Lo lus "valgus deformity ntawm ko taw" yog hais txog cov kab mob pathological uas qhov siab ntawm lawv cov arches txo qis. Nyob rau tib lub sij hawm, muaj ib tug curvature ntawm lawv central axis. Hauv cov neeg mob uas muaj kev kuaj mob zoo sib xws, pob taws thiab cov ntiv taw yog arched sab nraud, thiab midfoot yog ntsaws rau sab hauv. Qhov no pathology feem ntau kuaj pom nyob rau hauv cov me nyuam mos thiab cov me nyuam hnub nyoog pib kawm ntawv. Hauv cov neeg laus, raws li txoj cai, valgus deformity ntawm tus ntiv taw loj tsim. Hauv qhov no, cov poj niam feem ntau raug rau cov kab mob pathology. Lawv feem ntau yuav tsim ib qho curvature ntawm qhov sib koom tes ntawm tus ntiv tes xoo. Yog tias koj muaj cov tsos mob ntxhov siab, koj yuav tsum hu rau tus kws kho mob orthopedist. Raws li cov txiaj ntsig ntawm kev kuaj mob, kev npaj kho mob raug teeb tsa.
Yog vim li cas
Valgus deformity ntawm ko taw tuaj yeem hnav licongenital raws li tau txais tus cwj pwm. Raws li kev txheeb cais, pathology suav txog li 80% ntawm txhua qhov kev mus ntsib kws kho mob orthopedist. Raws li txoj cai, cov menyuam yaus thiab cov menyuam kawm ntawv raug kev txom nyem los ntawm nws. Hauv cov neeg laus, hallux valgus raug kuaj pom nyob rau hauv cov xwm txheej cais.
Congenital pathology yog tus cwj pwm los ntawm kev ua txhaum ntawm txoj kev loj hlob ntawm tus menyuam hauv plab, uas cov pob txha ntawm cov ceg distal, nrog rau lawv txoj hauj lwm txheeb ze, hloov.
Yog vim li cas rau tus mob no yog raws li nram no:
- kev hloov pauv;
- ntau yam teeb meem thaum cev xeeb tub.
Valgus deformity ntawm ko taw ntawm tus yam ntxwv tau tsim tawm tsam keeb kwm yav dhau los ntawm qhov tsis muaj zog ntawm cov leeg nqaij thiab vim cov leeg tsis muaj zog thiab ligaments. Qhov ua rau ntawm cov kab mob no yog cov kab mob hauv qab no:
- pathologies ntawm musculoskeletal system;
- tsis raug lossis khau tsis zoo;
- ntu ntu ntawm SARS;
- dysplasia;
- rickets;
- overweight;
- genetic predisposition;
- ntau yam kev raug mob;
- kab mob endocrine;
- polio;
- CP.
Ib qho tseem ceeb provokes yog cov niam txiv xav kom sai sai qhia tus me nyuam taug kev. Vim cov leeg tsis tshua muaj suab nrov, lub ko taw ntawm ko taw flattens hauv qab nws qhov hnyav. Qhov tshwm sim ntawm qhov laj thawj yog qhov ua kom tsis muaj zog ntau dua ntawm cov ntaub so ntswg thiab ligaments. Yav tom ntej, tus menyuam tsis tuaj yeem tuav ko taw hauv qhov qub.
Cov neeg laus muaj hallux valgusKo taw deformity nyob rau hauv feem ntau tshwm sim tawm tsam keeb kwm ntawm hnav khau tsis xis nyob. Raws li kev txheeb cais, nyob rau hauv cov teb chaws uas nws yog kev cai mus taug kev barefoot, pathology xyaum tsis tshwm sim. Ua raws li kev zam thiab kev hlub ntau dhau rau khau nrog pob taws ua rau muaj kev sib txhuam ntau dhau, siab, pinched paj fibers thiab o. Tawm tsam keeb kwm ntawm cov xwm txheej no hauv cov neeg laus, hallux valgus deformity ntawm tus ntiv taw loj feem ntau tshwm sim, qee zaum nws cov arches tau qis dua, vim tias nws tau txais qhov pom X-zoo li.
Tsis tas li ntawd, qhov ua rau muaj kev ntxhov siab yog:
- Hnub nyoog. Tsuas yog 3% ntawm cov tib neeg tsim tus kab mob ua ntej hnub nyoog 30 xyoo. Daim duab no nce mus rau 9% thaum muaj hnub nyoog 60 xyoo. Qhov tshwm sim ntawm kev txhim kho pathology ob npaug rau cov neeg tshaj 60.
- Hereditary predisposition.
- Kev mob nkeeg.
- Ntau tshaj.
- Kev ua haujlwm. Qhov feem ntau deformity yog kuaj pom nyob rau hauv ballerinas uas raug yuam kom seev cev ntawm lawv cov ntiv taw ntev.
- Cov kab mob sib kis. Cov no suav nrog: gout, cerebral palsy, rheumatoid mob caj dab, articular hypermobility, Charot's kab mob, ntau yam sclerosis.
- Kev cev xeeb tub.
- Lub caij nyoog ntawm poj niam cev xeeb tub thiab nws nrog hormonal imbalance.
Qhov laj thawj tseem ceeb rau kev txhim kho ntawm cov kab mob pathology kuj yog qhov tsis muaj zog ntawm cov musculoskeletal system. Yog tias koj tseem hnav khau tsis xis nyob, tus kab mob yuav nce mus ntxiv. Hauv cov xwm txheej siab, cov lus nug ntawm kev tawm tswv yim ntawm kev cuam tshuam kev phais raug txiav txim siab.
Symptoms
Pathology yog qhov yooj yim los kuaj xyuas ntawm koj tus kheej. Hauv cov menyuam yaus, valgus deformity ntawm ko taw tuaj yeem pom los ntawm cov niam txiv raws li hauv qab no: straighten tus me nyuam lub hauv caug thiab nyem kom nruj. Yog tias qhov sib txawv ntawm sab hauv ntawm pob taws yog ntau tshaj 5 cm, qhov no qhia tias muaj cov txheej txheem pathological. Nyob rau tib lub sij hawm, lub arches ntawm ko taw yog noticeably littered sab hauv, lawv qhov siab kuj yuav txo tau. Ntiv tes thiab pob taws nyob rau hauv lub xub ntiag ntawm ib qho mob raug tsis lees paub sab nraud.
Ntxiv rau, cov tsos mob ntawm hallux valgus hauv cov menyuam yaus yog cov xwm txheej hauv qab no:
- Xav thaum taug kev.
- pib nrawm nrawm thaum ua si sab nraum zoov.
- mob ob txhais ceg thiab nraub qaum.
- Thaum taug kev, tus menyuam tsuas yog nqis ntawm ko taw sab hauv.
- Kev tsis paub tseeb hauv kev mus.
- Muscle cramps hauv calves.
- Thaum yav tsaus ntuj, ko taw o me ntsis.
Yog tias koj ua tib zoo saib cov khau uas tus menyuam hnav, koj yuav pom tias ib leeg hnav tshaj plaws ntawm sab hauv.
Hauv cov neeg laus uas muaj hallux valgus deformity ntawm ko taw lossis ntiv taw loj, cov tsos mob hauv qab no tshwm sim:
- pab.
- Zoo pib nkees nkees thaum taug kev.
- Kev sib txawv sab nraud ntawm tus ntiv tes xoo.
Tsis tas li ntawd, muaj teeb meem nrog kev xaiv khau. Nrog lub zog deformation, tus ntiv tes thib ob kuj pib txav mus. Vim li no, thaum taug kev thiab hauv nws, qhov mob tshwm sim tshwm sim.
Degrees ntawm qhov hnyav
Cov kws tshaj lij cais cov kab mob nyob ntawm lub kaum sab xis ntawm cov pob txha thiab thawj tus ntiv tes.
Pathology tuaj yeem muaj cov qib hauv qab no:
- I. Nws yog tus cwj pwm los ntawm qhov tshwm sim ntawm subluxation ntawm ko taw, uas yog qhov tshwm sim ntawm kev sib koom ua ke deformity. Nws tsim tawm tsam keeb kwm ntawm pathological txav ntawm ligaments.
- II. Nyob rau theem no, muaj kev hloov pauv ntau dua ntawm cov pob qij txha thiab cov leeg ntawm tus ntiv tes xoo.
- III. Valgus deformity ntawm ko taw ntawm qib 3 yog qhov hnyav tshaj plaws. Nyob rau theem no, cov ntaub so ntswg thiab cov pob txha tsis tuaj yeem tiv nrog lub nra. Lawv tsis muaj zog npaum li qhov ua tau thiab ua rau muaj kev raug mob ntau yam.
Thaum pib, tus kab mob tuaj yeem raug tshem tawm los ntawm kev saib xyuas kev kho mob. Nrog rau qib 3 pathology, qee cov neeg mob raug qhia rau kev phais.
Diagnosis
Kho valgus deformity ntawm ko taw yog ua los ntawm tus kws kho mob orthopedist. Nws yuav tsum raug hu rau thawj cov cim ceeb toom.
Thaum lub sijhawm teem sijhawm, tus kws kho mob ua qhov kuaj pom thawj zaug, suav nrog:
- Pol. Tus kws kho mob tshwj xeeb yuav tsum tau muab cov ntaub ntawv hais txog tag nrho cov tsos mob thiab qhia meej tias lawv tau tshwm sim ntev npaum li cas, nrog rau qhov xwm txheej twg lawv qhov hnyav nce.
- Kev tshuaj xyuas. Tus kws kho mob soj ntsuam qhov mob ntawm ko taw: txoj hauj lwm ntawm kev sib koom tes, lwm yam deformities, txoj hauj lwm ntawm lub arches. Tom qab ntawd, nws hais kom tus neeg mob ua ob peb kauj ruam. Qhov no tso cai rau tus kws kho mob txhawm rau txheeb xyuas qhov mob hnyav, o, hloov pauv hauv kev sib koom ua ke. Tsis tas li ntawd, orthopedicntsuam xyuas cov mob ntawm daim tawv nqaij thiab them nyiaj mloog mus rau peripheral mem tes. Hauv cov menyuam yaus hnub nyoog qis dua 3 xyoos, qhov nruab nrab ntawm ko taw muaj ib hom roj pad. Txhawm rau ntsuas tus menyuam lub koov, tus kws tshaj lij tuaj yeem hais kom nws sawv ntawm nws tus ntiv taw.
Tom qab kuaj pom thawj zaug, tus kws kho mob qhia tus neeg mob rau x-rays. Nrog kev pab los ntawm txoj kev tshawb no, nws muaj peev xwm txiav txim siab qhov degree ntawm deformation. Txhawm rau kom tsis suav nrog lwm cov kab mob pathologies, tus kws kho mob tshwj xeeb tuaj yeem sau CT scan. Kev kuaj ultrasound yog tsim nyog yog tias xav tias ua txhaum ntawm cov txheej txheem circulatory. Cov kev kuaj mob hauv chaw kuaj mob (kev kuaj ntshav thiab zis) raug sau tseg kom tsis suav nrog cov kab mob cuam tshuam thiab ua ntej kev phais. Rau kev kuaj pom tseeb hauv tus menyuam, tus kws kho mob tuaj yeem xa nws mus rau kev sab laj nrog kws kho mob hlwb. Qhov no yog qhov tsim nyog kom tshem tawm cov teeb meem ntawm lub paj hlwb.
kev kho mob zoo
Pathology xav tau kev sib koom ua ke. Cov neeg mob yuav tsum nkag siab tias yuav luag tsis muaj peev xwm tshem tau tus kab mob qib 3 nrog cov txheej txheem kev saib xyuas. Tab sis qhov kev txiav txim siab hais txog qhov kev tawm tswv yim ntawm kev cuam tshuam kev phais yog ua los ntawm cov txiaj ntsig ntawm kev kuaj mob thiab yog tias cov txheej txheem tsis yog phais tsis zoo.
Cov kev kho mob rau hallux valgus suav nrog cov hauv qab no:
- Immobilization.
- massage.
- Kinesiology taping.
- kev tawm dag zog.
- Yogxaiv khau thiab teeb tsa orthopedic insoles hauv cov khoom.
- Lwm lub cev kho mob.
Nyob rau hauv immobilization ntawm ko taw txhais tau hais tias nws yuam kom txo mus rau hauv lub cev txoj hauj lwm nrog rau tom qab fixation. Txoj kev yog nqa tawm siv gypsum los yog splints. Hauv thawj kis, cov txheej txheem immobilization yog nqa tawm ib zaug ib lub lim tiam. Tom qab tshem tawm cov qub plaster, ko taw yog massaged thiab kho nrog ib tug tshiab. Longet yog ib qho khoom siv tshem tau. Nyob rau hauv cov nqe lus ntawm rigidity, nws tsis yog inferior rau gypsum, tab sis lub degree ntawm immobilization yog qis dua. Kho cov cuab yeej yog npaj rau kev kho mob ntawm 1 thiab 2 degrees ntawm tus kab mob. Lawv yuav tsum hnav tsawg kawg 12 teev hauv ib hnub rau 6 lub hlis.
Massage rau hallux valgus yog ua los ntawm tus kws tshaj lij. Nws tsis pom zoo kom nqa nws tawm hauv tsev, thiaj li tsis ua rau qhov xwm txheej hnyav dua. Yuav kom ua tau zoo tshaj plaws, koj yuav tsum ua kom tiav ib chav kawm ntawm 10 ntu. Nrog rau cov kab mob hnyav, nws rov ua dua ob peb zaug hauv ib xyoos.
Nyob rau hauv ob peb xyoos dhau los, kinesio taping tau txais txiaj ntsig loj heev. Nrog valgus deformity ntawm ob txhais taw, txoj kev pab ntxiv dag zog rau cov leeg nqaij uas tswj cov kev sib koom ua ke. Lub essence ntawm txoj kev yog raws li nram no: ib tug tshwj xeeb daim kab xev nrog ib tug nplaum txheej (kinesiotape) yog siv rau lub pathologically hloov chaw. Thaum lub zog txav, nws ua rau muaj kev hloov pauv hauv cov leeg nqaij dynamic. Lub hom phiaj ntawm txoj kev tsis yog kho cov ko taw, vim qhov ceev ntawm kinesio daim kab xev tsis ntau siab dua li cov ntaub nplaum zoo tib yam. Txoj kev no yog pab thiab tsis siv los kho mob hnyav.
Ob tus neeg laus thiabHauv cov menyuam yaus uas muaj hallux valgus, gymnastics pab ua kom sov cov leeg nqaij thiab nthuav ntau qhov kev tawm suab. Kev tawm dag zog yog pom zoo kom ua kom ntau li ntau tau. Lawv qhov kev siv tsis tas yuav muaj kev cob qhia tshwj xeeb thiab khoom siv.
Cov kev tawm dag zog hauv qab no tau txais txiaj ntsig:
- Nyob hauv qhov chaw zaum, rub cov thom khwm ntawm koj.
- Nyob rau hauv tib txoj hauj lwm, me ntsis nias rau sab ntug ntawm ko taw. Tib lub sijhawm, nws yuav tsum khoov sab hauv.
- Ua rotational txav nrog ko taw.
- Txoj kev taug ko taw.
- Muaj ntau yam khoom me me rau hauv pem teb. Sim sau lawv nrog koj cov ntiv taw.
- Txhob mus sab nraum ko taw.
- Taug kev taw tsis tau ntawm qhov chaw tsis sib xws.
Nrog hallux valgus, kev kho mob qoj ib ce kuj txhim kho qib kev sib koom tes ntawm kev txav, ua kom cov ntshav ncig hauv zos, thiab muaj txiaj ntsig zoo ntawm kev cog lus thiab cov leeg nqaij. Qhov txiaj ntsig zoo tshaj tuaj yeem ua tiav yog tias koj muab kev tawm dag zog nrog kev kho lub cev.
Cov no suav nrog:
- electrophoresis;
- kev kho paraffin;
- amplipulse;
- magnetotherapy;
- muag da dej;
Cov txheej txheem no yog tsim los txo qhov hnyav ntawm cov tsos mob tsis zoo. Raws li txoj kev ywj pheej hauv kev kho mob ntawm pathology, lawv tsis siv.
Hauv hallux valgus, khau yog qhov tseem ceeb. Cov khoom me me uas tsim nyog yuav tsum ua raws li cov cai hauv qab no:
- Lub pob taws yuav tsum muaj kev kho kom zoo (laces,fasteners, Velcro).
- nkawm khau zoo yog tsim los ntawm cov khoom siv ntuj.
- pob taws yuav tsum siab (zoo tagnrho npog pob taws) thiab tawv. Thaum nias nrog tus ntiv tes, tsis muaj dents yuav tsum tsim.
- Heel qhov siab yuav tsum yog 0.5-1 cm.
- Lub ntug sab hauv ntawm cov khau kom zoo ib txwm ncaj.
- Cov qauv ntiv taw yuav tsum muab sib npaug.
- Thaum khoov, lub outsole ntawm cov khoom zoo siv zog ua rau cov duab ntawm arc. Nws kuj yuav tsum muaj tus qauv tsa.
Nkawm khau rau menyuam yaus yuav tsum tau yuav nruj me ntsis raws li qhov loj me. Cov khoom nruj dhau los yog xoob dhau ua rau muaj ntau yam pathologies ntawm lub cev musculoskeletal.
Cov neeg laus kuj raug txhawb kom yuav khau ua los ntawm cov khoom ntuj tsim. Nws yuav tsum tau xis thiab loj. Cov poj niam tsis pom zoo kom hnav cov khoom nrog lub luj taws siab tshaj 7 cm.
Ntxiv rau, cov kws kho mob qhia kom hnav insoles txhua lub sijhawm rau hallux valgus. Cov khoom orthopedic no tso cai rau koj kom tshem tawm cov kab mob ntawm qhov pib ntawm nws txoj kev loj hlob. Raws li txoj cai, lawv tau siv ua ke nrog kev txhawb nqa arch, digital correctors thiab ntxiv ties.
Rau qhov mob hnyav, tus kws kho mob tau sau tshuaj tsis yog tshuaj steroidal tshuaj tiv thaiv kab mob.
kev kho mob phais
Kev cuam tshuam kev phais yog ua nyob rau hauv rooj plaub thaum txhua txoj kev ntawm kev saib xyuas kev kho mob tsis muaj txiaj ntsig thiab tsis txwv qhov kev loj hlob ntawm cov kab mob. Ntawmcov neeg laus, nws tau ua tiav yog tias tus kab mob no txo qis kev ua neej zoo ntawm cov neeg mob thiab yog qhov tsis zoo ntawm cov tshuaj pleev ib ce.
Kev kho mob ntawm hallux valgus tuaj yeem ua tau raws li hauv qab no:
- Kev teeb tsa ntawm Kirchner spokes. Kev tsim kho thoob plaws lub neej kho lub koov ntawm ko taw hauv txoj haujlwm physiological.
- Achilleotomy. Nws suav nrog kev txiav cov leeg, uas cov triceps ntawm sab ceg yog txuas nrog pob taws pob taws. Tom qab ntawd tus taw yog tsau nrog plaster. Thaum lub sij hawm immobilization, cov leeg tau rov qab los thiab tau txais qhov ntev ntawm lub cev, vim nws ib txwm luv luv hauv pathology.
Thaum lub sijhawm rov zoo, cov txheej txheem kho lub cev tau qhia ua ke nrog kev zaws thiab kev tawm dag zog.
kev kho neeg zoo
Nws yog ib qho tseem ceeb kom nkag siab tias cov txheej txheem tsis yog ib txwm tsis muaj peev xwm tshem tawm cov kab mob lossis nres nws txoj kev loj hlob. Lawv txoj haujlwm tsuas yog tshem tawm qhov mob. Rau lub hom phiaj no, koj tuaj yeem siv ntau yam compresses. Propolis, thov rau ob peb teev rau qhov chaw cuam tshuam, txo qhov mob zoo. Cov tshuaj hauv qab no kuj tseem siv tau: ncuav qhuav thiab crushed paj dandelion nrog me me ntawm iodine. Duration ntawm infusion - 3 hnub. Tom qab lub sijhawm no, cov khoom yuav tsum tau siv rau thaj tsam cuam tshuam hauv daim ntawv mesh.
Huab cua
Feem ntau, kev kho mob ntawm hallux valgus yam tsis muaj kev phais zoo. Cov txiaj ntsig ceev tshaj plaws thiab zoo tshaj plaws tuaj yeem ua tiav los ntawm kev tiv taujorthopedist ntawm thawj cov cim ceeb toom.
Yog qhov teeb meem tsis quav ntsej, ob qho tib si me nyuam yaus thiab cov neeg laus muaj kev deformity loj, uas ua rau lub neej zoo. Tsis tas li ntawd, txhua yam ntawm cov kab mob ntawm cov leeg nqaij tshwm sim, uas nyuaj heev kom tshem tawm.
ntsuas kev tiv thaiv
Los ntawm thawj lub hlis ntawm lub neej, nws raug nquahu kom koom nrog tus menyuam hauv lub pas dej. Kev ua luam dej ua kom muaj zog thiab txhim kho cov leeg, thiab ko taw hauv dej yeej tsis poob rau hauv ib qho kev taw qhia lossis lwm qhov.
Ntxiv mus, qhov tshwm sim ntawm pathology tuaj yeem tiv thaiv tau los ntawm kev ua raws li cov cai hauv qab no:
- mus ntsib kws kho menyuam yaus thiab tus kws kho mob orthopedist kom tiv thaiv kev kuaj mob;
- tsis txhob yuam tus me nyuam taug kev yog tias nws lub cev tseem tsis tau npaj rau lub nra no;
- yuav khau zoo thiab nruj raws li qhov loj.
Cov neeg laus kuj yuav tsum kawm paub xaiv cov khau zoo uas tsis txhob rub ko taw, tab sis tsis xoob dhau. Cov poj niam tsis pom zoo kom hnav heels siab. Tsis tas li ntawd, nws yog ib qho tsim nyog yuav tsum tau kho cov kev ua haujlwm niaj hnub kom tau ob peb teev kom tau txais kev so zoo. Nws tseem yog ib qho tseem ceeb los tswj lub cev qhov hnyav, tiv thaiv kev loj hlob ntawm kev rog.
In xaus
Valgus deformity ntawm ko taw yog ib qho kev nthuav dav orthopedic pathology. Nws feem ntau kuaj tau rau cov menyuam yaus. Hauv cov neeg laus, raws li txoj cai, deformity ntawm tus ntiv taw loj loj tuaj. Nyob rau hauv ob qho tib si, nws qhiaintegrated therapeutic mus kom ze. Nrog nws qhov tsis muaj txiaj ntsig, uas tshwm sim hauv cov xwm txheej siab heev, kev cuam tshuam kev phais yog qhia. Qhov kev tiv thaiv tseem ceeb yog xaiv cov khau kom raug.
