Lub vojvoog yog sawv cev los ntawm kev sib koom ua ke nyob ib sab ntawm lub ulna, tab sis ntau dua sab nrauv thiab me ntsis sab nraud ntawm nws. Dab tsi yog cov txheej txheem styloid ntawm lub vojvoog? Hauv Latin, lawv hu nws zoo li no - processus styloideus.
txheej txheem no yog dab tsi
Qhov no yog tsim nyob rau hauv cheeb tsam ntawm qis (distally nyob) epiphysis, epiphysis distalis, nws yog thickened nyob rau hauv cov kev taw qhia ntawm lub frontal dav hlau. Nws yog los ntawm qhov no uas cov txheej txheem stuloideus radii tawm mus thiab zoo kawg nkaus palpable.
Ntau npaum li cas yog qhov tawg ntawm cov txheej txheem styloid ntawm lub vojvoog?
Traumatization ntawm thaj chaw no siab, suav txog li 50% ntawm tag nrho cov pob txha. Feem ntau qhov no tshwm sim thaum ntog ntawm ib txhais tes outstretched. Tsis tas li ntawd, nws muaj ntau dua rau cov poj niam dua li cov txiv neej. Qhov no tshwm sim los ntawm kev hloov pauv hormonal hauv lub cev ntawm tus poj niam, cov txheej txheem ntawm demineralization ntawm cov pob txha, uas ua rau kev loj hlob ntawm osteoporosis.
Ua rau pob txha
Ua rau pob txha styloidLub vojvoog yog raws li nram no:
- Kev koom tes hauv kev sib tsoo tsheb (RTA).
- Nyob rau lub caij ntuj no, tshwj xeeb tshaj yog thaum muaj dej khov.
- Poob rau ib txhais tes ntawm lub tsheb kauj vab, rollerblades, ru tsev.
- Sports.
- Ua ntau yam kev ua kis las thiab stunts heev.
- Kev koom tes hauv kev ua si nquag.
Nyob fractures
Fractures tuaj yeem muaj ntau hom:
- Compression type.
- Tshuaj-tawm hom.
Compression type
Ntau zaus tshwm sim tom qab lub tshuab rau ntawm lub dab teg, vim tias lub zog ntws ntawm qhov cuam tshuam txav rub cov txheej txheem styloid ntawm lub vojvoog sab nraud thiab rov qab me ntsis, tom qab ntawd nws kis mus rau cov pob txha navicular uas nyob ib sab thiab ua rau muaj kev cuam tshuam. tawg ntawm no articulating ib feem ntawm qhov chaw. Raws li qhov tshwm sim, ib qho kab sib tsoo tshwm sim ntawm qhov sib txuas ntawm cov pob txha navicular thiab lunate hauv daim ntawv tawg, yog li tsis muaj kev txav ntawm cov khoom tawg.
Nws yog qhov yuav tsum tau hloov pauv (kev sib piv) ntawm cov pob txha tawg, uas yog ua los ntawm kev kaw nkag hauv zos tshuaj loog.
daim duab kho mob
Cov tsos mob hauv qab no tau pom:
- o loj heev nrog kis mus rau hauv cov ntaub so ntswg. Tej zaum nws yuav zoo li tias daim tawv nqaij ntawm thaj chaw no zoo li ncab, muaj qhov hnov zoo li tsis xis nyob.
- mob hnyav.
- txwv kev txav mus losob qho tib si nquag (ntau tshaj tawm) thiab passive (tsawg pronounced).
- Lub suab crepitus ("crunching", "creaking", zoo li thaum taug kev hauv cov daus) thaum sim txav los yog txav ceg.
- thaj tsam ntawm pob txha yog hyperemic, qee zaum nws tuaj yeem ua ke nrog kev tsim ntawm hematomas.
Kev kuaj mob
Thawj qhov chaw yog ua tib zoo sau keeb kwm ntawm tus kab mob los ntawm tus neeg raug tsim txom. Nyob rau hauv qhov chaw thib ob yog kev kuaj X-ray ntawm tus txha caj ceg raug mob nyob rau hauv ob peb qhov projections los txiav txim siab dua daim duab ntawm qhov tawg ntawm cov txheej txheem styloid ntawm lub vojvoog.
ntsuas kub
Nws yog ib qho tsim nyog yuav tsum tau ua kom txias rau qhov chaw puas tsuaj, nws tuaj yeem yog lub tshuab cua sov nrog cov dej khov lossis ib qho dej khov xwb yog tias thawj qhov tsis nyob ntawm tes. Txij li cov dej khov muaj cov nyhuv vasoconstrictive, tiv thaiv kev loj hlob ntawm edema, thiab tseem muaj cov nyhuv analgesic tsawg dua.
ntsuas ntsuas
Txhawm rau ua kom rov ua haujlwm dua, tus kws kho mob yuav tsum nqa cov ceg ntoo cuam tshuam kom ib txhais tes nyob ntawm lub dab teg ntawm nws sab hauv, thiab lwm qhov yog coj los ntawm sab nraud thiab nruj nreem nias tus neeg raug mob txhais tes. Nws yog ib qho tsim nyog yuav tsum tau ua kom muaj zog txaus kom cov khoom tawg tau siv lawv txoj haujlwm physiological. Txwv tsis pub, cov txheej txheem rov ua haujlwm tsis zoo tuaj yeem ua rau lub cev tsis ua haujlwm, thiab qee zaum, nws kuj ua rau tus neeg mob tsis taus.
Avulsion ntawm cov txheej txheem styloid ntawm lub vojvoog
BTsis zoo li qhov compression tawg tau piav saum toj no, qhov no, ua tiav qhov kev tshem tawm ntawm cov pob txha tau pom.
Qhov no feem ntau pom nrog lub caij nplooj zeeg ntawm ib txhais tes tawm, uas lub dab teg deviates sab hauv thiab cov txheej txheem styloid rub tawm ntawm lub vojvoog thiab tawg tawm. Qee lub sij hawm qhov no tshwm sim nrog rau kev ua tiav ntawm lub dab teg.
Cov txheej txheem styloid ntawm lub vojvoog thiab ulna yog qhov yooj yim heev.
Kev kho mob tshwm sim
Cov tsos mob ntawm pob txha zoo li no:
- mob hnyav uas tshwm sim thawj feeb tom qab raug mob thaum sim txav tes raug mob. Yog li ntawd, tus neeg mob siv qhov zoo tshaj plaws thiab qhov chaw seem rau tes no.
- Lub suab nrov nrov vim kev sib txhuam ntawm cov pob txha pob txha tawm tsam ib leeg.
- Crepitation phenomena.
- Nthuav qhia qhov o, nrog rau kev tsim ntawm hematomas.
ntsuas ntsuas
Thaum cov txheej txheem styloid ntawm lub vojvoog hloov pauv, cov kev ntsuas hauv qab no yuav tsum tau ua:
- Cawm anamnesis.
- Kev kuaj mob los ntawm tus kws kho mob.
- X-ray kev kuaj xyuas ncaj qha thiab sab nraub qaum ntawm lub dab teg.
- Yog tias tsim nyog, kev tshawb fawb ntxiv xws li suav tomography (CT) lossis cov ntaub so ntswg mos (ultrasound) tuaj yeem ua tau.
Yuav ua li cas kho qhov pob txha ntawm cov txheej txheem styloid ntawm lub vojvoog?
Kev kho mob
Qhov tseem ceeb tshaj plaws yog ua kom cov pob txha rov ua raws li kev tsis sib haum xeeb nrog plaster splint, uas yog hnav tsawg kawg ib hlis. Tom qab ntawd kev kuaj X-ray thib ob yog ua tiav txhawm rau kom paub tseeb tias cov khoom tawg ua ke kom raug. Qhov no yog ua los xyuas kom meej qhov siab tshaj plaws nyob rau hauv lub physiological pob qij txha ntawm cov chaw sib xyaw.
Yog tias tsim nyog, kev cuam tshuam kev phais yog ua los ntawm kev siv txawv teb chaws ntawm kev kho (pins, screws).
Kev kho tshuaj muaj nyob rau hauv kev siv cov vitamin D thiab calcium-fortified npaj kom txo tau lub sij hawm ntawm cov pob txha txaus fusion nyob rau hauv lub sij hawm rov kho mob, vim hais tias nrog kev kho tsis raug, styloiditis ntawm cov txheej txheem styloid ntawm lub vojvoog tuaj yeem txhim kho.
pab xub thawj
Vim nws tsis tuaj yeem xa tus neeg raug tsim txom mus rau qhov chaw kho mob hauv thawj feeb, nws yog qhov tsim nyog yuav tsum muaj lub tswv yim txog kev pab thawj zaug uas siv txhais tau tias tsim nyog.
Ua ntej tshaj plaws, koj yuav tsum tau immobilize (immobilize) cov ceg tawv nqaij raug mob, kho nws nrog qee cov ntaub so ntswg, siv cov splint, qhov no ua tiav txhawm rau tiv thaiv cov teeb meem xws li los ntshav thiab hloov chaw, nrog rau Tiv thaiv kom tsis txhob muaj qhov mob tshwm sim ntau dua.
Kev kho huv huv yog nqa tawm ntawm qhov muaj qhov txhab. Rau qhov no, txhua yam tshuaj tua kab mob, tshuaj tua kab mob (hydrogen peroxide lossis, piv txwv li, cawv iodine tov) yog qhov tsim nyog. Cov tshuaj yog siv rauib daim ntaub torn los yog daim ntaub so ntswg, thiab qhov chaw ua tiav. Qhov no yog ua tiav thiaj li rho tawm cov txha lov thiab tiv thaiv kev kis tus kab mob ntawm ntau hom pathogenic cov neeg sawv cev.
Txij li thaum tus neeg mob txhawj xeeb txog qhov mob hnyav, nws yuav tsum tau muab cov tshuaj tua kab mob rau nws, xws li tshuaj steroidal anti-inflammatory (NSAIDs). Qhov zoo tshaj plaws yog Diclofenac, Ketoprofen lossis Ibuprofen.
Plus, ntxiv rau tag nrho cov saum toj no, peb yuav tsum tsis txhob hnov qab txog qhov txias, uas yuav tsum tau muab tso rau ntawm qhov chaw ntawm qhov tawg ntawm cov txheej txheem styloid ntawm lub vojvoog (duab hauv qab).
Kev Ua Haujlwm Kho Mob
suav nrog cov txheej txheem ntsuas txhawm rau txhawm rau nrawm nrawm ntawm cov pob txha pob txha nrog ib leeg thiab rov qab sai dua.
Muaj cov txheej txheem kho lub cev, qhov ua tau zoo tshaj plaws ntawm kev mus ntsib ultraviolet irradiation (UVR), magnetotherapy thiab UHF therapy. Cov txheej txheem tom kawg yog contraindicated hauv kev phais kev cuam tshuam nrog kev teeb tsa ntawm cov hlau.
Tom qab ib lub lim tiam thiab ib nrab, mus ntsib cov txheej txheem infrared laser kho, pulsed UHF EP nrog rau kev sib nqus stimulation ntawm cov paj hlwb puas tau ntxiv.
Tom qab tshem tawm ntawm plaster splint, physiotherapy ce nrog mus ntsib cov chav kawm zaws tau qhia. Lawv txhawb kev rov qab sai ntawm kev ua haujlwm ntawm lub caj dab los ntawm kev ntxiv dag zog rau lub cev neuromuscular apparatus thiab rov ua kom muaj kev sib kis.hluav taws xob impulses los ntawm qhov raug mob ceg thiab nraub qaum.
Hais txog kev noj haus, ntawm no kuj yuav tsum tau coj mus rau hauv tus account tias koj yuav tsum noj ntau cov khoom noj uas muaj calcium thiab vitamin D. Qhov no feem ntau yog cov mis nyuj, tsev cheese, qaub cream, nqaij nruab deg, cheese nyuaj, legumes, tshuaj ntsuab, txiv hmab txiv ntoo qhuav (qhuav apricots, prunes), nqaij nyuj, daim siab, thiab ntses roj.
Cov ntsiab lus ntawm kev rov kho dua
Kev txiav txim siab tus kheej nyob ntawm qhov xwm txheej ntawm lub cev thiab qhov muaj teeb meem. Tab sis qhov nruab nrab yog kwv yees li ib hlis thiab ib nrab.
Muaj Teeb Meem
Cov txiaj ntsig hauv qab no tuaj yeem txhim kho nrog kev kho tsis raug:
- Vim qhov sib ntxiv ntawm kev kis kab mob ntawm txhua theem ntawm kev saib xyuas. Purulent-septic o tshwm sim nrog kev hloov pauv mus rau kev tuag.
- poob ntawm cov pob neurovascular, uas tuaj yeem ua rau kev loj hlob ntawm kev cog lus (kev txwv kev txav hauv kev sib koom ua ke).
- Kev sib xyaw ntawm cov pob txha tsis raug nrog kev tsim cov pob txha cuav thiab deformity ntawm cov ceg tag nrho.
- Kev txhim kho osteomyelitis (purulent-septic lesion ntawm ob leeg pob txha thiab pob txha apparatus).
- Neurotrophic teeb meem.
- Tshuaj pleev ib ce nyob rau hauv daim ntawv ntawm qhov hu ua "bulging" ntawm cov txheej txheem styloid ntawm lub vojvoog.
- Ntau yam kev xaiv rau deformities ntawm pob txha thiab articular apparatus.
