Koj tus menyuam puas raug mob pob txha tawg thaum lawv cov pob txha loj hlob? Cia peb tham txog Growth Plate Fractures!

Puas yog koj tus menyuam poob tam sim ntawd thaum ua si? Los yog rov qab los tsev los ntawm kev xyaum ua si nrog caj npab lossis ceg mob? Tej zaum koj yuav tau hnov ​​​​tias qee zaum cov menyuam yaus tawg lawv cov pob txha, tab sis koj yuav tsis paub txog qhov mob tshwj xeeb no hu ua Growth Plate Fractures . Tsis txhob txhawj, qhov no yog ib yam dab tsi uas feem ntau tuaj yeem kho tau zoo. Cia peb tham txog nws kom meej.

Cov phaj loj hlob no yog dab tsi? Vim li cas lawv thiaj tseem ceeb?

Hais yooj yim xwb, cov phaj loj hlob yog cov pob txha mos tshwj xeeb ntawm qhov kawg ntawm cov pob txha ntev (xws li cov nyob rau hauv caj npab thiab ceg) rau cov menyuam yaus thiab cov neeg laus. Xav txog lawv zoo li cov ceg tshiab loj hlob los ntawm qhov kawg ntawm ceg ntoo. Cov no yog cov uas pab cov pob txha loj hlob, loj hlob, thiab tsim kom zoo. Thaum ib tug menyuam loj hlob tag, txhais tau tias lawv tsis loj hlob siab dua lawm, cov phaj loj hlob no maj mam hloov mus ua cov pob txha tawv .

Cov phaj loj hlob no nyob rau ntawm qhov kawg ntawm cov pob txha zoo li no:

• Humerus - Qhov no yog pob txha nyob rau sab caj npab sab saud.
• Radius thiab Ulna - Cov no nyob rau hauv koj tus menyuam txhais tes, hauv qab lub luj tshib.
• Metacarpals - Cov pob txha me me nyob rau sab hauv ntawm tes.
• Femur - Cov pob txha ntev tshaj plaws hauv peb lub cev, nyob hauv lub duav.

Cov no yog cov tseem ceeb. Yog li, yog tias muaj qee yam tshwm sim rau cov phaj loj hlob no, uas yog, yog tias muaj pob txha tawg, qhov ntawd yog qhov peb hu ua pob txha tawg ntawm phaj loj hlob . Yog tias tus menyuam pob txha mob, o, lossis zoo li txawv ntawm caj npab lossis ceg, lossis zoo li ncab, koj yuav tsum mus ntsib kws kho mob. Vim tias cov pob txha tawg no siv sijhawm ob peb lub lis piam los kho, nws yog ib qho tseem ceeb heev uas yuav tsum tau kuaj mob thiab kho sai sai.

Puas muaj hom kev tawg ntawm cov phaj loj hlob?

Yog, cov kws kho mob siv ib txoj kev tshwj xeeb los faib cov pob txha tawg no. Nws hu ua Salter-Harris kev faib tawm . Muaj tsib hom tseem ceeb:

1. Hom 1: Qhov no yog thaum cov pob txha mos ntawm lub phaj loj hlob sib cais los ntawm qhov kawg ntawm pob txha, zoo li muaj ib yam dab tsi tau nplaum rau thiab tom qab ntawd tawm los.

2. Hom 2: Hauv hom no, qhov tawg tshwm sim hauv lub phaj loj hlob thiab nthuav mus rau hauv tus ncej ntawm pob txha. Hom no feem ntau tshwm sim rau cov menyuam yaus.

3. Hom 3: Qhov no yog qhov pob txha tawg uas ib daim ntawm lub phaj loj hlob thiab qhov kawg ntawm pob txha uas txuas rau nws tawg. Qhov no loj dua me ntsis, txhais tau tias nws feem ntau tshwm sim rau cov tub ntxhais hluas, vim tias lawv cov phaj loj hlob maj mam hloov mus ua pob txha tawv .

4. Hom 4:Qhov no zoo ib yam li hom 3, tab sis hnyav dua me ntsis. Ib daim ntawm daim phaj loj hlob, ib daim ntawm qhov kawg ntawm pob txha, thiab ib daim ntawm qhov ntev ntawm pob txha raug rhuav tshem.

5. Hom 5: Qhov no yog tshwm sim los ntawm kev nias rau ntawm pob txha, ua rau puas tsuaj rau lub phaj loj hlob. Qhov no yog hom tsawg tshaj plaws thiab tuaj yeem ua rau mob hnyav dua me ntsis.

Qhov kev faib tawm no tseem ceeb rau cov kws kho mob txiav txim siab seb yuav muab kev kho mob hom twg, yuav siv sijhawm ntev npaum li cas los kho, thiab yuav muaj teeb meem dab tsi tshwm sim yav tom ntej.

Cov pob txha tawg ntawm cov phaj loj hlob no feem ntau tshwm sim li cas?

Qhov tawg ntawm cov phaj loj hlob yog ib qho ntawm cov pob txha raug mob feem ntau hauv cov menyuam yaus. Lawv suav txog li ib feem peb ntawm tag nrho cov pob txha tawg hauv cov menyuam yaus. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum paub txog qhov no.

Cov tsos mob ntawm kev tawg ntawm cov phaj loj hlob yog dab tsi?

Yog tias koj tus menyuam muaj pob txha tawg, koj yuav pom cov tsos mob zoo li no:

• Mob: Tej zaum yuav muaj mob hnyav heev, tshwj xeeb tshaj yog hla lossis thaj tsam ntawm pob txha.
• Cov ceg tawv zoo li txawv: Tes lossis ceg uas raug mob yuav zoo li ncab, khoov, lossis tsis zoo li qub.
• Tsis muaj peev xwm txav mus los: Tej zaum koj yuav tsis tuaj yeem khoov, ncaj, lossis muab qhov hnyav rau ntawm qhov chaw raug mob.
• Kev o: Qhov chaw raug mob yuav o.
• Kev hloov xim lossis kev raug mob: Qee zaum cov kev raug mob yuav hloov xiav lossis ntshav.
• Kev Mob: Koj yuav hnov ​​mob thaum koj kov tus menyuam.

Xav txog koj tus tub los tsev tom qab ua si cricket thiab hais tias nws lub dab teg mob, nws txav tsis tau, thiab nws o me ntsis. Yog li ntawd, nws yuav yog pob txha tawg.

Ib tug me nyuam yaus yuav tsis paub qhia koj thaum twg lawv raug mob. Lub sijhawm ntawd, koj yuav pom tej yam zoo li no:

• Ua sai sai, kev siv tes lossis ceg raug txo qis.
• Tus caj npab/ceg raug mob raug tuav ze rau lub cev thiab tiv thaiv.
• Lawv quaj, qw nrov nrov, thiab tsis kam kom lwm tus kov lawv.
• Nws ceg tawv thaum nws taug kev.

Yog koj pom ib yam dab tsi zoo li no, tsis txhob nkim sijhawm thiab mus ntsib kws kho mob.

Cov ua rau muaj cov pob txha tawg no yog dab tsi?

Feem ntau, cov pob txha tawg no tshwm sim vim yog raug mob tam sim ntawd . Piv txwv li:

• Kev Poob: Xws li kev poob ntawm tsob ntoo, kev poob thaum ua si, lossis kev poob ntaiv.
• Kev Sib Tsoo Tsheb: Kev sib tsoo uas tshwm sim thaum nyob ntawm txoj kev.
• Kev Sib Tsoo Hauv Kev Ua Si: Kev sib tsoo uas tshwm sim thaum ua si xws li cricket, football, thiab netball.

Piv txwv li, Nisal tus tub cia li plam thiab ntog thaum nws khiav ntawm qhov chaw ua si. Nws pob luj taws pib mob heev. Tsuas yog thaum nws mus rau tsev kho mob nws thiaj li paub tias nws yog pob txha tawg.

Thiab kuj,Kev cob qhia ntau dhau rau tib qho kev ua si, tshwj xeeb tshaj yog ua ntej tus menyuam lub cev tsim kho tag nrho, tuaj yeem ua rau muaj kev ntxhov siab rov qab rau ntawm cov phaj loj hlob, uas tuaj yeem ua rau hom pob txha tawg no. Yog li ntawd, nws tsis zoo rau tus menyuam ua si tib yam kev ua si txhua xyoo kom txog thaum lawv lub cev tsim kho tag nrho. Kev so kuj tseem ceeb heev.

Leej twg muaj feem yuav mob pob txha tawg no ntau dua?

Txawm hais tias ib tug me nyuam twg los xij muaj feem yuav raug hom xwm txheej no, qee tus me nyuam muaj feem yuav raug ntau dua me ntsis:

• Cov Tub Ntxhais Hluas: Cov kev so no feem ntau pom ntawm cov menyuam yaus hnub nyoog ntawm 13-17 xyoo.
• Cov Tub Hluas: Cov tub hluas muaj feem yuav muaj cov pob txha tawg no li ob npaug ntau dua li cov ntxhais . Qhov no yog vim tias cov ntxhais feem ntau loj hlob sai dua me ntsis, thiab lawv cov pob txha tawv dua sai dua. Cov tub hluas kuj muaj kev ywj pheej thiab ua haujlwm ntau dua.
• Cov Neeg Ua Si Ncaws Pob: Cov menyuam yaus uas ua si kis las uas muaj kev dhia (piv txwv li, basketball, gymnastics, skiing, volleyball) muaj kev pheej hmoo ntau dua, ib yam li cov menyuam yaus uas ua si kis las sib chwv xws li football thiab hockey.
• Cov menyuam yaus uas siv zog ua si: Ntxiv rau kev ua kis las hauv tsev kawm ntawv, cov xwm txheej no kuj tseem tuaj yeem tshwm sim rau cov menyuam yaus uas koom nrog kev ua ub no xws li caij skateboarding, taug kev, thiab caij tsheb kauj vab.

Tej yam teeb meem uas yuav tshwm sim ntawm lub phaj loj hlob tawg yog dab tsi?

Feem ntau, yog tias kuaj pom thiab kho sai sai (hauv ib lub lim tiam tom qab raug mob), cov pob txha tawg no tsis ua rau muaj teeb meem loj. Txawm li cas los xij, qee zaum cov hauv qab no tuaj yeem tshwm sim:

• Malunion: Cov pob txha tawg tsis sib haum ua ke zoo, tab sis sib koom ua ke.
• Nonunion: Qhov ua tsis tau ntawm cov pob txha tawg kom kho tau zoo, lossis tsis kho kiag li.
• Kev loj hlob qeeb: Qhov no tsis tshua muaj . Txawm li cas los xij, yog tias koj muaj pob txha tawg loj heev (tshwj xeeb tshaj yog Hom 5), nws tuaj yeem cuam tshuam rau kev loj hlob yav tom ntej ntawm pob txha ntawd. Qhov no txhais tau tias pob txha yuav luv dua lossis me dua sab tod. Tej zaum yuav xav tau kev phais kom tiv thaiv qhov no.

Yog vim li ntawd nws thiaj li tseem ceeb uas yuav tsum mus ntsib kws kho mob txawm tias koj muaj kev tsis ntseeg me ntsis los xij .

Yuav kuaj mob li cas txog qhov tawg ntawm daim phaj loj hlob?

Tus kws kho mob kuaj pom hom pob txha tawg no los ntawm kev kuaj xyuas tus menyuam (kev kuaj lub cev) thiab ua cov kev kuaj tshwj xeeb (kev kuaj duab).

Ua ntej, tus kws kho mob yuav ua tib zoo saib xyuas qhov chaw raug mob, nug tus menyuam txog lawv cov tsos mob, xyuas seb ceg txav tau npaum li cas, thiab muab piv rau lwm sab caj npab/ceg uas tsis raug mob.

Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau tus kws kho mob txog txhua yam uas koj paub - tus menyuam ua dab tsi ua ntej muaj qhov xwm txheej, thaum koj thawj zaug paub tias muaj teeb meem, thiab thaum tus menyuam pib mob.

Yuav ua li cas thiaj kuaj tau?

Tus kws kho mob yuav siv ib lossis ntau qhov kev kuaj no los saib cov pob txha thiab cov nqaij nyob ib puag ncig:

• X-rays: Qhov no yog qhov feem ntau siv.
• Kev Thaij Duab Sib Nqus (MRI): Qee zaum qhov no yuav tsum tau ua kom pom daim phaj loj hlob tseeb.
• Kev luam theej duab Computed Tomography (CT): Qhov no kuj siv rau qee kis nyuaj.

Yuav kho cov pob txha tawg ntawm cov phaj loj hlob li cas?

Feem ntau cov pob txha tawg ntawm lub phaj loj hlob raug kho nrog ib lub cam khwb cia, uas yog ib lub plaster cam khwb cia (immobilization). Lub cam khwb cia no ua rau cov pob txha tawg nyob twj ywm thiab pab kom nws kho tau zoo. Koj tus kws kho mob yuav qhia rau koj paub tias koj tus menyuam xav tau hom cam khwb cia twg thiab yuav saib xyuas nws li cas.

Puas tsim nyog phais?

Kev phais mob tsis tshua muaj rau hom pob txha tawg no. Feem ntau yuav tsum tau phais mob rau cov pob txha tawg hnyav dua (Hom 3, 4, lossis 5). Yog tias koj tus menyuam xav tau kev phais mob, tus kws phais yuav ua ib yam dab tsi hu ua kev kho sab hauv . Qhov no txhais tau tias cov pob txha tawg tau teeb tsa rau hauv qhov chaw thiab tom qab ntawd lawv yuav siv cov ntsia hlau, cov koob, lossis cov xov hlau los tuav cov pob txha ua ke los ntawm sab hauv kom txog thaum nws kho. Tom qab cov pob txha kho, koj yuav tsum tau ua lwm qhov kev phais me me kom tshem tawm cov koob lossis cov xov hlau. Koj tus kws kho mob lossis kws phais yuav piav qhia txhua yam no rau koj.

Feem ntau yuav siv sijhawm ntev npaum li cas los kho?

Feem ntau cov menyuam yaus yuav tsum tau hnav ib daim ntaub thaiv li ib hlis (plaub txog rau lub lis piam) tom qab pob txha tawg. Yog tias pob txha tawg hnyav dua lossis yog tias tau phais lawm, nws yuav siv sijhawm ntev dua.

Koj tus kws kho mob tuaj yeem qhia koj tias yuav siv sijhawm ntev npaum li cas thiaj kho tau, nyob ntawm seb koj tus menyuam pob txha twg tawg thiab qhov tawg ntawd hnyav npaum li cas.

Puas tiv thaiv tau hom kev tawg ntawm cov phaj loj hlob no?

Qhov tseeb, feem ntau ntawm cov pob txha tawg no yog los ntawm kev sib tsoo, yog li nws nyuaj rau tiv thaiv lawv tag nrho. Txawm li cas los xij, muaj tej yam koj tuaj yeem ua tau los txo qhov kev pheej hmoo ntawm koj tus menyuam raug mob:

Thaum ua si kis las lossis koom nrog lwm yam kev ua ub no, ceev faj txog cov no:

• Xyuas kom tseeb tias koj hnav cov khoom siv tiv thaiv kom zoo (piv txwv li, cov ntaub qhwv caj dab, cov kaus mom thaum ua si cricket).
• Yog tias muaj ib yam dab tsi mob, txawm tias thaum ua si lossis tom qab koj ua tiav, qhia rau koj tus menyuam kom tsis txhob "ua si dhau qhov mob."
• Muab koj lub cev so thiab rov zoo tom qab ua ub ua no hnyav.
• Ua kom koj lub cev ncab thiab sov so ua ntej koj ua si lossis tawm dag zog.
• Txias thiab ncab koj lub cev thaum koj ua tiav koj qhov kev ua ub no.

Ua raws li cov lus qhia dav dav no kom txhua tus neeg hauv tsev neeg muaj kev nyab xeeb:

• Txhua zaus kuv nkag mus hauv lub tshebHnav txoj siv sia.
• Xyuas seb puas muaj tej yam khoom seem ntawm qhov rooj uas yuav ua rau ib tug neeg plam thiab ntog, thiab muab tshem tawm.
• Thaum tsa ib yam dab tsi los ntawm lub qab nthab , siv cov khoom siv tsim nyog (piv txwv li, ntaiv). Tsis txhob cia menyuam yaus nce saum cov rooj zaum lossis cov rooj.

Yog tias kuv tus menyuam muaj pob txha tawg, kuv yuav tsum xav li cas?

Feem ntau cov pob txha tawg ntawm cov pob txha loj hlob zoo tsis muaj teeb meem lossis muaj kev cuam tshuam mus sij hawm ntev rau kev noj qab haus huv thiab kev loj hlob ntawm tus menyuam. Txoj hauv kev zoo tshaj plaws los txo qhov kev pheej hmoo ntawm cov teeb meem yog kom tau txais kev kuaj mob sai li sai tau (hauv ib lub lim tiam tom qab raug mob).

Nug koj tus kws kho mob thaum twg koj tus menyuam mam li pib ua si, khiav, thiab dhia tau dua. Yog koj nias lub phaj loj hlob dua ua ntej nws zoo tag nrho, ces yuav muaj feem ntau dua uas yuav muaj teeb meem (xws li rov tawg dua thaj chaw qub).

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj tus menyuam muaj teeb meem raug mob hnyav, xws li ntog hnyav lossis raug xwm txheej tsheb , mus ntsib kws kho mob tam sim ntawd.

Yog koj xav tias koj tus menyuam pob txha tawg, lossis yog lawv muaj ib qho ntawm cov tsos mob hauv qab no , mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) tam sim ntawd:

• Mob hnyav heev.
• Tsis muaj peev xwm txav ib feem ntawm lub cev.
• Ib feem ntawm lub cev zoo li tau hloov pauv qhov tsos, ncab, lossis tsiv tawm ntawm qhov chaw .
• Daim tawv nqaij raug tho thiab pob txha pom tseeb.
• o hnyav heev.
• Cov tsos mob no yuav nrog los ntawm kev mob tshiab lossis kev hloov pauv ntawm cov xim tawv nqaij .

Kuv yuav tsum nug tus kws kho mob li cas?

• Puas yog kuv tus menyuam muaj pob txha tawg lossis lwm yam kev raug mob?
• Nws muaj hom pob txha tawg ntawm daim phaj loj hlob li cas?
• Puas yog kuv tus menyuam yuav tsum tau phais?
• Kuv tus menyuam yuav tau hnav daim ntaub thaiv ntev npaum li cas?
• Thaum twg kuv tus menyuam mam li rov qab mus ua si thiab ua si li qub tau?

Nws yog ib qho ib txwm muaj kev ntshai thaum ib tug me nyuam muaj xwm txheej, tshwj xeeb tshaj yog tias nws yog kev poob lossis kev xwm txheej uas koj tsis tuaj yeem tiv thaiv tau. Txawm hais tias cov pob txha tawg tuaj yeem ua rau mob hnyav heev, feem ntau cov menyuam yaus rov zoo thiab muaj peev xwm ua lawv txoj haujlwm dua.

Lub sijhawm yog qhov tseem ceeb thaum kho qhov tawg ntawm daim pob txha loj hlob. Yog tias koj xav tias koj tus menyuam muaj qhov tawg ntawm daim pob txha loj hlob (lossis lwm yam kev raug mob ntawm pob txha), mus ntsib kws kho mob sai li sai tau. Tus kws kho mob kuaj pom qhov mob sai npaum li cas thiab muab daim ntaub qhwv rau koj tus menyuam, tus menyuam yuav rov zoo sai npaum li ntawd thiab rov qab mus ua lawv cov dej num li qub.

Cov Lus Qhia Txog (Cov Lus Qhia Coj Mus Tsev)

Thaum kawg, cov menyuam yaus cov phaj loj hlob yog ib feem tseem ceeb heev ntawm lawv cov pob txha loj hlob. Qhov txaus ntshai rau cov no, uas yogCov pob txha tawg ntawm cov phaj loj hlob feem ntau tshwm sim, tab sis tsis muaj dab tsi yuav tsum txhawj txog. Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob sai li sai tau thaum koj xav tias muaj xwm txheej lossis pom cov tsos mob. Kev kho mob sai sai tuaj yeem pab koj tus menyuam rov zoo yam tsis ua rau lawv txoj kev loj hlob yav tom ntej puas tsuaj. Kev nco ntsoov txog kev nyab xeeb ntawm koj tus menyuam kuj tseem yuav pab txo qhov xwm txheej.

` Kev tawg ntawm cov phaj loj hlob, kev tawg ntawm cov phaj loj hlob, pob txha tawg rau cov menyuam yaus, Salter-Harris, cam khwb cia, kev noj qab haus huv ntawm cov menyuam yaus, pob txha tawg