Cov neeg feem coob xav tias lawv muaj cov caj dab txhaws lossis doog ntshav thaum lawv hnov mob nyob rau thaj chaw hauv qab ntawm lub hauv caug. Txawm li cas los xij, hauv 75% ntawm tus neeg mob, ib qho kab mob loj heev ua rau nws tus kheej - mob ntawm periosteum ntawm qis ceg.
Tus kab mob yog insidious, vim tias nws tau hloov zuj zus mus sai, feem ntau tshwm sim hauv daim ntawv latent ntev, thiab tseem ceeb tshaj, nws tuaj yeem ua rau muaj ntau qhov teeb meem. Txhua tus neeg, tshwj xeeb tshaj yog cov neeg uas nyiam qhov kis las, yuav tsum paub thawj cov tsos mob ntawm tus kab mob, leej twg yuav tiv tauj thiab yuav kho li cas.
Nta ntawm o ntawm periosteum ntawm qis ceg
Cov txheej txheem mob ntawm periosteum ntawm ceg qis los yog lwm lub npe periostitis yog hais txog cov kab mob nyuaj uas tshwm sim hauv lub cev rau ntau yam.
Hauv 45% ntawm cov xwm txheej, tus kab mob no tshwm sim thaum xub thawj lossis tsis hnov cov tsos mob, vim tias ib tus neeg tsis paub txog qhov teeb meem thiab tsis hnov lub suab nrov kom raws sijhawm.
Txij li thaum mob periostitis pib tau yuav luag tsis muaj cov tsos mob lossis ib tus neeg xav tias tsis xis nyob rau sab hauv qis, nws tuaj yeem yuam kev tias nws muaj kev raug mob me rau hauv caug lossis txhais ceg qis.
Cov kws kho mob paub qhov txawv ntau yam ntawm tus kab mob no.
Lub ntsiab yog:
- Muaj qhov zoo sib xws symptomatology nrog kev tshem tawm thiab doog ntshav.
Thaum pib theem, tsuas yog tus kws kho mob tuaj yeem kuaj pom tus mob periostitis tom qab kuaj xyuas.
- Kev loj hlob sai.
- Nrog lub hnub nyoog, kev kho yuav dhau mus ntev dua thiab nyuaj dua, cov kws kho mob tsis ib txwm muab txoj kev kwv yees zoo.
- Hauv daim ntawv tsis quav ntsej, muaj kev puas tsuaj ntau heev rau cov ntaub so ntswg thiab pob qij txha.
- Yog tsis muaj kev kho, pob txha cuam tshuam.
Tsis tas li ntawd, qhov tseem ceeb ntawm qhov mob ntawm periosteum ntawm ceg qis qis yog tias pathology raug kuaj pom hauv 70% ntawm cov neeg mob hauv cov kis las lossis cov pej xeem uas tau koom ua lub cev tsis tu ncua.
O ua rau
Hauv tib neeg lub cev, qhov mob ntawm ceg qis periosteum tau sau tseg rau ntau yam.
Tus thawj kws kho mob suav nrog:
Kev tawm dag zog lub cev thiab tsis muaj sijhawm los so.
Qhov kev pheej hmoo loj yog rau cov neeg uas:
- ua haujlwm li loaders;
- muab qhov kev txiav txim siab ua pob xau kom txhim kho cov leeg nqaij thiab ua kom zoo rau lawv tus kheej nrog kev kawm tas li;
- sawv ntawm lawv ko taw rau 8 - 12 teev nyob rau ib hnub;
- tsiv me ntsis, piv txwv li, ua haujlwm hauv kev ua haujlwm hauv sedentary lossis yeem yeem tsis xav ua lub neej nquag;
- uas xiam oob qhab.
Kev kawm ntaus kis las tsis tu ncua ntawm kev tshaj lij lossis qib kev sib raug zoo.
Raws li kws kho mob sau tseg nrog cov kab mob pathology hauv 95% ntawm cov neeg mob, lawv ntsib:
- cov sib tw khiav;
- cov caij tsheb kauj vab;
- lub luj hla;
- cov tub ncaws pob;
- ntaus pob ntaus pob;
- cov hockey ntaus kis las thiab lwm tus neeg uas muaj lub nra hnyav dua nyob hauv qhov nqua.
Cov kev raug mob txhawb nqa, tshwj xeeb:
- pob txha lov, ceg pob txha thiab lwm yam;
- Kev ua kom tawv nqaij ntawm qis qis dua;
- ncab cov leeg ntawm ceg qis dua.
Kev nce qib ntawm cov kab mob concomitant, piv txwv:
- rheumatism;
- osteochondrosis;
- mob caj dab thiab lwm tus.
Tsis ua kom raug tshem tawm cov kab mob ntawm cov khoom tsis zoo uas ua rau intoxication thiab cuam tshuam kev ncaj ncees ntawm cov pob txha.
Lub sij hawm ntev kho nrog cov tshuaj uas ua rau intoxication.
Kev noj tshuaj tuaj yeem ua rau qhov mob ntawm periosteum ntawm ceg qis hauv rooj plaub thaum tus neeg pib siv cov tshuaj ywj siab thiab tsis muaj kws kho mob sau ntawv.
Hom thiab tsos mob ntawm pathology
Periostitis raug faib los ntawm kws kho mob ua ob hom - mob thiab mob ntev. Hauv kev xaiv thawj, tus neeg muaj mob hnyav thiab ua rau tawv nqaij tawv. Qhov mob txhawm siab ua kom zoo dua, tshwj xeeb tshaj yog hais tias kev kho pib pib yam tsis qeeb.
Cov kws kho mob kuaj pom daim mob ntev thaum pom tias pom tseeb thiab cov tsos mob hnyav, thiab cov txheej txheem mob tau sau tseg tob hauv cov pob txha.
Tsis tas li ntawd, tus kabmob raug cais raws li daim ntawv loj:
- Yooj yim - cov txheej txheem tsis tau pib hauv cov nqaij thiab pob txha. Qhov kuaj pom tias muaj mob yog qhov zoo, hauv 97% ntawm tus neeg mob, ib tug neeg rov qab tom qab 3 txog 4 asthiv ntawm kev kho mob hnyav.
- Purulent - purulent formations hauv cov ntaub so ntswg yog sau tseg, cov pob txha raug mob.
- Mob - muaj cov tsos mob zoo ib yam, xws li daim ntawv purulent, tsuas yog hauv tib neeg, ntxiv rau, qhov tsos ntawm racemose hnab nrog cov kua dej yog sau tseg.
- Fibrous - ib daim ntawv txaus ntshai, kev mob tshwm sim hauv cov pob txha, purulent formations thiab fibrous thickenings yog kuaj. Ntxiv rau, tus neeg mob tsis plam lub cev kub.
Yog tias tsis muaj kev kho mob, purulent, serous thiab fibrous periostitis tuaj yeem ua rau muaj kev cuam tshuam uas tsis tuaj yeem, tshwj xeeb, cov ntaub ntawv hauv lub hlwb tsis muaj nyob hauv lub hlwb.
Feem ntau, o ntawm tus ceg periosteum muaj cov tsos mob li nram no:
- Kev mob hnyav rau hauv qab ntawm lub hauv caug.
Hauv thawj theem, qhov mob tuaj yeem raug pom tsuas yog tom qab ua haujlwm lub cev. Thaum tus kab mob pathology tau dhau los ntawm ib daim ntawv yooj yim mus rau daim ntawv purulent, serous lossis fibrous, qhov mob ntawm caj pas tsis mob zuj zus txawm tias thaum pw tsaug zog, tab sis nce ntxiv thaum tus kab mob zuj zus.
- O ntawm qhov periosteum.
- Discoloration ntawm daim tawv nqaij hauv qab no lub hauv caug rau lub luj taws.
Nyob rau thaj chaw no, cov tawv nqaij los ua xim xiav los yog xim liab.
- Ua rau tsis taus taw mob ko taw thiab taug kev siab.
- Kev o, tshwj xeeb tshaj yog nyob rau yav tav su.
- Siab lub cev kub thiab kub cev.
Siab kub yog pom nrog purulent, serous thiab fibrous form.
Kev kuaj mob thiab kev kho mob ntawm o ntawm periosteum ntawm qis ceg
Cov mob ntawm periosteum ntawm txhais ceg tsuas yog kuaj tau los ntawm cov kws kho mob thiab muab tau tias tus neeg mob:
- piav qhia hauv kev nthuav dav lub mob hnyav tshwm sim;
- dhau thawj kev kuaj mob los ntawm tus kws kho mob, kws kho mob plab, orthopedist thiab kws phais neeg;
- dhau cov kev xeem tshuaj;
- underwent ultrasound scan thiab xoo hluav taws xob
Tsuas yog siv X-ray thiab ultrasound tuaj yeem qhia meej txog dab tsi ua rau lub ntsej muag o ntawm cov ceg qis, thiab tseem ceeb tshaj, lawv yuav pab cov kws tshaj lij xaiv qhov kev kho mob kom raug.
Feem ntau, nrog tus mob periostitis uas tau kuaj pom, tsuas yog txoj kev kho nyuaj dhau los, uas suav nrog:
- Noj tshuaj muaj zog raws li kev saib xyuas ntawm tus kws kho mob saib xyuas.
- Dropper chav kawm (yog tias tsim nyog).
- Ntau cov txheej txheem ntawm kev kho lub cev.
- Kev siv ntawm cov tsis raws li txoj kev kho mob.
Nws raug tso cai los ntawm txoj kev mus rau kev siv tshuaj ib txwm muaj yog tias nws tau sau tseg los ntawm cov kws tshaj lij ua ib qho kev pab hauv kev kho mob cov tsos mob.
Tshuaj kho mob nkeeg
Nrog kev lees paub ntawm cov periosteum ntawm cov ceg qis, cov kws kho mob yuav tsum tau sau ntawv noj tshuaj. Tsis muaj ib hom tshuaj siv, kev rov ua haujlwm yog qhov tsis yooj yim, thiab qhov tseem ceeb tshaj, pathology yuav hloov sai sai rau hauv daim ntawv purulent thiab mob ntev.
Thaum cov tshuaj tau raug noj, lawv yuav tsum haus cawv kom nruj, raws li kws kho mob pom zoo, hauv kev noj ib lub sijhawm thiab qee hnub. Txwv tsis pub, kev kho kom rov zoo yuav tsis tshwm sim, thiab tus kab mob yuav ntws mus rau mob ntev.
Yeej, cov neeg muaj mob ntawm cov periosteum ntawm cov ceg qis qis tau raug sau tseg:
- Khaus tshuaj mob taub hau lossis noj tshuaj.
Droppers yog qhia rau purulent, serous thiab fibrous daim ntawv, zoo li thaum mob hnyav txawm tias thaum so.
- Cov tshuaj uas daws cov mob tshwm sim hauv qab ceg.
- Cov tshuaj hno lossis pleev rau cov ntshav kom pab tshem tawm qhov txhab dawb huv hauv cov nqaij pob txha.
- Tshuaj tua kab mob
Tshuaj tua kab mob tshem tawm mus rau hauv lub cev thiab txo cov mob huam.
Tsis tas li, nrog xws li pathology, lawv tau sau tseg:
- pw so, tshwj xeeb tshaj yog nyob rau lub sijhawm ntawm kev kho mob hnyav;
- hnav cov ntaub qhwv uas tsis zoo los yog cov ntaub qhwv nruj uas ua rau txo kev pheej hmoo ntawm kev raug mob rau ceg kev raug mob.
Nrog rau qhov mob txhab loj, tshwj xeeb, qhov pom dav dav ntawm lub cev tsim nyob rau hauv lub cev, cov kws kho mob siv mus rau kev phais mob thaum muaj xwm ceev.
Kev tawm dag zog lub cev
Ib cov txheej txheem ntawm kev tawm dag zog lub cev pab kho kom rov zoo dua thiab tshem tawm qhov mob.
Yeej, nrog qhov mob ntawm periosteum ntawm qis ceg, lawv tau sau tseg:
- UHF - kev kho mob. Ua tsaug rau txoj kev no, muaj qhov txo qis o, kho cov nqaij mos thiab mob kom zoo.
- Galvanization. Raws li qhov tshwm sim, muaj kev ceev nrawm dua thiab kho cov nqaij mos, qhov txo qis hauv kev ua kom huv.
- Kev kho laser.
Txoj kev ntawm cov txheej txheem ntawm lub cev ua haujlwm twg yuav tsum tau txiav txim rau tus neeg mob tshwj xeeb yog txiav txim siab los ntawm cov kws kho mob. Lub xub ntiag ntawm purulent formations yog coj mus rau hauv tus account, hauv daim ntawv twg yog pathology thiab cov tsos mob dav dav.
Cov kev cai
Yog tias pom cov hlab ntaws ntawm lub puab tsaig pom, cov kws tshaj lij feem ntau pom zoo kom mus rau lwm txoj hauv kev. Hom kev kho mob no yog siv los ua qhov txuas rau qhov kev kho loj.
Cov kev xaiv tseem ceeb raws li kev kho mob rau o ntawm periosteum ntawm qis ceg yog:
- Thov cov dej khov rau thaj tsam teeb meem.
Cov dej khov tau thov ob zaug nyob rau ib hnub thiab rau 20 feeb.
- Chamomile compresses. Nws yog qhov tsim nyog los npaj lub decoction ntawm chamomile, moisten lub paj rwb ntaub qhwv ntsej muag hauv nws thiab siv rau thaj chaw muaj mob.
Chamomile compresses tau ua 3 mus rau 4 zaug hauv ib hnub.
- Haus sage Txoj kev lis ntshav.
Rau kev ua noj koj yuav tsum:
- Ncuav 15 gram ntawm qhuav sage nrog 150 milliliters ntawm dej npau npau;
- npog nrog lub hau on saum;
- lim tau tom qab ib nrab ib teev;
- txias thiab haus 25 millilitres ib hnub ob zaug.
Sage infusion pab txo qhov mob thiab ua kom nrawm kho cov ntaub so ntswg.
Kev siv ntawm cov pej xeem txoj kev los daws qhov mob ntawm periosteum ntawm ceg qis dua tuaj yeem tsim kev phom sij rau kev noj qab haus huv. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem ntseeg siab tau hais tias seb lawv tuaj yeem kho los ntawm txoj kev zoo li no.
Kev tiv thaiv kev ntsuas
Cov kev tiv thaiv kab mob pab txo kom tsis txhob muaj feem ntau ntawm kev txhim kho o ntawm periosteum ntawm qis ceg. Raws li kws kho mob sau tseg, yog tias cov lus pom zoo li no tsis raug tsis saib xyuas, ces qhov kev pheej hmoo ntawm tus kab mob no yuav txo qis li 3.5 zaug, thiab qhov xwm txheej ntawm tus kab mob no, txhua yam yuav mob me thiab kho tau yooj yim.
Raws li kev tiv thaiv kev ntsuas, cov kws paub qhia:
- Zam kev tawm dag zog lub cev kom mus txog rau qhov sab heev.
Txhua yam kev tawm dag zog yuav tsum muaj kev sim, thiab tseem ceeb tshaj, maj mam dhau los ua qhov nyuaj.
- Tsis txhob sawv ntawm koj ob txhais ko taw rau ntau tshaj li ob teev nyob rau hauv kab.
Thaum sawv ntsug, nws yog qhov tseem ceeb uas yuav tsum tau so me ntsis txhua 1.5 - 2 teev, thaum lub sijhawm koj yuav tsum zaum lossis zaws plab cov leeg.
- Nquag ua cov ceg ua si yooj yim kom ntxiv dag zog rau cov leeg.
- Ua nws ib txoj cai los ncab koj cov leeg ua ntej cov kev tawm dag zog lub cev, piv txwv li, dhia hauv qhov chaw lossis zaum khooj ywb.
- Tsis tu ncua mus ntsib tus kws kho mob thiab kuaj.
- Tsis txhob muab tshuaj rau koj tus kheej, tshwj xeeb yog rau mob ntawm qhov qis qis.
- Tom qab tau txais bruises, kev raug mob, pob txha qis thiab lwm yam, saib xyuas qhov chaw pw kom zoo thiab kev txwv ntawm kev ua haujlwm lub cev.
Tom qab kev txom nyem raug mob, cov kws kho mob tsis tau qhia kom pib kev cob qhia tam sim ntawd thiab ntawm tib lub sijhawm. Nws yog ib qho tseem ceeb kom nce lub nrawm thiab maj mam saib xyuas koj lub siab.
Kev voos hle periosteum yog hais txog cov kab mob hnyav, uas cov txheej txheem mob tshwm sim hauv cov nqaij thiab pob txha, purulent formations thiab sacs nrog cov kua dej tawm tuaj.
Yog tias tsis tiv thaiv kab mob raws sij hawm thiab muab kev kho mob nyuaj dhau, yuav tsis muaj qhov tshwm sim zoo. Tus neeg khiav txoj kev pheej hmoo ntawm kev hnov mob hauv qab ceg thoob nws lub neej, muaj txhav thiab taug kev nyuaj, thiab txawm tias nws xiam oob qhab.
Blitz - lub tswv yim:
- ntawm thawj cov cim ntawm kev txhim kho ntawm cov txheej txheem mob ntawm periosteum ntawm ceg qis, piv txwv li, yog tias qhov mob tshwm sim hauv qab lub hauv caug, koj yuav tsum mus ntsib tus kws kho mob sai lossis kws kho mob tam sim ntawd;
- tsis txhob ua kom luv lossis ntxiv rau txoj kev kho mob tau hais tseg, qhov no yog qhov txaus ntshai heev rau kev noj qab haus huv thiab tuaj yeem tsim kev hloov pauv ntawm tus kabmob mus rau ib daim ntawv loj;
- hauv cov xwm txheej uas kho tawm, tab sis lub xeev kev noj qab haus huv txuas ntxiv zuj zus, kev mus ntsib tus kws kho mob uas yuav tsum tau ua, rov kuaj dua thiab kuaj mob. Cov kws kho mob tshwj xeeb yuav xav kho cov kev kho mob kom zoo los yog chaw so kom phais.