Nws tsis yog ib yam tshiab rau koj tus me nyuam yaus uas poob thaum ua si, lossis raug mob caj npab lossis ceg thaum khiav ib ncig. Feem ntau, peb xav tias nws yog qhov mob me me lossis khawb, tab sis qee zaum nws tuaj yeem yog qee yam loj dua. Cov pob txha ntawm cov menyuam yaus, tshwj xeeb, muaj qhov chaw tsis muaj zog uas tshwj xeeb rau lawv txoj kev loj hlob. Peb hu qhov no ua 'phaj loj hlob' . Niaj hnub no, peb tab tom tham txog kev puas tsuaj rau qhov chaw no, uas yog, pob txha tawg. Qhov no yog hu ua Salter-Harris Fracture hauv kev kho mob.
Lub phaj loj hlob yog dab tsi?
Hais yooj yim xwb, lub phaj loj hlob yog ib thaj chaw tshwj xeeb ua los ntawm cov pob txha mos mos ntawm qhov kawg ntawm cov pob txha ntev ntawm tus menyuam (xws li cov hauv lawv txhais tes thiab ceg). Xav txog nws zoo li ceg ntoo uas nthuav dav. Thaj chaw no yog qhov chaw uas tus menyuam cov pob txha maj mam loj hlob thiab loj hlob mus rau qhov loj thiab cov duab kom raug. Thaum tus menyuam txoj kev loj hlob tiav, uas yog, thaum lawv mus txog hnub nyoog hluas, cov pob txha mos mos no maj mam tawv thiab dhau los ua pob txha ib txwm muaj.
Cov phaj loj hlob no feem ntau pom hauv:
- Hauv pob txha caj npab sab saud
- Ob lub pob txha hauv sab caj npab qis (radius thiab ulna)
- Hauv cov pob txha ntawm tes
- Hauv pob txha ncej puab
Vim tias thaj chaw no tseem ceeb heev rau kev loj hlob ntawm tus menyuam, peb yuav tsum txhawj xeeb txog kev puas tsuaj rau thaj chaw no.
Puas muaj hom pob txha tawg Salter-Harris?
Yog, cov kws kho mob faib cov pob txha tawg no ua tsib hom tseem ceeb, nyob ntawm seb lawv tshwm sim li cas. Koj tsis tas yuav paub ntau txog qhov no, tab sis nws zoo kom paub me ntsis txog nws kom nws yooj yim dua rau kev nkag siab thaum tus kws kho mob piav qhia rau koj.
| Hom pob txha tawg | Piav qhia yooj yim xwb |
|---|---|
| Hom 1 | Lub phaj loj hlob sib cais kiag li, zoo li plam tawm ntawm qhov kawg ntawm pob txha. |
| Hom 2 | Qhov pob txha tawg uas tshwm sim hauv lub phaj loj hlob nthuav mus rau hauv nruab nrab (qhov chaw) ntawm pob txha. Hom pob txha no feem ntau tshwm sim rau menyuam yaus. |
| Hom 3 | Qhov pob txha tawg ua rau ib daim ntawm daim pob txha loj hlob thiab ib daim ntawm qhov kawg ntawm pob txha sib cais. Qhov no feem ntau tshwm sim rau cov menyuam yaus, thaum cov phaj loj hlob pib tawv . |
| Hom 4 | Qhov no zoo ib yam li hom 3, tab sis nws hnyav dua me ntsis. Qhov pob txha tawg nthuav dav hla lub phaj loj hlob, cuam tshuam rau qhov kawg ntawm pob txha thiab nruab nrab ntawm pob txha. |
| Hom 5 | Kev nias ntau dhau rau ntawm pob txha ua rau lub phaj loj hlob raug tsoo thiab raug tsoo. Qhov no yog ib qho mob tsis tshua muaj tab sis mob hnyav. |
Kuv yuav paub li cas yog tias muaj ib yam dab tsi zoo li no tau tshwm sim rau kuv tus menyuam? (Cov tsos mob)
Yog koj pom cov tsos mob no tom qab ib tug me nyuam ntog, ces txhawj xeeb.
- Mob pob txha: Tus me nyuam quaj qw vim mob thaum kov qhov chaw raug mob.
- Kev o: Qhov chaw raug mob o.
- Kev tsos txawv txav: Ib sab caj npab lossis ceg zoo li ncab, khoov, lossis lwm yam txawv txav.
- Tsis Muaj Peev Xwm Siv Tau: Tus me nyuam tsis tuaj yeem txav mus los lossis siv tau sab caj npab lossis ceg uas raug mob.
- Xim xiav/ntshav liab: Ntshav tau ntws rau hauv qab daim tawv nqaij, ua rau pom tias muaj qhov mob.
- Kev rhiab heev rau kev kov: Tus menyuam yaus hnov mob txawm tias thaum kov thaj chaw ntawd.
Ib tug me nyuam yaus me me yuav tsis paub tseeb tias lawv raug mob thaum twg. Yog tias koj tus menyuam cia li tsis siv nws txhais caj npab lossis ceg lawm, tuav nws txhais caj npab lossis ceg uas raug mob ze rau nws lub cev, lossis nws txhais ceg qaug zog thaum lawv taug kev, ua tib zoo mloog qhov no.
Vim li cas cov menyuam yaus thiaj li muaj cov pob txha tawg zoo li no?
Qhov laj thawj tseem ceeb rau qhov no yog qhov xwm txheej.
- Ntog: Ntog thaum ua si, caij tsheb kauj vab, nce ntoo, thiab lwm yam.
- Kev sib tsoo ntawm kev ua si: Kev sib tsoo uas tshwm sim thaum ua si xws li cricket, football, basketball, thiab gymnastics.
- Kev sib tsoo ntawm tsheb.
Tsis tas li ntawd xwb, kev cob qhia ntau dhau hauv tib qho kev ua si rau lub sijhawm ntev, tshwj xeeb tshaj yog ua ntej lub cev ntawm tus menyuam loj hlob tag nrho, tuaj yeem ua rau muaj kev nyuaj siab tas mus li rau ntawm cov phaj loj hlob, ua rau cov pob txha tawg no.
Leej twg muaj feem yuav mob no tshaj?
Txawm hais tias qhov no tuaj yeem tshwm sim rau txhua tus menyuam, qhov kev pheej hmoo siab dua me ntsis rau qee tus.
- Cov Tub Ntxhais Hluas: Cov pob txha tawg no feem ntau raug tshaj tawm hauv pawg hnub nyoog no.
- Cov Tub Hluas: Cov tub hluas muaj feem yuav mob no li ob npaug ntau dua li cov ntxhais. Qhov no yog vim cov ntxhais loj hlob sai dua, thiab lawv cov pob txha loj hlob sai dua.
- Cov Neeg Ua Si Ncaws Pob: Cov menyuam yaus uas feem ntau ua si dhia thiab khiav (pob tawb, gymnastics, skiing) muaj kev pheej hmoo siab dua.
Qhov no puas muaj feem cuam tshuam mus sij hawm ntev?
Qhov xov xwm zoo yog tias feem ntau, yog tias kho kom raug thiab sai sai, yuav tsis muaj teeb meem mus sij hawm ntev. Qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob thiab pib kho mob hauv ib lub lim tiam tom qab muaj xwm txheej.
Txawm li cas los xij, tsis tshua muaj, tshwj xeeb tshaj yog nyob rau hauv cov pob txha tawg hnyav (Hom 4, 5) lossis yog tias kev kho mob qeeb, qee qhov teeb meem yuav tshwm sim.
- Malunion: Cov pob txha tawg raug teeb tsa tsis raug.
- Nonunion: Cov pob txha tawg tsis haum ua ke kom zoo.
- Kev loj hlob qeeb: Cov pob txha uas puas lawm yuav loj hlob qeeb. Piv txwv li, sab caj npab lossis ceg ntawd yuav luv dua li lwm sab. Hauv qhov no, tej zaum yuav tsum tau phais kom tiv thaiv qhov no.
Tus kws kho mob kuaj qhov no li cas?
Thaum koj coj koj tus menyuam mus ntsib kws kho mob, nws yuav xub kuaj xyuas tus menyuam kom zoo zoo. Lawv yuav saib qhov raug mob, o, thiab mob. Lawv kuj yuav piv rau sab caj npab lossis ceg uas noj qab nyob zoo. Tus kws kho mob yuav nug koj cov lus nug xws li qhov xwm txheej tau tshwm sim li cas thiab thaum twg koj pib muaj cov tsos mob.
Tom qab ntawd, muaj ntau qhov kev kuaj mob los xyuas seb pob txha puas zoo.
- X-ray: Qhov no feem ntau tuaj yeem pom qhov tawg.
- MRI lossis CT scan: Qee zaum cov kev kuaj no yuav tsum tau ua los nrhiav seb puas muaj pob txha tawg lossis puas tsuaj rau cov nqaij nyob ib puag ncig uas tsis pom tseeb ntawm X-ray.
Yuav kho li cas?
Txoj kev kho mob uas siv ntau tshaj plaws thiab ua tau zoo tshaj plaws rau qhov no yog muab ib daim cam khwb cia, xws li Plaster of Paris (POP) lossis Fiberglass.Qhov no yuav tuav cov pob txha tawg kom ruaj khov thiab tiv thaiv nws kom txog thaum nws zoo. Koj tus kws kho mob yuav piav qhia rau koj tias koj tus menyuam xav tau hom cam khwb cia dab tsi, nws yuav tsum nyob ntev npaum li cas, thiab yuav saib xyuas nws li cas. Feem ntau yuav hnav cam khwb cia li 4-6 lub lis piam.
Rau cov pob txha tawg loj heev (qib 3, 4, lossis 5), tej zaum yuav tsum tau phais . Txawm li cas los xij, qhov no tsis tshua muaj. Hauv qhov no, tus kws phais yuav kho cov pob txha thiab siv cov khoom siv kho sab hauv xws li cov ntsia hlau, cov koob, lossis cov phaj los tuav lawv rau hauv qhov chaw. Qhov no hu ua "Kev Kho Sab Hauv." Tom qab pob txha kho tau zoo, qee zaum yuav tsum tau phais me me dua kom tshem tawm cov khoom siv.
Thaum twg kuv yuav tsum coj kuv tus menyuam mus ntsib kws kho mob tam sim ntawd?
Yog koj tus menyuam ntog lossis raug mob hnyav, mus ntsib kws kho mob tam sim ntawd. Tshwj xeeb tshaj yog tias koj muaj kev xav tias koj tus menyuam pob txha tawg, coj lawv mus rau ETU (Emergency Treatment Unit) uas nyob ze tshaj plaws hauv tsev kho mob .
Yog koj muaj ib qho ntawm cov tsos mob hauv qab no, tsis txhob ncua sijhawm:
- Yog tias muaj mob hnyav heev .
- Yog tias koj tsis tuaj yeem txav ib sab caj npab lossis ib ceg.
- Yog tias ib sab caj npab lossis ceg tau ncab tawm thiab zoo li txawv txawv .
- Yog tias pob txha tawg pom tau los ntawm daim tawv nqaij .
- Yog tias nws o tuaj heev .
- Yog tias cov tsos mob no nrog los ntawm kev mob nqaij tam sim ntawd lossis kev hloov pauv ntawm cov xim tawv nqaij .
Nco ntsoov tias, cia koj tus menyuam khiav, dhia, lossis ua si dua ua ntej pob txha kho tag yuav ua rau muaj teeb meem ntau ntxiv. Yog li ntawd, cia koj tus menyuam so kom txog thaum koj tus kws kho mob hais kom koj ua li ntawd.
Nws yog ib qho ib txwm rau cov niam txiv ntshai thaum lawv tus menyuam raug mob. Tab sis cov pob txha tawg no yuav luag rov qab kho tau yog tias kuaj pom thiab kho thaum ntxov. Lub sijhawm yog qhov tseem ceeb. Yog tias koj muaj kev txhawj xeeb, qhov zoo tshaj plaws uas koj tuaj yeem ua tau yog coj koj tus menyuam mus ntsib kws kho mob yam tsis muaj kev ncua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov phaj loj hlob ntawm qhov kawg ntawm cov pob txha ntev ntawm menyuam yaus yog cov cheeb tsam ntawm lawv cov pob txha uas tsis muaj zog me ntsis thiab yooj yim puas tsuaj dua.
- Yog tias ib tug me nyuam mob, o, lossis mob nqaij ntawm ib sab caj npab lossis ceg tom qab ntog, tsis txhob xav tias nws tsuas yog ib qho mob me me xwb thiab mus ntsib kws kho mob.
- Los ntawm kev txheeb xyuas thiab kho qhov pob txha tawg sai li sai tau, qhov cuam tshuam rau kev loj hlob ntawm pob txha ntawm tus menyuam yav tom ntej yuav raug txo kom tsawg.
- Feem ntau cov menyuam yaus zoo rov zoo tag nrho yam tsis muaj teeb meem mus sij hawm ntev tom qab kho kom zoo.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia ntawm kws kho mob kom txog thaum koj tus menyuam tau txais kev tso cai rov qab mus ua si lossis ua ub ua no li qub.
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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