Koj cov pob txha tawg puas tau kho tsis raug lawm? Los yog nws tseem tsis tau kho? Cia peb tham txog (Malunion thiab Nonunion Fractures)!

Nws yog ib qho uas feem ntau yuav tawg pob txha, xws li caj npab lossis ceg, tsawg kawg ib zaug hauv peb lub neej. Thaum qhov ntawd tshwm sim, peb sai sai mus ntsib kws kho mob, muab plaster cam khwb cia, thiab tos kom nws zoo. Feem ntau ntawm lub sijhawm, nrog kev kho mob kom zoo, cov pob txha tawg no yuav zoo dua. Txawm li cas los xij, muaj lub sijhawm uas cov txheej txheem kho no tsis tshwm sim kom raug. Thaum ntawd peb yuav tsum tham txog cov mob hu ua '(Malunion)' (misalignment) thiab '(Nonunion)' (tsis kho tau kiag li) . Cov no tuaj yeem ua rau ntxhov siab me ntsis, yog li nws tseem ceeb heev uas yuav tsum paub txog cov no.

Cov lus "(Malunion)" thiab "(Nonunion)" no txhais li cas? Cia peb nkag siab yooj yim, puas yog?

Xav txog koj pob txha tawg hauv koj txhais caj npab lossis ceg. Tus kws kho mob tau teeb tsa nws kom raug thiab muab daim plaster cast rau nws. Tam sim no, ob daim pob txha tawg yuav tsum rov qab los ua ke thiab haum raws li lawv tau ua yav dhau los.

• `(Malunion)` - Kev nkag siab yuam kev:

Hais yooj yim xwb, '(Malunion)' txhais tau hais tias ob lub pob txha tawg tau sib koom ua ke, tab sis tsis tau sib haum zoo . Qhov ntawd yog, cov pob txha yuav tsis sib haum, lossis ntswj me ntsis, lossis luv dua li qhov yuav tsum tau ua. Nws zoo li muab ob daim av nplaum tawg rov qab sib koom ua ke tsis raug. Nws sib koom ua ke, tab sis tsis yog kiag li.

• `(Nonunion)` (Nonunion) - Qhov poob ntawm yam uas haum:

"(Nonunion)" yog ib qho mob hnyav dua me ntsis. Qhov tshwm sim ntawm no yog tias ob daim pob txha tawg, txawm tias tom qab lub sijhawm ntev los kho, tsis sib haum ua ke kiag li . Qhov ntawd yog, txawm tias tom qab ntau lub hlis, kev sib txuas tshiab tsis tau tsim ntawm ob lub pob txha. Yog xav kom meej meej, pob txha tseem tawg.

Thaum cov pob txha tsis kho kom zoo, nws tuaj yeem muaj kev cuam tshuam loj rau kev ruaj khov ntawm peb lub cev pob txha thiab cov haujlwm uas cov pob txha ntawd ua. Xav txog yog tias ib pob txha hauv koj ceg tsis sib dhos, koj tuaj yeem ceg thiab mob thaum koj taug kev, puas yog?

Feem ntau, cov pob txha tawg yuav kho tau zoo yog tias kho kom zoo. Muaj ob qho laj thawj uas ua rau qhov no tsis tshwm sim. Ib qho yog 'teeb meem kho tshuab' . Qhov no txhais tau tias ob daim pob txha tawg tsis sib haum ua ke zoo thaum kho. Qhov thib ob yog 'teeb meem ntawm lub cev' . Qhov no txhais tau tias koj lub cev tsis muaj cov as-ham thiab cov ntshav uas koj cov pob txha xav tau los kho. Cov kws kho mob xav txog ob qho no thaum kho cov mob no.

Cov hom pob txha tawg uas tsis yog koom ua ke yog dab tsi?

Thaum cov kws kho mob kuaj xyuas ib tus neeg uas muaj pob txha tsis sib koom ua ke, lawv faib nws ua ib hom. Qhov no pab lawv nkag siab tias vim li cas pob txha tsis kho thiab yam dab tsi ua rau nws. Muaj peb hom tseem ceeb:

Dab tsi yog '(Hypertrophic nonunion)'?

Hauv hom no, muaj cov cim qhia tias cov pob txha tshiab tsim. Qhov ntawd yog, lub cev tab tom sim kho cov pob txha. Txawm li cas los xij, qhov kawg ntawm ob daim pob txha tawg tsis tau txuas zoo. Qhov no txhais tau tias lub cev muaj cov khoom siv hauv lub cev, tab sis ob daim pob txha tawg tsis tau tuav ua ke zoo thiab tsis tawg thaum lub sijhawm kho. Nws zoo li muaj cement, tab sis cov mortar tsis tau sib txuas zoo.

"(Atrophic nonunion)" yog dab tsi?

Hauv qhov no, tsis muaj cim qhia tias pob txha tshiab tsim. Tsis tas li ntawd, pob txha tsis muaj ntshav txaus. Qhov no qhia tau hais tias cov yam ntxwv ntawm lub cev tiv thaiv pob txha kom tsis txhob kho. Qee zaum, tej zaum yuav muaj kev kis kab mob hauv pob txha, uas tej zaum yuav ua rau cov ntshav tsis txaus. Ib tug "Nonunion" uas muaj kev kis kab mob zoo li no kuj hu ua "Septic nonunion" .

Dab tsi yog '(Oligotrophic nonunion)'?

Hauv hom no, muaj qee cov pob txha tshiab tau tsim, tab sis nws tsis tau tiav. Ob daim pob txha tsis nyob rau hauv qhov chaw zoo. Tej zaum cov pob txha tsis tau teeb tsa kom zoo thaum nws thawj zaug teeb tsa, lossis nws tom qab ntawd tau poob thiab txav mus. Ob qho tib si kev ruaj khov thiab cov yam ntxwv ntawm lub cev yuav koom nrog ntawm no.

Koj yuav paub li cas yog tias koj muaj tus kab mob '(Malunion)'? Cov tsos mob yog dab tsi?

Yog tias pob txha tsis sib dhos, hu ua "malunion," koj yuav pom lossis hnov ​​​​​​tej yam zoo li no:

• Kev hloov pauv pom sab nraud:
• Koj pob txha zoo li ncab los yog nkhaus .
• Tus pob txha zoo li nws ntswj , los yog zoo li nws tig ib ncig .
• Cov pob txha yuav zoo li luv dua li yav tas los . Piv txwv li, ib ceg yuav luv dua li lwm ceg me ntsis.

• Cov kev tsis xis nyob uas tshwm sim thaum siv cov pob txha ntawd:
• Muaj mob hauv pob txha.
• Muaj o nyob ntawd.
• Qaug zog thaum taug kev (yog tias nws yog ib ceg).

Txhua pob txha hauv peb lub cev sib txuas ua ke. Yog li ntawd, thaum ib pob txha tsis muaj zog hauv ib qho chaw, nws tuaj yeem muab kev nyuaj ntxiv rau lwm cov pob txha. Yog li ntawd, txawm tias tsis muaj qhov mob ntawm qhov chaw uas muaj "malunion", thaum siv pob txha ntawd, nws tuaj yeem ua rau mob rau lwm qhov ntawm lub cev.

• Cov teeb meem ntsig txog cov hlab ntsha:

Qee zaum, cov hlab ntsha ze ntawm koj lub cev yuav raug nias lossis raug cov pob txha uas tsis sib luag nias. Yog tias qhov no tshwm sim, koj yuav muaj cov tsos mob xws li:

• Muaj qhov tsis hnov ​​​​​​tsw los yog tingling ('(Paresthesia)') nyob rau thaj chaw ntawd.
• Cov leeg tsis muaj zog , lossis qhov tseeb dua, cov leeg nqaij atrophy.
• Mob hlab ntsha (Neuropathy).

Cov tsos mob ntawm '(Nonunion)' yog dab tsi?

Yog tias pob txha tsis sib haum ua ke, uas yog, muaj "nonunion", koj yuav pom cov tsos mob zoo li no:

• Muaj mob tob thiab mob ntev rau qhov pob txha tawg. Qhov mob no yuav mob mus ntev txawm tias tom qab tshem daim cam pov tseg lawm los xij.
• Thaum siv pob txha ntawd, koj xav tias koj tsis muaj zog lossis koj txav tsis tau zoo .
• Ib qho kev hloov pauv uas pom tau, piv txwv li, ib lub pob lossis qhov sib txawv, yuav pom tau sab nraud, zoo li pob txha tau tawm los.

Qee zaum, yog tias muaj kev kis kab mob hauv pob txha, cov tsos mob no yuav tshwm sim ua ke lossis sib cais:

• Kev o
• Ua npaws
• Hnov txias thiab mob khaub thuas (ua daus)

Vim li cas cov pob txha tawg thiaj tsis kho tau zoo thiab ua rau muaj "malunion" lossis "nonunion"? Dab tsi yog cov ua rau?

Muaj ntau yam ua rau pob txha tsis zoo. Qee yam peb tswj tau, qee yam peb tswj tsis tau. Nov yog qee yam ntawm lawv:

• Qhov xwm txheej thiab qhov hnyav ntawm qhov tawg:

Muaj qee qhov pob txha tawg uas nyuaj kho me ntsis. Piv txwv li, pob txha tawg uas tig ua voj voog (cov uas tawg ua ntau daim) lossis pob txha tawg ua tej daim me me (cov uas tawg ua ntau daim) , yuav tsis yooj yim kho kom zoo. Tsis tas li ntawd, yog tias cov ntshav mus rau pob txha raug cuam tshuam vim muaj xwm txheej loj, qhov ntawd kuj tuaj yeem cuam tshuam rau kev kho mob.

• Kev kho mob tau txais sai npaum li cas thiab zoo npaum li cas:

Yog tias pob txha tsis kho sai tom qab pob txha tawg, nws tuaj yeem pib kho tsis zoo. Tsis tas li ntawd, txawm tias tom qab pob txha tau teeb tsa zoo thiab muab daim cam khwb cia rau, nws tseem tuaj yeem txav mus rau qhov chaw tsis zoo. Qhov no yuav tshwm sim ntau dua yog tias kev kho mob qeeb lossis txoj kev siv (piv txwv li, lub zog ntawm daim cam khwb cia) tsis txaus.

• Seb koj puas tau so kom zoo thiab tiv thaiv koj tus kheej thaum koj rov zoo los?

Thaum lub sijhawm kho mob, nws yog ib qho tseem ceeb heev uas cov pob txha tawg yuav tsum tau tsis txhob txav mus los thiab kho kom zoo. Qee zaum, nws yuav siv sijhawm ntev dua li niaj zaus kom kho tau. Hauv cov xwm txheej zoo li no, teeb meem tuaj yeem tshwm sim yog tias tus kws kho mob tshem tawm cov ntaub qhwv sai dhau lossis yog tias koj pib siv pob txha sai dhau.

• Koj txoj kev noj qab haus huv tag nrho thiab lub zog ntawm lub cev uas xav tau los kho:

Thaum cov txheej txheem kho qeeb, muaj feem ntau dua ntawm malunion lossis nonunion. Kev kho pob txha tuaj yeem qeeb lossis tsis tiav rau cov neeg uas muaj hnub nyoog laus , tsis muaj zaub mov txaus (tshwj xeeb tshaj yog calcium thiab vitamin D), thiab cov mob metabolic xws li ntshav qab zib mellitus thiab kab mob thyroid . Kev haus luam yeeb thiab nicotine kuj yog cov yam tseem ceeb uas ua rau pob txha tsis muaj zog thiab qeeb kev kho.

Cov kws kho mob yuav txheeb xyuas cov mob '(Malunion)' thiab '(Nonunion)' no li cas?

Yog koj xav tias koj muaj teeb meem zoo li no, tus kws kho mob yuav nug koj ua ntej txog qhov xwm txheej thiab lwm yam mob uas koj muaj. Tom qab ntawd, lawv yuav kuaj lub cev ntawm pob txha. Lawv yuav nrhiav seb puas muaj kev hloov pauv uas pom tau sab nraud, thiab lawv yuav nug koj tias koj xav li cas los ntawm kev txav pob txha. Lawv yuav hais kom koj taug kev, lossis lawv yuav ntsuas qhov ntev ntawm pob txha.

Tom qab ntawd, feem ntau yuav ua cov kev kuaj duab ntawm pob txha. Cov no yuav suav nrog:

• `(X-rays)` (X-ray): Qhov no feem ntau yog thawj yam koj saib.
• `(CT scan)` (CT scan): Tuaj yeem tau cov duab pob txha uas pom tseeb dua thiab hla dhau.
• `(MRI)` (MRI scan): Qhov no pab saib seb puas muaj kev puas tsuaj rau cov nqaij mos mos nyob ib puag ncig cov pob txha, xws li cov hlab ntsha.

Yog tus kws kho mob pom tias pob txha tau kho zoo hauv qhov chaw tsis yog lub cev, nws yuav xaus lus tias nws yog "malunion." Yog tias pob txha tsis tau pib kho lossis tsis tau kho tag nrho tom qab lub sijhawm kho mob tsim nyog, nws hu ua "delayed union" lossis "nonunion." Lub sijhawm kho mob tuaj yeem sib txawv nyob ntawm qhov xwm txheej ntawm qhov raug mob, pob txha koom nrog, thiab koj txoj kev noj qab haus huv. Feem ntau, nws hu ua "nonunion" yog tias nws tsis tau kho tom qab rau, cuaj, lossis kaum ob lub hlis.

Cov mob "Malunion" thiab "Nonunion" no puas kho tau? Cov kev kho mob yog dab tsi?

Qhov xov xwm zoo yog tias tsis yog txhua qhov malunion lossis nonunion yuav tsum tau "kho." Nws nyob ntawm seb pob txha koom nrog, koj siv nws ntau npaum li cas, thiab nws cuam tshuam rau koj lub neej txhua hnub npaum li cas. Txawm li cas los xij, qee qhov nonunions tuaj yeem txwv koj txoj kev txav mus los, ua rau mob, lossis ua rau muaj lwm yam teeb meem. Hauv cov xwm txheej ntawd, kev phais yuav tsum tau kho qhov teeb meem. Cov kws kho mob yuav sim cov kev kho mob uas tsis yog phais ua ntej thiab tom qab ntawd mus phais yog tias lawv tsis ua haujlwm.

Kev Kho Mob Rau '(Malunion)' (Cov Pob Txha Tsis Sib Haum)

• Kev kho mob uas tsis yog phais:
• Kev Kho Mob Pob Txha: Tej zaum koj yuav raug hais kom hnav ib lub kho mob pob txha kom pab kom pob txha nyob rau hauv qhov chaw zoo dua thaum koj siv nws.
• Cov Khoom Siv Kho Mob: Yog tias ib ceg luv dua, koj tuaj yeem siv cov khau tshwj xeeb los kho qhov sib txawv.
• Kev Kho Mob Lub Cev: Qhov no suav nrog kev tawm dag zog tshwj xeeb uas tuaj yeem ua rau cov leeg nqaij muaj zog thiab txo qhov siab ntawm pob txha.
• Cov tshuaj mob: NSAIDs (cov tshuaj tsis yog steroidal anti-inflammatory) los txo qhov tsis xis nyob qee zaumKoj tuaj yeem siv cov tshuaj tua kab mob ib txwm zoo li.

• Kev kho mob los ntawm kev phais:
• Osteotomy: Tus kws phais yuav txiav pob txha thiab kho nws qhov chaw.
• Phais kom ceg ntev: Yog tias ib sab caj npab lossis ceg luv heev, phais yuav ua tau los ntawm kev siv ib lub cuab yeej tshwj xeeb los ua kom nws ntev.

Kev Kho Mob Rau '(Nonunion)' (cov pob txha uas tsis sib haum ua ke)

• Kev kho mob uas tsis yog phais:
• Kev Kho Mob: Yog tias muaj ib yam kab mob uas cuam tshuam rau tag nrho lub cev (piv txwv li, ntshav qab zib), kev kis kab mob, lossis kev tsis noj qab haus huv, yuav tsum tau kho ua ntej.
• Orthoses: Ib lub brace, splint, lossis cast yog siv los pab cov pob txha kho thiab tiv thaiv nws kom tsis txhob poob tawm.
• Cov khoom siv txhawb pob txha: Cov no yog cov khoom siv tshwj xeeb uas siv cov nthwv dej ultrasonic lossis cov nthwv dej electromagnetic los txhawb kev kho pob txha.
• Kev txhaj tshuaj biological: Cov hlwb stem cell lossis cov ntshav plasma uas muaj platelet ntau tuaj yeem txhaj rau hauv pob txha kom txhawb kev kho mob thiab kev loj hlob.

• Kev kho mob los ntawm kev phais:
• Kev tshem cov pob txha tawm: Tus kws phais tshem cov nqaij tuag, tsis kho tau ntawm pob txha.
• Kev phais mob hlab ntsha: Yog tias cov ntshav tsis txaus, kev phais mob hlab ntsha tuaj yeem ua tau los kho nws.
• Kev txuas pob txha: Tus kws phais yuav ib daim pob txha los ntawm lwm qhov ntawm koj lub cev (xws li koj pob txha ntawm lub duav) lossis los ntawm tus neeg pub pob txha thiab muab nws cog rau hauv qhov uas ploj lawm. Qhov no muab qhov pib zoo rau kev loj hlob ntawm pob txha tshiab.
• Qhib kev txo qis thiab kev kho sab hauv: Tus kws phais hloov qhov chaw ntawm cov pob txha thiab siv cov ntsia hlau phais, cov phaj, lossis cov ntsia hlau los tuav lawv ua ke.

Kev rov zoo tom qab kev kho mob zoo li cas?

Ob qho kev kho mob uas tsis yog phais thiab kev kho mob phais muaj feem pua ​​​​​​ntawm kev vam meej hauv kev kho mob malunion thiab nonunion. Qhov ntawd yog xov xwm zoo. Txawm li cas los xij, nws yuav siv sijhawm me ntsis kom kho tau tag nrho thiab rov qab mus rau qhov qub (kev kho dua tshiab). Tej zaum koj yuav tsum siv tus pas nrig lossis tus neeg taug kev kom taug kev kom txog thaum koj zoo. Koj kuj tseem yuav xav tau kev kho lub cev.

Qee zaum kev kho mob yuav ua tsis tau zoo. Qhov no yuav tshwm sim yog tias pob txha tsis tuaj yeem tuav tau zoo, lossis yog tias cov kws kho mob tsis tuaj yeem tswj cov yam ntxwv ntawm lub cev uas peb tau tham txog (xws li cov ntshav thiab kev noj zaub mov zoo).

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Pob txha tawg tuaj yeem tshwm sim rau txhua tus neeg. Qee zaum peb tsis paub tam sim ntawd tias peb tau tawg pob txha. Txawm li cas los xij, yog tias koj muaj kev xav me ntsis txog qhov koj muaj, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob tam sim ntawd thiab mus kuaj mob.

• Cov pob txha tawg kho tau zoo dua thaum lawv tau txais kev saib xyuas zoo thaum ntxov .
• Koj tus kws kho mob yuav tshuaj xyuas koj qhov txhab thiab txheeb xyuas tej yam uas yuav ua rau kev kho tsis zoo.
• Lawv yuav qhia koj txog txoj kev zoo tshaj plaws los saib xyuas koj tus kheej kom tiv thaiv tau '(Malunion)' lossis '(Nonunion). Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia no kom zoo.

Yog li, kuv vam tias cov ntaub ntawv no yuav pab tau koj. Yog tias koj pob txha tawg, tsis txhob ntshai thiab tsis txhob hnov ​​qab ua raws li cov lus qhia kho mob kom zoo. Qhov no feem ntau tuaj yeem tiv thaiv cov teeb meem zoo li no kom tsis txhob tshwm sim.

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