Nyob rau hauv xyoo tas los no, qhov tshwm sim ntawm pob txha tawg tau nce ntxiv, cuam tshuam rau lub neej thiab kev ua haujlwm ntawm cov neeg mob.Yog li ntawd, nws yog ib qho tsim nyog yuav tau kawm txog cov kev tiv thaiv ntawm pob txha ua ntej.
Qhov tshwm sim ntawm pob txha pob txha
Lwm yam tseem ceeb:Kev puas tsuaj feem ntau yog tshwm sim los ntawm lwm yam xws li tsheb sib tsoo, kev ua si lub cev hnyav lossis cuam tshuam.Txawm li cas los xij, cov xwm txheej sab nraud no tuaj yeem tiv thaiv tau los ntawm kev ceev faj thaum tsav tsheb, koom nrog kev ua kis las lossis lwm yam kev ua ub no, thiab siv kev tiv thaiv.
Yam tshuaj noj:Ntau yam kab mob yuav tsum tau siv tshuaj, tshwj xeeb tshaj yog rau cov neeg laus uas nquag siv tshuaj.Tsis txhob siv cov tshuaj uas muaj cov tshuaj steroids, xws li dexamethasone thiab prednisone, uas tuaj yeem ua rau pob txha.Cov thyroid hormone hloov kho tom qab phais cov thyroid nodule, tshwj xeeb tshaj yog nyob rau hauv cov koob tshuaj ntau, kuj tuaj yeem ua rau osteoporosis.Kev siv cov tshuaj tiv thaiv kab mob ntev ntev xws li adefovir dipivoxil yuav tsum tau siv rau kab mob siab lossis lwm yam kab mob kis.Tom qab kev phais mob cancer ntawm lub mis, kev siv mus sij hawm ntev ntawm aromatase inhibitors lossis lwm yam tshuaj zoo li cov tshuaj hormones tuaj yeem ua rau cov pob txha poob.Proton twj tso kua mis inhibitors, tshuaj antidiabetic xws li tshuaj thiazolidinedione, thiab txawm tias cov tshuaj antiepileptic xws li phenobarbital thiab phenytoin tuaj yeem ua rau pob txha.
Kev kho mob pob txha
Cov txheej txheem kev kho mob rau kev puas tsuaj feem ntau suav nrog cov hauv qab no:
Ua ntej, phau ntawv txo,uas siv cov tswv yim xws li traction, manipulation, rotation, massage, thiab lwm yam. los kho cov tawg tawg tawg mus rau lawv li qub anatomical txoj hauj lwm los yog kwv yees li anatomical txoj hauj lwm.
Thib ob,kho, uas feem ntau yog siv cov pob zeb me me, plaster casts,orthoses, daim tawv nqaij traction, los yog pob txha traction los tuav txoj hauj lwm ntawm cov pob txha tawg tom qab txo kom txog thaum nws zoo lawm.
Thib peb, tshuaj kho mob,uas feem ntau siv tshuaj los txhawb cov ntshav ncig, alleviate o thiab mob, thiab txhawb kev tsim thiab kho ntawm callus.Cov tshuaj uas ua rau lub siab thiab lub raum, ntxiv dag zog rau cov pob txha thiab cov leeg, txhawb nqa qi thiab ntshav, los yog txhawb cov hlab ntsha meridian tuaj yeem siv los pab txhawb kev rov ua haujlwm ntawm ceg ceg.
Plaub, kev ua haujlwm ua haujlwm,uas koom nrog kev ywj pheej lossis kev pabcuam kev tawm dag zog los kho qhov sib koom ua ke ntawm kev txav chaw, cov leeg nqaij muaj zog, thiab tiv thaiv cov leeg nqaij atrophy thiab osteoporosis, txhawb kev kho pob txha thiab kev ua haujlwm zoo.
Kev kho mob phais
Kev kho mob phais rau pob txha pob txha feem ntau suav nrogsab hauv fixation, sab nrauv fixation, thiabkev sib koom ua ke hloov kho tshwj xeeb ntawm cov pob txha.
Sab nrauv fixationyog haum rau qhib thiab nruab nrab fractures thiab feem ntau yuav traction los yog tiv thaiv sab nraud rotation nkawm khau rau 8 mus rau 12 lub lis piam los tiv thaiv sab nraud rotation thiab adduction ntawm tus ceg ceg.Nws yuav siv li 3 mus rau 4 lub hlis los kho, thiab muaj qhov tshwm sim tsawg heev ntawm nonunion lossis femoral taub hau necrosis.Txawm li cas los xij, muaj peev xwm hloov chaw nyob rau theem pib ntawm kev puas tsuaj, yog li qee cov neeg tawm tswv yim rau kev siv cov kev kho sab hauv.Raws li rau plaster sab nrauv fixation, nws yog tsis tshua muaj siv thiab tsuas yog txwv rau cov me nyuam yau.
Internal fixation:Tam sim no, cov tsev kho mob nrog cov xwm txheej siv kaw qhov txo qis thiab kho sab hauv raws li kev taw qhia ntawm cov tshuab X-ray, lossis qhib txo thiab kho sab hauv.Ua ntej kev phais kho sab hauv, kev txo qis yog ua kom paub meej tias kev txo qis ntawm cov pob txha ua ntej ua tiav nrog kev phais.
Osteotomy:Osteotomy tuaj yeem ua rau qhov nyuaj-rau-kho lossis qub pob txha, xws li intertrochanteric osteotomy lossis subtrochanteric osteotomy.Osteotomy muaj qhov zoo ntawm kev phais yooj yim, txo qis ntawm cov ceg ceg, thiab zoo rau kev kho pob txha thiab kev ua haujlwm zoo.
Kev sib koom tes hloov pauv:Qhov no yog tsim rau cov neeg laus uas muaj femoral caj dab tawg.Rau nonunion los yog avascular necrosis ntawm lub taub hau femoral nyob rau hauv lub qub femoral caj dab tawg, yog hais tias qhov txhab tsuas yog rau lub taub hau los yog caj dab, femoral taub hau hloov phais yuav ua tau.Yog tias qhov txhab tau ua rau acetabulum puas lawm, tag nrho lub duav hloov pauv yuav tsum tau phais.
Post lub sij hawm: Mar-16-2023
