Mumakore achangopfuura, chiitiko chekutyoka kwave kuchiwedzera, kuchikanganisa zvakanyanya hupenyu nebasa revarwere.Naizvozvo, zvinodikanwa kuti udzidze nezve nzira dzekudzivirira dzekuputsika pachine nguva.
Kuitika kwekutyoka kwebhonzo
External factors:Kutyoka kunonyanya kukonzerwa nekunze zvinhu zvakaita tsaona dzemotokari, kuita kwakasimba kwemuviri kana kukanganisa.Zvisinei, izvi zvinhu zvekunze zvinogona kudzivirirwa nekuchenjerera paunenge uchityaira, kutora chikamu mumitambo kana mamwe mabasa emuviri, uye kutora matanho ekudzivirira.
Mishonga zvinhu:Zvirwere zvakasiyana zvinoda mishonga, kunyanya kuvarwere vakura vanogaroshandisa zvinodhaka.Dzivisa kushandisa mishonga ine steroid, yakadai sedexamethasone neprednisone, inogona kukonzera osteoporosis.Thyroid hormone replacement therapy mushure mekuvhiyiwa kwegondondu, kunyanya muhuwandu hwepamusoro, inogonawo kukonzera osteoporosis.Kushandiswa kwenguva refu kwemishonga yemishonga yakadai seadefovir dipivoxil inogona kudiwa kune hepatitis kana zvimwe zvirwere zvehutachiona.Mushure mekuvhiyiwa kenza yemazamu, kushandiswa kwenguva refu kwearomatase inhibitors kana zvimwe zvinhu zvakaita sehomoni zvinogona kukonzera kurasikirwa kwefupa.Proton pump inhibitors, antidiabetic zvinodhaka zvakadai se thiazolidinedione zvinodhaka, uye kunyange antiepileptic mishonga yakadai se phenobarbital uye phenytoin inogonawo kukonzera osteoporosis.
Kurapa kwekuputsika
Nzira dzekuchengetedza dzekurapa kwekutyoka dzinonyanya kusanganisira dzinotevera:
Kutanga, kuderedzwa kwemaoko,iyo inoshandisa matekiniki akadai sekukweva, kushandura, kutenderera, masaja, nezvimwe kudzorera zvimedu zvakaputsika kunzvimbo yavo yakajairika yeanatomical kana chinzvimbo cheanatomical.
Chepiri,fixation, izvo zvinowanzobatanidza kushandisa madiki madiki, plaster cast,orthoses, ganda reganda, kana kuputika kwepfupa kuchengetedza nzvimbo yekuputsika mushure mekuderedza kusvikira yapora.
Chechitatu, kurapwa kwemishonga,iyo inowanzoshandisa zvinodhaka kusimudzira kutenderera kweropa, kuderedza kuzvimba uye kurwadziwa, uye kukurudzira kuumbwa uye kuporeswa kwecallus.Zvinodhaka zvinosvibisa chiropa neitsvo, kusimbisa mapfupa nematendon, kudya qi neropa, kana kukurudzira kutenderera kwemeridian zvinogona kushandiswa kuita kuti kudzoreredzwa kwemaitiro emakumbo.
Chechina, kurovedza muviri,izvo zvinosanganisira kuzvimiririra kana kubetserwa maekisesaizi ekudzorera majoini ekufamba, simba remhasuru, uye kudzivirira tsandanyama atrophy uye osteoporosis, kufambisa zvese zviri zviviri kuputsika kupora uye kushanda kupora.
Kuvhiya Kurapa
Kuvhiya kurapwa kwekuputsika kunonyanya kusanganisirakugadziriswa kwemukati, kunze kugadzirisa,uyekubatana kutsiva kwemhando dzakasiyana dzekuputsika.
Kugadziriswa kwekunzeinokodzera kuvhurika uye kutsemuka kwepakati uye kazhinji inosanganisira traction kana anti-kunze kutenderera shangu kwe8 kusvika kumavhiki e12 kudzivirira kutenderera kwekunze uye kuderedzwa kwegumbo rakabatwa.Zvinotora mwedzi mitatu kusvika ku4 kuti apore, uye kune chiitiko chakaderera zvikuru chekusabatanidzwa kana kuti femoral head necrosis.Zvisinei, pane mukana wekutamisa munzvimbo yekutanga yekuputsika, saka vamwe vanhu vanotsigira kushandiswa kwekugadzirisa kwemukati.Kana iri plaster yekunze fixation, haiwanzo kushandiswa uye inongogumira kuvana vadiki.
Kugadziriswa kwemukati:Parizvino, zvipatara zvine mamiriro ezvinhu zvinoshandisa kuderedza kuvharwa uye kugadziriswa kwemukati pasi pekutungamirirwa kwe-X-ray machines, kana kuderedza kuzarura uye kugadziriswa kwemukati.Pamberi pekuvhiyiwa kwemukati, kuderedzwa kwebhuku kunoitwa kuti kusimbise kuderedzwa kweanatomical kwekutyoka kusati kwaenderera mberi nekuvhiya.
Osteotomy:Osteotomy inogona kuitwa kune yakaoma-ku-kuporesa kana yekare kuputsika, zvakadai se intertrochanteric osteotomy kana subtrochanteric osteotomy.Osteotomy ine zvakanakira kuvhiya kuri nyore, kupfupika kwenhengo yakakanganisika, uye yakanakira kuporeswa kwekutyoka uye kupora kushanda.
Joint replacement surgery:Izvi zvakakodzera kuvarwere vakwegura vane femoral neck fractures.Nokuda kwekusagadzikana kana kuti avascular necrosis yemusoro wevakadzi mumakumbo emakumbo emakumbo ekare, kana chironda chacho chichingogumira kumusoro kana mutsipa, kuvhiyiwa kwechikadzi kunotsiva kunogona kuitwa.Kana chironda chacho chakuvadza acetabulum, chirwere chese chekugadzirisa hudyu chinodiwa.
Nguva yekutumira: Mar-16-2023
