Vim li cas pob txha qee zaum thiaj tawg txawm tias yog tej yam me me xwb los xij? (Pathologic Fracture) Cia peb kawm txog nws.

Xav txog tias koj tab tom taug kev hauv koj lub tsev thiab koj txhais taw raug ntes rau ntawm ib lub ces kaum ntawm daim ntaub pua plag lossis ib kauj ruam me me. Los yog cia peb hais tias koj ntaus ceg ntawm lub rooj zaum me ntsis. Feem ntau, ib pob txha loj hauv peb txhais caj npab lossis ceg tsis tawg los ntawm ib yam dab tsi zoo li ntawd, puas yog? Txawm li cas los xij, qee tus neeg cov pob txha tsis muaj zog me ntsis, yog li txawm tias ib yam me me zoo li ntawd tuaj yeem tawg lawv. Ntawd yog qhov peb tab tom tham txog hnub no (Pathologic Fracture).

Qhov no yog dab tsi (Pathologic Fracture)?

Hais yooj yim xwb, qhov mob pob txha tawg yog qhov mob pob txha tawg . Tab sis qhov no tsis yog tshwm sim xwb. Koj cov pob txha tau qaug zog dua vim muaj lwm yam mob hauv koj lub cev, ua rau lawv yuav tawg ntau dua li cov pob txha ib txwm muaj. Qee zaum cov kws kho mob kuj hu qhov no tias mob pob txha tawg.

Xav txog seb, kev poob yooj yim, kev raug mob me me thaum ua si nawv, lossis kev raug mob me me uas lub cev feem ntau tiv taus tau, tuaj yeem ua rau ib tus neeg uas muaj pob txha tsis muaj zog tawg. Nws zoo li ib daim ntoo lwj uas tuaj yeem tawg txawm tias muaj kev nyem me me xwb los xij.

Cov pob txha hom twg raug cuam tshuam los ntawm qhov no tshaj plaws?

Qhov mob no, hu ua pathologic fracture, yeej tshwm sim tau rau txhua pob txha hauv lub cev. Txawm li cas los xij, feem ntau pom muaj nyob rau hauv cov pob txha uas feem ntau muaj zog heev thiab tsis yooj yim tawg . Piv txwv li:

• Vertebrae : Cov no yog cov pob txha me me uas ua rau peb tus txha nqaj qaum.
• Lub duav
• Humerus : Qhov no yog pob txha nyob rau sab saud ntawm caj npab los ntawm lub xub pwg mus rau lub luj tshib.
• Femur : Cov pob txha ntev tshaj plaws thiab muaj zog tshaj plaws hauv peb lub cev.
• Tibia : Cov pob txha tuab ntawm ceg ntawm lub hauv caug mus rau pob luj taws.
• Fibula : Ib pob txha nyias nyias uas khiav sib luag rau tibia.

Feem ntau, txawm tias koj plam me ntsis thaum ua haujlwm hauv tsev lossis poob koj qhov sib npaug thaum nqis ntaiv, cov pob txha loj no hauv peb txhais tes thiab ob txhais ceg tsis tshua tawg. Txawm li cas los xij, yog tias koj muaj mob uas ua rau koj cov pob txha tsis muaj zog, txawm tias qhov xwm txheej me me zoo li ntawd tuaj yeem ua rau muaj kev tawg pob txha .

Qee zaum, tej zaum yuav xav tau phais mob los kho qhov pob txha tawg. Los yog, tej zaum yuav xav tau phais mob los tiv thaiv kev tawg pob txha ua ntej nws tshwm sim. Koj tus kws kho mob kuj tseem yuav pom zoo lwm yam kev kho mob rau qhov mob uas ua rau koj cov pob txha tsis muaj zog. Lub sijhawm nws siv los kho nyob ntawm seb pob txha twg tawg thiab dab tsi ua rau nws tawg.

Cov tsos mob ntawm Pathological Fracture yog dab tsi?

Cov tsos mob ntawm qhov tawg pob txha zoo ib yam li cov pob txha tawg ib txwm muaj. Lawv yog:

• Mob : Tej zaum yuav mob hnyav heev, tsis tuaj yeem ua tau.
• Kev o : Thaj chaw uas pob txha tawg yuav o.
• Kev Mob: Mob thaum kov lossis nias.
• Tsis muaj peev xwm txav mus los li qub : Qhov chaw ntawm lub cev uas raug mob tsis tuaj yeem txav mus los lossis siv tau li qub.
• Kev raug mob los yog daim tawv nqaij hloov xim : Qee zaum nws tuaj yeem zoo li xiav / ntshav.
• Ib qho deformity los yog pob : Ib qho txawv txawv los yog pob yuav pom ntawm qhov chaw ntawm qhov tawg.

Qhov tseem ceeb tshaj plaws yog tias txawm tias koj muaj cov tsos mob no los xij, koj yuav tsum nrhiav kev pab kho mob kom paub tseeb tias nws puas yog Pathologic Fracture lossis tsis yog, thiab qhov ua rau yog dab tsi.

Vim li cas qhov no thiaj tshwm sim? (Pathological Fracture) Ua rau

Qhov ua rau muaj kab mob pob txha tawg yog, yam koj tsis paub txog, muaj ib yam mob hauv koj lub cev uas ua rau koj cov pob txha tsis muaj zog li qub . Ob qho ntawm cov ua rau qhov no yog osteoporosis thiab pob txha qog.

Vim yog mob pob txha tawg

Kab mob pob txha tawg yog ib yam kab mob uas cov pob txha maj mam tawg thiab tawg yooj yim . Zoo li lawv nyuam qhuav raug khawb tawm hauv qhov. Qhov no ua rau cov pob txha tsis muaj zog thiab yuav tawg yooj yim dua. Muaj ntau tus neeg tsuas pom tias lawv muaj kab mob pob txha tawg tom qab lawv tawg pob txha. Qhov no yog vim tias tej zaum yuav tsis muaj cov tsos mob pom tseeb ntawm tus kab mob thaum xub thawj .

Cov poj niam thiab cov neeg hnub nyoog tshaj 65 xyoo yog cov muaj feem yuav mob pob txha tawg. Tej zaum koj yuav tau hnov ​​​​tias peb cov yawg koob yawm txwv yuav tawg ib txhais caj npab lossis ib ceg txawm tias lawv ntog me ntsis los xij. Ib qho ntawm cov laj thawj tseem ceeb rau qhov ntawd yog pob txha tawg.

Vim yog cov pob txha mob los yog cov qhov txhab

Ib qho qog nqaij hlav yog ib pawg pob txha khov kho uas muaj cov hlwb txawv txav uas tsim nyob rau txhua qhov chaw hauv peb lub cev. Ib txhia ntawm cov no tuaj yeem yog mob qog noj ntshav (malignant), thaum lwm tus tuaj yeem tsis yog mob qog noj ntshav (benign). Cov pob txha raug mob tsis yog cov qog nqaij hlav khov kho, tab sis yog cov hlwb txawv txav uas ua rau pob txha tsis muaj zog.

Ib qho (Pathologic Fracture) tuaj yeem tshwm sim yog tias muaj qog lossis qhov txhab tshwm sim hauv pob txha, lossis yog tias nws kis mus rau pob txha los ntawm lwm qhov chaw. Tom qab ntawd cov duab ntuj thiab lub zog ntawm pob txha yuav qaug zog.

• Cov qog nqaij hlav phem: Yog tias koj muaj mob qog nqaij hlav pob txha (sarcoma), nws tuaj yeem loj hlob hauv pob txha nws tus kheej. Txawm li cas los xij, nws yog ib qho uas feem ntau mob qog nqaij hlav kis mus rau cov pob txha los ntawm lwm qhov ntawm lub cev (piv txwv li, lub mis, lub ntsws, prostate) (pob txha metastasis).
• Cov qog nqaij hlav pob txha tsis muaj mob: Cov no yog cov qog nqaij hlav uas tsis muaj cov hlwb mob qog noj ntshav, tab sis loj hlob hauv cov pob txha. Muaj ntau hom sib txawv. Cov hom no tuaj yeem ua rau cov pob txha tsis muaj zog (mob pob txha tawg).

Koj kuaj mob no li cas kom meej?

Tus kws kho mob yuav kuaj koj tias muaj kab mob pathologic fracture.Yuav kuaj lub cev thiab ntau yam kev kuaj duab .

Yam tsawg kawg yog ib qho ntawm cov kev kuaj duab hauv qab no yuav raug ua los kuaj xyuas koj cov pob txha raug mob thiab thaj chaw ib puag ncig:

• Cov duab X-ray : Cov no tuaj yeem qhia meej meej txog pob txha tawg.
• Kev Ntsuas MRI (MRI - Magnetic Resonance Imaging) : Qhov no tso cai rau koj pom tsis yog cov pob txha xwb, tab sis kuj pom cov nqaij mos ib puag ncig thiab tej yam xws li qog nqaij hlav.
• CT scan (Computed Tomography scan) : Qhov no kuj tseem tuaj yeem tsim cov duab ntxaws ntxaws ntawm cov pob txha thiab cov nqaij nyob ib puag ncig.

Nyob ntawm seb qhov pob txha tawg ua rau koj mob li cas, tej zaum koj yuav tau kuaj ntxiv. Piv txwv li:

• Kev kuaj ntshav rau mob qog noj ntshav : Tshawb xyuas cov cim qhia txog mob qog noj ntshav.
• Biopsy : Muab ib qho qauv me me ntawm cov nqaij lossis cov nqaij mos thiab kuaj xyuas nws hauv qab lub tshuab microscope.
• Kev kuaj pob txha ceev (DXA scan) : Qhov no tseem ceeb heev rau kev kuaj xyuas osteoporosis.

Koj kho qhov (Pathologic Fracture) li cas?

Kev kho mob rau qhov mob pob txha tawg yog nyob ntawm seb pob txha twg tawg thiab yog vim li cas . Ib yam li lwm yam pob txha tawg, cov kev kho mob hauv qab no yog siv rau qhov mob pob txha tawg:

• Kev Tiv Thaiv Kom Tsis Txhob Mob: Tej zaum koj yuav tsum hnav ib daim hlau los yog ib daim hlau nplaum. Koj yuav tsum hnav ntev npaum li cas yuav nyob ntawm seb pob txha tawg hom twg. Cov neeg feem coob yuav tsum hnav ib daim hlau nplaum rau ob peb lub lis piam. Tej zaum koj kuj yuav tsum tau thaij duab X-ray kom paub tseeb tias pob txha kho tau zoo.
• Kev Phais Mob: Qee qhov pob txha tawg uas muaj kab mob yuav tsum tau phais. Tus kws phais mob yuav "kho" pob txha tawg thiab kho nws kom ruaj khov kom txog thaum nws kho tau zoo thiab rov qab los ua ke. Txoj kev siv ntau tshaj plaws yog "kev kho sab hauv". Qhov no txhais tau tias tus kws phais mob yuav muab cov hlau, cov ntsia hlau, lossis cov koob ntsaws rau hauv pob txha. Qee zaum cov no tuaj yeem nyob ruaj khov mus ib txhis. Ib txhia neeg yuav xav tau lwm qhov kev phais kom tshem tawm lawv tom qab.
• Kev Kho Mob Hluav Taws Xob: Yog tias tus kws kho mob pom tau ib qho qog lossis qhov mob ua ntej pob txha tawg, kev kho mob hluav taws xob tuaj yeem muab los rhuav tshem nws. Cov hluav taws xob no rhuav tshem cov pob txha loj hlob tsis zoo thiab tso cai rau cov hlwb pob txha noj qab haus huv kom loj hlob rov qab. Kev kho mob hluav taws xob kuj tseem tuaj yeem muab tau tom qab phais rau qhov tawg pob txha uas tshwm sim los ntawm mob qog noj ntshav pob txha.
• Kev kho mob qhov mob hauv qab no: Qhov no tseem ceeb heev.Tej zaum koj yuav xav tau lwm yam kev kho mob los kho qhov mob lossis qog nqaij hlav uas ua rau pob txha tawg. Piv txwv li, yog tias koj muaj mob qog nqaij hlav, koj yuav tsum ua haujlwm nrog kws kho mob qog nqaij hlav. Koj tus kws kho mob yuav piav qhia txog yam koj yuav tsum tau xav txog thiab hom kev kho mob twg koj yuav xav tau.

Lwm yam teeb meem uas yuav tshwm sim vim yog pathologic fracture

Cov pob txha tawg uas muaj kab mob, zoo li lwm cov pob txha tawg, tuaj yeem ua rau muaj qee yam teeb meem. Ib txhia ntawm lawv yog:

• Mob Hlwb Plawv Acute Compartment Syndrome (ACS): Qhov no yog thaum muaj kev nyuaj siab hauv cov leeg nqaij nce ntxiv thiab cov ntshav ntws mus rau cov nqaij raug txiav tawm. Qhov no tuaj yeem ua rau cov leeg nqaij thiab cov hlab ntsha puas tsuaj mus tas li.
• Malunion: Thaum cov pob txha tawg tsis sib sau ua ke zoo thaum lub sijhawm kho.
• Nonunion: Ib pob txha uas tsis tau rov qab los ua ke tag nrho lossis ib nrab.

Yuav siv sijhawm ntev npaum li cas rau qhov mob pob txha tawg (Pathologic Fracture) kom zoo?

Lub sijhawm uas nws siv rau qhov mob pob txha tawg kom zoo nyob ntawm ntau yam:

• Pob txha twg tawg lawm?
• Dab tsi ua rau pob txha tawg?
• Koj xav tau kev kho mob hom twg?
• Koj puas tau raug mob lwm yam?

Feem ntau nws yuav siv sijhawm ob peb lub hlis rau pob txha tawg kom zoo. Tham nrog koj tus kws kho mob lossis kws phais mob txog lub sijhawm uas haum rau koj qhov xwm txheej tshwj xeeb. Koj lub sijhawm rov zoo kuj yuav nyob ntawm qhov mob uas ua rau pob txha tawg. Txawm tias tom qab pob txha tawg zoo lawm, cov mob xws li osteoporosis, cov qog pob txha tsis muaj teeb meem, lossis mob qog noj ntshav yuav xav tau sijhawm ntxiv los kho.

Puas tiv thaiv tau cov pob txha tawg no?

Yog, nws tuaj yeem tiv thaiv tau qee yam. Yog tias koj tus kws kho mob tuaj yeem pom ib qho qog, qhov txhab, lossis cov cim ntawm osteoporosis ua ntej pob txha tawg, muaj lub sijhawm zoo uas yuav tiv thaiv tau qhov mob pob txha tawg. Qee zaum, cov qog thiab cov mob uas ua rau pob txha tsis muaj zog tuaj yeem ua rau mob ua ntej pob txha tawg. Qhov no hu ua "impending pathological fracture," uas txhais tau tias "pob txha tawg uas yuav tshwm sim sai sai no." Yog tias koj hnov ​​​​​​mob pob txha tshiab , mus ntsib kws kho mob tam sim ntawd.

Qee zaum, kev phais (hu ua kev kho kom ruaj khov) tuaj yeem ua tau los tshem tawm cov qog lossis qhov txhab ua ntej pob txha tawg. Yog tias koj muaj osteoporosis lossis lwm yam mob uas cuam tshuam rau qhov ceev ntawm pob txha, koj tus kws kho mob yuav pom zoo kom siv tshuaj thiab lwm yam kev kho mob los txhawb koj cov pob txha thiab txo koj qhov kev pheej hmoo ntawm kev tawg.

Nws yog ib qho tseem ceeb uas yuav tsum tau mus kuaj mob ib xyoos ib zaug (lossis ntau zaus raws li koj tus kws kho mob pom zoo).Tsis tas li ntawd, yog tias koj muaj cov tsos mob tshiab, xws li mob ib ncig ntawm pob txha lossis mob thaum koj nias rau nws, qhia rau koj tus kws kho mob tam sim ntawd. Yog tias koj xav tias koj muaj kev pheej hmoo, nug koj tus kws kho mob txog kev kuaj mob qog noj ntshav lossis kev kuaj pob txha ceev, uas tuaj yeem kuaj pom osteoporosis thaum ntxov.

Thaum twg koj yuav tsum mus rau tsev kho mob tam sim ntawd? (Yog tias muaj xwm txheej ceev)

Yog koj xav tias koj pob txha tawg, tshwj xeeb tshaj yog tias koj muaj cov tsos mob no, mus rau chav kho mob ceev tam sim ntawd :

• Mob heev.
• Yog tias koj tsis tuaj yeem txav ib feem ntawm koj lub cev.
• Yog tias ib feem ntawm lub cev zoo li txawv txawv, lossis zoo li tsis nyob hauv qhov chaw.
• Yog tias pob txha pom tau los ntawm daim tawv nqaij.
• Yog tias muaj o.
• Yog tias muaj cov qhov txhab tshiab tshwm sim nrog rau cov tsos mob no.

Cov lus nug uas yuav tsum nug koj tus kws kho mob

Koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Pob txha twg tawg lawm?
• Qhov no puas yog qhov tawg pob txha los yog lwm hom pob txha tawg?
• Kuv puas yuav xav tau kev kho mob ntxiv?
• Mob dab tsi ua rau pob txha tawg no?
• Kuv puas muaj mob qog noj ntshav?

Kev tawg pob txha yeej ib txwm txaus ntshai. Nws tuaj yeem txaus ntshai dua thaum nws tshwm sim vim yog mob uas koj tsis paub txog. Koj tus kws kho mob yuav piav qhia seb yog dab tsi ua rau pob txha tawg, koj yuav pab koj lub cev kho li cas, thiab yuav tsum muaj kev kho mob dab tsi los tswj qhov ua rau mob.

Tsis txhob ntshai nug cov lus nug. Thaum koj nkag siab zoo txog koj txoj kev noj qab haus huv, koj yuav muaj kev ntseeg siab ntau dua los ntsib tej yam uas yuav los tom ntej.

Thaum Kawg (Cov Lus Coj Mus Tsev)

Kab mob pob txha tawg yog ib qho mob hnyav heev. Txawm li cas los xij, nws tuaj yeem tswj tau nrog kev kuaj mob thiab kev kho mob kom zoo . Qhov tseem ceeb tshaj plaws yog saib xyuas koj cov pob txha kom noj qab haus huv thiab nrhiav kev kho mob yog tias koj muaj cov tsos mob txawv txawv. Qhib siab nrog koj tus kws kho mob, nug koj cov lus nug, thiab ua raws li koj txoj kev npaj kho mob. Koj yuav muaj peev xwm daws qhov mob no tau zoo.

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