Muaj ib qho chaw uas koj qw 'Auj kuv li' thaum koj tsoo koj txhais taw rau ntawm lub rooj kas fes lossis lub rooj zaum, puas yog? Lub pob txha tawv uas peb hu ua 'shin' hu ua tibia hauv kev kho mob. Qhov no yog ib qho tseem ceeb heev, muaj zog heev hauv peb lub cev. Lub pob txha no ua rau muaj kev koom tes loj rau txhua yam peb ua, txawm tias peb sawv, taug kev, khiav, lossis dhia. Yog li hnub no, cia peb tham txog peb lub pob txha shin kom ntxaws me ntsis.
Hais yooj yim xwb, Tibia yog dab tsi?
Cov pob txha tibia yog cov pob txha hauv koj lub pob txha nqaj qaum. Nws yog cov pob txha thib ob ntev tshaj plaws hauv peb lub cev. (Cov pob txha ntev tshaj plaws yog cov pob txha ncej puab, lossis 'Femur'). Cov pob txha tibia tseem ceeb heev rau kev txhawb nqa qhov hnyav ntawm peb lub cev thaum peb sawv thiab taug kev. Nws tseem yog cov pob txha uas txhawb nqa ntau cov leeg nqaij tseem ceeb, cov leeg, cov hlab ntsha, thiab cov leeg nqaij hauv peb ceg.
Nws muaj zog heev uas feem ntau yuav tsum muaj kev cuam tshuam loj heev, xws li muaj xwm txheej loj heev, poob ntawm qhov siab, lossis muaj xwm txheej tsheb sib tsoo, thiaj li tawg tau. Yog tias pob txha tawg (tawg), feem ntau yuav tsum tau phais kom kho nws thiab kho lub cev kom rov qab muaj zog.
Cov kev pabcuam tseem ceeb uas pob txha tibia muab rau peb lub cev yog dab tsi?
Cov pob txha tibia ua ntau yam haujlwm tseem ceeb rau peb lub cev.
- Kev txhawb nqa qhov hnyav ntawm lub cev: Cov pob txha no pab txhawb nqa qhov hnyav ntawm peb lub cev tag nrho thaum peb sawv thiab taug kev.
- Ua kom lub cev ruaj khov: Qhov no pab ua kom peb lub cev sib npaug thiab ruaj khov thaum peb txav mus los, taug kev, thiab khiav.
- Kev Sib Koom Tes: Cov leeg nqaij, cov leeg nqaij, thiab cov leeg nqaij hauv peb lub hauv caug thiab pob luj taws ua haujlwm zoo li tus choj txuas lawv mus rau lwm qhov ntawm lub cev.
Tibia vs. Fibula - Qhov txawv ntawm ob qho no yog dab tsi?
Muaj ob lub pob txha tseem ceeb hauv peb ceg qis, hauv qab lub hauv caug. Lawv yog tibia thiab fibula. Ntau tus neeg tsis nkag siab ob qho no.
Cov pob txha tibia yog cov pob txha loj dua thiab muaj zog dua ntawm ob lub pob txha. Nws nyob rau sab hauv ntawm ceg. Cov pob txha fibula yog cov pob txha me dua thiab nyias dua li cov pob txha tibia. Nws nyob rau sab nraud ntawm ceg. Qhov txawv tseem ceeb yog tias cov pob txha tibia yog cov uas ris qhov hnyav ntawm peb lub cev. Cov pob txha fibula feem ntau muab kev txhawb nqa rau ceg.
| Qhov tseem ceeb | Pob tw | Pob txha caj qaum |
|---|---|---|
| Qhov chaw | Cov pob txha loj nyob rau sab nruab nrab ntawm ceg qis. | Cov pob txha nyias nyias nyob rau sab nraud (lateral) ntawm ceg qis. |
| Loj | Ntev thiab tuab dua li pob txha fibula. | Nyias dua thiab luv dua li pob txha tibia. |
| Lub luag haujlwm tseem ceeb | Kev tuav qhov hnyav yog lub luag haujlwm tseem ceeb ntawm lub cev. | Feem ntau yog los muab kev txhawb nqa thiab ua kom lub pob qij txha ruaj khov. |
Cov tsos ntawm cov pob txha tibia thiab nws cov qhov chaw
Txawm hais tias tibia yog ib pob txha txuas ntxiv mus, nws muaj peb feem tseem ceeb. Txawm hais tias cov npe no tsis tseem ceeb hauv lub neej txhua hnub, lawv tuaj yeem pab koj nkag siab txog yam kws kho mob tab tom tham txog yog tias koj puas tau tawg pob txha.
1. Sab nraud ntawm lub hauv caug: Qhov no yog qhov uas ua rau lub pob qij txha hauv caug. Nws tiaj me ntsis, zoo li lub txee.
2. Lub Ncej: Qhov no yog qhov ntev tshaj plaws ntawm pob txha. Nws yog qhov no uas ua rau peb lub pob txha taub hau zoo li nws.
3. Sab nraud ntawm pob qij txha: Qhov no yog qhov uas ua rau pob qij txha pob qij txha.
Muaj lwm lub npe uas cov kws kho mob siv rau cov feem no. Piv txwv li, yog tias koj pob txha tawg, koj tus kws kho mob yuav siv cov npe xws li 'Medial malleolus', 'Anterior border' los qhia koj qhov twg nws tawg.
Cov kab mob thiab tej yam mob uas feem ntau cuam tshuam rau pob txha tibia
Muaj ntau yam mob loj uas tuaj yeem cuam tshuam rau peb cov pob txha, thiab nws yog ib qho tseem ceeb uas yuav tsum paub txog cov no.
| Mob nkeeg | Kev piav qhia thiab cov tsos mob |
|---|---|
| Pob Txha Tibia | Qhov no tshwm sim hauv qhov xwm txheej loj heev. Cov tsos mob yog:
|
| Kab mob pob txha | Qhov no ua rau cov pob txha tsis muaj zog thiab yooj yim tawg txawm tias muaj kev cuam tshuam me me xwb los xij. Muaj coob tus neeg tsuas pom tias lawv muaj tus kab mob tom qab lawv tawg pob txha. Thaum xub thawj tsis muaj tsos mob pom tseeb. Qhov kev pheej hmoo no tshwj xeeb tshaj yog rau cov poj niam thiab cov neeg hnub nyoog tshaj 50 xyoo. Koj tuaj yeem tham nrog koj tus kws kho mob txog kev kuaj xyuas qhov ceev ntawm pob txha. |
| Kab mob Osgood-Schlatter | Qhov no feem ntau pom muaj rau cov menyuam yaus uas tab tom loj hlob thiab cov hluas. Cov tsos mob tseem ceeb yog mob rau sab saud ntawm lub hauv caug, hauv qab lub hauv caug. Qee zaum nws hu ua "jumper's knee." Cov yam ntxwv:
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| Kab mob Paget ntawm pob txha | Qhov no yog ib yam kab mob pob txha uas mob ntev. Qhov uas tshwm sim yog cov pob txha tawg thiab loj hlob dua tsis zoo li qub. Qhov no ua rau cov pob txha tsis muaj zog thiab tsis zoo li qub. Qhov no feem ntau cuam tshuam rau cov neeg hnub nyoog tshaj 50 xyoo. Cov yam ntxwv:
|
Yuav ua li cas los xyuas seb pob txha tibia puas noj qab haus huv?
Cov kws kho mob siv ntau yam kev kuaj mob los xyuas seb koj tus tibia lossis lwm cov pob txha puas noj qab haus huv.
Qhov kev kuaj mob tseem ceeb uas siv los kuaj mob xws li osteoporosis yog kev kuaj pob txha ceev. Kuj hu ua 'DEXA' lossis 'DXA scan', qhov no siv cov duab X-ray qis los ntsuas seb koj cov pob txha muaj zog npaum li cas.
Yog tias koj tau raug xwm txheej thiab xav tias muaj pob txha tawg, koj tus kws kho mob yuav pom zoo kom kuaj ib lossis ntau qhov kev kuaj hauv qab no:
- X-rays: Kev kuaj yooj yim tshaj plaws los saib seb puas muaj pob txha tawg, yog tias muaj, nws nyob qhov twg, thiab nws yog hom pob txha tawg dab tsi.
- Kev kuaj MRI (Magnetic Resonance Imaging): Qhov no pab saib seb puas muaj kev puas tsuaj rau cov nqaij mos mos nyob ib puag ncig pob txha, xws li cov leeg, cov leeg nqaij, thiab cov leeg nqaij.
- CT scan: Qhov kev kuaj no yog siv los kom pom tseeb dua, peb-seem (3D) ntawm qhov tawg.
Koj ua li cas kom koj pob txha tibia noj qab nyob zoo?
Kev noj zaub mov zoo, kev tawm dag zog, thiab kev kho mob tsis tu ncua tuaj yeem pab kom koj cov pob txha thiab koj lub cev noj qab nyob zoo. Yuav tsum nco ntsoov txog tej yam no kom tiv thaiv koj tus kheej ntawm kev raug mob.
- Hnav siv sia: Ib txwm hnav siv sia thaum caij tsheb.
- Siv cov khoom siv kev nyab xeeb: Hnav cov khoom siv kev nyab xeeb tsim nyog (piv txwv li lub kaus mom hlau, lub hauv caug) thaum ua si kis las lossis koom nrog kev ua ub no uas muaj kev pheej hmoo.
- Tiv thaiv ib puag ncig: Tshem tawm thiab kho kom zoo nkauj txhua yam khoom uas yuav ua rau koj plam thiab poob, nrog rau cov khoom tsis tsim nyog, hauv tsev thiab tom chaw ua haujlwm.
- Siv cov khoom siv kom raug: Tsis txhob nce saum cov rooj zaum lossis cov rooj kom ncav cuag ib yam dab tsi saum toj no. Siv ntaiv lossis lwm yam khoom siv uas tsim nyog rau lub hom phiaj ntawd.
- Ib txoj kev ua neej uas ua rau pob txha muaj zog: Noj cov khoom noj uas muaj calcium thiab vitamin D ntau. Ua cov kev tawm dag zog uas ua rau pob txha muaj zog, xws li kev tawm dag zog nqa hnyav. Nug koj tus kws kho mob kom paub ntxiv txog qhov no.
- Siv ib qho kev pab yog tias tsim nyog: Yog tias koj muaj teeb meem taug kev lossis muaj feem yuav ntog ntau zaus, tsis txhob txaj muag siv ib qho kev pab xws li pas nrig/walker.
Feem ntau peb tsuas xav txog peb tus pob txha nqaj qaum thaum peb raug mob xwb, tab sis pob txha tibia ua haujlwm zoo txhua zaus peb sawv lossis taug kev. Tham nrog koj tus kws kho mob txog koj qhov kev pheej hmoo ntawm kev mob pob txha. Nco ntsoov, txhua yam koj ua los tswj koj txoj kev noj qab haus huv kuj pab txhawb koj cov pob txha.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tus pob txha tibia yog lub pob txha tseem ceeb, muaj zog hauv koj lub pob qij txha uas dais qhov hnyav ntawm koj lub cev.
- Qhov no yog ib pob txha muaj zog heev, yog li nws feem ntau tsuas yog tawg nrog kev sib tsoo loj xwb, xws li kev sib tsoo tsheb.
- Yog tias koj mob ceg heev, o, puas, lossis tsis tuaj yeem taug kev tom qab muaj xwm txheej, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Cov poj niam uas muaj hnub nyoog tshaj 50 xyoo thiab cov neeg uas tsev neeg muaj keeb kwm mob pob txha tawg yuav tsum txhawj xeeb tshwj xeeb. Tham nrog koj tus kws kho mob txog qhov no.
- Kev noj zaub mov zoo, kev tawm dag zog tsis tu ncua, thiab kev ua neej nyob nyab xeeb tuaj yeem ua rau koj cov pob txha, suav nrog koj lub tibia, muaj zog thiab noj qab nyob zoo.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus