Nyob rau hauv lub caij ntuj no, tus naj npawb ntawm kev raug mob mus rau lub musculoskeletal system yog nce. Ib qho ntawm feem ntau hom kev puas tsuaj yog ib qho tawg ntawm lub voos kheej-kheej ntawm caj npab.
Zuaj ntawm lub taub hau thiab caj dab ntawm lub vojvoog ntawm caj npab
Cov pob txha mob radial yog ib qhov chaw ruaj, ntev tubular pob txha nyob hauv plawv. Lub taub hau ntawm cov pob txha no yog tsim los ntawm nws sab qaum, thiab qis me ntsis hauv qab lub taub hau yog lub caj dab - qhov qis ntawm cov pob txha. Zes ntawm cov pob txha feem ntau tshwm sim nrog lub caij nplooj ntoos zeeg nrog qhov tseem ceeb ntawm cov caj npab elongated.
Thaum lub taub hau ntawm lub vojvoog tawg lawm, pob txha mos yog feem ntau puas tsuaj, thiab qhov kev raug mob no tsis raug kuaj los ntawm txhua txoj kev. Lub caij no, kev puas tsuaj rau cov pob txha mos yuav ua tau kom muaj kev txo hwj chim hauv kev sib koom tes. Txheeb xyuas lub taub hau pob txha tsis muaj kev tawm hauv tsev, ntug kev nrog plab, thiab pob txha tawg.
Cov tsos mob ntawm pob tawg ntawm lub taub hau ntawm lub vojvoog yog:
- mob hauv kev sib koom tes, nce thaum sim txav;
- txwv kev txav zog;
- o;
- hemarthrosis (los ntshav hauv qhov sib koom tes).
Kev mob tshwm sim ntawm pob txha ntawm qhov ncauj tsev menyuam:
- mob hauv lub luj tshib;
- o nyob hauv thaj av ntawm caj npab-txoj kab sib dhos;
- tsawg tsab ntawv tsa suab.
Cov pob txha ntawm lub ncauj tsev menyuam tau ua txhaum txoj kab xev ntawm qhov sib nraus thiab kev sib cog khawm (sib txuam qhov sib npaug) nyob rau hauv kev sib txuas ntawm caj npab thiab tsis muaj kev yuam cai.
Qhov pob ntawm lub distal radius ntawm lub dab teg thiab lub dab teg
Zes ntawm qhov sib txawv (qis) sib faib ntau dua hauv cov poj niam thiab tshwm sim, feem ntau yog thaum ntog rau ntawm caj npab elongated thiab hauv kev sib tsoo . Cov pob txha ntawm txoj kev sib nraus ntawm lub voj voog, nyob ntawm seb qhov xwm txheej ntawm cov khoom tawg yog li cas rau ob hom:
- extensor (Collis) - thaum tawm ntawm qhov kawg ntawm sab hauv lub tsheb;
- flexion (Smith) - thaum kev xaav tshwm sim nyob rau hauv kev coj ntawm xib teg.
Hom kev raug mob no yog tshwm sim los ntawm cov phiajcim xws li:
- mob hauv lub dab teg, nce thaum sim txav;
- impaired rhiab heev;
- edema thiab deformation ntawm sab tes.
Puas tsuaj rau Galeazzi
Qhov kev poob plig no yog ib qho pob txha ntawm cov pob txha radial nyob rau sab saum toj ntawm nws qhov nruab nrab, thaum lub tshooj sab nraud yog displaced thiab lub taub hau ulnar dislocated hauv lub dab teg. Xws li pob txha tuaj yeem tshwm sim thaum koj poob rau ntawm ib caj npab, thaum koj ntaus.
Cov tsos mob ntawm Galeazzi puas ntsoog:
- teeb meem loj, deformity thiab mob hauv lub dab teg thiab qis thib peb ntawm lub forearm;
- impossibility ntawm txav ntawm txhais tes thiab ob txhais caj npab.
Kev kho ntawm pob tawg ntawm lub vojvoog ntawm tes
Muaj ib qho pob txha uas tsis muaj kev tawm tsam ntawm cov khoom tawg, kev kho kom txuag tau zoo, uas yog siv lub gypsum longus kom ua tau zoo ntawm lub cev thiab kev txhim kho ntawm cov khoom tawg. Lub sijhawm ntawm qhov cam yog 4 lub lim tiam.
Nrog lub pob tawg nrog kev xaav, cov pliav rov qab ua ntej (tom qab tso tshuaj loog). Tom ntej, ib tug gypsum thiab ib lub log siv. Nyob rau hnub thib 5 - 7, tom qab lub edema tuaj yeem ua, muaj qhov X-ray los saib xyuas qhov tawm mus tsev.
Thaum muaj kev hloov mus rau theem ob, kev kho phais yog ua tiav, uas yog ib qho ntawm kev siv osteosynthesis - nrog cov xov lossis daim hlau.
Rehabilitation tom qab tawg ntawm qhov radial caj npab
Tes tom qab tawg ntawm lub vojvoog raug rov qab los lawm
Thaum kawg ntawm lub sijhawm tsis tuaj yeem, cov txheej txheem kho tshiab nram qab no raug tsa:
- ce kev kho mob;
- zaws ;
- phonophoresis.
Tom qab lub fusion, sov da dej yog qhia - coniferous, coniferous-ntsev, lwm yam zoo li