Cov pob txha loj tshaj plaws hauv ko taw yog calcaneus. Ntawm tag nrho cov pob txha pob txha, pob taws pob txha yog feem ntau. Feem ntau, qhov ua rau raug mob yog poob ntawm pob taws los ntawm qhov siab, thaum lub talus (nyob rau saum) khawb rau hauv calcaneus thiab faib nws.
Nyob ntawm pob txha
Feem ntau, pob taws pob txha muaj ntau yam. Lawv tuaj yeem nyob nrog thiab tsis muaj kev hloov pauv ntawm cov khoom tawg, cais thiab marginal, ib txwm thiab tawg (nrog rau ntau qhov kev sib tham). Cov kev taw qhia ntawm kev txav ntawm cov khoom tawg thiab cov kab tawg yuav nyob ntawm qhov chaw nyob hauv ko taw thaum muaj kev cuam tshuam. Nrog muaj zog compression, compression puas tshwm sim, nws tuaj yeem tshwm sim nrog kev puas tsuaj ib txhij rau ntawm cov pob qij txha lossis tsis muaj nws. Qee lub sij hawm nws tshwm sim tias ob pob txha pob txha tawg tib lub sijhawm. Tsis tas li ntawd, pob taws pob txha tuaj yeem ua tau ntxiv-articular thiab intra-articular.
Tshuaj ntawm pob txha
thawj cov tsos mob uas tshwm sim nrog pob txha yogqhov no, ntawm chav kawm, yog mob hauv qhov chaw raug mob. Lub koov ntawm ko taw yog ua kom flatter, thiab lub pob taws nthuav dav. Nrog rau cov pob txha thiab cov pob txha sib cais, cov tsos mob tsis meej, ib tus neeg tuaj yeem taug kev. Qhov loj tshaj pob taws tawg yog compression fractures, thaum lub calcaneus, nyob rau hauv tej yam kev mob ntawm ib tug raug mob, yog nias tawm tsam lub talus thiab splits. Hauv qhov no, thaum nias los ntawm ob sab ntawm pob taws, qhov mob hnyav yuav hnov, nws tsis tuaj yeem txav ntawm ko taw, nws yuav tsis ua haujlwm los sawv ntawm cov ntiv taw ib leeg, thaum txav ntawm pob taws pob taws. Nrog nro nyob rau hauv lub calf nqaij, qhov mob intensifies. Hauv thaj av submalleolar, cov ntaub so ntswg swell, hemorrhage tshwm sim, cov txheej txheem no sai sai kis mus rau Achilles leeg.
Diagnosis
Kev puas tsuaj ntawm pob taws yog kuaj pom los ntawm X-ray. Nws tsis yog qhov nyuaj kom pom lawv ntawm radiographs. Tab sis thaum muaj kev puas tsuaj ntawm pob taws nrog kev hloov pauv, nws tuaj yeem nyuaj rau kev txiav txim siab qhov kev hloov pauv ntawm cov khoom tawg. Hauv qhov no, kev xoo hluav taws xob ntawm ko taw noj qab haus huv raug coj mus thiab ob daim duab muab piv.
Yog kuaj pom tias pob taws pob taws tsis raug tshem tawm, ib qho cam raug siv rau ntawm txhais ceg txhawm rau txhim kho cov pob txha hauv txoj haujlwm xav tau. Nws raug tshem tawm thaum cov pob txha loj hlob ua ke, uas yog, tom qab li 1.5-2 lub hlis. Qee lub sij hawm nws yuav siv sij hawm ntev los kho. Yog tias cov pob txha tawg tau raug tshem tawm, kev phais yog qhov tseem ceeb. Thaum lub pob txha raug kaw, kev ua haujlwm yog ua tom qab qhov o thiab txo qis. Rautxhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau ua kom qhov no, nws txhais ceg yuav tsum tau immobilized thiab nqa mus rau ob peb hnub. Tsis tas li ntawd, cov kev ntsuas no pab txhawb rau kev kho ntawm daim tawv nqaij stretched. Qhib pob taws pob txha nyuaj los ntawm kev hloov pauv yuav tsum tau ua tam sim ntawd. Thaum lub sijhawm ua haujlwm, siv cov hlau tshwj xeeb staples, cov pob txha tawg tau txuas nrog. Tom qab kev phais, plaster yog siv. Tus nqi ntawm kev rov zoo yog nyob ntawm hom pob txha. Tab sis txawm tias nrog lub teeb tshaj plaws (kaw thiab tsis muaj kev txav chaw), tus neeg mob tuaj yeem rov qab mus rau qib dhau los ntawm kev ua haujlwm tsuas yog tom qab 3-4 lub hlis. Nrog kev puas tsuaj loj heev, qee zaum kev rov zoo yuav siv sij hawm ntau xyoo, thiab qee zaum txawm tias muaj kev mob siab rau siab tshaj plaws ntawm cov kws kho mob thiab tus neeg mob, nws tsis tuaj yeem rov ua haujlwm tag nrho ntawm ko taw thiab sab ceg.
