Qhov nquag nquag ntawm tib neeg lub cev yog txhais tes. Lub dab teg txuas ntawm tes thiab lub hauv pliaj, thiab ua haujlwm tas li, yog li kev sib koom ua ke feem ntau tshwm sim. Txij li thaum lub dab teg muaj ntau cov pob txha me, nws yog ib qho nyuaj rau kev txheeb xyuas seb qhov mob tshwm sim li cas: pob txha, leeg pob txha, dislocation lossis bruise ntawm pob qij txha. Txhawm rau tiv thaiv qhov tshwm sim ntawm qhov tshwm sim thiab poob ntawm kev txav ntawm lub dab teg, nrhiav kev pab kho mob tam sim tom qab raug mob thiab pib kho raws sijhawm.
Pathogenesis ntawm kev raug mob
Kev sib kis ntawm lub dab teg (code S60 raws li kev faib tawm thoob ntiaj teb ntawm cov kab mob) tshwm sim nyob rau hauv qhov kev txiav txim ntawm cov khoom txav uas muaj lub zog kinetic. Npuag muaj qhov sib txawv ntawm qhov raug. Loos fiber ntau thiab cov nqaij mos yog qhov cuam tshuam rau kev puas tsuaj, tsawg dua li fascia, tendons, dermis thiab ligaments. Kua muag, sprains tshwm sim nyob rau hauv cov ntaub so ntswg, thiab qee qhov chaw yog crushed. Cov hlab ntsha me raug puas tsuaj, cov ntshav ntws mus rau hauv cov leeg thiab cov rog subcutaneousfibers, tsim hemorrhages (bruises). Ib qho mob aseptic tshwm sim, qhov ntim ntawm cov kua dej nce ntxiv hauv qhov chaw interstitial, thiab o yog tsim.
Nyob rau hauv cov xwm txheej ntawm ib qho nqaij pob txha ntawm lub dab teg (hauv ICD-10, raws li twb tau hais lawm, nws tau muab txoj cai S60), nrog rau kev puas tsuaj rau cov hlab ntsha ntawm txoj kab uas hla loj dua thiab los ntshav hnyav, hematomas raug tsim los ua kom cov hlab ntsha loj dua. cov kab noj hniav txwv nrog ntshav. Nrog bruises, tsis tsuas yog cov ntaub so ntswg ntawm lub ntsej muag yog qee zaum puas, tab sis kuj muaj cov qauv sab hauv: pob txha mos, pob qij txha thiab cov ntaub so ntswg synovial. Cov qe ntshav uas tau nkag mus rau hauv cov kab noj hniav sib koom ua ke thiab tau nqus mus rau hauv cov ntaub so ntswg nyob ib puag ncig nws thiab pob txha mos. Yog li ntawd, lawv poob lawv cov elasticity, uas tuaj yeem ua rau synovitis thiab arthrotic hloov.
Kev raug mob ntau tshaj plaws yog kev sib kis ntawm lub dab teg (ICD-10 code - S60). Qhov no ua rau muaj kev txwv tsis pub txav ntawm kev sib koom tes thiab mob hnyav. Ib qho ntawm feem ntau ua rau raug mob yog lub caij nplooj zeeg. Vim qhov poob ntawm qhov sib npaug, tus neeg, txhawm rau pab txhawb kev sib tsoo nrog hauv av, involuntarily tso tawm nws txhais tes thiab leans rau lawv nrog nws tag nrho lub cev. Koj tuaj yeem raug mob tom qab lub tshuab nqus tsev twj. Nyob rau hauv cov ntaub ntawv no, cov ntaub so ntswg yog bruised, uas yog nias rau cov pob txha. Cov pab pawg muaj kev pheej hmoo suav nrog cov menyuam mos thiab cov neeg laus, piv txwv li cov neeg uas muaj kev sib koom tes ntawm kev txav tsis taus, nrog rau cov neeg ncaws pob koom nrog kev sib tw thiab caij skiing, nqa hnyav thiab kev ua yeeb yam.
Contusion tsos mob
raug mob hnyavntawm lub dab teg sib koom (raws li ICD-10 - S60), ib txwm nrog kev mob, tab sis tsis zoo li pob txha, uas muaj qhov mob thiab poob ntawm kev ua haujlwm, tsis muaj kev txwv tag nrho ntawm kev txav ntawm tes. Muaj peb theem ntawm lub dab teg bruising, uas muaj cov tsos mob hauv qab no:
- Mild - tus yam ntxwv los ntawm qhov mob me me, me me hematoma, thaum sib koom tes tsis muaj deformation thiab kev txav mus los tsis txwv.
- Nruab Nrab - muaj qhov hnov mob uas cuam tshuam nrog kev thauj khoom. Pom muaj qhov nqaij tawv me ntsis thiab txwv kev txav mus los me ntsis.
- mob hnyav - mob siab rau hauv tes, liab ntawm daim tawv nqaij, hematoma loj.
Thaum muab kev pab thawj zaug thaum muaj kev raug mob ntawm lub dab teg (raws li ICD-10 - S60), koj yuav tsum:
- Yog tias daim tawv nqaij puas lawm, kho qhov txhab nrog cawv, hydrogen peroxide lossis Riciniol emulsion, uas yuav txo tau qhov o thiab tshuaj loog rau cov pob qij txha puas.
- Txhob txhais tes. Rau cov laj thawj no, siv cov ntaub qhwv kho mob lossis cov ntaub qhwv elastic, thov kho cov ntaub qhwv rau thaj chaw puas. Cov txhuam hniav yuav tsum tau nqa thiab dai rau ntawm txoj phuam qhwv caj dab.
- Siv dej khov rau thaj chaw muaj kev cuam tshuam uas siv lub pob dej khov lossis cov khoom khov. Cia txias tsis pub tshaj nees nkaum feeb. So rau ib lub hlis twg ntawm ib teev thiab rov ua cov txheej txheem dua, thiab ntau zaus.
- mob hnyav tuaj yeem txo tau los ntawm kev noj tshuaj loog.
- Nrog tus neeg raug tsim txom mus rau chav xwm txheej ceev, qhov chaw nws yuav muab kev pab tsim nyog.
Kev kuaj mob bruises
Thaum raug mob ntawm lub dab teg (ICD code - S60), cov txheej txheem hauv qab no yog qhov tsim nyog:
- Kev nug ntawm tus neeg mob - tus kws kho mob, thaum sib tham nrog tus neeg mob, txheeb xyuas qhov xwm txheej ntawm kev puas tsuaj ntawm kev sib koom tes, mloog cov lus tsis txaus siab. Tsis tas li ntawd, nrhiav pom seb puas tau muab kev pab thawj zaug.
- Kev kuaj pom - thaum kuaj xyuas qhov chaw ntawm kev puas tsuaj, palpation tau ua, qhov amplitude ntawm active thiab passive txav yog txiav txim siab, mob, liab, abrasions, hematomas tau sau tseg.
- X-ray tau sau tseg - qhov no yog txoj hauv kev yooj yim tshaj plaws thiab paub meej rau kev kuaj mob ntawm lub dab teg. Daim duab tso cai rau koj los txiav txim qhov chaw ntawm qhov sib koom ua ke, tshem tawm lossis paub meej tias dislocation thiab tawg. Feem ntau, radiography ua rau nws muaj peev xwm los npaj kev kho mob.
- Thaum cov ntaub so ntswg puas, CT lossis MRI raug sau, nrog rau ultrasound kom paub meej qhov kev kuaj mob.
- Arthroscopy yog qhov kev xaiv zoo tshaj plaws rau kev kuaj mob, thaum tus kws kho mob tuaj yeem kuaj pom cov qauv sab hauv ntawm cov pob qij txha.
Tom qab txhua qhov kev ntsuam xyuas thiab kev pom tseeb ntawm qhov kev kuaj mob, tus neeg mob tau txais kev kho kom tsim nyog.
Kev kho mob pob tes taw
Kev kho mob yuav tsum pib tam sim tom qab raug mob thiab kuaj mob. Kev ntsuas raws sij hawm yuav txo qhov mob, ua kom kho tau zoo thiab tiv thaiv qhov tsis zoo. Rau qhov no koj xav tau:
- Tshuaj. Rau kev kho mob ntawm cov pob qij txha puas, cov tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob yog siv rau hauv daim ntawv ntawm cov tshuaj pleev:Heparin, Ortofen, Venolife, Diclofenac, Lyoton.
- txhais tau tias tshem tawm hematomas - "Badyaga", "Comfrey".
- Siv ntaub qhwv. Rau kev kho, nws tuaj yeem siv cov ntaub qhwv elastic thiab lwm yam khoom siv orthopedic, uas, nyob ntawm qhov raug mob, yog siv los ntawm peb mus rau kaum hnub.
- Ob hnub tom qab lub pob qij txha pob qij txha, cov txheej txheem thermal yog siv los kho. Rau qhov no, ib qho tshwj xeeb tshav kub-txuag bandage yog haum. Cov khoom lag luam yog qhov zoo vim tias, ntxiv rau kev txwv tsis pub txav, nws sov, zaws ceg, txo qhov o, txhim kho cov ntshav ncig thiab txhim kho cov nyhuv ntawm cov tshuaj pleev..
- Rau kev kho cua sov, koj tuaj yeem siv lub hnab ntim nrog ntsev kom sov hauv lub lauj kaub kib, lub tshuab cua sov, lossis ua cov ntawv thov paraffin rau lub dab teg. Cov txheej txheem yog ua ob zaug ib hnub.
- da dej sov. Ntxiv dej hiav txwv los yog lub rooj ntsev rau hauv dej thiab sov koj lub dab teg ntawm qhov kub tsis tshaj 38 degrees.
- Kev kho mob qoj ib ce. Nrog ib qho nqaij ntawm sab laug dab teg sib koom ua ke, nrog rau txoj cai, nws tuaj yeem siv kev kho mob qoj ib ce. Pab tiv thaiv cov leeg atrophy, normalize tendon muaj nuj nqi, txhim kho cov ntshav ncig.
- massage. Nrog kev pab ntawm zaws taw, kev txav mus los thiab kev ua haujlwm ntawm tes tau rov qab los, qhov mob tau txo qis.kev hnov lus, cov ntshav ncig zoo dua, thiab yog li kev noj haus ntawm cov ntaub so ntswg. Massaging pib ntawm lub ntsis ntiv tes mus rau dab teg, ua rau lub teeb strokes thiab rubbing.
- Thov cov ntaub qhwv elastic rau qhov sib koom ua ke.
- Kev txwv kev thauj khoom. Nrog ib qho nqaij ntawm lub dab teg sab xis (raws li ICD 10 code S60), koj yuav tsum tso tseg kev sau ntawv thiab kos duab ib ntus. Cov kis las raug qhia kom tsum tsis txhob muaj kev cob qhia, thiab cov kws ntaus suab paj nruag los koom nrog cov haujlwm ua haujlwm kom txog thaum muaj peev xwm ua haujlwm tau zoo. Tsis tas li ntawd, lub caj npab cuam tshuam yuav tsum tau tiv thaiv los ntawm kev nqa hnyav. Yog tias cov kws kho mob tsis ua raws li cov lus pom zoo, qhov tshwm sim tsis zoo yuav tshwm sim.
Lawv tau thov tsawg kawg peb zaug hauv ib hnub rau qhov chaw puas hauv ib txheej nyias thiab maj mam rubbed. Nrog kev mob hnyav, tshuaj kho mob tau sau rau hauv: Baralgin, Analgin, Ketonal.
Kev kho mob nrog pej xeem tshuaj
Txhawm rau txo cov tsos mob ntawm pob qij txha caj dab hauv tsev, siv cov tshuaj hauv qab no:
- Rau cua sov compresses, infusions ntawm oregano, calamus, hemlock, burdock, coltsfoot yog siv. Txhawm rau npaj lawv, noj ib tablespoon ntawm cov nroj tsuag qhuav, ncuav ib khob ntawm vodka thiab infuse rau tsib hnub nyob rau hauv ib qho chaw tsaus.
- qhwv qhov chaw mob nrog cov zaub qhwv tshiab los yog nplooj nplooj ntoo.
- Cov da dej thiab tshuaj pleev kom zoo npaj rau lawv tus kheej siv tshuaj ntsuab decoctions: St. John's wort, lavender thiab chamomile.
Kev mob ntshav qab zib
Tom qab kev raug mob dab teg, cov teeb meem hauv qab no raug kaw:
- Kev mob plab ntawm lub paj hlwb - ua rau mob plab ntawm ulnar thiab nruab nrab paj hlwb. Hauv cheeb tsam no, lawv nyob ze rau ntawm qhov chaw ntawm lub dermis. Nyob rau hauv cov ntaub ntawv no, muaj mob ntawm ib tug shooting xwm nyob rau hauvphalanges thiab lawv rhiab heev yog cuam tshuam. Lawv tsis tshua pib txav mus los, thiab cov txhuam hniav siv daim ntawv ntawm lub paw clawed. Qee zaum, kev phais yuav tsum tau txiav cov ligaments carpal.
- Zudeck Syndrome - tshwm sim thaum raug mob hnyav lossis kho tsis raug. Cov kab mob trophic vascular tshwm sim. Cov tes thiab dab teg ua o heev, saum npoo ntawm daim tawv nqaij yog txias thiab ci, xim xiav, thiab cov rau tes yog nkig thiab nyias. Kev kuaj x-ray qhia tau tias muaj pob txha. Rau nws txoj kev kho mob, txoj kev kho mob yog siv, siv cov tshuaj tua kab mob, cov tshuaj vitamin complexes, vascular agents, cov leeg nqaij so, acupuncture, physiotherapy, massage thiab ce therapy.
Zoo dab teg
Kev tawg ntawm ligaments ntawm lub dab teg feem ntau yog tshwm sim los ntawm kev raug mob thaum ua si, tsis tshua muaj - lub caij nplooj zeeg ntawm txoj kev lossis hauv tsev. Cov txiaj ntsig tuaj yeem yog teeb meem loj txog kev txhim kho ntawm deforming osteoarthritis. Dab teg sprains ua rau mob hnyav thiab nruj ntawm kev txav. Cov kev tsis yooj yim no ua rau nws nyuaj rau kev ua haujlwm txhua hnub. Cov tsos mob ntawm pob qij txha yog:
- redness ntawm thaj chaw puas;
- sawv;
- diffuse mob ntawm nruab nrab siv. Nws nce palpation;
- nce hauv ntim;
- muag yuag;
- txwv kev txav ntawm kev sib koom ua ke.
ThaumYog tias koj muaj mob, koj yuav tsum mus rau chav kho mob xwm txheej ceev, tus kws kho mob yuav kuaj xyuas koj thiab xa koj mus rau X-ray, uas tsis suav nrog cov pob txha pob txha thiab cov ligaments torn. Thaum spraining yog tsim nyog:
- Tsim kev thaj yeeb rau tes: txwv kev txav mus los ntawm kev sib koom ua ke ntev txog plaub lub lis piam, tsis txhob ua siab ntev, nrog mob hnyav, cam khwb cia yog thov. Yog tias lub dab teg sab laug raug mob (raws li ICD - S60), tag nrho cov haujlwm tsim nyog yuav tsum tau ua ib ntus nrog sab tes xis.
- Thov txias - Siv lub tshuab cua sov lossis lub pob dej khov kom txo tau qhov mob. Tuav 20 feeb, so rau ib feem peb ntawm ib teev thiab rov ua cov txheej txheem kom txog thaum cov dej khov yaj tag.
- tshuaj loog dav dav - noj Pentalgin rau peb hnub.
- tshuaj loog hauv zos - siv tshuaj loog rau thaj chaw muaj mob. Koj tuaj yeem siv cov tshuaj nplaum "Dolgit".
- Hnav ib qho orthosis ntawm cov kab mob sib koom ua ke lossis qhwv nws nrog cov ntaub qhwv elastic.
Tsawg tsaj sab sauv hauv me nyuam
Feem ntau ua rau mob pob qij txha hauv cov menyuam mos yog qhov poob ntawm lub viav vias, lub tsheb kauj vab, los ntawm lub tsheb kauj vab, los ntawm lub rooj noj mov. Hauv cov menyuam yaus, kev ua si sab nraum zoov thiab kev ua kis las ua rau raug mob. Kev raug mob ntawm cov nqaij mos yog ib txwm tshwm sim los ntawm kev poob lossis cuam tshuam. Tus me nyuam quaj los ntawm qhov mob thiab nres ntawm caj npab, tawm me ntsis khoov raws lub cev. Cov tsos mob ntawm bruising:
- mob hnyav;
- tawv nqaij liab;
- sawv;
- tej zaum bruis;
- limited caj npab txav.
Kev pab thawj tus menyuam yausxav tau:
- Kho cov tawv nqaij uas twb muaj lawm nrog hydrogen peroxide;
- Kho daim ntaub qhwv ntawm dab teg thiab tes. Nws yog qhov zoo dua los tsa caj npab los ntawm khoov nws ntawm lub luj tshib;
- Thov txias rau qhov chaw puas tsuaj rau xya feeb, tom qab ntawd rov ua cov txheej txheem tom qab so 15 feeb. Cov dej khov qhwv hauv daim phuam siv tau los ua kom txias.
Tom qab muab kev pab, tus menyuam yuav tsum raug qhia rau tus kws kho mob. Nws yuav pom qhov ua rau mob, yog tias tsim nyog, muab tshuaj x-ray thiab kho.
Physiotherapy thiab hydrotherapy hauv kev kho lub dab teg
Cov kev tshawb fawb qhia tau hais tias kev siv lub cev- thiab hydrotherapy, ntau yam tshuaj pleev, zaws, qoj ib ce kho mob thaum ntxov ntawm kev kho mob pab txhawb kom rov qab sai ntawm cov ntaub so ntswg raug mob, txo lossis ua tiav kev tshem tawm ntawm qhov mob, o thiab kho dua tshiab. ntawm kev ua haujlwm muaj peev xwm. Feem ntau, nrog pob txha ntawm lub dab teg (kab mob S60), microcirculation thiab cov nqaij mos metabolism raug cuam tshuam. Hauv kev kho mob ntawm daim tawv nqaij thiab kev raug mob, feem ntau siv:
- Electrophoresis - kev taw qhia ntawm cov tshuaj siv hluav taws xob los ntawm dermis thiab mucous daim nyias nyias. Nrog kev pab los ntawm electrophoresis, ib qho kev tiv thaiv-inflammatory, analgesic, absorbable, antibacterial thiab stimulating cov ntaub so ntswg regeneration nyhuv. Txhawm rau kom cov permeability ua ntej electrophoresis, cov txheej txheem ua kom sov yog ua. Qee zaum cov kev daws teeb meem uas muaj ntau yam tshuaj uas txhim kho cov nyhuv yog siv.ib leeg.
- Diadynamic tam sim no (DDT) - siv cov zaus sib txawv nrog lub sijhawm luv thiab ntev. Nrog lawv cov kev pab, cov tshuaj tau muab tshuaj, thiab cov yoj dej ntws tawm muaj cov nyhuv analgesic.
- Sinusoidal modulated currents (SMT) - muaj ntau zaus thiab nkag mus tob rau hauv cov ntaub so ntswg, muaj kev tiv thaiv edematous, analgesic thiab anti-inflammatory teebmeem.
- Magnetotherapy - Ib qho kev sib txawv ntawm cov hlau nplaum tsawg zaus muaj txiaj ntsig zoo rau cov kua hauv lub cev, txo qhov o thiab mob.
- Inductotherapy - qhov sib txawv ntawm cov hlau nplaum sib nqus nkag mus tob rau hauv cov ntaub so ntswg mus txog yim centimeters thiab txhawb cov txheej txheem metabolic hauv lawv.
- UHF-kev kho yog ib qho kev hloov hluav taws xob tam sim no ntawm ultra-siab zaus, uas yog siv los ua kom cov txheej txheem metabolic thiab cov ntaub so ntswg rov ua dua.
- Ultrasound - txhua yam kev co ua kom cov txheej txheem rov tsim dua tshiab, muaj cov tshuaj tiv thaiv kab mob, txo qhov o thiab txo qhov mob.
Ntxhais qhwv caj dab
Rau cov neeg uas ua haujlwm ntau nrog ib txhais tes tom qab lub pob txha sab xis lossis sab laug lub dab teg, cov kws kho mob qhia kom hnav lub brace ib ntus. Ua li no, siv B. Well rehab W-244 qauv. Nws yog universal, nws muaj peev xwm kho cov theem ntawm fixation. Cov ntaub qhwv yog siv los txwv kev txav ntawm tes, vim li ntawd, qhov mob raug txo, o tuaj. Lub degree ntawm compression yog tswj ntawm nws tus kheej, raws li cov kev xav, thiab lub voj, uas yog tsau ntawm tus ntiv tes xoo, tsis tso cai rau nws txav mus. Cov neeg tsim tawm niaj hnub koom tes nrog cov kws kho mob, orthopedists, cov kws kho mob kho mob thiab cov kws kho mob hlwb, txhim kho tus qauv.
Zoo kawg
Kev mob ntawm lub dab teg yog kev raug mob ntawm tes. Tus kab mob no nrog rau qhov mob hnyav thiab tsis muaj zog ntawm cov ceg. Txhawm rau kom rov zoo ntawm tes, nws yog qhov yuav tsum tau muab kev pabcuam thawj zaug raws sijhawm thiab raug, txhawm rau ua tiav kev kho mob uas tsim nyog siv tshuaj, tshuaj kho pej xeem, kho lub cev, zaws thiab kho kev tawm dag zog.
Txhua lub dab teg raug mob yuav tsum tau kho. Nrog kev pab los ntawm kev ntsuas kev kho mob niaj hnub no, txhua yam kev raug mob raug txo kom tsawg. Qhov tseem ceeb tshaj plaws yog hu rau tus kws kho mob kom raws sijhawm rau kev pab tsim nyog.
