Lub luj tshib yog ib qho tseem ceeb heev los kho kom sai kom koj ua haujlwm txhua hnub, tab sis ua ntej koj yuav tsum ua li cas rau nws kom koj tuaj yeem ua rau nws feem ntau.
Ua rau ntawm lub luj tshib dislocation
Thawj qhov ua yog cov neeg hluas uas tseem hluas cov neeg hluas thiab tej zaum yuav tshwm sim los ntawm kev ua phem. Feem ntau thaum ib tug neeg poob, xib-teg ntawm cov av hauv av thiab lub cuab tam tau txuas ntxiv, uas yuav ua rau kev sib koom ua ke thiab rho tawm ntawm lub luj tshib sib koom ua ke.
Qhov laj thawj thib ob yuav yog tias raws li cov neeg muaj hnub nyoog, qee tus neeg tsis muaj kev sib koom ua ke, vim tias tib neeg txav mus los ntau thiab tsis them nyiaj ntau dhau rau lub zog ntawm lub neej. Qhov no ua rau muaj kev sib txhuam ua kom muaj ntau ntxiv, uas sijhawm dhau sijhawm tuaj yeem ua rau dislocation ntawm lub luj tshib sib koom ua ke.
Qhov thib peb ua rauOb leeg cuam tshuamtshwm sim los ntawm kev ua phem ncaj qha, uas yuav tshwm sim los ntawm qee qhov kev sib tsoo hauv lub neej, thiab ob qho laj thawj ntawm lub lauj kaub tais diav, thiab plaub lub zog los tso lub nplhaib ib ncig ntawm kev txav mus los.
Kev kho mob ntawm dislocated lauj tshib pob qij txha
Kev qhia kev phais: (1) Cov neeg uas ua tsis tau raug kaw, lossis cov uas tsis haum, tab sis feem ntau li ulnar hawkbone pob txha nrog kev sib cais nrog kev sib cais nrog kev sib cais nrog kev sib cais nrog kev sib cais nrog kev sib cais nrog kev sib cais thiab cov khoom tawg; (2) Lwj Txhaum kev faib ua ke nrog avulsion gractures ntawm Medial Epicondyle ntawm lubhumerus, thaum lub luj tshib disidocation yog pib dua, tab sis lub Humerus tseem tsis tau pib dua, yuav tsum tau ua kom rov kho dua tshiab Epicondyle lossis sab hauv; (3) Lub lauj tshib qub tsis tsim nyog, tsis tsim nyog rau kev sim siab (III) Cov kev tsis txaus ntseeg qub ntawm lub luj tshib uas tsis haum rau kaw txo qis: (iv) qee yam kev tsis sib haum xeeb.
QHIB Repositioning: Kev Ua Phem Ua Yeeb Yam, Kev Ntsuas Ntev Ntev Tom Qab Luj tshib, nthuav tawm ntawm Medial Epicondyle ntawm Humerus thiab kev tiv thaiv ntawm Ulnar hlab. Lub lingual phais yog tsim rau cov triceps leeg. Tom qab nthuav tawm lub luj tshib sib koom ua ke, cov ntaub so ntswg mos thiab caws pliav kom tshem tawm hematoma, granulation thiab scarring los ntawm kev sib koom tes. Tus bony kawg ntawm kev sib koom tes yog txheeb thiab reproositioned. Lub aciarticular cov nqaij mos yog sutured. Txhawm rau tiv thaiv rov qab ib tus PIN
Arthroplasty: Feem ntau siv rau kev cuam tshuam qub ntawm lub luj tshib sib koom ua ke uas cov pob txha mos tau puas tsuaj, lossis qhov twg sib koom ua ke tom qab raug mob rau lub luj tshib. Nyob rau hauv Plexist Kev Tshuaj loog, yog ib qho kev phais sab nrauv The lower end of the humerus is excised, a portion of the medial and lateral condyles of the humerus are preserved, the tip of the ulnar eminence and part of the dorsal bone are excised, and the tip of the rostral process is also cut smaller, preserving the articular cartilage surface. Lub taub hau radial tsis yog expised yog tias nws tsis cuam tshuam kev sib koom ua ke, txwv tsis pub lub taub hau radial yog expised. Yog tias qhov sib tshuam ua ke tshiab yog nqaim, qhov nruab nrab ntawm cov qis humerus yuav raug tshem tawm los ntawm 0.5 cm los tsim ib tug sib cais. Qhov zoo tshaj plaws gap nrug yuav tsum yog 1 txog 1.5cm.
Luj Tshib Dislocation Tiv Thaiv Kev Tiv Thaiv
Tsis tas li ntawd, nws yuav tsum tau sau tseg tias cov neeg mob uas muaj kev sib koom tes ua ke thiab ua tiav cov kev ua si thaum ntxov thiab forearm sib hloov cov dej num lossis ntxiv nrog kev tawm tsam tom qab tso tawmkho, tab sis rub tawm ntau zog rub yog heev rau ugossering myosifisitis ncig lub luj tshib sib koom ua ke.
Sib cuag:
Yoyo
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Email:liuyaoyao@medtechcah.com
Lub sij hawm ncua: Mar-13-2023