Hnub no, ntau tus neeg ntawm txhua pab pawg hnub nyoog tau ntsib teeb meem sib koom ua ke. Muaj cov kab mob loj heev uas tuaj yeem cuam tshuam nrog cov kab mob metabolic, muaj kev mob o, nrog rau kev puas tsuaj rau cov khoom siv thiab cov qog nqaij hlav. Hauv tsab xov xwm no, peb yuav saib seb qhov sib koom ua ke yog dab tsi, kawm txog cov txheej txheem ntawm nws qhov kev siv thiab tag nrho cov txheej txheem nyuaj. Kev xuas nrig ntaus pab tus kws kho mob tshwj xeeb los tsim kev kuaj mob kom raug thiab sau ntawv kho kom raug, yog li cov txheej txheem no tseem ceeb heev.
Joint puncture: hom
Ntau tus neeg ntshai heev ntawm lo lus "ntoo" thiab sim zam cov txheej txheem no txhua txoj hauv kev. Txawm li cas los xij, koj yeej yuav tsum tsis txhob ntshai nws. Thaum nws siv, qhov sib koom ua ke yog chob nrog rab koob, thiab qhov no yog ua los rau kev kuaj mob lossis kev kho mob.
Yog tus kws tshaj lij hais tias koj yuav tsum kawm cov kua dej sib koom ua ke, qhov no qhia tias koj yuav tsum tau pom zoo rau cov txheej txheem xws li kev sib tsoo ntawm cov pob qij txha. Los ntawm tuavxws li kev tshawb fawb, nws tuaj yeem tsim tau tias cov kua dej sib koom ua ke muaj cov ntshav, lub cev tshwj xeeb ntawm cov protein, ntau yam kab mob sib kis, nrog rau cov qog hlwb. Cov kua dej sib xyaw yuav raug kawm siv ntau qhov kev sim kuaj. Cov txheej txheem no feem ntau yog ua los ntawm cov kws kho mob ua ntej cov txheej txheem ntawm prosthetics lossis arthroscopy.
Tsis tas li, kev sib tsoo ntawm cov pob qij txha tuaj yeem ua rau kev kho mob. Hauv qhov no, cov kua dej pathogenic yuav raug tso tawm ntawm qhov sib koom ua ke nws tus kheej. Piv txwv li, kua paug, ntshav, thiab inflammatory exudate yuav raug tshem tawm. Cov tshuaj kuj tseem raug txhaj rau hauv qhov chaw sib koom ua ke. Feem ntau, cov kws kho mob tshwj xeeb siv tshuaj tua kab mob, tshuaj steroid hormones thiab tshuaj tiv thaiv kab mob.
Cov lus qhia tseem ceeb rau cov txheej txheem
Kev sib tsoo ntawm lub hauv caug pob qij txha yog cov kws kho mob tau sau ntau zaus. Xav txog cov xwm txheej tseem ceeb tshaj plaws thaum qhov txheej txheem no tsim nyog:
- Cov txheej txheem mob hnyav hauv kev sib koom ua ke nrog cov kua dej sib xyaw, nrog rau cov kua paug.
- Nyob rau hauv lub xub ntiag ntawm cov txheej txheem inflammatory nyob rau hauv kev sib koom tes. Hauv qhov no, qhov puncture tuaj yeem muaj ob qho kev kuaj mob thiab kev kho mob.
- Kev sib tsoo ntawm lub hauv caug tuaj yeem ua tau yog tias tus neeg mob tau txais kev raug mob txhua yam, thiab vim li ntawd, cov kua dej tau pib sib sau ua ke.
- Cov txheej txheem tuaj yeem ua rau cov kab mob sib kis thiab lwm yam kab mob txaus ntshai, xws li tuberculosis, lupus, rheumatism thiab brucellosis.
- Cov kws kho mob yuav tsum siv rab koobrau kev sib koom ua ntej kev npaj ua haujlwm rau nws.
Cov kws tshaj lij pom zoo kom tsis txhob tsis quav ntsej txog cov txheej txheem xws li kev sib tsoo ntawm lub luj tshib, vim tias feem ntau nws tuaj yeem pab tsim kom muaj qhov tseeb tshaj plaws.
Joint puncture: execution technique
Ua tsaug rau cov thev naus laus zis niaj hnub thiab cov kws kho mob tsim nyog, cov txheej txheem no tuaj yeem ua tiav ntawm yuav luag txhua qhov sib koom ntawm tib neeg lub cev. Feem ntau, qhov kev ua haujlwm no yog ua rau ntawm lub luj tshib, hauv caug, lub duav cheeb tsam, nrog rau ntawm lub xub pwg nyom thiab pob taws.
Cov txheej txheem no yuav ua los ntawm tus kws tshaj lij hauv kev kho mob orthopedics thiab traumatology. Tus kws kho mob yuav paub zoo txog cov qauv ntawm cov pob qij txha, pob txha, cov leeg thiab cov hlab ntsha, yog li nws yuav tsis ua rau cov khoom tseem ceeb ntawm tib neeg lub cev.
Kev sib tsoo ntawm lub duav pob qij txha, nrog rau lwm cov pob qij txha, ua tib zoo ua tib zoo. Ntawm txhua qhov sib koom ua ke, qhov siab tshaj plaws kev nyab xeeb yog xaiv. Piv txwv li, yog tias cov txheej txheem yuav ua rau ntawm pob taws, ces qhov kev txhaj tshuaj yuav ua rau nws sab nrauv. Yog hais tias nyob rau hauv lub hauv caug, ces tus kws kho mob yuav ua ib tug txhaj tshuaj nyob rau hauv lub cheeb tsam ntawm lub anterior- puab nto.
Cov txheej txheem no zoo ib yam li kev ua haujlwm ntawm kev noj cov pob txha. Tus kws kho mob yuav ua raws li tag nrho cov cai ntawm kev tsis muaj menyuam, yog li koj tsis tas yuav txhawj xeeb txog kev kis kab mob. Ua ntej, tus kws kho mob tshwj xeeb yuav kho qhov chaw ntawm daim tawv nqaij nrog cov tshuaj tua kab mob. Tom qab ntawd koj yuav tau txais tshuaj loog los pab tshem tawmmob siab. Tsis pub dhau ob peb feeb tom qab qhov pib ntawm kev siv tshuaj loog, tus kws kho mob yuav pib lub ntsiab ntawm cov txheej txheem. Txhawm rau ua qhov no, nws yuav siv rab koob tuab dua nrog kev qhia txog kev siv tshuaj loog, thiab xuas nrig ntaus. Nrog kev pab los ntawm ib rab koob dav, nws yuav muaj peev xwm tshem tawm ntau yam khoom uas muaj cov qauv viscous los ntawm nws. Tom qab ntawd, rab koob raug rub tawm, thiab qhov chaw puas tau muab zais rau hauv daim ntaub thaiv kab mob.
Qhov no yog li cas pob qij txha raug punctured. Cov txheej txheem rau cov pob qij txha me thiab loj tsis muaj qhov sib txawv ntau. Txawm li cas los xij, cov txheej txheem rau kev sib koom ua ke yog ua raws li kev taw qhia ultrasound. Qhov no yog ua kom tshem tawm qhov kev pheej hmoo ntawm kev puas tsuaj rau ligaments thiab pob txha.
Puas muaj teeb meem tom qab txheej txheem?
Cov txheej txheem ntawm lub hauv caug puncture nyob rau hauv tsawg zaus tuaj yeem ua rau muaj qhov tsis zoo. Txawm li cas los xij, qhov no tshwm sim hauv tsuas yog 0.1 feem pua ntawm tag nrho cov mob. Tab sis tseem, nws tsim nyog paub koj tus kheej nrog txhua yam teeb meem uas tuaj yeem txhim kho thaum noj cov kua dej sib koom:
- ntau yam qauv anatomical xws li pob txha mos, pob txha, paj hlwb lossis cov leeg tuaj yeem raug puas;
- tsis tshua muaj qhov hemorrhage hauv kab noj hniav ntawm nws tus kheej;
- Txawm tias tsawg zaus, cov kab mob kis tau nkag mus rau hauv kev sib koom ua ke, vim qhov mob purulent tuaj yeem tshwm sim.
Thaum twg yuav tsum tsis ua raws li txheej txheem?
Kev sib tsoo ntawm qhov sib koom ua ke (cov txheej txheem tau piav qhia meej hauv kab lus no) tsis qhia rau cov neeg mob hauv txhua kis. Tus kws kho mob xav tauyuav tsum coj mus rau hauv tus account tus yam ntxwv ntawm ib tug neeg, vim hais tias nyob rau hauv tej rooj plaub tus txheej txheem yog tseem tsis pom zoo.
Yog li, koj yuav tsum tsis kam ua qhov ntswg yog tias tus neeg mob muaj qhov txhab loj, kub hnyiab, mob lossis ua rau ntawm daim tawv nqaij. Hauv qhov no, muaj qhov tshwm sim ntau uas kis tau thaum lub sijhawm txheej txheem.
Tsis tas li ntawd, puncture yog contraindicated nyob rau hauv lub xub ntiag ntawm deformities ntawm lub sib koom nws tus kheej. Nws tuaj yeem ua tsis tau lossis hloov nws cov duab. Hauv qhov no, muaj kev pheej hmoo ntawm kev raug mob ntawm pob txha.
Tsis tas li, koj yuav tsum tsis txhob ua cov txheej txheem ntawm tus neeg mob uas tau muaj cov ntshav txhaws tsis zoo, vim qhov no tuaj yeem ua rau hemarthrosis.
Kev ua haujlwm punctures
Kev xuas nrig ntaus uas tau ua hauv thaj tsam ntawm tus txha nraub qaum yog suav tias nyuaj. Hauv qhov no, rab koob yuav muab tso rau hauv thaj tsam lumbar, nruab nrab ntawm lub vertebrae. Ua tsaug rau xws li manipulations, nws yog ib qhov ua tau kom paub qhov muaj ntau ntawm cov kab mob nyob rau hauv lub cev. Piv txwv li, ntau yam kab mob fungal, syphilis, hemorrhages, mob qog noj ntshav hauv hlwb lossis txha caj qaum, tuag tes tuag taw, ntau yam kab mob ntawm lub paj hlwb, nrog rau ntau yam sclerosis, muaj herniated disc thiab ntau lwm yam kev phom sij.
txheej txheem no ua li cas?
Feem ntau, thaum ua qhov puncture hauv thaj tsam lumbar, tus neeg mob nyob hauv txoj hauj lwm supine. Txawm li cas los xij, qhov haujlwm no tuaj yeem ua tau thaum zaum. Feem ntau qhov tho yog ua tiav ntawm peb thiab plaub vertebrae lossis nruab nrab ntawm plaub thiab thib tsib. Hauv qhov no, tus txha caj qaum yuav tsis raug puas tsuaj. Daim tawv nqaijTus neeg mob yuav raug kho nrog tshuaj tua kab mob, thiab tshuaj loog hauv zos yuav muab siv ib rab koob nyias nyias.
Qhov tseeb, cov txheej txheem zoo li no suav tias nyuaj heev, yog li nws tsis tuaj yeem nqa tawm thawj zaug.
Yuav ua li cas tom qab txhaj tshuaj?
Ntau zaus, cov neeg mob ntsib cov kab mob xws li bursitis ntawm lub luj tshib. Puncture nyob rau hauv cov ntaub ntawv no yuav tsum tau nqa tawm yam tsis poob. Tom qab ua cov txheej txheem no ntawm lub luj tshib, nrog rau lwm yam kev sib koom ua ke, nws tseem ceeb heev uas yuav tsum ua raws li tag nrho cov lus pom zoo txog kev nyab xeeb uas koj tus kws kho mob yuav muab. Nyob rau hauv thawj ob hnub tom qab tus txheej txheem, nyob rau hauv tsis muaj cov ntaub ntawv tshem tawm cov ntaub qhwv, thiab tsis txhob ntub cov tawv nqaij puas thiab tsis txhob siv compresses rau nws. Qhov no tuaj yeem ua rau muaj kab mob sib kis loj heev uas tuaj yeem nyuaj rau tshem tawm.
Luj tshib bursitis, uas yuav tsum tau punctured los ntawm ib tug kws kho mob tsim nyog, yog kho nrog tshuaj tua kab mob. Raws li txoj cai, lawv raug txhaj rau hauv cheeb tsam ntawm kev sib koom ua ke nws tus kheej. Npaj rau qhov tshwm sim ntawm qhov mob hnyav tom qab cov tshuaj loog hnav tawm. Txawm li cas los xij, lawv yuav ploj mus li ob peb hnub tom qab qhov txheej txheem.
Tsis tas li, ntau tus neeg mob pom tias qhov sib koom ua ke pib o. Tsis txhob txhawj, qhov no tshwm sim. Thaum lub sij hawm rov qab los tom qab kev sib tsoo, sim txwv kev ua haujlwm ntawm lub cev muaj zog, thiab tseem tiv thaiv kev sib koom ua ke los ntawm kev cuam tshuam ib puag ncig sab nraud. Wednesday.
Kuj, tus kws tshaj lij tuaj yeem sau tshuaj tshwj xeeb rau koj uas yuav pab txo qhov mob thiab tshem tawm qhov mob.
Cov Lus Qhia
Kev sib koom tes yog ib txoj kev tseem ceeb heev uas muaj lub hom phiaj kev kuaj mob thiab kho. Yog li ntawd, yog tias koj tus kws kho mob tau sau ntawv rau koj, tsis muaj teeb meem tsis kam lees nws. Tom qab tag nrho, nrog nws cov kev pab koj tuaj yeem kuaj xyuas kom raug thiab xaiv txoj kev kho mob zoo.
Nyob zoo hnub no. Tham nrog kws kho mob thiab mus cuag kev kho mob lub luag haujlwm.
