Cov pob txha metatarsal, daim duab uas tau muab rau hauv tsab xov xwm, nyob nruab nrab ntawm tus ntiv tes thiab tarsus. Nws txuas ob peb cov pob txha ib zaug, txhua tus ntawm lawv muaj lub taub hau, lub cev thiab lub hauv paus. Hauv tsab xov xwm, peb yuav xav txog lub cev, kev raug mob, kev kho mob thiab kev kho mob.
Kev tsim kho
Raws li tau hais los saum toj no, cov pob txha piav qhia muaj ob peb zaug ib zaug. Thawj ntawm lawv yog qhov luv tshaj plaws, thiab qhov thib ob muaj qhov ntev dua. Txhua pob txha muaj pob txha pob txha. Cov yav tas yog kev cob cog rua siv tshwj xeeb pwm fabrics. Lub cev muaj 3 lub ntsej muag. Lawv sib txuas ua ke.
Muaj ob lub platform ntawm thawj pob txha. Lawv yog cov tsim nyog thiaj li yuav ntxiv dag zog rau cov tawv nqaij ntawm sesamoid hom. Lub taub hau yog compressed los ntawm ob peb sab. Muaj ib tug tuberosity ntawm cov pob txha thib tsib, uas yog xav tau rau txuas cov leeg. Qhov twg metatarsus txuas nrog tarsus, muaj cov vaults tshwj xeeb. Qhov thib ob yog nyob ze ntawm lub taub hau. Thawj lub vault yog nyob ze ntawm cov pob txha tarsal. Txhua yam ntawm cov khoom no ua haujlwm tshwj xeeb, tshwj xeeb, txo nqi. Nrog kev pab ntawm ntaub vaults,puas lawm thiab kuj tau txais cov ntshav ib txwm.
pab ntiv tes
Cov pob txha tuaj yeem raug mob vim pob taws, khau tsis raug, teeb meem nrog lub ligamentous apparatus, pathology ntawm ko taw. Qhov no tshwm sim vim tias muaj lub kaum sab xis loj ntawm ob tus ntiv tes. Qhov no tshwm sim yog suav tias yog pathological. Vim li no, ib qho deformation tsim uas tuaj yeem ua tau sai. Yog tias cov pob txha metatarsal mob thiab muaj qee qhov tsis xis nyob (mob, o, liab, thiab lwm yam), ces kev kho yuav tsum tau pib.
theem kab mob
Tam sim no, qhov teeb meem no tshwm sim hauv plaub theem. Thawj yog tus cwj pwm los ntawm lub xub ntiag ntawm lub deflection lub kaum sab xis txog li 20 degrees. Ib tug neeg yuav ntsib kev tsis xis nyob me me uas nws tsis tshua pom.
Yog tus kab mob tau tsiv mus rau theem thib ob, tom qab taug kev ntev, cov kev xav tsis zoo yuav tshwm sim. Nrog nws, lub kaum sab xis sib txawv ntawm 20 txog 30 degrees. Nws ua rau tsis xis nyob.
theem peb yog tus yam ntxwv ntawm pathology nrog lub kaum sab xis ntawm 30 txog 50 degrees. Ib tug neeg tsis tsuas yog mob xwb, tab sis kuj muaj teeb meem nrog kev xaiv khau.
Theem kawg yog plaub. Nws yog tus cwj pwm los ntawm kev sib txawv ntawm txog 50 degrees. Ib tug neeg tus ntiv tes pib deform, tab sis qhov mob tsis nres.
Mild stage treatment method
Yuav kom nkag siab tias muaj teeb meem dab tsi nrog cov pob txha metatarsal, nws yuav tsum tau kuaj x-ray. Nco ntsoov mus rau qhov chaw txais tosorthopedist. Nws yuav muaj peev xwm sau tau txoj kev kho kom raug.
Yog tias ib tus neeg txhim kho thawj qib, uas yog, tus kab mob nyob rau theem pib, ces kev kho mob tuaj yeem siv tau. Tsis tas yuav muaj kev cuam tshuam kev phais. Tus neeg mob tau muab tshuaj gymnastics, physiotherapy thiab lwm yam kev kho mob.
Kev kho mob rau theem hnyav
Yog tias peb tab tom tham txog theem siab, ces, feem ntau, koj yuav tau ua haujlwm. Thaum kho, tus kws kho mob pom zoo kom kho cov pob txha metatarsal nrog cov ntaub qhwv rau hmo ntuj. Ua tsaug rau nws, cov lus piav qhia tseem nyob hauv ib txoj haujlwm. Nyob rau hauv nruab hnub, nws yuav tsum tau muab tshem tawm thiab ib tug tshwj xeeb overlay yuav tsum tau siv. Nws yuav ua rau tsis xis nyob thiab txo qhov siab thaum taug kev.
Yog tias tom qab kev txav mus los ntawm txhais ceg tau nkees heev, ces siv orthopedic insoles. Lawv yuav tsis tsuas yog txo qhov mob nyob rau hauv cov ntaub ntawv ntawm ib tug fissure ntawm lub metatarsal pob txha, tab sis kuj kom raug faib lub load ntawm ko taw, pob qij txha thiab qaum.
Kev mob
Nrog ntau yam kev raug mob, pob txha ntawm lub hauv paus ntawm cov pob txha metatarsal tuaj yeem txhim kho hauv tus neeg. Qhov no tshwm sim nrog cov loads uas nws tsis tuaj yeem tiv taus, thiab txawm tias muaj pob txha. Raws li symptomatology, cov tsos mob ntawm hematomas, lameness, crunching, o, mob, nrog rau cov teeb meem ntawm gait yuav tsum tau muab sau tseg. Txhawm rau kuaj xyuas qhov tawg, nws yog ib qho tsim nyog yuav tsum tau ua tsis yog tsuas yog kev ntsuam xyuas sab nraud ntawm thaj chaw puas, tab sis kuj yog X-ray thiab MRI.
Thaum muab kev pab thawj zaug rau ib tus neeg, txhua yam thauj khoom raukab mob. Qhov no yog tib txoj hauv kev los tiv thaiv kev txhim kho ntawm cov kab nrib pleb lossis tawg. Tom qab ntawd, koj yuav tsum tau siv ib tug txias compress, uas yuav txo tau o thiab mob. Txhawm rau tiv thaiv frostbite, cov dej khov yuav tsum khaws cia tsis pub ntev tshaj 20 feeb. Nws raug nquahu kom ua raws li cov txheej txheem tsis tu ncua hauv thawj ob hnub. Tom qab lawv tas sij hawm, txoj kev no yuav siv tsis tau.
txhawm rau txo qis puffiness, bandaging tuaj yeem siv. Nws yog tsis yooj yim sua kom nruj ob txhais ceg. Tom ntej no, koj yuav tsum tau tsa nws. Nws raug nquahu kom siv lub hauv ncoo lossis tej khaub ncaws. Nws yuav tsum tau muab sau tseg tias nyob rau hauv cov ntaub ntawv ntawm ib tug puas ntawm cov pob txha metatarsal ntawm ko taw, nws yog ib qho tsim nyog yuav tsum tso tseg cov compresses sov, koj tsis tuaj yeem rub koj txhais ceg nrog cawv, thiab zaws. Txwv tsis pub, nws yuav ua rau ko taw o ntau dua.
Thaum sau tshuaj kho mob, tus kws kho mob yuav txiav txim siab txog qhov mob hnyav. Yog hais tias peb tham txog lub teeb, ces ib tug plaster yog siv rau ko taw. Yog tias tus neeg mob raug mob hnyav dua, ces nws yuav tsum tau taug kev nrog cov ntoo khaub lig lossis cia siab rau pob taws.
Yog tias muaj qhov tawg ib txwm, tus kws kho mob tau sau cov insoles tshwj xeeb uas yuav txo qis qhov hnyav ntawm ko taw. Kev ua haujlwm tsuas yog ua tiav yog tias muaj pov thawj nyob rau hauv daim ntawv ntawm kev hloov pauv tseem ceeb ntawm cov khoom tawg.
Kev kho mob rau pob txha lossis tawg
Ib qho teeb meem tseem ceeb yog kev kho kom rov zoo ntawm pob txha metatarsal ntawm ko taw. Nws kav ntev npaum li cas? Nws nyob ntawm qhov kev raug mob ntawm tus neeg mob, nrog rau cov pob txha kho sai npaum li cas. Koj yuav tsum hnav lub plaster camtsawg kawg yog tsib lub lis piam. Txawm li cas los xij, tsis tas yuav tsum maj nrawm nrog kev siv cov cuab yeej cuab tam. Qhov no yog vim lawv tuaj yeem ua rau muaj teeb meem.
Yuav kom ko taw kho tau zoo, nws yog ib qho tsim nyog yuav tsum ua cov kev kho mob tshwj xeeb thiab da dej. Cov tom kawg yog siv los ntawm kev ntxiv ntsev hiav txwv. Nws yog ib qho tseem ceeb uas yuav tsum tau siv orthopedic insoles, uas tiv thaiv tsis tau tsuas yog txo cov load, tab sis kuj rau txoj kev loj hlob ntawm pav ca. Xws li cov khau hauv ob sab phlu yuav tsum hnav tsawg kawg yog rau lub hlis kom txog thaum qhov kev raug mob zoo tag nrho. Thawj cov kauj ruam tom qab xws li pathology yuav mob heev. Yog li ntawd, nws yog qhov zoo tshaj kom tsis txhob txav tam sim ntawd. Kev raug mob zoo, raws li txoj cai, sai sai: tsis pub ntau tshaj 4 lub lis piam. Tsuas yog tus kws kho mob tuaj koom tuaj yeem qhia tias yuav tsum tau siv sijhawm ntau npaum li cas hauv ib kis.
ntsuas kev tiv thaiv
Nws tsis muaj teeb meem tus neeg nyob qhov twg, hauv tsev, ntawm txoj kev lossis tom haujlwm, txawm li cas los xij, nws yuav tsum zam kom tsis txhob txav ntawm cov pob txha metatarsal, nrog rau lwm yam kev raug mob.
Yuav kom koj noj qab haus huv, koj yuav tsum noj kom raug. Txhawm rau kom cov pob txha zoo, nws raug nquahu kom noj cov zaub mov uas muaj calcium ntau. Nco ntsoov tias muaj vitamin D txaus nyob rau hauv lub cev, thaum lub sij hawm siv lub cev, thiab txawm tias lub cev kub, calcium yog ntxuav tawm. Ua ntej koj pib ua si kis las, nws yog qhov yuav tsum tau ua kom sov. Ua tsaug rau qhov no, yuav tsis muaj siab ntau ntawm ko taw. Koj yuav tsum txiav luam yeeb thiab cawv. Cov cwj pwm phem tsis zoo rau cov pob txha, tab sis kuj rau lub ntsws thiab lub raum.
Nco ntsoov saib koj so. Yuav tsum muaj qhov sib npaug ntawm kev ua haujlwm thiab kev lom zem. Txhawm rau kom cov pob txha metatarsal tsis raug kev txom nyem, koj yuav tsum tswj koj qhov hnyav hauv qhov qub. Ua li no, koj yuav tsum tso tseg cov khoom noj uas haus luam yeeb, qab ntsev, rog, nrog rau cov tais diav uas muaj carbohydrates. Yuav kom nqa ib yam khoom hnyav yam tsis ua mob rau koj tus kheej, koj yuav tsum xub zaum.
Cov plag tsev hauv tsev yuav tsum muaj kev nyab xeeb thiab tsis txhob plam. Tom qab tag nrho, lawv tuaj yeem plam thiab raug mob hnyav. Feem ntau qhov no yog pes tsawg tus neeg mob tau txais kev kaw pob txha ntawm cov pob txha metatarsal. Txhawm rau tiv thaiv cov xwm txheej no, koj tuaj yeem siv cov mats tshwj xeeb lossis nruab cov vuas los tiv thaiv. Ib qho kev daws teeb meem zoo yuav yog ntaub pua plag lossis lem. Cov hlau yuav tsum raug tshem tawm ntawm kev nkag mus dawb. Thaum lub caij ntuj no, koj yuav tsum ua tib zoo taug kev raws txoj kev.
Qhov tseem ceeb tshaj plaws thaum muaj kev raug mob yog mus ntsib kws kho mob kom sai. Qee lub sij hawm txawm tias tus kab mob loj tsis tshwm sim nws tus kheej thiab tsis pom nws tus kheej.
Head Offset
Cov metatarsophalangeal sib koom ua ke muaj txheej txheej sab nrauv thiab sab hauv. Yog hais tias lub taub hau ntawm cov pob txha muab tshem tawm, ces tag nrho cov ntaub so ntswg tshwm thiab puas nyob rau hauv tus neeg mob. Nyob rau tib lub sijhawm, cov kab mob hnyav heev tuaj yeem tsim nyob rau tib lub sijhawm.
Lub taub hau nce nrog qhov mob, pib loj hlob nrog cov ntaub so ntswg tshwj xeeb. Yog tias ib tug neeg muaj teeb meem zoo li no, feem ntau nws kuj muaj mob thaum tsiv mus. Nyob ntawm seb tus kab mob hnyav npaum li cas, tus kws kho mob yuav xaiv txoj kev kho.
Yog tias peb tab tom tham txog qhov pib kawm tiav, feem ntau yuav yog tus kws tshaj lij yuav pom zoo siv arch support insoles. Yog tias tus kab mob nyob rau theem siab dua, ces nws tsuas yog kho nrog kev pab ntawm kev phais. Raws li txoj cai, qhov teeb meem yog kev ua txhaum ntawm thawj cov pob txha metatarsal. Nws tawm ntawm qhov chaw xav tau. Thaum lub sijhawm ua haujlwm, nws raug muab tso rov qab rau hauv txoj haujlwm raug.
Nws yuav tsum tau muab sau tseg tias qhov teeb meem ntawm lub taub hau ntawm cov pob txha tawg yog qhov hnyav heev. Yuav tsum tsis txhob muaj kab mob li no.
Yog tias koj mus ntsib kws kho mob raws sijhawm, feem ntau nws yuav muaj peev xwm tshem tawm qhov teeb meem no. Nyob rau theem pib, tus kws kho mob tshwj xeeb yuav sau ntawv siv cov khau zoo dua. Nws kuj yog feem ntau sau npe mus ntsib massage. Thaum tus kab mob no siab heev, koj yuav tsum hu rau tus kws phais tam sim ntawd.
Rehabilitation period
Nws twb tau piav qhia saum toj no tias qhov kev kho kom rov zoo li cas nrog qhov tawg ntawm cov pob txha metatarsal, nrog rau cov pob txha. Lub sijhawm no kav ntev npaum li cas yog nyob ntawm txoj kev kho thiab qib ntawm tus kabmob nws tus kheej. Cov txheej txheem kho kom rov zoo yog cuam tshuam los ntawm lub hnub nyoog thiab kev noj qab haus huv ntawm tus neeg.
Yog tias tus neeg mob muaj cov kab mob ntev ntev ntawm hom mob hnyav, ces nws yuav nyuaj heev kom kov yeej cov kab mob. Nws yuav siv sij hawm ntau heev.
Tom qab tus kws kho mob tshem tawm cov cam, koj yuav tsum tam sim ntawd pib tsim cov haujlwm ntawm ko taw. Koj yuav tsum tau zaws koj ob txhais taw, thiab tom qab ntawd txhuam lawv nrog cov tshuaj pleev tshwj xeeb uas yuav txo qhov o. Rau qee lub sijhawm, nws raug nquahu kom taug kev nrog cov ntoo khaub lig, vim lawv yuav pab txo qis ntawm ko taw. Txawm hais tias ib tug neeg muaj mob hnyav, nws yuav tsum ua lub cev gymnastics yam tsis tau ua tiav. Ib txheej ntawm kev tawm dag zog tsuas yog xaiv los ntawm tus kws kho mob kho mob. Yog tias koj xav tau, koj tuaj yeem mus ua luam dej.
Nyob hauv tsev, koj yuav tsum ua da dej uas koj yuav tsum tau ntxiv tshuaj ntsuab lossis ntsev.
Qhov kawg nuance - koj yuav tsum noj kom raug, nrog rau xaiv cov khau zoo. Nws yuav zoo rau siv orthopedic insoles. Yog hais tias ib tug neeg mus ntsib kws kho mob raws sij hawm, tsis txhob yig kho mob thiab ua raws li tag nrho cov lus qhia, ces tus neeg mob yuav rov zoo nyob rau hauv ib lub hlis (ntau tshaj). Koj tuaj yeem mus rau hauv kev ua kis las tsuas yog tom qab kws kho mob tso cai rau koj tshem tawm cov cam khwb cia. Yog tus neeg mob pib tus kab mob no, nws tuaj yeem ua rau muaj kev tsis taus.
Kev kho mob nrog pej xeem tshuaj
Ib txhij nrog kev kho mob los ntawm orthopedist, koj tuaj yeem siv cov txheej txheem ib txwm muaj. Ua ke lawv yuav ua rau muaj txiaj ntsig zoo. Nrog lawv pab, koj tuaj yeem txo qhov mob thiab tsis xis nyob.
da dej ua haujlwm zoo heev. Nws yog ib qho tsim nyog yuav tau noj cov ntsev ntsev, uas yuav tso cai rau koj tshem tawm cov cua sov, tshem tawm qhov mob. Nws tseem yuav tshuaj tua kab mob thiab tua kab mob, yog tias muaj. Qhov kev xaiv no yog qhov zoo tshaj plaws thaum nws los kho qhov raug mob hauv tsev. Cov dej hauv da dej yuav tsum nyob rau theem ntawm lub cev kub, uas yog, tsis pub tshaj 36 degrees. Nws raug nquahu kom siv cov ntsev uas loj. Cov txheej txheem zoo li no yuav tsum tau ua tsis pub dhau ib lub lis piam. Tom qab ntawd, koj yuav tsum tau so. Yuav kom tagkom tshem tau qhov mob, koj yuav tsum rov ua qhov kev tiv thaiv li plaub zaug. Yog hais tias peb tab tom tham txog ib theem yooj yim dua los yog tsawg dua, ces da dej li no yuav pab tau li sai tau.
Ice thiab ntsev
Kev sib xyaw ntawm ntsev thiab dej khov yog qhov kev xaiv zoo. Ua tsaug rau txoj kev no, koj tuaj yeem yaj cov pob ntawm ob txhais ceg. Nws yog ib qho tsim nyog yuav tsum siv txoj kev no tsis pub ntau tshaj 10 zaug hauv ib lub lis piam. Koj yuav tsum noj ntsev ntxhib thiab crushed dej khov, thov lawv mus rau qhov chaw mob thiab tawm rau ob peb feeb. Yog tias peb tab tom tham txog lub caij ntuj no, koj tuaj yeem siv daus los ua dej khov. Txoj kev no yuav ua tiav sai sai. Nws yuav tsum nco ntsoov tias ntsev thiab dej khov ua rau muaj kev kub nyhiab heev. Txawm li cas los xij, nws tsim nyog ua siab ntev. Sai li qhov tsis xis nyob pib hnyav, koj yuav tsum tau tshem tawm cov tshuaj pleev ib ce thiab npog nws nrog gauze. Koj tuaj yeem tshem nws thaum sawv ntxov tom qab sawv ntxov.
Iodine kho mob
Iodine yog ib qho kev xaiv zoo. Ntau tus siv nws thaum lub sij hawm kho dua tshiab. Cov metatarsus yuav rov tsim dua maj mam, tab sis qhov tshwm sim yuav ruaj khov dua. Nco ntsoov ntxuav koj txhais taw hauv dej sov ua ntej txheej txheem. Tom ntej no, so lawv qhuav. Tom qab ntawd, qhov chaw mob yuav tsum tau lubricated nrog roj tshwj xeeb. Tom ntej no, koj yuav tsum kos ib daim phiaj iodine. Cov roj yog xav tau kom tsis txhob hlawv daim tawv nqaij. Cov txheej txheem zoo li no yuav tsum tau ua ua ntej mus pw. Cov pob txha ntawm ob txhais ceg yuav tsis loj hlob tom qab 2 lub lis piam.
