Kev tawg pob qij txha ntawm qhov kawg yog ib qho ntawm cov kev raug mob sib koom ua ke feem ntau hauv kev kho mob, uas tuaj yeem faib ua qhov me me thiab hnyav. Rau cov pob qij txha uas tsis txav mus los me me, kev kho yooj yim thiab kev tawm dag zog tsim nyog tuaj yeem siv rau kev rov zoo; txawm li cas los xij, rau cov pob qij txha uas txav mus los hnyav, kev txo qis tes, kev siv cov hlau nplaum lossis kev kho plaster; rau cov pob qij txha uas muaj kev puas tsuaj pom tseeb thiab hnyav rau ntawm qhov chaw ntawm cov pob qij txha, yuav tsum tau phais.
TSHOOJ 01
Vim li cas cov distal radius thiaj li yooj yim tawg?
Vim tias qhov kawg ntawm lub pob txha radius yog qhov chaw hloov pauv ntawm cov pob txha cancellous thiab cov pob txha compact, nws tsis muaj zog heev. Thaum tus neeg mob ntog thiab kov hauv av, thiab lub zog raug xa mus rau sab caj npab sab saud, qhov kawg ntawm lub pob txha radius dhau los ua qhov chaw uas muaj kev ntxhov siab ntau tshaj plaws, ua rau muaj pob txha tawg. Hom pob txha tawg no tshwm sim ntau dua rau cov menyuam yaus, vim tias cov menyuam yaus cov pob txha me me thiab tsis muaj zog txaus.
Thaum lub dab teg raug mob thaum lub sijhawm ncab thiab lub xib teg raug mob thiab tawg, nws hu ua tawg ntawm lub distal radius ntev (Colles), thiab ntau dua 70% ntawm lawv yog hom no. Thaum lub dab teg raug mob thaum lub sijhawm khoov thiab sab nraub qaum ntawm tes raug mob, nws hu ua tawg ntawm lub distal radius ntev (Smith). Qee qhov kev puas tsuaj ntawm lub dab teg feem ntau yuav tshwm sim tom qabkev tawg ntawm cov hlab ntsha distal, xws li "silver fork" deformity, "gun bayonet" deformity, thiab lwm yam.
TSHOOJ 02
Yuav kho cov pob txha tawg ntawm lub distal radius li cas?
1. Kev txo qis manipulative + plaster fixation + cov tshuaj pleev tshuaj Honghui tsoos suav tshuaj pleev
Rau feem ntau ntawm cov pob txha tawg ntawm qhov kawg, cov txiaj ntsig zoo tuaj yeem tau txais los ntawm kev txo qhov tseeb ntawm tes + kev kho plaster + kev siv tshuaj suav tshuaj ib txwm muaj.
Cov kws phais pob txha yuav tsum tau txais yuav ntau txoj haujlwm rau kev kho tom qab txo qis raws li ntau hom pob txha tawg: Feem ntau hais lus, Colles (extension type distal radius fracture) pob txha tawg yuav tsum tau kho ntawm 5 ° -15 ° ntawm palmar flexion thiab qhov siab tshaj plaws ulnar deviation; Smith Qhov pob txha tawg (flexion distal radius fracture) tau kho hauv supination ntawm forearm thiab dorsiflexion ntawm lub dab teg. Qhov dorsal Barton fracture (fracture ntawm articular nto ntawm distal radius nrog dislocation ntawm lub dab teg) tau kho ntawm qhov chaw ntawm dorsiflexion ntawmpob qij txha ntawm lub dab tegthiab pronation ntawm lub forearm, thiab qhov kev kho ntawm volar Barton fracture yog nyob rau ntawm qhov chaw ntawm palmar flexion ntawm lub dab teg pob qij txha thiab supination ntawm lub forearm. Tshuaj xyuas DR ib ntus kom nkag siab qhov chaw tawg, thiab kho qhov nruj ntawm cov hlua me me splint raws sijhawm kom tswj tau qhov kev kho zoo ntawm lub splint me me.
2. Kev kho koob txhaj tshuaj Percutaneous
Rau qee tus neeg mob uas tsis ruaj khov, kev kho plaster yooj yim tsis tuaj yeem tswj tau qhov chaw tawg, thiab feem ntau siv koob kho percutaneous. Txoj kev kho mob no tuaj yeem siv ua txoj kev kho sab nraud sib cais, thiab tuaj yeem siv ua ke nrog plaster lossiskev kho sab nraudcov brackets, uas ua rau qhov kawg ntawm qhov tawg ruaj khov ntau ntxiv hauv qhov xwm txheej ntawm kev raug mob tsawg, thiab muaj cov yam ntxwv ntawm kev ua haujlwm yooj yim, yooj yim tshem tawm, thiab muaj kev cuam tshuam tsawg dua rau kev ua haujlwm ntawm tus neeg mob ceg cuam tshuam.
3. Lwm txoj kev kho mob, xws li qhib kev txo qis, kho lub phaj sab hauv, thiab lwm yam.
Hom kev npaj no siv tau rau cov neeg mob uas muaj cov pob txha tawg nyuaj thiab xav tau kev ua haujlwm ntau. Cov ntsiab cai kho mob yog kev txo qhov pob txha tawg, kev txhawb nqa thiab kev kho cov pob txha tawg uas raug tshem tawm, kev txuas pob txha ntawm cov pob txha uas tsis zoo, thiab kev pab thaum ntxov. Cov haujlwm ua haujlwm kom rov qab ua haujlwm tau zoo ua ntej raug mob sai li sai tau.
Feem ntau, rau feem ntau ntawm cov pob txha tawg distal radius, peb lub tsev kho mob siv cov txheej txheem kho mob xws li kev txo qis tes + kev kho plaster + kev siv tshuaj pleev tshuaj Honghui tsoos suav, thiab lwm yam, uas tuaj yeem ua tiav cov txiaj ntsig zoo.
TSHOOJ 03
Kev ceev faj tom qab txo qhov tawg ntawm distal radius:
A. Ua tib zoo saib seb qhov nruj npaum li cas thaum kho cov pob txha tawg ntawm qhov kawg. Qhov kev kho yuav tsum tsim nyog, tsis txhob nruj dhau los yog xoob dhau. Yog tias kho nruj dhau, nws yuav cuam tshuam rau cov ntshav mus rau qhov kawg, uas yuav ua rau ischemia hnyav ntawm qhov kawg. Yog tias qhov kev kho xoob dhau los muab kev kho, pob txha txav mus los yuav tshwm sim dua.
B. Thaum lub sijhawm kho pob txha tawg, nws tsis tas yuav tsum tso tseg tag nrho cov haujlwm, tab sis kuj yuav tsum tau ua tib zoo saib xyuas kev tawm dag zog kom zoo. Tom qab pob txha tawg tau raug txwv tsis pub txav mus los ib ntus, yuav tsum tau ntxiv qee qhov kev txav ntawm lub dab teg. Cov neeg mob yuav tsum tau cob qhia txhua hnub, kom ntseeg tau tias qhov kev tawm dag zog ua haujlwm zoo. Tsis tas li ntawd, rau cov neeg mob uas muaj cov khoom siv kho, qhov nruj ntawm cov khoom siv kho tuaj yeem hloov kho raws li qhov hnyav ntawm kev tawm dag zog.
C. Tom qab kho qhov tawg ntawm qhov distal radius, xyuam xim rau qhov kev xav ntawm cov ceg tawv thiab xim ntawm daim tawv nqaij. Yog tias cov ceg tawv hauv thaj chaw kho ntawm tus neeg mob txias thiab xiav, qhov kev xav ploj mus, thiab cov dej num raug txwv heev, nws yog qhov tsim nyog los xav txog seb nws puas yog los ntawm kev kho nruj dhau, thiab nws yog qhov tsim nyog rov qab mus rau tsev kho mob kom hloov kho raws sijhawm.
Yoyo
Sichuan Chenanhui Technology Co., Ltd.
Xov tooj/WhatsApp: +8615682071283
Email: liuyaoyao@medtechcah.com
Lub sijhawm tshaj tawm: Lub Ib Hlis-06-2023
