Azikho zonke izifo ezifumanekayo ngokulula, kunye ne-aseptic necrosis yethambo phakathi kwabo. Kunokwenzeka ukufumanisa lesi sifo esibi kakhulu ngoncedo lwe-radiography kuphela xa kukho ukutshabalalisa okukhulu kweethambo zenyama okanye ukufuduka. Ngaphandle koko, kubalulekile ukwenza i-tomography kwaye uthembele kwezinye, ezincinane, iimpawu. Masicubungisise ngokucacileyo indlela i-aseptic necrosis yamaqela ahlukeneyo amathambo ahluke ngayo, kwaye isifo sifana njani.
Iimbangela ze-aseptic necrosis
Ngokuqhelekileyo i-necrosis, oko kukuthi, ukubola kwamathambo kunye namalungu, kubangelwa ukuba igalelo labo legazi libuhlungu. Izizathu zingaba ngolu hlobo:
- ngxakini;
- i-microtrauma (ukunyanzelisa ngokusisigxina komxube ngenxa yoluhlobo oluthile lomsebenzi, oluqhelekileyo);
- isifo sikashukela;
- ukusilela kwemodoni ;
- unyango lwexesha elide kunye ne-corticosteroids kunye nezinye iziyobisi ze-hormonal;
- i-anemia yegciwane-iseli;
- pancreatitis;
- ukuchithwa kwimizila emisebe yelanga;
- ukusetyenziswa kakubi kotywala kunye neziyobisi.
Ukuba isifo sifumaneka kwinqanaba lokuqala, kukho ithuba lokusombulula ngokupheleleyo ingxaki ngeendlela ezizimeleyo, okanye utyando. I-necrosis ebangelwayo ayinakuguquka.
I-aseptic necrosis yomxube we-hip
Le ngxaki ibangelwa ukuqhuma kwegazi kwinqanaba eliphezulu le-hip bone, oko kukuthi, i-aseptic necrosis yentloko ye-femal ibangela ukutshabalalisa izicubu zomzimba ezihlangeneyo. Ngenxa yoko, umntu uva ubunzima obukhulu kunye nobunzima bokuhamba. Ngokuqhelekileyo oku kubangelwa ukutshintshwa kwe-joint hip, okanye ukuphuka kwentamo yomlenze .
Ukunyanzeliswa kwethambo le-hip yindlela yokuhlinzwa eyenza ukuphucula ukunikezelwa kwegazi lomdibaniselwano kwaye ivuselele inkqubo yokuvuselelwa. Udokotela ogqirha uyasusa indawo eyonakalisiweyo ngokubetha. Kwimigangatho yokuqala yesifo, le nkqubo isebenzayo kwii-80% zamatyala, okugwema ukutshintshwa kwe-hip. I-Osteotomy ivame ukuqhutyelwa ukunciphisa uxinzelelo. I-necrosis ye-Aseptic ye-femur yinto eqhelekileyo, kodwa ezinye izihlanganisi nazo zifumana isifo.
I-necrosis ye-Aseptic yamadolo kunye kunye nezinye iindawo zesifo
Inxalenye engezantsi ye-femur iphetha ngexolo elihlangeneyo, elingaba ne-necrosis. Ngokuqhelekileyo, izicubu zangaphakathi, okanye i-condyle zangaphandle ziqala ukufa. Isizathu silele kumthwalo ophezulu kule ndawo, okanye ngengozi, ngoko ke into yokuqala ekufuneka ibonelelwe isigulane yimeko yokuphumla. Iimfuno ezifanayo ziqhutyelwe kulabo abahlakulela i-aseptic necrosis yentloko ye-humerus - ukuhambisa isandla kunye nokuphakamisa iimpahla kungavunyelwe ngokungqongqo. I-Necrosis yale mimandla kunzima ukuyiqonda kumaxesha okuqala, kuba iphantse ayibangele ivakalelo. Le yingozi enkulu.
I-necrosis ye-Aseptic ye talus ayiqhelekanga. Le meko iyinkimbinkimbi yinto yokuba le ndawo ayikho