Kev sib txawv hauv kev loj hlob ntawm cov taw muaj txog 40% ntawm cov menyuam hnub nyoog qis dua 4.5-5 xyoos. Feem ntau, cov menyuam yaus raug kuaj pom deevity valgus. Nrog cov kab mob no, tus me nyuam txhais taw yog lub tiaj thiab zoo li poob mus rau ib leeg. Sab nraud ntawm tus taw yog me ntsis tsa. Yog tias koj saib tus menyuam ob txhais ceg los saum toj no, lawv ua daim ntawv X.
Valgus ko taw deformities rau cov menyuam yaus - ua rau
Qhov sib txawv tshwm sim no tshwm sim vim tsis tsim kab ligaments nyob rau hauv qab xib taws. Nyob hauv kev cuam tshuam ntawm lub cev nqus ntawm lub cev lawv deform, cov pob txha muaj displaced thiab khoov. Valgus ko taw hauv tus me nyuam yog tsim rau ntau yam, uas tau muab faib ua 2 pawg:
- congenital;
- nrhiav.
Congenital valgus deformation ntawm tus taw
Qhov teeb meem tsim nyob rau lub sij hawm ntawm intrauterine tsim ntawm fetal nqua. Caij nplooj ntoos zeeg-ntses plig yog tshwm sim vim qhov chaw tsis zoo thiab kev loj hlob ntawm pob txha. Tsawg dua, nws khoov tawm tsam tom qab ntawm pob txha dam thiab mob plab hnyuv. Valgus deformation ntawm ko taw hauv cov me nyuam yug los muaj tus mob tom qab yug me nyuam los yog thawj lub hlis ntawm tus me nyuam lub neej. Nyob rau theem no nws yog ib qho yooj yim los kho tus duab ntawm tus taw, tig nws qhov siab thiab yog khoov rau khoov.
Tau deformation de taw
Hom kab mob pathology no tshwm sim los ntawm sab nraud ua rau muaj mob rau lub cev musculoskeletal. Ua ntej, lub cev deevity hauv cov menyuam yaus tsis pom zoo. Cov lus qhia txog qhov teeb meem raug pom thaum muaj hnub nyoog 10-12 hlis, thaum me nyuam tab tom taug kev nyob ib leeg. Caij-nqi qis nres ntawm tus me nyuam ntawm hom kev tsim tau rau cov hauv qab no:
- prematurity ;
- tsis muaj zog ntawm cov ntaub so ntswg;
- mob hnyav, kis ntawm tus menyuam thaum ntxov ( bronchitis , mob ntsws, SARS, thiab lwm tus);
- tsis pom kev zoo ntawm cov nqaij ntshiv;
- rickets ;
- myodystrophy;
- tshuaj tiv thaiv kab mob poliomyelitis ;
- cerebral palsy;
- polyneuropathy;
- kev raug mob kho thiab kev pob txha ntawm qhov ceg ntoo nrog lub caij ntev ntawm qhov cam;
- rog;
- dhau thaum ntxov teem tus me nyuam rau ntawm txhais ceg, ntxov ntxov sim qhia nws taug kev;
- tsis xaiv khau;
- tsis muaj kev sib haum xeeb;
- deficiency ntawm calcium hauv lub cev;
- unbalanced, khoom noj khoom haus meager;
- endocrine kab mob.
Cov cim qhia ntawm lub hauv paus taw kev hauv cov menyuam yaus
Cov tsos mob ntawm cov lus piav qhia ntxov tau pom nyob ze rau thawj xyoo ntawm tus menyuam lub neej. Cov niam txiv pom tias tus menyuam thaum mus taug kev tsis cia siab rau tag nrho ko taw, tab sis tsuas yog ntawm nws sab hauv. Qhov txawv ntawm qhov hloov ntawm ob txhais taw los ntawm kev noj qab haus huv txhais tau hais meej hauv daim duab hauv qab no. Cov cim qhia ntawm pathology nyob ntawm seb cov neeg kawm ntawv qib siab ntawm cov lus taw qhia ntawm cov taw ntawm cov menyuam yaus:
- Ib qho yooj yim theem yog ntxwv los ntawm flattening ntawm ob txhais ceg tsis muaj teeb meem tumbling ntawm taw. Lub kaum sab xis ntawm lub qij taws ntawm ib txoj kab ncaj nraim mus rau ntawm pob taws yog mus txog 15 degrees.
- Valgus deformation ntawm ko taw hauv cov me nyuam uas muaj qhov hnyav heev kuj tau nrog nws sib zog ntawm cov taw, tab sis lawv tau littered sab hauv los ntawm 15-20 degrees.
- Qhov loj heev ntawm tus kab mob txuas nrog ib tug qhia tau tias plawg taw thiab ib lub voj loj ntawm deflection ntawm lub qij taws - 20-30 degrees.
- Ib qho tsis tshua muaj neeg tsis tshua muaj tshwm sim los ntawm lub zog ntawm tus taw ntawm tus taw. Lub pob luj taws yog ntau tshaj 30 tswm sim.
Tsis muaj cov tsos mob ntawm cov kev txhim kho:
- clumsy, shuffling kev sib tw;
- ceev ceev qaug zog thaum khiav thiab dhia ua si;
- tsis kaj siab nyob rau hauv thaj tsam ntawm lub shins;
- capriciousness, irritability ntawm tus me nyuam.
Valgus deformity ntawm ko taw nyob rau hauv cov me nyuam - kev kho mob
Txoj kev kho yog xaiv ib tus zuj zus rau txhua tus me nyuam raws li kev soj ntsuam ntawm cov kab mob pathology. Muaj 2 qho kev xaiv uas kom tsis txhob muaj cov plhaub qaum-plab deformities ntawm cov taw ntawm cov menyuam yaus - kev kho yuav ua tau los ntawm txoj kev tsis yog phais thiab kev khiav haujlwm. Hauv thawj rooj plaub, kev kho yuav tsum hnav cov pob txha tshwj xeeb orthopedic thiab nkawm khau, zaws, kev kho lub cev. Kev kho phais nyhav yog tsis tshua pom zoo (li ntawm 7% ntawm cov me nyuam mos liab), thaum tus txheej txheem tsis ua hauj lwm tsis ua hauj lwm los yog muaj tus kab mob no tau kuaj pom nyob hauv theem nyuaj.
Orthopedic nkawm khau rau cov me nyuam uas muaj lub cev deformity
Nkawm khau thiab khau khiab rau tus me nyuam uas muaj qhov teeb meem raws li kev txiav txim siab tsuas yog ua kom yuam. Orthopedic nkawm khau nrog valgus deformity yog tsim los ntawm tus neeg ntiag tug los yog cov kev ntsuam xyuas txhua yam, uas tus kws kho mob ua. Nws yog ib qho tsis tsim nyog yuav tau cov khoom xws li ntawm nws tus kheej. Ntau pawg ntawm khau yog ua nyob rau qhov nruab nrab tsis uas tsis sib haum mus rau ib qho tshwj xeeb ntawm kev sib txawv thiab sib zog ntawm cov taw.
Nrog kev pab ntawm ib nkawm khau khau los yog khau, qhov kev nres tsheb nres tsis kho nyob rau hauv tus menyuam - qhov kev kho yuav ua rau lawv hnav ntev ntev. Txoj kev loj hlob ntawm cov ceg thiab qhov rov qab txhim kho ntawm lawv cov qauv yuav tsum tau hloov lub sijhawm tshiab ntawm cov khau. Koj tsis tuaj yeem yuav nws rau lub neej yav tom ntej lossis hnav qis me me. Cov ntiv taw ntawm tus menyuam yuav tsum khov kho nyob rau sab qis dua ntawm lub lauj kaub, thaj tsam ntawm pob taws thiab qhov thom khwm.
Cov tub ntxhais hluas rau cov me nyuam deev nyob hauv cov quav
Cov khoom no yog tsim, zoo li khau, nruj me ntsis ib tus zuj zus. Kho cov kev kho plab ntawm cov taw ntawm lub taw mus txog ntau theem ntawm qhov yooj yim yooj yim. Qhov loj, cov duab ntawm cov insoles thiab lub thickness ntawm tus thawj txhawb yuav tsum tau xaiv nyob rau hauv raws li cov degree ntawm flattening ntawm txhua tus ko taw thiab lub kaum ntawm nws sib txawv. Tsawg me nyuam deev nyob rau hauv cov menyuam yaus raug kho sai sai, nws yuav siv 3-5 ntawm cov khoom siv. Nrog rau kab mob mus rau ib tus kab mob loj heev, nws yog ib qho tseem ceeb uas yuav tsum tau hloov lub qhov tso rau ntau xyoo.
Zaws nrog valgus deformities ntawm ko taw hauv cov me nyuam
Kev tuav tswj kev kho plays lub luag haujlwm tseem ceeb heev hauv kev kho cov kab mob pathology. Cov txheej txheem yuav tsum tau ua los ntawm ib tus kws tsim tshwj xeeb. Cov niam txiv tuaj yeem ua tib zoo nqa tawm zom zaws nrog valgus deformity nkaus xwb tom qab kawm nrog tus kws kho mob kev cob qhia. Manipulation yuav ua haujlwm rau cov nqaij ntshiv:
- rov qab;
- sacrum thiab duav;
- pob tw;
- hips;
- shins;
- pem hauv ntej saum npoo ntawm ob txhais ceg.
Thaum lub sij hawm zaws, mob siab kho mob ntawm cov pob qij txha raug ua nyob rau hauv parallel. Ua tiav txoj kev ntawm cov txheej txheem contributes:
- kev txhim kho cov hlab ntsha;
- normalization ntawm ko taw mobility;
- kev ntxiv dag zog ntawm cov quav corset;
- raising lub suab nrov ntawm lub cev.
Cov ntaub nplaum lo ntaub nplaum nrog lub hauv paus taw kev rau cov menyuam yaus
Qhov khoom siv no yog siv los ua ib qho kev pab cuam kev tawm tswv yim. Lub txaj nplhaib pab tau:
- kho qhov siab ntawm lub koov ntawm ko taw;
- nce ntshav kev;
- nce qhov yooj yooj yim thiab qhov ntawm lub taw;
- los rhuav tshem ntawm kev hnov mob thaum lub sijhawm taug kev thiab khiav.
Qhov loj ntawm irregularities thiab protrusions nyob rau accessory yog xaiv raws li lub hnub nyoog ntawm crumb thiab lub ceev nrog uas flat-valgus deformation nce. Rau cov menyuam yaus tshaj 3 xyoos nws yog qhov zoo dua los yuav ib lub ntaub pua taw rooj nrog me me thiab me me, nyob ze rau ib leeg. Ib tug me nyuam loj dua lub hnub nyoog tau pom tias yuav tsum khiav ntawm ntau lub pob nyem nrog cov lus tsis zoo uas ua rau simulating shells lossis hiav txwv pob zeb.
LFK nrog valgus deformities ntawm ko taw hauv cov me nyuam
Lub gym yuav tsum raug nquahu los ntawm tus kws kho mob lossis tus kws kho mob raws li kev soj ntsuam ntawm lub cev, hnub nyoog thiab lub peev xwm ntawm tus menyuam. Nws yog ntshaw tias qhov kev kho tseem ceeb ntawm valgus deformity nrog kev pab los ntawm kev kawm lub cev yog ua nyob rau hauv kev taw qhia ntawm ib tus kws paub hauj lwm. Nyob hauv tsev, koj tuaj yeem ua tau yooj yim gymnastics, uas muab cov lus qhia hauv lub cev rau hauv daim ntawv ua si. Yooj yooj yim nrog valgus ko taw deformities nyob rau hauv cov me nyuam:
- taug kev ntawm lub pob zeb, cov khoom me me, hlua ntaiv;
- kev ntes cov khoom me me los ntawm toes ntawm tus taw - ib tug cwj mem, khaub hlab, nyiaj npib;
- yob-dhau ntawm lub dov hlua, pob;
- teeb duab nrog koj cov ntiv taw;
- "Goose step" - tsiv, khawm;
- taug kev nrog kev txhawb sab hauv thiab txheej sab hauv ntawm ko taw, ntawm cov ntiv taw, luj taws;
- "Khej" - tus me nyuam mus rau nws txhais tes, niam txiv tuav nws ob txhais ceg;
- squats los ntawm ib txoj hauj lwm teev (hla) rau ntawm ib lub pas dej (yuav hloov los ntawm ib tug cwj mem).
Valgus deformity ntawm tus taw - kev lag luam
Cov hnub nyoog yau rau kev phais mob yog 8-12 xyoos. Lub lag luam yog taw yog tias lub plhaub taum plab-valgus deformity ntawm ko taw hnyav-taw ko taw yog kuaj nrog lub qhov sib txawv ntawm ntau tshaj 30 degrees. Tus kws phais neeg nyias xaiv nyias cov kev kho mob zoo tshaj plaws thiab tsis tshua muaj me ntsis. Lub plab deev ntawm cov taw ntawm cov menyuam yaus raug kho los ntawm cov haujlwm hauv qab no:
- strengthening cov leeg ntawm cov nqaij tib leeg posterior;
- subtalar arthroesis;
- qhov ntev ntawm Cov Pob Tseg Nqa;
- theem-by-step application ntawm sab nraud fixation pab kiag li lawm.