Mumakore achangopfuura, kuwanda kwevanhu vanotyoka mapfupa kwave kuchiwedzera, zvichikanganisa hupenyu nemabasa evarwere zvakanyanya. Saka, zvakakosha kudzidza nezvenzira dzekudzivirira vanhu vanotyoka mapfupa pachine nguva.
Kuitika kwekutyoka kwepfupa
Zvinhu zvekunze:Kutyoka kwemotokari kunonyanya kukonzerwa nezvinhu zvekunze zvakaita setsaona dzemotokari, kurovedza muviri kwakanyanya kana kurovera. Zvisinei, zvinhu izvi zvekunze zvinogona kudzivirirwa nekungwarira paunenge uchityaira, uchitamba mitambo kana zvimwe zviitiko zvemuviri, uye kutora matanho ekudzivirira.
Zvinhu Zvinokonzera Mishonga:Zvirwere zvakasiyana-siyana zvinoda mishonga, kunyanya kune vakwegura vanoshandisa mishonga nguva nenguva. Dzivisa kushandisa mishonga ine steroid, yakadai se dexamethasone ne prednisone, iyo inogona kukonzera osteoporosis. Kurapa kwe thyroid hormone replacement mushure mekuvhiyiwa kwe thyroid nodule, kunyanya kana paine mishonga yakawanda, kunogonawo kukonzera osteoporosis. Kushandiswa kwenguva refu kwemishonga inorwisa mavhairasi senge adefovir dipivoxil kunogona kudiwa kune hepatitis kana zvimwe zvirwere zvehutachiona. Mushure mekuvhiyiwa kwekenza yemazamu, kushandiswa kwenguva refu kwemishonga inodzivirira aromatase kana zvimwe zvinhu zvakaita semahormone kunogona kukonzera kurasikirwa kwemapfupa. Proton pump inhibitors, mishonga inorwisa chirwere cheshuga senge thiazolidinedione drugs, uye kunyange mishonga inorwisa epileptic senge phenobarbital nephenytoin zvinogonawo kukonzera osteoporosis.
Kurapa kwekutyoka kwemapfupa
Nzira dzekurapa dzinochengetedza mapfupa akabatwa dzinosanganisira zvinotevera:
Chekutanga, kuderedza nemaoko,iyo inoshandisa nzira dzakadai sekukweva, kugadzirisa, kutenderedza, kukwiza, nezvimwewo kuti idzorere zvidimbu zvakatyoka zvakabviswa panzvimbo yazvo yemuviri kana kuti panzvimbo inenge yemuviri.
Chepiri,kugadzirisa, izvo zvinowanzosanganisira kushandisa zvidzitiro zvidiki, plaster casts,orthoses, kukweva ganda, kana kukweva mapfupa kuti mapfupa arambe ari panzvimbo yakatyoka mushure mekuderedzwa kusvika apora.
Chechitatu, kurapwa nemishonga,iyo inowanzoshandisa mishonga yekukurudzira kutenderera kweropa, kuderedza kuzvimba nekurwadziwa, uye kukurudzira kuumbwa nekuporeswa kwe callus. Mishonga inosimbisa chiropa neitsvo, inosimbisa mapfupa netsinga, inodyisa qi neropa, kana kukurudzira kutenderera kweropa kwe meridian inogona kushandiswa kubatsira kudzoreredza kushanda kwenhengo.
Chechina, kurovedza muviri,izvo zvinosanganisira maekisesaizi akazvimiririra kana ekubatsira kudzorera kufamba kwemajoini, simba remhasuru, uye kudzivirira kupera kwetsandanyama uye osteoporosis, zvichiita kuti kuputsika kwemaronda kupore uye kupora kwemabasa.
Kurapa Kwekuvhiya
Kurapa kwekutyoka kunosanganisira kuvhiyiwa kunosanganisira kunyanyakugadziriswa kwemukati, kugadziriswa kwekunzeuyekutsiva majoini emhando dzakasiyana dzemapundu.
Kugadzika kwekunzeyakakodzera kupwanyika kwakavhurika uye kwepakati uye kazhinji inosanganisira shangu dzinodhonza kana dzinorwisa kutenderera kwekunze kwemavhiki masere kusvika gumi nemaviri kudzivirira kutenderera kwekunze uye kudhonzwa kwegumbo rakakanganiswa. Zvinotora mwedzi mitatu kusvika mina kuti vapore, uye pane mukana mudiki wekushaya kubatana kana femoral head necrosis. Zvisinei, pane mukana wekusuduruka pakutanga kwekutyoka, saka vamwe vanhu vanokurudzira kushandiswa kwekugadzirisa mukati. Kana iri plaster external fixation, haiwanzo shandiswa uye inongogumira kuvana vadiki chete.
Kugadziriswa kwemukati:Parizvino, zvipatara zvine zvirwere zvinoshandisa nzira yekuderedza kukuvara kwetsandanyama nekuisa mukati metsandanyama zvichitungamirirwa nemichina yeX-ray, kana nzira yekuderedza kukuvara kwetsandanyama nekuisa mukati metsandanyama. Pamberi pekuvhiyiwa kwekugadzirisa tsinga dzetsandanyama, nzira yekuderedza tsinga dzetsandanyama nemaoko inoitirwa kusimbisa kudzikira kwetsandanyama yetsandanyama isati yaenderera mberi nekuvhiyiwa.
Kuvhiyiwa kweOsteotomy:Osteotomy inogona kuitwa pakukuvara kwakaoma kuporesa kana kuti kwakasakara, kwakadai se intertrochanteric osteotomy kana subtrochanteric osteotomy. Osteotomy ine zvakanakira zvekuvhiya zviri nyore, kuderedza kupfupika kwegumbo rakakanganiswa, uye inobatsira pakupora kwekukuvara uye kupora kwekushanda zvakanaka.
Kuvhiyiwa kwekutsiva majoini:Izvi zvakakodzera varwere vakwegura vane mapfupa akatyoka mutsipa wefemoral. Kana paine mapfupa asina kubatana kana avascular necrosis yemusoro wefemoral kana mapfupa akatyoka mutsipa wefemoral, kana mapfupa acho akangogumira mumusoro kana mutsipa, kuvhiyiwa kwemusoro wefemoral kunogona kuitwa. Kana mapfupa acho akakuvadza acetabulum, kuvhiyiwa kwehudyu kwese kunodiwa.
Nguva yekutumira: Kurume-16-2023
