Qhov no ntawm koj ceg puas mob thiab? Cia peb tham txog (5th Metatarsal Fracture)!

Auj, qee zaum, txawm tias nws yog kev poob me me, kev mus ncig, lossis kev ntswj me ntsis ntawm ceg, sab ntawm peb tus ntiv taw me me tuaj yeem mob, puas yog? Nws tuaj yeem mob heev uas koj tsis tuaj yeem taug kev, thiab nws tuaj yeem o thiab xiav. Qhov laj thawj rau qhov no tuaj yeem yog pob txha me me hauv koj txhais taw tawg. Niaj hnub no, peb tab tom tham txog ib qho mob zoo li no, hu ua '(5th Metatarsal Fracture)', uas tuaj yeem tshwm sim rau ntau tus neeg.

Qhov pob txha tawg thib 5 no yog dab tsi?

Hais yooj yim xwb, muaj ib pob txha ntev nyob rau sab nraud ntawm koj txhais taw, uas txuas rau koj tus ntiv taw me . Koj tuaj yeem kov nws nrog koj txhais tes. Hauv cov lus kho mob, peb hu cov pob txha no ua 'pob txha Metatarsal thib 5' . Yog li, thaum cov pob txha no tawg lossis faib rau qee qhov laj thawj, peb hu nws ua '5th Metatarsal Fracture'. Qhov no yog qhov raug mob ko taw ntau dua li peb xav.

Puas muaj tej hom pob txha tawg no?

Yog lawm, qhov '(5th Metatarsal Fracture)' no muab faib ua peb hom tseem ceeb, nyob ntawm seb pob txha tawg qhov twg. Cov kws kho mob hu cov no raws li thaj chaw cuam tshuam. Peb hu lawv ua Cheeb Tsam 1, Cheeb Tsam 2, thiab Cheeb Tsam 3 .

Thaj Chaw 1: Avulsion Fracture

Qhov no yog hom pob txha tawg uas feem ntau pom . Xav txog seb, kwv yees li 93 feem pua ​​ntawm lawv hu ua "Avulsion Fractures". Qhov tshwm sim ntawm no yog tias thaum cov leeg lossis cov leeg uas txuas nrog pob txha nruj nreem raug rub tawm sai sai, cov leeg lossis cov leeg ntawd tawm ntawm pob txha nrog rau ib daim me me ntawm nws. Nws zoo li thaum peb rub lub pob ntawm lub tsho qub dhau lawm, nws tawm nrog rau ib daim ntaub.

Qhov no feem ntau tshwm sim thaum ceg dov mus rau hauv (zoo li pob luj taws tawg). Qee zaum cov kws kho mob tuaj yeem yuam kev pob luj taws tawg rau pob txha tawg vim tias qhov mob thiab o yog qhov tshwm sim rau ob leeg.

Thaj Chaw 2: Jones Pob Txha

Hom pob txha tawg no, hu ua "Jones Fracture," tshwm sim hauv ib cheeb tsam me me, tshwj xeeb ntawm pob txha metatarsal thib tsib. Tsuas yog tias cov ntshav tsis txaus ntau dua li lwm qhov ntawm pob txha . Koj paub, thaum cov ntshav tsis txaus, txhua qhov txhab yuav siv sijhawm ntev dua los kho, thiab qhov muaj feem yuav muaj ntau yam teeb meem tshwm sim kuj siab dua. Yog vim li cas qhov "Jones Fracture" no siv sijhawm ntev dua me ntsis los kho, thiab nws kuj tseem tuaj yeem ua rau muaj teeb meem.

Qhov no tuaj yeem yog pob txha tawg vim muaj kev ntxhov siab, uas yog ib qho tawg me me uas tshwm sim los ntawm kev nias rau ntawm pob txha tas li. Los yog nws tuaj yeem yog qhov tawg sai sai uas tshwm sim los ntawm kev sib tsoo tam sim ntawd.Nws kuj tseem tuaj yeem tshwm sim hauv cov hauv qab no. Nws feem ntau yog tshwm sim los ntawm kev siv ko taw ntau dhau (tshwj xeeb tshaj yog rau cov neeg ncaws pob), kev ntxhov siab rov qab ua dua, lossis kev raug mob tam sim ntawd. Qhov no tsis tshua muaj ntau dua li Avulsion Fracture uas tau hais ua ntej, thiab kuj nyuaj me ntsis rau kev kho.

Thaj Chaw 3: Pob Txha Nruab Nrab lossis Pob Txha Dancer

Qhov no kuj hu ua "Mid-shaft Fracture", thiab qee zaum "Dancer's Fracture" . Tej zaum nws raug hu ua vim nws yog ib qho uas tshwm sim ntau rau cov neeg seev cev, tshwj xeeb tshaj yog thaum tsaws los ntawm kev dhia. Feem ntau nws tshwm sim los ntawm kev sib tsoo tam sim ntawd, xws li "kev raug mob" lossis kev ntswj ntawm ceg. Qhov pob txha tawg tshwm sim hauv nruab nrab ntawm pob txha, ze ntawm "lub taub hau" thiab "caj dab".

Leej twg thiaj li yuav tau pob txha tawg zoo li no?

Qhov tseeb, qhov "(5th Metatarsal Fracture)" no tuaj yeem tshwm sim rau txhua tus neeg . Txhua tus neeg txij li menyuam yaus mus txog rau cov neeg laus tuaj yeem tau txais qhov mob no. Txawm li cas los xij, thaum saib cov ntaub ntawv kho mob thiab cov ntaub ntawv, nws tau hais tias nws feem ntau tshwm sim rau cov txiv neej hauv lawv cov hnub nyoog 30s thiab rau cov poj niam hauv lawv cov hnub nyoog 70s . Nws kuj tau hais tias "(Avulsion Fracture)" thiab "(Mid-shaft Fracture)" uas tau hais ua ntej yog me ntsis ntau dua rau cov poj niam dua li cov txiv neej.

Dab tsi ua rau cov pob txha tawg no?

Hais yooj yim xwb, qhov ua rau qhov no yog qee yam xwm txheej lossis kev ntxhov siab ntev (kev raug mob lossis kev ntxhov siab rov ua dua) rau koj txhais taw. Xav txog tej yam zoo li no:

• Ib qho kev tsoo ko taw tam sim ntawd, hnyav: Zoo li ib yam dab tsi hnyav poob rau ntawm ko taw, lossis tsoo ib yam dab tsi.
• Cov arches siab: Qee tus neeg muaj lub arch siab me ntsis rau hauv qab ntawm lawv ko taw, uas tuaj yeem muab kev nyuaj siab ntau dua rau sab nraub qaum ntawm lawv ko taw thaum taug kev.
• Siv ntau dhau: Qhov kev pheej hmoo no tshwj xeeb tshaj yog rau cov neeg ncaws pob, cov neeg khiav, thiab cov neeg ua haujlwm thaum sawv ntsug ntev.
• Kev raug mob ntawm qhov tig rov qab: Qhov no yog qhov ua rau feem ntau tshwm sim. Nws tuaj yeem tshwm sim los ntawm tej yam xws li poob rau hauv lub qhov thaum taug kev lossis dov koj txhais taw thaum nqis ntaiv.
• Tig los yog ntswj ceg vim muaj xwm txheej lossis raug mob kis las: Hom pob txha tawg no tuaj yeem tshwm sim yog tias ceg raug tig los yog ntswj rau hauv txoj kev tsis tau xav txog.

Cov tsos mob yog dab tsi?

Yog tias koj muaj '(5th Metatarsal Fracture)', thawj qhov koj yuav pom yog qhov nyuaj rau taug kev . Tej zaum koj yuav tsis tuaj yeem tso koj txhais taw rau hauv av. Tsis tas li ntawd, koj yuav pom cov tsos mob hauv qab no ntawm koj txhais taw (ntawm tus ntiv taw me):

• Kev raug mob thiab xiav : Thaj chaw ntawd yuav pib xiav tom qab ib lossis ob hnub.
• Mob los yog tsis xis nyobNws mob txawm tias koj tuav koj txhais tes los xij, thiab tej zaum yuav mob txawm tias koj sawv ntawd xwb los xij.
• Kev o : Thaj chaw yuav pib o, txawm tias tam sim ntawd tom qab qhov xwm txheej lossis tsis ntev tom qab ntawd.
• Kev Mob : Thaj chaw ntawd yuav mob thaum kov.

Koj paub qhov no li cas tiag?

Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, nws yuav xub nug koj ob peb lo lus nug . Nws tshwm sim li cas, mob ntev npaum li cas lawm, thiab mob hnyav zuj zus thaum twg? Tom qab ntawd tus kws kho mob yuav ua tib zoo saib koj txhais taw kom pom qhov twg nws mob, nws o npaum li cas, thiab seb pob txha puas zoo li nws txav mus los.

Tom qab ntawd, ntau qhov kev kuaj duab yuav ua tau los xyuas kom meej qhov mob thiab txiav txim siab qhov xwm txheej ntawm qhov tawg:

• X-ray: Qhov no yog qhov kev kuaj mob uas siv ntau tshaj plaws. X-ray tuaj yeem qhia qhov chaw uas koj pob txha tawg thiab nws tawg li cas. Txawm li cas los xij, qee qhov pob txha tawg, xws li Jones Fracture uas tau hais ua ntej, yuav tsis pom ntawm X-ray.
• Kev thaij duab CT (computed tomography scan) lossis MRI (magnetic resonance imaging): Yog tias koj tus kws kho mob xav tias muaj Jones Fracture lossis xav pom cov ntsiab lus ntxiv txog qhov pob txha tawg, lawv tuaj yeem xaj kom thaij duab CT. Cov kev thaij duab no tuaj yeem qhia cov pob txha thiab cov nqaij mos ib puag ncig kom meej.

Yuav kho li cas?

Kev kho mob rau "5th Metatarsal Fracture" nyob ntawm ntau yam. Qhov tseem ceeb tshaj plaws uas yuav tsum xav txog yog seb cov pob txha tawg puas "ploj mus" lossis "sib dhos" . Tsis tas li ntawd, koj cov:

• Qib Kev Ua Si: Tej yam xws li seb koj puas yog ib tus neeg ncaws pob lossis ib tus neeg uas taug kev ntau.
• Hnub nyoog.
• Kev noj qab haus huv tag nrho.

Tom qab koj xav txog txhua yam no lawm, koj tus kws kho mob mam li txiav txim siab seb yuav kho li cas thiaj zoo tshaj plaws rau koj. Muaj ob txoj kev kho mob tseem ceeb:

1. Kev Tiv Thaiv Kev Txav Mus Los

Yog tias koj cov pob txha tsis tau txav mus los, uas txhais tau tias lawv tseem nyob rau tib qho chaw, koj tus kws kho mob yuav qhia koj kom tuav koj txhais ceg kom ruaj. Qhov no hu ua immobilization .

• Rau qhov Zone 1 Avulsion Fracture uas peb tau tham txog, qhov no feem ntau yog tib txoj kev kho mob xwb.
• Qhov "(Immobilization)" no kuj tseem tuaj yeem ua tau ua thawj kauj ruam rau Zone 2 Jones Fracture .

Qhov no suav nrog kev muab koj txhais ceg tso rau hauv ib daim cam, ib lub khau tshwj xeeb, lossis ib lub khau tawv.Qhov no yuav muab sijhawm rau cov pob txha tawg kom zoo. Koj kuj tseem yuav tsum siv cov pas nrig thaum lub sijhawm no, vim tias nws tsis zoo rau muab qhov hnyav rau ntawm ceg. Feem ntau koj yuav tsum khaws nws kom tsis txhob txav mus li rau txog yim lub lis piam .

2. Kev phais mob

Muaj tej lub sij hawm, yuav tsum tau phais. Cov no suav nrog:

• Yog tias koj cov pob txha tau txav mus ntau dua 3 millimeters ('tsaim txav chaw') .
• Yog tias koj yog ib tug neeg ncaws pob zoo tshaj plaws ( vim tias koj xav rov zoo sai sai thiab rov qab mus ua si).
• Yog tias qhov pob txha tawg Zone 2 Jones tsis teb rau kev kho mob uas xav tau.
• Feem ntau pom zoo kom phais rau thaj tsam 3 (`Zone 3 Mid-shaft lossis Dancer's Fracture`) .

Hauv kev phais mob no, tus kws phais mob ko taw thiab pob luj taws (Foot and Ankle Surgeon) muab ib lub koob me me, ntsia hlau, pas nrig, lossis phaj ntxig rau hauv pob txha kom tuav cov pob txha tawg rau hauv qhov chaw. Cov pob txha cog no feem ntau tseem nyob hauv lub cev txawm tias tom qab pob txha kho zoo lawm thiab feem ntau tsis raug tshem tawm.

Hauv qee kis uas nyuaj heev, tej zaum yuav tsum tau muab cov pob txha uas puas lawm nyob ib puag ncig qhov tawg thiab hloov nrog ib qho pob txha txuas . Qhov no suav nrog kev hloov cov pob txha uas puas lawm nrog ib daim pob txha los ntawm lwm qhov ntawm koj lub cev lossis lwm qhov chaw. Koj kuj tseem siv tau ib lub cuab yeej hu ua lub tshuab txhawb kev kho pob txha , uas pab kom pob txha kho sai dua.

Puas muaj teeb meem tshwm sim tom qab kho mob?

Ib yam li kev kho mob twg los xij, tej zaum yuav muaj qee qhov teeb meem tom qab kho mob rau '(5th Metatarsal Fracture)'. Txawm li cas los xij, cov no tsis tshwm sim rau txhua tus neeg, thiab txhua tus neeg txawv. Qee qhov teeb meem feem ntau yog:

• Cov ntshav txhaws : Tshwj xeeb tshaj yog tom qab phais vim tias ceg tsis txav tau.
• Kev puas tsuaj rau cov hlab ntsha lossis cov hlab ntsha : Qhov no tuaj yeem tshwm sim thaum lub sijhawm phais lossis thaum muaj xwm txheej.
• Los ntshav ntau dhau .
• Kev kis kab mob : Tshwj xeeb tshaj yog tias koj tau phais.
• Cov leeg nqaij atrophy : Cov leeg nqaij yuav qaug zog vim tsis siv.
• Nonunion lossis Malunion : Qee zaum cov pob txha tawg yuav tsis sib koom ua ke zoo lossis yuav sib koom ua ke tsis raug.
• Mob tas li ('Mob') .

Tseem Ceeb: Yuav kom txo tau qhov kev pheej hmoo ntawm cov teeb meem zoo li no, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li koj tus kws kho mob cov lus qhia kom meej.

Kuv yuav ua li cas thiaj saib xyuas kuv tus kheej kom txog thaum kuv zoo? Kuv yuav ua li cas thiaj tswj tau kuv cov tsos mob?

Koj ua tau cov no kom pab koj kho sai dua thiab txo qhov mob:

• Tsa koj txhais taw kom siab li siab tau: Thaum koj zaum, tsa koj txhais taw rau ntawm ib lub hauv ncoo lossis lub rooj zaum kom nws nyob siab dua koj lub plawv me ntsis. Qhov no yuav txo qhov o.
• Siv dej khov rau koj txhais taw: Muab ib lub hnab dej khov qhwv rau hauv ib daim ntaub rau ntawm qhov chaw raug mob li 15-20 feeb ntau zaus hauv ib hnub rau thawj 24-48 teev tom qab raug mob thiab tom qab ntawd. Qhov no yuav txo qhov mob thiab o. Tab sis tsis txhob muab dej khov rau ntawm daim tawv nqaij ncaj qha.
• Tsis txhob muab qhov hnyav rau ntawm koj txhais taw kom txog thaum koj tus kws kho mob hais kom koj ua ('Keeping weight off your foot'): Yog tias koj siv cov pas nrig, siv lawv kom raug.
• Yog koj haus luam yeeb, tsum tsis txhob haus ('Tsum haus luam yeeb'): Kev haus luam yeeb thiab siv cov khoom luam yeeb ua rau cov qhov txhab zoo qeeb. Yog li ntawd, kev tso tseg qhov kev coj ua no yuav pab tau zoo heev rau kev kho sai.
• Noj tshuaj loog mob: Noj cov tshuaj loog mob uas koj tus kws kho mob tau sau ntawv kom noj, xws li ibuprofen lossis naproxen, raws li tau qhia. Cov no tuaj yeem pab tswj qhov mob thaum ntxov. Txawm li cas los xij, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob txog cov tshuaj uas haum rau koj.

Puas txo tau qhov kev pheej hmoo ntawm hom pob txha tawg no?

Txawm hais tias nws tsis tuaj yeem tiv thaiv tau tag nrho los xij, muaj ob peb yam koj tuaj yeem ua tau los txo koj qhov kev pheej hmoo:

• Tswj koj lub cev qhov hnyav kom noj qab nyob zoo: Kev rog dhau ua rau koj ob txhais taw muaj kev nyuaj siab ntxiv.
• Yog koj muaj ntshav qab zib, tswj nws kom zoo: Cov neeg uas muaj ntshav qab zib muaj feem yuav mob pob txha thiab cov teeb meem uas los nrog lawv. Cov neeg rog dhau kuj muaj feem yuav mob pob txha ntau dua.
• Hnav khau uas haum zoo: Hnav khau uas muab kev txhawb nqa zoo rau koj txhais taw, tshwj xeeb tshaj yog thaum ua si kis las lossis ua haujlwm.
• Ua raws li cov txheej txheem kev tawm dag zog kom raug: Tsis txhob pib tawm dag zog hnyav dhau ib zaug, tab sis maj mam nce qhov hnyav.
• Ua tib zoo xav txog ib puag ncig: Ua tib zoo xav txog cov chaw nplua hauv tsev thiab tom chaw ua haujlwm, thiab ua tib zoo xav txog cov qhov av ntawm txoj kev.

Yog tias kuv muaj pob txha tawg zoo li no, kuv yuav cia siab li cas?

Yog tias koj qhov pob txha tawg tau kho nrog txoj kev immobilization (plaster), koj feem ntau tuaj yeem cia siab tias nws yuav kho tau li ntawm rau txog yim lub lis piam .

Yog koj tau phais lawm, nws yuav siv sijhawm li xya lub lis piam lossis ntev dua me ntsis kom zoo. Txawm li cas los xij, txawm tias kev kho mob li cas los xij, koj yuav tsum tsis txhob muab qhov hnyav rau ntawm koj ceg tsawg kawg yog rau lub lis piam .

Tom qab kho tag nrho, uas yog, feem ntauTom qab peb txog plaub lub hlis, koj tuaj yeem rov qab mus ua koj cov dej num thiab kev ua si ib txwm. Tab sis qhov ntawd kuj yuav tsum tau ua nrog kev pom zoo ntawm tus kws kho mob. Tus kws kho mob yuav pom zoo kom kho lub cev kom rov qab tau qhov txav mus los thiab lub zog ntawm koj ob txhais ceg. Kev ua cov kev tawm dag zog no kom raug yog qhov tseem ceeb heev rau kev rov zoo sai.

Kuv yuav tsum mus ntsib kws kho mob dua thaum twg?

Tom qab koj kho mob tas, koj yuav tsum mus ntsib kws kho mob tam sim ntawd yog tias koj kub taub hau lossis muaj ib lossis ntau yam tsos mob no hauv koj ceg:

• Yog tias qhov mob tsis tuaj yeem ua tau ('Mob ntxiv') .
• Yog tias qhov o tuaj zuj zus ('Qhov o nce ntxiv') .
• Yog tias koj xav tias loog lossis tingling hauv koj ob txhais ceg .
• Yog tias daim tawv nqaij ntawm koj ob txhais ceg tig xim av , lossis yog tias koj xav tias txias dua li niaj zaus.
• Yog tias muaj kua qaub tawm ntawm qhov txhab, lossis yog tias muaj ntxhiab tsw phem (yog tias koj tau phais lawm).

Cov tsos mob zoo li no txhais tau tias tej zaum yuav muaj teeb meem. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Yog li ntawd, peb yuav tsum nco ntsoov dab tsi? (Cov Lus Coj Mus Tsev)

Zoo, yog li kuv vam tias koj tam sim no nkag siab zoo dua txog qhov 5th Metatarsal Fracture uas peb tau tham txog hnub no.

Txawm hais tias qhov no yog ib qho mob uas tshwm sim ntau dua li koj xav, nws tuaj yeem kho tau sai yog tias koj tau txais kev kuaj mob zoo, tau txais kev kho mob kom zoo, ua raws li koj tus kws kho mob cov lus qhia kom meej, thiab so kom txaus.

Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob tam sim ntawd yog tias koj tus ntiv taw me mob, o, lossis nyuaj rau taug kev. Ua li ntawd, koj tuaj yeem nrhiav tau qhov teeb meem sai sai, tau txais X-ray yog tias tsim nyog, thiab pib kho kom raug. Ua li ntawd, koj tuaj yeem rov qab mus rau koj cov dej num ib txwm sai sai!

Pob Txha, Mob Ko Taw, Metatarsal, Jones Pob Txha, Avulsion Pob Txha, Kab Mob Ko Taw, Pob Qij Txha Qij Txha