Peb txhua tus tau hnov txog ib tug pog lossis yawg laus uas plam thiab poob hauv chav dej thiab "ua rau nws lub duav tawg." Qee zaum peb tso dag nrog peb cov phooj ywg tias "koj yuav tsum tsis txhob ua rau koj lub duav tawg tsuas yog vim koj laus lawm." Tab sis qhov tseeb, kev tawg lub duav tsis yog ib yam dab tsi uas yuav tsum tsis txhob saib yooj yim. Qhov no yog ib qho xwm txheej loj heev, qee zaum hloov lub neej. Yog li hnub no, cia peb paub txog qhov no.
Hauv lus yooj yim, pob txha tawg yog dab tsi?
Qhov no yog thaum lub pob txha sab saud ntawm koj lub duav (uas peb hu ua Femur hauv kev kho mob), uas nyob ze ntawm lub pob qij txha, tawg. Koj paub, pob txha duav yog lub pob txha ntev tshaj plaws thiab muaj zog tshaj plaws hauv peb lub cev. Yog li ntawd, kom nws tawg, feem ntau nws yuav tsum yog qhov cuam tshuam loj heev, zoo li kev poob hnyav lossis kev sib tsoo tsheb. Thaum koj tawg pob txha duav, nws yuav luag ib txwm xav tau phais kom kho nws.
Peb lub pob qij txha ntawm lub duav zoo li lub pob qij txha uas muaj pob thiab lub qhov (ball-and-socket). Lub pob txha ntawm lub duav zoo li lub pob sib txuas rau hauv lub qhov (socket) hauv peb lub duav. Txhua qhov tawg hauv thaj chaw no feem ntau hu ua pob qij txha tawg.
Puas muaj hom raws li qhov chaw ntawm qhov tawg?
Yog, cov kws kho mob faib qhov no raws li qhov chaw uas pob txha femur tawg.
- Kev tawg ntawm lub taub hau femoral: Qhov no yog kev tawg ntawm lub pob ntawm pob txha ncej puab. Txawm li cas los xij, qhov no tsis tshua muaj.
- Kev tawg ntawm lub caj dab femoral: Kev tawg ntawm qhov zoo li choj (caj dab) ntawm lub pob txha femur uas txuas lub taub hau zoo li pob thiab pob txha ntev. Qhov no yog hom kev tawg ntawm lub duav uas feem ntau tshwm sim.
- Kev tawg ntawm cov pob txha intertrochanteric: Kev tawg ntawm thaj chaw ntawm ob lub pob txha nyob ib puag ncig lub caj dab ntawm pob txha, qhov chaw uas cov leeg thiab cov leeg txuas.
Cov tsos mob ntawm lub duav tawg yog dab tsi?
Thaum pob txha tawg ntawm lub duav, feem ntau pom ib lossis ntau yam ntawm cov tsos mob no. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov no.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob hnyav heev | Mob hnyav heev, mob tsis taus hauv thaj tsam ntawm lub duav. |
| Tsis muaj peev xwm txav mus los | Tsis muaj peev xwm txav mus los, khoov, lossis dais qhov hnyav ntawm lub duav lossis ceg kiag li. |
| Kev o thiab mob nqaij | Qhov chaw raug mob o thiab daim tawv nqaij xiav/ntsuab. |
| Kev puas tsuaj | Lub duav zoo li txawv txawv piv rau sab tod, ceg tig tawm los yog luv dua. |
| Hnov/pom ib lub pob caus | Hnov lossis pom ib yam dab tsi zoo li lub pob ntawm qhov chaw tawg. |
Cov laj thawj tseem ceeb rau qhov xwm txheej no yog dab tsi?
Feem ntau, pob txha muaj zog zoo li no xav tau kev cuam tshuam loj heev thiaj li tawg tau.
- Ntog: tshwj xeeb tshaj yog los ntawm qhov siab (ntaiv, ru tsev).
- Kev sib tsoo tsheb: Qhov no tuaj yeem tshwm sim ntau zaus hauv kev sib tsoo tsheb loj.
- Kev Sib Tsoo Hauv Kev Ua Si: Kev sib tsoo uas tshwm sim thaum lub sijhawm ua si sib ntaus sib tua.
Tiam sis nco ntsoov, rau ib tus neeg uas muaj hnub nyoog tshaj 65 xyoos lossis ib tus neeg uas muaj kab mob uas ua rau cov pob txha tsis muaj zog (piv txwv li osteoporosis), qhov kev pheej hmoo ntawm kev tawg lub duav yog siab dua, txawm tias yog los ntawm kev plam me me thiab poob hauv tsev.
Leej twg muaj kev pheej hmoo tshaj plaws?
Txawm hais tias leej twg los xij tuaj yeem tawg lub duav thaum muaj xwm txheej, qee tus neeg muaj kev pheej hmoo siab dua.
| Qhov ua rau muaj kev pheej hmoo | Ib qho lus piav qhia luv luv |
|---|---|
| Muaj hnub nyoog tshaj 65 xyoo | Qhov no yog vim tias cov pob txha tsis muaj zog thiab qhov sib npaug txo qis thaum peb laus zuj zus. |
| Cov kab mob ua rau pob txha tsis muaj zog | Cov mob xws li osteoporosis lossis osteopenia. |
| Ua ib tug poj niam | Muaj ib qho kev pheej hmoo ntau dua rau cov pob txha kom nyias vim yog kev hloov pauv hormonal, tshwj xeeb tshaj yog tom qab lub sijhawm tas lawm. |
| Cov kab mob uas cuam tshuam rau qhov sib npaug | Cov kab mob xws li tus kab mob Parkinson, kiv taub hau ntau zaus (Vertigo) lossis qaug dab peg. |
Tus kws kho mob kuaj mob li cas?
Tom qab koj raug coj mus rau tsev kho mob, tus kws kho mob feem ntau yuav kuaj koj hauv Chav Kho Mob Thaum Muaj Xwm Ceev (ETU). Lawv yuav kuaj koj lub duav thiab ceg, xyuas seb puas mob, o, thiab hloov pauv ntawm qhov tsos. Tom qab ntawd lawv yuav ua ib lossis ntau qhov kev kuaj hauv qab no kom paub meej tias qhov pob txha tawg thiab txiav txim siab qhov xwm txheej tseeb.
- X-ray ntawm lub duav
- Kev kuaj MRI
- Kev kuaj CT
Yuav kho li cas? Puas tsim nyog phais?
Yog, yuav luag txhua tus neeg uas tawg lub duav yuav tsum tau phais. Hom kev phais uas koj xav tau yuav nyob ntawm seb qhov pob txha tawg zoo li cas, koj lub hnub nyoog, thiab seb koj puas muaj lwm yam teeb meem kev noj qab haus huv. Muaj ob hom kev phais tseem ceeb.
1. Hloov Pob Qij Txha / Kho Pob Qij Txha: Kev kho mob no feem ntau yog ua rau cov neeg hnub nyoog tshaj 65 xyoo. Tej zaum yuav tsum tau hloov tag nrho pob qij txha (hloov tag nrho) lossis tsuas yog ib feem ntawm nws (hloov ib nrab).
2. Kev Kho Qhov Pob Txha Qhib thiab Kho Sab Hauv (ORIF): Hauv txoj kev kho mob no, tus kws phais yuav muab cov ntsia hlau, cov koob, cov phaj, lossis cov pas hlau los tuav cov pob txha tawg ua ke kom txog thaum lawv zoo. Ib txhia neeg yuav tsum ua li no mus tas lawv lub neej. Lwm tus yuav tsum tau muab tshem tawm tom qab pob txha zoo lawm.
Puas muaj teeb meem tshwm sim tom qab phais?
Ib yam li lwm yam kev phais mob, muaj kev pheej hmoo ntawm cov teeb meem.
- Avascular Necrosis: Ib feem ntawm pob txha tuag thaum cov ntshav mus rau pob txha raug txiav tawm.
- Tsis koom ua ke:Cov pob txha tawg uas tsis sib haum rov qab ua ke zoo.
- Malunion: Kev tsis sib haum ntawm cov pob txha.
- Kev kis kab mob pob txha (Osteomyelitis): Yog tias pob txha tawg nkag mus rau hauv daim tawv nqaij (qhib pob txha tawg), qhov kev pheej hmoo ntawm kev kis kab mob yog siab.
Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
Lub duav tawg yuav siv sijhawm tsawg kawg yog ob peb lub hlis los kho kom zoo. Nws yuav siv sijhawm txog li ib xyoos rau koj kom maj mam zoo dua. Lub sijhawm uas nws siv los kho koj nyob ntawm ntau yam:
- Hom kev phais mob uas tau ua
- Koj lub hnub nyoog thiab kev noj qab haus huv tag nrho
- Seb puas muaj lwm yam kev raug mob hauv qhov xwm txheej
Koj yuav tsum pib kho lub cev (PT) sai sai tom qab phais. Koj yuav tsum ua PT rau ob peb lub hlis. Nws yuav pab koj ua kom cov leeg nqaij nyob ib puag ncig koj lub duav muaj zog thiab ua rau koj taug kev thiab txav mus los dua. Tej zaum koj yuav tsum siv lub cuab yeej taug kev, pas nrig, lossis pas nrig thaum xub thawj.
Vim li cas pob txha tawg ntawm lub duav thiaj li yog qhov xwm txheej txaus ntshai heev?
Qhov no yog ib qho xwm txheej ceev hauv kev kho mob vim tias, ntxiv rau qhov ua rau pob txha tawg, nws tseem tuaj yeem ua rau cov kab mob tseem ceeb nyob ib puag ncig nws puas tsuaj.
Qhov tseem ceeb tshaj plaws yog tias yog muaj xwm txheej hnyav txaus ua rau lub pob txha ncej puab tawg, cov hlab ntsha ntawm lub pob txha ncej puab uas khiav ze ntawd yuav raug puas tsuaj. Yog tias qhov ntawd tshwm sim, kev los ntshav ntau dhau tuaj yeem ua rau tuag taus. Kuj tseem muaj kev pheej hmoo ntawm cov ntshav txhaws.
Qhov no yuav ua rau muaj teeb meem loj heev yog tias qhov xwm txheej tshwm sim rau ib tus neeg laus. Thaum lawv laus zuj zus, lub cev yuav kho qeeb dua. Kev phais thiab lub sijhawm rov zoo tom qab ntawd yuav nyuaj heev rau lawv. Qee qhov kev tshawb fawb tau pom tias cov neeg laus uas tau raug mob pob qij txha tsis tshua taug kev thiab tsis koom nrog kev ua ub ua no txawm tias tom qab lawv rov zoo lawm. Qhov kev kho siab no tuaj yeem cuam tshuam rau lawv txoj kev noj qab haus huv tag nrho.
Puas tiv thaiv tau qhov xwm txheej zoo li no?
Txawm hais tias peb tswj tsis tau qhov xwm txheej los xij, muaj ntau yam uas peb ua tau los txo qhov kev pheej hmoo.
- Ua kom koj lub tsev muaj kev nyab xeeb: Tshem tawm cov khoom nplua, cov xov hlau uas sib txuas, thiab lwm yam khoom hauv pem teb. Muab ib daim lev uas tsis nplua rau hauv chav dej. Xyuas kom muaj teeb pom kev zoo.
- Saib xyuas koj cov pob txha kom noj qab haus huv: Noj cov khoom noj uas muaj calcium thiab vitamin D ntau. Tham nrog koj tus kws kho mob thiab ua kom tawm dag zog zoo.
- Tau txais kev kuaj pob txha ceev: Yog tias koj muaj hnub nyoog tshaj 65 xyoos lossis muaj keeb kwm tsev neeg ntawm osteoporosis, tham nrog koj tus kws kho mob txog kev tau txais kev kuaj pob txha ceev.
- Hnav cov khoom siv tiv thaiv:Nco ntsoov siv koj txoj siv sia thaum tsav tsheb. Yog tias koj ua si kis las, hnav cov khoom siv kev nyab xeeb kom tsim nyog.
- Ceev faj thaum koj ncav tes mus rau tej yam uas siab heev: Tsis txhob nce mus rau saum tej rooj zaum lossis tej rooj kom ncav tes mus rau tej yam. Siv ib lub ntaiv uas tsim nyog lossis ib yam dab tsi.
Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU)?
Yog koj xav tias koj lub duav tawg, nws yeej ib txwm yog qhov xwm txheej ceev. Hu rau lub tsheb thauj neeg mob tam sim ntawd. Yog tias ib tug neeg tau poob thiab muaj cov tsos mob hauv qab no, nrhiav kev kho mob tam sim ntawd.
| Cov xwm txheej thaum koj xav tau mus rau tsev kho mob tam sim ntawd | |
|---|---|
| 1. | Yog tias lub duav lossis ceg tsis tuaj yeem txav tau li. |
| 2. | Yog tias muaj mob hnyav heev, tsis tuaj yeem kho tau. |
| 3. | Yog tias lub duav lossis ceg ncab tsis zoo thiab hloov pauv lawm. |
| 4. | Yog tias pob txha tawg pom tau los ntawm daim tawv nqaij. |
| 5. | Yog tias qhov chaw raug mob o thiab raug mob ntau dhau. |
Puas zoo rau co lossis tsa ib tug neeg uas lub duav tawg?
Tsis zoo kiag li. Yog koj xav tias ib tug neeg lub duav tawg, hu rau lub tsheb thauj neeg mob tam sim ntawd. Txog thaum cov kws kho mob tau kawm tiav tuaj txog thiab thauj nws mus rau tsev kho mob, txhua yam koj ua tau yog sim ua kom nws nyob twj ywm. Tsis txhob muab qhov hnyav rau ntawm ceg, sim sawv ntsug lossis taug kev.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob pob qij txha tawg yog ib qho mob hnyav thiab ceev heev. Tsis txhob xav tias qhov no yog ib qho mob uas nyuaj to taub.
- Txawm hais tias qhov no feem ntau tshwm sim ntawm cov neeg laus, nws tuaj yeem tshwm sim hauv qhov xwm txheej loj rau txhua tus neeg txhua lub hnub nyoog.
- Feem ntau yuav tsum tau phais mob rau kev kho mob.
- Lub sijhawm rov zoo tuaj yeem ntev, thiab kev ua siab ntev thiab kev kho lub cev yog qhov tseem ceeb.
- Tshwj xeeb tshaj yog nyob rau hauv cov tsev uas muaj cov niam txiv laus, nws yog ib qho tseem ceeb heev uas yuav tsum ua cov kev ntsuas kev nyab xeeb kom tiv thaiv lawv kom tsis txhob plam thiab poob.
- Yog koj xav tias pob txha tawg ntawm lub duav, tsis txhob sim txav tus neeg mob koj tus kheej, tab sis hu rau lub tsheb thauj neeg mob tam sim ntawd.
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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