Qhov doog ntawm txhais tes yog qhov kev raug mob kaw rau nws cov ntaub mos muag. Kev raug mob rau ntawm txhais tes los ntawm kev cuam tshuam los yog los ntawm kev poob yog feem ntau. Tsis muaj kev puas tsuaj rau cov pob txha lossis tawv nqaij tshwm sim. Raws li ICD-10, tus kab mob pathology yog S60.2.
Qhov sib txawv ntawm bruise thiab pob txha tawg
Thaum raug mob, txoj haujlwm ua ntawm tes yog tshwj tseg. Lub pob txha tawg tau txais kev txhawb nqa los ntawm:
- Cov ntaub ntawv soj ntsuam:
- qhov tseem ceeb txo ntawm ntau qhov kev txav mus los: qhov tsis muaj peev xwm nqa tau ib yam dab tsi, ua kom qhov txav mus sab nraub qaum, khoov lossis rub tsis tau tes, khoov ntawm caj npab raug mob;
- lub cev tsis sib xws thiab / lossis deformation ntawm tes;
- kev hnov ntawm crepitus ntawm kev txav.
- Cov duab xoo hluav taws xob soj ntsuam.
Cov laj thawj
Hauv kev siv tshuaj, cov thawj coj yog ua los ntawm:
- ntog (los ntawm caij lub luv thij lossis thaum ntaus pob);
- cov punches (thaum xyaum ua karate);
- Kev tsheb sib tsoo;
- clamping tes (hauv qhov rooj);
- kev ntaus pob ncaws pob (tus sib ntaus lub cev sib ntaus, raug mob raug mob yog doog ntshav ntawm dab teg).
Kev faib tawm
Ntawm qhov chaw ntawm kev raug mob, doog ntshav yog qhov txawv:
- kev lag luam (thaum ntaus los ntawm cov cuab yeej hnyav);
- tsev neeg;
- kev ua kis las.
Los ntawm localization, doog ntshav yog qhov txawv:
- dab teg;
- ntiv tes ntawm tes;
- xib teg;
- dab teg.
Hais txog qhov mob hnyav, doog ntshav yog:
- mob ntsws (daim tawv nqaij liab ntawm lub cev ntawm kev raug mob yog txiav txim siab);
- nruab nrab (subcutaneous hemorrhages yog pom pom, cov nqaij mos muag o tuaj);
- mob hnyav (mob ntshav tes thiab mob ntxiv).
Qhov mob tawv nqaij ntawm doog tau txog ntawm qhov mob hnyav heev. Rau qhov mob doog ntshav, causalgia yog cov yam ntxwv - qhov mob ntawm siab siv, tawg rau sab caj npab thiab xub pwg. Qhov ntau ntawm cov lus tsa suab hauv causalgia yuav raug txwv.
Cov tsos mob
Cov cim tshwm sim ntawm hom kev raug mob no suav nrog:
- mob ntawm txhais tes, feem ntau dhau mus rau sab caj npab lossis ntiv tes (nrog rau raug mob hnyav);
- subcutaneous hemorrhages (tshwm sim tom qab 2-3 teev) thiab hematomas;
- mob thaum ua yeeb yam qoj ib ce (nws yuav nyuaj rau koj qhov ntiv tes mus rau hauv lub nrig);
- o tuaj;
- zoo nkaus li loog, nrog rau qhov kev txo qis hauv ntau hom rhiab;
- hyperemia (liab) ntawm daim tawv nqaij.
Nrog hemorrhages nyob rau hauv cov rog subcutaneous, qhov tshwm sim ntawm "tawg paj doog ntshav" yog tus yam ntxwv, uas cov xim cherry hloov xiav-ntsuab tom qab plaub mus rau tsib hnub, thiab tom qab ntawd daj (vim yog cov metabolism hauv cov hlau uas muaj ntshav piment).
Nrog ua kom mob doog ntshav, hematomas ib ncig ntawm dorsal nto ntawm tes, qee kis, ncav cuag qhov ntau thiab tsawg. Daim tawv nqaij ntawm qhov chaw ntawm chaw ze laus tuaj yeem xiav. Qee zaum ntawm daim tawv nqaij ua rau exfoliates, ua cov hlwv nrog cov ntsiab lus hemorrhagic.
Cov tsos mob hnyav tuaj yeem ua rau cov ntshav nce siab ntau ntxiv, kev txhim kho ntawm syncope lossis poob siab.
Thaum muaj xwm ceev thiab yuav ua li cas kom cov ntaub qhwv sib koom
Yog tias qhov doog ntshav yog xav tias tsam, tam sim ntawd (siab tshaj hauv 15 feeb) daim ntawv thov ntawm qhov txias txias rau qhov chaw puas yog qhia.
Cov dej khov ntim rau hauv hnab yas thiab qhwv hauv ib daim ntaub yog qhov zoo tshaj plaws.
Tom ntej no, thaj chaw ntawm kev raug mob yog ntxuav nrog dej txias, tom qab uas siv cov ntaub qhwv, tom qab ntawd kom txog rau thaum lub sijhawm tiv tauj tus kws kho mob txhawm rau soj ntsuam kev kuaj mob, txhais tes yuav tsum tau tuav hauv qhov chaw nce.
Txhawm rau txo edema, sab hauv los ntshav thiab immobilization ntawm tes, nws yog bandaged. Muaj peev xwm xaiv kev hnav khaub ncaws:
- ntawv;
- ntawm tes thiab dab teg (tsis yog tuav tes);
- ntawm tes thiab ntiv tes;
- ntawm sab tes thiab ntiv tes zoo li lub hnab looj tes.
Thaum ua ntawv thov cov ntaub qhwv, nco ntsoov tias tsawg kawg ob lub pob qij txha yuav tsum muaj immobilized. Kev siv txoj cai tsheb npav ntawm tsev neeg tsheb (Cramer) los yog kev caij nplooj zeeg txhais tau kev tso cai. Hauv qhov no, cov khoom siv log yuav tsum tsis raug los mus kov cov tawv nqaij kom tsis txhob ua kom tawv nqaij. Txhawm rau ua qhov no, lawv yuav tsum xub muab qhwv nrog ntaub qhwv pov tseg.
Nrog ua kev txhawm hnyav, lub sijhawm ntawm hnav lub pob khi kho tau tuaj yeem yog 14 hnub.
Kev tsim muaj tes
Nyob rau hnub thib peb tom qab raug mob, txhawm rau kom tsis txhob txhawm ntawm cov leeg tes, nws raug nquahu kom pib ua cov kev coj ua hauv qab no:
- muab koj txhais tes rau ntawm lub rooj thiab nruas koj cov ntiv tes rau ntawm nws;
- quav koj lub xib teg, viav vias lawv zoo li cov khoom siv roj;
- muab koj lub xib teg tso rau ntawm lub rooj, nias koj cov ntiv tes mus rau qhov saum npoo (qhov kev tawm dag zog yog sim nqa lawv);
- maj mam muab nyem cov pob nthuav lossis pob nrog cov ntiv tes ntawm tes raug mob;
- nqa ob lub pob rau hauv xib-teg ntawm koj txhais tes thiab tig lawv rau hauv koj txhais tes moos thiab moos. Qhov tseeb, lawv tsis sib tsoo.
Nyob rau hauv tsis muaj qee yam yuav tsum tau koj ua kom mob ceev ceev lossis ua kev tawm dag zog kom kov yeej qhov mob.
Nws raug nquahu kom sau ntawv zaws lossis zaws tus kheej ntawm txhais tes, uas cuam tshuam nrog lub teeb zaws ntawm tes raug mob los ntawm cov phalanges distal ntawm cov ntiv tes mus rau qhov chaw ze ntawm tes.
Kev sib tsoo loj ntawm tes yog tseem kho nrog acupuncture zaug.
Dab tsi tuaj yeem ua tau hauv tsev hauv qee kis sib txawv
Yog tias ib qho kev ua pob txha raug tshem tawm, kev kho mob tuaj yeem nqa tawm ntawm qhov chaw sab nrauv nyob rau hauv kev saib xyuas ntawm tus kws kho mob koom nrog.
Hauv thawj 24 teev tom qab kev mob siab (sai sai qhov zoo dua), qhov txias txias yuav tsum tau siv rau thaj chaw ua puas rau ntau dua 10 feeb txhua 2 teev. Cov tshuaj pleev tshuaj pleev tshuaj loog yuav muab pleev. Tom qab 72-96 teev, cua sov tuaj yeem siv los kho qhov kev daws teeb meem ntawm qhov nqaij doog.
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Kev ua kom sov yuav siv tau:
- pouches ntawm rhuab ntsev (tshav kub qhuav);
- cov ntawv thov paraffin;
- sov so dej.
Rau cov mob hnyav, NSAIDs (Ketotifen, Diclofenac sodium, Ibuprofen) tau hais tawm ntawm qhov ncauj, thiab lub ntsiab lus - NSAID-based ointments (Fastum gel), uas tau thov 1-3 zaug ib hnub.
Cov tshuaj loog (Narcotic analgesics) (Promedol, Omnopon) yog siv los daws qhov mob mob los ntawm kev sau tshuaj thiab nyob rau hauv kev saib xyuas ntawm kws kho mob.
Nrog hais tawm edema, vitamin C, Rutin, Ascorutin, Quercetin, Troxevasin, Actovegin, Eskuzan, Pentoxifylline yog siv los ntxiv dag zog rau cov phab ntsa ntawm cov hlab ntsha thiab txhim kho microcirculation.
Txoj kev zaws ib ce tuaj yeem kho tau txij hnub peb tom qab raug mob thiab suav nrog:
- UHF dej tsaws ntxhee;
- tsawg zaus sib nqus teb ua;
- UFO;
- kev kho laser.
Nyob rau ntawm qhov muaj cov cim ntawm txoj kev nyem ntawm cov ceg ntawm ulnar los yog nruab nrab cov hlab ntsha (ceg ntawm cov leeg radial tsis tshua muaj zog thaum raug mob ntawm tes), thaiv nrog kev siv cov tshuaj loog (Novocaine, Trimecaine) tuaj yeem siv los ua kom loog hauv qhov chaw puab. Rau tib lub hom phiaj, electro- lossis phonophoresis nrog kev ua kom loog thiab Bernard's dej siv tam sim no. Qee zaum lawv nyiam qhov kev phais mob.
Txhawm rau txhawb kev tsim dua tshiab nyob rau hauv lub xub ntiag ntawm cov ntaub so ntswg uas puas lawm, cov neeg ua haujlwm anabolic yog cov kws kho (cov tshuaj uas txhim kho cov protein ua ke)
- tsis-tshuaj pleev (methyluracil);
- tshuaj steroid (Methandrostenolone, Phenobolin).
Nyob rau hauv kev cuam tshuam ntawm anabolic steroids, cov nqaij mos muag kho ntau nrawm dua. Rau tib lub hom phiaj, hauv qab no tuaj yeem siv nyob rau hauv zos:
- biogenic stimulants raws li paam dlev, rosehip, fir thiab roj hiav txwv buckthorn roj;
- tshuaj pleev uas muaj Actovegin thiab Solcoseryl;
- compresses raws li kev daws ntawm Dimexide, Novocaine thiab ethanol.
Txhawm rau ua kom ceev nrawm resorption ntawm hematomas nyob rau hauv kev saib xyuas ntawm hirudotherapist, leeches tuaj yeem siv.
Pej xeem sawv daws los kho sawv daws
3-4 hnub tom qab raug mob, cov hauv qab no yuav pab txo qhov mob:
- Sov cov dej hiav txwv ntsev (40 g ntsev yuav tsum tau yaj nyob hauv 1 liv dej; txo koj txhais tes rau 30 feeb).
- Cov roj camphor lossis cawv tincture ntawm rosemary qus - tuaj yeem siv tshuaj pleev ib zaug 1-2 zaug hauv ib hnub.
- Ointment raws li zib ntab thiab aloe - aloe pulp thiab zib ntab yog npaum li cas hauv cov khoom sib npaug.
- Hauv daim ntawv thov hauv zos ntawm Goose rog.
- Cov qe ua rau qe qe - nkaub nyoos thiab 5 g ntawm cov ntsev noj tau yog tov, tom qab uas sib tov tau thov rau cov tawv nqaij 3-4 zaug hauv ib hnub.
- Bandage nrog Badyaga - txhuam cov ntses dej hiav txwv hmoov, diluted hauv dej hauv qhov sib piv ntawm ib mus rau ob. Qhov muaj pes tsawg leeg yog siv rau qhov chaw ntawm kev puas tsuaj. Cov ris tsho hloov pauv ib zaug ob zaug.
- Compresses raws:
- Cov roj zaub, zaub mov vinegar (9%) thiab dej - cov khoom xyaw yog coj hauv qhov sib npaug (hauv thawj hnub, qhov ntsuas txias yog siv, pib txij li 3-4 hnub - sov ib qho).
- Cawv horseradish tincture (piv nrog ethanol 1: 1) - lub sijhawm thov kev pom zoo yog kwv yees li 30 feeb.
- Crumpled cabbage nplooj ntoos - tus txheej txheem yog ua nyob rau hauv thaum yav tsaus ntuj ua ntej yuav mus pw.
- Qos Yaj Yob Hlais Khwv - Hlob ntxiv thaum tsaus ntuj.
Lub sijhawm rov qab
Feem ntau, lub sijhawm kom rov zoo yog 9 mus rau 15 hnub. Nyob ntawm seb qhov mob loj npaum li cas, nws tuaj yeem sib txawv ntawm 1 txog 6 lub lim tiam.
Muaj teeb meem tshwm sim
Qhov tshwm sim ntawm kev puas tsuaj rau cov nqaij mos mos ntawm txhais tes yog txiav txim siab los ntawm qhov ntau ntawm kev puas tsuaj, kab mob concomitant, thiab kev muaj txiaj ntsig ntawm kev kho mob tau muab.
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Thaum lub sijhawm raug mob, kev puas tsuaj rau cov ceg ntawm cov nruab nrab (kev hloov pauv ntawm qhov chaw ntawm lub ntsej muag palmar ntawm 1-3 ntiv tes thiab ib nrab ntawm lub nplhaib ntiv tes) lossis ulnar qab haus huv (feem, ntawm ib sab ntawm tus ntiv tes me me thiab ib nrab ntawm lub nplhaib ntiv tes) yog ua tau. Nrog kev sib koom ua ke ntawm tes, sab hauv lub hauv paus ntshav yog ua tau, nrog nws los ntawm hemarthrosis. Kev sib zog ntawm cov hlab ntsha hauv cov pob txha anatomical tuaj yeem ua rau qhov kev mob ntawm lub qhov txhab thiab carpal tunnel syndrome (neuritis ntawm cov hlab ntsha nruab nrab).
Thaum cov ntaub so ntswg muag yog tawg (kev rhuav tshem cov ntaub so ntswg ntau nrog qhov poob ntawm lawv cov poob), lawv cov aseptic necrosis yog ua tau, nrog los ntawm kev txhim kho ntawm o. Kev sib tsoo yog ib qho txaus ntshai nrog kev muaj feem ntawm kev kis tus kab mob thib ob.
Cov kev mob uas yooj yim ntawm bruising nrog ntev inactivity yog nkim ntawm tes, osteoporosis, arthrosis thiab kev cog lus (fibrotic hloov nyob rau hauv tendons, pob qij txha thiab cov nqaij mos). Daim ntawv cog lus yog nrog los ntawm rhuav ntawm tes thiab ntiv tes, uas tsis suav nrog kev ua haujlwm ntawm lub cev kev ua haujlwm ntawm tes. Cov hom ntawv cog lus uas feem ntau yog:
- tus xibhwb txhais tes;
- clawed paw;
- liab txhuam.
