Koj pob txha puas tsis tau teeb tsa zoo tom qab nws tawg? (Malunion & Nonunion Fractures)

Auj, pob txha tawg yog ib yam dab tsi uas koj tsis xav xav txog, puas yog? Tab sis nws tuaj yeem tshwm sim hauv kev sib tsoo, kev poob los ntawm qhov siab, lossis txawm tias kev sib tsoo tsheb. Feem ntau ntawm lub sijhawm, nrog kev kho mob los ntawm cov kws kho mob, xws li kev siv cov ntaub qhwv thiab tej zaum ib daim plaster, cov pob txha tawg tuaj yeem muab rov qab ua ke zoo. Tab sis qee zaum, cov no tsis tshwm sim yooj yim li koj xav. Yuav ua li cas yog tias lawv tsis haum ua ke kom zoo, lossis yog tias lawv tsis haum ua ke kiag li? Hnub no, peb yuav tham txog ob qho mob zoo li no: Malunion thiab Nonunion .

Malunion thiab Nonunion yog dab tsi?

Hais yooj yim xwb, qhov no hais txog cov rooj plaub uas pob txha tsis kho kom zoo tom qab pob txha tawg.

• Malunion yog thaum cov pob txha tawg raug sib koom ua ke, tab sis ua tsis yog txoj kev, nyob rau hauv qhov chaw tsis raug . Zoo li ob daim phaj tawg raug nplaum ua ke tsis raug. Cov pob txha tuaj yeem rub, khoov, lossis luv dua.
• Kev sib koom ua ke tsis yog thaum cov pob txha tawg tsis tau kho kiag li, txawm tias tom qab ntev lawm los xij. Nws zoo li ob daim ntoo tawg uas tsis haum ua ke.

Ua li no, yog tias pob txha tsis sib dhos, lossis yog tias nws tsis sib dhos kiag li, nws tuaj yeem muaj kev cuam tshuam loj rau kev ruaj khov thiab kev ua haujlwm ntawm peb lub cev pob txha. Xav txog seb nws yuav nyuaj npaum li cas rau kev taug kev yog tias pob txha hauv ib ceg tsis sib dhos.

Feem ntau, cov pob txha tawg yuav kho tau zoo yog tias kho kom zoo. Yog tias tsis kho tau, yuav tsum muaj ib qho laj thawj. Tej zaum yuav yog teeb meem ntawm lub cev - uas yog, cov pob txha tawg tsis sib haum ua ke thaum kho. Los yog tej zaum yuav yog teeb meem ntawm lub cev - uas yog, koj lub cev tsis muaj peev txheej txaus los kho pob txha. Cov kws kho mob yuav tsum xav txog txhua yam no thaum kho cov mob no.

Cov hom kev tsis koom ua ke tseem ceeb yog dab tsi?

Koj tus kws kho mob yuav muab koj qhov pob txha uas tsis sib koom ua ke faib ua "Hypertrophic", "Atrophic", lossis "Oligotrophic". Qhov kev faib no yog raws li pov thawj ntawm yam ua rau pob txha tsis zoo.

• Hypertrophic nonunion: Qhov no yog thaum pob txha tshiab tab tom tsim, tab sis qhov kawg ntawm cov pob txha tawg tsis tau sib txuas ua ke zoo. Hauv lwm lo lus, koj pob txha muaj tag nrho cov khoom siv hauv lub cev (piv txwv li, cov ntshav, cov hlwb) uas nws xav tau los kho, tab sis cov pob txha tsis tau tuav ua ke zoo thaum lub sijhawm kho. Xav txog tias muaj tag nrho cov khoom siv uas xav tau los ua lub tsev, tab sis cov phab ntsa tsis tau khi kom zoo.
• Atrophic nonunion:Hauv qhov no, tsis pom cov pob txha tshiab tsim, thiab pob txha tsis tau txais cov ntshav zoo. Qhov no qhia tau tias pob txha tsis zoo vim yog cov laj thawj ntawm lub cev. Ib yam li cov nroj tsuag qhuav tsis muaj dej thiab khoom noj khoom haus. Qee zaum, yog tias muaj kev kis kab mob hauv pob txha (septic nonunion), cov ntshav kuj tuaj yeem raug cuam tshuam.
• Oligotrophic nonunion: Hauv qhov no, qee cov pob txha tshiab tau tsim, tab sis nws tsis tiav. Cov pob txha tsis nyob hauv qhov chaw raug. Tej zaum cov pob txha tsis tau teeb tsa kom raug thaum xub thawj, lossis lawv tau sib xyaw tom qab. Tej zaum yuav muaj teeb meem nrog kev ruaj khov ntawm cov pob txha thiab cov yam ntxwv ntawm lub cev.

Cov tsos mob ntawm malunion yog dab tsi?

Thaum pob txha tsis sib dhos (malunion), koj yuav pom tej yam zoo li no:

• Koj cov pob txha zoo li ncab los yog khoov.
• Zoo li pob txha ntswj lawm .
• Tus pob txha zoo li luv dua li yav dhau los.

Thaum siv pob txha uas tsis sib dhos li no, koj yuav muaj cov tsos mob hauv qab no:

• Nws mob qhov twg pob txha nyob.
• Muaj o .
• Qaug zog thaum taug kev (yog tias nws yog ib ceg).

Txhua pob txha hauv peb lub cev txuas nrog ib leeg. Yog li ntawd, thaum ib pob txha tsis muaj zog nyob rau hauv ib qho chaw, nws tuaj yeem muab qhov hnyav ntxiv thiab kev nyuaj rau lwm cov pob txha. Yog li ntawd, thaum koj siv cov pob txha raug mob, koj tuaj yeem hnov ​​​​​​mob rau lwm qhov ntawm lub cev.

Xav txog, yog tias cov hlab ntsha nyob ze raug nias lossis rub vim yog cov pob txha tsis sib dhos, cov no yog cov tsos mob ntsig txog cov hlab ntsha uas koj yuav ntsib:

• Mob qhov ncauj, zoo li cov ntsaum khiav ncig (paresthesia).
• Cov leeg nqaij hauv thaj chaw raug mob ua rau tsis muaj zog thiab atrophy.
• Mob hlab ntsha (neuropathy) tshwm sim.

Cov tsos mob ntawm kev tsis sib yuav yog dab tsi?

Thaum pob txha tsis sib koom ua ke (nonunion), koj yuav pom cov tsos mob zoo li:

• Muaj qhov mob tob thiab mob tas li ntawm qhov chaw tawg.
• Tseem muaj qhov tsis muaj zog nyob rau thaj chaw ntawd, qhov kev xav tias tsis tuaj yeem txav mus los tau zoo .
• Los ntawm sab nraud, koj tuaj yeem pom qhov sib txawv , tej zaum zoo li lub pob caus lossis qhov sib txawv.

Qee zaum, yog tias muaj kev kis kab mob hauv pob txha, nws yuav nrog lossis tsis muaj cov tsos mob no:

• Kev o
• Ua npaws
• Kuv tab tom txias.

Vim li cas cov kev tsis sib haum xeeb thiab kev tsis sib haum xeeb no thiaj tshwm sim?

Thaum pob txha tawg, muaj ntau yam ua rau nws tsis kho tau zoo lossis tsis kho tau li. Cia peb saib qee yam tseem ceeb:

• Nws tawg li cas, puas tsuaj npaum li cas:Piv txwv li, cov pob txha uas ntswj (kauv pob txha tawg) lossis tawg ua ntau daim (comminuted fractures) yuav tsis zoo. Tsis tas li ntawd, yog tias koj raug mob hnyav (traumatic injury) uas cuam tshuam rau cov ntshav mus rau pob txha, nws yuav cuam tshuam rau kev kho. Vim tias cov ntshav yog qhov tseem ceeb rau pob txha kom muaj sia nyob thiab kho.
• Koj kho tau sai npaum li cas thiab zoo npaum li cas: Yog tias koj tsis mus ntsib kws kho mob sai li sai tau thaum koj pob txha tawg, nws tuaj yeem pib kho tsis raug. Qee zaum, txawm tias cov pob txha tau teeb tsa kom raug, lawv tseem tuaj yeem tawg. Qhov no yuav tshwm sim ntau dua yog tias kev kho mob qeeb lossis yog tias kev kho mob tsis txaus.
• So thiab tiv thaiv koj tus kheej thaum lub sijhawm kho: Nws yog ib qho tseem ceeb heev uas yuav tsum khaws pob txha kom nyob hauv qhov chaw thiab nyob rau hauv qhov chaw raug thaum nws kho. Ib txhia neeg siv sijhawm ntev dua li niaj zaus rau pob txha kom kho. Hauv cov xwm txheej zoo li no, teeb meem tuaj yeem tshwm sim yog tias tus kws kho mob tshem tawm cov cam khwb cia thaum ntxov dhau lossis yog tias koj pib siv pob txha sai dhau.
• Koj txoj kev noj qab haus huv tag nrho thiab lub peev xwm kho: Thaum pob txha kho qeeb qeeb, nws yuav ua rau malunion lossis nonunion. Cov neeg uas muaj hnub nyoog laus , tsis muaj zaub mov txaus (tshwj xeeb tshaj yog calcium thiab vitamin D), lossis cov kab mob metabolic xws li ntshav qab zib mellitus thiab kab mob thyroid tuaj yeem qeeb lossis txawm tias tiv thaiv kev kho pob txha. Nws tseem ceeb heev uas yuav tsum nco ntsoov tias kev haus luam yeeb thiab kev siv nicotine kuj tseem tuaj yeem ua rau pob txha tsis muaj zog thiab qeeb kev kho.

Cov kws kho mob kuaj mob li cas?

Thaum kuaj mob zoo li no, tus kws kho mob yuav nug koj ua ntej txog qhov raug mob tshwm sim li cas thiab lwm yam mob uas koj muaj. Tom qab ntawd, nws yuav kuaj koj ceg. Nws yuav saib tej yam xws li koj pom dab tsi hloov pauv sab nraud thiab nws xav li cas thaum koj txav nws. Nyob ntawm qhov twg ntawm qhov tawg, lawv yuav xav saib koj taug kev li cas lossis ntsuas qhov ntev ntawm ceg.

Tom qab ntawd, tau kawg, cov duab ntawm pob txha raug thaij ('imaging'). Qhov no tuaj yeem siv cov kev kuaj xws li X-rays , CT scan , lossis MRI .

Tus kws kho mob yuav kuaj xyuas seb pob txha puas tau zoo lawm hauv qhov chaw tsis zoo thiab tsis raug rau lub cev. Yog tias yog, nws yuav txiav txim siab tias nws yog malunion.

Yog tias pob txha tsis tau kho ntev heev, lossis yog tias nws tsis tau kho tag nrho, nws hu ua 'kev sib koom ua ke qeeb' lossis tsis sib koom ua ke. Lub sijhawm uas nws siv rau pob txha kom kho tau tuaj yeem sib txawv nyob ntawm qhov xwm txheej ntawm qhov raug mob, hom pob txha uas tawg, thiab koj txoj kev noj qab haus huv tag nrho. Feem ntau, nws tuaj yeem siv sijhawm rau, cuaj, lossis kaum ob lub hlis rau pob txha kom kho tau yam tsis kho.

Puas tsim tau cov kev tsis sib haum xeeb thiab cov kev tsis sib haum xeeb no?

Tsis yog txhua qhov malunion lossis nonunion yuav tsum tau kho. Nws nyob ntawm seb pob txha twg tawg, koj siv pob txha ntau npaum li cas, thiab qhov mob cuam tshuam rau koj lub neej txhua hnub npaum li cas. Tab sis qee zaum, pob txha uas tsis tau kho kom zoo tuaj yeem ua rau nws nyuaj rau taug kev, ua rau mob, lossis ua rau muaj lwm yam teeb meem. Yog li ntawd, tej zaum yuav tsum tau phais kom kho nws. Koj tus kws kho mob yuav sim ua ntej cov kev kho mob uas tsis yog phais thiab tom qab ntawd pom zoo kom phais yog tias lawv tsis ua haujlwm.

Kev kho mob rau Malunion

Kev kho mob uas tsis yog phais:

• Kev Kho Mob: Qee zaum siv ib qho kev kho mob tshwj xeeb los pab kom pob txha nyob rau hauv qhov chaw zoo dua.
• Cov Khoom Siv Kho Mob: Ib daim khau uas tsim tshwj xeeb tuaj yeem pab them rau qhov sib txawv ntawm ceg ntev.
• Kev Kho Mob Lub Cev: Kev tawm dag zog tshwj xeeb tuaj yeem ua rau cov leeg nqaij mob muaj zog thiab txo qhov hnyav ntawm cov pob txha.
• Cov Tshuaj Tua Kab Mob: Yog tias mob ib ntus, koj tuaj yeem siv cov tshuaj tua kab mob uas siv ntau xws li NSAIDs.

Kev kho mob los ntawm kev phais:

• Osteotomy: Hauv qhov no, tus kws phais pob txha txiav cov pob txha uas tsis sib dhos thiab muab nws rov qab rau hauv qhov chaw.
• Phais kom ceg ntev: Yog tias ib sab caj npab lossis ceg luv dua, tus kws phais siv tau ib lub cuab yeej tshwj xeeb los ua kom nws ntev dua.

Kev Kho Mob Rau Nonunion

Kev kho mob uas tsis yog phais:

• Kev Kho Mob: Tej zaum koj yuav tsum tau kho rau lwm yam mob (piv txwv li ntshav qab zib), kev kis kab mob, lossis kev tsis txaus zaub mov zoo.
• Orthoses: Ib lub brace, splint, lossis cast tuaj yeem pab ua kom pob txha tsis txav thiab pab nws kho.
• Cov tshuaj txhawb pob txha: Cov no siv cov nthwv dej ultrasonic lossis electromagnetic los txhawb kev kho pob txha.
• Kev txhaj tshuaj biologic: Kev txhaj tshuaj ntawm cov hlwb stem cell lossis cov ntshav uas muaj platelet ntau tuaj yeem ua rau pob txha kho thiab loj hlob.

Kev kho mob los ntawm kev phais:

• Debridement: Hauv qhov no, tus kws phais orthopedic tshem tawm cov ntaub so ntswg tuag ntawm pob txha.
• Kev phais mob hlab ntsha: Tus kws phais mob hlab ntsha tuaj yeem ua phais rau koj cov hlab ntsha kom rov qab ntshav ntws mus rau koj lub plawv.
• Kev txuas pob txha:Hauv qhov no, tus kws phais pob txha yuav muab ib daim pob txha los ntawm lwm qhov ntawm koj lub cev, lossis los ntawm tus neeg pub pob txha, thiab muab nws hloov mus rau qhov uas ploj lawm. Cov pob txha uas tau hloov no muab qhov pib zoo rau kev loj hlob ntawm cov pob txha tshiab.
• Qhib kev txo qis thiab kev kho sab hauv: Hauv qhov no, tus kws phais pob txha kho cov pob txha thiab kho lawv ua ke nrog cov ntsia hlau phais thiab cov phaj lossis cov rau tes.

Tom qab kho mob tas, qhov xwm txheej zoo li cas lawm?

Ob qho kev kho mob uas tsis yog phais thiab kev kho mob phais muaj feem pua ​​​​​​ntawm kev vam meej hauv kev kho cov pob txha malunions thiab nonunions. Txawm li cas los xij, kev rov zoo thiab kev kho kom rov zoo yuav siv sijhawm. Tej zaum koj yuav tsum siv tus pas nrig lossis tus neeg taug kev kom txog thaum koj zoo. Koj kuj tseem yuav tsum tau txais kev kho lub cev ib ntus. Qee zaum, yog tias cov pob txha tsis tuaj yeem sib dhos zoo, lossis yog tias tus kws kho mob tsis tuaj yeem tswj cov yam ntxwv ntawm lub cev, kev kho mob yuav tsis ua tiav.

Pob txha tawg tuaj yeem tshwm sim rau txhua tus neeg. Nws tsis yog ib txwm meej tias koj puas muaj pob txha tawg lossis tsis yog. Tab sis yog tias koj xav tias koj yuav muaj ib qho, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob sai li sai tau. Vim tias pob txha tawg yuav kho tau zoo dua thaum lawv kho sai thiab raug. Koj tus kws kho mob yuav tshuaj xyuas koj qhov kev raug mob thiab txiav txim siab seb dab tsi yuav tiv thaiv nws kom tsis txhob kho. Tom qab ntawd nws yuav qhia koj txog yam koj tuaj yeem ua los pab nws kho kom zoo, es tsis txhob ua rau muaj malunion lossis nonunion.

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

Tsis txhob ntshai yog tias koj pob txha tawg. Tab sis tsis txhob xav tias yooj yim. Mus ntsib kws kho mob tam sim ntawd thiab nrhiav kev kho mob kom zoo. Ua raws li kws kho mob cov lus qhia. Yog tias koj tau txais ib daim ntaub qhwv, khaws cia kom txog thaum nws hais kom koj tshem nws tawm. Yog tias nws hais kom koj tawm dag zog, ua kom raug. Noj zaub mov kom zoo, tshwj xeeb tshaj yog cov khoom noj uas muaj calcium thiab vitamin D ntau. Yog tias koj yog tus haus luam yeeb, kev tso tseg yog ib qho kev pab zoo hauv kev kho mob. Vim tias pob txha noj qab haus huv yog qhov tseem ceeb rau lub neej noj qab haus huv!

Pob txha tawg, malunion, nonunion, kho pob txha, phais pob txha, kho pob txha, pob txha tawg