pob taws yog qhov sib koom ua ke loj tshaj plaws hauv tib neeg lub cev. Nws suav nrog peb lub dice:
- tibia tibia (qis articular nto, condyle);
- tibialis minor (condyle);
- ram (ko taw).
Cov pob txha no txuas rau ib leeg los ntawm kev sib koom ua ke ntawm cov tshuaj ntsiav thiab ligamentous apparatus.
Ob qho kev txav yooj yim, uas suav nrog kev txuas ntxiv thiab flexion, tau muab nrog cov cuab yeej thaiv zoo li ntawm kev sib koom ua ke. Nyob rau hauv tus txheej txheem ntawm kev taug kev, pob qij txha yog koom nrog. Qhov kev sib koom ua ke no yog qhov muaj zog heev vim lub cev hnyav, vim tias nyob rau hauv qhov chaw sawv ntsug feem ntau ntawm qhov hnyav poob rau nws.
ICD code rau pob qij txha yog dab tsi?
ICD
Raws li ICD-10, bruises thiab cov kab mob zoo sib xws yog nyob rau hauv chav kawm 19, uas yog hu ua "Kev lom zem, kev raug mob thiab lwm yam kev tshwm sim tshwm sim los ntawm sab nraud." Cov kab mob thiab kev raug mob ntawm ko taw thiab pob qij txha tau sau rau hauv ib qho thaiv, qhia los ntawm cov lejS90-S99.
pob qij txha raug mob: kev faib tawm
pob qij txha tuaj yeem muaj ntau yam:
- Nyob zoo ib tsoom phooj ywg.
- Dislocation.
- Kev sib koom ua ke.
- pob txha pob txha nyob hauv qab ceg.
Thiab qhov nqaij tawv tau muab faib ua qee yam subspecies raws li qhov xwm txheej ntawm kev hloov pauv thiab teeb meem.
Nyob rau hauv tsab xov xwm no peb yuav tshuaj xyuas seb qhov tshwm sim ntawm pob taws pob taws yuav ua li cas, yuav ua li cas tshem tawm qhov mob uas tshwm sim nrog qhov raug mob no.
Cov cim tseem ceeb ntawm kev raug mob
Ua ntej tshaj, kev raug mob rau pob taws yog qhov tshwm sim los ntawm kev puas tsuaj rau ntawm daim tawv nqaij, nrog rau cov ntaub so ntswg subcutaneous thiab cov leeg. Tsis tas li ntawd, qhov kev raug mob muaj kev cuam tshuam tsis zoo rau cov hlab ntsha thiab cov hlab ntsha, uas ua rau muaj qhov nqaij ntshiv. Raws li qhov tshwm sim ntawm pob qij txha pob qij txha, hemorrhage tshwm sim, thiab o tshwm rau ntawm qhov chaw cuam tshuam.
Nyob rau hauv rooj plaub no, cov tsos mob yuav hnyav zuj zus mus rau lub sijhawm, uas yav tom ntej tuaj yeem ua rau hemarthrosis - cov ntshav sib txuam hauv cov kab noj hniav. Nws yog vim li no uas muaj qhov nqaij ntuag tshwm ntawm qhov chaw ntawm qhov nqaij. Yog tias qhov kev raug mob hnyav txaus, ces necrosis ntawm daim tawv nqaij yuav tshwm sim hauv qhov chaw puas.
Kev mob pob taws tshwm sim vim yog poob lossis tsoo ib qho khoom nrog pob txha. Hauv qhov no, feem ntau cov ntaub so ntswg uas nyob ib puag ncig ntawm kev sib koom tes yog cuam tshuam,Tom qab tag nrho, pob taws thiab pob taws tsis tiv thaiv los ntawm cov leeg nqaij thiab fiber ntau. Cov tsos mob ntawm bruise yog:
- mob hnyav hauv ko taw uas tshwm sim tam sim tom qab raug mob thiab tuaj yeem nrog tus neeg mob tau ob peb hnub.
- mob rwj, nyuaj rau kauj ruam.
- Cov ntaub so ntswg uas nyob ib puag ncig ntawm kev sib koom tes. Muaj mob o nyob rau hauv ko taw.
- Raws li kev tawg ntawm cov hlab ntsha me, hematoma tshwm sim.
- Yog qhov o yog qhov tseem ceeb, ces loog ntawm ko taw thiab ntiv taw yuav tshwm sim.
pob qij txha raug mob: cov tsos mob
Yog li, cov tsos mob ntawm pob taws pob taws zoo ib yam li cov neeg uas muaj pob txha, leeg pob txha, lossis pob taws pob txha. Kev kuaj mob kom raug tsuas yog ua tau los ntawm tus kws kho mob uas muaj peev xwm tom qab kuaj xyuas thiab kuaj pom tseeb.
Teeb meem uas yuav tshwm sim
Qee qhov teeb meem tseem ceeb tuaj yeem tshwm sim los ntawm pob pob taws:
- Vim qhov tshwm sim ntawm cov ntshav ntau ntxiv hauv lub hnab sib koom, hemarthrosis tuaj yeem tshwm sim. Yog hais tias los ntshav hnyav, qhov no yuav yog ib qho kev qhia rau kev sib tsoo ntawm qhov sib koom tes txhawm rau tshem tawm cov ntshav uas nyob hauv nws cov kab noj hniav. Tom qab ntawd kev huv yog pom zoo siv cov tshuaj novocaine.
- Yog tias koj tsis tig mus rau tus kws kho mob tshwj xeeb raws sijhawm, tom qab ob hnub tom qab raug mob, synovitis yuav pib tsim. Cov txheej txheem inflammatory tshwm sim hauv cov tshuaj ntsiav ua rauKev sib sau ntawm exudate hauv kev sib koom ua ke.
- Kev phom sij txaus ntshai ntawm pob taws pob qij txha, ICD-10 code uas peb twb paub lawm, muaj peev xwm txhim kho kev mob caj dab tom qab. Tus kab mob no tshwm sim los ntawm kev puas tsuaj rau pob txha mos thiab txhim kho lub sijhawm ntev, qee zaum ntau xyoo.
Raws li qhov tshwm sim ntawm qhov nqaij tawv, pob taws pob taws yog immobilized, thiab qhov no tuaj yeem ua rau Zudek's syndrome. Nws yog tus cwj pwm los ntawm kev cuam tshuam hauv cov txheej txheem ntawm cov ntshav ncig, ua rau cov ntaub so ntswg hloov pauv thiab osteoporosis.
Qhov chaw cuam tshuam nyob rau hauv rooj plaub no muaj qhov tshwm sim o, tawv nqaij tawv. Nws ua tsis yooj yim sua kom txav qhov sib koom ua ke. Yog li ntawd, cov kws kho mob pom zoo kom tsis txhob ncua lub sijhawm immobilization tom qab koj tau txais pob taws pob taws (ICD-10 code - S90-S99).
Kev pab thawj zaug rau kev raug mob
Yog tias ib tug neeg muaj pob taws pob taws, ces lub sijhawm uas yuav pab thawj zaug yog qhov tseem ceeb heev. Cov cai hauv qab no yuav tsum ua raws li:
- Txoj haujlwm qhov nqaij ntuag me ntsis saum toj ntawm txoj haujlwm ntawm lub cev. Qhov no yuav txo qhov mob thiab o. Npog qhov chaw bruised nrog tus neeg sawv cev tshwj xeeb, xws li Ratsiniol emulsion.
- Tom qab ntawd, muab cov ntaub qhwv qhov nqaij ntuag nrog ib daim phuam yooj yooj yim lossis ntaub qhwv elastic. Bandaging yuav tsum pib ntawm cov ntiv taw thiab nce ceg. Yog li ntawd cov txheej txheem bandaging tsis cuam tshuam cov ntshav ncig ntawm qhov chaw ntawm qhov nqaij, nws yuav tsum tau nqa tawm txaus.maj mam.
- Thov kom txias txias rau qhov chaw mob thiab tawm mus yam tsawg ib teev.
- Yog qhov mob hnyav dhau lawm, nws tuaj yeem siv cov tshuaj tua kab mob xws li Analgin, Ketonal, Diclofenac.
Kev kho mob
Thaum muaj pob taws raug mob, kev kho mob yuav tsum tau ua raws li cov txheej txheem hauv qab no:
- Thaum xub thawj, koj yuav tsum txo cov load ntawm ceg, muab tso rau ntawm lub hauv ncoo mos. Yog tias qhov bruise hnyav, ces tus neeg mob tau pom zoo kom siv lub pas nrig thaum taug kev. Nyob rau tib lub sijhawm, nws tuaj yeem txav mus rau qhov luv luv xwb, lub sijhawm no cov ceg tawv nqaij yuav tsum tau muab qhwv. Feem ntau, cov ntaub qhwv los yog ntaub qhwv elastic yog siv rau qhov no. Txhawm rau kom tsis txhob o ntau dhau, tus neeg mob tuaj yeem siv qhov sib cais tshwj xeeb.
- Nyob rau hnub thib ob tom qab tau txais qhov nqaij ntshiv, nws yog ib qho tsim nyog yuav tsum pib txhuam qhov chaw qhov nqaij tawv nrog gels, cream thiab tshuaj pleev uas muaj cov tshuaj tiv thaiv uas tsis yog tshuaj steroidal. Lawv yuav tsum tau siv peb zaug ib hnub twg. Hauv qhov no, kev siv txhua hnub ntawm "Raciniol" yog qhov yuav tsum tau ua. Thiab txhawm rau kho cov ntshav ncig thiab cov ntaub so ntswg, koj tuaj yeem siv "Polymedel", npog nrog zaj duab xis thiab khaws cia li 30 feeb.
Tab sis cov no tsis yog tag nrho cov lus pom zoo rau kev raug mob pob taws (ICD-10 code peb tshuaj xyuas):
- Nws yog ib qho tsim nyog yuav tsum tau zaws ko taw thiab qis dua. Tom qab qhov mob txo qis, nws raug nquahu kom ua lub teeb zaws ntawm qhov sib koom ua ke. Yog hais tias kev kho mob rau kev sib koom ua ke yog nqa tawm tom tsev, tsis txhob tso tsegtshwj xeeb gymnastic complex. Kev sov so yuav tsum tau nqa tawm hauv ib qho chaw pw lossis zaum - qhov no yog flexion thiab txuas ntxiv ntawm cov ntiv taw ntawm cov ceg raug mob. Thaum kawg ntawm qhov kev tawm dag zog no, nws tsim nyog ua kom sov li ko taw nrog ncig ncig.
- Ib lub lis piam tom qab raug mob, koj tuaj yeem pib da dej sov nrog dej hiav txwv lossis pob zeb ntsev. Txhob haus dej ntau dhau.
- Nws yuav tsis yog superfluous siv cawv compresses uas siv rau ntawm qhov chaw raug mob.
- Cov txheej txheem kho lub cev xws li electrophoresis, pob khoom paraffin tuaj yeem ua tiav raws li kev pom zoo ntawm tus kws kho mob.
Kev pob taws pob taws (nws suav nrog hauv ICD-10) tsis yog qhov tsis zoo. Yog li ntawd, txhawm rau tiv thaiv qhov teeb meem, koj yuav tsum xav txog kev kho tshwj xeeb.
kev kho mob tshwj xeeb
Kev kho mob tshwj xeeb rau qhov nqaij tawv tuaj yeem nqa tawm hauv tsev kho mob. Hauv qhov no, tus kws kho mob traumatologist kho qhov chaw ntawm ko taw nrog cov ntaub qhwv kho mob lossis plaster splints. Yog hais tias qhov mob tau hais, ces nws muaj peev xwm sau cov tshuaj uas tsis yog-steroidal anti-inflammatory.
Txhawm rau kom tsis suav nrog pob txha, kev txav chaw thiab lwm yam kev raug mob, tus neeg mob raug xa mus kuaj X-ray. Tom qab ntawd, nws tau muab cov tshuaj uas yuav ua kom cov txheej txheem kho kom zoo ntawm cov ntaub so ntswg thiab tshem tawm qhov mob tshwm sim ntawm qhov tawv nqaij. Feem ntau, rau lub hom phiaj no, cov tshuaj yog siv los tshem tawm edema: B-group vitamins thiab venotonics. Kom zamKev mob tshwm sim, noj cov tshuaj no nruj me ntsis raws li koj tus kws kho mob cov lus pom zoo.
Yog li, peb tuaj yeem xaus tias nws muaj peev xwm tshem tawm cov tsos mob thiab qhov tshwm sim ntawm qhov nqaij ntuag hauv lub sijhawm luv yog tias koj nrhiav kev pab tsim nyog raws sijhawm thiab pib kho raws sijhawm.
Peb tau txiav txim siab tias qhov kev raug mob no yog kev sib kis ntawm pob qij txha. Hauv ICD-10, qhov no yog qib 19.
