Glossary of Terms for the Patient Informed
Munthu akaphwanyidwa , fupi la zinthu zoyamba zomwe munthu akufuna kudziwa ndizoipa. Pofuna kudziwa kuopsa kwake ndi nthawi / kuchiza, madokotala amatha kuchita X-ray. Nthaŵi zina, amagwiritsa ntchito njira zina zojambula, monga computed tomography (CT) scan kapena magnetic imaging resonance (MRI ), makamaka kupasuka kwa matenda . Uwu ndi mtundu wa kupuma osati chifukwa cha kupsinjika koma chifukwa cha matenda omwe amachepetsa fupa.
Monga wodwala, muli ndi ufulu wogwiritsira ntchito kumvetsetsa zonse zomwe mungapeze ndi mankhwala. Kuti mutero, mungatumikire bwino kumvetsetsa mawu omwe amagwiritsidwa ntchito pofotokoza kupasuka.
Kufotokozera Malo Opasuka
Malo amtundu wa fracture ndi oposa kupatula kumene kupumula kuli; limatanthauzira zochitika zapadera. Kuti izi zitheke, madokotala nthawi zambiri amagwiritsa ntchito mawu otsatirawa:
- Diaphyseal: mtengo (pakati) wa fupa
- Metaphyseal: ili pafupi kumapeto kwa fupa koma osati pamodzi
- Peri-articular: ili pamtanda pamwamba pa fupa
- Intra-articular: fracture yomwe imalowetsa mu memphana kupyolera mu kakotila
- Kupititsa patsogolo: kuli pafupi ndi pakati pa thupi kumapeto kwa fupa
- Distal: amapezeka kwambiri pakati pa thupi pamapeto a fupa
Mphuno yomwe imaphatikizapo mgwirizanowu nthawi zambiri amachitira nkhanza chifukwa kupanda ungwiro kumayambitsa matenda a nyamakazi .
Kufotokozera Kugwirizana kwa Fracture
Kusokonezeka kwa fracture kumatiuza kutalika kwa malo omwe mafupa asinthira. Madokotala adzafotokoza izi motere:
- Osagonjetsedwa: pamene fupa lathyoledwa koma likugwirizana mwangwiro
- Anthu osamukira kudziko lina: komwe kumakhala kusinthasintha pang'ono, nthawi zambiri sikofunika
- Kutaya: kumene fupa lasintha kwambiri, mlingo wake umatchulidwa mwa magawo
- Kupsinjika maganizo: kutaya kwapakati (joint) komwe kwaphwanyidwa kunja kwapangidwe ndi fupa
- Kuwopsya: mbali yomwe mafupa amawasokoneza, amafotokozedwanso mu madigiri
- Kufupikitsa: zotsatira zimayambitsa pamene minofu yoyandikana imakoka pfupa pamodzi, mofupikitsa mafupa
Kusanthula Kuphulika Kwambiri
Pali nthawi zina madokotala angagwiritse ntchito kufotokoza zophulika zomwe zimayambitsa matenda aakulu monga ngozi ya galimoto kapena kugwa kwakukulu. Zikuphatikizapo:
- Kukhazikitsidwa: kupuma kapena kupinthana kwa fupa m'magawo oposa awiri (colloquially amatchedwa "osweka" fupa)
- Zagawidwe: fupa la fupa limene zidutswa zingapo zazikulu zimasiyana ndi thupi lalikulu la fupa
Kusanthula Mitsempha Yachifuwa
Matenda a mafupa amayamba pamene mafupa amalephera chifukwa cha matenda omwe amathamangitsa mafupa kapena amachititsa kuti thupi likhale lokhazikika. Madokotala nthawi zambiri amafotokoza izi zolakwika:
- Osteopenia: Mkhalidwe umene thupi sungapangitse mafupa atsopano mofulumira ngati amabwezeretsanso fupa lakale, kawirikawiri limakhala chifukwa cha matenda opitirira monga matenda otupa mitsempha
- Cystic: chodziwika ndi kupanga mapuloteni monga momwe zingathere ndi khansa ya mafupa ndi matenda ena osakhala ndi khansa
- Chizungu: chosadziŵika bwino chomwe sichidziŵika chomwe chingayambidwe ndi fupa lowonongeka kapena kungovulaza mafupa akale
Kuwunika Kukonzekera kwa Bone
Kugwidwa mafupa kumaonetsa zizindikiro za machiritso mkati mwa milungu ingapo ya kuvulala. Madokotala adzalongosola izi m'mawu omwe amatsimikizira momwe zinthu zikuyendera. Izi zikuphatikizapo mawu monga:
- Kuphulika kwapunthira: Kukula kwa mafupa atsopano panthawi yopuma kumakhala ngati chizindikiro chabwino kuti zidutswa za mafupa zikugwirizananso
- Kugwirizana: liwu lina lomwe limagwiritsidwa ntchito kufotokoza njira yowonongeka ya fupa chifukwa cha kukonzanso
- Kulepheretsa mgwirizano ku nonunion : pamene bongo losweka silichiritsidwa bwino chifukwa cha kusayenda bwino, matenda, kusowa koyenera, kapena zifukwa zina
> Chitsime:
> Marsh, J. "Kulemba kwa OTA." Journal of Trauma Orthopedic. 2009; 23 (8): 551. DOI: 10.1097 / BOT.0b013e3181ad5e92.