Haasi zvirwere zvose zvinongororwa nyore nyore, uye aseptic necrosis yefupa iri pakati pavo. Zvinokwanisika kuona chirwere ichi chakakomba nemubatsiro we radiography chete kana pane kuparadzwa kwakanyanya kwepafupa mapfupa kana kutama. Kana zvisina kudaro, zvakakosha kuti uite tomography uye kuvimba pane zvimwe, zviduku, zviratidzo. Ngatikurukurei zvakadzama kuti sei aseptic necrosis yezvikamu zvakasiyana zvepfupa yakasiyana, uye kuti chirwere chacho chinokura sei.
Zvinokonzera aseptic necrosis
Kazhinji kacho kazhinji necrosis, ndiko kuti, kuoma kwemafupa nemajoini, ndeyekuti ropa ravo rinowedzera. Zvikonzero zvinogona kunge zvinotevera:
- dambudziko;
- microtrauma (kusagadzikana kushandiswa kwechigadziro chekubatanidzwa sechikonzero cheimwe rudzi rwebasa, iro rinowanzoitika);
- chirwere cheshuga mellitus;
- hormonal failure ;
- kurapwa kwenguva refu ne corticosteroids nedzimwe mishonga yemhomoni;
- chikoro-cell anemia;
- pancreatitis;
- kutarisana nemirairo yeioni;
- kushungurudza doro uye zvinodhaka.
Kana chirwere chacho chichionekwa pane imwe nguva yekutanga, kune mukana wekugadzirisa zvachose dambudziko nenzira dzakachengetedza, kana kuti chirwere. Iko inokonzerwa necrosis haigoneki.
Aseptic necrosis yekubatana kwechiuno
Ichi chirwere chinokonzerwa nokuwedzerwa kweropa kuderera kusvika kumucheto wepamusoro weputi rechipupu, ndiko kuti, aseptic necrosis yemusoro wechikadzi inokonzera kuparadzwa kwezvigunwe zvegumbo zvehutenderedzwa zvakapoteredza. Somugumisiro, munhu anotambudzika zvakanyanya uye kuoma mukufamba. Kazhinji kazhinji izvi zvinokonzerwa nekubviswa kwekubatanidzwa kwechiuno, kana kuputsika kwemutsipa wehudyu .
Kusagadzikana kwechiuno cheputi ndiko kushandiswa kwekuvhiya kunobatsira kuvandudza ropa rekubatana uye kunokonzera kushandiswa kwegadziriro. Chiremba anovhiya anobvisa nzvimbo yakakonzerwa nokukanda. Muchikamu chekutanga chechirwere, nzira yacho inoshanda mu80% yemhosva, iyo inodzivisa hip kudzokera. Osteotomy inowanzoitwa kuitira kuderedza kushungurudzika. Aseptic necrosis yemukadzi ndiyo inowanikwa, asi mamwe masangano anowanikwawo nechirwere ichi.
Aseptic necrosis yemabvi akabatanidzwa uye dzimwe nzvimbo dzechirwere
Chikamu chezasi chechikadzi chinoguma nemabvi akabatana, izvo zvinogonawo kupinda necrosis. Kazhinji kazhinji, maviri emukatikati, kana kunze kwemaviryle anotanga kufa. Ichi chikonzero chiri mumutoro wakakura munzvimbo ino, kana kushungurudzika, saka chinhu chokutanga chinofanira kupiwa kumurwere ndechekuzorora. Izvo zvinodiwa zvinotungamirirwa kune avo vanokura aseptic necrosis yemusoro we-humerus - kusunungura ruoko uye kusimudza zvinhu zvakarambidzwa zvachose. Necrosis yenharaunda idzi zvakaoma kuziva mumatangiro ekutanga, sezvo iyo inenge isingakonzeri kushungurudzika. Iyi ndiyo ngozi huru.
Aseptic necrosis ye taresi haina kufanana. Mamiriro ezvinhu akaoma nechokuti nzvimbo iyi haisi yega