Puas yog koj tus me nyuam me poob tam sim ntawd thaum ua si thiab quaj vim nws mob nws txhais tes? Los yog puas yog ib tug neeg laus hauv tsev plam me ntsis hauv chav dej thiab mob nws lub duav? Qhov kev ntshai loj tshaj plaws uas los rau hauv peb lub siab hauv cov xwm txheej zoo li no yog tias peb tsis paub tias pob txha puas tawg. Hauv kev kho mob, peb hu qhov kev tawg ntawm pob txha no ua " Fracture ". Hais yooj yim, Fracture tsuas yog kev tawg lossis kev tawg ntawm pob txha xwb.
Vim li cas pob txha thiaj tawg? Qhov no puas hloov pauv raws li hnub nyoog?
Nws yooj yim heev. Yog tias ib tug pob txha raug lub zog loj dua nws lub zog, nws yuav tawg. Nws zoo li khoov ib daim ntoo qhuav ua ob thiab tawg nws. Muaj ntau yam ua rau qhov no tshwm sim. Nws tuaj yeem tshwm sim los ntawm kev sib tsoo, kev poob, lossis kev raug mob kis las.
Qhov kev pheej hmoo ntawm pob txha tawg yog cuam tshuam ncaj qha rau koj lub hnub nyoog.
- Cov Menyuam Yaus: Cov menyuam yaus ua si. Lawv khiav, dhia, thiab nce ntoo. Yog li, pob txha tawg yog qhov tshwm sim ntau heev thaum yau. Tab sis tsis txhob txhawj, cov pob txha ntawm cov menyuam yaus zoo li cov ceg ntoo tshiab, me ntsis yoog tau, thiab lawv kho sai. Piv rau cov pob txha tawg loj hauv cov neeg laus, pob txha tawg hauv cov menyuam yaus feem ntau tsis nyuaj heev.
- Cov Neeg Laus: Thaum peb laus zuj zus, peb cov pob txha maj mam qaug zog thiab tsis khov kho. Txawm tias yog ib qho kev poob me me thaum tseem hluas los kuj yuav ua rau koj txhais caj npab, ceg, lossis lub duav tawg.
Qhov tseem ceeb tshaj plaws yog tias pob txha tawg tuaj yeem tshwm sim thaum twg los tau lub hnub nyoog, yog li nws yog ib qho tseem ceeb rau txhua tus neeg kom nkag siab txog nws.
Cov pob txha tawg tseem ceeb yog dab tsi?
Cov pob txha tawg tsis zoo ib yam. Lawv muaj ob hom loj raws li lawv tshwm sim li cas. Cia peb saib seb lawv yog dab tsi.
1. Raws li qhov kev hloov chaw ntawm cov pob txha tawg (Qhov chaw hloov chaw vs. Qhov tsis hloov chaw)
Qhov no txhais tau tias ob daim pob txha puas tseem nyob hauv tib qho chaw tom qab pob txha tawg lossis lawv puas tau txav mus los.
- Pob Txha Tawg: Xav txog qhov tawg ib tug pas nrig thiab ob daim raug rub rov qab thiab tawm, puas yog? Nws yog li ntawd. Ntawm no, pob txha tawg ua ob lossis ntau daim, thiab cov daim ntawd dhia tawm ntawm txoj kab ncaj. Qee zaum pob txha tuaj yeem tawg ua ib pawg. Peb hu qhov ntawd ua (Comminuted Fracture) .
- Pob Txha Tsis Txav Mus Los:Qhov uas tshwm sim ntawm no yog tias txawm hais tias pob txha tau tawg tag nrho lossis ib nrab lawm los xij, cov pob txha uas tawg lawm tseem nyob hauv lawv qhov qub, tsis txav mus. Zoo li daim iav tawg, tab sis cov pob txha tseem tsis tau sib cais.
2. Nyob ntawm seb daim tawv nqaij puas tsuaj li cas (Qhib vs. Kaw)
Qhov no yog ib qho kev faib tawm tseem ceeb heev vim nws txiav txim siab qhov hnyav ntawm kev sib cais.
- Pob Txha Kaw: Hauv qhov no, pob txha tawg sab hauv, tab sis tsis muaj kev puas tsuaj rau daim tawv nqaij. Qhov no txhais tau tias tsis muaj qhov txhab lossis qhov pom ntawm daim tawv nqaij.
- Pob Txha Qhib: Qhov no yog ib qho mob hnyav uas xav tau kev kho mob thaum muaj xwm txheej ceev . Qhov tshwm sim ntawm no yog tias qhov ntse ntawm pob txha tawg tau tho qhov tawv nqaij thiab tawm los. Qee zaum cov pob txha tuaj yeem tawm los thiab rov qab mus rau hauv, tab sis qhov txhab ntawm daim tawv nqaij tseem nyob. Qhov no muaj kev phom sij ntau dua li pob txha kaw. Qhov no yog vim tias cov kab mob ntawm qhov chaw ntawm daim tawv nqaij tuaj yeem nkag mus rau hauv pob txha tawg ncaj qha, ua rau muaj kev pheej hmoo ntawm cov teeb meem loj xws li kev kis kab mob pob txha (osteomyelitis) . Yog li ntawd , yog tias muaj ntshav los ntawm qhov tawg lossis daim tawv nqaij tawg, nws yog qhov tseem ceeb uas yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Lwm hom pob txha tawg uas feem ntau pom
Muaj ntau hom pob txha tawg uas tshwj xeeb rau cov menyuam yaus thiab feem ntau rau cov neeg laus thiab cov menyuam yaus. Cov no kuj tseem ceeb uas yuav tsum paub txog.
| Hom pob txha tawg | Piav qhia yooj yim |
|---|---|
| Cov hnub so tshwj xeeb rau cov menyuam yaus | |
| Kev tawg ntawm cov ntoo ntsuab | Thaum koj sim tsoo ib ceg ntoo tshiab ntsuab, nws khoov rau ib sab yam tsis tawg tag, puas yog? Nws yog li ntawd. Cov pob txha khoov rau ib sab, tab sis nws tsis tawg tag. Qhov no yog ib qho uas tshwm sim ntau heev rau cov menyuam yaus. |
| Kev tawg ntawm lub pob tw/Torus | Muaj ib qho pob tawm zoo li pob tshwm sim rau ntawm qhov chaw ntawm pob txha thaum ob lub pob txha sib txhuam rau ib leeg. Qhov no kuj yog ib qho uas tshwm sim ntau ntawm cov menyuam yaus. |
| Kev tawg ntawm cov phaj loj hlob | Cov pob txha ntawm menyuam yaus muaj cov phaj loj hlob nyob rau ntawm qhov kawg, qhov chaw uas cov pob txha loj hlob. Yog tias cov cheeb tsam no tawg, nws tuaj yeem cuam tshuam rau kev loj hlob ntawm cov pob txha ntawd yav tom ntej thiab ua rau cov pob txha tawg. Yog li qhov no yog qhov tawg uas yuav tsum txhawj xeeb txog. |
| Kev sib tawg yog ib qho uas tshwm sim rau cov menyuam yaus thiab cov neeg laus. | |
| Pob Txha Uas Sib Tov | Cov pob txha tawg ua ntau daim, zoo li nws raug tsoo. Cov no tuaj yeem pom hauv cov xwm txheej loj. |
| Kev tawg ntawm txoj kab hla | Ib qho pob txha tawg uas tshwm sim raws qhov ntev, zoo li ib txoj kab ncaj. |
| Pob Txha Oblique | Los ntawm pob txha mus rau hauv cov kwj dej, uas yog, qhov tawg oblique. |
| Kev tawg ntawm cov kab mob | Ib pob txha uas tsis muaj zog vim yog mob qog noj ntshav lossis lwm yam kab mob, xws li mob pob txha tawg hnyav, thiab tuaj yeem tawg nrog lub zog me me xwb. |
| Kev Nyuaj Siab Pob Txha | Ib lub pob me me zoo li cov plaub hau uas tshwm sim thaum ib pob txha raug nias ntau zaus rau tib qho kev nyuaj siab. Qhov mob no feem ntau tshwm sim rau cov neeg ncaws pob. |
Qhov hnyav ntawm pob txha tawg thiab lub sijhawm kho
Qhov hnyav ntawm pob txha tawg yog nyob ntawm nws hom thiab qhov chaw. Piv txwv li, lub duav tawg yog qhov hnyav dua li qhov tawg me me ntawm tus ntiv tes.
Yog tias cov pob txha tawg loj heev tsis kho sai, lawv tuaj yeem ua rau muaj teeb meem txaus ntshai. Cov no suav nrog kev puas tsuaj rau cov hlab ntsha lossis cov hlab ntsha, thiab kev kis kab mob rau cov pob txha lossis cov nqaij nyob ib puag ncig.
Lub sijhawm uas siv los kho qhov mob sib txawv ntawm ib tus neeg mus rau ib tus neeg. Nws nyob ntawm tus neeg mob lub hnub nyoog, kev noj qab haus huv tag nrho, thiab hom pob txha tawg. Ib qho pob txha tawg me me hauv ib tug menyuam yaus yuav kho tau tag nrho hauv ob peb lub lis piam. Txawm li cas los xij, ib qho pob txha tawg loj heev rau ib tug neeg laus yuav siv sijhawm ntau lub hlis los kho.
Qhov tseem ceeb tshaj plaws yog, yog tias koj muaj kev xav tias pob txha tawg lawm, tsis txhob maj kho koj tus kheej, lossis mus nrhiav tshuaj hauv zos lossis siv roj los ntxuav pob txha. Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob uas tsim nyog , mus thaij duab X-ray yog tias tsim nyog, kom paub qhov puas tsuaj uas tau tshwm sim, thiab tau txais kev kho mob zoo.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Pob txha tawg yog pob txha tawg los ntawm lub zog uas tsis tuaj yeem tiv taus.
- Txawm hais tias cov pob txha tawg hauv cov menyuam yaus yog qhov tshwm sim ntau, lawv kho tau sai dua thiab yooj yim dua li cov pob txha tawg hauv cov neeg laus.
- Qhov pob txha tawg qhib, qhov twg cov pob txha tawg tawm los ntawm daim tawv nqaij, yog qhov xwm txheej ceev uas yuav tsum tau kho tam sim ntawd vim muaj kev pheej hmoo ntawm kev kis kab mob.
- Muaj ntau hom pob txha tawg, thiab kev kho mob thiab lub sijhawm rov zoo nyob ntawm hom pob txha tawg, nws qhov chaw, thiab tus neeg mob lub hnub nyoog.
- Yog koj xav tias pob txha tawg, nco ntsoov mus ntsib kws kho mob kom paub tseeb tias koj muaj mob thiab kho tau zoo ua ntej koj nrhiav lwm yam kev kho mob.
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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