Koj lub dab teg puas tawg li no? Cia peb kawm txog qhov txaus ntshai Barton Fracture!

Auj, koj puas tau poob qhov twg thiab ua rau koj lub dab teg mob heev? Los yog tej zaum koj tau daig hauv ib yam dab tsi zoo li poob los ntawm lub tsheb kauj vab thiab koj lub dab teg tau raug mob? Xav txog, hauv qhov xwm txheej zoo li no, tsis yog tsuas yog pob txha hauv koj lub dab teg tawg xwb, tab sis tib lub sijhawm, ib qho pob qij txha hauv thaj chaw ntawd raug tshem tawm, thiab cov pob txha raug pov rau ntawm no thiab qhov ntawd. Qhov ntawd yog qhov peb hu ua Barton Fracture, qhov tawg uas nyuaj me ntsis. Vim tias qhov no tuaj yeem ua rau mob hnyav me ntsis, cia peb tham txog nws kom meej, puas yog?

Barton Fracture yog dab tsi tiag?

Hais yooj yim xwb, Barton Fracture yog thaum ib feem ntawm koj lub dab teg tawg thiab lwm feem raug tshem tawm ntawm nws qhov chaw qub. Yog hais kom meej, lub radius, uas yog pob txha ze tshaj plaws rau lub dab teg, yog qhov tawg . Nws kuj txuas nrog lub pob qij txha dab teg, yog li qhov teeb meem no tshwm sim nrog lub pob qij txha ntawd.

Qhov no feem ntau tshwm sim thaum koj khoov koj txhais caj npab, txhais tau tias koj lub dab teg, thiab poob nrog koj qhov hnyav rau sab ntawd. Xav txog, koj tab tom khiav thiab mam li nco dheev plam thiab ntaus koj txhais tes rau hauv av, qhov ntawd yog thaum qhov pob txha tawg no tuaj yeem tshwm sim. Qhov tseeb, pob txha radius yog pob txha tawg feem ntau hauv peb txhais tes. Zuag qhia tag nrho, tsuas yog 20% ​​ntawm tag nrho lwm qhov pob txha tawg yog radius fractures!

Puas muaj hom Barton Fractures?

Yog, muaj ob hom pob txha tawg Barton tseem ceeb, nyob ntawm seb sab twg ntawm cov pob txha raug tshem tawm.

1. Pob Txha Dorsal Barton: Qhov no yog thaum daim pob txha tawg tawm mus rau sab nraub qaum ntawm koj txhais tes, qhov chaw uas tus ntsia hlau nyob. Qhov no tuaj yeem ua rau me ntsis o tuaj rau sab nraub qaum ntawm koj txhais tes.

2. Pob Txha Pob Txha Volar Barton (tseem hu ua Pob Txha Pob Txha Rov Qab): Qhov no yog qhov uas pob txha tawg tawm los rau hauv koj txhais caj npab. Qhov xav tsis thoob, cov no yog cov hom pob txha rov qab Barton feem ntau.

Leej twg yuav muaj feem ntau dua rau Barton Fractures?

Tseeb tiag, leej twg los yeej muaj pob txha tawg zoo li no. Vim leej twg paub tias nws yuav tshwm sim thaum twg lossis yuav ua li cas, puas yog? Txawm li cas los xij, raws li kev tshawb fawb, 70% ntawm cov pob txha tawg Barton no tau tshaj tawm ntawm cov tub hluas . Qhov no yog qhov tshwm sim ntau tshaj plaws ntawm cov neeg ua haujlwm tes lossis cov neeg caij maus taus. Qhov kev raug mob no tuaj yeem tshwm sim hauv chaw ua haujlwm lossis hauv kev sib tsoo tsheb kauj vab.

Tsis tas li ntawd, koj muaj osteoporosis.Yog tias koj muaj ib yam mob hu ua osteoporosis, koj muaj feem yuav mob pob txha no ntau dua. Osteoporosis tsuas yog ib yam kab mob uas cov pob txha tsis muaj zog thiab yooj yim tawg. Yog li, thaum cov pob txha tsis muaj zog, txawm tias me ntsis poob los kuj tuaj yeem ua rau puas tsuaj loj heev. Feem ntau, qhov kev pheej hmoo ntawm kev mob no yuav siab dua tom qab hnub nyoog 50 xyoo.

Barton Fractures feem ntau tshwm sim li cas?

Yog hais qhov tseeb, Barton pob txha tawg yog ib hom pob txha tawg uas tsis tshua muaj . Muaj ntau lwm hom pob txha tawg uas pom ntau dua ntawm lub dab teg. Yog li ntawd, tsis yog txhua qhov pob txha tawg ntawm lub dab teg yog Barton pob txha tawg.

Cov laj thawj tseem ceeb rau qhov kev sib cais no yog dab tsi?

Feem ntau, qhov ntawd yog, feem ntau, qhov no yog tshwm sim los ntawm kev poob . Raws li tau hais ua ntej, qhov no tshwm sim thaum koj poob kom koj txhais tes kov hauv av. Tsis tas li ntawd, cov pob txha tawg kuj tuaj yeem tshwm sim hauv cov xwm txheej hnyav xws li kev sib tsoo tsheb thiab kev sib tsoo maus taus.

Cov tsos mob ntawm Barton Fracture yog dab tsi?

Cov tsos mob ntawm Barton pob txha tawg zoo ib yam li lwm cov pob txha tawg ntawm lub distal radius uas peb tau tham ua ntej. Tej zaum koj yuav ntsib tej yam xws li:

• Kev mob thiab mob ib ncig ntawm lub dab teg: Tom qab ntog, thaj chaw ntawd yuav xiav thiab mob.
• Qhov o lossis pob ntawm thaj tsam dab teg: Thaum cov pob txha txav mus los, nws tuaj yeem o thiab zoo li pob.
• Tsis muaj peev xwm txav lub dab teg yam tsis muaj mob: Qhov mob tuaj yeem hnyav heev uas koj tsis tuaj yeem txav koj txhais tes.
• Cov ntiv tes loog lossis tingling: Qee zaum, yog tias muaj me ntsis kev nyem rau ntawm cov hlab ntsha, cov ntiv tes yuav hnov ​​​​​​tias loog.
• Kev o: Lub dab teg tuaj yeem o heev.
• Mob dab teg hnyav heev: Qhov no yog cov tsos mob tseem ceeb. Qhov mob no yuav ua rau tsis muaj zog.

Xav txog seb, yog tias koj ntog thaum koj ua si cricket thiab raug mob koj txhais tes li no, koj yuav ua tsis tau koj tej dej num txhua hnub. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob zoo li no.

Cov kws kho mob kuaj mob Barton Fracture li cas?

Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob, lawv hnyav npaum li cas, thiab qhov raug mob tau tshwm sim li cas. Tom qab ntawd, kws kho mob yuav xaj kom thaij duab X-ray kom pom seb koj pob txha puas tawg thiab nws yog hom pob txha tawg dab tsi. Daim duab X-ray tuaj yeem pab kws kho mob pom:

• Puas muaj lwm cov pob txha tawg lawm?
• Cov pob txha tawg nyob deb npaum li cas?
• Seb qhov saum npoo ntawm pob txha tawg puas yog ntxhib los yog du.

Qee zaum, xyuas koj cov leeg, cov leeg, thiab cov leeg nqaij kom paub seb puas muaj kev puas tsuaj.Kuj tseem yuav ua tau ib qho CT scan lossis MRI .

Cov lus nug uas tus kws kho mob yuav nug koj

• "Koj mob npaum li cas?"
• Koj cov tsos mob hnyav npaum li cas?
• "Koj puas tuaj yeem co koj lub dab teg?"
• "Koj ua li cas thiaj raug mob rau lub dab teg no?"
• "Qhov kev raug mob no tshwm sim thaum twg?"

Tus kws kho mob yuav nkag siab qhov xwm txheej raws li koj cov lus teb rau cov lus nug zoo li no.

Koj kho qhov pob txha tawg zoo li no li cas?

Koj tus kws kho mob yuav xub muab ib daim ntaub nplaum rau ntawm koj lub dab teg kom nws tsis txhob txav mus los. Tom qab ntawd, nws yuav xa koj mus rau kws phais pob txha. Cov kws phais pob txha kho cov kev raug mob rau cov pob txha, cov leeg, cov leeg, thiab cov leeg.

Feem ntau, koj yuav tau phais mob hu ua Open Reduction and Internal Fixation (ORIF) . Qhov no yuav zoo li lub npe nyuaj, tab sis hais yooj yim xwb, nws ua haujlwm li no:

1. Kev Txiav Qhov Qhib: Tus kws phais yuav txiav ib qho me me rau ntawm daim tawv nqaij, nrhiav cov pob txha tawg, thiab muab lawv rov qab rau hauv lawv qhov chaw qub.

2. Kev Kho Sab Hauv: Tom qab ntawd, cov pob txha uas tau coj mus rau qhov chaw zoo raug tuav ua ke siv cov hlau me me (pins), pas nrig, phaj, ntsia hlau, thiab lwm yam. Qee zaum ntau yam ntawm cov no tuaj yeem siv ua ke.

Yuav kom txo qhov mob tom qab phais mob no, koj tus kws kho mob yuav pom zoo kom noj cov tshuaj tua kab mob xws li acetaminophen (piv txwv li Tylenol®) thiab ibuprofen (piv txwv li Advil®, Motrin®) .

Yuav siv sijhawm ntev npaum li cas rau Barton Fracture kom kho tau?

Qhov no yuav txawv ntawm ib tus neeg mus rau ib tus neeg. Tab sis feem ntau,

• Yog tias koj tsis tau phais (uas tej zaum yuav tsis tsim nyog rau qee kis, tab sis feem ntau yuav tsum tau phais rau Barton pob txha tawg), koj yuav tsum tau hnav ib daim ntaub qhwv ncig koj lub dab teg li rau lub lis piam.
• Txawm tias tom qab phais lawm los, koj yuav tau hnav plaster cast los yog splint ib pliag.
• Tom qab ntawd, koj yuav tsum tau mus kho lub cev , qhov twg koj yuav maj mam rov qab tau kev txav mus los thiab lub zog ntawm koj lub dab teg.

Koj yuav pib zoo dua li ob peb lub hlis. Txawm li cas los xij, nws yuav siv sijhawm txog ib xyoos rau koj txhais caj npab kom kho tau tag nrho thiab rov qab muaj zog. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab koom nrog kev kho mob. Nco ntsoov nug koj tus kws kho mob thaum twg koj tuaj yeem pib tawm dag zog dua thiab thaum twg koj tuaj yeem ua si kis las xws li football thiab hockey.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo no?

Peb tsis tuaj yeem kwv yees tau tias cov kev phom sij no yuav tshwm sim thaum twg thiab li cas. Tab sis peb tuaj yeem ceev faj me ntsis:

• Ceev faj ntxiv thaum ua si kis las, ua haujlwm tes, caij maus taus, lossis nce cov chaw siab xws li ntaiv.
• Yog tias koj muaj feem yuav mob pob txha (pob txha) ntau (tshwj xeeb tshaj yog tias koj muaj hnub nyoog tshaj 50 xyoo), tshem tawm cov teeb meem kev ntog hauv koj lub tsev.
• Yog koj siv tus pas nrig lossis tus walker, tsis txhob hnov ​​qab siv lawv tsis tu ncua.

Tom qab Barton Fracture zoo li cas lawm? (Outlook/Prognosis)

Qhov xov xwm zoo yog tias feem ntau cov neeg tuaj yeem rov qab mus ua lawv cov dej num niaj hnub tom qab Barton pob txha tawg. Txawm li cas los xij, nws yuav siv sijhawm, kev kho mob kom zoo, thiab kev kho lub cev kom zoo.

Tej yam teeb meem tom qab phais mob yuav muaj li cas?

Qee zaum, tej yam teeb meem yuav tshwm sim tom qab phais. Muaj feem me me uas tej yam no yuav tshwm sim tom qab phais rau Barton's fracture:

• Kab Mob Hlwb Plawv Loj (ACS): Qhov no yog thaum cov ntshav ntws mus rau qhov tseem ceeb ntawm lub cev raug txiav tawm. Qhov no tuaj yeem ua rau cov hlab ntsha thiab cov leeg puas tsuaj. Qhov no yog xwm txheej ceev.
• Osteomyelitis: Yog tias koj muaj pob txha tawg qhib - txhais tau tias pob txha tau tawg los ntawm daim tawv nqaij - koj muaj feem yuav kis tau kab mob ntau dua.
• Kab Mob Carpal Tunnel Syndrome: Qhov mob no tuaj yeem tshwm sim yog tias lub dab teg tawg tsis kho kom zoo. Nws tuaj yeem ua rau mob, qaug zog, thiab loog. Tab sis muaj kev kho rau qhov no.
• Mob Nyuaj Siab Hauv Cheeb Tsam (CRPS): Qhov no yog ib qho mob uas mob heev. Nws tshwm sim thaum cov hlab ntsha raug txhawb zog ntau dhau tom qab raug mob, ua rau lawv tsis ua haujlwm.
• Malunion: Qhov no txhais tau tias thaum koj cov pob txha tawg kho tau zoo, lawv tsis haum ua ke thiab tsis sib haum.
• Lwm yam kev puas tsuaj rau cov nqaij ntshiv nyob ib puag ncig: Cov pob txha tawg kuj tuaj yeem ua rau cov leeg nqaij, cov hlab ntsha, cov hlab ntsha, cov leeg nqaij, thiab cov leeg nqaij puas tsuaj.

Yog koj txhawj xeeb lossis muaj kev txhawj xeeb txog cov teeb meem no, nco ntsoov nrog koj tus kws kho mob tham. Muaj kev kho mob zoo rau qee yam.

Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?

• Yog tias koj muaj hnub nyoog tshaj 50 xyoo thiab tau tawg pob txha, koj tus kws kho mob thawj zaug yuav xav kuaj xyuas koj seb puas muaj osteoporosis. Kev tawg pob txha txhais tau tias koj cov pob txha yuav tsis muaj zog.

Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev?

Yog koj xav tias koj lub dab teg puas lawm, zoo tshaj plaws mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd . Tshwj xeeb tshaj yog tias:

• Yog tias koj qhov mob hnyav heev.
• Yog tias koj lub dab teg zoo li txawv txawv (zoo li nws puas lawm).
• Yog tias lub dab teg tsis muaj zog.
• Yog tias koj cov ntiv tes tau hloov xim (xws li xiav, dawb, lossis daj ntseg).

Cov lus nug tseem ceeb uas yuav tsum nug koj tus kws kho mob

Thaum koj mus ntsib kws kho mob, tsis txhob hnov ​​qab nug cov lus nug no:

• "Kuv puas xav tau phais tiag?"
• Kuv muaj pob txha tawg zoo li cas?
• "Thaum twg kuv mam li tshem tau kuv daim plaster?"
• Thaum twg kuv mam li rov qab mus ua kuv tej dej num li qub tau?

Qhov tseem ceeb tshaj plaws uas yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Nco ntsoov, yog tias koj ntog thaum koj lub dab teg khoov, ib feem ntawm nws yuav tawg thiab ib feem ntawm nws yuav raug tshem tawm. Qhov no txhais tau tias koj yuav muaj Barton Fracture. Yog tias qhov pob qij txha zoo li nws tsis nyob hauv qhov chaw, nws yuav yog Barton Fracture. X-rays tuaj yeem pab cov kws kho mob txiav txim siab seb nws yog hom pob txha tawg dab tsi. Feem ntau, kev phais yog qhov kev kho mob zoo tshaj plaws.

Yog tias koj muaj cov tsos mob ntawm Barton Fracture, mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd . Cov pob txha tawg no tuaj yeem kho tau, thiab yog tias kho sai, koj tuaj yeem txo qhov mob thiab pib kho sai dua. Xav kom koj rov zoo sai sai!

` Barton pob txha tawg, pob txha dab teg tawg, tes tawg, mob dab teg, phais pob txha, phais ORIF, kho pob txha