Callus: norm los yog pathology?

Callus tsim ntawm fusion ntawm cov pob txha. Nws yuav ua tau ntawm plaub hom.

Intermediarnaya callus tsim ntawm nruj nreem hu pob txha tawg tsam, insofar raws li lub siab tshaj plaws immobility ntawm lawv tawg tsam. Qhov no qhov chaw yog lawm ua tus sau nrog hlwb ntawm lub Haversian systems thiab ntoo hlab ntsha. Yog li ntawd, yog ib tug yeej muaj tseeb zoo rau cov pob txha.

Thaum tswj cov kev mus ncig ntawm cov pob txha tawg tsam, raws li zoo raws li diastase vascularization yuav muaj nuj nqis nyuab, yog hais tias tsis yooj yim sua. Nyob rau hauv xws li ib tug cov ntaub ntawv, ib tug pob txha spur yog sawv cev los ntawm cov hauv qab no hom: paraossalnaya, periosteal, endosteal.

Paraossalnaya callus tsim ntawm nqaij mos mos uas yog nyob ib sab mus rau lub chaw ntawm puas. Qhov no callus yog qhia rau ib tug ntau dua raws li thaum cov fabrics tau ho raug mob puas los yog ncaj qha nyob rau hauv lub chav kawm ntawm kev kho mob. Paraossalnaya pob kws yog ib tug zoo ntawm choj los yog "choj" nyob nruab nrab ntawm lub pob txha tawg tsam ces muab pov tseg. Tej zaum nws yuav ua tau teeb meem loj, tab sis nws tsis lees tias lub zog ntawm cov leeg.

Yog hais tias ib txwm callus tom qab puas yog tsis tsim, nws tseem tau los mus tsim cov pob txha lov paraossalnoy pob kws txawm nyob rau hauv uas tsis muaj loads.

Periosteal callus tsim los ntawm kev ua lej khu cambial periosteal hlwb uas zoo nkag nrog cov ntshav thiab muaj zoo regenerative muaj peev xwm. Qhov no callus yog nyob sab nraum ntawm lub pob txha.

Endosteal callus tsim los ntawm endosteal hlwb thiab hlwb pob txha hlwb. Nws yog nyob rau hauv lub channel los ntawm cov hlwb pob txha.

Thaum tsim paaj tej yam kev mob rau cov pob txha fusion tshwm sim thawj txoj kev ua periosteal thiab endosteal callus, uas muab fixedly tuav lub pob txha tawg tsam li ntev kom txog thaum intermediarnaya callus yog tsim, thiab ces lawv raug txo. Intermediarnaya callus yog ces hloov, noj li qub pob txha qauv. Qhov no fusion yog qhov zoo tshaj plaws: cov pob txha muab qhov zoo tshaj plaws rov qab rau lub shortest tau lub sij hawm.

Yog hais tias muab xaav ntawm lub tawg tsam, lub fusion tshwm sim vim cov periosteum nrog lub tsim ntawm periosteal callus. Diaphyseal pob txha lov nyob rau hauv mozoleobrazovaniya dhau rau theem ntawm cov pob txha mos, tab sis qhov zoo ntawm cancellous pob txha kis tsis muaj: connective callus yog hloov ncaj qha mus rau hauv cov pob txha thiab periosteal callus yog unexpressed.

Yog li ntawd yuav ua li cas yuav tsum tau kho nrog ib tug pob txha spur? Kev kho mob yuav tsum tau nqa tawm nyob rau puas tshem tawm mus rau daim ntawv intermediarnaya pob kws, uas tom qab hloov yog hloov mus rau hauv lub cev pob txha qauv. Kawg transformation yuav siv sij hawm txog ib lub xyoo.

Rau cov kev kho mob ntawm pob txha lov yuav tsum tau repositioning pob txha tawg tsam, thiab lawv muaj zog fixation thoob plaws lub sij hawm ntawm intergrowth thiab pab txoj kev: physiotherapy, physiotherapy, massage tswj es tag nrho cov lag luam ntawm lub puas qauv. Nyob rau hauv tas li ntawd, nyob rau hauv cov kev kho mob ntawm qhib pob txha lov ntawm qhov tseem ceeb luag hauj lwm ua si los ntawm cov thawj kev kho mob ntawm cov qhov txhab.

Yuav txo tau thiab fixation yog nqa tawm nrog kev pab los ntawm conservative thiab operative kev. Conservative kev kho mob ntawm pob txha lov yog ua raws li ib tug pw los yog nyob rau hauv lub tsev kho mob (qhov no yog txiav txim los ntawm qhov xwm ntawm tus pob txha lov ua), operative - tsuas yog nyob rau hauv lub tsev kho mob. Ob yam no txoj kev yog ntau nyob rau hauv kev xyaum kev poob plig, lawv daim ntawv thov vim leej indications nyob rau hauv txhua rooj plaub.

Reposition pob txha tawg tsam yog nqa tawm yog manually los ntawm traction. Tom qab ncav qhov qub lub xeev ntawm cov tawg tsam yog nqa tawm immobilization, feem ntau yog plaster cam khwb cia.