Iyo fibula uye tibia ndiwo mapfupa maviri marefu egumbo rezasi.The fibula, kana mhuru bone, ibhonzo duku riri kunze kwegumbo.Tibia, kana shinbone, ibhonzo rinotakura uremu uye riri mukati megumbo rezasi.
Iyo fibula uye tibia inobatana pamwe chete pamabvi uye majoini ezviziso.Mabhonzo maviri anobatsira kudzikamisa uye kutsigira chitsitsinho uye tsandanyama dzegumbo.
Fibula fracture inoshandiswa kutsanangura kuputsika mufibula bone.Kubata kwakasimba, sekumhara mushure mekusvetuka kwepamusoro kana chero kukanganisa kune chikamu chekunze chegumbo, kunogona kukonzera kutyoka.Kunyange kukunguruka kana kuputira chidzitiro kunoisa kushushikana pafibula bone, izvo zvinogona kutungamirira kukuputsika.
Zviri mukati mechinyorwa chino:
Mhando dzefibula fracture
Kurapa
Rehab uye kurapwa kwepanyama
Mhando dzefibula fracture
Fibula fractures inogona kuitika chero ipi zvayo papfupa uye inogona kusiyana mukuoma uye rudzi.Mhando dzefibula fracture dzinosanganisira zvinotevera:
Leg mapfupa
Bhonzo refibula ndiro diki remapfupa maviri emakumbo uye dzimwe nguva rinonzi mhuru bhonzo.
Lateral malleolus fractures inoitika apo fibula inoputsika pamakumbo
Fibular head fractures inoitika pamucheto wepamusoro wefibula pamabvi
Avulsion fractures inoitika kana chidimbu chidiki chebhonzo chinosungirirwa kune tendon kana ligament chinodhonzwa kubva pachikamu chikuru chebhonzo.
Stress fractures inotsanangura mamiriro ezvinhu apo fibula inokuvadzwa semugumisiro wekudzokorora kunetseka, zvakadai sekumhanya kana kufamba.
Fibular shaft fractures inoitika pakati pechikamu chefibula mushure mekukuvadzwa kwakadai sekurova kwakananga kunzvimbo.
Fibula fracture inogona kukonzerwa nekukuvara kwakasiyana kwakasiyana.Inowanzobatanidzwa nechidzitiro chakakungurutswa asi inogonawo kuve nekuda kwekukandira kusinganzwisisike, kudonha, kana kurohwa kwakananga kugumbo rekunze rezasi kana chitsiko.
Fibula fractures yakajairika mumitambo, kunyanya iyo inosanganisira kumhanya, kusvetuka, kana kukurumidza kuchinja kwegwara senhabvu, basketball, uye nhabvu.
Zviratidzo
Marwadzo, kuzvimba, uye kupfava ndezvimwe zvezviratidzo zvakajairika zvefibula yakatsemuka.Zvimwe zviratidzo nezviratidzo zvinosanganisira:
Kusakwanisa kutakura uremu pagumbo rakakuvara
Kubuda ropa nekupwanya mugumbo
Kuremara kunooneka
Chiveve uye kutonhora mutsoka
Tender kune kubata
Kuongororwa
Vanhu vakakuvara gumbo uye vari kuona chero chezviratidzo vanofanira kuona chiremba kuti vaongororwe.Matanho anotevera anoitika panguva yekuongororwa kwechirwere ichi:
Kuongororwa kwepanyama: Kuongororwa kwakakwana kuchaitwa uye chiremba achatsvaga chero hurema hunoonekwa
X-ray: Aya anoshandiswa kuona pakatyoka uye kuona kana bhonzo rabviswa
Magnetic resonance imaging (MRI): Rudzi urwu rwebvunzo runopa ongororo yakadzama uye inogona kuburitsa mifananidzo yakadzama yemapfupa emukati nematishu akapfava.
Bone scans, computerized tomography (CT), uye mimwe miedzo inogona kurairwa kuti iite kunyatsoongorora uye kutonga kuoma kwefibula fracture.
Kurapa
yakatsemuka fibula
Zviri nyore uye zvakasanganiswa fibula fractures inorongwa zvichienderana nekuti ganda rakatyoka here kana kuti pfupa rakafumurwa.
Kurapa kwekuputsika kwefibula kunogona kusiyana uye kunoenderana zvakanyanya nekuoma kwacho.Kutyoka kunorongwa sekuvhurika kana kuvharwa.
Open fracture (compound fracture)
Pakutsemuka kwakavhurika, ingave bhonzo rinopinda nepakati peganda uye rinogona kuonekwa kana ronda rakadzika rinobudisa pachena bhonzo kuburikidza neganda.
Kuvhurika kuputsika kunowanzova mhedzisiro yekukuvadzwa kwepamusoro-simba kana kurova kwakananga, sekudonha kana kudhumhana kwemotokari.Rudzi urwu rwekuputsika runogonawo kuitika zvisina kunanga sekunge nemhando yepamusoro-simba inomonyorora yekukuvara.
Simba rinodiwa kukonzera marudzi aya ekuputsika zvinoreva kuti varwere vanowanzowana kukuvara kwakawedzerwa.Kumwe kukuvadzwa kunogona kunge kuchityisa hupenyu.
Maererano neAmerican Academy of Orthopedic Surgeons, kune 40 kusvika 70 muzana yehuwandu hwekushungurudzika kwakabatana kune imwe nzvimbo mukati memuviri.
Vanachiremba vanobata yakavhurika fibula fractures nekukurumidza uye kutsvaga chero kumwe kukuvadzwa.Mishonga inorwisa mabhakitiriya ichashandiswa kudzivirira utachiona.Kupfurwa kwetetanus kunopihwawo kana zvichidikanwa.
Ronda racho richacheneswa zvakakwana, roongororwa, rodzikamiswa, robva ravharwa kuitira kuti ripore.Kuderedzwa kwakazaruka uye kugadziriswa kwemukati neplate uye screws zvingave zvakakosha kudzikamisa kuputsika.Kana mapfupa asina kubatana, kusungirirwa kwepfupa kunogona kudiwa kukurudzira kupora.
Kutyoka kwakavharwa (kutsemuka kuri nyore)
Mukuputsika kwakavharwa, pfupa rinoputsika, asi ganda rinoramba rakasimba
Chinangwa chekurapa kuputsika kwakavharwa ndechekudzorera pfupa panzvimbo, kudzora marwadzo, kupa nguva yekuputsika kuti aporese, kudzivirira matambudziko, uye kudzorera basa rakajairika.Kurapa kunotanga nekukwirira kwegumbo.Ice inoshandiswa kubvisa marwadzo uye kuderedza kuzvimba.
Kana pasina kuvhiyiwa kunodiwa, madondoro anoshandiswa pakufamba uye bhandi, kukanda, kana kufamba bhutsu inokurudzirwa apo kuporesa kunoitika.Kana nzvimbo yacho yapora, vanhu vanogona kutambanudza uye kusimbisa majoini asina simba nerubatsiro rwechiremba wepanyama.
Kune marudzi maviri makuru ekuvhiya kana murwere achida iwo:
Kudzikiswa kwakavharwa kunosanganisira kudzoreredza pfupa kunzvimbo yaro yepakutanga pasina chikonzero chekuita incision panzvimbo yekutyoka.
Kuvhura kuderedza uye kugadzirisa kwemukati kunogadzirisa bhonzo rakatyoka kunzvimbo yaro yepakutanga uchishandisa Hardware senge mahwendefa, screws, uye tsvimbo.
Chidzitiro chinozoiswa muakakandirwa kana kutyoka bhutsu kusvika kupora kwapera.
Rehab uye kurapwa kwepanyama
Mushure mekuva mukanda kana kuti splint kwemavhiki akawanda, vanhu vazhinji vanoona kuti gumbo ravo harina simba uye majoini avo akaoma.Vazhinji varwere vanozoda kumwe kudzoreredzwa kwemuviri kuti vaone kuti gumbo ravo rinowanazve simba rakazara uye kushanduka.
kurapwa kwepanyama
Kumwe kurapa kwemuviri kungadikanwa kuti uwanezve simba rakazara mugumbo remunhu.
Murapi wepanyama achaongorora munhu wega wega kuti aone chirongwa chekurapa chakanakisa.Murapi anogona kutora zviyero zvakati kuti atonge mamiriro emunhu.Zviyero zvinosanganisira:
Range yekufamba
Simba
Kuvhiya mavanga mavanga assessment
Mafambiro anoita murwere uye anoremerwa
Marwadzo
Kurapa kwepanyama kunowanzotanga nekusimbisa zvitsitsinho uye maekisesaizi ekufamba.Kana murwere akasimba zvakakwana kuisa uremu panzvimbo yakakuvara, kufamba uye kutsika maekisesaizi zvinowanzoitika.Kudzikama chinhu chinokosha pakuwanazve kukwanisa kufamba usina kubatsirwa.Wobble board exercises inzira yakanaka yekushanda pakuenzanisa.
Vanhu vazhinji vanopihwa maekisesaizi avanokwanisa kuita kumba kuti vawedzere kubatsira pakupora.
Kupora kwenguva refu
Kurapa kwakakodzera uye kugadziriswa kunotungamirirwa nachiremba kunowedzera mukana wekuti munhu awanezve simba rakazara uye kufamba.Kudzivirira fibula fractures mune ramangwana, vanhu vanotora chikamu mumitambo ine njodzi huru vanofanirwa kupfeka zvakakodzera kuchengetedza midziyo.
Vanhu vanogona kuderedza njodzi yavo yekutyoka ne:
Kupfeka shangu dzakakodzera
Kutevera kudya kuzere necalcium-rich chikafu chakadai semukaka, yogati, uye chizi kubatsira kuvaka simba remapfupa
Kuita maekisesaizi ekuremesa kubatsira kusimbisa mapfupa
Matambudziko anogona kuitika
Mafibula akatsemuka anowanzo pora pasina mamwe matambudziko, asi zvinotevera zvinogoneka:
Degenerative kana traumatic arthritis
Abnormal deformity kana kuremara zvachose kwechidzitiro
Kurwadziwa kwenguva refu
Kukuvadzwa kwechigarire kune tsinga uye tsinga dzeropa dzakatenderedza ankle joint
Abnormal pressure buildup mukati memhasuru dzakatenderedza chiziso
Kuzvimba kwenguva refu kwekupedzisira
Zvizhinji zvakaputsika zvefibula hazvina matambudziko akakomba.Mumavhiki mashomanana kusvika kumwedzi yakawanda, varwere vakawanda vanopora zvakakwana uye vanogona kuenderera mberi nemabasa avo emazuva ose.
Nguva yekutumira: Aug-31-2017