Thawj kauj ruam: tus menyuam puas xav tau khau?

2024 Tus sau: Seth Attwood | [email protected]. Kawg hloov kho: 2023-12-16 16:06

Peb coj tuaj rau peb cov neeg nyeem ib qho kev txhais ntawm ib qho excerpt los ntawm phau ntawv "Pediatric orthopedic secrets". Nws tus sau yog Lynn Stahely, MD. Koj tuaj yeem nyeem ntxiv txog nws ntawm no (ua raws qhov txuas - biography hauv Lus Askiv).

Tshooj 20. Cov khau rau menyuam yaus

1. Puas yog ib txwm muaj rau menyuam yaus taug kev yam tsis muaj khau?

"Tsis muaj khau" yog ib qho mob thiab noj qab nyob zoo rau ko taw txhua hnub nyoog. Cov neeg uas taug kev tsis muaj taw muaj zog ob txhais ceg thiab tsis tshua muaj ko taw deformities dua li cov neeg hnav khau. Nkawm khau kuj tuaj yeem ua rau muaj teeb meem ntawm daim tawv nqaij xws li plantar hydradenitis thiab kev tsis haum tshuaj.

2. Puas muaj txiaj ntsig los ntawm khau?

Zoo li lwm yam khaub ncaws, tib neeg hnav khau rau kev zoo nkauj thiab kev tiv thaiv. Nkawm khau tiv thaiv ko taw los ntawm kev sib cuag nrog cov khoom txias thiab ntse, thiab tseem nkaum ko taw ntawm lub qhov muag ntawm cov neeg uas tsis nyiam qhov pom ntawm taw liab qab.

3. Kev hnav khau tuaj yeem ua rau muaj kev phom sij li cas?

Nws nyob ntawm hom khau. Cov khau tawv tawv ua rau cov ko taw tsis muaj zog thiab ua rau muaj qhov tshwm sim ntawm ko taw ncaj. Cov khau nruj tuaj yeem ua rau deformities hauv ko taw.

4. Puas yog qhov nres xav tau kev txhawb nqa thaum lub sijhawm tsim?

Tsis muaj. Cov khau txhawb nqa txwv txoj kev txav ntawm ko taw, ua rau nws tsis muaj zog thiab ua rau lub tiaj tiaj ntawm ko taw. Cov ko taw yuav tsum tsis txhob rub tawm kom txav mus los thiab txhim kho kev txav mus los thiab lub zog. Pom zoo, nws yuav tsis txaus ntseeg los muab lub hnab looj tes nruj ntawm koj txhais tes?

5. Cov khau puas tuaj yeem ua haujlwm "kho"?

Cov khau tsis muaj "kho" ua haujlwm thiab tsis tau pab kho qhov deformation.

6. Thaum twg tus menyuam yuav tsum xaiv lawv thawj nkawm khau?

Feem ntau, cov niam txiv yuav lawv tus menyuam thawj nkawm khau nyob rau hauv thawj xyoo ntawm nws lub neej. Nws yog ib qho teeb meem ntawm qhov yuav tsum tau muab rau tus menyuam. Nyob hauv tsev, tus menyuam yuav ua siab mos muag nrog cov thom khwm. Cov khau mos tuaj yeem hnav ntawm tus menyuam kom zoo nkauj lossis tiv thaiv ko taw thaum taug kev.

7. Cov khau twg yog qhov zoo tshaj plaws rau menyuam yaus?

Cov khau mos, hloov tau yooj yim ua haujlwm zoo tshaj plaws. Txij li thaum me nyuam mos ob txhais ceg yog chubby, khau siab-toed tuaj yeem ua ke - tsuas yog vim lawv nyob ntawm ko taw zoo dua.

7. Cov khau twg yog qhov zoo tshaj rau cov hluas?

Nkawm khau nrog zoo poob siab pab kom tsis txhob raug mob overstrain. Shock cushioning khau ua rau taug kev yooj yim dua.

8. Hom khau twg yuav tsum zam?

Niaj hnub no, cov menyuam yaus khau tau ua zoo dua li lawv tau ua. Tapered toes thiab heels siab rau cov ntxhais thiab cowboy khau looj plab hlaub rau cov tub yog cov teeb meem tseem ceeb tam sim no. Nyob rau hauv cov khau nrog ib tug tsa ceg, ko taw swb rau pem hauv ntej thiab cov ntiv taw yog nyem rau hauv lub qhov ntswg nqaim. Qhov no tuaj yeem ua rau tsis xis nyob, calluses, deformities ntawm cov ntiv taw thiab teeb meem nrog pob ntawm ko taw.

9. Cov yam ntxwv ntawm cov khau zoo li cas?

Cov khau zoo tshaj plaws yog ib qho uas coj ko taw los ze zog rau cov khau khau.

Nws yuav tsum:

* Ua tau yooj yim. Nkawm khau yuav tsum tso cai rau ko taw kom txav tau yooj yim li sai tau. Txhawm rau kuaj xyuas, xyuas kom tseeb tias koj tuaj yeem yooj yim khoov koj cov khau xaiv hauv koj txhais tes.

* Muaj ib lub tiaj tiaj. Tsis txhob siab heels, uas cov ko taw swb mus rau pem hauv ntej, vim tias cov ntiv taw tuaj yeem deformed.

* Ua raws li cov contours ntawm ko taw. Tsis txhob nruj qhov ntswg thiab lwm cov duab uas tsis yog qhov zoo li qub ntawm ko taw.

* Muaj lub taub hau zoo. Nws yog qhov zoo dua rau khau kom loj dua me me.

* Muab qhov chaw tuav txog tib yam li tawv. Cov khau khau khiab dhau los yog qhov sib txawv, cov khau khiab ntau dhau, tus menyuam yuav poob. Sim zawv zawg cov khau ntawm koj cov khau xaiv rau ntawm qhov chaw tiaj tus, tom qab ntawd sib piv cov kev xav los ntawm kev khiav koj txhais tes hla tib qhov chaw. Lub plam kuj yuav tsum yog kwv yees li qub.

11. Koj ua li cas thiaj paub tias nkawm khau tshiab yog qhov loj rau koj tus menyuam?

Nws yuav tsum tau xis, thiab yuav tsum muaj chaw rau kev loj hlob ntawm ko taw, kwv yees li qhov sib npaug ntawm qhov dav ntawm tus ntiv taw. Nws yog qhov zoo dua yog tias khau me ntsis loj dua li me me. Qee zaum khau tau muag yam tsis muaj qhov tseem ceeb hauv qhov ntev, uas txo qis lawv lub neej muaj txiaj ntsig.

12. Kuv tus menyuam yuav tsum yuav nkawm khau tshiab npaum li cas?

Cov me nyuam loj hlob sai, thiab ib tug me nyuam yuav luag ib txwm loj hlob ntawm ib tug khau ua ntej lub khau yuav tawm. Kev loj hlob ntawm ko taw tshwm sim ntawm tus nqi nrawm dua li kev loj hlob ntawm tus so ntawm lub cev, thiab xaus rau thaum hluas.

13. Cov menyuam nkawm khau puas siv tau rau cov kwv yau?

Koj tuaj yeem tau txais cov khau qub. Qhov sib txawv me ntsis ntawm cov duab ntawm cov khau yuav tsis ua mob rau tus menyuam yaus ko taw. Txawm li cas los xij, cov kab mob fungal tuaj yeem kis tau los ntawm cov khau khau.

14. Tus nqi siab ntawm nkawm khau puas tau lees tias cov khau no yog qhov zoo tshaj plaws rau tus menyuam?

Yog tias cov khau ua tau raws li tag nrho cov qauv uas peb txhais cov khau ua "zoo", tus nqi tsis tseem ceeb. Nws yog ib qho tseem ceeb los hais txog qhov no rau cov niam txiv, vim qee tus nyiam sib npaug ntawm kev saib xyuas niam txiv zoo uas tus menyuam tau txais thiab qhov zoo ntawm nkawm khau.

15. Yog tias nkawm khau hnav asymmetrically, qhov no puas qhia tau tias tus menyuam muaj teeb meem ko taw?

Tsis tsim nyog. Thaum nkawm khau hnav asymmetrically, saib ko taw ntawm ib tug me nyuam. Nws feem ntau tshwm sim hais tias nyob rau hauv cov me nyuam uas zoo li ib txwm ko taw, khau hnav tsis sib xws.

16. Cov khau tawv tawv, orthoses lossis orthotics tuaj yeem tiv thaiv lossis kho ko taw tiaj tus?

Tsis muaj. Yav dhau los, nws tau dav ntseeg tias ko taw xav tau kev txhawb nqa thiab lub ko taw ntawm ko taw yuav sag yog tias tsis muaj dab tsi muab tso rau hauv nws. Peb tam sim no paub tias lub tswv yim no tsis yog lawm. Qhov tseeb, cov khau tawv tawv txhawb nqa ko taw ncaj. Raws li koj xav tau, khau tawv, txwv kev txav ntawm ko taw, ua rau nws tsis muaj zog. Qhov tshwm sim ntawm qhov tsis muaj zog no yog qhov poob ntawm dynamic tivthaiv ntawm arch support nyob rau hauv lub flattened ko taw.

17. Puas yog kev txhawb nqa koov thiab orthopedic inserts pab daws qhov teeb meem ntawm clubfoot?

Tsis muaj. Yav dhau los, suav tsis txheeb cov menyuam yaus tau hnav ntau yam orthopedic inserts los kho cov kev hloov pauv hloov. Thaum peb ua ib txoj kev tshawb fawb siv cov hlua khau sib txawv thiab ntsuas lawv cov txiaj ntsig ntawm lub forefoot adduction lub kaum sab xis, peb pom tias kev siv cov hlua khi tsis muaj kev cuam tshuam ntau npaum li cas tus me nyuam lub forefoot tau flexed hauv lossis tawm.

18. Puas yog kev txhawb nqa instep thiab orthopedic inserts pab daws qhov teeb meem ntawm O-shaped thiab X-shaped curvature ntawm ob txhais ceg?

Tsis muaj. Yav dhau los, orthopedic insoles feem ntau tau muab tshuaj rau cov menyuam yaus los kho cov mob no. Peb tam sim no paub tias kev txhim kho ntawm ceg ceg ntawm cov xwm txheej no yog qhov tshwm sim ntawm kev loj hlob ntawm ntuj tsim.

19. Puas yog orthoses pab daws cov pob kws hauv cov menyuam yaus?

Tsis muaj. Lawv lub hwj chim tau raug tshawb xyuas, thiab cov txiaj ntsig ntawm kev tshawb fawb tau pom tias lawv tsis muaj txiaj ntsig rau lub hom phiaj no.

20. Kev muab cov khau rau menyuam yaus tuaj yeem ua rau muaj kev phom sij?

Yog lawm. Cov khau hloov kho feem ntau tsis xis nyob, cuam tshuam rau tus menyuam qhov kev ua si, thiab tuaj yeem ua rau tus menyuam txaj muag ntawm lawv qhov tsos. Ntxiv rau txhua yam, kev siv cov khau zoo li no tuaj yeem ua rau menyuam yaus lub tswv yim hais tias ib yam dab tsi tsis ncaj ncees lawm nrog nws, tias nws yog qee yam phem dua li lwm tus. Peb pom tias cov neeg laus uas hnav khau hloov raws li cov menyuam yaus muaj kev hwm tus kheej ntau dua li cov uas tsis muaj. Lawv nco qab qhov kev paub ntawm hnav xws li gadgets li tsis kaj siab.

21. Puas yog orthopedic liners pab txo qhov hnav thiab tsim kua muag ntawm cov khau?

Qee zaum. Liners xws li khob-shaped heel liners tuaj yeem pab cov khau ntev. Tus nqi siab, tsis xis nyob, tsis yooj yim rau tus menyuam thiab muaj feem cuam tshuam rau tus menyuam tus kheej daim duab ua rau txoj hauv kev no los daws qhov teeb meem ntawm kev hnav thiab tsim kua muag ntawm nkawm khau muaj lus nug. Feem ntau, qhov kev xaiv zoo tshaj plaws rau cov niam txiv yog mus yuav cov khau ntev dua.

22. Thaum twg orthopedic inserts yuav pab tau?

Orthopedic inserts thiab orthoses tuaj yeem pab faib cov khoom thauj ntawm ib leeg ntawm ko taw. Rau cov menyuam yaus uas tsis muaj zog, deformed ko taw, orthoses muab tso rau hauv qhov projections ntawm ko taw tuaj yeem pab tau. Qhov no tuaj yeem muaj txiaj ntsig zoo tshaj plaws rau cov menyuam yaus nrog clubfoot, uas thaj chaw hauv qab 5th metatarsal sib koom ua ke yog overloaded.

23. Puas yog cov pob txha txhawb nqa lossis orthoses pab nrog qhov mob neuralgic uas yuav tshwm sim hauv cov ceg ntawm tus menyuam loj hlob?

Qhov ntawd yog lub ntsiab lus moot. Cov mob no tshwm sim thiab feem ntau daws lawv tus kheej lub sijhawm tsis muaj kev kho mob. Lub peev xwm ntawm orthoses los hloov lub ntuj keeb kwm ntawm kev loj hlob yeej tsis tau kawm. Kuv tsis siv braces rau qhov mob loj zuj zus vim tias muaj peev xwm ua rau muaj kev phom sij ntev rau tus menyuam, tus nqi rau tsev neeg, thiab tsis ntseeg txog lawv cov txiaj ntsig.

24. Yog tsev neeg hais kom kho li cas?

Sau txoj kev noj qab nyob zoo rau tus menyuam (ua kom lub cev ua si, txwv lub sijhawm tus menyuam siv rau pem hauv ntej ntawm lub vijtsam TV, zaub mov noj qab haus huv, thiab lwm yam). Zam kev cuam tshuam kev siv tshuab, xws li lawv tuaj yeem tsis tsuas yog qhov tsis zoo rau tus menyuam, tab sis kuj muaj kev cuam tshuam rau lub siab ntev rau nws.

Cov kev xav ntawm cov kws tshaj lij txawv teb chaws rau qhov teeb meem no:

Dr. Lisa C. Moore, Tus Kws Kho Mob ntawm Chiropractic

Thaum lub sijhawm txhim kho pedicle, nws yog ib qho tseem ceeb uas cov pob txha, cov leeg, cov hlab ntsha thiab cov hlab ntsha tuaj yeem loj hlob yam tsis muaj kev txwv.

Thaum thawj kauj ruam, nws yog ib qho tseem ceeb uas yuav tsum tuav tus me nyuam ntiv tes rau hauv pem teb kom tus me nyuam muaj kev tswj hwm thiab faib nws qhov hnyav. Yog tias ob txhais taw qhwv hauv khau tawv, cov ntiv taw tsis tuaj yeem ua haujlwm, thiab yog li cov leeg ntawm ko taw thiab pob taws tsis tuaj yeem tsim lub zog tsim nyog los txhawb lawv.

Thoob plaws hauv lub neej, kev noj qab haus huv ntawm ko taw nyob ntawm nkawm khau. Yog tias ib tug neeg hnav khau nruj heev, cov pob txha tsis tuaj yeem txav mus los ywj pheej, thiab vim li ntawd, kev mob caj dab tuaj yeem tshwm sim.

Raws li tus kws kho mob, kuv tuaj yeem hais tias ob txhais ceg noj qab haus huv cuam tshuam rau txhua pob qij txha saum toj no, suav nrog tus txha nraub qaum. Poob ko taw los yog cov pob txha metatarsal tuaj yeem ua rau qhov tsis sib xws hauv cheeb tsam pelvic. Yog li ntawd, thawj kauj ruam ntawm tus me nyuam tseem ceeb heev.

Lub qhov muag muag tso cai rau tus menyuam kom hnov qhov siab tshaj plaws ntawm kev sib cuag nrog hauv pem teb, thiab tseem txhim kho pob taws thiab pob txha. Qhov no tsim lub hauv paus ruaj khov rau kev tsim cov pob txha thiab cov leeg ntawm lub cev, tshwj xeeb tshaj yog cov txha nraub qaum."

Dr. Carol Frey, Associate Clinical Professor of Orthopedic Surgery, Manhattan Beach, California

Rau txoj kev loj hlob ntawm ob txhais ceg, ib tug neeg tsis xav tau khau. Taug kev yuav tsum muaj kev sib txuas lus tas li ntawm lub hlwb thiab ob txhais ceg. Cov hlab ntsha hauv qab ntawm ko taw yuav tsum hnov hauv av thiab xa cov cim rau lub hlwb uas pab nws faib qhov hnyav kom raug nrog txhua kauj ruam tshiab. Cov khau tawv-soled ua rau daim ntawv cog lus no.

Nkawm khau tsis tsim nyog los txhawb thiab txhim kho lub koov ntawm ko taw, lawv tsuas yog tiv thaiv tus menyuam ko taw ntawm ib puag ncig. Cov menyuam yaus ua lawv thawj cov kauj ruam yuav tsum tsuas yog hnav khau khiab lossis thom khwm sov kom lawv ob txhais taw sov. Thaum lawv nyob hauv ib qho chaw nyab xeeb, kev taug kev tsis muaj zog yog qhia. Qhov no tso cai rau koj los txhim kho cov leeg nqaij kom muaj zog thiab sib koom ua ke ntau dua."

Tshaj tawm los ntawm kev xam phaj nrog lub taub hau ntawm Australian Pediatric Association

"Cov menyuam yaus cov pob txha mos heev thiab tsis yooj yim, lawv tau yooj yim compressed, thaum tus menyuam tsis hnov mob, txawm tias raug mob …"