Koj pob txha puas tawg ua ob qhov, thiab muaj ib daim sib cais hauv nruab nrab? Puas yog qhov ntawd yog pob txha tawg ntu? Cia peb tham txog qhov no!

Peb txhua tus tau ntsib kev poob me me thiab raug mob. Qee zaum koj txhais caj npab lossis ceg, qee zaum koj yuav o me ntsis. Tab sis xav txog, tom qab muaj xwm txheej loj, koj pob txha tsis tawg rau hauv ib qho chaw, tab sis tsawg kawg yog ob qho chaw , thiab ntawm ob qho chaw tawg ntawd, ib daim pob txha raug sib cais tag nrho ntawm lwm qhov. Qhov ntawd yog hom pob txha tawg loj uas peb yuav tham txog hnub no, hu ua segmental fracture . Lub npe suab me ntsis ntshai, puas yog? Tab sis tsis txhob txhawj, peb yuav tham txog qhov no yooj yim, meej, thiab hauv txoj kev uas koj tuaj yeem nkag siab.

Dab tsi yog qhov segmental fracture tiag tiag?

Hais yooj yim xwb, qhov pob txha tawg yog qhov tawg tsawg kawg yog ob qhov chaw hauv pob txha ntev hauv koj lub cev. Ob qhov tawg no ua rau ib daim me me ntawm pob txha raug cais tawm ntawm ob qhov tseem ceeb. Xav txog nws zoo li tsoo ib daim ntoo ua ob qhov chaw thiab ib daim ntoo me me yuav tawm hauv nruab nrab.

Cov pob txha tawg no tuaj yeem tshwm sim rau txhua pob txha ntev hauv lub cev. Qhov chaw feem ntau yog:

• Femur (pob txha ntawm koj lub pob tw mus rau koj lub hauv caug)
• Tibia (pob txha tuab ntawm sab hauv ceg, txij ntawm lub hauv caug mus rau pob luj taws)
• Fibula (pob txha nyias nyias nyob tom qab ceg, sib luag rau pob txha ceg)
• Pob txha caj npab sab saud ('Humerus' - pob txha los ntawm lub xub pwg mus rau lub luj tshib)
• Ob lub pob txha ntawm lub luj tshib mus rau lub dab teg ('Radius' thiab 'Ulna' - pob txha caj npab)
• Clavicle (pob txha caj dab)

Cov no yog cov pob txha tseem ceeb uas yuav raug kev tawg loj heev.

Vim li cas qhov no thiaj tshwm sim? Yog vim li cas?

Qhov mob no hu ua "Segmental Fracture" tsis yog tshwm sim los ntawm kev poob yooj yim. Cov no feem ntau tshwm sim vim muaj xwm txheej loj heev ("serious traumas") . Xav txog:

• Ib qho xwm txheej tsheb loj heev: kev sib tsoo tsheb, kev sib tsoo tsheb kauj vab.
• Kev poob ntawm qhov chaw siab heev: Yog tias koj poob ntawm qhov siab, xws li ntawm tsob ntoo, ru tsev, lossis scaffolding.

Tsuas yog thaum pob txha raug kev cuam tshuam loj heev uas nws tuaj yeem tawg ua ob qho chaw, nrog rau ib daim sib cais hauv nruab nrab. Feem ntau, cov pob txha tawg uas tshwm sim thaum peb plam thiab poob, lossis thaum ua haujlwm hauv tsev, tsis tshua muaj qhov hnyav li no. Cov no yog cov mob hnyav heev , thiab feem ntau xav tau kev phais kom rov kho cov pob txha .

Lub sijhawm uas nws siv los kho yog nyob ntawm seb pob txha twg tawg thiab qhov raug mob hnyav npaum li cas. Feem ntau nws yuav siv sijhawm li ib xyoos kom kho tau tag nrho .

Qhov txawv ntawm 'Segmental' thiab 'Comminuted' fractures yog dab tsi?

Ob lub npe no cov kws kho mob siv los piav qhia txog qhov xwm txheej ntawm pob txha tawg. Ob qho tib si yog hom pob txha tawg loj heev.

• Ib qho pob txha tawg segmental, raws li peb nyuam qhuav tham txog, yog thaum pob txha tawg ua ob qho chaw, nrog rau ib daim sib cais hauv nruab nrab.
• Pob txha tawg yog pob txha tawg ua peb lossis ntau qhov chaw, uas yog, ua tej daim me me .

Tam sim no koj nkag siab lawm, puas yog? Qee qhov kev tawg ntawm cov pob txha tej zaum yuav raug muab sib xyaw ua ke (txhais tau tias qhov tawg hauv nruab nrab tej zaum yuav raug muab rhuav ua tej daim me me), thiab qee qhov tej zaum yuav tsis ua.

Txawm li cas los xij, txawm nws hu li cas los xij, qhov tseem ceeb tshaj plaws yog mus ntsib kws kho mob sai li sai tau tom qab muaj xwm txheej .

Leej twg thiaj li muaj pob txha tawg zoo li no? Nws tshwm sim ntau npaum li cas?

Ib yam li lwm cov pob txha tawg, qhov tawg segmental tuaj yeem tshwm sim rau txhua tus . Vim tias cov kev raug mob no tshwm sim rau lub sijhawm tsis paub tseeb, peb tsis tuaj yeem kwv yees thaum twg lossis lawv yuav tshwm sim li cas.

Txawm li cas los xij, cov no tsis tshua muaj . Qhov laj thawj rau qhov no yog vim tsis yog txhua tus neeg ntsib cov xwm txheej loj heev uas cov no ua rau hauv lawv lub neej txhua hnub. Qhov ntawd kuj yog ib qho hmoov zoo hauv ib txoj kev.

Cov tsos mob yog dab tsi? Koj paub nws li cas?

Yog tias koj muaj pob txha tawg ntu, koj kuj tseem yuav muaj lwm yam tsos mob loj uas cuam tshuam nrog qhov xwm txheej uas ua rau nws. Cov tsos mob no yuav txawv nyob ntawm lwm yam kev raug mob uas koj muaj. Tab sis feem ntau, cov tsos mob ntawm pob txha tawg ntu yuav suav nrog:

• Mob hnyav heev : Qhov mob yuav ua rau tsis taus.
• Tsis muaj peev xwm txav ib feem ntawm lub cev uas feem ntau txav tau : Tej zaum koj yuav tsis tuaj yeem txav ib sab caj npab lossis ceg.
• Kev hloov pauv ntawm qhov tsos ntawm ib feem ntawm lub cev lossis nws txoj kev txav mus los : Ib sab caj npab lossis ceg yuav pom tau ncab tawm lossis nyob tsis zoo li qub.
• Pob txha pom los ntawm daim tawv nqaij : Qee zaum cov pob txha tawg tuaj yeem pom los ntawm daim tawv nqaij. Qhov no txaus ntshai heev.
• Kev o : Qhov chaw raug mob yuav o tuaj ntau heev.
• Kev Mob Hnyuv : Daim tawv nqaij nyob rau thaj chaw ntawd yuav tig xiav/ntshav.

Kev So Qhib thiab Kaw

Tus kws kho mob yuav faib koj qhov pob txha tawg ua "Open Fracture" lossis "Closed Fracture" .

• Pob txha tawg qhib yog pob txha uas tawg tawm los ntawm daim tawv nqaij. Cov no siv sijhawm ntev dua los kho thiab yuav ua rau muaj kev kis kab mob thiab lwm yam teeb meem .
• Qhov pob txha tawg kaw kuj yog ib qho mob hnyav, tab sis pob txha tseem tsis tau tawm ntawm daim tawv nqaij.

Tus kws kho mob yuav ua li cas thiaj paub tseeb qhov no?

Tus kws kho mob yuav kuaj xyuas seb koj puas muaj pob txha tawg los ntawm kev kuaj lub cev thiab ntau yam kev kuaj duab . Qee zaum, cov kev kuaj no ua tiav tam sim ntawd yog tias koj raug xa mus rau chav kho mob ceev (ER) tom qab muaj xwm txheej.

Yog tias koj raug coj mus rau chav kho mob ceev, pab pawg kws kho mob yuav ua haujlwm ua ke los kho koj tus mob kom ruaj khov thiab kho koj raws li qhov hnyav, tshwj xeeb tshaj yog tias koj cov kev raug mob ua rau tuag taus. Thaum koj ruaj khov lawm, yuav muaj kev kuaj duab los xyuas kom meej tias pob txha tawg.

Cov kev kuaj mob twg siv los kuaj mob no?

Yuav kom pom tseeb txog koj qhov pob txha tawg, tej zaum koj yuav tsum tau ua ib lossis ntau qhov kev kuaj no:

• X-ray: X-ray tuaj yeem lees paub seb puas muaj cov pob txha tawg lossis lwm yam thiab puas tsuaj rau cov pob txha ntau npaum li cas.
• Kev Siv Duab Xam Xaj Sib Nqus (MRI): Koj tus kws kho mob siv tau MRI los thaij duab tag nrho ntawm qhov kev puas tsuaj rau koj cov pob txha thiab cov nqaij nyob ib puag ncig. Qhov no tuaj yeem pab koj pom tseeb tias qhov kev raug mob tau cuam tshuam li cas rau cov leeg nqaij, cov nqaij sib txuas, thiab cov kabmob nyob ib puag ncig koj cov pob txha.
• CT scan (Computed Tomography scan): Ib daim CT scan tso cai rau tus kws kho mob lossis kws phais kom tau txais daim duab ntxaws ntxaws dua thiab meej dua ntawm cov pob txha thiab cov nqaij nyob ib puag ncig dua li X-ray.

Yuav kho nws li cas? Yuav siv sijhawm ntev npaum li cas thiaj rov zoo?

Yuav luag txhua qhov pob txha tawg uas nyob rau ntu ntu raug kho nrog kev phais. Muaj ntau txoj kev phais sib txawv los kho cov pob txha tawg no. Txoj kev uas koj tus kws phais siv yuav nyob ntawm koj qhov kev raug mob, cov pob txha twg tawg, thiab seb koj puas muaj lwm yam teeb meem tom qab qhov xwm txheej.

Tus kws phais yuav kho koj cov pob txha tawg thiab kho lawv ua ke . Qhov no yog thaum lawv pib sib xyaw ua ke, loj hlob, thiab kho. Qhov no feem ntau ua tiav los ntawm kev siv ib yam dab tsi hu ua kev kho sab hauv . Qhov no txhais tau tias tus kws phais muab cov hlau ntxig rau hauv koj cov pob txha thiab tuav nws rau hauv qhov chaw kom txog thaum pob txha kho. Muaj ntau hom kev kho sab hauv:

• Cov pas nrig: Ib tug pas nrig hlau ntxig rau hauv nruab nrab ntawm pob txha, txij sab saud mus rau hauv qab.
• Cov Phaj thiab Cov Ntsia Hlau: Cov phaj hlau uas muab tso rau saum pob txha thiab ruaj ntseg nrog cov ntsia hlau.
• Cov koob thiab cov xov hlau: Cov koob thiab cov xov hlau yog siv los tuav cov pob txha me me uas lwm cov khoom siv kho tsis tuaj yeem tuav tau. Cov no feem ntau yog siv ua ke nrog cov pas nrig lossis cov phaj.

Muaj ib txhia neeg muaj cov hlau no nyob hauv lawv lub cev mus tas lawv lub neej, thiab qee zaum lawv yuav xav tau kev phais ntxiv kom tshem tawm.

Kev Kho Sab Nraud

Tej zaum koj yuav xav tau kev kho sab nraud ('External Fixation') . Qhov no feem ntau yog ib qho kev daws teeb meem ib ntus. Nws yog ua los ua kom qhov pob txha tawg ruaj khov kom txog thaum koj cov kev raug mob lwm yam zoo. Tus kws phais muab cov ntsia hlau rau hauv pob txha hauv koj lub cev ntawm ob sab ntawm qhov pob txha tawg thiab txuas cov ntsia hlau rau lub thav duab ('brace lossis bracket') sab nraum koj lub cev.

Qee zaum cov kws phais pom zoo kom kho sab nraud no ua thawj kauj ruam ua ntej kho sab hauv loj. Yog tias koj muaj ntau qhov raug mob, koj yuav tsum tos ib pliag kom koj lub cev rov zoo txaus los daws qhov teeb meem sab hauv. Nws kuj tseem siv los ua kom pob txha ruaj khov thaum qhov o hauv lub cev poob qis.

Kev phais pob txha tawg yog cov txheej txheem kho mob sab nraud . Qhov no txhais tau tias koj yuav mus tau tsev tib hnub ntawd. Txawm li cas los xij, vim tias koj yuav muaj lwm yam kev raug mob los ntawm qhov xwm txheej uas ua rau muaj hom pob txha tawg no, koj yuav tsum tau nyob hauv tsev kho mob kom txog thaum koj zoo .

Tom qab phais lawm, qhov ntawm koj lub cev uas pob txha tawg yuav raug txwv tsis pub txav mus los. Nyob ntawm seb nws nyob qhov twg, koj yuav tsum hnav lub brace, splint, lossis cast . Qhov no yuav tsim nyog ua ntej koj tuaj yeem muab qhov hnyav rau ntawm qhov ntawd dua lossis siv nws zoo li koj tau ua ua ntej muaj xwm txheej.

Cov tshuaj twg siv rau kev kho mob?

Cov tshuaj NSAIDs (Cov Tshuaj Uas Tsis Yog Steroidal Anti-Inflammatory), uas feem ntau siv ua cov tshuaj tua kab mob, xws li aspirin lossis ibuprofen, tuaj yeem ua rau los ntshav thiab lwm yam teeb meem tom qab phais. Yog li ntawd, koj tus kws phais yuav qhia koj seb koj noj cov tshuaj twg kom txo qhov mob tom qab phais.

Puas muaj teeb meem dab tsi nrog cov kev phais no?

Yog, qee qhov teeb meem tuaj yeem tshwm sim tom qab phais pob txha tawg. Qee qhov ntawm lawv yog:

• Mob Hlwb Plawv Acute Compartment Syndrome (ACS): Kev ntxhov siab ntxiv hauv cov leeg nqaij tuaj yeem txiav cov ntshav ntws mus rau cov nqaij. Qhov no tuaj yeem ua rau cov leeg nqaij thiab cov hlab ntsha puas tsuaj mus tas li.
• Malunion: Ib qho mob uas cov pob txha tawg tsis sib haum xeeb thaum lawv kho.
• Nonunion: Ib qho mob uas cov pob txha tsis sib koom ua ke tag nrho lossis ib nrab.
• Kev kis kab mob pob txha ('Osteomyelitis'): Yog tias koj tau muaj pob txha tawg qhib (ib qho uas pob txha tau tawm los ntawm daim tawv nqaij), koj muaj feem yuav kis tau kab mob ntau dua.
• Lwm yam kev puas tsuaj sab hauv:Cov pob txha tawg kuj tseem tuaj yeem ua rau cov leeg nqaij, cov hlab ntsha, cov hlab ntsha, cov leeg, thiab cov leeg nqaij nyob ib puag ncig qhov raug mob puas tsuaj.

Tsis tas li ntawd, muaj tej yam kev mob tshwm sim ntawm cov tshuaj tua kab mob 'NSAID' uas tau hais ua ntej:

• Los ntshav
• Mob plab
• Mob plab
• Cov teeb meem ntawm txoj hnyuv

Kuv yuav tsum tau tos dab tsi thaum kuv rov zoo?

Tej zaum yuav siv sijhawm ob peb lub lis piam kom koj cov tsos mob ploj mus. Nyob ntawm seb koj tau phais hom twg thiab qhov dav ntawm cov pob txha tawg, koj yuav rov pib txav tau dua hauv ob peb lub lis piam.

Txawm li cas los xij, yog tias koj muaj mob hnyav uas tsis ploj mus, hu rau koj tus kws kho mob tam sim ntawd.

Thaum koj rov zoo, koj yuav xav tau kev kho lub cev . Qhov no txhais tau tias koj yuav tsum ua cov kev tawm dag zog tshwj xeeb los pab koj rov qab muaj zog thiab txav tau ntau yam hauv qhov chaw raug mob. Kev kho mob no yuav yog ib feem ntawm koj txoj kev npaj rov zoo rau koj lwm yam kev raug mob.

Feem ntau cov pob txha tawg yuav siv sijhawm li ib xyoos los kho . Lub sijhawm tseeb uas koj pob txha yuav kho tau nyob ntawm seb qhov pob txha tawg hnyav npaum li cas thiab seb koj puas muaj lwm yam teeb meem.

Tej zaum koj yuav mus tsis tau ua haujlwm lossis mus kawm ntawv thaum lub sijhawm no. Koj yuav tsum nyob deb ntawm kev ua haujlwm, tsev kawm ntawv, thiab lwm yam kev ua ub no ntev npaum li cas yuav nyob ntawm seb koj raug mob thiab pob txha tawg li cas. Nco ntsoov nrog koj tus kws phais lossis kws kho mob tham ua ntej koj ua tej yam kev tawm dag zog kom txog thaum koj zoo lawm.

Peb ua tau dab tsi los txo cov xwm txheej zoo li no?

Nws nyuaj rau tiv thaiv kom tsis txhob muaj xwm txheej loj heev li no. Vim tias xwm txheej tshwm sim thaum peb tsis xav tias yuav muaj. Txawm li cas los xij, peb tuaj yeem ua tej yam zoo li no kom txo tau qhov kev pheej hmoo ntawm xwm txheej hauv peb lub neej txhua hnub:

• Yuav tsum hnav txoj siv sia thaum caij tsheb. Hnav lub kaus mom thaum caij tsheb kauj vab thiab maus taus.
• Hnav cov khoom siv tiv thaiv kom tsim nyog thaum ua si kis las thiab lwm yam kev ua ub no.
• Khaws koj lub tsev thiab chaw ua haujlwm kom huv si thiab tsis txhob muaj tej yam uas yuav ua rau koj plam thiab ntog.
• Thaum koj ncav tes mus rau ib yam dab tsi uas nyob rau sab saud hauv koj lub tsev, siv cov cuab yeej lossis cov ntaiv kom raug. Tsis txhob nce mus rau saum cov rooj zaum lossis cov rooj kom ncav tes mus rau lwm yam khoom.
• Ua raws li kev noj zaub mov thiab kev tawm dag zog uas pab tswj kom pob txha noj qab nyob zoo.
• Yog tias koj muaj hnub nyoog tshaj 50 xyoo, lossis yog tias muaj ib tug neeg hauv koj tsev neeg muaj mob pob txha tawg, nrog koj tus kws kho mob tham txog kev kuaj pob txha ceev.

Cov no yog tej yam uas peb ua tau. Tab sis nco ntsoov, cov pob txha tawg feem ntau yog los ntawm kev sib tsoo, yog li nws nyuaj heev rau kev tiv thaiv lawv tag nrho.

Thaum twg koj yuav tsum mus rau tsev kho mob tam sim ntawd?

Yog koj xav tias koj pob txha tawg - lossis lwm yam pob txha tawg - koj yuav tsum mus ntsib kws kho mob sai li sai tau. Mus rau chav kho mob ceev tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob hauv qab no:

• Mob heev.
• Tsis muaj peev xwm txav ib feem ntawm lub cev uas feem ntau tuaj yeem txav tau.
• Kev hloov pauv ntawm qhov tsos ntawm ib feem ntawm lub cev lossis nws txoj kev txav mus los ntawm qhov chaw nws nyob.
• Pob txha pom tau los ntawm daim tawv nqaij.
• O.
• Nrog rau lwm cov tsos mob no, cov qhov txhab tshiab tshwm sim.

Tshwj xeeb tshaj yog tias koj tau raug xwm txheej loj heev, mus rau tsev kho mob tam sim ntawd.

Cov lus nug tseem ceeb uas yuav tsum nug tus kws kho mob

Yog koj ntsib teeb meem zoo li no, tsis txhob hnov ​​qab nug koj tus kws kho mob cov lus nug no:

• Pob txha twg tawg lawm?
• Kuv yuav tau phais mob hom twg?
• Kuv puas yuav tsum tau phais ntau dua?
• Yuav siv sijhawm ntev npaum li cas thiaj kho tau?

Thaum kawg, cov lus coj mus tsev

Cov pob txha tawg yog cov kev raug mob loj heev . Cov kev raug mob uas ua rau muaj cov pob txha tawg no tuaj yeem ua rau tuag taus. Qhov txaus ntshai tshaj plaws txog cov kev raug mob no yog tias peb tsis tuaj yeem npaj rau lawv ua ntej.

Tiam sis qhov xov xwm zoo yog tias qhov feem pua ​​​​​​ntawm kev ua tiav ntawm kev phais mob los kho cov pob txha tawg yog siab heev . Txawm hais tias kev rov zoo los ntawm kev raug mob loj qee zaum zoo li nyuaj heev, ua koj txoj kev rov zoo ib kauj ruam zuj zus, thiab zoo siab nrog txhua qhov kev txhim kho me me uas koj ua tau raws txoj kev. Tsis txhob tso tseg kev cia siab. Xav kom koj rov zoo sai sai!

Cov pob txha tawg, cov pob txha tawg ntu, kev phais pob txha, xwm txheej, lub sijhawm rov zoo, cov teeb meem phais, kev kho lub cev