Cov pob txha tawg ntawm sab hauv pob luj taws feem ntau xav tau kev txiav thiab kev kho sab hauv, nrog rau kev kho ntsia hlau ib leeg lossis nrog kev sib xyaw ua ke ntawm cov phaj thiab cov ntsia hlau.
Ib txwm muaj, qhov tawg yog kho ib ntus nrog Kirschner tus pin thiab tom qab ntawd kho nrog ib nrab-xov cancellous tension screw, uas kuj tuaj yeem ua ke nrog ib txoj hlua nruj. Qee cov kws tshawb fawb tau siv cov ntsia hlau puv-xov los kho qhov tawg pob luj taws medial, thiab lawv cov txiaj ntsig zoo dua li ntawm cov ntsia hlau ib nrab-xov cancellous tension screws ib txwm muaj. Txawm li cas los xij, qhov ntev ntawm cov ntsia hlau puv-xov yog 45 hli, thiab lawv tau anchored hauv metaphysis, thiab feem ntau ntawm cov neeg mob yuav muaj mob hauv medial pob luj taws vim yog qhov tawm ntawm qhov kho sab hauv.
Dr. Barnes, los ntawm Chav Haujlwm Saib Xyuas Kev Raug Mob Pob Qij Txha ntawm Tsev Kho Mob St Louis University hauv Tebchaws Meskas, ntseeg tias cov ntsia hlau tsis muaj taub hau tuaj yeem kho qhov tawg ntawm pob luj taws sab hauv kom nruj rau ntawm qhov chaw ntawm pob txha, txo qhov tsis xis nyob los ntawm kev kho sab hauv, thiab txhawb kev kho pob txha tawg. Yog li ntawd, Dr. Barnes tau ua ib txoj kev tshawb fawb txog qhov ua tau zoo ntawm cov ntsia hlau tsis muaj taub hau hauv kev kho cov pob luj taws sab hauv, uas nyuam qhuav luam tawm hauv Kev Raug Mob.
Cov kev tshawb fawb no suav nrog 44 tus neeg mob (hnub nyoog nruab nrab 45, 18-80 xyoo) uas tau kho rau pob taws tawg sab hauv nrog cov ntsia hlau tsis muaj taub hau ntawm Tsev Kho Mob Saint Louis University ntawm xyoo 2005 thiab 2011. Tom qab phais, cov neeg mob tau raug txwv tsis pub txav mus los hauv cov hlau nplaum, cov hlau cam lossis cov hlau txhawb nqa kom txog thaum muaj pov thawj ntawm kev kho pob txha tawg ua ntej taug kev hnyav tag nrho.
Feem ntau ntawm cov pob txha tawg yog vim poob thaum sawv ntsug thiab qhov seem yog vim muaj kev sib tsoo maus taus lossis kev ua si nawv thiab lwm yam (Daim Ntawv Qhia 1). Nees nkaum peb ntawm lawv muaj pob txha tawg ob zaug, 14 muaj pob txha tawg peb zaug thiab 7 tus seem muaj pob txha tawg ib zaug (Daim Duab 1a). Thaum phais, 10 tus neeg mob tau kho nrog ib lub hau ntswj tsis muaj taub hau rau pob txha tawg hauv nruab nrab, thaum 34 tus neeg mob seem muaj ob lub hau ntswj tsis muaj taub hau (Daim Duab 1b).
Rooj 1: Txoj kev raug mob
Daim Duab 1a: Ib qho pob luj taws tawg; Daim Duab 1b: Ib qho pob luj taws tawg kho nrog 2 lub hau ntsia hlau tsis muaj taub hau.
Thaum nruab nrab ntawm 35 lub lis piam (12-208 lub lis piam), cov pov thawj ntawm kev kho pob txha tawg tau txais rau txhua tus neeg mob. Tsis muaj tus neeg mob yuav tsum tau tshem cov ntsia hlau vim yog cov ntsia hlau tawm, thiab tsuas yog ib tus neeg mob yuav tsum tau tshem cov ntsia hlau vim yog tus kab mob MRSA ua ntej phais hauv qab thiab mob cellulitis tom qab phais. Tsis tas li ntawd, 10 tus neeg mob muaj qhov tsis xis nyob me ntsis thaum kuaj lub pob luj taws sab hauv.
Yog li ntawd, cov kws sau ntawv tau xaus lus tias kev kho mob pob luj taws sab hauv nrog cov ntsia hlau tsis muaj taub hau ua rau muaj kev kho pob txha ntau dua, rov qab ua haujlwm ntawm pob luj taws zoo dua, thiab mob tsawg dua tom qab phais.
Lub sijhawm tshaj tawm: Plaub Hlis-15-2024
