Muaj ntau hom kev raug mob sab sab. Ko taw pob txha yog ib qho ntawm lawv. Nws yog nrog los ntawm o, qhov tsos ntawm hematoma, tsis muaj zog ntawm lub cev muaj zog, thiab mob hnyav. Tus neeg raug tsim txom xav tau kev pab thawj zaug thiab kev thauj mus los rau hauv chav xwm txheej ceev. Tsuas yog tus kws kho mob tuaj yeem ua qhov kev kuaj mob kom raug thiab sau cov kev kho mob uas tsim nyog. Kev kho thiab kev tiv thaiv ntawm qhov tshwm sim no tau piav qhia hauv kab lus.
Yog vim li cas
Ko taw txuas rau tibia nrog kev pab ntawm calcaneus, navicular, talus, thiab metatarsal pob txha. Lawv txuas nrog ntau cov ligaments: caij nplooj ntoos hlav, ntev thiab luv plantar, calcaneonavicular, calcaneocuboid. Ua tsaug rau cov leeg nqaij, pob txha thiab ligaments raug tiv thaiv los ntawm kev puas tsuaj.
Cov pob qij txha ntawm ko taw feem ntau tshwm sim hauv cov neeg ncaws pob uas nquag dhia thiab khiav - ntawm cov neeg ntaus pob, ntaus pob, thiab ncaws pob. Qhov kev puas tsuaj no tshwm sim hauv cov neeg nqa khoom hnyav thaum nqa hnyav kettlebells thiab barbells.
Lwm ko taw pob txha tshwm los ntawm:
- overweight;
- ua ib qho kev ua kis las;
- nyuaj zog lub cev;
- taug kev siabsiab heels los yog khau tsis xis nyob;
- taug kev ntawm qhov chaw tsis sib xws;
- pathological ko taw;
- congenital tsis muaj ligament zog;
- mob ko taw lossis mob ntawm ligaments.
Yog tias muaj qhov ua rau, txhais ceg yuav tsum tau kho. Qhov no yuav tshem tawm qhov tsis xis nyob thiab qhov tshwm sim tsis zoo.
Kev lees paub qhov mob
Cov tsos mob ntawm ko taw yog dab tsi? Lawv txawv, nyob ntawm seb muaj pes tsawg tus kab mob:
- Easy. Nws yog pov thawj los ntawm me ntsis o, edema, hematoma, qee qhov mob, lameness.
- Average. Cov tsos mob muaj xws li mob hnyav, o me ntsis o thiab bruising, txwv txav.
- Hav. Nrog nws, muaj mob hnyav, o, bruising. Kuj tseem muaj kev poob ntawm ceg. Tej zaum yuav muaj rupture ntawm ligaments ntawm ko taw los yog dislocation. Cov tsos mob muaj xws li kiv taub hau, xeev siab, ua npaws.
Kev kho mob yuav txawv nyob ntawm seb qhov mob ko taw. Txawm li cas los xij, nws yog qhov zoo dua mus ntsib kws kho mob kom tsis txhob muaj teeb meem.
Kev pab ib zaug
Nrog rau qhov ncab ntawm cov ntaub so ntswg ntawm ko taw, kev puas tsuaj rau cov hlab ntsha me thiab cov hlab ntsha tshwm sim. Thiab qhov no ua rau mob thiab subcutaneous hemorrhage. Kev pab thawj zaug rau sprained ligaments ntawm ko taw yuav tsum tau muab sai sai. Qhov no ua tiav raws li hauv qab no:
- Yuav tsum muab tus neeg tso tseg.
- Nws yog ib qho tseem ceeb uas ko taw tau so kiag.
- Yuav tsum muab ib tug menyuam tso rau hauv qab pob taws li ntawdkom tus raug mob ceg siab me ntsis.
- Yuav tsum tau siv lub tshuab txias txias rau qhov nqaij tawv. Cov txheej txheem siv sijhawm 20 feeb. Cov dej khov yog qhwv hauv cov khoom siv lossis cov ntaub qhwv thiab siv rau qhov chaw puas, tsis txhob sib cuag nrog daim tawv nqaij.
- Cov ko taw yuav tsum tau kho nrog cov ntaub qhwv siab, qhwv nws ntawm nruab nrab ntawm sab ceg mus rau cov ntiv taw. Kev hnav khaub ncaws yuav tsum tsis txhob rub nruj.
- Thaum muaj qhov mob hnyav thiab qhov tshwm sim ntawm qhov tsis sib xws, nws yuav tsum tau kho qhov sib koom ua ke nrog cov phiaj xwm kom lawv protrude tshaj qhov chaw raug mob.
- Tus neeg mob yuav tsum tau muab tshuaj kho mob.
- Tom qab muab kev pab thawj zaug, tus neeg raug tsim txom tuaj yeem raug coj mus rau chav xwm txheej ceev.
Kev pab thawj zaug pab tiv thaiv tus neeg raug mob lub cev tsis zoo. Tsis tas li ntawd xwb, nws pab kom nws mob hnyav.
ICD code 10
Ko taw pob txha raws li ICD 10 - S93, cais raws li hauv qab no:
- 0 - dislocation ntawm pob taws, talus, fibula, subtalar sib koom.
- 1 - kev puas tsuaj rau cov ntiv tes, interphalangeal thiab metatarsophalangeal pob qij txha.
- 2 - torn ligaments hauv ko taw thiab pob taws.
- 3 - dislocation ntawm qhov tsis tiav ntawm ko taw, pob txha navicular, tarsus, tarsus-metatarsus.
- 4- pob taws pob taws, calcaneofibular ligament.
- 5 - ncab ntawm lub capsular-ligamentous apparatus.
- 6 - ncab ntawm lub capsular-ligamentous apparatus thiab lwm yam pob qij txha.
Kev faib cov kab mob yog siv hauv kev kho mob. Nrog xws liCov kab mob tseem raug coj mus rau hauv tus account los ntawm ICD. Ko taw ko taw, zoo li lwm yam kab mob, yuav tsum tau ntsuas ntsuas los txiav txim siab txog kev kho mob.
Diagnosis
Ib tug neeg yuav tsum tau tshuaj xyuas los ntawm tus kws kho mob orthopedist lossis traumatologist. Tus kws kho mob yuav tsum tau qhia txog cov kev tsis txaus siab. Hauv qhov no, tus kws kho mob yuav tsum hnov txog ceg, ntsuas qhov tsis zoo ntawm kev txav mus los, thiab txiav txim siab qhov ua rau.
Txhawm rau kom paub meej qhov kev kuaj mob, yuav tsum tau x-ray, qhia pom qhov muaj lossis tsis muaj pob txha, tawg, ib nrab lossis ua tiav ntawm ligaments, cov nqaij mos puas. CT lossis MRI yuav tso cai rau koj kom tau txais daim duab qhia ntxaws ntxaws.
Tshuaj
Yuav ua li cas nrog ko taw? Yuav tsum muaj txoj hauv kev loj rau kev kho mob, vim tias vim kev kho tsis tiav, yuav muaj kev puas tsuaj ntawm lub peev xwm ntawm ceg ceg yav tom ntej. Cov tshuaj yuav tsum tau noj tsuas yog nrog kev tso cai los ntawm kws kho mob, vim cov tshuaj muaj contraindications.
Yog qhov mob hnyav, koj yuav tsum tau siv tshuaj loog, piv txwv li, Analgin, Ibuprofen, Paracetamol. Txhawm rau txo cov tsos mob ntawm stretching, liniments thiab gels pab. Cov kws kho mob feem ntau pom zoo kom siv tshuaj xws li:
- Y"Hydrocortisone".
- "Prednisolone".
- Voltaren.
- YDiclofenac.
- Indomethacin.
- "Heparin tshuaj pleev";
- Y"Fastum gel""
- Aescin.
Ua ntej siv tshuaj, koj yuav tsum nyeem cov lus qhia. Nws yog ib qho tseem ceeb rau kev hwm cov koob tshuaj thiab lub sijhawm ntawm kev kho mob.
Txoj kev phais
Kev kho mobko taw sprains tuaj yeem ua nrog kev phais. Nws tau ua tiav nrog kev tawg tag ntawm ligaments, ua rau mob hnyav los ntawm kev tawg, tawg, compression ntawm cov paj hlwb, uas feem ntau ua rau ceg loog.
Tus kws kho mob stitches cov ntaub so ntswg torn los yog cov hlab ntsha, yog tias tsim nyog, cov pob txha muab tso rau hauv qhov chaw, daim tawv nqaij yog sutured, lub suture yog qhwv thiab ib tug fixative yog thov. Yog tias pom muaj pob txha qhib thaum lub sij hawm txhav, ces lub qhov txhab raug tshem tawm thiab ntxuav los ntawm tus kws kho mob.
Physiotherapy
Kev kho mob ko taw hauv tsev yog ua nrog kev pab ntawm cov txheej txheem physiotherapy. Cov no suav nrog:
- electrophoresis;
- inductothermy;
- magnetic therapy;
- laser kho;
- ua kom sov nrog paraffin lossis ozocerite daim ntawv thov;
- da dej nrog hydrogen sulfide lossis radon;
- UHF txoj kev kho;
- massage.
Ua ntej ua txhua txoj haujlwm, koj yuav tsum sab laj nrog tus kws tshaj lij. Cov txiaj ntsig ntawm kev kho lub cev yog raws li hauv qab no:
- restoration of ko taw mobility;
- - Tshem tawm cov qog nqaij, o, mob;
- resorption ntawm hematomas;
- txhim kho cov metabolism hauv cov chaw raug mob;
- oxygen saturation;
- stimulate synovial kua ntau lawm;
- normalization ntawm cov ntshav ncig.
kho mob qoj ib ce
Kho cov pob txha tuaj yeem ua tiav siv cov hauv qab nokev tawm dag zog:
- koj yuav tsum txav koj ko taw nce thiab nqis, nrog rau ob sab;
- pab tau nyem thiab rub ntiv tes;
- pob dov;
- pab ko taw massager nrog pob;
- sau me me nrog cov ntiv taw;
- kev sib hloov ntawm ko taw;
- lifting on tiptoe.
Kev kho lub cev tsis tu ncua tsis tsuas yog tshem tawm qhov teeb meem xwb, tab sis kuj txhim kho kev noj qab haus huv tag nrho. Koj tsuas yog yuav tsum ua cov kev tawm dag zog yam tsis muaj nrawm. Yog tias ib qho txheej txheem ua rau mob, tsis txhob ua.
Lwm yam kev kho mob
Rau kev kho mob ntawm pob txha, cua sov nrog lub hnab sov so los yog ntsev, nrog rau lub teeb, pab. da dej sov nrog dej hiav txwv ntsev los yog decoctions raws li chamomile, oak bark, wormwood, comfrey, cinquefoil muaj txiaj ntsig zoo.
Nws yog ib qho tseem ceeb los kho cov khoom noj los ntawm kev qhia cov khoom siv gelatin, nplua nuj hauv calcium, sulfur, silicon, manganese, selenium, rau hauv cov ntawv qhia zaub mov. Cov tshuaj ntxiv raws li chondroitin, glucosamine, collagen muaj txiaj ntsig.
tshuaj ntsuab
Tseem tshuaj muaj txiaj ntsig zoo hauv kev kho mob ntau yam mob thiab raug mob. Ib qho ntxiv yog lawv qhov muaj thiab muaj peev xwm ntawm kev npaj tus kheej. Ntau yam tshuaj muaj txiaj ntsig tuaj yeem siv rau hauv kev kho mob.
Vodka compress feem ntau yog siv, uas nws yuav muaj peev xwm tshem tawm puffiness nyob rau hauv ob peb hnub. Xws li kev kho mob yog ib qho yooj yim los npaj, koj tsuas yog yuav tsum tau moisten cov ntaub qhwv hauv vodka, siv rau thaj tsam cuam tshuam thiab kaw nws.
Ntxiv rau vodka compresses, mis compresses pab, uas yog siv tib txoj kev, tsuas yog cov khoom yog wetted nyob rau hauv cov mis nyuj sov. Cov tshuaj pleev ua kom zoo, uas tau npaj los ntawm cov dos thiab ntsev, thiab tom qab ntawd siv rau thaj tsam cuam tshuam.
Kev nyuaj siab
Feem ntau, ncab tsis ua rau muaj qhov tshwm sim loj. Tab sis yog hais tias, nrog rau tag nrho rupture, qhov kev kuaj mob tsis tau raws sij hawm los yog kev kho mob tau ua tsis raug, ces muaj kev pheej hmoo ntawm tsim ib tug dislocation ntawm ko taw. Nrog nws, yuav muaj instability nyob rau hauv kev sib koom tes thiab nws nquag tucking. Qhov no tshwm sim vim tsis muaj peev xwm ntawm cov ntaub so ntswg puas los tuav qhov sib koom ua ke.
Nyob rau hauv cov mob me, kev kho mob zoo ib yam li kev raug mob ib txwm muaj, tab sis nrog lub sijhawm rov zoo. Nyob rau hauv cov ntaub ntawv hnyav, ib txoj kev phais yog siv cov khoom siv hluavtaws. Cov khau orthopedic kuj raug sau tseg.
Nyob zoo
Nws yuav siv sijhawm li ob peb lub hlis kom txog thaum cov ligaments thiab cov ntaub so ntswg zoo tag nrho, tom qab ntawd tus neeg tuaj yeem ua rau ntawm txhais ceg raug mob. Txog 60 hnub yog tag nrho cov kev rov zoo tom qab raug mob. Thaum lub sijhawm no, tus neeg yuav tsum ua raws li cov lus pom zoo ntawm tus kws kho mob traumatologist, ua cov kev kho mob kom ntxiv dag zog rau ligaments ntawm ko taw, thiab tsis txhob hnyav hnyav ntawm cov ceg raug mob.
Lub sijhawm rov qab los, nws yog qhov yuav tsum tau ua qhov zaws, ua cov txheej txheem dej, da dej. Siv tau rau kev tsim cov ligaments ua luam dej, yog li koj tuaj yeem mus xyuas lub pas dej.
Kev Tiv Thaiv
Txhawm rau tiv thaiv cov tsos ntawm stretch marks, nws raug nquahu kom hnavxis khau nrog qis dav heels. Cov poj niam yuav tsum tsis txhob hnav stiletto heels, nruj twj tso kua mis thiab flip-flops, xws li nkawm khau tso ib qho tsis raug rau cov leeg nqaij thiab ligaments ntawm ob txhais ceg, cov ntshav ncig raug cuam tshuam, thiab muaj kev pheej hmoo ntawm dislocation.
Cov kis las yuav tsum tau ntxiv dag zog rau lawv cov leeg pob taws nrog kev tawm dag zog tshwj xeeb. Taug kev barefoot ntawm kev ua kis las pab. Txhawm rau ntxiv dag zog rau cov pob qij txha, nws yog ib qho tsim nyog yuav tau pib kho kev raug mob thiab kab mob ntawm pob txha raws sij hawm.
Yog li, ko taw pob yog qhov tshwm sim tsis zoo. Nws yog ib qho tseem ceeb kom muab kev pab thawj zaug rau tus neeg raug tsim txom thiab coj nws mus rau tsev kho mob. Thiab kev tiv thaiv zoo yuav tiv thaiv qhov tshwm sim ntawm qhov raug mob.
