Nws yog ib qho ib txwm rau peb cov menyuam yaus kom tau txais cov qhov txiav me me thiab khawb thaum lawv khiav ncig thiab ua si. Tab sis qee zaum, tshwj xeeb tshaj yog tom qab ib yam dab tsi zoo li poob, thaum lawv pheej yws tias lawv txhais caj npab lossis ceg mob, nws yuav tsis yog tsuas yog qhov mob xwb. Nws yuav yog pob txha tawg me me, lossis ib qho mob hu ua 'buckle fracture', uas yog ib qho tshwm sim, tshwj xeeb tshaj yog rau cov menyuam yaus, thiab peb yuav tham txog nws hnub no.
'Buckle Fracture' yog dab tsi?
Hais yooj yim xwb, 'buckle fracture' yog ib qho pob txha tawg uas feem ntau tshwm sim rau cov menyuam yaus, qhov uas pob txha tsis tawg tag ua ob, tab sis pob txha puas lawm. Yog hais kom meej, qhov no yog 'incomplete fracture'. Qee zaum cov kws kho mob kuj hu nws ua 'impacted fracture' lossis 'torus fracture'.
Nws tau txais nws lub npe los ntawm txoj kev uas nws tshwm sim. Xav txog kev tsoo ib lub qhov dej Coke txhuas khoob los ntawm tes. Lub qhov tsis tawg tag ua ob, puas yog? Tab sis nws khoov rau sab hauv ntawm ib sab thiab tawm zoo li lub pob me me. Qhov ntawd yog qhov tshwm sim rau peb cov menyuam yaus cov pob txha hauv 'buckle fracture'. Feem ntau, thaum muaj kev nyem sai sai (compression) rau pob txha, xws li thaum lub sijhawm poob, qhov kev nyem ua rau ib sab ntawm pob txha khoov tawm me ntsis, zoo li lub buckle. Pob txha tsis tawg tag thiab sib cais, tab sis hloov chaw tawm zoo li lub pob me me hauv ib qho chaw.
Qhov 'buckle fracture' no feem ntau pom muaj nyob rau hauv ob lub pob txha caj npab hauv cov menyuam yaus, radius thiab ulna. Ntawd yog, nyob rau hauv ib feem ntawm tes uas khiav ntawm lub luj tshib mus rau lub dab teg. Txawm li cas los xij, nws tuaj yeem tshwm sim rau txhua lub pob txha ntev. Piv txwv li:
- Pob txha ncej puab (femur)
- Pob txha caj qaum (Tibia)
- Cov pob txha me me nyob rau sab nraud ntawm pob luj taws (Fibula)
- Pob txha caj npab sab saud (Humerus)
Qhov mob no feem ntau tshwm sim thaum cov menyuam yaus ntog thaum ua si lossis khiav thiab ntaus hauv av nrog lawv txhais tes nthuav tawm . Nws yog ib qho tshwm sim ntau heev rau cov menyuam yaus hnub nyoog qis dua 12 xyoos. Qhov zoo tshaj plaws yog tias nws feem ntau tsis tas yuav phais. Feem ntau, siv ib daim ntaub qhwv, uas yog ib qho kev txhawb nqa uas tiv thaiv caj npab kom tsis txhob txav, lossis qee zaum ib daim ntaub qhwv, uas yog ib daim ntaub qhwv uas tiv thaiv pob txha kom txog thaum nws kho tau.
Qhov txawv ntawm 'Buckle Fracture' thiab 'Greenstick Fracture' yog dab tsi?
Cov no yog ob hom 'pob txha tawg tsis tiav' uas pom muaj nyob rau hauv cov menyuam yaus. Cov npe no pab tus kws kho mob nkag siab tias tus menyuam pob txha tawg li cas, qhov twg, thiab dab tsi.
- Hauv qhov 'buckle fracture' , lub siab raug siv rau ntawm pob txha, ua rau ib sab ntawm pob txha tawm mus sab nraud, tsim ib lub pob, zoo li lub txhuas uas kuv tau hais ua ntej.
- Qhov 'pob txha tawg ntsuab' yog thaum tus menyuam pob txha khoov thiab tawg ua ob, tab sis tsuas yog ib sab xwb tawg. Koj puas tau sim tsoo ib tug pas ntoo tshiab, ntub dej (tus pas ntsuab) nrog koj txhais tes? Nws tsis "nqa" zoo li ib tug pas qhuav thiab tawg ua ob, puas yog? Tsuas yog ib sab tawg xwb, thiab sab tod tseem txuas. Yog li ntawd nws yog.
Qhov laj thawj uas ua rau ob qho tib si 'buckle fractures' thiab 'greenstick fractures' tshwm sim ntau dua rau cov menyuam yaus dua li cov neeg laus yog vim cov menyuam yaus cov pob txha mos dua thiab yoog tau ntau dua li cov neeg laus. Lawv tsis tawg yooj yim li ib daim yas lossis iav. Yog vim li cas cov menyuam yaus cov pob txha yuav khoov thiab tawg zoo li no es tsis tawg tag.
Txawm li cas los xij, txawm koj hu koj tus menyuam pob txha tawg li cas los xij, thawj kauj ruam tseem ceeb tshaj plaws yog mus ntsib kws kho mob sai li sai tau.
Puas muaj qhov tawg ntawm cov pob txha caj qaum hauv tes, ntiv tes, thiab ntiv tes xoo?
Qhov mob no, hu ua 'buckle fracture,' feem ntau cuam tshuam rau cov pob txha ntev hauv cov menyuam yaus. Nws tsis tshua muaj 'buckle fracture' tshwm sim hauv cov pob txha me me ntawm tes, ntiv tes, lossis tus ntiv tes xoo. Yog tias koj tus menyuam yws txog qhov mob hauv lawv txhais tes lossis ntiv tes, nws yuav yog tus ntiv tes raug mob lossis tus ntiv tes tawg. Yog li, nws yog qhov zoo tshaj plaws los tham nrog kws kho mob yog tias koj muaj cov tsos mob tshiab.
Qhov 'Buckle Fracture' feem ntau tshwm sim li cas?
Qhov no yog ib qho mob uas tshwm sim ntau heev. Ib tug ntawm plaub tus menyuam uas pob txha tawg (1 ntawm 4) muaj 'buckle fracture'. Tsis tas li ntawd, ib nrab (50%) ntawm tag nrho cov pob txha caj dab tawg hauv cov menyuam yaus yog hom pob txha tawg no.
Leej twg thiaj tau txais 'Buckle Fracture'?
'Kev tawg pob txha ntawm lub pob txha' (tseem hu ua kev tawg pob txha cuam tshuam) feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 12 xyoos. Qhov laj thawj yog vim li cas, raws li peb tau tham ua ntej, cov menyuam yaus lub cev tseem tab tom loj hlob, yog li lawv cov pob txha mos dua thiab yoog tau ntau dua li cov neeg laus. Thaum peb laus zuj zus, peb cov pob txha maj mam poob qhov kev ywj pheej ntawd. Vim tias cov menyuam yaus cov pob txha mos dua, lawv yuav tawg zoo li no (thiab lwm yam kev tawg tsis tiav) dua li lawv tawg tag nrho.
Txawm hais tias cov neeg laus tuaj yeem muaj qhov 'buckle fracture' no, nws tsis tshua muaj. Qee zaum nws tuaj yeem tshwm sim rau cov neeg laus uas muaj pob txha tiaj tus, xws li tav tav. Tsis tas li ntawd, cov neeg uas muaj cov kab mob ua rau pob txha nyias nyias, xws li osteoporosis, muaj kev pheej hmoo ntau dua ntawm txhua hom pob txha tawg, suav nrog 'buckle fractures'.
Cov tsos mob ntawm 'Buckle Fracture' yog dab tsi?
Yog tias koj tus menyuam muaj 'buccal fracture', koj yuav pom cov tsos mob zoo li no:
- Mob: Tej zaum koj yuav mob thaum koj kov qhov chaw raug mob lossis txav koj txhais caj npab/ceg uas raug mob.
- Kev o: Qhov chaw raug mob yuav o.
- Mob: Qhov chaw raug mob yuav mob dua thaum kov dua li lwm qhov chaw.
- Kev raug mob los yog daim tawv nqaij hloov xim: Qee zaum koj yuav pom xim xiav los yog xim ntshav ntawm qhov chaw raug mob.
- Ib qho tsis zoo li qub los yog ib lub pob: Yog tias muaj ib yam dab tsi pom tseeb, xws li ib lub pob los yog ib lub pob me me, uas feem ntau tsis pom ntawm qhov ntawd ntawm tus menyuam lub cev.
- Rau cov menyuam yaus me: Tej zaum yuav muaj ib txhia menyuam yaus uas tsis paub hais tias mob li cas, yog li ntawd lawv yuav sim tsis txhob siv tes uas raug mob. Piv txwv li, lawv tsuas tuav cov khoom ua si nrog ib sab tes xwb, lossis yog tias ib ceg raug mob, lawv yuav muab ceg ntawd tso rau hauv av thiab tsis kam taug kev.
Dab tsi yog cov ua rau muaj 'Buckle Fracture'?
Feem ntau cov 'buckle fractures' tshwm sim thaum cov menyuam yaus poob thiab sim cawm lawv tus kheej los ntawm kev muab lawv txhais tes tso rau pem hauv ntej thiab ntaus hauv av . Lub zog ntawm kev poob ua rau muaj kev nyuaj rau lawv cov pob txha, uas ua rau cov 'buckle fractures' no. Yog vim li cas qhov mob no feem ntau cuam tshuam rau cov pob txha hauv caj npab (radius thiab ulna) ntawm cov menyuam yaus. Xav txog tias koj tus tub tab tom ua si hauv lub vaj thiab cia li ntog, ntaus nws txhais tes. Los yog cia peb hais tias koj tus ntxhais mus rau sab me ntsis thaum caij nws lub tsheb kauj vab thiab ntaus hauv av. Thaum ntawd hom kev raug mob no yuav tshwm sim.
Yuav ua li cas thiaj paub qhov 'Buckle Fracture'?
Thaum koj coj koj tus menyuam mus ntsib kws kho mob, lawv yuav kuaj lub cev ua ntej. Yog li ntawd, lawv yuav kov qhov raug mob, xyuas seb puas o, thiab mob. Tom qab ntawd, lawv feem ntau yuav kom thaij duab X-ray kom paub tseeb tias puas muaj pob txha tawg thiab saib seb pob txha puas raug mob dab tsi.
Yuav kho cov pob txha tawg li cas?
Qhov 'buckle fracture' (tseem hu ua 'impacted fracture') feem ntau yog kho nrog 'splint' . Qhov no kuj hu ua 'immobilization', uas txhais tau tias tiv thaiv cov pob txha raug mob kom tsis txhob txav mus los. Rau qee tus menyuam, cov kws kho mob kuj tseem yuav pom zoo kom siv 'cast', uas yog plaster cast. Koj tus kws kho mob yuav qhia koj tias kev kho mob twg zoo tshaj plaws rau koj tus menyuam. 'splint' lossis 'cast' no tuaj yeem tiv thaiv koj tus menyuam cov pob txha raug mob kom tsis txhob raug mob ntxiv, pab txo qhov mob, thiab pab kom lawv xis nyob.
Feem ntau cov menyuam yaus yuav tsum tau hnav ib daim ntaub qhwv caj dab li ob mus rau peb lub lis piam. Lawv yuav tsum hnav nws ntev npaum li cas nyob ntawm seb tus menyuam cov tsos mob (xws li mob thiab o) zoo dua sai npaum li cas.
Yuav kom txo qhov mob, feem ntau koj tuaj yeem noj cov tshuaj NSAIDs (Cov Tshuaj Tsis-Steroidal Anti-Inflammatory) xws li Aspirin lossis Ibuprofen, raws li koj tus kws kho mob tau hais. Txawm li cas los xij,Koj yuav tsum ceev faj heev thaum muab tshuaj aspirin rau menyuam yaus, vim nws tuaj yeem ua rau muaj mob hnyav xws li Reye's syndrome, yog li tsis txhob muab nws yam tsis tau kev qhia los ntawm kws kho mob. Koj tus kws kho mob yuav piav qhia rau koj tias koj tuaj yeem muab cov tshuaj twg rau koj tus menyuam thiab ntau npaum li cas.
Puas Yog Qhov Pob Txha Buckle Fracture Yuav Zoo Li Cas? Yog Tsis Kho?
Txawm hais tias 'kev tawg pob txha hauv qhov ncauj' tsis loj npaum li qee qhov kev tawg pob txha lwm yam, tsis txhob tsis quav ntsej cov tsos mob xws li mob, o, thiab mob. Yog tias koj tus menyuam muaj 'kev tawg pob txha hauv qhov ncauj' thiab nws tsis tau kho kom zoo, nws tuaj yeem ua rau muaj teeb meem xws li:
- Malunion: Cov pob txha tawg tej zaum yuav tsis sib haum zoo thaum lawv kho.
- Tsis koom ua ke: Cov pob txha tawg tej zaum yuav tsis sib koom ua ke tag nrho, lossis tej zaum yuav tsis sib koom ua ke kiag li.
- Cov tsos mob hnyav zuj zus: Yog tias tsis kho, cov tsos mob xws li mob hauv tus menyuam yuav hnyav zuj zus, ua rau lub sijhawm ntev dua los kho.
Yog li ntawd, nws yog ib qho kev txawj ntse kom nrhiav kev pab kho mob yog tias koj muaj kev tsis ntseeg, txawm tias nws yog qhov raug mob me me los xij.
Tej yam teeb meem uas yuav tshwm sim thaum lub sijhawm kho mob yog dab tsi?
Thaum kho qhov 'buckle fracture', cov hauv qab no qee zaum tuaj yeem tshwm sim:
- Rov Raug Mob Dua: Yog tias tus me nyuam koom nrog kev ua ub ua no xws li kev ua si sai dhau (ua ntej kho), tus pob txha yuav raug mob dua lossis tawg hnyav dua.
- Lwm yam kev raug mob sab hauv: Kev tawg kuj tseem tuaj yeem ua rau cov leeg nqaij, cov hlab ntsha, cov hlab ntsha, cov leeg, thiab cov leeg nqaij puas tsuaj.
- Cov kev mob tshwm sim ntawm cov tshuaj NSAIDs: Cov tshuaj tua kab mob no tuaj yeem ua rau los ntshav, mob plab, mob plab, thiab muaj teeb meem plab hnyuv rau qee tus neeg. Yog vim li ntawd koj yuav tsum siv cov tshuaj raws li koj tus kws kho mob qhia xwb.
Tom qab pib kho mob, tus me nyuam yuav zoo dua sai npaum li cas?
Muaj ntau tus menyuam yaus uas mob tom qab muab daim ntaub qhwv pob txha tso rau ntawd yuav pom tias mob zoo dua thiab zoo dua tam sim ntawd. Txawm li cas los xij, feem ntau yuav siv sijhawm ob peb lub lis piam kom cov tsos mob ploj mus tag. Vim tias daim ntaub qhwv pob txha ua rau pob txha nyob ruaj khov, nws thiaj li txo tau qhov mob.
Yog koj tus menyuam mob heev thiab nws tsis ploj mus, mus ntsib kws kho mob tam sim ntawd.
Kuv yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev tawg ntawm lub buckle ntawm kuv tus menyuam?
Txawm hais tias tsis muaj txoj hauv kev 100% los tiv thaiv pob txha tawg, koj tuaj yeem txo qhov kev pheej hmoo ntawm kev raug mob ntawm koj tus menyuam los ntawm kev ua raws li cov lus qhia kev nyab xeeb dav dav no:
- Ib txwm hnav txoj siv sia thaum caij tsheb.
- Hnav cov khoom siv tiv thaiv kom tsim nyog thaum ua si kis las lossis tawm dag zog.(piv txwv li, lub kaus mom hlau, lub hauv caug).
- Tshem tawm thiab khaws cov khoom uas yuav ua rau muaj xwm txheej hauv koj lub tsev thiab thaj chaw ua si kom zoo.
- Thaum koj ncav tes mus rau ib yam dab tsi siab hauv tsev , siv ib yam dab tsi uas tsim nyog, xws li ntaiv. Qhia cov menyuam kom tsis txhob nce saum cov rooj zaum thiab cov rooj.
- Txhawb koj tus menyuam kom noj zaub mov kom zoo thiab tawm dag zog kom pab kom pob txha noj qab nyob zoo.
'Kev tawg ntawm cov pob txha caj dab' feem ntau yog tshwm sim los ntawm kev raug mob xws li kev poob sai sai, yog li ntawd nyuaj rau tiv thaiv kom tsis txhob muaj teeb meem tag nrho. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo mloog cov menyuam yaus thaum lawv ua si thiab tsim kom muaj ib puag ncig zoo rau lawv.
Yog tias koj laus dua, muaj hnub nyoog tshaj 50 xyoo, lossis muaj keeb kwm tsev neeg mob pob txha tawg, nws yog ib lub tswv yim zoo los tham nrog kws kho mob txog kev kuaj pob txha ceev.
Yog tias kuv tus menyuam muaj 'Buckle Fracture', kuv yuav xav li cas?
Koj tuaj yeem cia siab tias koj tus menyuam yuav zoo tag nrho. Qhov 'buccal fracture' yog ib qho teeb meem ib ntus xwb. Tus menyuam yuav tsis hnov mob ntev lossis lwm yam teeb meem tom qab qhov no.
Cov pob txha tawg uas raug cuam tshuam yuav kho tau sai heev piv rau lwm cov pob txha tawg. Feem ntau cov menyuam yaus tsuas yog yuav tsum tau hnav ib daim ntaub qhwv rau 2-3 lub lis piam xwb. Thaum cov tsos mob xws li mob thiab mob nqaij tau ploj mus, feem ntau cov neeg mob tsis tas yuav kho ntxiv lossis mus ntsib kws kho mob ntxiv.
Puas yog kuv tus menyuam yuav mus kawm ntawv tsis tau lossis koom nrog tej yam ua si?
Qhov 'buckle fracture' tsis tau txhais hais tias ib tug me nyuam yuav tsum tsis txhob mus kawm ntawv. Txawm li cas los xij, lawv yuav tsum tsis txhob ua si nawv kom txog thaum cov tsos mob ploj mus tag thiab rau ob lub lis piam ntxiv.
Feem ntau cov menyuam yaus tuaj yeem rov qab mus ua si thiab ua lwm yam dej num tom qab li ib hlis. Koj tus kws kho mob yuav qhia koj tias koj yuav tsum tsis txhob ua tej yam ntev npaum li cas.
Qhov kev cia siab rau qhov tawg ntawm lub buckle yog dab tsi?
Qhov kev cia siab rau 'buckle fracture' zoo heev. Koj tus menyuam yuav zoo tag nrho thiab yuav nyob tsis muaj mob ntev lossis lwm yam tsos mob.
Kuv yuav tsum mus rau Chav Xwm Ceev thaum twg?
Yog koj xav tias koj tus menyuam muaj pob txha tawg - lossis lwm yam pob txha tawg - koj yuav tsum mus ntsib kws kho mob sai li sai tau. Yog tias lawv muaj ib qho ntawm cov tsos mob hauv qab no, mus rau chav kho mob ceev tam sim ntawd:
- Mob heev.
- Tsis muaj peev xwm txav ib feem ntawm lub cev uas feem ntau tuaj yeem txav tau.
- Ib feem ntawm lub cev zoo li txawv ntawm qhov ib txwm muaj, lossis zoo li tsis nyob hauv qhov chaw.
- Yog daim tawv nqaij tawg thiab pob txha pom tseeb.
- O.
- Cov tsos mob no nrog rau qhov tshwm sim ntawm cov qhov txhab tshiab.
Yog koj lossis koj tus menyuam raug xwm txheej loj heev (kev raug mob hnyav), mus rau chav kho mob ceev tam sim ntawd.
Kuv yuav tsum nug kuv tus kws kho mob li cas?
Koj tuaj yeem nug cov lus nug ntawm tus kws kho mob txog koj tus menyuam tus mob:
- Pob txha twg tawg lawm?
- Puas yog kuv tus menyuam muaj qhov 'buckle fracture' lossis lwm hom fracture?
- Kuv tus menyuam yuav tsum tau hnav lub splint ntev npaum li cas?
- Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
- Thaum twg nws mam li pib ua ub ua no (xws li ua si) dua?
Nws yog ib qho ib txwm rau txhua tus niam txiv ntshai thaum lawv tus menyuam raug mob, tshwj xeeb tshaj yog thaum lawv hnov tias lawv muaj pob txha tawg. Tab sis nco ntsoov, 'buckle fracture' yog ib qho kev raug mob uas kho tau zoo heev, thiab nws yog ib qho tshwm sim rau cov menyuam yaus. Qhov ntawd txhais tau tias koj tus kws kho mob tuaj yeem kuaj mob thiab kho nws sai sai. Piav qhia rau koj tus menyuam txog nws qhov kev raug mob, vim li cas nws yuav hnav 'splint' thiab ntev npaum li cas. Piav qhia rau nws tias qhov kev raug mob no yog ib ntus xwb thiab tias nws tuaj yeem ua si thiab koom nrog txhua yam kev ua ub no uas nws nyiam thaum nws lub cev kho tau zoo.
Nco ntsoov tej yam tseem ceeb tshaj plaws (Cov Lus Coj Mus Tsev)
- Qhov 'buckle fracture' yog qhov pob txha tawg uas pob txha tsis tawg tag, thiab feem ntau tshwm sim rau cov menyuam yaus.
- Qhov no feem ntau tshwm sim vim yog ntog, tshwj xeeb tshaj yog thaum txhais tes raug ntes rau hauv av.
- Nrhiav kev pab tswv yim kho mob yog tias koj muaj cov tsos mob xws li mob, o, lossis siv tsis tau koj txhais caj npab/ceg.
- Feem ntau qhov no yuav zoo li qub hauv 2-3 lub lis piam yog tias koj siv ib txoj hlua khi. Tsis tas yuav phais.
- Tus me nyuam rov zoo tag nrho thiab tsis muaj teeb meem mus sij hawm ntev.
- Tsis txhob ua si hnyav kom txog thaum koj tus kws kho mob hais kom koj ua.
Xav kom koj tus menyuam zoo sai sai!
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Puas yog pob txha tawg ua ob daim?
Tsis yog. Thaum pob txha tawg ua ob, nws hu ua pob txha tawg tag nrho. Txawm li cas los xij, qhov pob txha tawg 'buckle' no tsuas yog tshwm sim rau cov menyuam yaus xwb. Cov menyuam yaus cov pob txha mos heev (zoo li ntoo mos). Yog li thaum ib tug menyuam yaus ntog thiab muab qhov hnyav rau ntawm lawv txhais tes, pob txha tsis tawg, tab sis hloov chaw, nws khoov thiab bulges rau ib sab, zoo li lub kaus poom khoom qab zib.
💬 Puas yog qhov zoo uas tsis noj tshuaj rau qhov no yog tias tsis muaj mob?
Tus me nyuam co tes, co nws cov ntiv tes, thiab nws tsis mob heev, yog li cov niam txiv xav tias nws tsuas yog 'mob pob txha' xwb. Tab sis muaj kev puas tsuaj rau pob txha (uas tsuas pom tau ntawm X-ray). Yog tias tsis muab plaster rau qhov no, tus tub hluas tuaj yeem txuas ntxiv ua si thiab tawg pob txha tag nrho.
💬 Koj puas xav muab cov plaster uas tau xeb ntau xyoo lawm tso rau?
Tsis txhob txhawj! Vim tias cov pob txha tsis tau sib cais hauv qhov pob txha tawg no, nws tsis xav tau cov plaster hnyav (POP). Feem ntau, ib daim splint me me, uas tshem tau (Splint / Brace) rau 2 txog 3 lub lis piam yuav kho tau 100% ntawm lub sijhawm thiab kho nws tus kheej sai heev.
` Pob txha tawg ntawm lub pob txha buckle, pob txha tawg uas raug cuam tshuam, pob txha tawg torus, pob txha tawg rau menyuam yaus, pob txha tawg rau menyuam yaus, kev noj qab haus huv menyuam yaus











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus