Koj puas tau tawg pob txha saum koj lub pob luj taws? Cia peb tham txog qhov Talus Fracture no!

Puas muaj ib zaug koj cia li ntswj koj ob txhais ceg, koj pob luj taws o thiab mob, thiab koj tsis tuaj yeem taug kev? Yog tias yog, tej zaum koj tau tawg pob txha talus, ib pob txha tseem ceeb hauv koj pob luj taws. Hnub no, peb yuav tham txog pob txha talus yog dab tsi, nws tshwm sim li cas, thiab yuav ua li cas txog nws.

Pob Txha Talus yog dab tsi? Nws tseem ceeb npaum li cas?

Hais yooj yim xwb, koj lub pob txha talus yog ib pob txha me me tab sis tseem ceeb heev hauv koj txhais taw uas txuas koj pob luj taws rau koj ceg. Xav txog nws, ob lub pob txha ntev hauv koj ceg qis (tibia thiab fibula) sib koom ua ke los ua koj lub pob qij taws. Qhov pob qij txha no yog qhov uas tso cai rau koj txav koj txhais taw mus rau saum thiab nqis.

Tsis tas li ntawd, pob txha talus nyob saum koj pob txha pob luj taws (calcaneus). Ob pob txha no sib koom ua ke los ua ib qho pob qij txha hu ua subtalar joint. Qhov pob qij txha no yog qhov uas cia koj txav koj txhais taw los ntawm ib sab mus rau ib sab, sab hauv thiab sab nraud.

Cov pob txha talus ua lwm yam tseem ceeb. Qhov ntawd yog, nws pab hloov koj lub cev qhov hnyav mus rau ko taw los ntawm pob qij txha. Cov pob txha no feem ntau yog npog nrog cov ntaub so ntswg du thiab nplua hu ua cartilage . Cov pob txha mos no yog qhov uas tso cai rau cov pob txha txav mus los zoo yam tsis muaj kev sib txhuam. Yog li, koj tuaj yeem pom tias cov pob txha talus tseem ceeb npaum li cas rau kev txav mus los thiab kev ruaj khov ntawm pob qij txha. Yog vim li cas yog tias cov pob txha talus tawg, nws tuaj yeem txwv koj txoj kev txav mus los thiab ua rau nws nyuaj rau ua cov haujlwm txhua hnub.

Cov pob txha Talus yog dab tsi?

Cov pob txha talus tuaj yeem tawg rau ntau qhov chaw thiab ntau txoj kev sib txawv. Cia peb saib qee hom tseem ceeb:

• Caj dab ntawm Talus Fracture: Qhov no yog hom talus fracture uas feem ntau pom. Lub "caj dab" ntawm talus yog nruab nrab ntawm pob txha. Tshwj xeeb, lub caj dab yog thaj chaw nqaim ntawm "lub cev" ntawm talus - qhov ze ntawm pob qij txha pob luj taws, hauv qab tibia - thiab "lub taub hau" - qhov ntxiv mus rau ceg.
• Kev tawg pob txha sab nraud: Cov pob txha sab nraud yog qhov tawm ntawm pob txha talus. Cov pob txha no feem ntau tshwm sim thaum lub pob luj taws raug tig mus rau sab nraud sai sai. Qee zaum lawv hu ua "kev tawg pob txha ntawm cov neeg caij snowboard" vim tias lawv feem ntau tshwm sim ntawm cov neeg caij snowboard.
• Kev tawg pob txha avulsion: Qhov no tshwm sim thaum ib txoj leeg (zoo li ib txoj hlua khi pob txha ua ke) lossis ib txoj leeg (zoo li ib txoj hlua khi cov leeg rau pob txha) uas txuas rau pob txha talus raug rub tam sim ntawd, ua rau ib daim me me ntawm pob txha talus tawm ntawm qhov chaw txuas.
• Kev tawg pob txha ntawm pob txha talus: Cov no yog cov pob txha me me hauv pob txha talus. Feem ntau lawv tshwm sim vim yog siv pob txha talus ntau dhau lossis kev ntxhov siab ntau zaus rau pob txha. Piv txwv li, qhov no tuaj yeem tshwm sim rau cov neeg khiav kev deb.

Cov pob txha tawg ntawm talus raug cais ua pawg li cas?

Cov kws kho mob faib cov pob txha tawg no raws li qhov deb npaum li cas cov pob txha tawg tau tsiv tawm ntawm lawv qhov chaw ib txwm.

• Cov pob txha tawg uas tsis txav chaw lossis ruaj khov: Ntawm no, txawm hais tias pob txha talus tawg lawm, cov pob txha tsis tau txav ntau ntawm lawv qhov chaw qub. Lawv feem ntau nyob hauv kab, yuav luag raws nraim.
• Cov pob txha tawg uas raug tshem tawm: Hauv qhov no, cov pob txha tau tawg thiab cov khoom tawg tau tsiv tawm ntawm lawv qhov chaw ib txwm muaj .
• Pob txha tawg qhib los yog pob txha tawg ua ntau pawg: Qhov no yog ib qho mob hnyav dua. Ntawm no, pob txha tawg tawg los ntawm daim tawv nqaij thiab tawm los. Hauv qhov no, muaj feem ntau dua rau kev puas tsuaj rau cov leeg nqaij, cov leeg, thiab cov leeg nqaij ib puag ncig. Tsis tas li ntawd, cov kab mob tuaj yeem nkag mus thiab ua rau muaj kev kis kab mob.

Cov tsos mob ntawm pob txha talus tawg yog dab tsi?

Tam sim no, cov tsos mob yog dab tsi yog tias koj muaj pob txha tawg zoo li no? Qhov tseem ceeb yog mob pob luj taws thiab o. Xav txog, cia peb hais tias koj poob ntawm qhov siab tam sim ntawd, lossis muaj xwm txheej caij tsheb kauj vab. Tom qab ntawd koj muaj mob tsis tuaj yeem nyob rau hauv thaj chaw pob luj taws, thiab koj txhais ceg o.

Yuav muaj dab tsi ntxiv tshwm sim?

• Nws nyuaj rau taug kev. Tej zaum koj yuav tsis muaj peev xwm muab koj txhais taw tso rau hauv av.
• Kuv tsis tuaj yeem muab qhov hnyav rau ntawm kuv ceg.
• Tej zaum yuav muaj qhov mob nqaij.
• Thaum koj kov nws nrog koj txhais tes , koj xav tias mos.
• Tej zaum yuav muaj tej yam zoo li pob txha tawg . Yog koj pom tej no, tsis txhob ntshai, tab sis qhov zoo tshaj plaws yog mus ntsib kws kho mob tam sim ntawd.

Qhov tseem ceeb tshaj plaws yog nrhiav kev pab kho mob tam sim ntawd yog tias koj muaj cov tsos mob no.

Cov pob txha talus no tshwm sim li cas?

Cov pob txha talus no feem ntau tshwm sim los ntawm kev raug mob muaj zog heev .

• Kev sib tsoo tsheb, kev sib tsoo maus taus.
• Poob los ntawm qhov siab heev. Xav txog nws zoo li ib tug neeg poob ntawm ib tsob ntoo, lossis los ntawm ib lub tsev siab.
• Cov no kuj tuaj yeem tshwm sim thaum lub sijhawm ua si (kev raug mob thaum ua si) . Raws li tau hais ua ntej lawm, qhov no feem ntau tshwm sim ntawm cov neeg caij snowboard.
• Qee zaum, tsuas yog ntswj koj lub pob luj tawsTxawm li cas los xij, tej daim me me tuaj yeem tawg tawm ntawm ntug ntawm lub pob txha talus. Txawm li cas los xij, cov no feem ntau tsis loj npaum li cov pob txha tawg uas tshwm sim hauv cov xwm txheej loj dua.

Cov kws kho mob kuaj mob pob txha talus li cas?

Thaum koj mus ntsib kws kho mob uas muaj qhov raug mob zoo li no, lawv yuav xub kuaj koj pob luj taws thiab ko taw kom zoo zoo. Lawv yuav saib seb puas o, mob nqaij, thiab tej qhov txiav lossis qhov txhab ntawm daim tawv nqaij. Ntxiv rau qhov ntawd:

• Lawv yuav hais kom koj co koj cov ntiv tes kom pom seb puas muaj kev puas tsuaj rau cov hlab ntsha .
• Lawv yuav kuaj koj lub plawv dhia thiab xyuas kom koj cov ntshav khiav zoo .
• Lawv yuav kuaj xyuas seb puas muaj kua dej nyob hauv koj cov leeg nqaij ceg. Qhov no hu ua compartment syndrome . Qhov no yog ib qho mob txaus ntshai vim nws tuaj yeem ua rau koj txhais ceg tsis muaj zog thiab tsis ua haujlwm tau zoo.
• Nyob ntawm seb qhov xwm txheej ntawd zoo li cas, yuav kuaj xyuas lwm yam kev raug mob.

Tom qab ntawd, tus kws kho mob yuav txiav txim siab kom kuaj cov duab zoo li no:

• X-ray: Qhov no tuaj yeem qhia ntau yam, xws li seb koj lub talus puas tawg, seb cov pob txha puas nyob rau hauv qhov chaw zoo, muaj pes tsawg daim, thiab qhov tawg nyob qhov twg.
• Kev Ntsuas CT (Computed Tomography - CT scan): Qee zaum tsuas yog siv X-ray xwb yuav tsis qhia tag nrho qhov pob txha tawg. Kev ntsuas CT tuaj yeem thaij cov duab txiav ntawm koj ceg kom ntxaws. Qhov no tuaj yeem pab tau zoo heev rau kev ntsuam xyuas qhov hnyav ntawm qhov raug mob thiab qhov nyuaj ntawm qhov pob txha tawg.

Yuav kho qhov pob txha talus li cas?

Kev kho mob rau pob txha talus tawg sib txawv nyob ntawm hom pob txha tawg thiab qhov hnyav ntawm qhov raug mob.

Ua ntej, yuav muaj ib daim ntaub nplaum (ib daim ntaub txhawb nqa ib ntus) muab tso rau ntawm koj ceg thiab pob luj taws kom tiv thaiv koj kom tsis txhob txav nws.

Ces, yog tias qhov pob txha tawg ruaj khov thiab cov pob txha sib dhos zoo, tej zaum yuav tsis tas yuav phais. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav pom zoo cov hauv qab no:

• Kev Ua Txhaum Cai: Yuav muab ib daim nplaum rau ntawm koj ceg thiab pob luj taws kom tuav nws ua ke kom txog thaum cov pob txha zoo. Feem ntau yuav hnav daim nplaum no li ntawm 6-8 lub lis piam . Thaum lub sijhawm no, koj yuav tsum ceev faj heev kom tsis txhob muab qhov hnyav ntau dhau rau ntawm koj ceg.
• Kev Kho Dua Tshiab: Tom qab tshem daim cam tawm lawm, koj yuav tau txais kev tawm dag zog tshwj xeeb los pab koj rov qab muaj zog thiab ua haujlwm tau zoo ntawm koj ceg thiab pob luj taws. Cov no yuav ua nyob rau hauv kev saib xyuas ntawm tus kws kho mob lub cev.

Txawm li cas los xij, kev phais mob raug pom zoo rau feem ntau ntawm cov pob txha talus tawg.Vim tias cov kev raug mob no feem ntau yog los ntawm kev raug mob hnyav, muaj feem ntau uas cov pob txha yuav raug tshem tawm. Yog tias cov pob txha tsis nyob hauv qhov chaw, tus kws phais ko taw thiab pob luj taws yuav phais kom muab lawv rov qab rau hauv qhov chaw.

• Qhib Kev Txo thiab Kho Sab Hauv (ORIF): Yog tias pob txha raug rhuav ua ntau daim, tus kws kho mob yuav ua ib qho kev kho mob hu ua ORIF. Hauv cov kev kho mob no, tus kws phais yuav txiav daim tawv nqaij, txav cov pob txha rov qab mus rau lawv qhov chaw, thiab siv cov phaj hlau thiab/lossis cov ntsia hlau los tuav cov pob txha ua ke kom txog thaum nws kho tau.
• Kho sab nraud: Qee zaum, kev phais ORIF yuav ua tsis tau tam sim ntawd vim tias o ntau dhau tom qab raug mob. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav siv kho sab nraud. Hauv qhov no, tus kws kho mob yuav ntxig qee cov koob loj rau hauv koj cov pob txha los ntawm daim tawv nqaij thiab txuas lawv nrog cov pas tshwj xeeb sab nraud kom tuav cov pob txha kom ruaj khov ib ntus. Tom qab qhov o ploj mus, tus kws kho mob yuav sim phais ORIF dua.

Yog tias tsis kho lossis tsis kho kom zoo, yuav muaj teeb meem dab tsi tshwm sim?

Yog tias qhov pob txha talus tawg tsis raug kho kom zoo, lossis yog tias nws tsis kho kom zoo, cov teeb meem tuaj yeem tshwm sim. Cov no qee zaum tuaj yeem yog cov teeb meem mus sij hawm ntev.

• Mob pob qij txha tom qab raug mob: Raws li peb tau tham ua ntej, pob txha talus feem ntau yog npog nrog cov pob txha mos. Thaum talus raug mob, cov pob txha mos nyob ib puag ncig nws kuj raug puas tsuaj. Thaum qhov chaw ntawm cov pob txha mos no tsis sib npaug thiab ntxhib, kev hnav thiab tsim kua muag pib tshwm sim hauv qhov sib koom ua ke. Raws li lub sijhawm dhau mus, qhov no tuaj yeem ua rau mob pob qij txha, uas tuaj yeem ua rau mob thiab mob nqaij.
• Malunion: Qhov no txhais tau hais tias pob txha tawg tau kho tsis raug, nyob rau hauv qhov chaw tsis zoo . Yog tias qhov no tshwm sim, nws tuaj yeem ua rau muaj teeb meem mus sij hawm ntev xws li kev hloov pauv ntawm cov duab ntawm ko taw, nyuaj rau taug kev, thiab mob.
• Tsis sib koom ua ke: Qhov no txhais tau hais tias pob txha tawg tsis tau kho kom zoo tom qab lub sijhawm ntev, txawm tias tau kho mob los xij . Yog tias qhov no tshwm sim, tej zaum yuav tsum tau phais ntxiv.
• Avascular necrosis lossis osteonecrosis: Cov ntshav mus rau talus nyuaj me ntsis. Thaum muaj pob txha tawg, tshwj xeeb tshaj yog nyob rau hauv cheeb tsam caj dab, cov hlab ntsha no tuaj yeem raug puas tsuaj thiab cov ntshav mus rau pob txha tuaj yeem raug txo qis lossis raug txiav tag nrho.Yog qhov no tshwm sim, cov hlwb pob txha yuav tsis tau txais cov pa oxygen thiab cov as-ham thiab yuav pib tuag. Qhov no hu ua avascular necrosis. Qhov no ua rau cov pob txha tsis muaj zog thiab thaum kawg tuaj yeem vau. Qhov no kuj yog ib qho teeb meem loj heev.

Cov txheej txheem kho mob zoo li cas? Kuv yuav tsum tau tos dab tsi?

Tom qab phais mob, koj yuav hnov ​​​​​​mob me ntsis. Koj tus kws kho mob yuav sau ntawv kom noj tshuaj loog . Cov no yuav yog cov tshuaj opioids, cov tshuaj nonsteroidal anti-inflammatory (NSAIDs), lossis cov tshuaj loog hauv zos.

Thaum koj pob txha talus zoo lawm, koj tus kws kho mob yuav xa koj mus rau kev kho mob lossis kev kho lub cev. Qhov no tseem ceeb heev. Cov kev tawm dag zog no yuav pab koj rov qab tau qhov kev txav mus los, kev ruaj khov, thiab lub zog hauv koj pob luj taws.

Thaum koj pib taug kev dua, tej zaum koj yuav tau hnav ib lub khau tshwj xeeb lossis siv ib tug pas nrig thaum xub thawj. Koj yuav tsis muaj peev xwm muab qhov hnyav tag nrho rau ntawm koj ceg tam sim ntawd. Nws yuav siv sijhawm ntau lub hlis.

Tus kws kho mob yuav thaij duab X-ray qee zaum los xyuas seb pob txha puas tau kho zoo thiab seb cov phaj txuas puas nyob hauv qhov chaw.

Yuav ua li cas thiaj paub tias tus pob txha talus tawg mus ntev?

Txawm koj yuav phais los tsis phais los xij, koj ob txhais ceg yuav raug muab pov rau hauv ib daim ntaub qhwv los yog ib daim ntaub qhwv. Thaum lub sijhawm ntawd, koj yuav tsis muaj peev xwm muab qhov hnyav rau ntawm nws los yog taug kev rau ntawm nws. Nyob ntawm seb koj qhov kev raug mob hnyav npaum li cas, koj yuav tsum tau hnav daim ntaub qhwv rau 8 txog 12 lub lis piam, lossis ntev dua .

Qhov raug mob hnyav dua, qhov cam khwb cia yuav ntev dua. Txawm tias tom qab pob txha kho lawm los xij, qee tus neeg tseem yuav mob, nruj, thiab o ntawm pob luj taws . Txawm li cas los xij, nrog kev kho mob thiab kev tawm dag zog kom zoo, feem ntau cov neeg tuaj yeem rov qab mus ua lawv cov dej num ib txwm thaum lawv tus kws kho mob pom zoo.

Thaum twg kuv mam li rov qab mus ua haujlwm tau?

Qhov no kuj yuav txawv nyob ntawm seb koj raug mob hnyav npaum li cas thiab koj txoj haujlwm zoo li cas. Feem ntau, koj yuav tsis rov qab mus ua haujlwm tau tsawg kawg yog ob lub lis piam . Yog tias koj ua haujlwm sawv ntawm koj txhais taw tag hnub (piv txwv li, tus neeg pab hauv khw, tus xib fwb), koj yuav tsis rov qab mus ua haujlwm tau tag nrho txog li ib xyoos .

Koj puas taug kev tau saum pob txha talus uas tawg lawm?

Qhov no nyob ntawm seb koj muaj hom pob txha talus tawg li cas. Feem ntau pob txha talus tawg yog qhov raug mob hnyav. Nws tuaj yeem ua rau koj tsis txav tau thiab ua haujlwm tau zoo hauv pob luj taws thiab pob qij txha ko taw. Qhov no tuaj yeem cuam tshuam rau koj txoj kev taug kev thiab koj txoj kev tuav qhov hnyav ntawm koj ko taw. Yog li ntawd, tsis txhob sim taug kev ntawm ceg tawg yam tsis tau kev qhia los ntawm kws kho mob.

Yuav siv sijhawm ntev npaum li cas rau qhov pob txha talus kom zoo?

Nyob ntawm seb qhov xwm txheej nyuaj npaum li cas, koj yuav muaj peb lub hlis lossis ntev dua.Tej zaum koj yuav tau hnav ib daim ntaub thaiv. Qhov mob, o, thiab mob nqaij yuav tseem mob txawm tias tom qab tshem daim ntaub thaiv lawm los xij. Tej zaum yuav siv sijhawm ntev dua kom kho tau tag nrho thiab rov qab zoo li qub.

Qhov mob ntawm pob txha talus tawg zoo li cas?

Kev tawg ntawm pob txha talus yog ib qho kev raug mob hnyav heev. Cov neeg uas tau ntsib qhov no hais tias nws mob heev .

Koj kho pob txha talus tawg li cas?

Qee qhov pob txha tawg me me ntawm pob txha talus tuaj yeem kho tau los ntawm kev siv lub cam khwb cia thiab tom qab ntawd kev tawm dag zog kho kom rov zoo. Txawm li cas los xij, feem ntau qhov pob txha tawg ntawm pob txha talus yuav tsum tau phais kom rov kho cov pob txha.

Kev tawg pob txha ntawm pob txha talus yog qhov mob uas feem ntau tshwm sim los ntawm qhov xwm txheej loj, xws li kev sib tsoo tsheb lossis kev poob ntawm qhov siab. Yog tias koj muaj kev tawg pob txha talus, koj yuav tsum mus ntsib kws kho mob tam sim ntawd. Qhov no feem ntau yuav tsum tau phais. Nyob ntawm qhov mob hnyav ntawm qhov raug mob, koj yuav tsum hnav daim ntaub qhwv rau txhua qhov chaw txij li ob lub lis piam (rau qhov tawg me me) mus txog 12 lub lis piam lossis ntau dua. Txawm hais tias kev tawg pob txha talus tuaj yeem mob, kev kho mob kom zoo tuaj yeem pab cov txheej txheem kho thiab coj koj rov qab mus rau koj lub neej ib txwm sai li sai tau.

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

Zoo, yog li, los ntawm qhov peb tau tham txog, cov no yog cov yam tseem ceeb uas koj yuav tsum nco ntsoov:

• Kev tawg ntawm pob txha talus tuaj yeem yog qhov raug mob hnyav , yog li ntawd yog tias koj muaj cov tsos mob , nrhiav kev pab kho mob tam sim ntawd.
• Qhov no feem ntau yuav tsum tau phais.
• Lub sijhawm kho mob yuav siv sijhawm ntau lub hlis , thiab koj yuav tsum ceev faj kom tsis txhob muab qhov hnyav rau ntawm ceg thaum lub sijhawm ntawd.
• Kev tawm dag zog kho mob yog ib feem tseem ceeb ntawm txoj kev kho mob. Tsuas yog tias ua kom raug xwb koj thiaj li rov qab tau koj ob txhais ceg ua haujlwm tau zoo.
• Yog tias tsis kho, cov teeb meem loj xws li mob pob qij txha, mob malunion, lossis mob avascular necrosis tuaj yeem tshwm sim.
• Txawm hais tias qhov no yuav yog ib qho kev paub nyuaj thiab mob heev los, yog tias muaj kev kho mob thiab kev kho kom rov zoo, ntau tus neeg tuaj yeem rov zoo. Yog li ntawd, nws yog ib qho tseem ceeb kom nyob ruaj khov.

Yog koj muaj lus nug ntxiv txog qhov no, tsis txhob yig nug koj tus kws kho mob. Nyob kom noj qab nyob zoo!

Pob txha tawg, pob luj taws tawg, pob luj taws, ko taw, mob, o, phais, plaster, kho dua tshiab