Qhov tawg ntawm lub voj voog ntawm caj npab yog ib qho kev puas tsuaj loj heev, uas yog txuam nrog ntau ntau ntawm kev puas hlwb ntawm lub forearm. Feem ntau, cov kev raug mob no yog vim muaj kev sib thab kev hnyav hauv nruab nrab thiab distal (qis) thib peb, tsawg dua - nyob rau hauv lub plawv (sab sauv). Qhov no yog vim muaj cov qauv ntawm qhov anatomical morphological.
Ntaus ntawm qhov tawg ntawm lub vojvoog
Nrog ib qho kaw pob tawg ntawm lub vojvoog, ntawm daim tawv nqaij tsis puas. Nyob rau hauv rooj plaub ntawm open fractures, lub traum ntawm mos nqaij thiab pob txha tshwm sim nyob rau hauv tus ntawm tib yam tseem ceeb.
Muaj pob txha ntawm cov pob txha tsis muaj qhov tsis tawm (punctured tawg, tawg) thiab pob txha tawg ntawm kev tawm mus. Lub tsho dav hlau muaj peev xwm muaj cov kev taw qhia los yog oblique. Nrog rau kev raug mob, kev pob txha ntawm cov pob txha mob radial yog ntau dua, thiab ntau zaus - tawg.
Ib qho raug tawg ntawm txoj kev tawm lub vojvoog nrog txoj kev xaav nyob ntawm qhov chaw ntawm tes thaum lub sijhawm raug mob:
- extensor - ntawm qhov kev xaav ntawm cov pob txha txha tshwm sim nyob rau hauv txoj kab kev taw qhia thiab ntawm lub tsheb;
- bending - tshwm sim nrog ib tug bent txhuam, lub fragment li tsiv mus rau sab ntawm lub xibtes.
Cov pob txha muaj feem ntau yog sab nraud, feem ntau yog los ntawm kev sib cais ntawm cov txheej txheem styloid.
Cov tsos mob ntawm pob txha ntawm lub vojvoog nrog kev xaav:
- o;
- deformation;
- txwv kev txav ntawm kev sib koom tes;
- mob, hnyav thaum sim txav.
Kev kho mob tom qab tawg ntawm lub vojvoog
- Ua ntej tshaj plaws, muaj qhov rov ua - ib qho kev ua haujlwm nrog ua haujlwm nyob rau hauv lub nroog anesthesia, siv cov khoom tshwj xeeb (Sokolovsky, Ivanov, Edelstein) los yog ntawm Kaplan lub rooj.
- Ntxiv rau ntawm lub forearm thiab ib tug txhuam log ntawm gypsum longots yog superimposed. Nyob rau hauv rooj plaub no, lub xibtes tau muab palmar flexion thiab ib qho hlau lead me me rau lub luj tshib. Lub sij hawm kho yog 4 los 6 asthiv.
- Thaum lub pob txha nqaj zuj zus lawm, cov log tsheb muaj zog nrog cov ntaub qhwv ntsej los yog hloov nrog ib lub voj voos kheej kheej.
- Yuav kom tswj tau qhov kev tawm tsev kawm theem ob, qhov kev kuaj x-ray raug ua tiav (5 mus rau 7 hnub tom qab hloov chaw).
Qee zaum, osteosynthesis tau ua tiav - kev siv kev sib txuas ntawm cov pob txha. Cov kev pabcuam zoo li no pab tiv thaiv kev xaav thiab kev tsis ncaj ncees, kom tsis txhob muaj sijhawm rov kho dua.
Tsis thooj li ntawm vojvoog
Yog hais tias fusion ntawm kev puas tsuaj tshwm sim nrog ib tug ua txhaum ntawm qhov ntev ntawm lub caj npab thiab nws cov axis, ces xws li ib tug tawg yog incorrectly fused. Hauv qhov no, cov kev ua haujlwm hauv lub cev lossis lub cev deformity ntawm qhov tawv nqaij tshwm.
Qhov ua rau kev ua tsis tiav yuav ua tau:
- unsatisfactory repositioning;
- ua kom tiav tsis tiav;
- ntev li ntawm txhais tes load.
Kev kho mob ntawm kev ruaj ntseg ntawm pob tawg yog ua tau phais. Txhawm rau kho tus rhuav tshem, tus mob osteotomy yog ua - ib qho orthopedic lag luam uas muaj pob txha tawm (pob txha txhav). Tom qab ntawd cov kev hloov kho yog hloov los ntawm ib qho khoom neeg tsim thiab tsau nrog ib daim ntawv tshwj xeeb.
Rov qab los tom qab muaj pob zeb tawg
Rehabilitation tom qab tawg ntawm lub vojvoog yuav tsum pib kom sai li sai tau (sai li sai tau qhov mob txo). Los ntawm thawj hnub nws yog ib qho tsim nyog yuav tau ua kom muaj zog nrog koj cov ntiv tes, nws raug tso cai ua haujlwm rau nws tus kheej. Tom qab
- thermal cov txheej txheem;
- zaws;
- LFK-qoj ib ce .
Ce physiotherapy ce muaj npog tag nrho cov dawb pob qij txha ntawm tes raug mob. Kev saib xyuas tshwj xeeb yog muab rau cov ntiv tes sov so. Qee ce yuav tsum tau ua hauv dej sov kom txo tau lub pob.
Yuav kom tag nrho restore qhov kev ua ntawm tes yuav tsum tau 1.5 - 2 lub hlis.