Koj tus me nyuam puas tau poob thiab "tawg" ib sab caj npab lossis ceg? Tej zaum nws yog (Buckle Fracture)! Cia peb tham txog qhov no.

Kuv nkag siab tias koj yuav tsum ntshai npaum li cas ua niam txiv yog tias koj tus me nyuam poob tam sim ntawd lossis muaj qhov xwm txheej me me thaum ua si. Tshwj xeeb tshaj yog tias koj tus me nyuam quaj tias caj npab lossis ceg mob, nws yog ib qho ib txwm muaj kev txhawj xeeb, "Auj, kuv tsis paub tias kuv puas tau tawg pob txha." Tab sis koj puas paub tias qee qhov pob txha tawg uas tshwm sim rau cov menyuam yaus (peb cov kws kho mob kuj hu ua 'pob txha tawg') txawv me ntsis ntawm cov pob txha tawg uas tshwm sim rau cov neeg laus? Hnub no peb yuav tham txog ib hom pob txha tawg tshwj xeeb uas feem ntau tshwm sim rau cov menyuam yaus, tab sis feem ntau kho sai sai yam tsis muaj teeb meem loj. Peb hu qhov no ua 'Buckle Fracture' . Qee zaum nws kuj hu ua 'Torus Fracture.' Yog li, cia peb saib nws yog dab tsi, vim li cas nws tshwm sim, thiab yuav ua li cas yog tias nws tshwm sim?

'Buckle Fracture' yog dab tsi? Muaj dab tsi tshwm sim tiag?

Hais yooj yim xwb, qhov tawg ntawm pob txha yog qhov me me, tsis tiav uas feem ntau tshwm sim rau cov menyuam yaus. Xav txog pob txha ntawm tus menyuam yaus ua ib ceg ntoo ntsuab, tsis tau siav. Yuav ua li cas yog tias koj khoov ib ceg zoo li ntawd? Nws tsis tawg tag nrho ua ob, puas yog? Hloov chaw, ib sab ntawm nws khoov me ntsis rau hauv, tsim ib lub pob caus me me lossis bulge. Qhov ntawd yog qhov tshwm sim hauv qhov tawg ntawm pob txha. Thaum pob txha raug thawb los ntawm ib sab, txheej tawv ntawm pob txha, hu ua cortex , khoov me ntsis rau hauv ib sab, tsim ib lub buckle me me lossis torus zoo li lub accordion. Qhov tseem ceeb yog tias pob txha tsis faib tag nrho ua ob. Ntawm qhov tod tes, 'cortex' tej zaum yuav zoo li qub. Yog vim li cas peb thiaj xav tias qhov no yog qhov tawg ruaj khov. Lo lus 'torus' kuj los ntawm Greek / Latin, txhais tau tias ib yam dab tsi zoo li 'twisting' lossis 'round bulge'. Yog li lub npe nws tus kheej muab lub tswv yim ntawm qhov xwm txheej ntawm qhov tawg no.

Vim li cas qhov no tshwm sim ntau dua rau cov menyuam yaus?

Tam sim no tej zaum koj yuav xav paub tias, "Vim li cas qhov no tsuas yog tshwm sim rau cov menyuam yaus xwb thiab tsis yog cov neeg laus?" Qhov laj thawj yog vim cov pob txha ntawm cov menyuam yaus, tshwj xeeb tshaj yog cov hnub nyoog qis dua 10-12 xyoos, txawv ntawm cov neeg laus.

• Cov pob txha mos thiab yoog tau: Vim tias cov pob txha me me tseem tab tom loj hlob, lawv tsis tawv thiab khov kho li cov pob txha laus. Lawv mos dua, muaj qhov ntau dua, thiab yoog tau. Zoo li ceg ntoo nyoos uas kuv tau hais ua ntej. Yog li ntawd, thaum siv lub zog loj, cov pob txha yuav "khoov" lossis "nkaus" dua li "nkaus" tag nrho. Hauv ib tug neeg laus, hom zog ntawd feem ntau tuaj yeem rhuav pob txha tag nrho, zoo li ib tug pas qhuav.
• Periosteum : Lub periosteum uas nyob ib puag ncig cov pob txha ntawm cov menyuam yaus.Lub periosteum, lossis pob txha npog, tuab dua thiab muaj zog dua li cov neeg laus. Nws zoo li lub plhaub muaj zog nyob ib puag ncig pob txha. Txawm tias nyob rau hauv 'kev tawg pob txha,' qhov 'periosteum' muaj zog no feem ntau tiv thaiv cov pob txha kom tsis txhob txav mus los (kev hloov chaw). Yog lwm qhov laj thawj uas cov pob txha tawg no ruaj khov.

Vim li no, qhov kev raug mob tshwj xeeb no hu ua 'buckle fracture' feem ntau pom ntawm cov menyuam yaus.

Kev raug mob zoo li no tshwm sim li cas? Feem ntau nws tshwm sim li cas?

Qhov ua rau muaj hom 'buckle fracture' no yog lub zog tam sim ntawd uas siv rau ntawm txoj kab ntev ntawm pob txha. Cov menyuam yaus me me nyiam ua si, khiav, dhia, thiab ua si. Yog li nws yog ib qho uas muaj ntau qhov xwm txheej me me tshwm sim thaum lub sijhawm no. Qhov kev raug mob no feem ntau pom:

• Poob rau ntawm tes uas ncab tawm (FOOSH): Qhov no yog qhov ua rau feem ntau. Xav txog koj tus menyuam tab tom khiav ncig ntawm qhov chaw ua si thiab mam li ntaus lawv txhais tes. Hauv qhov xwm txheej zoo li no, tag nrho qhov hnyav ntawm lub cev tuaj yeem mus rau hauv caj npab thiab muab siab rau pob txha hauv lub dab teg lossis caj npab. Qhov no yog thaum 'buckle fracture' feem ntau yuav tshwm sim.
• Kev ntaus ncaj qha: Qee zaum, thaum muaj ib yam dab tsi ntaus rau ntawm caj npab lossis ceg ncaj qha, hom pob txha tawg no kuj tuaj yeem tshwm sim vim yog qhov kev cuam tshuam.
• Dhia thiab kev raug mob hauv kev ua si : Cov kev raug mob no kuj tuaj yeem tshwm sim thaum dhia los ntawm qhov siab lossis thaum muaj lwm yam kev raug mob thaum ua si kis las.

Cov 'buckle fractures' no feem ntau pom nyob rau hauv radius thiab ulna , tshwj xeeb tshaj yog nyob ze ntawm lub dab teg. Lawv kuj tuaj yeem pom nyob rau hauv tibia thiab fibula, tab sis tsawg dua li nyob rau hauv tes.

Kuv yuav paub li cas yog tias kuv tus menyuam muaj 'buccal fracture'? Cov tsos mob yog dab tsi?

Tam sim no tej zaum koj yuav xav paub tias, "Kuv yuav paub tseeb li cas tias kuv tus menyuam muaj qhov no?" Cov tsos mob ntawm 'buckle fracture' tej zaum yuav tsis hnyav li koj xav. Txawm li cas los xij, ceev faj txog cov no:

• Mob ntawm qhov chaw raug mob: Tus menyuam yuav hais tias lawv txhais caj npab lossis ceg mob. Qhov mob yuav nce ntxiv yog tias lawv kov lossis nias rau ntawm qhov chaw ntawd ( mob ).
• o: Tej zaum koj yuav pom qee qhov o nyob ib puag ncig qhov chaw raug mob. Qee zaum qhov no yuav tsis pom tseeb.
• Tsis kam siv: Tus me nyuam yuav tsis kam siv sab caj npab lossis ceg uas raug mob. Piv txwv li, yog tias muaj ib txhais tes, lawv yuav tsis tuav tau dab tsi nrog tes ntawd, lossis yog tias muaj ib ceg, lawv yuav tsis kam muab ceg ntawd tso rau hauv av lossis taug kev.
• Kev puas tsuaj: Feem ntau ntawm cov 'buckle fractures', tsis muaj kev puas tsuaj loj. Yog li ntawd, tsis txhob xav tias, "Lub caj npab tsis khoov, yog li nws tsis tawg."
• Kev raug mob: Qee zaum daim tawv nqaij nyob ib puag ncig qhov raug mob yuav hloov xim.Nws tau hloov pauv lawm, thiab pom tau qhov mob xiav-ntsuab.

Tseem Ceeb: Ib txhia menyuam yaus rhiab heev rau qhov mob thiab tej zaum yuav quaj ntau heev txawm tias tom qab raug mob me me lawm los xij. Lwm tus yuav tsis quav ntsej txog qhov mob. Yog li ntawd, ua tib zoo mloog koj tus menyuam tus cwj pwm thiab nws hais li cas. Yog tias koj muaj lus nug, nco ntsoov nrhiav kev pab kho mob.

Tus kws kho mob kuaj mob li cas? Lawv ua cov kev kuaj dab tsi?

Thaum koj coj koj tus menyuam mus ntsib kws kho mob, thawj qhov uas tus kws kho mob lossis tus nais yuav ua yog nug tus menyuam thiab koj txog qhov xwm txheej. Tom qab ntawd, lawv yuav kuaj xyuas tus menyuam. Lawv yuav xyuas seb qhov chaw raug mob puas o, puas mob thaum kov, thiab puas tuaj yeem txav tau ceg. Txawm li cas los xij, kom paub tseeb tias puas muaj 'buckle fracture' lossis tsis yog, koj yuav tsum tau thaij duab 'X-ray'. Los ntawm daim duab 'X-ray' koj tuaj yeem pom qhov khoov me me lossis 'buckle' hauv pob txha uas kuv tau hais ua ntej. Tsis txhob ntshai thaij duab 'X-ray'. Hauv qhov xwm txheej zoo li no, 'X-ray' yuav tsis ua rau tus menyuam raug mob. Cov ntaub ntawv nws muab yog qhov tseem ceeb heev rau kev muab kev kho mob zoo rau tus menyuam.

Koj ua li cas rau 'buckle fracture'? Yuav kho nws li cas?

Qhov xov xwm zoo yog tias 'kev tawg ntawm lub pob qij txha' feem ntau yog qhov raug mob uas kho tau zoo heev thiab sai, tsis muaj teeb meem loj. Yog li ntawd, kev kho mob feem ntau yooj yim.

• Kev Tiv Thaiv Kom Tsis Txhob Txav Mus Los: Kev kho mob tseem ceeb yog kev tiv thaiv kom tsis txhob txav mus los ntawm kev tiv thaiv kom tsis txhob txav mus los. Rau qhov no, peb siv:
• Ib daim ntaub qhwv: Qhov no yog ib daim ntaub qhwv ib ntus, qee zaum ua los ntawm fiberglass lossis plaster, uas muab tso rau ntawm ib sab ntawm caj npab / ceg thiab qhwv nrog daim ntaub qhwv.
• Ib qho 'Cast': Qhov no yog 'plaster' uas peb txhua tus paub. Nws yog qhwv nruj dua li 'splint', thiab nws ua rau cov pob txha tsis txav mus los tag.

Tus kws kho mob yuav txiav txim siab seb puas yuav siv daim ntaub qhwv los yog daim ntaub qhwv, nyob ntawm seb qhov raug mob thiab tus menyuam hnub nyoog li cas. Qhov kev txwv tsis pub txav mus los no yuav txo qhov mob, muab sijhawm so rau pob txha kom zoo, thiab tiv thaiv kev raug mob ntxiv.

• Lub Sijhawm: Feem ntau, qhov 'splint' lossis 'cast' no yuav tsum tau khaws cia li 3 txog 4 lub lis piam . Qee qhov 'buckle fractures' me me yuav siv sijhawm tsawg dua.

• Tshuaj Tua Kab Mob : Yog tias tus me nyuam mob, tshuaj tua kab mob yooj yim xws li Paracetamol tuaj yeem muab tau raws li tus kws kho mob hais.

Qhov tseem ceeb yog tias cov 'buckle fractures' no yog cov pob txha tawg ruaj khov.Qhov no txhais tau tias muaj tsawg heev uas cov pob txha yuav txav mus los. Yog li ntawd, qhov xav tau kev phais mob tsis tshua muaj.

Tus kws kho mob yuav qhia koj thaum twg koj yuav tsum rov qab los kuaj mob. Thaum ntawd, koj tuaj yeem mus thiab kom lawv tshem daim ntaub qhwv tawm.

Yuav siv sijhawm ntev npaum li cas rau qhov txhab no kom zoo? Puas yuav zoo tag nrho?

Qhov no yog qhov kev nplij siab tshaj plaws uas koj muaj tau ua niam txiv. Cov menyuam yaus lub peev xwm kho lawv cov pob txha yog qhov zoo kawg nkaus!

• Kho sai: Qhov 'buckle fracture' yuav kho tau yuav luag tag nrho hauv ob peb lub lis piam. Cov pob txha kho tau zoo thiab muaj zog thaum lub sijhawm 'cast' nyob rau hauv qhov chaw.
• Kev rov zoo tag nrho: Tsis muaj teeb meem mus sij hawm ntev los ntawm cov kev raug mob no. Tus menyuam pob txha yuav loj hlob rov qab zoo li qub. Cov menyuam pob txha muaj peev xwm zoo kawg nkaus los 'hloov kho dua tshiab', txhais tau tias lawv tuaj yeem hloov kho lawv tus kheej. Yog li, thaj chaw uas tus 'buckle' me me ntawd thaum kawg yuav dhau los ua pob txha ib txwm muaj.
• Tom qab tshem daim cam khwb cia lawm: Thaum tshem daim cam khwb cia lawm, daim tawv nqaij yuav qhuav me ntsis thiab tej zaum yuav tev tawm. Tej pob qij txha kuj yuav tawv me ntsis thiab cov leeg nqaij yuav tsis muaj zog me ntsis. Qhov no yog ib txwm muaj. Tom qab ob peb hnub, tej no yuav ploj mus thaum tus menyuam rov qab siv tau tes/ceg li qub. Qee zaum tus kws kho mob yuav pom zoo kom ua qee yam kev kho lub cev , uas tuaj yeem pab kom rov zoo sai dua.

Ua ib tug niam txiv, kuv yuav tsum ua li cas? Tej yam uas kuv yuav tsum txhawj txog yog dab tsi?

Thaum ib tug me nyuam raug mob zoo li no, muaj ntau yam uas koj tuaj yeem ua tau ua niam txiv.

• Tsis txhob ntshai thiab nrhiav kev pab kho mob: Yog tias koj tus menyuam ntog, mob caj npab lossis ceg, o, lossis yog tias koj muaj kev tsis ntseeg, tsis txhob ntshai thiab mus ntsib kws kho mob tam sim ntawd. Tsis txhob ua rau qhov xwm txheej hnyav dua los ntawm kev siv roj lossis txhuam ntau ntxiv hauv tsev.
• Ceev faj nrog lub cam khwb cia los yog splint:
• Khaws kom qhuav: Tsis txhob cia daim ntaub thaiv ntub. Npog nws nrog daim ntawv polythene uas tsis ntub dej thaum da dej.
• Khaws kom huv si: Tsis txhob cia tej yam xws li av, xuab zeb, lossis cov khoom noj me me nkag mus rau hauv 'qhov cam'.
• Tsis txhob muab dab tsi ntxig rau hauv: Tsis txhob muab dab tsi ntxig rau hauv daim ntaub qhwv, xws li riam, pas nrig, lossis cwj mem. Qhov no tuaj yeem ua rau daim tawv nqaij puas tsuaj.
• Yog tias muaj teeb meem nrog cov ntaub qhwv: Yog tias cov ntaub qhwv zoo li nruj dhau, yog tias koj cov ntiv tes xiav lossis loog, yog tias cov ntaub qhwv tsw phem, lossis yog tias muaj qhov txhab, qhia rau tus kws kho mob tam sim ntawd.
• Ua raws li cov lus qhia ntawm tus kws kho mob:Ua raws li koj tus kws kho mob cov lus qhia kom meej txog seb koj yuav tsum muab daim ntaub thaiv ntev npaum li cas, koj yuav tsum rov qab los thaum twg, thiab cov dej num twg zoo thiab tsis zoo rau koj.
• Txhawb nqa koj tus menyuam: Kev hnav ib daim ntaub thaiv qhov txhab yuav ua rau tus menyuam tsis xis nyob me ntsis. Tham nrog lawv nrog kev hlub thiab txhawb lawv.

Puas tuaj yeem tiv thaiv kev raug mob zoo li no kom tsis txhob tshwm sim dua?

Nws nyuaj rau tiv thaiv kom tsis txhob muaj tej xwm txheej me me tshwm sim rau cov menyuam yaus thaum lawv tab tom ua si. Nws yog ib feem ntawm txoj kev loj hlob ntawm tus menyuam. Txawm li cas los xij, muaj qee yam uas peb ua tau los txo qhov kev pheej hmoo ntawm kev raug mob:

• Ib qho chaw ua si muaj kev nyab xeeb: Xyuas kom tseeb tias cov chaw uas cov menyuam yaus ua si muaj kev nyab xeeb li sai tau. Ceev faj cov npoo ntse thiab cov chaw nplua.
• Cov khoom siv kev nyab xeeb thaum ua si nawv: Yog tias koj tus menyuam ua si nawv (piv txwv li, caij tsheb kauj vab, caij skating), txhawb kom lawv siv cov khoom siv kev nyab xeeb tsim nyog (lub kaus mom hlau, lub hauv caug, lub luj tshib).
• Kev noj zaub mov zoo: Kev muab cov khoom noj uas muaj calcium thiab vitamin D rau cov menyuam yaus pab txhawb lawv cov pob txha. Txawm hais tias qhov no tsis tiv thaiv tau 'kev tawg pob txha' ncaj qha, nws tseem ceeb heev rau kev noj qab haus huv ntawm cov pob txha.

Tiam sis nco ntsoov, txawm tias muaj txhua yam no los xij, qee zaum tej xwm txheej tsis tau xav txog kuj tuaj yeem tshwm sim. Thaum qhov ntawd tshwm sim, nws yog ib qho tseem ceeb uas yuav tsum ua qhov yog yam tsis ntshai.

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

Zoo, yog li peb tau tham ntau txog 'Buckle Fracture'. Thaum kawg, ntawm no yog qee yam tseem ceeb uas yuav tsum nco ntsoov:

• Qhov 'buckle fracture' yog ib qho kev raug mob uas feem ntau tshwm sim rau cov menyuam yaus (tshwj xeeb tshaj yog cov hnub nyoog qis dua 10 xyoo), uas cov pob txha tsis tau tawg tag, tab sis zoo li me ntsis "snapping" ntawm ib sab.
• Feem ntau cov no tsis yog cov raug mob hnyav. Qhov no yog vim cov menyuam yaus cov pob txha mos.
• Cov tsos mob muaj xws li mob, o, thiab tsis kam siv sab caj npab/ceg raug mob .
• Kev kuaj mob X-ray yog tib txoj kev los paub meej tias nws yog.
• Feem ntau kev kho mob yuav tsum tau hnav ib daim ntaub qhwv los yog ib daim ntaub nplaum rau 3-4 lub lis piam. Tsis tshua xav tau kev phais.
• Cov qhov txhab no kho tau zoo heev thiab sai, thiab feem ntau tsis tawm teeb meem mus sij hawm ntev.
• Yog koj xav tias koj tus menyuam raug mob zoo li no, tsis txhob ntshai thiab mus ntsib kws kho mob tam sim ntawd.
• Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia kom meej rau tus menyuam kom rov zoo sai.

Yog li, kuv vam tias koj qhov kev ntshai thiab kev tsis ntseeg txog 'buckle fracture' tau raug tshem tawm. Kev paub cov ntaub ntawv no yuav pab tau koj heev thaum muaj xwm txheej ceev. Kuv xav kom koj cov menyuam muaj lub neej noj qab nyob zoo thiab vam meej! Buckle Fracture, Bone Fracture, Cov Pob Txha Me Nyuam, Torus Fracture, Tes Fracture, Leg Fracture, Kev Noj Qab Haus Huv Me Nyuam, Buckle Fracture, Torus Fracture, cov menyuam yaus fractures, pob txha raug mob, pediatric orthopedics, splint, cast