Thaum ib ceg tawg, cov pob txha puas lawm, lawv txoj kev ncaj ncees thiab kev ua txhaum cai. Tsuas yog 30 pob txha tsim cov pob txha ntawm ceg - ncej puab, hauv caug, tibia thiab fibula, ko taw. Thaum raug mob, lawv tuaj yeem tawg ua ntau qhov tawg. Txhua qhov kev hloov pauv tshwm sim hauv cov pob txha yuav tsum tau kho tam sim thiab kho kom zoo.
mob ko taw
Ib qho kev hloov pauv ntawm ib qho ntawm cov pob txha ua rau kev hloov pauv ntawm ob qho tib si cov duab thiab kev ua haujlwm ntawm tag nrho cov ko taw, uas ua rau muaj kev loj hlob ntawm ob leeg arthrosis thiab ko taw tiaj. Rau daim duab kuaj pom tseeb dua, x-ray ntawm ceg yog ua hauv 2-3 qhov projections. Lub pob txha yuav tsum tau ceev reposition ntawm fragments. Gypsum rau pob txha ntawm ceg (cov txheej txheem tom qab) yog thov rau 2-3 lub lis piam. Lwm qhov kev raug mob talus xav tau kev sib cais rau 4-5 lub lis piam. Tag nrho rov qab ua haujlwm muaj peev xwm tshwm sim tom qab 2.5-3 lub hlis.
Lub talus yog tib pob txha tsis muaj leeg, nws ua lub luag haujlwm tseem ceeb hauv kev tsim cov ko taw ntawm ko taw. Cov pob txha zoo li no raug cais raws li kev raug mob hnyav thiab yog qhov tshwm sim ntawm kev dhia ua tsis tiav, poob ntawm qhov siab lossisko taw tuck.
Symptoms of tawg ceg:
- ntse mob;
- o hauv qhov chaw puas;
- pom hemorrhages;
- limited txav;
- foot deformity.
Scaphoid. Nws yog yuav luag tsis yooj yim sua kom lean ntawm ceg, hemorrhage thiab o yog pom nyob rau tom qab ntawm ko taw. Kev soj ntsuam cov pob txha ua rau mob hnyav. Yuav tsum x-ray hauv 2 qhov projections. Qhov nruab nrab, lub plaster cam yog tsau rau lub sijhawm 4-5 lub lis piam.
Thaum cov pob txha metatarsal puas lawm, muaj qhov o hauv zos ntawm ib sab thiab dorsal sab. Mob yog hnov ntawm palpation thiab leaning ntawm txhais ceg. Ntau pob txha yog qhov tshwm sim los ntawm o ntawm tag nrho ko taw thiab hemorrhage. Radiography yog xav tau nyob rau hauv 3 qhov projections. Yog tias tsis muaj kev hloov pauv, tom qab plaster splint yog thov rau 3-4 lub lis piam. Cov pob txha tshem tawm yuav tsum tau kaw txo, qhib osteosynthesis, thiab skeletal traction. Kev kho mob yuav kav ntev li rau lub lis piam.
Phalanges ntawm ntiv tes. Cov ntiv taw tawg ua rau o, bluing, mob ntse thaum txav thiab palpation. Ib tug hematoma tsim nyob rau hauv tus ntsia thawv. Tom qab 2-saib cov duab hluav taws xob, lub pob zeb plaster tom qab tau muab tso rau 4-6 lub lis piam.
- Ib qho kev tawg ceg tawg yuav tsum tau kho ntev thiab nyuaj. Vivid cov tsos mob yog mob ntse, o nrog ntau pob txha ntawm tag nrho ko taw, hemorrhage. Nws yog tsis yooj yim sua rau lean ntawm ceg, radiography yuav tsum tau nyob rau hauv peb qhov projections kom raugDiagnostic study.
- Kev tawg ntawm ko taw yam tsis muaj kev hloov pauv feem ntau tshwm sim vim qhov tsis muaj hmoo poob ntawm pob taws. Cov pob txha tawg tau khaws cia rau hauv txoj haujlwm raug.
- Kaw pob txha ntawm txhais ceg tsis ua rau muaj kev raug mob ntawm cov ntaub so ntswg. Thaum lub sijhawm raug mob, koj tuaj yeem hnov tus yam ntxwv nias. Tom qab pob txha, ko taw mob thiab o yog pom.
- Nrog kev sib koom ua ke, ib qho callus yog tsim ntawm qhov chaw ntawm kev ua txhaum ntawm kev ncaj ncees ntawm cov pob txha, uas yog, fused fracture.
- Jones pob txha - raug mob rau pob txha metatarsal thib tsib. Localization tshwm sim nyob rau hauv qhov dav ntawm lub hauv paus ntawm cov pob txha metatarsal thib tsib, uas yog qhov tsawg tshaj plaws ntawm cov ntshav.
- Kev ntxhov siab pob txha (pob txha) tshwm sim los ntawm kev nce siab ntawm cov pob txha lossis tsim pob txha pob txha.
Fraction ntawm tus ntiv taw loj cia li deprives ib tug neeg ntawm tag nrho cov txav mus txog rau thaum rov zoo. Cov pob txha ntawm cov ntiv taw sib txawv ntawm txhais tes loj, qhov qub yog tuab thiab luv dua li yav tas los, uas yog txuam nrog kev ua haujlwm hnyav uas cov ko taw tau ntsib hauv cheeb tsam no thaum txav lub cev.
Fractured leg: hip
Ib pob txha kaw yog nrog los ntawm kev hnov mob, tsis muaj kev txav mus los, qhib pob txha yog nrog los ntawm kev poob ntshav hnyav. Muaj peev xwm shortening thiab deformation ntawm cov leeg raug mob. Koj tuaj yeem tau txais cov pob txha zoo li no los ntawm kev sib tsoo tsheb, nrog kev poob qis los ntawm qhov siab. Nrog rau kev puas tsuaj rau hauv cov hlab ntsha, qhov mob ntawm kev so xyaum tsis thab, nws nce nrog txav.
Thaum muaj kev puas tsuaj ntsug tshwm simmob tsis taus thaum lub sij hawm me ntsis txav ntawm lub duav pob qij txha.
pob txha ntawm ko taw hauv me nyuam
Vim yog cov yam ntxwv ntawm lub cev pob txha, qee cov ceg pob txha tshwm sim, uas yog yam ntxwv tshwj xeeb rau menyuam yaus. Txawm hais tias muaj kev ua si thiab kev txav mus los ntawm cov menyuam yaus, lawv tsis tshua muaj kev raug mob ntawm pob txha ntau dua li cov laus. Qhov no yog vim lub cev nyhav me me, lub npog zoo ntawm cov ntaub so ntswg. Lub periosteum nyob rau hauv cov me nyuam yog thicker thiab nplua nuj nyob rau hauv cov ntshav, uas muab kev tiv thaiv ntau dua rau cov pob txha. Yam ntxwv rau menyuam yaus:
- break;
- epiphyseolysis;
- osteoepiphyseolysis;
- apophyseolysis;
- subperiosteal fractures.
Cov pob txha loj hlob ua ke sai sai hauv cov menyuam yaus, raws li txoj cai, tsis muaj qhov tshwm sim loj nrog kev kho kom zoo. Nrog kev sib xyaw ua ke ntawm cov pob txha thiab cov khoom tawg tsis zoo, qhov mob yuav tshwm sim tsis yog thaum lub sijhawm txav mus los, tab sis kuj thaum so. o thiab deformity ntawm ko taw yuav muaj kev txhawj xeeb.
Ib qho tawg yog qhov tawg tsis tiav, cov pob txha cov ntaub so ntswg puas, tsis muaj kev hloov pauv. Cov tsos mob feem ntau zoo ib yam li cov pob txha, yog li yuav tsum tau x-rays.
Thaum nqaij tawv, cov nqaij mos raug kev txom nyem, kev ua haujlwm ntawm cov ceg tawv tsis ploj. Cov tsos mob ntawm kev raug mob:
- bruis, abrasions;
- puffiness;
- koj tuaj yeem ntsoos ntawm koj txhais ceg, lub cev nqaij daim tawv puas ua haujlwm ib txwm;
- bruising.
Yog nws mob txav koj ko taw,Ib qho tawg tuaj yeem tsim, xav tau ib daim duab.
Kev tsis pom kev yog qhov txaus ntshai vim tias kev rov ua haujlwm ntawm ko taw yog qhov nyuaj heev hauv ob qhov chaw sib txuas. Muaj peev xwm thiab kho raws sij hawm yuav tshem tawm qhov kev xav tau ntawm kev phais.
kawg pob qij txha
Nws tshwm sim vim qhov tsis raug anatomical qauv ntawm cov leeg lossis ligaments uas txav thaum taug kev. Ib tug yam ntxwv nias yog hnov thaum hooking ntawm lub protrusions ntawm cov pob txha nyob ze. Yog vim li cas rau txoj kev loj hlob ntawm cov txheej txheem pathological tuaj yeem yog: kab mob sib kis, congenital defects ntawm ko taw, kev ua neej nyob sedentary.
Kev kho mob ko taw thiab kev ua haujlwm
Kev kho mob ko taw muaj xws li:
- lub cev rov ua haujlwm (physiotherapy, massage);
- tshuaj tiv thaiv kab mob kev kho mob;
- xov tshuaj los txhim kho cov ntshav;
- noj tshuaj loog;
- kev siv pej xeem kom tshem tawm puffiness;
- surgery;
- hnav khau orthopedic thiab insoles.
Kev txiav txim siab ua kev phais yog ua thaum cov kev kho mob tsis zoo.
pab thawj rau cov pob txha tawg ntawm ko taw
Kev pab thawj zaug rau tus ntiv taw tawg lossis ko taw yuav tsum tau immobilization tam sim (immobilization) ntawm limb. Nws yog ib qho tsim nyog uas cov ceg raug mob yuav tsum siv txoj haujlwm kom raug, cov khau raug tshem tawm tam sim ntawd, yav tom ntej, thaum ceg o, nws yuav nyuaj heev los ua qhov no. Nrog qhib pob txhaceg pob txha raug txwv tsis pub nws tus kheej tswj cov pob qij txha.
Ua ntej tshaj plaws, los ntshav tau nres, daim tawv nqaij ncig ntawm qhov txhab raug kho nrog tshuaj tua kab mob, hnav khaub ncaws tsis muaj menyuam yog siv rau thaj tsam cuam tshuam.
Koj tuaj yeem immobilize koj txhais ceg los ntawm kev siv lub "ke" splint los ntawm cov laug cam, ski ncej. Lawv yog superimposed rau sab hauv thiab sab nrauv ntawm ceg. Hauv qhov xwm txheej hnyav, cov ceg raug mob raug kho kom muaj kev noj qab haus huv nrog ib daim ntaub qhwv.
Kev kho mob thiab rov qab los ntawm kev raug mob
Lub luag haujlwm tseem ceeb tom qab tawg yog txhawm rau txhim kho kev sib koom tes thiab cov leeg ua haujlwm. Rehab suav nrog:
- Kev tawm dag zog, kho zaws, txhuam;
- ua ib txheej tshwj xeeb ntawm kev tawm dag zog;
- normalization ntawm kev noj haus, kev siv cov khoom noj muaj zog nrog calcium.
Tom qab tshem tawm cov cam khwb cia, qhov o feem ntau pom vim yog cov ntshav tsis txaus. Zoo pab los ntawm stagnation rubbing nrog cedar roj. Cov theem tom ntej ntawm kev kho mob tom qab txhuam yuav yog da dej thiab tawm dag zog.
Immobilization thiab orthosis
Qhov tseem ceeb tshaj plaws los ntawm qhov kev kho mob pib yog qhov kev tsis sib haum xeeb ntawm kev sib koom ua ke puas tau yooj yim. Orthoses yog ib yam ntawm cov pob txha sab nraud uas qhia txog lub cev nqaij daim tawv. Lub luag haujlwm tseem ceeb ntawm immobilization yog muab so rau thaj chaw puas ntawm lub cev.
Kev tawm dag zog thiab kev tawm dag zog
Qhov no yog txoj hauv kev zoo tshaj plaws thiab nyab xeeb tshaj plaws los kho kev sib koom tes thiab cov leeg nqaij. Kev tawm dag zog yog ua tom qab ua ntej sov so, maj mam. Cov nyhuv zoo tiavyuav nrog kev xyaum tsis tu ncua. Cov kev tawm dag zog uas yooj yim tshaj plaws los ua txhua hnub:
- viav vias koj txhais ceg thaum zaum ntawm lub rooj zaum;
- tig ko taw taw;
- taug kev;
- swing cross-legged pw.
Ib ceg tom qab pob taws pob txha siv sijhawm ntev heev los kho.
orthopedic insoles thiab massage
Cov kab mob Orthopedic ntawm ko taw zoo li kev vam meej. Nrog kev pab los ntawm insoles thiab nkawm khau, koj tuaj yeem tiv thaiv kev tsim ntawm pathologies lossis qeeb lawv txoj kev loj hlob. Cov insoles yog qhov tseem ceeb rau kev ua haujlwm ntawm ko taw.
Massage yog ib qho ntawm cov ntsiab lus tseem ceeb tshaj plaws ntawm kev ntsuas rov qab tom qab pob txha pob txha. Cov ceg, uas yog nyob rau hauv ib tug cam khwb cia, yog deprived ntawm ib txwm lymph txaus, yog li ntawd nws swells. Txhawm rau kom tsis txhob muaj kab mob, yuav tsum tau kho cov hlab ntsha, thiab zaws. Tsis tas li ntawd, acupuncture massage pab kho tag nrho lub cev. Nws yog ib qho tseem ceeb kom paub tias cov ntsiab lus twg yog lub luag haujlwm rau lub cev:
- pads ntawm huab phalanges ntawm tus ntiv tes - paranasal sinuses;
- quav ntawm tus ntiv tes thib peb thiab thib ob - thaj chaw qhov muag;
- anterior thiab lateral plantar nto ntawm ko taw - thaj chaw ntawm bronchi, caj pas;
- pem hauv ntej ntawm lub koov ntawm ko taw ntawm sab laug ceg - cov kabmob ntawm cov hlab plawv;
- qhov tob ntawm ko taw - hnub ci plexus, plab, qog adrenal thiab ob lub raum;
- qhov tob ntawm ko taw sab xis - thaj tsam daim siab.
Osteotomy yog kev phais ua los kho qhov deformity los ntawm kev tsim cov pob txha tawg kom coj mus rau qhov tseeb.
Osteosynthesis yog txheej txheem rau kev txuas cov pob txha tawg, tsim nyog rau lawv cov kev kho kom muaj zog ua ntej fusion.
Resection suav nrog kev tshem tawm ntawm thaj chaw cuam tshuam ntawm cov pob txha los kho qee yam kab mob. Nws yog nqa tawm nrog rau cov pob txha qog, tuberculosis kom rov zoo li qub thiab kev ncaj ncees ntawm cov pob txha.
Tshuaj kho pob txha mos thiab pob txha
Cov tshuaj tshwj xeeb thiab cov vitamin complexes pab kho pob txha mos thiab pob txha thiab txo cov kev ntxhov siab ntawm cov pob qij txha. Cov vitamins thiab minerals ntxiv dag zog rau cov ntaub so ntswg ntawm ligaments thiab pob txha. Tsis muaj vitamin D provokes o. Vitamins C thiab B5 yuav tsum tau rau collagen synthesis. Kev npaj yuav pab kom tau txais kev tiv thaiv siab tshaj plaws thiab kho tau zoo:
- glucosamine sulfate;
- calcium nyob rau hauv ib qho yooj yim absorbed daim ntawv;
- chondroitin sulfate;
- Vitamin D;
- collagen nyob rau hauv daim ntawv ntawm ib tug niaj hnub cai ntawm gelatin nyob rau hauv 10 g.
Nyob rau hauv kev kho mob ntawm cov kab mob musculoskeletal, nws raug nquahu kom siv nyiaj los txhim kho cov ntshav ncig. Qhov hnyav ntawm pob txha yog nyob ntawm nws qhov chaw.
