Tawg pob luj taws.

Ntawm tag nrho cov kev raug mob nyob ib tug loj kev faib ua feem ntawm povtseg raug mob. Heev puas ntawm lub pob luj taws.

Pob Luj Taws - txoj kev uas ntaub ntawv lub pob luj taws ob leeg. Qhov no ob leeg muaj ob qij taws: lateral (nyob rau sab nto ntawm lub tibia) thiab nrub nrab (nyob rau sab hauv sab). Raws li statistics, nees nkaum feem pua ntawm tag nrho cov kev raug mob ntawm lub licas yog cia li ib tug tawg pob luj taws.

Qhov loj tshaj uas yuav muaj kev poob plig thiab puas raug txheej (sab) pob luj taws (txog yim caum feem pua ntawm cov neeg mob), thiab tsuas yog kaum tsib - nees nkaum ib xees raug mob nrub nrab.

Muaj ntau ntau hom ntawm cov pob txha lov , nyob ntawm seb cov yam ntxwv ntawm mechanics: supinatsionno-ua, pronation-paug thiab teb. Nyob rau hauv tas li ntawd, tej pawg neeg nyias ntawm cais puas txheej thiab puab pob luj taws, raws li zoo raws li qhib thiab kaw cov pob txha lov, pob txha lov ua offset.

Cov tsos mob ntawm ib qho kev pob luj taws tawg - mob, o, hloov nyob rau hauv qhov nkhaus ntawm tus txha thiab impaired muaj nuj nqi. Yuav kom paub meej tias cov pob txha lov ua, raws li tau zoo raws li tsim kom muaj nws mechanics thiab xaiv txoj kev kho mob yog nqa tawm X-ray ntawm lub pob luj taws ob leeg.

Kev kho mob ntawm pob txha lov ua pob luj taws tsis tshua muaj neeg yooj yim. Qhov no yog feem ntau vim lub fact tias lub pob luj taws ob leeg qauv yog heev tham, pob txha nyob superficially hlab ntsha nyob rau hauv lub kos duab yooj yim heev tsis ruaj. Qhov no ua tau ib siab feem pua ntawm cov pejxeem ntawm kev xiam oob qhab raws li ib tug tshwm sim ntawm ib tug pob luj taws tawg (kaum feem pua).

Puas ntawm lub pob luj taws, uas tsis tau kho, ua rau yus muaj kev cuam tshuam ntawm cov articular ob leeg chaw (joint zoo sib xws). Qhov no ua rau qhov mob thiab threatens lub tsim ntawm deforming arthrosis. Tus kab mob ua rau yus ua txhaum ntawm statics thiab muaj zog ntawm lub sib koom tes, uas feem ntau xaus nrog ib tug neeg xiam oob qhab.

pob luj taws tawg kev kho mob yog txo mus rau ob theem pib hom kev kawm: conservative thiab phais kho mob. Conservative kev kho mob muaj xws li:

- kaw manually reposition, plaster immobilization;

- kaw yuav txo tau siv lub repositioned nyob rau hauv ib tug ntaus ntawv, cov cam khwb cia;

- reposition traction kho tom qab. Qhov tseem ntau phau ntawv kaw yuav txo tau nrog tus imposition ntawm cov cam khwb cia. Nyob rau hauv cov ntaub ntawv no, ib tug superposition ntawm cov cam khwb cia rau hauv lub qaum feem peb ntawm cov "khau raj" hom tibia.

Drawbacks ntawm conservative txoj kev kho mob:

• impossibility ntawm tiav anatomic yuav txo tau.

• Nyob rau hauv lub cam khwb cia muaj ib tug yuav muaj theem nrab xaav tom qab yuav txo tau ntawm edema.

• tau tsim ntawm rov tibiofibular diastasis thiab subluxation ntawm ko taw.

Nrog ib qho kev nce nyob rau hauv kev sib koom o muaj ib tug tau ntawm tsim ntawm ib tug plaster cam khwb cia ntawm epidermal blistering. Nyob rau hauv tas li ntawd, ib tug yuav muaj postimmobilizatsionnyh ob leeg contractures, kev ncaj ncees nyob rau hauv uas yuav coj mus rau yim - kaum ob lub hlis.

Lub hom phiaj ntawm kev phais kho mob yog muaj tseeb kev sib piv ntawm cov tawg tsam, es ua ligaments, tshem tawm ntawm tawg tsam ntawm cartilaginous ntaub so ntswg, raws li zoo raws li lub tuav ntawm ib tug ruaj khov osteosynthesis.

Surgically kho pob luj taws tawg siv ib tug nrog (immersion) los yog lwm fixation. Qhov loj tshaj kev vam meej yog tiav thaum osteosynthesis screws, txij li thaum, tsis zoo li cov spokes, qhov no embodiment tsim sijhawm osteosynthesis caij nyoog txuam ntawm tag nrho cov pob txha tawg tsam. Txawm li cas los, cov kev siv ntawm osteosynthesis nrog screws yog tsis tau los kom tiv thaiv cov tam sim no rog nyob rau hauv cov pob txha, ces nws yog tsim nyog ib tug ntxiv imposition ntawm cov cam khwb cia.

Puas ntawm lub pob luj taws, uas ua heev immobilization tej zaum yuav ua rau loj teeb meem.