Nyob rau xyoo tas los no, qhov tshwm sim ntawm cov pob txha tawg tau nce ntxiv, ua rau muaj kev cuam tshuam loj heev rau lub neej thiab kev ua haujlwm ntawm cov neeg mob. Yog li ntawd, nws yog ib qho tsim nyog yuav tsum kawm txog cov txheej txheem tiv thaiv cov pob txha tawg ua ntej.
Qhov tshwm sim ntawm pob txha tawg
Cov yam sab nraud:Cov pob txha tawg feem ntau yog los ntawm cov yam sab nraud xws li kev sib tsoo tsheb, kev ua ub ua no hnyav lossis kev sib tsoo. Txawm li cas los xij, cov yam sab nraud no tuaj yeem tiv thaiv tau los ntawm kev ceev faj thaum tsav tsheb, koom nrog kev ua si lossis lwm yam kev ua ub ua no, thiab ua cov kev tiv thaiv.
Cov yam tseem ceeb ntawm kev siv tshuaj:Ntau yam kab mob xav tau tshuaj, tshwj xeeb tshaj yog rau cov neeg laus uas siv tshuaj ntau zaus. Tsis txhob siv cov tshuaj uas muaj cov tshuaj steroids, xws li dexamethasone thiab prednisone, uas tuaj yeem ua rau mob pob txha tawg. Kev kho mob hloov cov tshuaj hormones thyroid tom qab phais mob thyroid nodule, tshwj xeeb tshaj yog nyob rau hauv cov koob tshuaj ntau, kuj tuaj yeem ua rau mob pob txha tawg. Kev siv tshuaj tua kab mob ntev xws li adefovir dipivoxil yuav tsum tau rau kab mob siab lossis lwm yam kab mob viral. Tom qab phais mob qog noj ntshav mis, kev siv cov tshuaj aromatase inhibitors lossis lwm yam tshuaj zoo li hormones ntev tuaj yeem ua rau pob txha poob. Cov tshuaj proton twj tso kua mis inhibitors, cov tshuaj tiv thaiv kab mob ntshav qab zib xws li thiazolidinedione tshuaj, thiab txawm tias cov tshuaj tiv thaiv qaug dab peg xws li phenobarbital thiab phenytoin kuj tuaj yeem ua rau mob pob txha tawg.
Kev kho mob pob txha tawg
Cov kev kho mob zoo rau pob txha tawg feem ntau suav nrog cov hauv qab no:
Ua ntej, kev txo qis tes,uas siv cov txheej txheem xws li kev rub, kev tswj hwm, kev tig, kev zaws, thiab lwm yam los kho cov pob txha tawg uas raug tshem tawm mus rau lawv qhov chaw ib txwm lossis kwv yees li qhov chaw anatomical.
Qhov thib ob,kev kho kom ruaj khov, uas feem ntau yog siv cov splints me me, plaster casts,cov pob qij txha, kev rub tawv nqaij, lossis kev rub pob txha kom tswj tau qhov chaw ntawm qhov tawg tom qab txo kom txog thaum nws kho tau zoo.
Qhov thib peb, kev kho mob siv tshuaj,uas feem ntau siv cov tshuaj los txhawb kev ncig ntshav, txo qhov o thiab mob, thiab txhawb kev tsim thiab kho cov callus. Cov tshuaj uas ua rau lub siab thiab lub raum zoo, ua kom cov pob txha thiab cov leeg muaj zog, pub cov qi thiab cov ntshav, lossis txhawb kev ncig ntshav meridian yuav siv tau los pab txhawb kev rov qab ua haujlwm ntawm ceg.
Qhov thib plaub, kev tawm dag zog ua haujlwm,uas suav nrog kev tawm dag zog ywj pheej lossis kev pab txhawb nqa los kho cov pob qij txha kom rov qab txav tau, muaj zog ntawm cov leeg, thiab tiv thaiv cov leeg nqaij atrophy thiab osteoporosis, pab txhawb kev kho pob txha tawg thiab kev rov zoo li qub.
Kev Kho Mob Phais
Kev phais mob rau pob txha tawg feem ntau suav nrogkev kho sab hauv, kev kho sab nraud, thiabkev hloov pob qij txha rau cov pob txha tawg tshwj xeeb.
Kev kho sab nraudNws yog qhov tsim nyog rau kev tawg pob txha qhib thiab nruab nrab thiab feem ntau yuav tsum tau rub lossis khau tiv thaiv kev tig sab nraud rau 8 txog 12 lub lis piam kom tiv thaiv kev tig sab nraud thiab kev ntxiv ntawm ceg uas raug mob. Nws yuav siv sijhawm li 3 txog 4 lub hlis kom kho tau, thiab muaj qhov tshwm sim tsawg heev ntawm kev tsis sib koom ua ke lossis kev puas tsuaj ntawm lub taub hau femoral. Txawm li cas los xij, muaj qhov ua tau ntawm kev hloov chaw thaum ntxov ntawm kev tawg pob txha, yog li qee tus neeg txhawb nqa kev siv kev kho sab hauv. Raws li kev kho sab nraud plaster, nws tsis tshua muaj siv thiab tsuas yog txwv rau cov menyuam yaus me xwb.
Kev kho sab hauv:Tam sim no, cov tsev kho mob uas muaj mob siv kev kaw qhov pob txha thiab kev kho sab hauv raws li kev coj ntawm cov tshuab X-ray, lossis kev qhib qhov pob txha thiab kev kho sab hauv. Ua ntej phais kho sab hauv, kev txo qhov pob txha tes raug ua kom paub tseeb tias qhov pob txha tawg raug txo qis ua ntej pib phais.
Kev phais pob txha:Kev phais pob txha yuav ua tau rau cov pob txha tawg uas nyuaj kho lossis cov pob txha tawg qub, xws li kev phais pob txha intertrochanteric lossis kev phais pob txha subtrochanteric. Kev phais pob txha muaj qhov zoo ntawm kev phais yooj yim, ua rau ceg tawv luv dua, thiab zoo rau kev kho pob txha tawg thiab kev rov zoo.
Kev phais hloov pob qij txha:Qhov no yog tsim rau cov neeg mob laus uas muaj pob txha caj dab femoral. Rau cov pob txha femoral uas tsis sib koom ua ke lossis avascular necrosis hauv cov pob txha caj dab femoral qub, yog tias qhov mob tsuas yog nyob rau lub taub hau lossis caj dab, kev phais hloov taub hau femoral tuaj yeem ua tau. Yog tias qhov mob tau ua rau acetabulum puas tsuaj, kev phais hloov lub duav tag nrho yog qhov yuav tsum tau ua.
Lub sijhawm tshaj tawm: Lub Peb Hlis-16-2023
