Peb txhua tus yuav muaj pob txha tawg thaum twg los tau hauv peb lub neej, puas yog? Nws tuaj yeem tshwm sim thaum peb nce ntoo thiab poob, thaum ua si, lossis txawm tias muaj xwm txheej me me. Feem ntau, thaum peb mus ntsib kws kho mob thiab muab plaster (POP cast), nws kho tau tag nrho hauv ob peb hnub thiab rov qab zoo li qub. Tab sis ... yuav ua li cas yog tias nws tsis tshwm sim tas li? Yuav ua li cas yog tias pob txha tawg teeb tsa tsis raug, lossis yog tias nws tsis teeb tsa txhua lub sijhawm txawm tias nws siv sijhawm ntev npaum li cas los xij? Qhov ntawd yog qhov peb tab tom tham txog hnub no. Hauv kev kho mob, ob qho mob no hu ua '(Malunion)' thiab '(Nonunion)'.
Hais yooj yim xwb, Malunion thiab Nonunion yog dab tsi?
Qhov no yooj yim heev. Cia peb xav txog nws li no.
Malunion: Qhov no txhais tau tias ob daim pob txha tawg tau sib koom ua ke, uas yog, lawv tau muab tso ua ke, tab sis ua tsis raug. Lawv tsis nyob qhov chaw uas lawv yuav tsum nyob. Lawv yuav nkhaus me ntsis, ntswj, lossis luv me ntsis. Xav txog tias koj tab tom muab ob daim phaj tawg ua ke nrog kua nplaum, tab sis ob daim tsis haum ua ke, lawv nkhaus me ntsis. Lub phaj tau lo ua ke, tab sis nws cov duab tam sim no txawv. Ntawd yog qhov 'malunion' yog.
Tsis sib koom ua ke: Qhov no yog thaum ob daim pob txha tawg tsis sib koom ua ke, txawm tias lub sijhawm dhau mus ntev npaum li cas los xij. Tseem muaj qhov sib txawv ntawm ob daim. Yog tias peb coj tib qho piv txwv li ua ntej, nws zoo li ob daim phaj uas tsis lo ua ke txawm tias koj nplaum lawv ua ke ntau npaum li cas los xij.
Muaj ob qho laj thawj tseem ceeb ua rau pob txha tsis kho tau zoo li no.
1. Teeb meem txog kev kho mob: Qhov no txhais tau tias ob daim pob txha tsis tuaj yeem tuav ua ke thiab tsis txav thaum lub sijhawm kho. Qee zaum cov pob txha tuaj yeem txav mus rau hauv daim cam khwb cia.
2. Teeb meem txog kab mob: Qhov no txhais tau hais tias cov txheej txheem ntawm kev tsim pob txha tshiab raug cuam tshuam vim muaj qee yam ua rau sab hauv koj lub cev. Piv txwv li, cov ntshav tsis txaus rau thaj chaw ntawd, kev tsis noj zaub mov zoo, lossis lwm yam mob tuaj yeem cuam tshuam rau qhov no.
Cov kws kho mob xav txog ob qho tib si ntawm cov laj thawj no thaum kho cov mob no.
Puas muaj hom kev tsis koom ua ke?
Yog, thaum ib pob txha tsis sib dhos, cov kws kho mob yuav muab nws cais ua pawg kom nrhiav tau qhov ua rau. Qhov ntawd ua rau nws yooj yim dua rau kev kho.
| Hom tsis koom ua ke | Hais yooj yim xwb... |
|---|---|
| Hypertrophic nonunion | Hauv qhov no, lub cev tab tom sim tsim cov pob txha tshiab. Qhov ntawd txhais tau tias lub cev muaj peev xwm tsim cov pob txha zoo. Tab sis qhov kawg ntawm ob daim pob txha tawg tsis sib ntsib, yog li lawv tsis tuaj yeem kho tau. Muaj teeb meem kho tshuab ntawm no. |
| Atrophic nonunion | Hauv qhov no, lub cev tsis siv zog los tsim cov pob txha tshiab. Qhov laj thawj rau qhov no yog vim tias cov ntshav mus rau thaj chaw ntawd tsawg heev. Muaj teeb meem txog kab mob ntawm no. Qee zaum, qhov no tuaj yeem tshwm sim txawm tias cov pob txha tau kis kab mob lawm (septic nonunion). |
| Oligotrophic nonunion | Qhov no yog kev sib xyaw ua ke ntawm ob yam no. Lub cev tab tom sim tsim qee cov pob txha tshiab, tab sis nws tsis tau tiav. Thiab cov pob txha tsis zoo tag nrho. Yog li ntawd, tej zaum yuav muaj ob qho tib si yam khoom siv thiab cov yam ntxwv ntawm lub cev ua si ntawm no. |
Cov tsos mob ntawm pob txha tsis sib luag (malunion) yog dab tsi?
Thaum pob txha tsis sib dhos, cov tsos mob tuaj yeem tshwm sim ob qho tib si pom thiab ua rau tsis xis nyob.
Txoj kev uas nws zoo li los ntawm sab nraud
- Zoo li koj txhais caj npab lossis ceg raug mob .
- Sab caj npab los yog ceg zoo li nws ntswj lawm .
- Sab caj npab lossis ceg ntawd zoo li luv dua me ntsis piv rau sab tod.
Kev xav tsis xis nyob
- Nws mob thaum koj siv sab caj npab lossis ceg ntawd.
- Muaj o nyob ntawd.
- Yog nws nyob hauv ib ceg, nws yuav ceg qaug zog thaum koj taug kev.
Xav txog seb koj pob txha hauv koj ceg puas tsis sib dhos. Thaum koj taug kev, koj lub cev yuav muab qhov hnyav ntxiv rau ntawm koj lub duav, lub hauv caug, lossis nraub qaum kom them rov qab. Tom qab ib pliag, tsis yog koj ceg xwb uas mob, tab sis kuj yog koj lub duav thiab nraub qaum.
Qee zaum, cov pob txha uas tsis sib dhos ua ke yuav nias cov hlab ntsha. Yog tias qhov no tshwm sim, koj yuav muaj cov tsos mob xws li:
- Kev hnov mob tingling, tingling (paresthesia)
- Cov leeg nqaij tsis muaj zog, qaug zog (atrophy)
- Mob hlab ntsha hnyav nrog kev o (neuropathy)
Cov tsos mob ntawm kev tsis sib yuav yog dab tsi?
Thaum pob txha tsis kho tau ntev, koj yuav muaj cov tsos mob no:
- Mob tob, mob mus tas li los ntawm pob txha tawg.
- Nws yog qhov tsis muaj zog lossis tsis muaj peev xwm siv caj npab lossis ceg kom raug.
- Ib qho kev puas tsuaj uas pom tseeb, piv txwv li, ib lub pob uas zoo li ib lub qog, lossis ib lub qhov uas zoo li ib lub qhov.
Ntxiv rau, yog tias pob txha kis kab mob, cov tsos mob xws li:
- Kev o
- Ua npaws
- Ntshai vim txias
Vim li cas cov pob txha thiaj tsis sib dhos lossis tsis sib dhos zoo li no?
Tej zaum yuav muaj ntau yam ua rau qhov no.
- Qhov xwm txheej ntawm pob txha tawg: Qee qhov pob txha tawg nyuaj heev. Yog tias pob txha raug tsoo ua tej daim me me (pob txha tawg ua tej daim me me) lossis ntswj (pob txha tawg ua voj voog), nws nyuaj rau muab lawv rov qab ua ke. Tsis tas li ntawd, yog tias cov hlab ntsha uas muab ntshav rau pob txha raug puas tsuaj hauv qhov xwm txheej, cov txheej txheem kho mob qeeb heev.
- Kev Kho Mob: Yog tias tus kws kho mob tsis kho pob txha tawg tam sim ntawd, pob txha yuav pib tsis sib dhos. Qee zaum, txawm tias tom qab muab cov hlau nplaum pov rau hauv pob txha lawm los xij, cov pob txha uas tawg lawm kuj tseem yuav tsis sib dhos tau. Kev kho mob qeeb lossis kev kho mob tsis raug yog ib qho ua rau muaj qhov teeb meem no.
- Yuam kev ua thaum lub sijhawm kho: Yog tias koj txiav thiab tshem daim plaster ua ntej tus kws kho mob hais, lossis yog tias koj muab qhov hnyav rau ntawm ib ceg uas lawv hais kom koj tsis txhob muab qhov hnyav rau, txawm tias ib pob txha uas yuav tsum tau teeb tsa kom raug tuaj yeem teeb tsa tsis raug lossis tsis teeb tsa li.
- Koj txoj kev noj qab haus huv tag nrho: Kev kho pob txha qeeb zuj zus thaum koj laus zuj zus. Cov neeg uas muaj mob xws li ntshav qab zib, kab mob thyroid, thiab kev tsis noj zaub mov zoo kuj muaj feem yuav muaj feem ntau dua. Kev haus luam yeeb thiab siv nicotine yog cov yeeb ncuab loj ntawm kev kho pob txha. Lawv tuaj yeem txo cov ntshav ntws mus rau pob txha, ua rau txoj kev kho tsis zoo.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob, nws yuav ua raws li cov kauj ruam no.
1. Nug kom paub meej ntxiv: Ua ntej, lawv yuav nug koj kom paub meej ntxiv. Lawv yuav nug koj txhua yam uas koj xav paub, xws li qhov xwm txheej ntawd tshwm sim li cas, nws tshwm sim thaum twg, koj tab tom ntsib teeb meem dab tsi tam sim no, koj muaj lwm yam kab mob dab tsi, thiab koj noj tshuaj dab tsi.
2. Kev kuaj lub cev: Tom qab ntawd, thaj chaw ntawd yuav raug kuaj xyuas kom zoo. Lawv yuav kuaj seb puas muaj qhov o lossis qhov tsis zoo, seb cov ceg puas ntev sib npaug, thiab seb cov pob qij txha puas ua haujlwm zoo. Lawv kuj tseem yuav hais kom koj taug kev ncig.
3. Kev kuaj duab: Tsuas yog tom qab ntawd thiaj ua tiav kev kuaj.
- X-ray: Feem ntau, daim duab X-ray tuaj yeem qhia tau ntau yam. Nws tuaj yeem qhia meej meej seb cov pob txha puas sib dhos, tsis sib dhos, lossis tsis sib dhos kiag li.
- Kev luam theej duab CT lossis MRI:Qee zaum, yog tias xav tau cov ntsiab lus ntxiv, xws li pom qhov puas tsuaj rau cov nqaij mos mos nyob ib puag ncig pob txha, yuav muaj kev txiav txim kom kuaj CT scan lossis MRI scan.
Yog tias daim duab X-ray qhia tias cov pob txha tsis sib dhos, ces hu ua 'Malunion'. Yog tias cov pob txha tsis tau sib dhos tom qab lub sijhawm ntev (piv txwv li, 6, 9, 12 lub hlis), ces hu ua 'Nonunion'.
Puas kho tau cov mob no? Cov kev kho mob yog dab tsi?
Yog, cov no yeej kho tau. Tab sis tsis yog txhua yam mob qog nqaij hlav yuav tsum kho. Yog tias nws tsis muaj feem cuam tshuam loj rau koj lub neej txhua hnub, lossis yog tias nws tsis mob, koj tus kws kho mob yuav qhia koj kom tsis txhob ua dab tsi txog nws. Tab sis yog tias nws ua rau koj mob lossis tsis xis nyob, koj yuav tsum tau txais kev kho mob.
Cov kev kho mob muaj ob pawg: tsis phais thiab phais.
Kev kho mob rau malunion
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Kev kho mob uas tsis yog phais | |
| Kev txhawb nqa | Hnav ib lub brace los pab kom pob txha nyob rau hauv qhov chaw zoo dua. |
| Cov khoom siv kho pob txha | Yog tias ib ceg luv, muaj ib daim ntxig tshwj xeeb uas muab tso rau hauv khau los them rau nws. |
| Kev kho lub cev | Cov kev tawm dag zog uas ua rau cov leeg nqaij nyob ib puag ncig pob txha muaj zog thiab txo qhov hnyav ntawm pob txha. |
| Kev phais mob | |
| Kev phais pob txha | Tus kws phais mob rov txiav cov pob txha uas tsis sib dhos, ncaj nws, thiab kho nws nrog cov phaj thiab cov ntsia hlau. |
| Kev phais kom ceg ntev dua | Yog tias ib sab caj npab lossis ceg luv dua, yuav muaj ib lub cuab yeej tshwj xeeb ntsia thiab maj mam ua kom pob txha ntev dua. |
Kev kho mob rau kev tsis sib koom ua ke
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Kev kho mob uas tsis yog phais | |
| Kev kho mob | Kho ib qho mob uas tseem ceeb, xws li ntshav qab zib, kev tsis txaus zaub mov zoo, lossis kev kis kab mob. |
| Cov tshuaj txhawb pob txha | Ib lub cuab yeej sab nraud uas ua rau cov pob txha kho zoo siv cov nthwv dej ultrasonic lossis electromagnetic. |
| Kev phais mob | |
| Kev tshem tawm cov av | Phais tshem cov nqaij tuag tawm ntawm qhov kawg ntawm ob daim pob txha, tsim kom muaj ib qho pob txha tshiab. |
| Kev txuas pob txha | Ib daim pob txha uas raug coj los ntawm lwm qhov ntawm koj lub cev (piv txwv li, koj pob txha ntawm lub duav) lossis ib daim pob txha ntawm tus neeg pub dawb raug hloov mus rau hauv qhov sib txawv. Qhov no pib kev loj hlob ntawm pob txha tshiab. |
| Kev kho sab hauv | Kev kho kom ruaj khov suav nrog kev rov kho ob daim pob txha thiab tuav lawv ua ke nrog cov xov hlau, phaj, koob, lossis pas nrig. |
Tom qab kho tas, qhov teeb meem yuav zoo li cas?
Feem ntau, cov kev phais mob no thiab lwm yam kev kho mob no ua tau zoo heev. Tab sis nws yuav siv sijhawm me ntsis kom rov zoo. Tej zaum koj yuav tsum siv cov pas nrig rau ob peb lub hlis tom qab phais. Tsis tas li ntawd, kev kho lub cev yog qhov tseem ceeb kom rov qab tau lub zog ntawm cov leeg nqaij thiab rov qab tau cov pob qij txha.
Txawm li cas los xij, yog tias lwm yam kab mob, xws li ntshav qab zib, tsis raug tswj kom zoo, yog tias tsis tsum haus luam yeeb, lossis yog tias pob txha ruaj khov rov qab los ua verrucid dua, muaj qhov tshwm sim me me uas kev kho mob yuav tsis ua tiav.
Yog li ntawd, nco ntsoov, yog tias koj muaj kev xav tias koj pob txha tawg, tsis txhob yig mus ntsib kws kho mob. Kev kho mob sai thiab raug yuav pab tau ntau yam los tiv thaiv cov teeb meem no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Yog koj pob txha tawg thiab mob thiab o ntev heev, lossis yog koj txhais ceg zoo li tawv, tsis txhob xav tias qhov no yooj yim. Rov qab mus nrog koj tus kws kho mob tham txog qhov no.
- 'Malunion' yog thaum pob txha tawg tsis sib dhos zoo. 'Nonunion' yog thaum nws tsis sib dhos kiag li.
- Tej yam xws li ntshav qab zib thiab kev haus luam yeeb tuaj yeem ua rau muaj teeb meem loj rau kev kho pob txha. Kev tham nrog koj tus kws kho mob txog cov no thiab kev tswj lawv kom zoo yog qhov tseem ceeb rau kev kho mob kom zoo.
- Muaj ob txoj kev xaiv kho mob uas tsis yog phais thiab kev kho mob phais. Koj tus kws kho mob yuav txiav txim siab seb qhov twg zoo tshaj plaws rau koj.
- Ua raws li tus kws kho mob cov lus qhia tom qab kho mob, tshwj xeeb tshaj yog kev tawm dag zog lub cev, yog qhov tseem ceeb heev 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