Marginal fracture: qhov laj thawj tseem ceeb thiab kev kho mob

Cov txheej txheem:

Marginal fracture: qhov laj thawj tseem ceeb thiab kev kho mob
Marginal fracture: qhov laj thawj tseem ceeb thiab kev kho mob

Video: Marginal fracture: qhov laj thawj tseem ceeb thiab kev kho mob

Video: Marginal fracture: qhov laj thawj tseem ceeb thiab kev kho mob
Video: NCERT At Your Fingertips: Chordates | Unacademy NEET | NEET Biology | Dr Sachin Sir 2024, Lub Xya hli ntuj
Anonim

Nyob rau hauv tag nrho cov mob, kev raug mob yog nyob rau hauv thib peb. Ntxiv mus, lawv yog ob zaug tsawg dua nyob rau hauv cov poj niam li txiv neej. Tab sis tsuas yog txog li 10% ntawm cov neeg mob xav tau mus pw hauv tsev kho mob. Ib qho kev raug mob feem ntau yog cov pob txha tawg thiab pob qij txha. Lo lus "pob txha" yog hais txog kev ua txhaum ntawm kev ncaj ncees ntawm cov pob txha. Qhov no tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov txheej txheem sab hauv pathological lossis nyob rau sab nraud quab yuam.

Feem ntau cov neeg ua rau cov ceg tawv, vim lawv nyob ntawm qhov chaw ntawm lub cev, yog li lawv yog cov neeg muaj kev phom sij tshaj plaws. Tseem muaj tej yam xws li ib tug marginal puas, uas yog, kev sib cais ntawm ib tug me me thiab ca fragment ntawm ib tug pob txha.

Kev piav qhia dav dav

Kev tawg ntawm phalanges ntawm cov ntiv tes, ob qho tib si ntawm tes thiab ko taw, muaj kev pom zoo rau kev rov qab los thiab muaj peev xwm ua haujlwm ntxiv. Thiab cov pob txha me me feem ntau tshwm sim ntawm lawv.

Daim duab kho mob uas muaj pob txha zoo li no me me, tsis muaj kev poob siab. Muaj o thiab mob nyob rau hauv qhov chaw uas raug mob, deformation ntawm tus ntsia thawv phaj tej zaum yuav tshwm sim.

Kev phom sij tuaj yeem nqa tauqhib pob txha, vim muaj kev pheej hmoo kis mob. Hauv cov xwm txheej zoo li no, ntxiv rau kev kho tus qauv, kev kho tshuaj tua kab mob yog siv. Tsis tshua muaj neeg yuav tsum tau mus phais.

Kev kho mob hnyav tshaj plaws hauv kev raug mob ntawm cov pob txha hauv plab, sacrum.

poob ntawm lub tsheb kauj vab
poob ntawm lub tsheb kauj vab

Txoj kev ua haujlwm

Ib qho tawg paj tawg yog qhov sib txawv ntawm ib qho me me. Kev raug mob zoo li no tsis muaj kev phom sij rau tib neeg txoj sia.

Koj tuaj yeem tau txais kev raug mob zoo li no hauv kev ua kis las. Piv txwv li, thaum khiav, lub nra hnyav mus rau cov ntiv taw loj, yog li lawv feem ntau raug mob.

Thaum poob ntawm pob tw, pob txha tuaj yeem tshwm sim. Qhov no tshwm sim tawm tsam keeb kwm ntawm compression ntawm cov pob txha pelvic, thiab kev raug mob nws tus kheej yog suav tias yog ncaj qha, uas yog, tag nrho cov quab yuam los ntawm lub tshuab mus rau ib qho chaw tshwj xeeb ntawm cov pob txha.

Kev faib tawm tseem ceeb

Txheeb xyuas cov pob txha pob txha vim qhov tsos:

  • YPathological. Cov pob txha zoo li no yog qhov tshwm sim ntawm cov kab mob uas ua rau cov pob txha nkig.
  • Kev raug mob. Pom muaj qhov tawv nqaij tawv, tshuab lossis poob ntawm qee qhov ntawm lub cev.

Tseem muaj kaw thiab qhib pob tawg. Nrog rau qhov qhib pob txha, lub qhov txhab yog tsim los ntawm cov pob txha tawg lossis cov pob txha tawg. Nrog lub pob txha kaw, daim tawv nqaij tsis puas.

ntiv tes tawg
ntiv tes tawg

Kev tshwm sim

Ntxiv rau kev raug mob, qee yam kab mob tuaj yeem ua rau pob txha, tshwj xeeb:

  • osteomyelitis;
  • hyperparathyroidism;
  • tuberculosis;
  • osteoporosis;
  • kab mob oncological.

Yog ib tug neeg muaj tus kab mob uas tsis ntev los no, ces nws yuav muaj kev pheej hmoo ntawm pob txha. Tsis tshua muaj heev, tab sis tseem, qhov ua rau nws tshwm sim yog ib tug genetic predisposition, uas yog, ib tug tsis yooj yim musculoskeletal system los ntawm yug.

Tab sis tseem, qhov tawg ntawm lub phalanx ntawm tus ntiv tes feem ntau tshwm sim tawm tsam keeb kwm ntawm kev ua si, ntog thiab pob.

pob txha tawg yooj yim
pob txha tawg yooj yim

Signs

Muaj qee qhov kev faib tawm uas tso cai rau koj kom paub qhov txawv ntawm qhov tawg ntawm qhov nqaij ntshiv, raws li qhov muaj cov txheeb ze thiab qhov tseeb ntawm tus ntiv tes tawg. Thawj qeb suav nrog cov tsos mob hauv qab no:

  • pom puffiness;
  • hemorrhages hauv cheeb tsam cuam tshuam, ntsia thawv phaj;
  • pain.

Cov tsos mob tsis txaus ua rau nws muaj feem ntau tias qhov pob txha tawg tau tshwm sim:

  • Txoj haujlwm tsis zoo ntawm phalanx ntawm tus ntiv tes.
  • Crackling suab thaum nias tiv thaiv pob txha.
  • Txoj kev txav tsis zoo.

Qib ntawm qhov mob hnyav ntawm cov cim qhia ntawm pob txha ntawm tus ntiv tes yog nyob ntawm qhov chaw. Nws yog qhov nyuaj dua kom pom qhov tawg ntawm tus ntiv tes me me, ob lossis plaub ntiv taw, ntawm tus ntiv taw loj, raws li txoj cai, cov pob txha hloov tau pom meej.

ceg immobilization
ceg immobilization

Diagnosis

Zoo li lwm yam kev teem sijhawm nrog kws kho mob, nws pib nrog anamnesis, tus kws phais qhia meej seb puas muaj kev raug mob, yog vim li casTus neeg mob xav tias nws muaj pob txha. Tom qab ntawd, tus neeg mob raug kuaj xyuas thiab qhov chaw raug liam tias tawg yog palpated. Cov txheej txheem zoo tshaj plaws rau kev txiav txim siab puas yog tseem radiography. Daim duab kuj tso cai rau koj los ntsuas qhov ntsuas ntawm nws qhov hnyav.

marginal tawg
marginal tawg

ntsuas ntsuas

Txawm hais tias qhov kev pom zoo rau qhov pob txha pob txha, qhov kev raug mob no tseem mob heev. Yog li ntawd, cov tshuaj tua kab mob tau muab ua thawj pab rau tus neeg mob.

theem tom ntej ntawm kev kho mob yog immobilization ntawm qhov cuam tshuam ntawm lub cev kom cov pob txha loj hlob ua ke sai li sai tau. Nyob rau lub sijhawm no, tus kws kho mob yuav tsum ua tiav tag nrho cov txheej txheem kom raug raws li qhov ua tau, txij li qhov zoo ntawm daim ntawv thov plaster txiav txim siab seb cov pob txha yuav loj hlob ua ke yav tom ntej. Yog tias qhov no tshwm sim tsis raug, ces kev phais yuav tsum tau ua. Es tsis txhob cam khwb cia, ib tug elastic bandage yuav siv tau yog hais tias qhov kev raug mob yog me me thiab yuav tsum tau txav ntawm txhais ceg. Txawm li cas los xij, thaum hnav cov ntaub qhwv elastic, koj yuav tsum ua raws li tag nrho cov lus pom zoo ntawm tus kws kho mob, vim nws tsis pom zoo siv mus ntev.

Yog tias raug mob me, tus neeg mob raug pom zoo kom ua dej khov. Lawv txo qhov mob thiab txo qhov o. Thaum ntxov, koj tuaj yeem siv dej khov rau 15 feeb txhua teev.

Vim li cas kuv tus ntiv taw loj mob thaum kuv tawg? Mob tuaj yeem tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov ntshav hauv cov extremities. Nyob rau hauv cov ntaub ntawv no, nws raug nquahu kom tsa ceg mus rau ib lub toj kom ntseeg tau tias cov dej ntws tawm. Nws tuaj yeem muab tso rau hauv qab cegcushion los yog hauv ncoo.

Yog tias tsis muaj qhov sib txawv ntawm txoj kev kho mob, tom qab ib mus rau ib hlis thiab ib nrab tus neeg tau rov qab los thiab tuaj yeem ua lub neej zoo.

dej khov compress
dej khov compress

Rehab

Tom qab tshem cov cam khwb cia lossis elastic bandage, nws tsis pom zoo kom overstrain tus txha caj qaum rau ob lub hlis ntxiv. Ntawd yog, koj yuav tsum tiv thaiv koj tus kheej los ntawm kev tawm dag zog thiab tam sim ntawd, tsis kam ua kis las. Yog tias muaj pob txha ntawm ceg, ces sim sawv thiab taug kev tsawg dua. Kev noj zaub mov yuav tsum tau ntxiv nrog cov zaub mov calcium thiab protein txaus.

Nws raug nquahu kom mus kawm cov kev kho mob zaws, ua gymnastics thiab mus rau physiotherapy. Txawm li cas los xij, tag nrho cov kev ntsuas kho mob ntxiv yuav tsum tau pom zoo nrog tus kws kho mob.

tes massage
tes massage

Kev Tiv Thaiv

Txhawm rau tiv thaiv kev tawg, koj yuav tsum ceev faj thiab, yog tias ua tau, tsis txhob poob, ntaus. Cov khoom noj uas muaj calcium ntau yuav tsum muaj nyob hauv cov khoom noj. Nws yog qhov zoo dua los tso cov zaub mov uas ua rau cov calcium uas tawm hauv cov pob txha, tshwj xeeb tshaj yog haus kas fes, haus cawv thiab dej qab zib tsawg.

Yog tias, tom qab tag nrho, tsis tuaj yeem zam kev raug mob, ua ntej txiav txim siab pob txha, koj tuaj yeem haus cov tshuaj kho mob sai sai mus rau qhov chaw kho mob.

Pom zoo: