Yog tus me nyuam mob pob taws, ces cov tsos mob yuav tsum ceeb toom rau niam txiv. Qhov no tej zaum yuav yog ib tug kos npe rau ntawm inflammatory kab mob ntawm musculoskeletal system, uas yuav tsum tau kho tam sim ntawd. Tsis tas li ntawd, feem ntau tsis xis nyob hauv ko taw tuaj yeem tshwm sim tom qab raug mob. Nrog kev raug mob me me, cov menyuam yaus yuav tsis muaj mob thaum ntxov. Tab sis kev raug mob tuaj yeem cuam tshuam rau kev noj qab haus huv ntawm tus menyuam tom qab qee lub sijhawm. Nyob rau hauv tsab xov xwm, peb yuav xav txog cov feem ntau ua rau mob syndrome thiab txoj kev kho mob pathologies.
Natural cause
Ntau zaus, tus menyuam lub pob taws raug mob vim yog lub cev ua haujlwm ntawm ob txhais ceg. Exacerbation ntawm cov tsos mob no feem ntau tau sau tseg thaum lub caij nplooj zeeg. Lub sijhawm no, cov menyuam yaus rov mus koom kev ncaws pob tom qab lub caij ntuj sov. Thaum lub sij hawm ntev ntawm so thiab so, ob txhais ceg yuav weaned los ntawm kev ua si tsis tu ncua. Thiab qhov rov pib dua ntawm kev cob qhia tuaj yeem ua rau pom qhov mob. Qhov tsis xis nyob feem ntau ploj musraws li lub cev yoog raws kev ntxhov siab.
Yog tus menyuam mob pob taws tom qab ua si kis las, qhov no yuav qhia tau tias kev tawm dag zog lub cev ntau dhau. Hauv qhov no, kev siv zog ntawm kev cob qhia yuav tsum raug txo kom tsawg, ua tib zoo mloog rau kev noj haus. Tsis muaj calcium hauv lub cev thiab vitamin D tuaj yeem ua rau mob pob taws, thiab, qhov tsis xis nyob hauv ob txhais ceg tom qab kis las feem ntau tshwm sim hauv cov menyuam rog rog thiab ko taw.
nkawm khau tsis xis nyob kuj tuaj yeem ua rau mob. Hauv qhov no, koj yuav tsum xaiv ib qho insole nrog kev txhawb nqa arch. Qhov no yuav pab txo qhov mob ntawm ko taw thaum taug kev thiab khiav.
Pathological ua rau
Txawm li cas los xij, muaj qee lub sijhawm thaum qhov tsis xis nyob hauv ko taw tsis ploj mus txawm tias tom qab txo qis kev ua si ntawm lub cev thiab xaiv khau xis. Cov niam txiv yuav tsum ceeb toom yog tias tus menyuam pob luj taws raug mob ntev. Yog vim li cas rau qhov no tej zaum yuav muaj ntau yam pathologies ntawm musculoskeletal system. Cov kab mob no tuaj yeem muab faib ua ob peb pawg:
- Pathologies muaj nyob rau hauv thaum yau. Cov no suav nrog osteochondropathy (Shinz tus kab mob), apophysitis, epiphysitis, o ntawm Achilles leeg. Cov kab mob no feem ntau pom hauv cov menyuam yaus hnub nyoog 7 txog 12 xyoos. Thaum lub sij hawm no, lub cev musculoskeletal ntawm tus me nyuam tseem tsim. Nyob rau tib lub sijhawm, cov menyuam yaus feem ntau ua lub neej nquag. Ib tug loj load rau ntawm ib tug tsis yooj yim musculoskeletal system yuav provoke inflammatorykab mob.
- Kev raug mob. Feem ntau, cov niam txiv mam li nco dheev pom tias tus me nyuam pob luj taws mob thiab ua rau nws mob. Qhov no tuaj yeem tshwm sim los ntawm ntau yam kev puas tsuaj. Pob txha pob txha yog qhov tsis yooj yim, thiab nws txoj kev raug mob tsis yog ib txwm nrog los ntawm qhov mob tshwm sim. Yog li ntawd, qhov tsis xis nyob hauv ko taw qee zaum tshwm sim tsis tau sai tom qab lub caij nplooj zeeg lossis raug mob.
- Kab mob tsis tshua muaj thaum yau. Cov no muaj xws li bursitis thiab pob taws spurs. Cov kab mob no muaj ntau dua rau cov neeg laus, tab sis kuj tuaj yeem tshwm sim hauv cov menyuam yaus vim muaj kev kis kab mob yav dhau los, cov kab mob metabolic, lossis kev tawm dag zog lub cev ntau dhau. Tib pawg kab mob suav nrog cov kab mob cog qoob loo (spikelets), uas tsis tshua muaj hauv cov menyuam yaus.
Tom ntej no, peb yuav txiav txim siab nthuav dav cov tsos mob thiab cov kev kho mob ntawm cov kab mob saum toj no.
Osteochondropathy
Cov kab mob no yog hu ua Schinz's disease. Osteochondropathy ntawm calcaneus feem ntau tshwm sim hauv cov menyuam yaus hnub nyoog 7-9 xyoos, thiab cov tub hluas hnub nyoog 10-12 xyoos. Qhov ua rau ntawm pathology yog ua kom lub cev muaj zog thiab tsis muaj calcium hauv lub cev.
Tus kab mob no cuam tshuam qhov nqus ntawm cov as-ham los ntawm cov pob txha. Vim li no, kev hloov necrotic tshwm sim hauv pob txha pob txha. Qhov no yog nrog los ntawm cov tsos mob hauv qab no:
- mob pob taws uas mob hnyav thaum nruab hnub thaum taug kev;
- pob taws o;
- limping (tus me nyuam tsis txhob nqis tes ntawm qhov raug mob);
- malaise, kub cev;
- nyuaj hauv flexion thiab txuas ntxivko taw.
Nyob rau theem mob ntawm osteochondropathy, ko taw yuav tsum tau muab so kom tiav. Rau fixation, plaster cam khwb cia los yog ib tug tshwj xeeb splint nrog stirrups yog siv.
teem caij kho lub cev:
- ultrasound;
- electrophoresis;
- daim ntawv thov nrog ozocerite.
Non-steroidal anti-inflammatory tshuaj nyob rau hauv daim ntawv ntawm cov tshuaj pleev thiab cov ntsiav tshuaj yog siv los txo qhov mob.
Epiphysitis
Nws tsis yog qhov txawv rau cov niam txiv pom tias lawv tus menyuam pob taws mob tom qab kev cob qhia. Qhov no tej zaum yuav yog ib qho cim ntawm microdamage rau cov pob txha calcaneal - epiphysitis. Tus kab mob no feem ntau cuam tshuam rau cov tub ntxhais hluas uas koom nrog kev ua kis las. Cov vitamin D tsis muaj peev xwm ua rau muaj kab mob pathology, tau tsim kom muaj cov menyuam yaus nyob hauv cov cheeb tsam uas muaj huab cua txias tshwj xeeb tshaj yog cov kab mob no. Vim tias tsis muaj hluav taws xob raug ultraviolet, qhov tsim cov vitamin D los ntawm daim tawv nqaij yuav txo qis, yog li tus kab mob no tseem hu ua kab mob North.
Nrog epiphysitis, tus menyuam pob taws mob thaum khiav, dhia thiab taug kev nrawm. Nyob rau hauv ib lub xeev ntawm so, cov kev xav tsis kaj siab tsis muaj zog. Qhov mob yog nyob tom qab thiab sab ntawm pob taws, nws intensifies thaum nias. Nrog rau pob txha mos loj heev, o thiab liab tuaj yeem tshwm sim. Hauv cov xwm txheej zoo, tus menyuam tsis tuaj yeem khoov ko taw, pib qis.
Nws raug pom zoo rau tus menyuam muaj mob hnav cov khau orthopedic nrog cov mos mos, lub cushion hauv qab pob taws thiab koov. Sau ib hoob kho mobcov tshuaj vitamin D thiab tshuaj tua kab mob. Kev kho mob physiotherapy qhia:
- electrophoresis nrog novocaine thiab calcium;
- massage;
- da dej nrog kho av nkos.
Epiphysitis muaj qhov pom zoo. Cov cim qhia ntawm tus kab mob no ploj mus tag nrho thaum muaj hnub nyoog laus, raws li cov ntaub so ntswg pob txha raug mob ossification.
Apophysitis
Muaj cov mob thaum qhov mob tsis pom kev thaum so. Puffiness nyob rau hauv ko taw cheeb tsam yog xyaum tsis tuaj. Txawm li cas los xij, tus menyuam muaj mob pob taws thaum taug kev. Yog vim li cas rau qhov no tej zaum yuav yog ib qho txheej txheem inflammatory hauv pob txha pob txha - apophysitis.
Tus kab mob no feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 14 xyoos uas koom nrog kev ua kis las. Cov ntaub so ntswg pob txha nyob rau hauv tus me nyuam yog qhov tsis muaj zog thiab yooj yim inflamed nrog nce load ntawm ob txhais ceg. Feem ntau, cov kab mob no tshwm sim thaum muaj hnub nyoog laus, thaum tus hluas loj hlob sai.
Apophysitis yog nrog los ntawm cov tsos mob hauv qab no:
- mob nraub qaum thiab sab pob taws;
- tsis xis nyob thaum taug kev;
- ploj ntawm qhov mob thaum so;
- tsis muaj puffiness (tej zaum tsuas yog o me ntsis).
Nyob rau hauv rooj plaub ntawm pob txha pob txha pob txha, nws raug nquahu kom tso tseg kev ua si ib ntus. Ib tus neeg mob me tau txais kev kho mob physiotherapy thiab zaws. Nws raug nquahu kom hnav khau tshwj xeeb nrog cov mos mos insoles. Kev kho tshuaj muaj nyob rau hauv cov tshuaj tiv thaiv kab mob (piv txwv li, Ibuprofen) thiab complexes nrog vitamin D,ascorbic acid thiab calcium. Tus kab mob no xyaum tsis tshwm sim rau cov neeg laus, vim tias pob txha mos raug ossification nrog hnub nyoog.
Kab mob ntawm Achilles tendon (tenosynovitis)
Cov leeg Achilles khiav raws sab nraub qaum. Qhov no yog lub zog ligament ntawm tib neeg lub cev, uas tuaj yeem tiv taus cov khoom hnyav. Txawm li cas los xij, thaum menyuam yaus, nrog kev ua kis las ntau dhau, kev mob ntawm cov leeg feem ntau tshwm sim. Yog li ntawd, lub ligament thickens thiab tiv thaiv ib txwm ceg extension. Tus kab mob no tshwm sim thaum hluas.
Nrog tendovaginitis, tus me nyuam pob luj taws mob thiab nws mob mus rau ntawm ko taw. Cov kev xav tsis zoo tuaj yeem cuam tshuam rau ko taw. Lub nraub qaum ntawm ceg zoo li edematous. Cov nqaij calf yog tense. Hauv cov xwm txheej zoo, lub suab nrov tau hnov thaum lub sijhawm txav.
Kev kho mob muaj nyob rau hauv kev kho cov kab mob ceg nrog orthosis lossis elastic bandage. Txhawm rau txo qhov mob, tshuaj tiv thaiv qhov ncauj thiab hauv zos (Nimesil, Ibuprofen) raug sau tseg. Qhov kev txiav txim ntawm compresses nrog cov kev daws teeb meem ntawm novocaine lossis analgin kuj pom.
Tom qab nyem qhov mob hnyav, tus menyuam tau txais kev kho lub cev:
- magnetic therapy;
- laser kho;
- electrophoresis;
- muab da dej thiab daim ntaub ntawv;
- ultrasound.
Tom qab kev kho mob tas mus li, nws raug nquahu kom txo cov load ntawm ob txhais ceg. Tus me nyuam tau txais ib chav kawm ntawm kev kho kom rov zoo li qub.
Kev mob
Yog tus me nyuam mob pob taws thiab ua rau nws mob ko taw, ces cov tsos mob zoo li notuaj yeem yog qhov cim ntawm kev raug mob:
- tawg;
- pob txha tawg;
- sprains.
Kev raug mob li no yog tshwm sim los ntawm kev dhia tsis tiav thiab poob ntawm qhov siab. Nws yog ib qho tseem ceeb kom nco ntsoov tias qhov mob ntawm pob txha calcaneus tuaj yeem ua tau zoo heev. Kev raug mob yeej ib txwm nrog cov ntaub so ntswg edema. Hauv qhov xwm txheej hnyav, txhais ceg zoo li deformed. Nws tseem ceeb kom coj tus menyuam mus rau chav xwm txheej ceev thiab x-ray.
Thaum lub calcaneus puas lawm, plaster cam khwb cia rau ntawm txhais ceg. Yog hais tias qhov kev raug mob yog nrog los ntawm cov khoom tawg, ces tus me nyuam yuav tsum tau muab tso rau hauv tsev kho mob. Nyob rau hauv cov tshuaj loog, cov pob txha yog repositioned, thiab tsuas yog tom qab ntawd lub caj dab yog tsau nrog plaster. Kev kho pob txha tuaj yeem siv sijhawm li 6-7 lub lis piam. Thaum lub sij hawm kho kom rov zoo, tus me nyuam tau txais kev kho mob ntawm lub cev thiab kev kho lub cev.
Lwm yam kab mob
Cov kab mob no muaj ntau dua rau cov neeg laus. Txawm li cas los xij, tsawg zaus, lawv tuaj yeem tshwm sim hauv cov menyuam yaus. Cov kab mob no suav nrog:
- pob taws spur;
- Achilles bursitis;
- cog qoob loo (spikelets).
Heel spurs tseem hu ua plantar fasciitis. Tus kab mob yog nrog los ntawm o thiab degeneration ntawm ligament (fascia) ntawm ko taw. Nyob rau hauv cov ntaub ntawv siab heev, pathological outgrowths (osteophytes) tshwm sim ntawm calcaneus, uas zoo li spurs. Nyob rau hauv thawj theem, tus me nyuam pob taws mob tsuas yog thaum sawv ntxov. Thaum osteophytes tshwm sim, qhov mob ua rau mob mus tas li thiab nyuaj rau nres.
Cov menyuam yaus uas muaj ko taw tiaj thiab hnyav dua yuav raug kev txom nyem los ntawm cov kab mob no. Thaum ntxov, pob taws spur yog amenable rau kev kho mob. Tus me nyuam tau muab tshuaj tiv thaiv kab mob thiab tshuaj hormonal, nrog rau kev kho lub cev. Kev ua haujlwm tau pom nyob rau hauv cov xwm txheej siab heev.
Achilles bursitis feem ntau tshwm sim tom qab pob taws pob taws. Tus kab mob no yog nrog los ntawm o ntawm cov pob qij txha capsule nyob nruab nrab ntawm Achilles leeg thiab calcaneus. Muaj qhov mob hauv pob taws thiab tsis muaj kev txav mus los ntawm kev sib koom tes. Pathology sai heev ua ntev. Cov neeg mob tau muab tshuaj tua kab mob, tshuaj kho mob thiab kev kho mob yoj yoj. Hauv qhov xwm txheej hnyav, kev txhaj tshuaj corticosteroid yog tsim rau hauv cov tshuaj ntsiav tshuaj.
Vim li cas tus menyuam pob luj taws mob thiab loj hlob tuaj ntawm ko taw? Qhov ua rau ntawm qhov no tuaj yeem yog cov kab mob cog qoob loo (spikelets). Hom papillomas no feem ntau pom thaum hluas, tab sis qhov tshwm sim ntawm kev loj hlob thaum yau tsis suav nrog.
Kev loj hlob ntawm warts yog qhov tshwm sim ntawm kev kis tus kab mob HPV thiab txo qis hauv kev tiv thaiv. Tus menyuam lub pob taws raug mob thaum taug kev, raws li nws tas li yuav tsum tau nqis los ntawm kev loj hlob. Nrog plantar warts, tus neeg mob tau sau tshuaj antiviral thiab immunomodulators. Yog tias papillomas cuam tshuam nrog kev taug kev ib txwm, tom qab ntawd tshem tawm kev loj hlob.
Diagnosis
Peb pom tias muaj ntau yam laj thawj ua rau tus menyuam pob taws ua rau mob. Yuav ua li cas thaum cov tsos mob tshwm sim? Koj yuav tsum mus ntsib kws kho mob menyuam yaus lossisorthopedist. Mob hauv calcaneus tuaj yeem muaj qhov sib txawv. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem txheeb xyuas lawv cov etiology.
Yuav kom paub meej qhov kev kuaj mob, cov kev ntsuam xyuas hauv qab no tau sau tseg:
- x-ray ntawm calcaneus;
- MRI ko taw thiab pob taws;
- kuaj ntshav thiab zis (kom kuaj tau qhov mob);
- kuaj cov kua dej synovial (hauv kev kuaj mob ntawm bursitis).
Yog tias koj xav tias cov kab mob cog qoob loo, koj yuav tsum tau sab laj nrog kws kho hniav thiab kuaj ntshav rau papillomavirus.
Kev pab ib zaug
Yuav pab tau li cas yog tus menyuam mob pob taws? Tsuas yog tus kws kho mob tuaj yeem kho cov kab mob ntawm cov leeg musculoskeletal. Kev xaiv ntawm txoj kev tsim nyog ntawm kev kho mob yuav nyob ntawm seb hom pathology.
Txawm li cas los xij, nyob rau theem kev kho mob ua ntej, koj tuaj yeem sim nres qhov tsis xis nyob. Yog tias tus me nyuam muaj pob taws, ces nws yog ib qho tsim nyog los cuam tshuam cov kev ua si kis las thiab tsis suav nrog kev ntxhov siab ntawm ob txhais ceg. Ua ntej mus ntsib kws kho mob, koj tuaj yeem siv qhov txias txias rau thaj tsam cuam tshuam. Yog tias qhov mob tshwm sim los ntawm kev dhia ua tsis tiav lossis poob los ntawm qhov siab, ces nws yuav tsum tau muab cov splint rau ntawm tus txha caj qaum.
Nws yog qhov tsis xav muab tshuaj rau menyuam yaus ua ntej mus ntsib kws kho mob. Qhov no tuaj yeem ua rau pom cov duab kho mob ntawm tus kab mob, thiab nws yuav nyuaj rau tus kws kho mob kom paub qhov tseeb.
Kev Tiv Thaiv
Yuav ua li cas tiv thaiv kab mob ntawm calcaneus thiab Achilles leeg? Txhawm rau tiv thaiv cov kab mob zoo li no, nws yog ib qho tsim nyog yuav tsum ua raws licov lus qhia hauv qab no:
- Cov kev ua kis las me me yuav tsum nyob nruab nrab. Exhausting workouts nrog nce load ntawm ob txhais ceg yog contraindicated nyob rau hauv thaum yau.
- Cov menyuam yaus yuav tsum tsis tu ncua suav nrog cov khoom noj uas muaj calcium thiab vitamin D. Cov tshuaj no tsim nyog rau kev tsim kom raug thiab ntxiv dag zog rau cov pob txha.
- Nws yog ib qho tseem ceeb kom ntseeg tau tias tus me nyuam hnav khau zoo nrog cov mos mos insoles thiab arch support.
- Thaum qhov mob tshwm sim tom qab ntog thiab tawg ntawm calcaneus, nws yuav tsum tau hu rau tus kws kho mob kom raws sijhawm.
- Nws yog ib qho tseem ceeb heev uas yuav tsum xyuam xim rau qhov hnyav ntawm tus menyuam. Cov phaus ntxiv tsim kom muaj kev nce ntxiv ntawm pob txha mos.
- Koj yuav tsum tau saib xyuas qhov mob ntawm daim tawv nqaij ntawm pob taws. Yog tias muaj kev loj hlob ntawm cov kab mob epidermis, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.
Ua raws li cov kauj ruam no yuav pab txo koj txoj kev pheej hmoo ntawm pob taws thiab mob leeg.
