Koj puas muaj pob txha tawg hauv koj ceg qis? (Tibia thiab Fibula Fracture) Cia peb tham txog qhov no!

Auj! Yog tias koj tsoo koj ceg qhov twg, lossis muaj xwm txheej, thiab tawg pob txha hauv ceg qis? Qhov ntawd nyuaj rau xav txog, puas yog? Thaum muaj kev raug mob zoo li no tshwm sim, feem ntau, ob qho tibia thiab lwm pob txha ntawm sab tuaj yeem tawg. Hnub no, peb yuav tham txog cov pob txha tibia thiab fibula tawg . Vim tias qhov no yog kev raug mob hnyav, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Dab tsi yog Tibia thiab Fibula Fracture?

Hais yooj yim xwb, muaj ob lub pob txha tseem ceeb hauv koj ceg, nyob hauv qab lub hauv caug thiab saum pob luj taws. Ib qho yog tibia , tseem hu ua pob txha ceg. Qhov thib ob yog fibula nyias dua me ntsis , tseem hu ua pob txha calf. Thaum ib lossis ob qho ntawm cov pob txha no tawg, peb hu nws ua tibia thiab fibula tawg.

Feem ntau, cov pob txha no tawg tom qab muaj xwm txheej loj, xws li kev sib tsoo tsheb lossis kev poob ntawm qhov siab. Vim tias ob lub pob txha no nyob ze ua ke, nws muaj feem ntau dua uas ob qho tib si yuav tawg hauv tib qho xwm txheej. Txawm li cas los xij, nws muaj peev xwm ua rau tsuas yog ib qho tawg, uas tsis tshua muaj. Qhov no yog kev raug mob hnyav thiab koj yuav tsum nrhiav kev kho mob tam sim ntawd. Tej zaum koj yuav xav tau phais kom teeb tsa pob txha, thiab tom qab ntawd kho lub cev kom pab koj rov qab siv koj ceg tau li qub. Tab sis dhau sijhawm, koj lub tibia thiab fibula yuav tsum kho kom zoo.

Cov hom pob txha tawg ntawm tibia thiab fibula

Tam sim no saib seb, cov kws kho mob faib cov pob txha no raws li lawv tawg li cas. Uas yog, los ntawm kev saib cov khoom xws li cov duab ntawm qhov tawg, tus qauv ntawm qhov tawg, thiab lwm yam.

Hom raws li cov duab ntawm txoj kab tawg:

• Pob txha tawg hla: Pob txha tawg ncaj, hla sab hauv.
• Pob txha tawg oblique: Kev tawg hla pob txha.
• Pob txha tawg ua ib lub kauv: Pob txha tawg uas pob txha tig ib ncig, ua ib lub kauv. Qhov no tshwm sim zoo li ceg tig tam sim ntawd.
• Pob txha tawg ua ob qhov chaw: Pob txha tawg ua ob qhov chaw, nrog rau ib daim nyob hauv nruab nrab sib cais.
• Pob txha tawg ua tej daim me me: Pob txha tawg ua tej daim me me zoo li raug tsoo.

Hom raws li seb pob txha tawg li cas:

• Pob txha tawg ua tej daim me me los yog pob txha tawg qhib: Qhov no hnyav dua me ntsis vim pob txha tawg thiab tawg los ntawm daim tawv nqaij, ua rau muaj chaw rau kev kis kab mob ntau dua.
• Kev tawg pob txha vim kev ntxhov siab: Qhov no tsis yog tshwm sim los ntawm ib qho xwm txheej loj. Nws yog tshwm sim los ntawm kev nias me me rau pob txha tas li, uas dhau sijhawm ua rau muaj qhov tawg me me hauv pob txha. Qhov no tuaj yeem tshwm sim rau cov neeg khiav.
• Kev tawg ntawm qhov tawg:Thaum ib tug leeg nqaij lossis cov leeg uas txuas rau ib tug pob txha raug rub tam sim ntawd, ib daim me me ntawm cov pob txha yuav tawg.

Lwm hom tshwj xeeb:

• Kev tawg ntawm tibia plateau: Hauv qhov no, tibia tawg ze rau ntawm lub hauv caug, uas kuj tuaj yeem ua rau lub hauv caug pob qij txha puas tsuaj.
• Pob txha tawg uas txav mus rau sab nraud (pob txha tawg ntawm tibia thiab fibula): Thaum pob txha tawg, ob daim pob txha tawg ntawd txav mus sib nrug, ua rau muaj qhov sib txawv loj ntawm lawv. Qhov no txhais tau tias cov pob txha tsis sib haum.
• Cov pob txha tawg uas tsis yog tibia thiab fibula: Ntawm no cov pob txha tseem tawg, tab sis cov pob txha tawg tsis tau txav mus los ntau, thiab tsis muaj kev hloov pauv tseem ceeb hauv kev sib dhos.
• Kev tawg pob txha ntawm sab nraub qaum: 'Distal' txhais tau tias qhov kawg ntawm pob txha uas nyob deb tshaj plaws ntawm nruab nrab ntawm peb lub cev (lub cev pob txha). Kev tawg pob txha 'distal tibia' yog kev tawg pob txha ntawm tibia mus rau pob luj taws, uas txhais tau tias nws nyob ze rau qhov kawg ntawm ceg.
• Kev tawg pob txha proximal: 'Proximal' txhais tau tias qhov kawg ntawm pob txha ze tshaj plaws rau nruab nrab ntawm lub cev (lub cev pob txha). Kev tawg pob txha 'proximal fibula' yog qhov tawg hauv thaj chaw uas pob txha fibula txuas nrog lub hauv caug, uas yog, ze rau sab saud.

Cov tsos mob ntawm qhov pob txha tawg no yog dab tsi?

Zoo, tam sim no cia peb saib seb cov tsos mob tshwm sim nrog hom pob txha tawg no.

• Mob hnyav: Qhov no yog qhov tseem ceeb. Qhov mob tuaj yeem hnyav heev uas koj tsis tuaj yeem txav koj txhais ceg.
• O (edema): Qhov chaw raug mob yuav o heev.
• Kev Mob: Nws mob heev thaum kov lossis nias.
• Tsis muaj peev xwm txav koj ob txhais ceg li qub: Tej zaum koj yuav tsis tuaj yeem sawv, taug kev, lossis txawm tias txav koj ob txhais ceg.
• Kev raug mob los yog daim tawv nqaij hloov xim: Daim tawv nqaij ntawm qhov chaw raug mob yuav tig xiav los yog ntshav.
• Kev puas tsuaj lossis zoo li pob: Qee zaum ceg yuav ncab tawm hauv txoj kev txawv txawv, lossis pob txha yuav zoo li tawm los zoo li pob qhov twg nws tawg.

Dab tsi ua rau cov pob txha tawg no?

Cov ua rau muaj cov pob txha tawg no yog dab tsi?

Feem ntau, cov no tshwm sim tom qab muaj xwm txheej loj (Kev raug mob hnyav) . Qhov ntawd txhais tau tias:

• Kev sib tsoo ntawm tsheb: Tej yam xws li kev sib tsoo ntawm lub tsheb thiab tsheb kauj vab.
• Ntog: Poob los ntawm qhov siab, zoo li plam thiab ntog.
• Kev raug mob hauv kev ua si: Muaj peev xwm tshwm sim hauv qee kis las, tshwj xeeb tshaj yog kis las sib chwv.

Ib qho ntxiv yog, yog tias koj cov pob txha tsis muaj zog, piv txwv li, yog tias koj muaj mob zoo li osteoporosis , koj tuaj yeem yooj yim tawg pob txha txawm tias poob me ntsis los xij. Osteoporosis yog ib yam kab mob uas ua rau cov pob txha nyias thiab tsis muaj zog. Muaj ntau tus neeg tsis paub tias lawv muaj mob no kom txog thaum lawv tawg pob txha.

Yuav kuaj mob pob txha tawg li cas?

Thaum koj raug mob zoo li no, tus kws kho mob yuav txiav txim siab li cas kom paub tseeb tias nws yog pob txha tawg?

Ua ntej, tus kws kho mob yuav kuaj lub cev, xyuas seb puas mob, o, thiab seb koj puas txav tau koj ceg.

Tom qab ntawd, kev ntsuam xyuas duab yeej ua tiav lawm.

Yog tias koj raug xa mus rau chav kho mob ceev (ER) ntawm tsev kho mob tom qab muaj xwm txheej, pab pawg kho mob nyob ntawd yuav xub ntsuam xyuas koj cov kev raug mob uas yuav ua rau tuag taus thiab muab kev kho mob rau koj ua ntej. Tsuas yog tom qab koj tus mob ruaj khov lawm lawv thiaj li yuav kuaj xyuas seb puas muaj pob txha tawg.

Yuav ua li cas thiaj kuaj tau qhov no?

Yuav kom paub tseeb tias koj puas muaj pob txha tawg, tej zaum koj yuav tsum tau ua ib lossis ntau qhov kev kuaj no:

• X-rays: Qhov no yog qhov kev kuaj mob uas siv ntau tshaj plaws. X-ray tuaj yeem qhia meej meej tias cov pob txha twg hauv koj ceg qis tawg, lawv tawg deb npaum li cas, thiab seb puas muaj cov pob txha tawg.
• Kev Ntsuas MRI (Magnetic Resonance Imaging): Qhov no tsis yog ib txwm ua. Tab sis qee zaum, yog tias koj xav soj ntsuam tag nrho qhov kev puas tsuaj rau cov pob txha thiab cov leeg thiab cov leeg nqaij ib puag ncig, koj tus kws kho mob yuav hais kom ua MRI.
• Kev thaij duab CT (Computed Tomography): Kev thaij duab CT tuaj yeem ua rau pom cov pob txha thiab cov nqaij nyob ib puag ncig meej dua thiab ntxaws dua li kev thaij duab X-ray. Qhov no muaj txiaj ntsig zoo rau cov kws kho mob ua ntej phais.

Kev kho mob rau pob txha tawg ntawm tibia / fibula

Zoo, tam sim no cia peb saib yuav kho qhov pob txha tibia / fibula no li cas.

Kev kho mob nyob ntawm seb pob txha tawg hom twg, ua rau pob txha tawg, thiab pob txha puas tsuaj npaum li cas. Muaj ntau txoj kev kho mob:

• Kev Tiv Thaiv Kom Tsis Txhob Txav Mus Los: Yog tias qhov pob txha tawg tsis hnyav dhau, txhais tau tias cov pob txha tawg tsis nyob deb dhau (tsis txav mus los), koj yuav tsum tau muab ib daim ntaub qhwv lossis ib daim ntaub qhwv tso rau ntawm koj ceg kom nws tsis txhob txav mus los. Tom qab ob qho tib si raug siv, koj yuav tsum tau thaij duab X-ray dua kom paub tseeb tias cov pob txha tau sib dhos zoo.
• Kev txo qhov pob txha kaw: Yog tias pob txha tawg hnyav heev thiab cov pob txha tsis nyob hauv qhov chaw, qhov no yog ib txoj kev kho mob uas cuam tshuam nrog kev rub thiab thawb cov pob txha tawg rov qab rau hauv qhov chaw yam tsis tas phais. Tom qab ntawd muab ib daim cam khwb cia rau.
• Kev kho sab hauv: Qhov no yog ib txoj kev phais. Tus kws phais coj cov pob txha tawg rov qab los rau hauv qhov chaw thiab kho lawv ua ke. Qhov no suav nrog kev siv cov phaj, ntsia hlau, lossis pas nrig . Cov pob txha tom qab ntawd sib xyaw ua ke thiab kho.
• Kev kho sab nraud:Ntawm no, tus kws phais muab cov ntsia hlau rau hauv pob txha tawg ntawm ob sab thiab khi cov ntsia hlau rau ntawm tus ncej sab nraud (brace lossis bracket). Qhov no feem ntau ua thaum pob txha tawg ua ntau daim lossis muaj kev puas tsuaj loj rau daim tawv nqaij.
• Kev Kho Mob Lub Cev: Tom qab phais, lossis tom qab tshem tawm cov cam khwb cia, koj yuav tsum tau ua haujlwm nrog tus kws kho mob lub cev kom rov qab muaj zog, yooj ywm, thiab txav mus los hauv ceg ntawd.

Cov teeb meem uas yuav tshwm sim thaum lub sijhawm kho mob

Thaum kho pob txha tawg, tshwj xeeb yog tias nws yuav tsum tau phais, qee qhov teeb meem yuav tshwm sim. Cia peb paub txog qhov ntawd thiab.

• Mob Hlwb Plab Hlav (ACS): Kev nyem sab hauv cov leeg nqaij ceg nce ntxiv, txiav cov ntshav ntws. Qhov no tuaj yeem ua rau cov leeg nqaij thiab cov hlab ntsha puas tsuaj mus tas li. Qhov no yog qhov xwm txheej ceev.
• Malunion: Thaum cov pob txha tawg zoo lawm, lawv yuav tsis haum ua ke zoo, ua rau ceg luv dua lossis khoov.
• Nonunion: Qee zaum cov pob txha yuav tsis sib koom ua ke tag nrho, lossis qhov fusion yuav qeeb heev.
• Osteomyelitis: Yog tias koj muaj pob txha tawg qhib, txhais tau tias yog qhov uas pob txha tau tawg los ntawm daim tawv nqaij, koj muaj feem yuav kis tau kab mob ntau dua.
• Lwm yam kev raug mob sab hauv: Kev tawg pob txha 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 chaw raug mob puas tsuaj.

Yuav tsum tau tos li cas thaum lub sijhawm rov zoo thiab yuav siv sijhawm ntev npaum li cas los rov zoo

Tom qab kho mob lawm, koj cov tsos mob yuav maj mam zoo dua li ob peb lub lis piam. Nyob ntawm seb koj tau phais hom twg thiab seb ob lub pob txha hauv koj ceg qis puas tawg, koj yuav txav tau koj ceg thiab taug kev dua hauv ob peb lub lis piam. Yog tias qhov mob tsis ploj mus lossis mob tas li, mus ntsib koj tus kws kho mob tam sim ntawd. Cov neeg feem coob rov zoo los ntawm hom pob txha tawg no.

Qhov pob txha tawg no yuav siv sijhawm ntev npaum li cas thiaj kho tau?

Nws nyob ntawm seb koj qhov pob txha tawg hnyav npaum li cas thiab kev kho mob uas koj tau txais. Feem ntau nws yuav siv sijhawm plaub txog rau lub hlis rau qhov pob txha tibia lossis fibula tawg kom zoo.

Txawm li cas los xij, muaj ntau lwm yam uas tuaj yeem cuam tshuam rau koj lub cev kho sai npaum li cas, yog li nws yog qhov zoo tshaj plaws los nug koj tus kws kho mob lossis kws phais mob txog lub sijhawm rov zoo uas haum rau koj qhov xwm txheej.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm pob txha tawg?

Muaj ntau yam uas peb ua tau los txo qhov kev pheej hmoo ntawm cov xwm txheej no:

• Ib txwm hnav txoj siv sia thaum caij tsheb.
• Thaum ua si ib yam kev ua si lossis ua haujlwm dab tsiHnav cov khoom siv tiv thaiv kom tsim nyog.
• Tsis txhob muab tej yam tso rau hauv koj lub tsev lossis chaw ua haujlwm uas yuav ua rau koj plam thiab ntog. Khaws koj ib puag ncig kom huv si.
• Thaum koj mus khaws khoom hauv tsev , siv cov cuab yeej kom raug. Tsis txhob nce mus rau saum cov rooj zaum lossis cov rooj kom khaws khoom.
• Yog tias koj muaj hnub nyoog tshaj 50 xyoo, lossis yog tias 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 .
• Yog tias koj muaj teeb meem taug kev lossis muaj feem yuav ntog, siv tus pas nrig lossis tus pas nrig taug kev.

Thaum twg koj yuav tsum mus rau chav kho mob ceev?

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

• Mob hnyav heev.
• Tsis muaj peev xwm txav ceg li qub.
• Yog tias ceg zoo li txawv txawv, lossis nws zoo li dhia tawm ntawm qhov chaw.
• Yog tias daim tawv nqaij raug tho thiab pob txha pom tseeb.
• O.
• Cov tsos mob no nrog rau qhov tshwm sim ntawm cov qhov txhab tshiab.

Yog tias koj tau muaj xwm txheej loj (kev raug mob), mus rau chav kho mob ceev tam sim ntawd.

Cov lus nug uas yuav tsum nug tus kws kho mob

Thaum koj mus ntsib koj tus kws kho mob, nws yuav pab tau yog tias koj nug cov lus nug zoo li no:

• Pob txha twg tawg lawm?
• Kuv muaj hom pob txha tawg dab tsi?
• Kuv puas yuav tsum tau phais?
• Yuav siv sijhawm ntev npaum li cas thiaj kho tau?
• Kuv mam li pib ua haujlwm thiab ua si kis las li qub tau thaum twg?

Koj puas taug kev tau ntawm pob txha tibia lossis fibula tawg?

Thaum pob txha hauv ceg qis tawg, seb koj puas tuaj yeem taug kev lossis txav koj ceg nyob ntawm seb pob txha twg tawg, nws yog hom pob txha tawg dab tsi, thiab qhov xwm txheej tshwm sim li cas.

Koj tus pob txha fibula, pob txha nyias nyias ntawm sab ntawm koj tus pob txha ncej puab, tsis yog pob txha uas tuav tau qhov hnyav. Yog vim li ntawd qee tus neeg thiaj li taug kev tau nrog tus pob txha fibula tawg. Txawm li cas los xij, tsis txhob tsis quav ntsej qhov mob ceg lossis lwm yam tsos mob. Txawm tias koj taug kev tau los xij, koj yuav tsum mus ntsib kws kho mob lossis mus rau chav kho mob ceev tam sim ntawd kom kuaj xyuas qhov raug mob.

Txawm li cas los xij, yog tias koj tus pob txha tibia tawg lawm, koj yuav tsis muaj peev xwm sawv, taug kev, lossis muab qhov hnyav rau ntawm koj ceg. Qhov no yog vim tias tibia yog pob txha tseem ceeb hauv lub cev. Yog li, tsis txhob tsis quav ntsej qhov mob lossis tsis quav ntsej cov tsos mob.

Yog tias koj tau muaj xwm txheej thiab muaj cov tsos mob no, mus rau chav kho mob ceev tam sim ntawd.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Feem ntau pob txha tibia (pob txha nqaj qaum) lossis pob txha fibula (pob txha nqaj qaum ntawm sab tod) tawg thaum muaj xwm txheej, xws li ntog. Nws tuaj yeem ua rau koj poob siab heev, tshwj xeeb tshaj yog thaum koj sawv tsis tau, taug kev tsis tau, lossis siv koj txhais ceg li qub. Tej zaum koj yuav xav tau kev phais, ua raws li kev kho lub cev, thiab lub sijhawm kho kom zoo. Tab sis so kom paub tseeb tias feem ntau cov neeg rov zoo los ntawm pob txha tawg. Qhov tseem ceeb tshaj plaws yog nrhiav kev kho mob tam sim ntawd yog tias koj muaj xwm txheej thiab ua raws li cov lus qhia ntawm tus kws kho mob raws nraim li lawv pom zoo.

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