Akuzona zonke izifo ezitholakele kalula, futhi i-aseptic necrosis yethambo iphakathi kwabo. Kungenzeka ukuthola lesi sifo esibucayi ngosizo lwe-radiography kuphela uma kukhona ukubhujiswa okuphawulekayo kwamathambo noma ukuhamba. Uma kungenjalo, kubalulekile ukwenza i-tomography futhi uthembele kwezinye, ezincane, izimpawu. Ake sixoxe ngokuningiliziwe ukuthi i-aseptic necrosis yezingxenye ezahlukene zethambo ihluke kanjani, nokuthi isifo sifana kanjani.
Izimbangela ze-aseptic necrosis
Ngokuvamile i-necrosis, okungukuthi, ukubola kwamathambo namajoyina, kubangelwa ukuthi igazi labo lidlulayo. Izizathu zingaba kanje:
- ukuhlukunyezwa;
- i-microtrauma (ukunyakaza okuqhubekayo komshini wokubambisana ngenxa yomhlobo othize womsebenzi, ovamile);
- isifo sikashukela mellitus;
- ukuhluleka kwe-hormonal ;
- ukwelashwa isikhathi eside nge-corticosteroids nezinye izidakamizwa ze-hormonal;
- i-sickle-cell anemia;
- i-pancreatitis;
- ukuvezwa kwemisebe ye-ionizing;
- ukuphuza utshwala nezidakamizwa.
Uma lesi sifo sitholakala esiteji sokuqala, kunethuba lokuxazulula ngokuphelele le nkinga ngezindlela ezizimele, noma ngokuhlinzwa. I-necrosis ebangelwayo ayinakuguqulwa.
I-necrosis ye-aseptic yenhlanganisela ye-hip
Le ngxabano ibangelwa ukuqhuma kwegazi ukuqhubekela phambili engxenyeni engenhla yethambo le-hip, okungukuthi, i-aseptic necrosis yenhloko yamakhosikazi ibangela ukubhujiswa kwezicubu zomzimba ezihlangene nazo. Ngenxa yalokho, umuntu uzwa ubuhlungu obukhulu nobunzima bokuhamba. Ngokuvamile lokhu kungenxa yokuhlukaniswa kwe-hip, noma ukuphuka kwentamo ye-hip .
Ukwehla kwesifuba se-hip kuyindlela yokuhlinzwa esiza ekuthuthukiseni ukunikezwa kwegazi kokubambisana futhi kubangele inqubo yokuvuselelwa. Udokotela ohlinzayo ususa indawo ewonakele ngokushona. Ezikhathini zokuqala zalesi sifo, inqubo iphumelela kuma-80% amacala, okugwema ukufakwa esikhundleni se-hip. I-osteotomy ivame ukuqhutshwa ukuze kunciphise ukucindezeleka. I-necrosis ye-aseptic ye-femur iyona evame kakhulu, kodwa amanye amalunga nawo angathola lesi sifo.
I-necrosis ye-aseptic yamadolo ehlangene nezinye izindawo zesifo
Ingxenyana engezansi ye-femur iphetha ngamadolo, futhi angaphinde abe necrosis. Ngokuvamile, izicubu zangaphakathi, noma i-condyle zangaphandle ziqala ukufa. Isizathu sisezindlini eziphakeme kule ndawo, noma ukuhlukunyezwa, ngakho into yokuqala okufanele inikezwe isiguli yisimo sokuphumula. Izidingo ezifanayo zithuthukiswe kulabo abakha i-aseptic necrosis yenhloko ye-humerus - ukuhambisa isandla nokuphakamisa izimpahla akuvunyelwe ngokuphelele. I-Necrosis yalezi zindawo kunzima ukuyiqonda ezinkathini zokuqala, ngoba cishe ayibangeli izinzwa ezingakhululekile. Lena yingozi enkulu.
I-necrosis ye-aseptic yale talus ayijwayelekile. Isimo siyinkimbinkimbi yokuthi iqiniso le ndawo alikho