Cov kev kho tsis yog phais yuav muaj teeb meem ntau dua, tiam sis yuav muaj kev pheej hmoo siab dua
Puas yog kev kho tus mob Achilles tendon rupture zoo dua lwm txoj kev kho phais? Qhov no tau raug tshuaj xyuas ntxiv lawm txij li thaum txoj kev tshawb fawb ntawm phau ntawv Journal of Bone and Joint Surgery tau pom zoo kom kho kev kho rau cov pob txha mob pob txha uas tsis kho qhov chaw kho mob rau ntau tus neeg mob.
Txij thaum luam tawm ntawm qhov kev tshawb fawb, lwm cov kev tshawb fawb tau piv ob thiab feem ntau xaus tias kev phais muaj qis dua ntawm rov tawg, tiam sis muaj feem ntau dua cov teeb meem rau cov kab mob sib sib zog nqus, tsis hnov zoo li cov caws pliav, thiab cov tsos mob ntawm lub plab.
Txoj kev kho kom zoo dua yog qhov zoo tshaj plaws rau cov neeg mob uas muaj kev pabcuam kev kho mob nrog rau kev kho thaum ntxov thiab cov laus uas laus dua. Qhov no yuav yog ib lub ntsiab lus ntawm kev sib cav tswv yim. Ntawm no yog cov ntsiab lus ntawm cov kev tshawb fawb kom koj tuaj yeem tham nrog qhov no nrog koj tus kws kho mob yog tias koj muaj cov pob txha caj npab.
Cov Khaub Ncaws Tsis Tuaj Cov Tshuaj Tuas Tendon Rupture
Txoj kev tshawb no hauv 2004 tau ua tiav qhov kev tshwm sim ntawm peb lub xyoos ntawm cov neeg mob uas ua tiav ruptures ntawm cov pob txha hlwb uas tau raug kho nrog cov kev ua tsis yog phais. Yim caum-feem pua ntawm lawv tau qhia tias "zoo heev" lossis "zoo". Cov txiaj ntsig tau zoo tshaj qhov zoo li ib pab pawg neeg uas muaj kev kho phais.
Txoj kev kho mob uas tsis yog phais neeg tau siv cov neeg mob hnav lub nras pov tseg luv luv, thiab hloov mus rau ib qho kev sib tsoo thiab thaum kawg rau lub xauv nrig, tshem tawm uas tau hnav ib lub hlis. Tso kev kho mob rau kev ua tiav Achilles lub kua muag yeej ib txwm muaj kev phais mob lub pob luj taws nrog lub pov thawj thaum lub sij hawm kho.
Nyob rau hauv txoj kev tshawb no, cov neeg mob tau immobilized rau lub sij hawm luv luv thiab ces tau tawm lub brace thiab ua rehab ce.
Cov kws tshawb nrhiav tau pom tias yuav luag txhua qhov (91 feem pua) ntawm cov neeg mob uas tau koom nrog kev ua kis las ua ntej lawv raug mob rov qab mus ua kis las. Lawv kuj qhia txog qis dua teeb meem dua nrog kho phais.
Lawv qhov kev txiav txim siab yog tias qhov kev kho mob tshiab no yuav tsum yog kev kho mob thaum xaiv cov kws kho mob thiab cov kws kho mob tau kawm thiab tau txais kev pom zoo hauv txoj kev cai no.
Dab tsi yog zoo dua - Kev phais lossis kev kho mob tsis zoo rau cov pob txig Tendon tawg?
Ib qho kev ntsuas ntawm 10 qhov kev sim randomized hauv xyoo 1980-2011 tau pom tias kev kho mob kho kom zoo dua qhov kev kho mob tsis tiv thaiv kev tiv thaiv kev rov tawg thiab rov ua hauj lwm yav dhau los, tiam sis nws muaj feem ntau ntawm cov teeb meem. Tab sis ob qho tib si ua hauj lwm thiab cov neeg mob uas tsis ua hauj lwm tau muab tib co nqi xa rov qab mus rau cov kev ua si uas lawv nyiam ua ntej lawv raug mob.
Lwm meta-tsom xam ntawm yim kev sim tau pom tib cov ntsiab lus. Lawv xaus lus tias txoj kev kho mob yuav zoo dua rau cov neeg mob uas muaj lub cev zoo thaum lub sij hawm kho tsis zoo yog qhov zoo tshaj rau cov laus.
Kev Kho Mob Ua Haujlwm Tej Zaum Ua Tau Qhov Sib Tham Txog Kev Xaiv Tus Khoos Phem Saib Xyuas
Yog tias koj muaj koj cov leeg pob txha tawm hauv qhov chaw kho mob uas siv cov kev kho kom zoo, cov kev pabcuam uas tsis yog phais plab yog qhov kev xaiv zoo. Ib txoj kev ntsuas ntawm 10 txoj kev tshawb pom tau pom tias thaum kho mob nrog kev sib tham nrog cov txheej txheem thaum ntxov-kev-sib cav, qhov kev pheej hmoo rov tuaj yeem yog tib yam li rau cov neeg mob phais mob, tsis muaj kev pheej hmoo siab ntxiv rau kev kho mob phais.
Yog tias tsis muaj kev pabcuam kev kho mob, ces kev phais yog qhov kev xaiv zoo tshaj.
Qhov chaw:
> Jiang N, Wang B, Chen A, Dong F, Yu B. "Operative Versus Nonoperative Treatment for Acute Achilles Tendon Rupture: Ib qho Meta-Analysis Raws Li Tawm Ntawv Tamsim No." Thoob Ntiaj Teb Tebchaws Orthopedics 2012; 36 (4): 765-773.
> Soroceanu A, Sidhwa F, Aarabi S, Kaufman A, Glazebrook M. Surgical Versus Nonsurgical Kev Kho Mob ntawm Acute A > chilles > Tendon Rupture: Ib qho Meta-Analysis ntawm Randomized Trials. Phau Tshuaj ntawm Cov Pob txha thiab Lees Phais. American ntim 2012; 94 (23): 2136-2143
Wallace RG, thiab. al "Muab Conservative Conservative thiab Orthotic Management ntawm Acute Ruptures ntawm Achilles Tendon." J Bone Joint Surg Am. 2004 Jun; 86-A (6): 1198-202.
Wilkins R, Bisson LJ. Operative Versus Tsis siv cov kev kho mob ntawm cov kab mob Hloog Tendon Tendon: Ib Quantitative Systematic Rov Saib Xyuas Cov Kev Xaiv Los ntawm Cov Neeg Tsis Taus. American Journal of Sports Medicine 2012; 40 (9): 2154-2160.
> Zhao HM, Yu GR, Yang YF, Zhou JQ, Aubeeluck A. Outcomes thiab Teeb Meem ntawm Operative Versus Non-Operative Kev Kho Mob Tsis Tuaj Kho Mob Tendon Rupture: A Meta-Analysis. Xov Xwm Suav Kho Mob 2011; 124 (23): 4050-4055.