Xav txog tias koj tab tom ua si lossis ua haujlwm hauv tsev thiab tam sim ntawd plam thiab ntog. Thaum koj ntog, txawm tias nws yog thaum ncav tes mus ntes koj txhais tes lossis ncaj qha ntaus koj lub luj tshib, koj lub luj tshib pib o nrog mob hnyav. Lub sijhawm zoo li no, peb feem ntau xav tias "Kuv tau mob kuv txhais caj npab." Tab sis nws tuaj yeem yog pob txha tawg ntawm lub luj tshib . Txawm hais tias lub npe yuav zoo li txaus ntshai, qhov no yog ib qho mob uas tshwm sim ntau heev, tshwj xeeb tshaj yog ntawm cov menyuam yaus. Yog li hnub no, cia peb tham txog txhua yam koj xav paub txog pob txha tawg ntawm lub luj tshib no.
Hauv lus yooj yim, pob txha tawg ntawm lub luj tshib yog dab tsi?
Qhov tawg ntawm lub luj tshib yog qhov tawg lossis tawg ntawm ib lossis ntau pob txha hauv koj lub pob qij txha. Muaj ntau yam laj thawj tseem ceeb uas ua rau qhov no tshwm sim.
- Kev cuam tshuam ncaj qha rau lub luj tshib: Yog tias lub luj tshib tsoo rau ntawm qhov chaw tawv ncaj qha vim muaj xwm txheej, thaum ua si kis las, lossis poob qee qhov chaw.
- Ncav tes thaum peb ntog: Thaum peb tab tom yuav ntog, peb cia li ncav tes mus cawm peb lub cev. Thaum lub sijhawm no, tag nrho qhov hnyav ntawm lub cev los ntawm caj npab mus rau lub luj tshib, thiab qhov kev nyem tuaj yeem ua rau pob txha tawg.
- Tig sab caj npab: Qee zaum, yog tias sab caj npab raug tig hnyav dhau, muaj kev pheej hmoo ntawm kev puas tsuaj rau cov pob txha hauv lub luj tshib.
Lub luj tshib yog ib qho pob qij txha uas sib txuas cov pob txha caj npab sab saud (Humerus) thiab ob lub pob txha caj npab sab qis (Radius thiab Ulna). Yog li ib qho ntawm peb lub pob txha no tuaj yeem tawg.
Cov hom pob txha tawg ntawm lub luj tshib yog dab tsi?
Feem ntau cov kws kho mob faib cov pob txha tawg ntawm lub luj tshib ua peb hom loj, nyob ntawm seb pob txha tawg qhov twg. Cia peb saib seb lawv yog dab tsi.
| Hom pob txha tawg | Piav qhia yooj yim |
|---|---|
| Cov pob txha tawg ntawm Olecranon | Qhov no yog qhov kawg ntawm koj lub luj tshib. Qhov ntawd yog pob txha uas koj hnov thaum koj muab koj lub luj tshib tso rau ntawm lub rooj. Vim tias pob txha no tsis muaj cov leeg nqaij ntau, nws tuaj yeem tawg yooj yim yog tias raug ntaus ncaj qha. Qhov no yog hom pob txha tawg ntawm lub luj tshib uas feem ntau tshwm sim. |
| Cov Pob Txha Radial Taub Hau | Qhov no yog tshwm sim los ntawm kev tawg ntawm sab saud ntawm pob txha radius hauv sab caj npab qis. Qhov no feem ntau yog tshwm sim los ntawm lub siab uas siv rau hauv av thaum peb ntog nrog peb sab caj npab uas ncab tawm. |
| Cov pob txha tawg ntawm Distal Humerus | Qhov no yog qhov tawg ntawm pob txha caj npab sab saud (humerus), uas khiav ntawm lub xub pwg mus rau lub luj tshib, ze ntawm lub pob qij txha luj tshib. Qhov no tsis tshua muaj ntau dua li ob hom, tab sis nws tuaj yeem tshwm sim hauv qhov xwm txheej loj lossis yog tias koj ntog thaum koj lub luj tshib khoov. |
Vim li cas qhov no thiaj li tshwm sim ntau ntawm cov menyuam yaus?
Vim tias cov menyuam yaus cov pob txha tseem tab tom loj hlob thiab lawv pheej khiav thiab ua si tas li, lawv yuav muaj feem yuav ntog. Yog li ntawd, tsuas yog 10% ntawm cov pob txha tawg hauv cov menyuam yaus pom tias yog pob txha tawg ntawm lub luj tshib.
Cov tsos mob ntawm lub luj tshib tawg yog dab tsi?
Qee qhov pob txha tawg ua rau mob hnyav thiab ua rau tes puas. Tab sis qee zaum cov tsos mob tsis pom tseeb. Cia peb saib qee cov tsos mob uas pom ntau tshaj plaws.
| Cov tsos mob | Qhov ntawd txhais li cas? |
|---|---|
| Mob tam sim ntawd, mob ntse | Tom qab muaj xwm txheej tas, ces mob heev tsis tuaj yeem ua tau. Tej zaum koj yuav hnov lub suab "pop". |
| Kev o thiab mob nqaij | Xim xiav/ntshav ntawm thaj chaw tom qab lossis ib ncig ntawm lub luj tshib o, liab. |
| Tsis muaj peev xwm tuav tes | Hnov mob heev thaum sim khoov, ncab, lossis tig lub luj tshib. |
| Kev tsis muaj zog lossis tsis muaj zog hauv tes | Cov ntiv tes lossis tes tsis muaj zog lossis khaus khaus. Qhov no tshwm sim thaum pob txha tawg ua rau muaj kev nyuaj rau cov hlab ntsha. |
| Kev puas tsuaj | Hauv qee kis mob hnyav, cov duab ntawm lub luj tshib yuav hloov pauv, thiab nws yuav zoo li pob txha tawm ntawm daim tawv nqaij. |
Qhov tseem ceeb yog, txawm tias koj txav tau koj txhais caj npab los xij, nws tsis tau txhais hais tias pob txha tsis tawg. Yog li ntawd, yog tias muaj mob thiab o, mus ntsib kws kho mob.
Tus kws kho mob kuaj qhov no li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog qhov xwm txheej ntawd tshwm sim li cas thiab tom qab ntawd nws yuav ua tib zoo saib xyuas koj lub luj tshib.
- Lawv yuav nias ib ncig ntawm koj lub luj tshib thiab nrhiav seb puas muaj qhov mob.
- Tshawb xyuas seb puas muaj cov pob txha tawg uas tau raug mob rau daim tawv nqaij.
- Xyuas lub plawv dhia ntawm lub dab teg kom paub tseeb tias cov ntshav ncig zoo hauv tes.
- Lawv yuav hais kom koj txav koj txhais caj npab ntau li ntau tau thiab xyuas seb koj txav tau li cas.
Tom qab ntawd, lawv yuav xaj ntau qhov kev kuaj kom paub meej tias qhov tawg yog dab tsi.
- X-rays: Qhov no yog qhov kev kuaj mob tseem ceeb tshaj plaws. Nws tuaj yeem qhia meej meej qhov twg pob txha tawg thiab qhov xwm txheej ntawm qhov tawg.
- Kev Ntsuas CT: Hauv qee qhov pob txha tawg uas nyuaj heev, kev ntsuas CT tuaj yeem pab tau kom tau daim duab peb-seem (3D) ntawm pob txha thiab txiav txim siab seb puas xav tau kev phais.
- Kev Ntsuas MRI: Kev ntsuas MRI yuav raug ua yog tias muaj kev xav tias qhov pob txha tawg tau ua rau cov leeg nqaij ib puag ncig lossis lwm cov nqaij mos puas tsuaj.
Yuav kho li cas?
Txoj kev kho mob nyob ntawm seb koj pob txha tawg hnyav npaum li cas. Muaj ob txoj kev kho mob tseem ceeb.
1. Kev Kho Mob Tsis Yog Phais Mob
Kev kho mob no yog siv rau cov rooj plaub uas pob txha tawg tab sis cov khoom seem tseem nyob rau tib qho chaw ( kev tawg tsis txav chaw ).
- Cast: Ib qho cast raug muab tso rau ntawm lub luj tshib kom pab cov pob txha sib dhos kom zoo.
- Hnav ib daim ntaub qhwv los yog ib txoj hlua khi: Rau qee qhov pob txha tawg me me, cov no yog siv los txhawb lub luj tshib thiab txwv kev txav mus los.
2. Kev Kho Mob Phais
Yog tias cov pob txha tawg tau tawg thiab tau txav mus los ( displaced fracture)), yuav tsum tau phais kom coj lawv rov qab mus rau lawv qhov chaw thiab kho lawv. Ntawm no, tus kws kho mob,
- Cov pob txha raug hloov chaw thiab kho kom ruaj khov siv cov koob me me, cov ntsia hlau, lossis cov phaj hlau kom lawv nyob hauv qhov chaw.
Kev kho mob thaum ntxov ntawm cov pob txha tawg hauv cov menyuam yaus yog qhov tseem ceeb heev vim tias lawv cov pob txha tseem tab tom loj hlob, thiab yog tias tsis kho sai thiab kom raug, cov pob txha yuav tsis sib dhos lossis cuam tshuam rau kev ua haujlwm ntawm tes yav tom ntej.
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Qhov no kuj txawv nyob ntawm seb koj qhov xwm txheej zoo li cas.
- Feem ntau koj yuav tsum tau hnav ib daim plaster lossis ib daim splint li 3 txog 6 lub lis piam.
- Feem ntau cov neeg tuaj yeem rov qab mus ua ub ua no li qub tom qab li 4 lub hlis.
- Tab sis qee zaum nws yuav siv sijhawm ib xyoos lossis ntau dua los kho kom zoo thiab rov qab tau lub zog thiab kev ywj pheej uas koj muaj hauv koj txhais tes.
Tom qab koj tshem daim ntaub pov tseg lawm, koj yuav hnov tias koj txhais tes tawv, lossis koj yuav tsis tuaj yeem khoov lossis ncaj koj txhais tes ntau npaum li koj xav tau. Qhov no yog qhov ib txwm muaj. Yog vim li ntawd koj tus kws kho mob thiaj li xa koj mus rau kev kho lub cev . Yog tias koj ua cov kev tawm dag zog uas koj tus kws kho lub cev qhia koj raws nraim, koj tuaj yeem rov qab muaj zog thiab txav tau sai sai hauv koj txhais tes.
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Yog tias koj raug mob ntawm lub luj tshib thiab muaj ib qho ntawm cov tsos mob hauv qab no, mus rau chav kho mob ceev (ETU) ze tshaj plaws hauv tsev kho mob yam tsis muaj kev ncua.
- Yog muaj mob uas tsis tuaj yeem zam tau.
- Yog tias cov duab ntawm lub luj tshib tau hloov pauv meej meej.
- Yog tias pob txha tawg tau tho qhov tawv nqaij thiab tawm los.
- Yog tias koj muaj tingling lossis loog hauv koj txhais tes lossis ntiv tes.
Nrhiav kev kho mob thaum ntxov yog qhov tseem ceeb kom tiv thaiv tau cov teeb meem yav tom ntej thiab kho tau tag nrho tes.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog tias koj raug mob ntawm lub luj tshib thiab mob hnyav thiab o, tsis txhob xav tias koj muaj "mob pob qij txha," tab sis mus ntsib kws kho mob tam sim ntawd. Zoo tshaj plaws yog mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm koj lub tsev kho mob ze tshaj plaws.
- Txawm tias koj txav tau koj txhais caj npab me ntsis los xij, muaj feem yuav ua rau pob txha tawg. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tau mus kuaj mob.
- Ua raws li kev kho mob (xws li siv lub qhov cam, phais) uas tus kws kho mob muab. Noj tshuaj tua kab mob raws li tau qhia.
- Nws yog ib qho ib txwm rau koj txhais tes kom hnov mob tom qab tshem cov plaster.Ua cov kev tawm dag zog kho lub cev kom raug yog qhov tseem ceeb heev rau kev rov zoo sai.
- Ua siab ntev thaum lub sijhawm kho mob. To taub tias yuav siv sijhawm kom zoo tag nrho.
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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