Orthopedics. Tsis paub thiab tsis khuv xim

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

Kuv ceeb toom rau koj tam sim ntawd tias kuv lub tswv yim yog tsis muaj kev tshaj lij, tsis muaj peev xwm, kev xav thiab, pom meej, tsis muaj npe nyob hauv Russia. Kuv tsuas yog Masha xwb, leej twg tuaj yeem google, txheeb xyuas cov ntaub ntawv thiab saib cov khau zoo li cas cov menyuam yaus ntawm cov neeg txawv tebchaws hnav. Thiab kuv xav qhia rau koj hais tias, ntxiv rau lub teb chaws lub tsev kawm ntawv ntawm orthopedics, muaj ib co lwm yam ntsiab lus ntawm view thiab lawv muaj ntau heev thoob plaws lub ntiaj teb no civilized.

Koj tuaj yeem cog lus, koj tuaj yeem tsis pom zoo, koj tuaj yeem txiav txim siab kuv tus neeg ruam, koj tuaj yeem ua pa tswm ciab, koj tuaj yeem ua tsaug, Kuv tseem tsis muaj lub luag haujlwm rau kuv cov lus)

Txhua tus kws kho mob orthopedist hauv Varina lub neej tau hais tias: qhov chaw tiaj tus-valgus tso rau ntawm ko taw. Kho khau, zaws, qoj ib ce kho mob”. Tshwj xeeb tshaj yog sophisticated sawv daws pom zoo paraffin siv quav ciab, hluav taws xob stimulation, sawv ntawm peas, txiav tawm cov khau khiab khau khiab downhill.

Tau kawg, kuv yuav cov khau khau orthopedic nrog lub siab tawv pob taws, nrog kev txhawb nqa instep, pob taws thiab lwm yam crap. Peb ua massage txhua rau lub hlis. Kuv tsis tau pom muaj kev txhim kho.

Raws li ib txwm muaj, qhov tseeb tau yug los ntawm kev tsis ntseeg

Varina txoj cai khau khiab kawg tau khiav tawm thaum peb tab tom yuav mus txawv tebchaws. Kuv tsis muaj sijhawm los xaj khau ortho hauv tebchaws Russia thiab sab laug ntawm peb txoj kev mus ntev nrog kev cia siab ntawm kev yuav khau rau ntawd. "Tej zaum muaj kev xaiv ntau dua ntawm cov khau zoo nyob txawv teb chaws," Kuv xav.

Kuv tuaj rau hauv ib lub khw hauv Hong Kong thiab zoo li: "Zoo, vim li cas, koj muaj khau menyuam yaus nyob qhov twg ntawm no?" Thiab tsis muaj nkawm khau yog nyob rau hauv thawj lub khw, los yog nyob rau hauv lub thib ob, los yog nyob rau hauv lub thib peb. Kuv pom tsuas yog lub khw Dr Kong xwb, tab sis cov khau no tsis ua raws li cov cai ntawm Lavxias teb sab orthopedics.

Lub caij no, 70% ntawm Hong Kong cov menyuam yaus raug tsav hauv crocs, lwm 20% hauv New Balance, tus so hauv cov khau suav tsis txheeb.

Hauv Bali, kuv kuj tsis pom ib tug menyuam yaus hauv kev tiv thaiv lossis khau orthopedic. Tsis yog ib lub zos, tsis yog neeg txawv teb chaws.

Muaj cov lus tso dag zoo li no, uas yog qhov tseeb tsis yog lus dag txhua: txawv teb chaws, cov menyuam yaus ntawm Russia tuaj yeem lees paub los ntawm lawv cov khau. Tseeb, yog hais tias tus me nyuam tab tom taug kev ntawm nws hauv cov thom khwm thiab khau khiab siab nrog lub nraub qaum, kev txhawb nqa instep thiab lwm yam mob, ces qhov no yog ib tug menyuam yaus hais lus Lavxias. Hauv Hong Kong, Indonesia, Singapore thiab Thaib teb, txhua tus menyuam yaus txawv tebchaws hnav khau txhua yam.

Ib zaug ntxiv, yog tias koj xaj cov khaub ncaws hauv European lossis Asmeskas cov khw muag khoom hauv online, tej zaum koj yuav pom tias tag nrho cov khau ntawm lawv cov khau tag nrho cuam tshuam cov logic ntawm domestic orthopedics.

Thiab ntawm no kuv thaum kawg coj kuv tus kheej mus rau kev piav qhia ntawm kuv txoj haujlwm. Muaj ob lub tsev kawm ntawv ntawm orthopedics, kwv yees hais, peb thiab tsis yog peb li. Muaj tseeb tiag, yog tias koj nyeem Medservice lub rooj sab laj, koj tuaj yeem txiav txim siab tias qee tus kws kho mob orthopedists thaum kawg tshwm sim los ntawm kev ntxhov siab thiab leaning rau Western orthopedic xav. Qhov kuv tab tom sim qhia hauv tsab ntawv no.

Overdiagnostics

Vim li cas tus kws kho mob yuav kho qhov teeb meem uas tsis muaj nyob? Vim tias nws yuav tsum txhawb nqa kev lag luam loj, uas suav nrog cov tuam txhab tsim khoom thiab cov muag khoom ntawm cov khau thiab insoles, cov kws kho mob zaws. Vim hais tias nyob rau hauv cov xwm txheej uas tiaj tus ko taw lossis valgus tsis ploj mus nrog lub hnub nyoog, tsis muaj leej twg tuaj yeem hais tias nws tsis ua dab tsi. Vim tias niam feem ntau tsis txaus siab rau qhov kev pom zoo "tsis ua dab tsi - txhua yam yuav dhau los ntawm nws tus kheej".

Cov menyuam yaus feem ntau tsis muaj teeb meem nrog ob txhais ceg (thiab hauv qab no kuv yuav qhia rau koj tias tsis yog ko taw ncaj, lossis valgus, lossis clubfoot yog ib yam uas yuav tsum tau kho), thiab kev coj noj coj ua ntawm kev coj tus menyuam mus rau orthopedist ua ntej hnub nyoog 3 xyoos tuaj yeem ua tau. tshem tawm.

Okay, tsis yog txhua tus menyuam yaus noj qab nyob zoo. Tab sis yog tias tus me nyuam muaj ib yam dab tsi tiag tiag, ces tus kws kho mob tsis sau "cov khau zoo, zaws" rau ntawm daim npav, tab sis ua rau muaj kev kho mob tiag tiag, muab kev xa mus rau X-rays, kuaj xyuas, tshuaj pleev ib ce rau khau, thiab lwm yam. ntawm. Yog tias koj tus menyuam tsis raug xa mus raws txoj kev no, koj tuaj yeem so: txhua yam yog ib txwm nrog nws.

Thaum tus kws kho mob orthopedist qhia qee tus niam paub tsis meej (qhov tseeb, kuv) tias tus menyuam muaj valgus, nws lub ntiaj teb tawg, nws los txog tsev thiab pib saib xyuas hauv Internet rau qhov kev kuaj mob phem no.

Muaj ntau cov ntawv hauv Is Taws Nem sau ua lus zoo nkauj thiab tsis nkag siab txog kev kho mob ib nrab, uas piav qhia meej tias vim li cas cov menyuam yaus yuav tsum hnav khau orthopedic (tsis yog prophylactic) thaum yug los. (Piv txwv li). Tab sis rau qee yam, tag nrho cov ntawv no tau muab tso rau hauv cov vev xaib ntawm cov khw muag khoom ntawm cov khau orthopedic, insoles thiab lwm yam priblud. Txawm tias kuv, ib tug neeg tsis muaj kev kawm kho mob, kuv xav tsis thoob los ntawm cov lus hauv qab no:

Yog tias tsis muaj khau khau - nrog ib leeg nruj thiab ib txoj kab folding nyob rau theem ntawm cov metatarsophalangeal sib koom ua ke, kho cov talocalcaneal sib koom ua ke vim qhov nruj sab nraub qaum nrog sab tibia thiab nteg tawm lub longitudinal-transverse arch ntawm ko taw siv ib qho. instep txhawb - tiaj tus taw yog tsim, thiab tom qab - planovalgus deformity nres.

Nws hloov tawm tias cov ko taw tiaj tiaj tshwm sim thaum niam txiv tsis tau yuav khau orthopedic rau tus menyuam.

Pib nrog, khau orthopedic tsis yog khau orthopedic txhua:) Rau qee qhov laj thawj, ntau tus niam txiv ntseeg (tsis yog tsis muaj kev lag luam ntawm cov menyuam yaus cov khau muag) tias a) cov khau uas zoo li orthopedic yog orthopedic, b) khau orthopedic yog qhov tseem ceeb.

Txawm hais tias, los ntawm txoj kev, khau ortho yog khau kho mob, insoles uas yog ua raws li ib tug neeg lub tswv yim los yog scan ntawm ko taw thiab lub hom phiaj ntawm hnav uas yog los kho ntau yam deviations los ntawm kev loj hlob ntawm ko taw.

Txhua yam uas loj heev sewn thiab muag hauv khw yog cov khau zoo tib yam uas xav kom zoo li orthopedic. Rau qee yam, nws yog hu ua kev tiv thaiv. Cov khau no yog qhov lav tias tus menyuam uas hnav lawv yuav tsis muaj ko taw tiaj tus lossis valgus.

Thiab cov khau no zoo li ua haujlwm, vim tias thaum neeg laus, cov menyuam yaus ua tau zoo nrog lawv txhais taw. Txawm hais tias qhov no tsis tshwm sim vim yog khau, tab sis txawm tias lawv. Contrary to stiff, stiff sole, uas tiv thaiv ko taw ntawm khoov. Contrary to the anatomically incorrectly positioned instep support. Contrary to lub shackle ntawm ceg. Vim tias ib tug me nyuam nquag nquag yuav kov yeej kev saib xyuas niam txiv ntawm lawv ko taw.

Qhov xwm txheej nrog cov khau ortho yog zoo li lub rooj zaum muaj log lossis lub rooj zaum tuaj rau hauv vogue thiab txhua tus neeg noj qab haus huv yuav yuav lawv tus kheej ib yam dab tsi zoo li lub rooj zaum muaj log lossis lub rooj zaum.

Cov neeg nyob rau hauv peb lub teb chaws nyiam mus yuav khau orthopedic rau cov me nyuam ib yam li ntawd, nyob rau hauv cov ntaub ntawv. Ortho khau rau thawj kauj ruam, ortho taug kev khau, ortho khau rau tsev. Nws yog qhov zoo yog tias cov khau pseudo-orthopedic no tsuas yog kev dag ntxias kev lag luam xwb.

Peb thawj tus kws kho mob orthopedist los ntawm lub npe ntawm Gabisoniya (St. Petersburg, polyclinic No. 112) ntsia Varya thaum muaj hnub nyoog 1 xyoos. Nws yeej ntsia tsis tau sawv ntawm nws lub rooj zaum, tsis txhob kov tus me nyuam nrog nws tus ntiv tes. Varya ces tsis taug kev ntawm nws tus kheej, tsuas yog los ntawm tes.

Nrog nws lub qhov muag kub, nws kuaj pom lub tiaj-valgus ko taw (thiab kuv tsis tawm tsam qhov tseeb) thiab muab khau khiab nrog lub siab siab, kev txhawb nqa instep, pob taws. Hnav hauv tsev txhua hnub. (Tib tus kws kho mob orthopedist pom dysplasia nyob rau hauv kuv tus hluas nkauj tus ntxhais, tau sau ib lub plaster cam khwb cia thiab ib co spacers. Ntawm lub koom haum tshawb fawb ntawm Orthopedics thiab Traumatology, kws kho mob twisted lawv tus ntiv tes ntawm lawv lub tuam tsev txog qhov teeb meem no thiab xa kuv cov phooj ywg mus tsev).

Orthopedist Gabisonia tau qhia kuv ib qho piv txwv ntawm khau "yog" (nws zoo li kuv tias qee yam zoo li no tau muab tawm hauv ntuj txiag teb tsaus):

Tag nrho tsev neeg mus taug kev hauv tsev. Thiab cov xov xwm uas Varya yuav tsum tau taug kev hauv khau khiab tsis xis nyob txhua hnub ua rau kuv chim siab. Nws kuj tsis paub meej rau kuv tias yog vim li cas ib tug menyuam yaus, uas nyuam qhuav tau txais nws txhais taw thiab tseem tsis paub meej txog kev ua nws thawj kauj ruam, yuav tsum tau shackled rau hauv khau. Kuv tseem tsis nkag siab qhov logic no.

Kev sim nrog hnav khau "orthopedic" hauv tsev tau siv sijhawm li ob peb hnub. Varya tsis xis nyob, kuv txiav txim siab tsis tsim txom tus menyuam. Nkawm khau tau muab tso rau ntawm qhov chaw uas lawv yuav tsum tau muab tso rau - ntawm txoj kev.

Pav ko taw

Zoo, txhua yam yog qhov tseeb ntawm no. 100% ntawm cov menyuam yaus muaj physiological tiaj tus taw. Cov ko taw ntawm tus menyuam hnub nyoog qis dua 3 xyoos zoo li tiaj tus, vim kab noj hniav ntawm lub koov yog sau nrog ib tug mos fatty "pad". Daim ntawv no ntawm lub tiaj tiaj tsis xav tau kev kho mob, txij li lub ko taw ntawm ko taw, nrog kev txhim kho kom zoo, normalizes nws tus kheej los ntawm 5-6 xyoo ntawm tus menyuam lub neej.

Qee cov neeg ntseeg tias khau khiab khau khiab yog kev tiv thaiv zoo ntawm ko taw. Qhov no yog kev dag thiab kev npau taws los ntawm cov neeg muag khau, ntxiv rau hauv qab no.

Dav hlau-valgus installation ntawm ko taw

Kuv yuav nyob hauv kev nthuav dav ntxiv ntawm lub tiaj-valgus installation ntawm ko taw, vim hais tias yog raws nraim li Varya hais hauv nws daim npav. Kuv txhob txwm tsis txhob hu nws qhov kev kuaj mob, vim nws tsis yog kev kuaj mob txhua, tab sis tsuas yog ib nqe lus ntawm qhov tseeb. Nws zoo li tus kws kho qhov muag yuav sau "tus menyuam muaj qhov muag xim av."

Yog hais tias tus orthopedist sau nyob rau hauv daim card ntawm ib tug me nyuam uas muaj hnub nyoog 1 (2, 3, 4 xyoo) "flat-valgus feet", ces nws yog Captain Obvious. Vim hais tias mus txog rau 5 xyoos, flat-valgus ko taw yog ib qho txawv txav thiab tsis tas yuav kho lossis kho. Rau ib tug me nyuam uas ua lub neej nquag, txhua yam yuav kho nws tus kheej. Yog tias thaum muaj hnub nyoog 5 xyoos nws tseem tsis tau kho, ces koj yuav tsum tau ua ib yam dab tsi, tua orthopedists, rhuav koj cov plaub hau, hnia koj ob lub qhov muag.

Valgus (thiab varus) tshwm sim thaum qee cov leeg tsis tau tsim. Hauv Varino cov ntaub ntawv, qhov no yog sab hauv ntawm tus nyuj. Cov khau puas yuav kho qhov teeb meem no? Puas muaj koj cov phooj ywg tau nqus cov leeg tsuas yog vim lawv hnav khaub ncaws tshwj xeeb lossis khau? Tsuas yog cov chav kawm nquag thiab kev cob qhia lub cev, tsuas yog nyuaj!

Yuav ua li cas?

Yuav nkawm khau uas yuav tsis poob. (Ntau ntxiv ntawm qhov hauv qab no).

Cia tus me nyuam khiav, dhia, nkag mus rau ntawm cov ncej nce toj, thiab nce ntaiv.

Dhia - ntawm mats, ntawm trampoline, ntawm lub txaj.

Nce phab ntsa Swedish, sawv ntawm qhov bar.

Caij tsheb kauj vab.

Los ntawm ib lub hnub nyoog, koj tuaj yeem xa koj tus menyuam mus rau choreography lossis seev cev. Los yog ua luam dej. Los yog txhua qhov chaw.

Thov tsis txhob nkim nyiaj rau khau "orthopedic" lossis "tiv thaiv" khau. Siv cov nyiaj khaws tseg los yuav cov phab ntsa tuav, lev lossis trampoline.

Yuav cov mats tshwj xeeb uas muaj qhov tsis sib xws thiab nthuav tawm hauv tsev hauv koj tus menyuam qhov chaw nyiam hangout.

Tso cai rau koj tus menyuam taug kev los ntawm ko taw liab qab ntawm nyom, xuab zeb, pob zeb - ntawm qhov tsis sib xws.

Sau pob zeb thiab pebbles sab nraum thiab da dej nrog taug kev ntawm cov pob zeb no (koj tuaj yeem ntxiv ntsev hiav txwv rau dej).

Contrast foot da dej.

Massage rau me me.

Lub caij no, paraffin wax thiab hluav taws xob stimulation tsis tau muaj pov thawj los ua haujlwm zoo.

Yam khau twg koj yuav tsum yuav?

Tsuas yog xis, zoo nkauj khau ua los ntawm cov khoom siv ntuj tsim nrog lub tiaj tiaj thiab ib qho yooj yim, tsis muaj kev txhawb nqa instep.

Yam hom twg kuv tuaj yeem pom zoo? Raws li qhov kev xav no, kuv yuav muab lub npe me me xiav yaj, Jack & Lily, Pediped, Saib Kai Khiav. Kuv mam li ntxiv Birkenstock thiab Ecco ntawm kuv tus kheej. Tam sim no kuv yuav Vara Me me xiav lamb khau khiab thiab lawv txias heev:

Tsis muaj kev txhawb nqa instep

Txhua hnub cov menyuam yaus khau yuav tsum tsis txhob muaj kev txhawb nqa instep. Rau qee qhov laj thawj, txhua leej txhua tus xav tias kev txhawb nqa instep yog ib qho uas yuav "thawb" ko taw nyob rau hauv qhov chaw thiab yuav tsis muaj ko taw tiaj tus. Bullshield! Ib qho kev txhawb nqa instep yog ib qho uas absorbs thaum lub sij hawm cev xeeb tub.

Yog hais tias ib tug me nyuam tau sau cov khau los yog insoles nrog kev txhawb nqa instep, ces nws yuav tsum yog ib qho insole / nkawm khau ua los ntawm cam khwb cia lossis duab. Vim hais tias lub instep txhawb yuav tsum tau positioned kom raug. Karochi, rau ib tug me nyuam tshwj xeeb - ib qho kev txhawb nqa instep. Tab sis! Cov me nyuam feem ntau tsis xav tau kev pab txhawb nqa instep kiag li.

Yuav luag tag nrho cov menyuam yaus hauv tsev khau twb muaj kev txhawb nqa instep. Feem ntau, txawm li cas los xij, qhov no tsuas yog nws qhov tsos thiab dummy. Qhov tseeb, nws nyem los ntawm ib lub lim tiam, tsis cushion, thiab yog kev lag luam khoom noj khoom haus rau cov neeg nyiam khau ortho.

Ib qho kev txhawb nqa instep yog xav tau thaum ko taw tsis tuaj yeem tiv nrog kev poob siab ntawm nws tus kheej. Tom qab ntawd lub instep txhawb pab kom txo tau cov ceg. Yog li, kev txhawb nqa instep yog qhov tsim nyog hauv cov khau ncaws pob rau cov menyuam yaus thiab cov neeg laus. Nyob rau tib lub sijhawm, hauv cov menyuam yaus khau txhua hnub, kev txhawb nqa instep tiag tiag tuaj yeem ua mob rau qhov tseeb tias:

1. thaj tsam ntawm ko taw, qhov twg qhov kev poob siab-absorbing arch yuav tsum tsim, tsis tawm dag zog thiab tsis txhim kho kom zoo (vim qhov kev txhawb nqa instep yog nyob rau hauv khau),
2. thaum muas khau rau kev loj hlob, kev txhawb nqa instep tsis nyob rau hauv qhov chaw, thiab es tsis txhob cushioning, nws cuam tshuam nrog kev loj hlob ntawm longitudinal arches ntawm ko taw.

Tsis muaj khaus khaus lub sab yuav tsum khoov.

Nkawm khau yuav tsum tau ua los ntawm cov khoom ntuj tsim (crocs yog ib qho kev zam rau pob ntseg).

Dav ntiv tawkom koj cov ntiv tes tsis nyem.

Lub pob taws yuav tsum ruaj khov, ruaj ntseg kho pob taws

Qhov zoo tshaj plaws, cov khau yuav tsum zoo li yog tias lawv tsis nyob ntawd thiab tus me nyuam tab tom taug kev taw.

Yog li ntawd, cov ntsiab lus ntawm no loj loj ncej

• Muaj ob lub diametrically opposite directions nyob rau hauv orthopedics. Leej twg yuav ntseeg yog nyob ntawm koj.
• Nws tsis yog qhov tsim nyog los "kho" nrog nkawm khau thiab hnav instep txhawb nqa, qhov no tuaj yeem tshem tawm cov txheej txheem ntawm kev tsim arches thiab tiaj tus taw yuav nyob twj ywm rau lub neej.
• Txhua qhov kev kho yuav tsum yog tus kheej. Kev kho tsis raug lossis tsis ua haujlwm tuaj yeem ua rau muaj teeb meem loj dua. Ntawm no yog ib qho kev tshuaj xyuas ntawm leej niam uas kho tus menyuam nrog khau thiab kev txhawb nqa instep.
• Instep txhawb nyob rau hauv daim ntawv ntawm mos "pillows" nyob rau hauv cov khau zoo tib yam tsis zoo, vim hais tias lawv yog mos heev (yog li ntawd, lawv txhawb tsis tau dab tsi).
• Feem ntau ntawm "cov teeb meem ko taw" pom los ntawm cov niam txiv yog ib feem ntawm txoj kev loj hlob ntawm tus menyuam ko taw, uas xaus rau hnub nyoog 6 xyoo.
• Cov "kev txhim kho" pom los ntawm cov niam txiv tsis yog qhov tshwm sim ntawm kev hnav "cov khau zoo", tab sis tsuas yog kev loj hlob ntawm tus menyuam ko taw.
• Qhov xav tau kev txhawb nqa instep hauv cov menyuam yaus khau (tshwj tsis yog tias lawv tau pom zoo los ntawm tus kws kho mob orthopedic tus kheej) tsis muaj dab tsi ntau tshaj li cov lus dab neeg uas tsis tau lees paub los ntawm cov tshuaj raug cai thiab siv los ntawm cov tuam txhab khau kom nce khau muag.

PS. Varyula muaj hnub nyoog 2 xyoos, thiab nws cov hallux valgus tau poob qis. Kuv ntaus nqi rau qhov no thaum pib ntawm lub sijhawm ua haujlwm ntawm kev khiav thiab dhia, taug kev ntawm qhov tsis sib xws thiab muab cov khau "txoj cai".

Masha Buzanova