Koj puas tau muaj pob txha tawg lawm? Cia peb kawm txog '(Comminuted Fracture)' hauv cov lus yooj yim!

Muaj tej lub sij hawm hauv peb lub neej uas peb yuav tsum ntsib xwm txheej thiab kev poob. Tej lub sij hawm peb tuaj yeem khiav dim nrog qhov khawb me me, tab sis lwm lub sij hawm peb tuaj yeem tsoo ib txhais caj npab lossis ceg. Thaum peb hais tias pob txha tawg, qee qhov ntawm lawv tsuas yog tawg hauv ib qho chaw, tab sis muaj qee qhov pob txha tawg uas pob txha tawg ua ntau daim, zoo li nws tau raug tsoo. Qhov ntawd yog qhov peb hu ua '(Comminuted Fracture)' rau qhov pob txha tawg loj heev. Yog li hnub no peb yuav tham txog qhov mob no hu ua '(Comminuted Fracture)' kom ntxaws me ntsis, kom koj nkag siab nws.

'(Comminuted Fracture)' yog dab tsi?

Hais yooj yim xwb, '(Comminuted Fracture)' yog thaum ib qho ntawm koj cov pob txha (piv txwv li pob txha) tawg ua peb lossis ntau daim . Xav txog nws li no: thaum koj poob ib lub phaj, nws qee zaum tawg ua ob, tab sis qee zaum nws tawg ua ib pawg me me. Qhov no yog tib yam. Hauv kev tawg yooj yim, pob txha tuaj yeem tawg ua ob. Tab sis hauv '(Comminuted Fracture)', pob txha tawg ua tej daim, qee zaum ua hmoov. Koj kuj yuav tsum nkag siab tias qhov no yog qhov loj dua me ntsis dua li kev tawg ib txwm muaj . Vim tias thaum nws tawg ua ib pawg, nws nyuaj me ntsis los muab lawv rov qab ua ke kom raug.

Vim li cas thiaj muaj "Comminuted Fracture"? Dab tsi yog cov ua rau?

Yog tias pob txha zoo li no tawg ua tej daim me me, nws yuav tsum muaj kev cuam tshuam loj heev, ua rau puas tsuaj ntau heev . Nws tsis tshua muaj qhov no tshwm sim los ntawm kev poob me me xwb. Nov yog qee yam uas yuav ua rau nws tawg:

• Kev sib tsoo tsheb loj heev: Qhov no tuaj yeem tshwm sim los ntawm kev sib tsoo ntawm cov tsheb xws li tsheb thiab maus taus lossis los ntawm lwm yam kev sib tsoo loj heev.
• Poob los ntawm qhov siab heev: Yog tias koj poob los ntawm qhov siab heev, xws li los ntawm tsob ntoo lossis lub tsev.
• Kev raug mob hnyav hauv kev ua si: Nws tuaj yeem tshwm sim hauv qee qhov kev ua si uas nrawm thiab muaj kev cuam tshuam (piv txwv li, rugby).
• Kev raug mob hnyav xws li raug tua phom: Hauv cov xwm txheej zoo li no, "Comminuted Fracture" tuaj yeem tshwm sim vim tias muaj zog ntau rau pob txha.

Tiam sis, muaj lwm yam. Thaum tib neeg laus zuj zus, lawv cov pob txha yuav qaug zog, uas peb hu ua '(Osteoporosis)'. Rau ib tus neeg uas muaj pob txha tsis muaj zog, muaj ib qho kev pheej hmoo tias txawm tias qhov kev poob me me, uas yuav tsis ua rau muaj kev phom sij ntau rau ib tus neeg nruab nrab, yuav ua rau muaj '(Comminuted Fracture)'. Tab sis qhov feem ntau pom yog cov uas tshwm sim vim yog cov kev cuam tshuam loj uas peb tau tham txog ua ntej.

Cov tsos mob ntawm '(Comminuted Fracture)' yog dab tsi? Koj paub li cas?

Koj xav seb nws mob npaum li cas thaum pob txha tawg ua ntau daim. Nov yog qee cov tsos mob tseem ceeb:

• Mob hnyav: Qhov tseem ceeb tshaj plaws yog mob hnyav. Qhov mob tuaj yeem hnyav heev uas koj tsis tuaj yeem kov nws.
• O thiab mob nqaij sai sai: Qhov chaw raug mob yuav pib o sai sai, thiab tej zaum yuav tshwm xiav/ntshav.
• Kev puas tsuaj: Qhov no txhais tau tias yog tias nws yog ib sab caj npab lossis ceg, nws cov duab yuav hloov pauv thiab nws yuav zoo li ncab.
• Tsis muaj peev xwm txav tau ceg: Qhov no ua rau tsis muaj peev xwm siv lossis txav tau caj npab lossis ceg raug mob.
• Qee zaum ib daim pob txha tawg tuaj yeem tawm los ntawm daim tawv nqaij: Qhov no txaus ntshai me ntsis. Peb kuj hu qhov no ua "Open Comminuted Fracture". Yog tias qhov no tshwm sim, muaj feem ntau dua ntawm kev kis kab mob.
• Hnov lossis hnov ​​lub suab "crackling" thaum muaj xwm txheej: (`(Crepitus)`) Ib txhia neeg yuav hnov ​​lossis hnov ​​lub suab pob txha ntaus ib leeg.
• Kev txav mus los tsis zoo thaum kov qhov chaw raug mob: ('Kev txav mus los tsis zoo') Tej zaum yuav zoo li caj npab/ceg khoov ntawm qhov chaw uas feem ntau tsis yog pob qij txha.

Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Tus kws kho mob yuav kuaj mob "Comminuted Fracture" li cas kom raug?

Thaum koj mus rau tsev kho mob nrog qhov raug mob zoo li no, tus kws kho mob yuav xub nug koj seb muaj dab tsi tshwm sim rau koj, kuaj xyuas thaj chaw, thiab tom qab ntawd ua cov kev kuaj hauv qab no kom paub tseeb tias qhov pob txha tawg puas yog "pob txha tawg uas raug txiav" thiab nws loj npaum li cas:

• X-ray: Qhov no yog qhov kev kuaj mob uas siv ntau tshaj plaws. X-ray tuaj yeem qhia meej tias pob txha tawg li cas, nws tawg ua pes tsawg daim, thiab muaj pes tsawg daim tawg thoob plaws.
• Kev thaij duab CT (Computed Tomography scan - CT scan): Qee zaum, tshwj xeeb tshaj yog tias qhov pob txha tawg nyob ze ntawm pob qij txha (piv txwv li lub hauv caug, lub luj tshib), lossis yog tias koj xav pom cov ntsiab lus ntxiv txog cov pob txha tawg, koj tus kws kho mob yuav hais kom koj thaij duab CT. Qhov no tuaj yeem tsim cov duab peb-seem ('3D') ntawm cov pob txha, uas tuaj yeem pab koj nkag siab zoo dua txog qhov xwm txheej.
• Kev Siv Duab Xam Xaj Sib Nqus (MRI): Tsis tshua muaj neeg siv MRI los kuaj xyuas qhov pob txha tawg uas raug txiav ua tej daim me me. Txawm li cas los xij, tej zaum yuav xav tau MRI los saib seb puas muaj kev puas tsuaj rau cov nqaij mos (xws li cov leeg, cov leeg nqaij, cov hlab ntsha, thiab cov hlab ntsha) nyob ib puag ncig qhov pob txha tawg.

Tsuas yog tom qab cov kev kuaj no xwb uas tus kws kho mob thiaj li txiav txim siab seb qhov teeb meem twg rau koj thiab hom kev kho mob twg uas xav tau.

Koj kho qhov '(Comminuted Fracture)' li cas? Nws siv sijhawm ntev npaum li cas thiaj kho tau?

Peb twb hais lawm tias "Kev tawg pob txha uas sib xyaw ua ke" yog ib qho kev tawg pob txha uas nyuaj me ntsis. Thaum cov pob txha tawg ua ntau daim, cov pob txha yuav tsum tau muab sib dhos ua ke thiab kho kom ruaj khov kom lawv tsis txav mus los. Yog tsis ua li ntawd, cov pob txha yuav tsis haum zoo.

Yog li ntawd, feem ntau, "Comminuted Fracture" yuav tsum tau phais.

Kev phais mob yog kev txav cov pob txha tawg rov qab mus rau lawv qhov chaw qub ntau li ntau tau thiab tom qab ntawd muab lawv rov qab ua ke. Muaj ntau txoj hauv kev rau qhov no:

• Qhib Kev Txo thiab Kho Sab Hauv (ORIF): Qhov no yog txoj kev phais mob uas siv ntau tshaj plaws.
• `Kev Txo Qhov Qhib` txhais tau tias: Tus kws kho mob txiav daim tawv nqaij, mus rau ntawm cov pob txha tawg, thiab tom qab ntawd kho cov pob txha ntawm tes.
• 'Kev Kho Sab Hauv' txhais tau tias: Cov txheej txheem ntawm kev kho cov pob txha uas tau npaj ua ke los ntawm kev ntxig cov phaj hlau tshwj xeeb, cov ntsia hlau, cov pas nrig lossis cov ntsia hlau los ntawm sab hauv. Cov no yog ua los ntawm cov hlau tshwj xeeb uas tsim los kom haum rau lub cev.
• Kev Kho Sab Nraud: Hauv qee qhov pob txha tawg uas raug txiav ua tej daim me me heev, tshwj xeeb tshaj yog thaum muaj pob txha tawg qhib lossis thaum qhov txhab o heev, tej zaum yuav ua tsis tau phais ORIF tam sim ntawd. Hauv cov xwm txheej zoo li no, siv lub cuab yeej hu ua lub cuab yeej kho sab nraud.
• Qhov no suav nrog kev ntxig ntau lub koob hlau ('pins' lossis 'screws') los ntawm daim tawv nqaij saum toj thiab hauv qab qhov chaw tawg rau hauv pob txha, thiab txuas lawv rau ntawm lub thav duab ('frame') sab nraum lub cev. Qhov no pab kom cov pob txha nyob hauv qhov chaw yam tsis txav mus los. Thaum qhov txhab tau kho me ntsis thiab qhov o tau ploj mus, kev phais '(ORIF)' tuaj yeem ua tau tom qab. Qee zaum, '(External Fixator)' no tuaj yeem siv tau kom txog thaum pob txha kho.

Kev kho mob yam tsis phais:

Nws tsis tshua muaj neeg kho qhov '(Comminuted Fracture)' yam tsis tau phais. Vim tias cov pob txha tawg ua ntau qhov chaw, lawv yuav tsis haum zoo nrog tsuas yog '(Plaster Cast)' lossis 'Splint'. Txawm li cas los xij, tsis tshua muaj , yog tias cov pob txha tsis nyob deb heev, tus kws kho mob yuav sim kho lawv yam tsis tau phais los ntawm kev siv plaster cast. Txawm li cas los xij, qhov no tsis ua tiav.

Kev tswj qhov mob:

Vim qhov no mob heev, tus kws kho mob yuav muab cov tshuaj tua kab mob rau koj.

Lub sijhawm kho:

Lub sijhawm uas nws siv rau "Kev Pob Txha Uas Sib Nraus" kom zoo sib txawv ntawm ib tus neeg mus rau ib tus neeg thiab nyob ntawm seb qhov pob txha ntawd zoo li cas. Nws siv sijhawm ntev dua li qhov pob txha tawg ib txwm muaj.

• Nws yuav siv sijhawm ntau lub hlis (feem ntau yog 3-6 lub hlis lossis ntau dua) rau cov pob txha kom sib xyaw ua ke thiab muaj zog dua.
• Txawm tias tom qab ntawd los, yog tias koj xav siv sab caj npab/ceg uas raug mob dua, koj yuav tsum tau mus kho mob hu ua physiotherapy . Qhov no kuj tseem siv sijhawm ntau lub hlis.

Yog li ntawd, nws yuav siv sijhawm txog li ib xyoos kom rov zoo tag nrho. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev thiab kho mob.

Cov teeb meem uas yuav tshwm sim ntawm "Comminuted Fracture" yog dab tsi?

Ib yam li txhua qhov kev raug mob, "Kev tawg pob txha tawg" tuaj yeem muaj qee qhov teeb meem. Nws yog qhov zoo kom paub txog cov no thiab:

• Kev kis kab mob:Tshwj xeeb tshaj yog thaum muaj "Open Fracture" (thaum daim tawv nqaij raug tho thiab pob txha raug nthuav tawm) lossis tom qab phais, cov kab mob tuaj yeem nkag mus rau hauv qhov txhab thiab ua rau muaj kev kis kab mob.
• Kev puas tsuaj rau cov hlab ntsha lossis cov hlab ntsha: Thaum pob txha tawg, cov pob txha ntse tuaj yeem ua rau cov hlab ntsha lossis cov hlab ntsha nyob ze puas tsuaj.
• Kab Mob Plab Hnyuv: Qhov no yog ib qho mob hnyav heev. Qhov o ntawm cov leeg nqaij nyob ib puag ncig qhov raug mob tuaj yeem ua rau muaj kev nyuaj siab hauv cov plab hnyuv nce ntxiv, txiav cov ntshav ntws. Qhov no yog ib qho mob uas xav tau kev kho mob ceev. Cov tsos mob suav nrog mob hnyav, o, thiab loog ntawm caj npab/ceg.
• Malunion los yog Nonunion: Qee zaum cov pob txha tuaj yeem sib dhos tsis raug (zoo li lub splint). Los yog lawv tuaj yeem nyob ua ke ntev. Yog tias qhov ntawd tshwm sim, koj yuav tsum tau phais dua.
• Raws li lub sijhawm dhau mus, mob pob qij txha (Mob Pob Qij Txha): Tshwj xeeb tshaj yog tias pob qij txha tawg ua tej daim me me, raws li lub sijhawm dhau mus, pob qij txha ntawd yuav mob pob qij txha, uas yog, mob pob qij txha.
• Mob ntev mus tas li: Qee tus neeg yuav tseem mob txawm tias tom qab qhov txhab zoo lawm los xij.
• Kev mob thiab tsis ua haujlwm ntawm sab caj npab/ceg: Sab caj npab/ceg uas raug mob yuav mob thiab tsis tuaj yeem khoov lossis ncaj li yav dhau los. Qhov no yog qhov uas kev kho lub cev tseem ceeb heev.

Tej yam zoo li no tsis tshwm sim rau txhua tus, tab sis nws yog ib qho tseem ceeb kom paub tias lawv tuaj yeem tshwm sim thiab ua raws li tus kws kho mob cov lus qhia kom zoo.

Koj yuav tsum ua li cas thiaj kho tau sai tom qab '(Comminuted Fracture)'?

Yog koj muaj "Comminuted Fracture" thiab tab tom kho, ua raws li cov no kom pab koj rov zoo sai:

• Ua raws li tus kws kho mob cov lus qhia kom meej: Qhov ntawd yog qhov tseem ceeb tshaj plaws. Ua txhua yam kom meej, xws li yuav noj koj cov tshuaj li cas, yuav saib xyuas koj qhov txhab li cas, koj xav tau so ntau npaum li cas, thiab thaum twg koj yuav tsum pib taug kev dua.
• Noj koj cov tshuaj raws sijhawm: Noj koj cov tshuaj uas koj tau sau tseg, xws li tshuaj tua kab mob thiab tej zaum tshuaj tua kab mob (kom tiv thaiv kev kis kab mob), raws li tau qhia.
• Kev so yog qhov tseem ceeb: Nws yog ib qho tseem ceeb heev uas yuav tsum tau so tes/ceg uas raug mob kom txog thaum pob txha zoo. Tsis txhob nqa khoom hnyav, khiav lossis dhia kom txog thaum koj tus kws kho mob hais kom koj ua.
• Nqa qhov chaw raug mob kom siab kom txo qhov o: Yog tias nws yog caj npab/ceg, kev khaws nws kom siab nrog lub hauv ncoo tuaj yeem pab txo qhov o.
• Nco ntsoov ua kev kho mob lub cev: Yog tias koj tus kws kho mob pom zoo, mus koom kev kho mob lub cev tsis tu ncua. Ua cov kev tawm dag zog hauv tsev thiab. Qhov no yuav pab koj rov qab muaj zog thiab yooj ywm ntawm koj txhais tes/ceg.
• Noj cov khoom noj muaj txiaj ntsig zoo:Noj cov khoom noj uas muaj calcium thiab vitamin D ntau ntxiv (xws li mis nyuj, mis nyuj yogurt, cheese, zaub ntsuab, thiab ntses), uas pab kho pob txha. Cov khoom noj uas muaj protein ntau kuj tseem ceeb heev.
• Yog koj haus luam yeeb, tso tseg: Kev haus luam yeeb ua rau cov pob txha kho qeeb heev. Yog li ntawd, yog tias koj yog ib tus neeg haus luam yeeb, tso tseg tam sim no yog ib qho kev pab zoo rau koj.
• Tsis txhob hla dhau kev kuaj mob: Mus ntsib kws kho mob thaum hnub uas nws hais kom koj rov qab los xyuas koj tus mob.

Puas tiv thaiv tau qhov "Comminuted Fracture"?

Kev raug xwm txheej yog tej yam uas tshwm sim thaum peb tsis xav tias yuav muaj. Txawm li cas los xij, kev ua raws li qee yam kev ntsuas kev nyab xeeb tuaj yeem txo qhov kev pheej hmoo ntawm kev raug mob hnyav.

• Ua raws li cov txheej txheem kev nyab xeeb:
• Ib txwm hnav txoj siv sia thaum caij tsheb.
• Hnav lub kaus mom hlau uas raug tus qauv thaum caij maus taus lossis tsheb kauj vab.
• Ua raws li cov khoom siv thiab cov txheej txheem kev nyab xeeb hauv chaw ua haujlwm, tshwj xeeb tshaj yog nyob rau hauv cov chaw muaj kev phom sij xws li kev tsim kho.
• Thaum ua si kis las, siv cov khoom siv kev nyab xeeb (piv txwv li, cov ntaub thaiv, cov ntaub npuag) uas tsim nyog rau kev ua si.
• Tiv thaiv kev ntog (tshwj xeeb tshaj yog rau cov neeg laus):
• Ceev faj txog tej yam uas yuav ua rau koj lub tsev plam thiab poob (piv txwv li, chav dej, ntaiv). Yog tias tsim nyog, ntsia cov ntaiv tes thiab cov lev uas tsis plam.
• Xyuas kom tseeb tias muaj teeb pom kev zoo thaum hmo ntuj.
• Yog tias koj muaj teeb meem taug kev, siv tus pas nrig lossis tus pas nrig raws li koj tus kws kho mob qhia.
• Ua kom cov pob txha muaj zog:
• Noj zaub mov kom muaj txiaj ntsig zoo uas muaj calcium thiab vitamin D ntau.
• Kev tawm dag zog tsis tu ncua (kev tawm dag zog uas nqa qhov hnyav ua rau cov pob txha muaj zog).
• Yog koj muaj mob xws li osteoporosis, nrhiav kev kho kom zoo.

Kev xav txog tej no yuav pab peb qee yam tiv thaiv peb tus kheej ntawm kev raug mob hnyav xws li '(Comminuted Fracture)'.

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 '(Comminuted Fracture)' hnub no. Nov yog cov yam tseem ceeb tshaj plaws uas koj yuav tsum nco ntsoov:

• Pob txha tawg ua ntau daim yog ib qho mob hnyav heev uas pob txha tawg ua ntau daim.
• Qhov no feem ntau yog los ntawm kev cuam tshuam loj heev (xws li muaj xwm txheej loj, poob ntawm qhov siab).
• Yog tias koj raug mob zoo li no , nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob tam sim ntawd.
• Feem ntau, qhov mob no yuav tsum tau phais kom kho cov pob txha kom zoo.
• Nws yuav siv sijhawm los kho, thiab physiotherapy yog ib feem tseem ceeb ntawm txoj kev kho mob.
• Yog koj ua raws li tus kws kho mob cov lus qhia thiab kho koj tus kheej nrog kev ua siab ntev, koj tuaj yeem rov zoo tau zoo.

Tsis txhob ntshai, tab sis ib txwm saib xyuas koj txoj kev nyab xeeb. Vim tias, raws li cov lus hais tias, "Kev ceev faj zoo dua li kev kho mob." Kuv vam tias koj pom cov ntaub ntawv no muaj txiaj ntsig!

Pob txha tawg ua tej daim me me, pob txha tawg, pob txha tawg, phais, kho pob txha, kho lub cev, raug mob, kho pob txha