Matambudziko
Murwere ane chirwere chakasununguka ari pangozi yakakura yezvinetso mumatachiona. Kunyanya, kuwedzerwa kwenguva refu kweputsika (kunonoka kusimbiswa) kana kusakwanisa kwekutevedzera (kwete kwekukura kwechikafu), uyewo utachiona hwemashupu munzvimbo yakashama kuputsika, zvinobvira. Kushungurudzika kwekubatanidza kunokonzerwa nokuvhiringidzika kwechigadzikiso chemavara panzvimbo yekuparara; kurasikirwa kwavo kunokonzera kusakosha kwekupararira kwemukati, izvo zvinodzivisa kusimbiswa kwekuparara.
Kurwara
Zvitubu zvehutachiona ndiro ganda remurwere pachake, zvipfeko zvake kana zvinhu zvakasiyana-siyana pachiitiko; mabhakitiriya anongopinda nyore kupinda muvanga rakazaruka uye kuputsika. Kana pane utachiona hwepafu (osteomyelitis), kurapwa kwakaoma zvikuru. Mishonga yakawanda inorwisa mabhakitiriya haipindi nepfupa. Kamwe utachiona hwepafu hunosimbiswa, chirwere chacho chinoonekwa sechisingagumi osteomyelitis. Somugumisiro, murwere anotarisana nezvinetso zvakawanda, zvakadai se:
• kusaguma kwenguva refu kwebasa;
• kurwadziwa;
• edema;
• kuwedzera kunowedzera kwehutachiona;
• kuumbwa kwefistula (ducts inotungamirira kubva pfupa kusvika pamusoro peganda) iyo inobudisa pus.
Mukurwisana nemamiriro ehutachiona hunopfuurira, chirongwa chinowanzoitwa kuputsika fusion hazvibviri. Periodic necrosis yefupa nzvimbo inokanganisa kugadzirisa kwakakwana nekubatanidzwa kwezvimedu. Nheyo dzemishonga inodonhedzwa yevanga (kucheneswa kubva kubhakitiriya), kugadziriswa kwehutano hwemashutu, pamwe nekushandiswa, kana zvichidikanwa, maitiro ekuvhiya epurasitiki kuti agadzikane mapfupa emapfupa. Pfupa zvimedu zvakatanga kugadziriswa nechinangwa chekunze. Zvimwe zvakawanda zvekugadzirisa kunze kwezvimiro zvakasiyana-siyana zvakagadzirwa, nekuda kwekugadzirwa kwacho chiremba anoshandisa zvombo zvakakosha. Mushonga we X-ray chaiyo - mufananidzo unowedzera - unobvumira kuti utore mifananidzo yakaratidzwa pane chekuona chinyorwa, chaipo panguva yekushanda. Nokudaro, chiremba anovhiya anogona kuve nechokwadi chekuti mapfupa ese akaparadzana uye zvigadzirwa zvekunze kwekunze zvakagadzirirwa zvakanaka. Kuti ishandise chimiro ichi kuwedzera, chiremba anovhiya anofanira kupedza nzira inokosha pakachengeteka uye kudzivirirwa kwemazimbe, uye vashandi vekushanda vanofanira kunge vachida kupfekedza mapuroni anotungamirira. Kudzorera kutendeka kweganda kunowanikwa nechinhu chakakosha - dermatome, iyo inoshandiswa kuwana ganda rekugadzira; kushamwaridzana kwezvinhu zvakanakisisa zvinyorwa zvinoitwa pasi pema microscope. Kuti asimbise nzvimbo yakarurama yezvinhu zvegadziri wekunze, chiremba wechiremba anoita mifananidzo ye X-ray achishandisa mufananidzo wakakosha kuwedzera. Kuvhurika kwakashama kunogona kuva mugumisiro wenjodzi yemotokisi, umo maimbirwo ari pasi pesimba rinotyisa.