Cov ceg qis yog ob lub pob txha ntev ntawm cov tuab sib txawv. Tibia yog nyob nruab nrab, thiab cov fibula nyob tom qab. Tibia txuas nrog lub femur nrog kev pab ntawm lub hauv caug sib koom.
Feem ntau, pob txha pob txha ntawm sab ceg yog nrog kev puas tsuaj rau fibula thiab tibia. Tsis tshua muaj, cov pob txha sab hauv qab tawg hauv qhov chaw sib cais.
Shin pob txha fracture
Fracture ntawm fibula ntawm sab ceg yog feem ntau tshwm sim los ntawm kev raug mob ncaj qha rau cov pob txha nyob rau sab nraud ntawm txhais ceg. Tab sis hom pob txha no muaj tsawg dua, piv txwv li, pob txha ntawm tibia. Hom kev raug mob no tuaj yeem tshwm sim los ntawm kev cuam tshuam ncaj qha.
Thaum tus tibia ntawm sab ceg tawg, daim tsis ya mus deb. Lub fibula tuav lawv nruj nreem tiv thaiv qhov chaw puas.
Kev tawg ntawm tibia ntawm sab ceg yog nrog los ntawm kev hloov pauv ntawm lub kaum sab xis. Txawm li cas los xij, muaj qhov tshwm sim ntau uas cov pob txha raug mob yuav hloov mus rau qhov dav. Nyob rau hauv xws li mob, zaum kawglawv qhov chaw yuav txawv.
Cov pob txha hauv qis kuj tseem ua rau pob txha ob leeg: feem ntau qhov no tshwm sim nrog kev raug mob tsis ncaj.
Symptoms of disease
Nws yooj yim heev kom paub txog cov tsos mob ntawm pob txha femur, tibia, thiab lwm yam. Cov yam ntxwv tseem ceeb ntawm kev raug mob yog mob hnyav hauv thaj tsam ntawm pob txha. Tom qab qee lub sijhawm, o tshwm rau ntawm thaj chaw puas ntawm ceg, thiab cov tawv nqaij hloov xim. Nws yog qhov zoo dua los hu rau tus kws kho mob kom sai li sai tau, vim tias pob txha tuaj yeem nrog lub qhov txhab qhib lossis crepitus.
Ib tug neeg mob pob txha tawg tsis tuaj yeem sawv ntawm nws tus kheej. Txhua qhov txav ntawm cov ceg raug mob yog nrog los ntawm qhov mob ntawm qhov tawg. Cov ceg raug mob zoo li luv dua pom.
Thaum cov pob txha pob txha tawg, cov hlab ntsha peroneal feem ntau raug mob. Nyob rau hauv cov ntaub ntawv no, ko taw hangs down, txawm lub me tshaj txav zoo li tsis yooj yim sua. Qhov chaw raug mob ua rau lub cev tsis muaj zog rau sab nraud.
Kuj, thaum pob txha tawg, cov hlab ntsha tuaj yeem cuam tshuam. Daim ntawv qhia txog kev raug mob ntawm lub nkoj yog daim tawv nqaij daj ntseg uas muab cov xim xiav.
Yog tias ob leeg pob txha ntawm sab ceg tawg, tus neeg mob hnov mob hnyav hauv qhov chaw raug mob. Cov ceg qis yog deformed, daim tawv nqaij kis tau xiav tint. Hauv lub sijhawm luv luv, txhais ceg swells thiab ploj mus.
Diagnosis
Tab sis ua li cas yog pob txha pob txha mob? Ua ntej, koj yuav tsum hu rau sai li sai tauchaw nres tsheb xwm ceev. Tus kws kho mob tshwj xeeb yuav pab thawj zaug.
Qee zaum nws tuaj yeem kuaj xyuas qhov tawg ntawm fibula lossis tibia yam tsis muaj cov txheej txheem ntxiv: X-rays, thiab lwm yam.
Txawm li cas los xij, feem ntau, cov kws kho mob siv cov cuab yeej siv ntxiv los txiav txim siab qhov tawg ntawm fibula. X-ray cov duab tau muab tso rau hauv ob qhov projection: frontal thiab lateral.
Cov kws tshaj lij ceeb toom tias nws yog nrog kev pab ntawm lub tshuab X-ray uas koj tuaj yeem txiav txim siab qhov hloov pauv ntawm cov pob txha thiab qhov chaw ntawm cov khoom tawg, nrog rau txheeb xyuas hom kev kho mob uas raug tshaj plaws.
Kev kho mob
Kev kho mob ntawm pob txha pob txha yog qhov yooj yim tshaj plaws thiab yooj yim ntawm kev rov zoo. Feem ntau, cov cam khwb cia yog siv rau cov ceg tawv, uas tuaj yeem raug tshem tawm tom qab 15-20 hnub. Cov kws kho mob tau sau tseg tias kev rov ua tsis tiav los ntawm cov pob txha pob txha yog qhov tsawg heev.
Yog tias tibia lossis ob leeg pob txha ntawm sab ceg tau tawg, ces kev kho yuav nyuaj dua, thiab cov txheej txheem rov qab yuav ntev. Nrog rau cov pob txha zoo li no, cov neeg mob tau muab faib ua ob peb pawg, raws li qhov hnyav ntawm qhov raug mob, thiab ib hom kev kho mob tau sau tseg rau lawv txhua tus.
Qee lub sij hawm thaum pob txha pob txha tawg, nws cov khoom tawg tau txav mus rau hauv txoj hauv kev uas qhov kev txiav ntawm plaster splint tsis pab. Nyob rau hauv tas li ntawd, skeletal traction yog tsim nyog. Nrog cov txheej txheem no, kev phais tuaj yeem tiv thaiv tau. Txawm li cas los xij, qhov kev kho no muaj ntau yamQhov tsis zoo tseem ceeb: cov pob txha loj hlob ua ke ntev dua, tus neeg mob tau muab lub txaj pw nruj.
Ntxhais raug mob
Shin raug mob yog lwm hom pob txha raug mob. Cov tsos mob tseem ceeb ntawm tus kab mob yog pob txha ntawm ceg pob txha.
Ib qho nqaij tawv yog ib qho kev raug mob uas nrog los ntawm kev puas tsuaj rau cov nqaij mos, ua txhaum ntawm daim tawv nqaij thiab nws cov qauv. Thawj cov tsos mob ntawm ib ceg tawv yog liab ntawm daim tawv nqaij nyob rau hauv qhov chaw ntawm qhov raug mob. Feem ntau, tom qab qhov nqaij ntuag, lub foob me me ntawm daim tawv nqaij, uas tsis ua rau mob hnyav. Txawm li cas los xij, cov kws kho mob qhia kom sab laj nrog kws kho mob tshwj xeeb txawm tias nyob rau hauv cov xwm txheej no.
Tsis ntev tom qab qhov raug mob, cov ntaub ntawv o ntawm qhov chaw ntawm qhov nqaij ntuag, nrog rau cov hemorrhages subcutaneous. Ib daim ntawv hematoma ntawm qhov chaw no, nyob ib ncig ntawm daim tawv nqaij o.
Yuav ua li cas kho pob khaus ntawm ceg qis?
Nrog pob khaus ntawm sab ceg, nws yog ib qho tseem ceeb kom tiv tauj tus kws kho mob sai li sai tau, leej twg tuaj yeem kuaj xyuas qhov tseeb. Txawm li cas los xij, yog tias qhov no tsis tuaj yeem ua tau, nws yog ib qho tseem ceeb uas yuav tau muab kev pab thawj zaug.
Tus neeg raug mob yuav tsum nyob twj ywm, lub tshuab cua txias yuav tsum tau siv rau qhov chaw raug mob. Qhov txias yuav pab kom tsis txhob los ntshav thiab txo qhov mob. Yog tias khawb thiab abrasions tau pom ntawm qhov chaw ntawm qhov nqaij, lawv yuav tsum tau kho nrog tshuaj tua kab mob.
Ib txwm muaj kab mob tuaj yeem tiv thaiv los ntawm kev zam kom tsis txhob muaj teeb meem. Txawm li cas los xij, nqaij tawv thiab pob txha ntawm sab ceg yog kev raug mob uas tshwm sim los ntawm kev sib tsoo. Ib tug tsuas tuaj yeem sim zam qhov nqes hav, ntog, thiab lwm yam.
