Ntau zaus, cov kws kho mob ntsib cov neeg mob uas yws txog teeb meem ntawm lawv txhais taw. Thiab yog li ntawd, vim tib neeg kev noj qab haus huv feem ntau nyob ntawm kev noj qab haus huv ntawm ko taw. Qhov kev tsis txaus siab feem ntau yog qhov tsis txaus siab nyob hauv cheeb tsam, uas tuaj yeem muaj ntau yam ua rau. Tab sis feem ntau cov neeg txhawj xeeb txog hygroma ntawm pob qij txha.
Nws tsim nyog nkag siab txog qhov teeb meem txhawm rau ua tiav kev kho kom raug. Nws yog dab tsi - hygroma? Qhov no yog ib tug cartilaginous neoplasm nyob rau hauv lub articular hnab los yog nyob rau hauv nws lateral qhov chaw. Nws zoo li lub pob me me, ntom rau qhov kov, tab sis tsis mob. Kev tshem tawm ntawm hygroma feem ntau yog ua los ntawm kev txiav thiab kho kom tshem tawm cov kab mob malignant. Tom qab kev phais, ib feem ntawm cov khoom siv roj ntsha raug xa mus rau histology.
Hygroma yog dab tsi?
Hygroma yog ib qho benign cystic tsim uas muaj cov kua dej uas muaj cov kua dej uas npog nrog daim nyias nyias. Nws cov ntsiab lus tau nthuav tawm nyob rau hauv daim ntawv ntawm mucous pawg thiab fibrin protein, thiab nyob rau hauv nws sib xws nws zoo lijelly. Feem ntau cov kab mob no nyob ze ntawm pob qij txha.
Feem ntau tus kab mob no tshwm sim rau cov poj niam. Hygroma tuaj yeem ua rau tsis xis nyob, ua rau nws tsis tuaj yeem ua lub neej ib txwm muaj. Ntxiv mus, pathology tuaj yeem ua rau muaj kev loj hlob ntawm lwm yam kab mob loj thiab txaus ntshai. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tau txiav txim siab hygroma thiab hu rau lub tsev kho mob kom pab tau raws sijhawm. Txawm hais tias nws tsis ua rau muaj kev phom sij tshwj xeeb, nws yuav tshem tawm qhov xav tau kev phais.
Yog vim li cas
Qhov pom tseeb tshaj plaws ntawm cov qog zoo li lub cev hauv pob qij txha yog:
- Siv nruj, siab khau.
- Nyob rau ntawm ko taw ko taw.
- Kev raug mob ntawm kev ua haujlwm - dislocations, subluxations, sprains, kua muag.
- Kev cob qhia muaj zog. Lub siab ntawm ligaments, tendons thiab pob qij txha ua rau microdamages uas tuaj yeem degenerate rau hauv cov ntaub so ntswg benign.
- Genetic factor. Kev ua haujlwm tsis zoo hauv kev ua haujlwm ntawm cov txheej txheem metabolic kuj tseem muaj cov caj ces. Yog tias hauv tsev neeg (cov txheeb ze ze) muaj teeb meem nrog kev nqus ntawm phosphorus lossis calcium, lactose intolerance, hormonal ntshawv siab, kev txav mus los ntawm cov pob txha thiab pob txha mos ntawm cov pob qij txha, muaj kev pheej hmoo siab ntawm kev tsim hygroma, lwm yam kev txhim kho tsis zoo. cov pob txha thiab pob txha pob txha.
Symptoms
Hygroma ntawm pob taws pob taws thaum ntxov yog qhov nyuaj rau kev txiav txim siab, vim tias tsis muaj qhov pom tseeb tshwj xeeb pom kev hloov pauv. Txawm li cas los xij, cov tsos mob hauv qab no tseem tuaj yeem txheeb xyuas:
- ntawm palpation ntawm sab ceg, ib puag ncig-puab tsim yog hnov, mos mos, elastic, elastic;
- nce ntxiv hauv foob;
- hygroma muaj qhov pom meej meej;
- tawv tsis hloov, muaj xim ntuj;
- thaum daim tawv nqaij hloov ntawm hygroma, tsis muaj qhov mob, vim nws tsis cuam tshuam nrog cov tawv nqaij sab nraud;
- qhov tsim tsis muaj zog, vim nws txuas nrog cov ntaub so ntswg sab hauv ntawm kev sib koom ua ke;
- hygroma tsis ua rau mob.
Cov cim ntawm theem siab
Yog tias tsis kho raws sijhawm, hygroma nce mus rau qhov loj me thiab tuaj yeem ncav cuag yim centimeters hauv txoj kab uas hla. Qhov no ua rau cov tsos mob hnyav dua nyob rau theem tom qab ntawm tus kab mob:
- pain;
- shin deformity;
- kev kawm pom qhov muag pom;
- kua yog palpable hauv foob;
- daim tawv nqaij yuav tuab thiab ntxhib;
- liab tuaj yeem tshwm sim. Qhov kev siv ntawm qhov tshwm sim ntawm qee cov tsos mob nyob ntawm qhov loj ntawm hygroma thiab ntawm tus neeg mob.
Diagnosis
Cov tsim hygroma ntawm pob taws pob taws yog pom tam sim ntawd, tab sis tsuas yog ib tus kws kho mob paub txog tuaj yeem kuaj xyuas qhov teeb meem tau raug. Yog li ntawd, cov kws kho mob pom zoo kom hu rau cov kws kho mob tam sim ntawd yog tias kuaj pom o ntawm ko taw ze ntawm qhov sib koom tes. Txhua tus orthopedist yuav hais li ntawdKev kho mob raws sij hawm ntawm pob taws hygroma yuav daws tau ntau yam teeb meem.
Kev kuaj mob yog ua los ntawm ntau txoj hauv kev. Ua ntej tshaj plaws, tus kws kho mob kuaj xyuas qhov muaj hygroma tactilely - nws hnov ko taw, hauv lwm lo lus, ua palpation. Qhov no yog cov txheej txheem kev tshawb nrhiav qub thiab kev saib xyuas zoo tshaj plaws, qhov tseeb uas tsis tuaj yeem tso siab rau tag nrho. Niaj hnub no, muaj ntau txoj hauv kev txhim kho kom pom pob qij txha hygroma: ultrasound, X-ray, thiab MRI. Kev ntsuam xyuas zaum kawg yog teem caij yog tias muaj cov cim tshwj xeeb.
Ultrasound qhia meej qhov loj ntawm cov qog thiab cov muaj pes tsawg leeg, thiab X-ray qhia seb cov pob txha puas puas lawm. Sib nqus resonance imaging yog siv los txheeb xyuas cov nodes. Yog tias tsis muaj kev kuaj mob kom raug, nws yuav tsis tuaj yeem xaiv txoj kev kho mob zoo, yog li cov kws kho mob tau hais kom tsis txhob koom nrog kev sim siab ntawm kev kuaj mob, cia ib leeg kho.
Kev ua haujlwm raws li txoj hauv kev zoo tshaj plaws ntawm kev tshem tawm hygroma
Kev kho mob ntawm hygroma los ntawm txoj kev phais kev cuam tshuam muab cov txiaj ntsig zoo tshaj plaws. Nws suav nrog kev tshem tawm tag nrho ntawm pathology nrog tsawg kawg kev pheej hmoo ntawm rov tshwm sim. Tus kab mob no yuav tsis tshwm sim nws tus kheej rau lub sijhawm ntev, kom txog rau thaum pom cov qog, uas ua rau tsis xis nyob thiab txwv tsis pub hnav khau.
Kev ua haujlwm pob qij txha hygroma (tshem tawm) raug sau rau hauv cov xwm txheej zoo li no.
- Tom qab rov tshwm sim vim kev kho tshuaj.
- Nyob zoo heevneoplasm loj.
- Yog kev kho tsis tau.
- Mob thaum hnav khau thiab taug kev.
- Kev tshwm sim ntawm cov txheej txheem inflammatory.
- Thaum txwv lub zog ntawm kev sib koom ua ke.
- Yog tias muaj ntau tshaj ib qho kev tsim.
- Yog tias qhov tsos ntawm cov ceg qis yog txuam nrog kev ua haujlwm.
- Yuav tsum tau phais tam sim ntawd thaum lub hygroma pib loj hlob sai heev.
Qhov tshwm sim zoo li hygroma ntawm pob taws pob qij txha hauv menyuam yaus dhau los ua qhov mob, vim qhov no tuaj yeem ua rau cov hlab ntsha thiab cov hlab ntsha deformation. Qhov no tuaj yeem ua rau kev ua haujlwm nyuaj heev, vim tias nws ua rau muaj kev pheej hmoo ntawm kev puas tsuaj rau cov paj hlwb. Qhov no tuaj yeem ua rau tuag tes tuag taw thiab ib nrab lossis ua tiav qhov kev xav. Kev ua haujlwm tuaj yeem ua tau raws li kev siv tshuaj loog hauv zos thaum lub qog tsis loj thiab tsis muaj teeb meem. Tsis tas li ntawd, txawm tias ib qho ntawm cov xwm txheej no tshwm sim, yuav tsum tau siv tshuaj loog, thiab tus neeg mob yuav tsum tau mus pw hauv tsev kho mob.
Kev ua haujlwm
Ua ntej tshaj plaws, ib qho kev siv tshuaj loog yog siv rau qhov mob ceg kom cov ntshav tsis saturate cov ntaub so ntswg, tom qab ntawd txhaj tshuaj loog. Cov ceg yog fastened thiab kho nrog anti-inflammatory agents. Tsuas yog tom qab ntawd tus kws phais tuaj yeem txuas ntxiv tshem tawm hygroma. Nws yog ib qho tseem ceeb ntawm no kom tsis txhob nco dab tsi thiab tshem tawm tag nrho cov kua kom tsis txhob muaj qhov poob qis, vim qhov no tuaj yeem ua rau rov ua dua.kab mob.
Tom qab kev tshem tawm tag nrho cov khoom ua tiav, cov kab noj hniav yog ntxuav kom huv si nrog cov kev daws teeb meem tshwj xeeb, cov pos hniav tau nruab, thiab tom qab ntawd sutured. Qhov no yuav txo qhov kev pheej hmoo ntawm kev mob los ntawm kev ua kom cov kua dej tawm ntawm qhov chaw ua haujlwm. Tom qab ntawd daim ntaub qhwv nruj yog siv rau tus neeg mob. Cov dej ntws yuav tsum tau khaws cia tsawg kawg ib hnub, thiab qee zaum ntxiv. Tom qab kws kho mob kuaj xyuas, lub nplhaib ntws tawm raug tshem tawm, thiab lub qhov txhab raug kho nrog tshuaj tua kab mob thiab cov ntaub qhwv. Yog tias tsis muaj teeb meem, tom qab ib lub lim tiam cov stitches raug tshem tawm.
Txoj kev twg zoo dua?
Ntau tus neeg uas ntsib nrog hygroma sai lossis tom qab muaj lub siab xav tshem tawm cov teeb meem zoo nkauj tsis txaus ntseeg ib zaug thiab rau tag nrho. Kev phais yog suav tias yog txoj hauv kev zoo tshaj plaws los tshem tawm cov kev tsim no. Txawm li cas los xij, rau ntau yam laj thawj, tsis yog txhua tus neeg mob txiav txim siab mus rau hauv tus kws kho mob rab riam txhawm rau txhawm rau tshem tawm qhov tsis xws luag. Nyob rau hauv cov xwm txheej zoo li no, cov neeg mob yuav tsum sim kho txoj kev kho mob, uas qee zaum tuaj yeem ua tiav nrog hygroma. Nws yog siv nyob rau hauv cov ntaub ntawv ntawm o, uas yog tshwm sim los ntawm compression ntawm ib puag ncig cov ntaub so ntswg. Qhov no tshwm sim tsuas yog nrog o ntawm cov kab noj hniav articular. Yog li ntawd, rau kev sib ntaus sib tua zoo, nws tsim nyog txiav txim siab seb hom kev tsim no yog dab tsi: purulent lossis non-purulent.
kev kho mob
Nws tsim nyog paub tias tsuas yog rau cov mob uas tsis muaj paug tuaj yeem siv tshuaj. Purulent o nyob rau hauv txhua rooj plaub yuav tsumtshem tawm tam sim ntawd ntawm lub rooj phais. Kev siv tshuaj tua kab mob tsuas yog siv tshuaj kho mob rau purulent o yog qhov tsis txaus ntseeg. Lawv siv tau tsuas yog tom qab kev phais kom tiv thaiv tus kab mob ntxiv.
kev kho neeg zoo
Hygroma, los yog muab nws yooj yim, ib pob nyob rau hauv pob taws pob qij txha yog ib tug benign tsim. Ib pob ntawm cov kua dej yog sau nyob rau hauv daim tawv nqaij, uas tej zaum yuav los yog tsis pom heev (nyob ntawm seb tus kab mob theem) los ntawm sab nraud. Nws yog ib nqi sau cia hais tias nyob rau hauv cov nqe lus ntawm kev loj hlob, tus kab mob yog ntev heev, thiab cov tsos mob yuav pib tshwm tsuas yog thaum lub hygroma yog tsim.
Nws yog qhov nyuaj heev los kho pob taws hygroma yam tsis muaj kev phais, vim tias txoj kev loj hlob ntev tso cai rau lub pob "nruj", yog li nws nyuaj rau tshem tawm. Feem ntau, txoj kev kho mob tau npaj tseg - kev phais mob ua raws li kev kho mob, tab sis qee zaum cov kev kho mob zoo li no tsis xav tau, tshwj xeeb tshaj yog tias hygroma tsis muaj sijhawm los loj hlob. Hauv cov xwm txheej zoo li no, cov tshuaj niaj hnub feem ntau siv rau, qee zaum ua ke nrog kev kho tshuaj.
Hauv kev xyaum kho mob pej xeem, muaj ntau yam tshuaj pleev, tshuaj pleev, infusions thiab decoctions uas yuav pab kho tus kab mob tsis zoo no. Qhov tseem ceeb tshaj plaws yog kom pom qhov kev loj hlob ntawm lub pob nyob rau hauv cov theem thaum ntxov, ces tag nrho cov manipulations yuav ua tau zoo tshaj plaws. Pebcov txheej txheem tseem ceeb los ntawm cov txheej txheem ib txwm muaj, uas paub tseeb tias yuav muaj txiaj ntsig, tau nthuav tawm hauv qab no.
Thov cawv compress
Koj yuav tsum tau yuav cov ntaub so pov tseg uas npog tag nrho thaj chaw hygroma loj. Tom ntej no, lawv yuav tsum tau tsau rau hauv cawv nrog qhov ntsuas ntawm 70% thiab siv rau thaj tsam teeb meem. Ntawm chav kawm, koj yuav tau zaum ntev heev, los ntawm 2 mus rau 3 teev, koj yuav tsum tau npog koj txhais ceg nrog ib yam dab tsi sov, ib phuam yog zoo tagnrho. Nws yog ib qho tseem ceeb los saib xyuas cov kev xav, vim hais tias cov tawv nqaij rhiab heev tuaj yeem hnov mob cawv nrog kev ua xua. Yog tias koj hnov mob, khaus thiab lwm yam cim, ces koj yuav tsum tau tshem cov ntaub qhwv sai sai thiab yaug koj txhais ceg. Koj yuav tsum tsis txhob tso tseg cov txheej txheem, ua ntej lwm zaus koj yuav tsum siv cawv sib xyaw nrog dej.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Ntau, txhawm rau txo qhov mob, mus rau qhov kev txhaj tshuaj tsis tu ncua ntawm cov tshuaj tua kab mob, qee zaum lawv noj tshuaj, tab sis muaj ntau yam tshuaj hauv kev kho mob, thiab txhawm rau txuag lub cev los ntawm kev ntxhov siab, nws tsim nyog nco ntsoov. daim ntawv qhia rau zib mu compress. Ua ntej yuav mus pw, nws yog ib qhov tsim nyog yuav tau generously lubricate cov ceg nrog cov zib ntab zoo tib yam, ces qhwv nws nyob rau hauv polyethylene thiab muab ib yam dab tsi sov rau saum. Thaum hmo ntuj, nws tuaj yeem ua tsis tau tsuas yog ua kom mob npub xwb, tab sis kuj pom tias qhov mob tau dhau los ua ntau zaus tsawg dua.
Cabbage leaf
Leej twg yuav xav tias cov nplooj zaub qhwv ib txwm pab kho cov kab mob zoo li no. Cov poj koob yawm txwv, txawm li cas los xij, tau xav txog txoj kev zoo li no thiab siv nws txhua qhov chaw, tsis tas siv ob txhais tes ntawm cov tshuaj. Tau kawg, cov tshuaj niaj hnub no tau mus deb, tab sis txawm tias cov chav kawm tshuaj tuaj yeem ntxiv nrog cov tshuaj zoo heev - zaub qhwvdaim ntawv.
Ua ntej, koj yuav tsum tau ntxuav cov ntawv kom huv si, ces muab nws tawm (tab sis tsis txhob rhuav thiab tsis tig mus rau hauv cov hmoov nplej). Cov kua txiv hmab txiv ntoo yuav pom zoo rau ntawm qhov chaw, koj yuav tsum tau ua kom huv si moisten daim ntawv nyob rau hauv nws thiab muab nws mus rau qhov chaw mob, kho nws nrog cov ntaub qhwv tsis tu ncua. Koj yuav tsum tau zaum nrog lub compress ntev dua, tab sis koj yuav tsum tsis txhob txav, straining koj txhais ceg, yog li lub sijhawm zoo tshaj plaws tseem yog hmo ntuj.
Cov no yog qhov yooj yim, tab sis txoj kev siv tau zoo tau tsim nyob rau hauv ancient sij hawm. Lawv muaj txiaj ntsig zoo txawm tias tam sim no, nyob rau hauv lub hnub nyoog ntawm cov tshuaj siab heev. Tab sis tsis txhob hnov qab tias tsis yog cawv, los yog zib mu, los yog cabbage yuav radically hloov daim duab, tshwj xeeb tshaj yog yog hais tias tus tsim twb ntau tshaj 3 centimeters nyob rau hauv lub cheeb. Yeej, cov hau kev yog tsom rau qhov mob nyem thiab txo qhov mob, yog li hauv cov teeb meem ntawm resorption ntawm pob thiab lwm yam, koj yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho mob nkaus xwb.
