu ridayaa booska supine. Jab jaban ee barokacayaashu waa inay noqdaan wax iska dhibin; Haddii loo baahdo, isticmaal yaraynta meelaha yareynta si aad u caawiso ka hor intaadan gelin DTN. Haddii ay jirto jab jab ku-dhafan oo weheliya, isugeyn ku habboon oo ku habboon ayaa gargaarka dhigi kara dhimista tobial.

2Nidaamka Gargaarka Dtn

Meesha la jeexjeexay ee 2-3 cm ah ayaa laga sameeyay caarada Malleus ee Malleus-ka ee Malleus-ka si loo shaaciyo xariga liita ee 'deltoid'. Tilmaanta hagista waxaa la galiya ama waxyar oo dhexdhexaad ah caarada caarada ee loo yaqaan 'murleous', 4-5 mm oo ka socota dusha sare ee farshaxanka.

Jaantus 2a: hagaha hagaha galinta

Sawir 2B: aragtida dambe

Sawir 2c: geedi socodka dib udhaca

Borotokoolka Baxnaaninta

• Hawlaha wadajirka ah ee canqowga ayaa si dhakhso ah u bilaabaya qalliinka ka dib

• Ka fogow culeyska-culus 4-6 toddobaad

• Kala-guurka tartiib tartiib ah ee culeyska culeyska buuxa ee 8-12 toddobaad

• Korjoogteynta joogtada ah ee kormeerka inta lagu gudajiro marxaladda soo kabashada

1Natiijooyinka caafimaad ee 10 bukaan ah

Daraasad ayaa daba socota 10 bukaan. 3 bilood kadib, 7 kiis ayaa bogsaday; Dhammaan bukaannada ayaa gaadhay bogsashada 6 bilood gudahood. Hal kiis mid kasta oo ka mid ah noocyada kaladuwanaanta iyo dib-u-dhaca ayaa dhacday. Wax khasaare ah oo laga qabo dhimis, infekshin, cuduro laxiriira, ama dhaawacyada ku dhaca ayaa la arkay.

1Deganaanshaha Soojilaha

Cidhifyada dib-u-fiirinta ayaa leh xasaasiyad heer sare ah iyo rottiftines marka loo eego taarikada qufulka ee dhexe iyo ciddiyaha hore. Greenfield Et Al. Waxaa lagu sameeyay tijaabooyin biomechannical oo muujinaya in iyadoo la adeegsanayo laba boolal oo masaafo ah oo ku yaal DTN ay gaareen 60-70% adkaanta isku-dhafka ah iyo 90% adkaanta todoital-ka marka loo barbar dhigo saddex boolal.

2Faa'iidooyinka dtn

Marka la barbar dhigo taarikada taarikada, ciddiyaha muqaadka ah ee Ingmandary waxay sababaan dhaawac yar oo jilicsan, oo si gaar ah ugu habboon bukaannada waayeelka ah iyo kuwa dhaawacyada unugyada jilicsan ee ka soo baxa tamarta tamarta sare. Qalliinka uma baahna dabacsanaan jilibka ah, oo yareynaysa halista in yareynta luminta iyo ka dhigida ku habboon bukaanka qaba mooshinka jilibka oo xaddidan.

3Isbarbardhig caafimaad

Heerka aan cibaadada lahayn ee loo yaqaan 'Angred ciddiyaha' Antigrade ciddiyaha waa 0-25% iyo 8.3-50%, siday u kala horreeyaan; Taargooyin qufulan, 0-17% iyo 0-17%. Daraasaddan, dhammaan kiisaska waxay gaadhay midowga, oo kaliya 20% waxay lahaayeen cillado> 5 °, oo u dhigma hababka dhaqameed.

Khadka badeecada DTN

Ciddiyaha fog ee caagga ah (dtn)

Moodel: T1100-59

     Faahfaahinta badeecada    

Qalabka cidlada ah ee fog ee Tribial

Moodel: 1200-27

     Faahfaahinta badeecada    

Sanduuqa Qalabka Ceelka Dheecaan ee Tribial

Moodel: 1000-0139

     Faahfaahinta badeecada