Xav txog tias koj raug mob hnyav rau koj ceg hauv qhov xwm txheej sib tsoo. Tom qab ib pliag, cov leeg nqaij nyob ib puag ncig qhov raug mob yuav o, ua rau mob hnyav heev, thiab koj ceg yuav loog. Qhov no tsis yog tsuas yog mob ib txwm los ntawm kev raug mob xwb, nws yog ntau dua li ntawd. Qhov no tuaj yeem yog xwm txheej ceev hauv kev kho mob. Yog thaum ntawd qhov kev phais uas peb tab tom tham txog hnub no, hu ua fasciotomy, yog qhov xav tau. Qhov no yuav yog kev phais mob ceev kom cawm koj txhais caj npab, ceg, lossis txawm tias koj txoj sia.
Fasciotomy yog dab tsi yooj yim?
Hais yooj yim xwb, kev phais fasciotomy yog ib txoj kev phais kom txo qhov siab nyob ib puag ncig cov leeg. Qhov no suav nrog kev txiav cov daim nyias nyias (fascia) uas nyob ib puag ncig cov leeg, thiab tso qhov siab tawm sab hauv.
Cia peb piav qhia ntxiv me ntsis. Cov leeg nqaij, cov hlab ntsha, thiab cov hlab ntsha hauv peb txhais tes thiab ob txhais ceg puav leej qhwv ua ke hauv ib daim nyias nyias uas tawv thiab muaj zog. Xav txog nws zoo li lub plhaub ncig ib daim hnyuv ntxwm. Hauv kev kho mob, peb hu daim nyias nyias no ua 'fascia' . Tag nrho thaj chaw hauv daim nyias nyias no uas muaj cov leeg nqaij, cov hlab ntsha, thiab cov hlab ntsha hu ua 'chaw rau cov leeg nqaij.'
Tam sim no xav txog, yuav ua li cas yog tias muaj qhov o ntau dhau hauv qhov chaw no vim muaj qee qhov xwm txheej? Vim yog lub plhaub fascia nruj ntawd, qhov o tsis muaj chaw tawm mus. Tom qab ntawd qhov siab hauv qhov chaw ntawd nce ntxiv ntau dhau. Qhov no yog qhov peb hu ua 'compartment syndrome' . Vim yog qhov siab ntau dhau no, cov hlab ntsha hauv thaj chaw ntawd nruj, thiab cov ntshav ntws mus rau cov leeg thiab cov hlab ntsha tuaj yeem nres. Yog tias qhov ntawd tshwm sim, cov ntaub so ntswg ntawd pib tuag. Thaum ntawd yog thaum ua fasciotomy, txiav daim nyias nyias fascia nruj ntawd, tso qhov siab sab hauv, thiab rov qab cov ntshav ntws.
Tus kab mob compartment syndrome no tshwm sim li cas?
Qhov xwm txheej no tuaj yeem tshwm sim tau ob txoj hauv kev tseem ceeb.
1. Mob Acute Compartment Syndrome: Qhov no yog qhov teeb meem txaus ntshai thiab tshwm sim sai tshaj plaws. Feem ntau nws tshwm sim tom qab muaj xwm txheej loj. Piv txwv li, qhov mob no tuaj yeem tshwm sim vim yog o ntau dhau tom qab muaj xwm txheej tsheb sib tsoo, xws li pob txha tawg lossis cov leeg nqaij mob hnyav. Qhov no yog ib qho mob uas xav tau kev kho mob ceev.
2. Mob Chronic Compartment Syndrome: Qhov no yog ib qho mob uas maj mam tshwm sim. Feem ntau pom muaj nyob rau hauv cov neeg uas siv tib pawg leeg nqaij ntau dhau, xws li cov neeg ncaws pob thiab cov tub rog. Qhov mob hnyav dua thaum tawm dag zog thiab zoo dua thaum so. Txawm hais tias nws tsis yog xwm txheej ceev, nws tuaj yeem hnyav zuj zus raws sijhawm.
Muaj dab tsi tshwm sim ua ntej thiab thaum lub sijhawm phais?
Vim tias Acute Compartment Syndrome yog ib qho xwm txheej ceev, feem ntau tsis tau npaj ua ntej rau kev phais fasciotomy. Thaum koj raug xa mus rau Chav Kho Mob Ceev (ETU) hauv tsev kho mob, cov kws kho mob kuaj mob no raws li koj cov tsos mob. Thaum lawv kuaj pom tias muaj cov tsos mob xws li mob tsis taus, loog, thiab tsis muaj zog hauv koj txhais caj npab lossis ceg, pab pawg phais yuav coj koj mus rau chav phais sai sai.
Qhov tseem ceeb tshaj plaws yog ua phais mob hauv ob peb teev tom qab kuaj pom tus mob no, vim tias txhua lub sijhawm uas dhau mus ua rau cov nqaij puas tsuaj ntau ntxiv.
Qhov kev phais mob no yog ua los ntawm kev siv tshuaj loog dav dav, uas txhais tau tias koj yuav tsis hnov lossis nco qab dab tsi. Tus kws phais yuav:
- Yuav txiav ib lossis ob daim tawv nqaij rau saum cov leeg nqaij uas cuam tshuam.
- Tom qab ntawd, lub fascia sab hauv raug txheeb xyuas, txiav, thiab lub siab raug tso tawm. Tej zaum yuav tsim nyog tso ntau lub compartments li no.
- Tom qab ntawd, lawv xyuas seb puas muaj cov nqaij puas lawm los yog tuag lawm thiab muab tshem tawm. Lawv kuj ua tib zoo saib xyuas seb cov ntshav puas rov qab los.
- Feem ntau qhov phais no tsis raug xaws tam sim ntawd . Nws yuav siv sijhawm ob peb hnub kom qhov o tuaj yeem ploj mus tag, yog li ntawd qhov txhab thiaj li qhib. Qee zaum kev kho mob hu ua "kev kho mob qhov txhab uas muaj kev nias tsis zoo" yog siv los txo qhov o sai sai los ntawm kev tshem cov kua dej ntawm qhov txhab.
- Tom qab ob peb hnub, qhov txhab raug kuaj dua thiab cov nqaij tuag ntxiv raug tshem tawm.
- Thaum qhov o ploj mus lawm, qhov txhab yuav kaw. Qee zaum, yog tias tsis muaj daim tawv nqaij txaus los npog qhov txhab, ces yuav muab daim tawv nqaij ntawm lwm qhov ntawm lub cev coj mus cog rau lwm qhov chaw (ib qho 'txuas daim tawv nqaij').
- Thaum kawg, qhov txhab tau qhwv zoo lawm thiab koj yuav raug qhia txog seb yuav tsum muab daim ntaub qhwv ntev npaum li cas.
Cov txiaj ntsig thiab kev pheej hmoo ntawm kev phais mob yog dab tsi?
Ib yam li lwm yam kev phais mob, kev phais fasciotomy muaj nws cov txiaj ntsig thiab qee qhov kev pheej hmoo. Cia peb saib ze dua.
| Cov txiaj ntsig | Kev Pheej Hmoo |
|---|---|
| Txuag txoj sia thiab ceg: Thaum muaj xwm txheej ceev, qhov kev phais no tiv thaiv kev tuag ntawm cov nqaij, uas tuaj yeem ua rau txiav tes lossis muaj kab mob txaus ntshai rau lub neej. | Kev Pheej Hmoo Dav Dav rau kev phais: Muaj kev pheej hmoo xws li kev kis kab mob ntawm qhov txhab thiab kev puas tsuaj rau cov hlab ntsha lossis cov hlab ntsha. |
| Kev pab txo qhov mob hnyav: Rau cov neeg uas muaj mob ntev, qhov kev phais no tuaj yeem pab txo qhov mob ntev. | Kev phais tsis ua tiav: Qee zaum, muaj kev pheej hmoo ntawm kev poob caj npab / ceg vim tias cov ntaub so ntswg tsis tuaj yeem cawm tau (tshwj xeeb tshaj yog tias koj tuaj txog hauv tsev kho mob lig dhau). |
| Rov qab ua ub ua no dua: Nrog kev kho lub cev kom zoo, koj tuaj yeem siv koj txhais caj npab / ceg li qub dua. | Rov tshwm sim ntawm qhov mob: Cov nqaij caws pliav uas tsim thaum lub sijhawm kho qhov txhab tuaj yeem ua rau lub fascia nruj dua, ua rau qhov mob rov tshwm sim. |
Tom qab phais lawm, yuav muaj dab tsi tshwm sim? Vim li cas kev kho lub cev thiaj tseem ceeb?
Tej zaum koj yuav hnov mob me ntsis thaum cov tshuaj loog ploj mus. Koj tus kws kho mob yuav muab tshuaj tua kab mob rau koj los pab koj tswj nws. Tom qab phais, kev kho lub cev yog qhov tseem ceeb los pab koj rov qab txav mus los thiab muaj zog hauv thaj chaw ntawd. Yog tias koj tsis ua li ntawd, cov pob qij txha lossis cov leeg yuav tawv thiab tsis tuaj yeem txav mus los tau zoo.
Ib lo lus nug uas qee tus neeg nug yog, "Puas yog cov fascia rov qab tsim dua tom qab raug txiav?" Yog, nws ua li ntawd. Tab sis nws ua li ntawd raws li cov nqaij caws pliav. Yog vim li cas nws thiaj li tseem ceeb heev uas yuav tsum ua kom thaj chaw ntawd ncab zoo los ntawm kev kho lub cev.
Cov tsos mob uas xav tau kev kho mob tam sim ntawd
Yog tias koj nyuam qhuav raug mob hnyav lossis phais thiab muaj cov tsos mob hauv qab no, nws yog ib qho tseem ceeb heev uas yuav tsum mus rau Chav Kho Mob Ceev (ETU) ntawm tsev kho mob tam sim ntawd .
Nco ntsoov tias, yog tias muaj mob Acute Compartment Syndrome, cov hlab ntsha yuav pib puas tsuaj mus tas li tom qab 6 teev ntawm kev kho mob qeeb. Tom qab 12 teev, qhov kev pheej hmoo ntawm cov teeb meem yog siab heev.
Cov tsos mob uas yuav tsum tau kev saib xyuas sai sai:
- Mob hnyav, tsis tuaj yeem ua tau uas tsis sib npaug rau qhov mob hnyav .
- Kev tuag tes tuag taw ib ntus ntawm ib sab caj npab lossis ceg, txhais tau tias tsis muaj peev xwm txav nws.
- Mob txawv txawv, mob ntse thaum ncab ib leeg.
- Kev hnov mob loog, tingling (paresthesia).
Nws yog ib qho ib txwm rau txhua tus neeg ntshai thaum lawv raug qhia tias lawv yuav tsum tau phais mob ceev ceev zoo li no. Tab sis nco ntsoov, fasciotomy yog qhov kev daws teeb meem zoo tshaj plaws thiab zoo tshaj plaws rau compartment syndrome. Yog tias koj muaj lus nug lossis kev txhawj xeeb, tham nrog koj tus kws kho mob txog lawv qhib siab. Lawv nyob ntawd los pab koj.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev phais mob Fasciotomy yog ib qho kev phais uas feem ntau cawm txoj sia los txo qhov kev ntxhov siab ntau dhau nyob ib puag ncig cov leeg nqaij (compartment syndrome).
- Tsis txhob xav tias qhov mob hnyav, loog, thiab o uas tshwm sim tom qab raug mob hnyav heev, thiab qhov ntawd tsis sib npaug rau qhov loj ntawm qhov raug mob.
- Yog koj lossis ib tug neeg koj paub muaj cov tsos mob no, koj yuav tsum mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd. Lub sijhawm yog qhov tseem ceeb.
- Kev kho lub cev yog qhov tseem ceeb rau kev rov zoo tag nrho tom qab phais.
- Yog tias koj muaj kev txhawj xeeb txog koj txoj kev noj qab haus huv, tsis txhob yig los tham nrog koj tus kws kho mob.
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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