Cov chaw zov mob
Zoo Siab
Lub chaw saib xyuas qhov txhab, lossis chaw kuaj mob, yog lub tsev kho mob rau kev kho qhov mob uas tsis zoo. Koj yuav muaj qhov txhab zoo uas tsis kho kom zoo yog tias:
- Tsis tau pib zoo nyob rau hauv 2 lub lis piam
- Tsis tau zoo kiag hauv 6 lub lis piam
Hom kev mob uas tsis kho tau muaj xws li:
- Siab tawm
- Kev phais mob
- Qhov ncauj tawm hluav taws xob
- Mob rwj vim mob ntshav qab zib, ntshav khiav tsis zoo, mob pob txha mob txha sai (oteomyelitis), lossis txhais ceg o
Qee qhov kiav txhab yuav tsis zoo vim:
- Mob ntshav qab zib
- Kev ncig tsis zoo
- Kev puas ntsoog
- Mob pob txha
- Ua kom tsis muaj zog lossis muaj sia
- Lub cev tsis muaj zog tiv thaiv kab mob
- Khoom noj khoom haus tsis zoo
- Haus cawv ntau dhau
- Haus Yeeb
Qhov mob tsis zoo yuav siv ntau lub hli los kho. Qee qhov mob yeej kho tsis tau zoo kiag li.
Thaum koj mus rau lub tsev kho mob kiav txhab, koj yuav ua haujlwm nrog pab neeg saib xyuas mob nkeeg uas paub txog kev kho mob kom zoo. Koj pab neeg yuav muaj xws li:
- Cov kws kho mob uas saib xyuas koj li kev kho mob
- Cov kws tu neeg mob uas ntxuav thiab hnav koj lub qhov txhab thiab qhia koj kom tu nws hauv tsev
- Tus kws kho mob lub cev uas pab kho qhov mob thiab ua haujlwm nrog koj kom pab koj txawb chaw
Koj cov kws khomob tseem yuav khaws koj tus kws khomob xub thawj mus txog hnub koj ua tau zoo thiab kho mob.
Koj pab neeg saib xyuas mob yuav:
- Xyuas thiab ntsuas koj qhov txhab
- Xyuas cov ntshav ntws hauv thaj chaw ib ncig ntawm lub txhab
- Seb li cas nws thiaj tsis zoo
- Tsim txoj kev npaj khomob
Cov hom phiaj kho mob suav nrog:
- Kho lub qhov txhab
- Tiv thaiv qhov txhab ua kom mob loj tuaj lossis kis tus kab mob
- Tiv thaiv kom txhob poob tes
- Tiv thaiv qhov tshiab ua kom mob los ntawm qhov tshwm sim lossis qub qhov txhab ntawm rov los
- Pab koj nyob twj ywm txawb
Txhawm rau kho koj lub qhov txhab, koj tus kws kho mob yuav ntxuav tawm lub qhov txhab thiab thov hnav khaub ncaws. Koj kuj tseem tuaj yeem muaj lwm yam kev khomob los pab kho kom zoo.
Kev rho tawm
Kev cais tawm yog txheej txheem ntawm kev tshem tawm cov tawv nqaij thiab tawv nqaij. Daim ntaub no yuav tsum tshem tawm los pab koj qhov txhab zoo. Muaj ntau txoj hauv kev los ua qhov no. Koj yuav tsum muaj tshuaj loog (tsaug zog thiab tsis hnov mob) rau qhov rhuav tshem qhov txhab loj.
Kev phais mob siv kho pob, txiab, lossis lwm yam cuab yeej ntse. Thaum lub sij hawm tus txheej txheem, koj tus kws kho mob yuav:
- Ntxuav cov tawv nqaij ib ncig ntawm lub qhov txhab
- Soj ntsuam cov qhov txhab txhawm rau saib seb nws tob npaum li cas
- Txiav daim ntaub so ntswg uas tuag lawm
- Ntxuav lub qhov txhab
Koj lub qhov txhab yuav zoo li loj thiab ntxaum tom qab hlais tawm. Thaj chaw yuav liab lossis liab nyob rau hauv cov xim thiab zoo li nqaij tshiab.
Lwm txoj hauv kev los tshem tawm cov ntaub so ntswg tuag lossis mob kis yog:
- Zaum lossis tso koj sab tes plhws rau hauv qhov chaw dej khov.
- Siv daim ntaub nqus dej los ntxuav cov ntaub so ntswg.
- Siv cov khaub ncaws ntub ntub dej rau thaj chaw. Kev hnav khaub ncaws ntub tau pleev rau lub qhov txhab thiab tso cai kom qhuav. Thaum nws qhuav, nws nqus qee cov ntaub so ntswg uas tuag lawm. Kev hnav khaub ncaws yog ntub dua thiab tom qab ntawd maj mam muab rub tawm nrog daim ntaub uas tuag.
- Tso cov tshuaj tshwj xeeb, hu ua enzymes, rau ntawm koj lub qhov txhab. Cov kab mob no tshem tawm ntawm cov kiav txhab.
Tom qab lub qhov txhab huv si, koj tus kws kho mob yuav siv cov ris tsho kom lub qhov txhab ntub, ua kom lub qhov txhab zoo, thiab pab tiv thaiv kev kis kab mob. Muaj ntau yam sib txawv ntawm kev hnav ris tsho, nrog rau:
- Xov Xwm
- Ua npuas ncauj
- Txhawj ua
- Cov yeeb yaj kiab
Koj tus kws kho mob yuav siv ib lossis ntau hom kev hnav tsoos uas koj qhov txhab zoo huv lawm.
Hyperbaric Oxygen Kev Kho Mob
Ua raws li cov qhov txhab, koj tus kws kho mob yuav pom zoo kom kho hyperbaric oxygen. Oxygen yog qhov tseem ceeb rau kev kho mob.
Thaum kho qhov no, koj zaum sab hauv ib chav tshwj xeeb. Cov cua ntsig sab hauv lub chav cua yog txog ob thiab ib nrab zaus ntau dua qhov kev sib tw siab hauv qhov ntsuas cua. Qhov kev ntxhov siab no pab koj cov ntshav nqa oxygen ntau dua rau cov nruab nrog cev thiab cov nqaij hauv koj lub cev. Kev kho oxygen hyperbaric tuaj yeem pab qee qhov mob zoo sai.
Lwm Yam Kho Mob
Koj cov kws khomob yuav qhia lwm hom kev khomob, suav nrog:
- Compression vuam txwv ntev- Cov ntaub qhwv khov kho lossis cov ntaub qhwv zoo uas txhim kho cov ntshav thiab pab kho kom zoo.
- Ultrasound - siv lub suab tsis zoo los pab kho.
- Daim tawv nqaij - ib qho "tawv nqaij cuav" uas npog qhov txhab rau hnub ntawm lub sijhawm thaum nws kho.
- Txoj kev kho siab tsis zoo - rub cov pa tawm ntawm kev hnav khaub ncaws kaw, tsim kev nqus tsev. Qhov ntsuas tsis zoo los txhim kho ntshav khiav thiab rub tawm cov kua dej ntau dhau.
- Qhov zoo tshaj yuav cuam tshuam txoj kev kho - cov ntaub ntawv tsim los ntawm lub cev uas pab cov txhab ua kom zoo tuaj.
Koj yuav tau txais kev kho mob ntawm qhov txhab mob txhua lub lim tiam lossis ntau dua, nyob ntawm koj hom phiaj xwm kho.
Koj cov kws khomob yuav muab cov lus qhia txog kev saib xyuas koj cov qhov txhab tom tsev thaum mus ntsib. Nyob ntawm koj cov kev xav tau, koj kuj tseem yuav tau txais kev pab nrog:
- Noj zaub mov zoo, yog li koj tau txais cov khoom noj zoo uas koj xav tau kho
- Mob ntshav qab zib kho mob
- Kev haus luam yeeb cessation
- Kev tswj hwm qhov mob
- Kev kho lub cev
Koj yuav tsum hu rau koj tus kws kho mob yog tias koj pom muaj cov tsos mob ntawm kev kis mob, xws li:
- Liab
- O o
- Pus lossis los ntshav los ntawm lub qhov txhab
- Mob yuav mob heev tuaj
- Ua npaws
- Ua daus no
Siab mob rwj - qhov chaw zov me nyuam mob; Decubitus rwj - qhov chaw zov me nyuam mob; Mob plab hnyuv - chaw tu neeg mob; Cov qhov txhab phais - qhov txhab mob; Ischemic rwj - qhov txhab mob
de Leon J, Bohn GA, DiDomenico L, li al. Cov chaw zov mob: qhov kev xav tseem ceeb thiab cov tswv yim kho rau qhov mob. TwvCov. 2016; 28 (10): S1-S23. PMID: 28682298 pubmed.ncbi.nlm.nih.gov/28682298/.
Marston WA. Mob kiav txhab. Hauv: Siavy AN, Perler BA, eds. Rutherford's Kev Kho Mob Ntshav Qab Zib thiab Kev Kho Mob EndovascularCov. 9le ed. Philadelphia, PA: Elsevier; 2019: chap 115.
- Chaw Kho Mob
- Mob thiab raug mob