Ƙunƙarar wuyan mata na yau da kullum ne kuma mai yuwuwa rauni ga likitocin likitancin orthopedic, saboda rashin samar da jini mai laushi, abin da ya faru na raguwa ba tare da haɗin gwiwa ba da osteonecrosis ya fi girma, mafi kyawun magani ga ƙwayar wuyan mata yana da rikici, yawancin malaman sun yi imanin cewa marasa lafiya fiye da 65 shekaru za a iya la'akari da marasa lafiya a kan shekaru 65 da haihuwa da za a iya la'akari da marasa lafiya a karkashin shekaru 5 na arthroplasty. tiyata, kuma mafi munin tasiri a kan kwararar jini yana haifar da raunin nau'in subcapsular na wuyan mata. Karyewar babban birni na wuyan mata yana da mafi girman tasirin haemodynamic, kuma rufaffiyar raguwa da gyare-gyaren ciki har yanzu shine hanyar jiyya ta yau da kullun don karyewar babban birni na wuyan mata. Ragewa mai kyau yana taimakawa wajen tabbatar da karaya, inganta warkar da raunuka da kuma hana necrosis na mata.
Abubuwan da ke biyowa wani lamari ne na al'ada na karaya a wuyan mata don tattauna yadda za a yi gyare-gyare na ciki-rufe tare da dunƙule gwangwani.
Ⅰ Asalin bayanan shari'ar
Bayanin haƙuri: namiji 45 shekaru
Ƙorafi: ciwon hip na hagu da iyakancewar aiki don 6 hours.
Tarihi: Mara lafiya ya fadi yayin da yake wanka, yana haifar da ciwo a hip ɗin hagu da iyakancewar aiki, wanda ba za a iya samun sauƙi ta hanyar hutawa ba, kuma an kwantar da shi a asibitinmu tare da karaya na wuyan mata na hagu a kan rediyo, kuma an kwantar da shi a asibiti a cikin yanayin hankali da rashin tausayi, yana gunaguni game da ciwo a hips na hagu da iyakancewar aiki, kuma na biyu bai ci abinci ba.
Ⅱ Jarrabawar Jiki (Duba Dukan Jiki & Duban Kwararru)
T 36.8°C P87 bugun/min R20 bugun/min BP135/85mmHg
Ci gaban al'ada, abinci mai kyau mai kyau, matsayi mara kyau, bayyanannen tunani, haɗin kai a cikin jarrabawa. Launin fata na al'ada ne, na roba, babu edema ko kurji, babu haɓakar nodes na lymph na sama a cikin duka jiki ko yanki na gida. Girman kai, ilimin halittar jiki na yau da kullun, babu zafin matsa lamba, taro, gashi mai sheki. Dukan daliban suna daidai da girmansu da zagaye, tare da haske mai hankali. Wuyan yana da laushi, trachea yana tsakiya, glandar thyroid ba a girma ba, ƙirjin yana da daidaito, numfashi ya dan rage kadan, babu rashin daidaituwa a kan bugun jini na zuciya, iyakokin zuciya sun kasance al'ada akan bugun zuciya, bugun zuciya yana 87 bugun / min, bugun zuciya ya kasance Qi, ciki ba shi da zafi ko laushi, babu damuwa. Ba a gano hanta da sabulu ba, kuma babu taushi a cikin koda. Ba a bincika diaphragms na gaba da na baya ba, kuma babu nakasar kashin baya, manyan gaɓɓai da ƙananan gaɓoɓin dama, tare da motsi na yau da kullun. Hanyoyin motsa jiki sun kasance a cikin jarrabawar ƙwayar cuta kuma ba a haifar da bayyanar cututtuka ba.
Babu bayyananne kumburin hips na hagu, bayyanannen zafin matsa lamba a tsakiyar makwancinsa na hagu, gajarta nakasar jujjuyawar waje ta hagu, tausasawa na gefen hagu na gefen hagu (+), raunin hantsi na hagu, ji da ayyukan yatsun ƙafa biyar na hagu sun yi kyau, kuma bugun jini na dorsal na ƙafar ya kasance al'ada.
Ⅲ jarrabawar taimako
Fim din X-ray ya nuna: hagu na wuyan mata na hagu na ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan ƙananan mata, raguwa na ƙarshen karya.
Sauran gwaje-gwajen nazarin halittu, X-ray na kirji, densitometry na kashi, da duban dan tayi na zurfafan jijiyoyi na ƙananan gaɓoɓin ba su nuna wata matsala ta zahiri ba.
Ⅳ Bincike da ganewar asali
Bisa ga tarihin mai haƙuri na rauni, ciwon hip na hagu, ƙayyadaddun aiki, nazarin jiki na ƙananan ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafafu, jin tausayi a fili, ƙananan ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafa kowtow zafi (+), rashin aiki na hagu na hagu, haɗe tare da fim din X-ray za a iya ganowa a fili. Har ila yau, karaya na trochanter na iya samun ciwon hip da iyakancewar aiki, amma yawanci kumburin gida yana bayyana a fili, wurin matsa lamba yana cikin trochanter, kuma kusurwar juyawa na waje ya fi girma, saboda haka ana iya bambanta shi da shi.
Ⅴ Magani
Rufewar ragewa da ƙusa ƙusa na ciki an yi shi bayan cikakken bincike.
Fim ɗin kafin a fara aiki shine kamar haka
Maneuver tare da jujjuyawar ciki da jujjuya gaɓoɓin da abin ya shafa tare da ɗan satar abin da ya shafa bayan an dawo da shi da kuma fluoroscopy ya nuna kyakkyawan farfadowa.
An sanya fil ɗin Kirschner a saman jiki ta hanyar wuyan femoral don fluoroscopy, kuma an yi ɗan ƙaramin fata daidai da wurin da ƙarshen fil ɗin yake.
Ana saka fil ɗin jagora a cikin wuyan femoral daidai da saman jiki a cikin jagorar fil ɗin Kirschner yayin kiyaye karkatar gaba na kusan digiri 15 kuma ana yin fluoroscopy.
Ana shigar da fil ɗin jagora na biyu ta hanyar ɗigon mata ta hanyar amfani da jagora mai layi ɗaya zuwa ƙarƙashin jagorancin fil ɗin jagora na farko.
Ana saka allura ta uku daidai da bayan allurar farko ta jagorar.
Yin amfani da hoton gefen kwaɗo, an ga dukkan fitilun Kirschner guda uku suna cikin wuyan femoral.
Shuka ramuka a cikin jagorar fil ɗin jagora, auna zurfin sa'an nan kuma zaɓi madaidaiciyar tsayin ƙusa mai fa'ida da aka dunƙule tare da fil ɗin jagora, ana ba da shawarar fara dunƙule cikin kashin mata na ƙusa mara kyau, wanda zai iya hana asarar sake saiti.
Matsa a cikin sauran biyu gwangwani dunƙule daya bayan daya da kuma gani ta cikin
Yanayin yankan fata
Fim ɗin bita bayan tiyata
Haɗe tare da shekarun mai haƙuri, nau'in ɓarna, da ingancin ƙashi, an fi son rage raguwar ƙarancin ƙusa na ciki na ciki, wanda yana da fa'idodin ƙananan rauni, tabbataccen sakamako mai gyare-gyare, aiki mai sauƙi da sauƙin ƙwarewa, ana iya samun ƙarfin kuzari, ƙarancin tsari yana dacewa da lalatawar intracranial, kuma raguwar waraka yana da girma.
Takaitawa
1 Sanya alluran Kirschner a jikin jiki tare da fluoroscopy yana da amfani don ƙayyade ma'ana da jagorancin shigar da allura da kewayon raunin fata;
2 Fil ɗin Kirschner guda uku yakamata su kasance daidai da juna, jujjuyawar zigzag, kuma kusa da gefen kamar yadda zai yiwu, wanda zai iya haifar da karyewar kwanciyar hankali kuma daga baya zamewa matsawa;
3 Ya kamata a zaɓi wurin shigarwa na Kirschner na ƙasa a mafi girman fitacciyar ƙwararrun mata na gefe don tabbatar da cewa fil ɗin yana cikin tsakiyar wuyan mace, yayin da tukwici na saman biyu na sama za a iya zamewa gaba da baya tare da fitacciyar ƙira don sauƙaƙe haɗin kai;
4 Kada ku tuƙi fil ɗin Kirschner da zurfi a lokaci ɗaya don guje wa shiga cikin bangon articular, za a iya haƙa rami ta cikin layin karaya, ɗayan shine don hana hakowa ta kan femoral, ɗayan kuma yana dacewa da matsawar ƙusa mara kyau;
5 The m sukurori dunƙule a cikin kusan, sa'an nan kuma ta hanyar kadan, yi hukunci da tsawon m dunƙule daidai, idan tsawon bai yi nisa ba, kokarin kauce wa akai-akai maye sukurori, idan osteoporosis, maye sukurori m zama mara inganci na sukurori, ga majiyya's tsinkaya na tasiri gyarawa na dunƙule kawai dogon muni fiye da dogon sukurori. tsayin gyare-gyare mara inganci na skru ya fi kyau!
Lokacin aikawa: Janairu-15-2024
