Txiv ntsej muag thiab ob txhais ceg muaj kev ntxhov siab ib txhij thaum tus menyuam muaj peev xwm sawv lossis taug kev tshwm. Kev sim ua kom muaj kev sib npaug uas nws ua los ntawm kev tso lub cev ntsug hauv qhov chaw, tau kawg, muaj qee yam cuam tshuam rau tag nrho lub cev pob txha ntawm lub cev.
Planovalgus deformity ntawm ko taw feem ntau tshwm sim nws tus kheej hauv cov menyuam yaus thaum muaj hnub nyoog tsib xyoos, thaum cov niam txiv tau saib xyuas cov kab mob ntawm ko taw thaum taug kev. Yog tias pom pom cov kab mob no tshwm sim, nws yuav tsum tau sab laj nrog kws kho mob kom tau raws sijhawm kom tau txais kev kho mob txaus thiab ua tau zoo.
Synonyms rau PVA nyob rau hauv cov ntaub ntawv kho mob yog: hypermobile, ca, collapsing, valgus, so, qaug zog, flaccid ko taw ntawm tus me nyuam. Qhov tshwm sim ntawm xws li pathology yog 2.7%. Nws loj hlob nyob rau hauv lub xub ntiag ntawm lub hnub nyoog haumxeeb taw flatten ntawm 16-28 lub hlis los yog tsis pub dhau peb xyoos.
ua rau ntawm pathology
- Npaj xeeb xeeb xeeb ntxwv (kev muaj ko taw tiaj tus tom hauv ntej ntawm kwv tij).
- Rickets.
- Hnav tsis xis nyob lossis lwm tus khau.
- taug kev ntev.
- Ntau tshaj.
- Hypermobile pob qij txha.
- Kev ua txhaum caintshav ncig cuam tshuam nrog kev kis kab mob.
- pob txha pathologies.
- Kev mob nkeeg.
- YEndocrine pathologies.
- Dysplasia ntawm cov ntaub so ntswg sib txuas.
- tsis ua haujlwm.
- khoom noj khoom haus tsis raug, ua rau cov metabolism tsis zoo ntawm calcium, phosphorus thiab vitamin D.
- Paresis, paresis ntawm ob txhais ceg / ko taw, uas yog provoked los ntawm cerebral palsy, polio thiab lwm yam kab mob.
Planovalgus ko taw deformity chaw kho mob hauv cov menyuam yaus
- Thaum taug kev, ko taw txo qis sab hauv.
- Kev tsis txaus siab ntawm ob txhais ceg.
- Slouching posture.
- Thick, padded ko taw.
Ntxiv rau qhov pom tseeb ntawm qhov kev mob tshwm sim no, muaj cov cim hauv qab no:
- Nyob rau hauv cov pob qij txha ntawm ko taw.
- Lub ko taw yog flattened, i.e. ko taw Performance index siab dua 0.7.
- Valgus pob taws muaj lub kaum sab xis ntawm 5-25 degrees.
- Qhov nruab nrab ntawm qhov siab hloov ntawm ko taw mus rau nws sab hauv.
- Lub amplitude ntawm hindfoot eversion nce.
- Txoj kev ntawm ko taw nce.
- Lub sijhawm ntawm kev txhawb nqa ntawm pob taws txo qis, nyob rau theem ntawm kev sawv ntawm tag nrho cov ko taw muaj kev sib cais ntxov ntawm pob taws.
- Tsis muaj qhov nce hauv koov thaum nqa ntawm ntiv taw thaum kho valgus.
- Ntau cov leeg nqaij thaum lub sijhawm rov ua pa.
- Nyob lub cev sway thaum taug kev.
Degrees of flat feet
- First degree - me me ca ko taw, zoo li lub ntsej muag zoo nkauj.
- Seconddegree - nruab nrab los yog intermittent ca ko taw. Manifested los ntawm cov cim qhia uas pom ntawm qhov muag liab qab. Nyob rau tib lub sijhawm, qhov mob ntawm pob taws thiab nraub qaum tshwm. Kev hloov pauv mus, clubfoot lossis "hnyav" kauj ruam tshwm sim.
- Thib peb - hais tias txhais ko taw tiaj tus, nrog rau kev ua tiav ntawm ko taw, uas ua rau muaj kev cuam tshuam hauv cov hlab ntsha musculoskeletal thiab, vim li ntawd, kev loj hlob ntawm scoliosis, arthrosis, osteochondosis thiab herniated discs. Mob hnyav zuj zus, taug kev nyuaj, thiab kis las ua tsis tau.
Diagnosis
- Sau cov lus tsis txaus siab, anamnesis (nrog rau kev qhia meej ntawm cov khoom qub txeeg qub teg).
- Kev kuaj mob caj dab thaum taug kev thiab so.
- YUltrasound.
- Podometry.
- YComputer plantography.
- X-ray hauv peb qhov kev sib txawv.
Kev kho mob
Kev kho mob ntawm cov kab mob no txo qis rau:
- pas dej;
- massage;
- kev kho paraffin;
- mud thiab ozocerite daim ntawv thov;
- electrophoresis;
- magnetic therapy;
- hluav taws xob stimulation ntawm cov leeg ntawm ob txhais ceg thiab ko taw;
- kub;
- physiotherapy ce (gymnastics rau ko taw);
- ua luam dej.
massage
Massage, zoo li gymnastics rau ko taw, ua lub luag haujlwm tshwj xeeb hauv kev kho nrog cov kab mob no. Nws pab txhawb kev loj hlob thiab kev loj hlob ntawm cov ceg qis ntawm tus me nyuam. Massage kuj pab ntxiv dag zog rau cov leeg ntawm ko taw thiab sab ceg, normalizes lawv.tone (relieves nro), txhim kho cov ntshav ncig, ua rau cov leeg elastic thiab muaj zog.
Ntxiv mus, txhawm rau tshem tawm cov menyuam yaus ntawm PVA, nws yog qhov yuav tsum tau zaws: ko taw, nraub qaum, cov leeg thiab pob qij txha ntawm ob txhais ceg, sab nraub qaum, pob tw.
qoj ib ce
Cov kev cai yooj yim rau kev xyaum ua haujlwm no yog txhua hnub thiab ua haujlwm tas mus li (ntev) ntev.
Rau qhov kev kawm "gymnastics nrog lub tiaj tus taw" koj yuav xav tau: xuab zeb lossis cereals, xaum, cwjmem (uas yog, khoom me me), lub rooj zaum xis rau tus menyuam, lub pob nruab nrab.
- Pib txoj hauj lwm: tus me nyuam zaum ntawm lub rooj zaum, nws ob txhais taw yog ntawm lub pob. Nrog lub zog siab nrog ob txhais taw, lub pob yog dov rau hauv pem teb. Yog hais tias muaj ib tug neeg kho tshuab massager, nws yog siv los hloov lub pob.
- Txoj haujlwm pib, zoo li hauv thawj qhov kev tawm dag zog, nrog lub zog nyem lub pob nrog sab laug, tom qab ntawd sab xis ko taw.
- Txhawm rau ua qhov kev tawm dag zog thib peb rau ko taw, koj yuav tsum zaum hauv pem teb thiab hla koj lub hauv caug ("Turkish"). Ua gymnastics me ntsis nce thiab sawv ntawm sab nraud ntawm ob txhais taw. Thaum ua qhov kev tawm dag zog no, nws yog ib qho tsim nyog los xyuas kom meej tias, yog tias ua tau, ob txhais ceg nyob twj ywm ncaj, thiab thaum rov qab mus rau qhov chaw pib, nws lossis lwm ceg yog nyob rau saum. Rov ua qhov kev tawm dag zog yuav tsum tsawg kawg 15 zaug.
- Yuav ua kom ib ce ua ntej, koj yuav tsum tau zaum rov qab ntawm lub rooj zaum, thiab ncab koj ob txhais ceg rau pem hauv ntej thiab ncaj. Hauv qhov no, nws yog qhov yuav tsum tau uaua tib zoo sau cov khoom me me uas tau muab tso rau hauv pem teb, thiab txav mus rau lwm qhov chaw. Lub sijhawm ntawm qhov kev tawm dag zog no yog 10 feeb. Xwb, koj tuaj yeem nqa ib daim ntaub (hais ib daim ntaub so ntswg lossis phuam so tes) nrog koj cov ntiv taw.
- Rov hais dua ob peb zaug: sawv ntawm koj cov ntiv taw, thiab tom qab ntawd txo koj tus kheej mus rau ko taw kom tiav.
Ntxiv rau cov uas tau piav qhia saum toj no, nws raug nquahu kom ua cov kev tawm dag zog yooj yim rau ko taw xws li:
- Kev sib hloov ntawm ko taw sib txawv.
- Tig ko taw sab hauv.
- Sole flexion.
- Khoov dorsum ntawm ko taw.
- Squeeze-unclench toes.
Muaj lwm qhov gymnastic complex (gymnastics nrog ca taw), siv rau flat-valgus deformity. Nws yog ib qho tsim nyog sau cia tias los ntawm kev sib txuas tag nrho cov lus piav qhia txhua hnub, koj tuaj yeem ua tiav kev rov qab sai:
- Taug kev ntawm cov nplej lossis xuab zeb rau kaum tsib feeb ib hnub.
- Taug kev hauv da dej sov, hauv qab ntawm cov roj hmab mats lossis pebbles me me tau pw. Tsis tas li ntawd, cov dej hauv da dej yuav tsum siab tshaj ntawm cov pob taws thiab muaj qhov kub ntawm li 35 degrees.
- Taug kev ntawm tus ntaiv kab rov tav lossis txav ntawm phab ntsa.
Bubnovsky exercises
Raws li txoj kev xav thiab ntau txoj kev tshawb fawb ntawm Dr. Bubnovsky, cov kev tawm dag zog hauv qab no yog qhov zoo heev rau kev kho cov kab mob xws li ko taw tiaj tus, varicose leeg, ko taw spurs, pob taws mob caj dab, gout, migraine, o.pob taws, thiab tseem tsim nyog raws li kev ntsuas kev kho mob tom qab raug mob lossis ua haujlwm ntawm cov leeg calcaneal. Nws yog ib qho tsim nyog yuav tsum rov ua txhua qhov kev tawm dag zog raws li Bubnovsky tsawg kawg 15-20 zaug.
- Kev xav. Nws yog ua nyob rau hauv ib tug dag txoj hauj lwm nyob rau hauv lub nraub qaum, thaum ob txhais ceg nyob deb ntawm ib leeg (lub xub pwg dav sib nrug), thiab caj npab yog ncua raws li ob sab ntawm lub cev. Thaum hloov ob txhais ceg, nws yog ib qho tsim nyog yuav tsum ncab cov ntiv taw loj kom deb ntawm koj ntau li ntau tau, thiab tom qab ntawd ntawm koj. Yog tias ua tau zoo, pob taws yuav txuas ntxiv me ntsis.
- Wipers. Txoj hauj lwm yog tib yam li rau repulsion. Cov ntiv taw loj yuav tsum tau sib kis thiab txo qis mus rau qhov siab tshaj plaws. Koj yuav tsum sim muab koj tus ntiv tes (loj) tso rau ntawm lub txaj. Thaum ua qhov kev tawm dag zog, sab ceg yuav tsum maj mam twist.
- Kev sib hloov. Ua nyob tom qab. Ob txhais taw tig clockwise thiab counterclockwise nyob rau hauv lem, thaum tus ntiv taw loj yuav tsum piav lub voj voog.
- Ntiv. Ua nyob rau hauv txoj hauj lwm supine. Nws yog ib qho tsim nyog xav txog tias cov ko taw yog cov xib teg. Nyob rau hauv cov ntaub ntawv no, nws yog ib qhov tsim nyog los tuav ib lub tswv yim apples nrog koj cov ntiv tes. Tom qab ntawd koj yuav tsum nthuav koj cov ntiv tes mus rau qhov txwv.
Recommendations
Dhau li ntawm kev zaws thiab ko taw, nws yog ib qho tseem ceeb uas yuav tsum hnav khau zoo:
Cov khau menyuam yaus yuav tsum yog:
- Ua los ntawm cov khoom zoo tshaj plaws breathable raw khoom, thiab cov kev xav tau no siv rau ob qho tib si sab hauv thiab sab sauv.
- Nyob zoo, txhais tau tias tsis txhob hnia lossis rub tus menyuam ceg.
- Kho cov ceg nruj txaus, uas yog, muaj lacing lossis Velcro.
- Txhim kho qhov tsis plam, ruaj khov thiab pob taws me me.
Sab hauv ntawm cov khau yuav tsum tsuas yog ncaj kom tus ntiv tes xoo tsis khoov sab hauv, qhov siab ntawm pob taws tsis ntau tshaj 1-2 centimeters rau cov menyuam mos txog ob xyoos thiab tsis ntau tshaj 4 centimeters los ntawm 3 xyoos thiab laus dua.
Kev mloog ntau yuav tsum tau them rau orthopedic insoles, nrog lub teeb tiaj tus taw nws tuaj yeem siv cov khoom lag luam, thiab nrog hnyav - tsuas yog ua tus kheej xwb.
Kev siv cov kev txhawb nqa tshwj xeeb yuav tsum tsis txhob ua tas mus li. Yog li ntawd, hnub tim 1 lawv hnav tsis pub dhau ib teev, ces lawv nce lub sij hawm hnav ib hnub ib nrab ib teev.
Thaum xaiv khau, koj yuav tsum tau coj los ntawm nws qhov dav thiab qhov tob. Nws yuav tsum nco ntsoov tias khau nruj heev, nruj, nqaim txo qhov ua tau zoo ntawm orthopedic insoles thiab koov kev txhawb nqa, thiab tom qab ntawd tuaj yeem ua rau muaj kev puas tsuaj rau ko taw.
Koj tsis tuaj yeem maj tus menyuam pib taug kev lossis sawv yog tias nws tsis npaj rau qhov no, ntxiv rau, nws tsim nyog txwv lub sijhawm cov menyuam sawv.
Yog tias koj pom cov tsos mob ntawm ko taw, koj yuav tsum hu rau tus kws kho mob tam sim ntawd thiab pib kho sai li sai tau.
