Xav txog tias koj poob ntawm ntaiv lossis muaj xwm txheej tsheb sib tsoo. Lub sijhawm ntawd, koj ntsia saum ntuj nrog mob heev thiab pom ib daim pob txha tawg tawm ntawm daim tawv nqaij ntawm koj txhais tes lossis ceg. Qhov tseeb, leej twg pom ib yam dab tsi zoo li no yuav ntshai heev. Lawv yuav txhawj xeeb. Hauv kev kho mob, peb hu qhov mob no ua Compound Fracture lossis Open Fracture . Qhov no yog ib qho mob hnyav heev thiab koj yuav tsum mus rau tsev kho mob tam sim ntawd.
Hais yooj yim xwb, qhov Compound Fracture no yog dab tsi?
Qhov laj thawj tseem ceeb uas ua rau pob txha tawg, lossis raws li peb hu nws, pob txha tawg, yog lub zog ntau dhau uas siv rau nws. Qhov no tuaj yeem tshwm sim los ntawm qee yam zoo li qhov xwm txheej. Tab sis qee zaum nws kuj tuaj yeem yog vim muaj kev nias tas li rau tib qho chaw. Piv txwv li, thaum ib tug tub rog taug kev tas li nrog lub hnab ev khoom hnyav ntawm nws nraub qaum, qhov kev nias tas li rau ntawm ceg tuaj yeem ua rau muaj qhov tawg me me hauv pob txha.
Tam sim no cia peb saib seb qhov "Compound" lossis "Open" Fracture yog dab tsi. Hais yooj yim, qhov no yog thaum cov pob txha tawg pom tau los ntawm koj daim tawv nqaij. Yog tias koj poob ntawm ntaiv thiab tsoo koj txhais caj npab, thiab cov pob txha tawg pom tau los ntawm daim tawv nqaij, nws yog Compound Fracture. Txawm li cas los xij, yog tias cov pob txha tawg tab sis daim tawv nqaij tseem zoo, txhais tau tias cov pob txha tawg tsis pom, peb hu nws ua "Simple" lossis "Closed" Fracture.
Kev tawg pob txha yog ib qho mob hnyav uas ua rau mob heev thiab ua rau ntshai heev. Yog li ntawd, ib tug neeg yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd yam tsis muaj kev yig.
Cov pob txha twg hauv lub cev uas raug mob no tshaj plaws?
Txhua pob txha hauv peb lub cev tuaj yeem tawg. Txawm li cas los xij, feem ntau cov pob txha tawg ua tej daim me me hauv peb txhais tes, ceg, tes, thiab taw. Tsis tas li ntawd xwb, tseem muaj lwm cov pob txha uas kuj tuaj yeem raug kev cuam tshuam, txawm tias nws yuav tshwm sim tsawg heev los xij.
- Nqaij tav
- Pob txha caj dab
- Cov pob txha ntawm qhov muag
- Lub duav
- Cov pob txha taub hau
- Pob txha ntsej muag
- Cov pob txha caj qaum los yog vertebrae
Cov ua rau muaj kev tawg pob txha tseem ceeb yog dab tsi?
Yog tias pob txha tawg loj heev li no tshwm sim, yuav tsum muaj kev sib tsoo lossis kev cuam tshuam loj heev (Kev Raug Mob Hnyav) rau lub cev. Piv txwv li:
- Kev sib tsoo tsheb loj heev
- Kev poob los ntawm qhov siab heev
- Ib qho xwm txheej uas tshwm sim thaum lub sijhawm ua si xws li football lossis rugby
Cov tsos mob ntawm qhov no yog dab tsi?
Cov tsos mob tseem ceeb thiab pom tseeb tshaj plaws yog pob txha tawg tawm ntawm daim tawv nqaij. Tsis tas li ntawd xwb, muaj ntau lwm yam tsos mob uas pom tau. Cia peb saib lawv kom meej meej hauv daim ntawv teev.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Cov pob txha uas raug nthuav tawm | Qhov no yog lub cim qhia meej tshaj plaws. Cov pob txha tawg pom tau los ntawm daim tawv nqaij. |
| Mob hnyav, mob ntse | Muaj mob hnyav heev, tsis tuaj yeem ua tau. |
| Kev rhiab heev rau kev kov | Thaj chaw nyob ib puag ncig qhov txhab mob heev rau kov. |
| Kev o thiab mob nqaij | Thaj chaw ib puag ncig qhov txhab yuav o thiab hloov mus ua xim xiav-ntsuab. |
| Los ntshav | Qhov txhab los ntshav vim daim tawv nqaij raug tho. |
| Kev puas tsuaj rau cov hlab ntsha | Qee zaum, vim yog cov hlab ntsha raug mob, qhov mob yuav tsawg dua lossis ntau dua li qhov xav tau. Lossis koj yuav hnov mob loog. |
Tus kws kho mob kuaj mob thiab kho qhov no li cas?
Nws tsis nyuaj rau tus kws kho mob kuaj mob pob txha tawg. Vim tias pob txha tawg pom tau los ntawm daim tawv nqaij. Tab sis cov kws kho mob tsis yog tsuas kuaj mob thiab tos xwb. Lawv yuav ua X-ray kom pom tseeb tias pob txha tawg li cas, puas tsuaj npaum li cas, thiab yuav tsum kho li cas. Qee zaum, kev kuaj xws li MRI lossis CT scan yuav tsum tau ua kom tob dua.
Tsis tas li ntawd xwb, cov kws kho mob kuj kuaj xyuas lwm yam teeb meem:
- Xyuas koj daim tawv nqaij xim thiab qhov kub (kawm txog kev muab ntshav).
- Lawv kuaj xyuas cov ntshav siab thiab lub plawv dhia kom pom tias puas muaj ntshav ntau dhau.
- Yuav kuaj qhov kev hnov nyob rau thaj chaw ib puag ncig thiab hauv qab qhov txhab kom pom tias puas muaj kev puas tsuaj rau cov hlab ntsha.
Cov kev kho mob
Thaum koj raug coj mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU), thawj qhov uas yuav tsum ua yog tswj qhov mob. Qhov no yog ua los ntawm kev muab tshuaj tua kab mob rau koj noj, lossis tshuaj tua kab mob rau hauv cov hlab ntsha kom pab tau sai. Qee zaum, yuav muab tshuaj txhaj rau cov hlab ntsha nyob ib puag ncig qhov txhab kom ua rau thaj chaw ntawd tsis mob. Qhov no hu ua Nerve Block .
Nyob ntawm seb qhov txhab zoo li cas, kuj tseem muaj kev txhaj tshuaj tiv thaiv kab mob tetanus thiab tshuaj tua kab mob kom tiv thaiv kev kis kab mob.
Tom ntej no, cov pob txha raug kho dua tshiab thiab cov kauj ruam tsim nyog tau ua los kho nws. Qhov no yuav tsum tau phais. Thaum lub sijhawm phais, tus kws kho mob yuav muab tshuaj tua kab mob thiab tshuaj loog, thiab tom qab ntawd txav cov pob txha tawg rov qab mus rau lawv qhov chaw raug. Peb hu qhov no tias kev txo qis ntawm qhov tawg .
Yuav kom tuav cov pob txha kom raug, ntau yam cuab yeej siv thaum phais:
- Cov koob
- Cov pas nrig
- Cov Phaj
- Cov ntsia hlau
Tom qab npaj cov pob txha li no lawm, siv ib lub cam khwb cia lossis lwm yam khoom siv los ua kom qhov chaw ntawd tsis txav tau kom tsis txhob txav mus los.
Pob txha tawg lawm yuav loj hlob rov qab li cas?
Peb lub cev muaj peev xwm zoo kawg nkaus los tsim cov pob txha tshiab. Thaum pob txha tawg, cov pob txha tshiab pib loj hlob nyob ib puag ncig cov pob txha tawg. Peb hu qhov no ua External Callus . Thaum xub thawj, nws mos, zoo li jelly, tab sis dhau ob peb lub lis piam thiab lub hlis, nws maj mam tawv, tso calcium, thiab dhau los ua pob txha ib txwm muaj.
Cov txheej txheem kho mob no tshwm sim hauv peb theem tseem ceeb:
1. Theem mob o
Thaum twg pob txha tawg lawm, lub cev mam li pib kho. Cov qe ntshav ntawm lub cev tiv thaiv kab mob yuav khiav mus rau qhov chaw raug mob thiab ua rau cov ntshav ntws mus rau thaj chaw ntawd ntau ntxiv. Qhov no yog vim li cas thaj chaw ib puag ncig qhov raug mob thiaj li o thiab liab.
2. Theem kho
Theem no yuav kav ntev li ob peb lub lis piam mus txog ob peb lub hlis. Thaum lub sijhawm no, koj cov pob txha tawg yuav raug muab pov tseg kom tsis txhob txav mus los nrog ib daim cam khwb cia. Thaum lub sijhawm no, lub cev tsim cov pob txha uas peb hu ua External Callus.Nws tab tom raug ua. Vim tias qhov no yog qhov yooj yim heev, nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv nws.
3. Theem kho dua tshiab
Qhov no yuav siv sijhawm ntau lub hlis. Thaum lub sijhawm no, cov pob txha tshiab (callus) yuav tuab zuj zus, calcium yuav tso rau hauv, thiab yuav muaj zog zuj zus. Maj mam, cov pob txha yuav rov qab zoo li qub thiab muaj zog dua.
Qhov no ua rau muaj teeb meem dab tsi?
Kev tawg pob txha sib xyaw yog ib qho kev raug mob uas nyuaj heev. Yog li ntawd, qee zaum muaj ntau yam teeb meem tshwm sim. Cov kws kho mob yeej ib txwm paub txog qhov no hauv ETU, thaum lub sijhawm phais, thiab thaum lub sijhawm rov zoo.
| Kev nyuaj siab | Piav qhia yooj yim |
|---|---|
| Cov teeb meem uas tshwm sim ntau zaus | |
| Kev puas tsuaj rau daim tawv nqaij | Daim tawv nqaij puas thaum pob txha tawm los. Qhov txhab kho zoo li pob txha kho. |
| Kev puas tsuaj rau cov pob qij txha | Yog tias qhov pob txha tawg tshwm sim ze ntawm ib qho pob qij txha, qhov kev txav ntawm qhov pob qij txha yuav raug cuam tshuam. Qhov pob qij txha yuav tsis txav tau. Qhov no tuaj yeem kho tau los ntawm kev kho lub cev. |
| Kev puas tsuaj rau cov hlab ntsha | Pob txha tawg tuaj yeem tsoo, txiav, lossis rub cov hlab ntsha. Cov no feem ntau kho tau, tab sis nws yuav siv sijhawm ntau lub hlis lossis ntau xyoo. |
| Kev kho cov teeb meem | Qee zaum cov pob txha yuav tsis rov qab los ua ke (nonunion), kho qeeb (delayed union), lossis kho tsis raug (malunion). |
| Kev loj hlob tsis sib npaug ntawm cov menyuam yaus | Cov pob txha ntawm menyuam yaus muaj cov phaj loj hlob nyob rau ntawm qhov kawg. Yog tias cov no puas lawm, cov pob txha ntawd yuav luv dua li sab tod. |
| Cov teeb meem loj dua (tab sis tsis tshua muaj) | |
| Kev kis kab mob | Qhov txhab qhib lawm, ua rau cov kab mob nkag tau. Kub taub hau thiab tsw phem thaum tseem muab daim nplaum nplaum rau yog cov cim qhia tias muaj kab mob. Nrhiav kev kho mob tam sim ntawd. |
| Kev Mob Ntsws Plawv | Cov ntshav txhaws tuaj yeem tsim nyob rau hauv cov leeg ntshav ze ntawm qhov tawg thiab mus rau cov leeg ntshav hauv lub ntsws thiab nkag mus rau hauv. Yog tias koj ua pa nyuaj tam sim ntawd, qhov no tuaj yeem ua rau tuag taus thiab xav tau kev kho mob tam sim ntawd. |
| Kev tuag ntawm pob txha (Osteonecrosis) | Yog tias cov ntshav uas mus rau pob txha raug txiav tawm, pob txha tuaj yeem tuag tau. |
| Kab mob Compartment Syndrome | Yog koj cov leeg nqaij nyob ib puag ncig qhov txhab o tuaj yeem nias cov hlab ntsha thiab txiav cov ntshav ntws. Qhov no yog ib qho mob txaus ntshai heev. Yog tias koj o tuaj ntau dhau, mob heev, lossis loog, qhia rau koj tus kws kho mob tam sim ntawd. |
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Qhov pob txha tawg ua tej daim me me yuav siv sijhawm ntau lub hlis lossis ntev dua kom kho tau tag nrho. Nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thaum lub sijhawm no. Lub sijhawm kho nyob ntawm ntau yam:
- Qhov hnyav ntawm qhov raug mob.
- Koj lub hnub nyoog (cov menyuam yaus zoo dua sai dua li cov neeg laus).
- Cov teeb meem tom qab kev kho mob.
- Yog koj muaj lwm yam mob, xws li ntshav qab zib, kev zoo rov qab yuav raug ncua.
Yuav ua li cas saib xyuas tus cast?
Kev saib xyuas koj daim ntaub qhwv kom zoo yog qhov tseem ceeb heev rau nws kom nws kho tau sai. Nov yog qee cov lus qhia:
- Yog tus kws kho mob tsis pub kev tso cai,Tsis txhob cia daim plaster ntub. Yog tias nws ntub, nws yuav nyuaj rau qhuav thiab tej zaum yuav ua rau daim tawv nqaij raug mob lossis kis kab mob.
- Tshawb xyuas daim tawv nqaij ncig lub plaster tsis tu ncua. Qhia rau koj tus kws kho mob yog tias nws liab, tawm kua, lossis mob.
- Rau thawj 24-48 teev, tsa koj txhais caj npab/ceg kom siab tshaj koj lub siab nrog ib lub hauv ncoo ntau li ntau tau. Qhov no yuav pab txo qhov o.
- Yog tias daim tawv nqaij sab hauv daim plaster khaus, tsis txhob muab dab tsi rau hauv kom khawb nws.
- Yuav kom txo qhov o, nws zoo rau koj txav koj cov ntiv tes yog tias koj tus kws kho mob tau tso cai rau koj.
- Yog tias cov npoo ntawm daim plaster ntxhib los yog ntse, thov daim plaster lossis daim kab xev kom tiv thaiv kev raug mob rau daim tawv nqaij.
Thaum koj muaj ib lub cam khwb cia, nyob rau hauv qhov xwm txheej twg koj yuav tsum mus rau ETU sai sai?
Yog koj muaj ib daim ntaub qhwv koj lub cev, ceev faj txog cov tsos mob hauv qab no. Yog koj muaj ib qho ntawm cov no, mus rau chav kho mob ceev tam sim ntawd.
- Yog tias daim plaster ua rau koj txhais caj npab / ceg loog .
- Yog koj xav tias koj txhais tes/ceg tsis muaj zog lawm.
- Yog tias qhov mob tseem mob lossis nce ntxiv .
- Yog tias lub plaster xav tias nruj dhau .
- Yog tias muaj ntxhiab tsw ntxhiab los ntawm lub plaster.
- Yog koj kub taub hau .
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev tawg pob txha sib xyaw yog ib qho mob hnyav uas daim tawv nqaij tawg thiab pob txha raug nthuav tawm.
- Yog tias muaj xwm txheej zoo li no, tsis txhob ntshai thiab coj tus neeg mob mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws sai li sai tau.
- Tsis txhob sim thawb pob txha rov qab los yog ntxuav qhov txhab. Siv daim ntaub huv los npog qhov txhab xwb twb txaus lawm.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua siab ntev thiab ua raws li cov lus qhia ntawm kws kho mob, vim tias cov txheej txheem kho mob yuav siv sijhawm ntau lub hlis.
- Kev saib xyuas cov ntaub qhwv kom zoo thiab kev kho lub cev kom zoo yog qhov tseem ceeb rau kev rov zoo sai.
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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