Osteophyte yog ib qho tsis kaj siab thiab mob heev tshwm sim ntawm kev loj hlob ntawm cov pob txha cov ntaub so ntswg nyob rau hauv daim ntawv ntawm ib tug spike, tshwm sim los ntawm kev rub cov nyhuv ntawm ib leeg los yog ligament. Rau cov kab mob xws li pob taws spur, cov tshuaj kho mob tau zoo heev yog tias nws tsis pib. Peb yuav tham txog qhov ua rau tshwm sim, txhais tau tias kev pab hauv tsab xov xwm hnub no.
Vim li cas kab mob tshwm sim
Thaum kuaj pom pob txha pob txha, kev kho tshuaj txhais tau hais tias tus kab mob twb tau kuaj pom lawm, piv txwv li, los ntawm kev kuaj ultrasound lossis x-ray. Cov cim qhia ntawm pob taws pob taws yog qhov pom tseeb, thiab txawm hais tias tus kab mob no maj mam, mus ntsib kws kho mob tau tshwm sim nyob rau theem thaum qhov kev loj hlob ua rau muaj kev tsis xis nyob thaum taug kev. Raws li kev txheeb cais ntawm kev kho mob nrog fasciitis (mob ntawm cov leeg nqaij vim osteophyte), cov poj niam feem ntau yuav raug kev txom nyem vim khau siab heels, thaum ko taw hloov pauv sai sai ntawm qhov chaw thauj khoom.ntawm ib co ligaments mus rau ib tug so txoj hauj lwm thiab vice versa, yog cov yam ntxwv ntawm cov poj niam pw ua ke. Loads ntawm ob txhais ceg thaum taug kev, kev ua neej nyob tsis yog txhua qhov qhia tias osteophyte raug cais tawm. Qhov xwm txheej tseem ceeb rau nws txoj kev tiv thaiv yog kev noj zaub mov kom zoo, txawm tias kev hloov pauv ntawm cov khoom ntawm ceg nrog so, thiab kev kuaj mob raws sij hawm ua los ntawm tus kws kho mob tshwj xeeb.
Asymptomatic course of disease
Microscopic kua muag, cov kab nrib pleb uas tshwm sim thaum lub sij hawm muaj kev ntxhov siab ntawm ko taw vim khau tsis xis nyob, pob taws txawv txawv (los yog nws qhov tsis tuaj tom qab ko taw tas li ntawm pob taws) tuaj yeem kho. Yuav ua li cas kho pob taws spur kho mob? Muab so rau ntawm txhais ceg, lubricate nrog ib tug soothing thiab anti-inflammatory tus neeg saib xyuas, anesthetize thiab sim muab sij hawm rau ob txhais taw thaum relieved thiab tsis thauj nws. Kev ntsuas sib txawv yuav tsum tau ua yog tias qhov mob hauv pob taws pib tsim txom vim yog lwm yam ua rau - kab mob, kev raug mob, rog, thiab lwm yam. Nyob rau hauv rooj plaub no, lub hauv paus ntawm qhov teeb meem yuav tsum raug txheeb xyuas thiab tshem tawm ua ntej, txwv tsis pub siv cov neeg sawv cev uas ua ncaj qha rau cov ntaub so ntswg (pob txha, leeg, leeg), yuav pab tau rau lub sijhawm luv luv. Lawv qhov kev ua yog ua raws li qhov mob nyem thiab mob. Nws yuav yog qhov phem tshaj los hais rau txoj kev khaws cia yam tsis tau lees paub qhov kev hloov pauv ntawm tus kab mob. Yog li ntawd, ua ntej kho pob taws spur nrog tshuaj, koj yuav tsum xyuas kom meej tias koj txoj kev pib tsis ua mob: mus kuaj, kuaj x-ray lossis ultrasound ntawm ko taw.
Cov cim qhia ntawm pob taws pob taws,thaum koj yuav tau mus ntsib kws kho mob
Nws tsis yooj yim rau kev txiav txim siab tus kab mob yog tias nws twb mus lawm. Thawj cov cim:
- Tsis xis nyob hauv pob taws thaum thauj ko taw, nkag mus rau qhov mob yog plantar fasciitis.
- pob txha tawm ntawm pob taws rov qab, txhim kho thiab tawm hauv qab ntawm daim tawv nqaij, pom tau yooj yim kuaj pom, ua rau tsis muaj teeb meem tsawg - qhov no yog pob taws pob taws.
Tshuaj kho pob taws pob taws hauv tsev yog ua tau, tab sis kev kho tus kheej yam tsis muaj kev kuaj mob yuav tsum tsis txhob ua, yog tias tsuas yog vim ntau theem ntawm tus kab mob muaj lub hom phiaj sib txawv, thiab qhov ua tau zoo ntawm ib qho ntawm lawv tuaj yeem ua rau qhov hnyav dua. ntawm lwm tus kab mob.
Yuav ua li cas thiaj tsim tau tus kab mob
Ib qho ntawm cov laj thawj tseem ceeb ntawm spurs yog cov metabolism tsis zoo, uas feem ntau cuam tshuam nrog cov neeg mob hnyav. Txoj kev tsis raug ntawm cov metabolism hauv carbohydrate hauv lub cev ua rau tsim cov calcium ntsev thiab o ntawm cov ntaub so ntswg ntawm pob taws tubercle. Muaj kev ua haujlwm siab tshaj plaws thaum taug kev, khiav, dhia, cov ntaub so ntswg sab hauv ntawm ko taw qee zaum tau txais microtraumas, uas, raws li kev thauj khoom tas li, tsis kho, tab sis hnyav dua los ntawm kev thauj khoom tshiab. Yog li ntawd, tus kab mob feem ntau nrog cov neeg ncaws pob thiab cov neeg ncaws pob nyiam. Feem ntau, kev kho mob pob taws nrog cov tshuaj muaj peev xwm ua tau txawm tias ua ntej kuaj mob, raws li cov cim qhia tseem ceeb: mob hauv ko taw, tsis muaj peev xwm nce pob taws vim qhov hnov ntawm "tus ntsia thawv tsav". Nyob rau hauv xws li mob, koj yuav tsum tsis txhob da dej ko taw, koj tsis tuaj yeem sov nrog compresses:qhov no yuav pab tau rau theem tom qab ntawm tus kab mob, tab sis nyob rau hauv thawj theem nws tuaj yeem ua rau o thiab mob ntxiv. Yog li ntawd, yog tias xav tias pob taws pob taws, cov tshuaj yuav tsum tau muab los ntawm tus kws kho mob tshwj xeeb, thiab tsis pom zoo siv tshuaj rau tus kheej.
Ua ntej tshaj plaws, peb kho qhov chaw
Lwm yam ua rau tus kab mob muaj xws li ko taw tiaj tus, kab mob orthopedic thiab curvature ntawm tus txha nraub qaum (vim qhov hnyav ntawm ob txhais taw), kab mob latent ntev (chlamydia, uas ua rau Reiter's syndrome), kab mob rheumatic (mob caj dab, Bechterew's kab mob, gout). Txhawm rau kom paub meej tias qhov kev kuaj mob ntawm "pob txha pob taws" (kev kho mob tuaj yeem raug sau tsuas yog tom qab tsim), koj yuav tsum xeem dhau qee qhov kev sim. Lawv tso cai rau koj los txiav txim siab tias tus kab mob no yog osteopathic tiag tiag, thiab tsis yog lwm yam (articular, vertebral) nrog cov tsos mob zoo sib xws. Nrog rau qee yam ntawm lawv, kev thauj khoom ntawm ko taw yuav tsis tseem ceeb, yog li kev kho mob pob taws nrog cov tshuaj yuav tsis muab cov nyhuv ruaj khov. Hauv qhov no, koj yuav tsum ua tib zoo kho qhov chaw ntawm cov teeb meem.
Heel spur: tshuaj kho mob
Kev tshuaj xyuas txog kev kho mob ntawm cov neeg mob feem ntau yog qhov zoo, vim tias ua tib zoo ua raws li cov lus qhia los ntawm tus kws kho mob orthopedist los yog kws phais neeg thaum pib ntawm tus kab mob tuaj yeem txo qhov mob thiab tshem tawm cov tsos mob. Tsis-steroid altshuaj tiv thaiv kab mob nyob rau hauv daim ntawv ntawm tsiav tshuaj, ntsiav tshuaj, cream thiab tshuaj pleev, rau daim ntaub ntawv thiab compresses, hormonal npaj nyob rau hauv daim ntawv ntawm ib tug gel, cream los yog txhaj tshuaj. Ua ke nrog massages, uas kuj yuav tsum tau ua kom raug, kev kho mob nrog xws li txhais tau tias yuav tshem tawm tag nrho cov mob nyob rau hauv ib tug ob-lub lim tiam ntawm kev siv. Cov tshuaj pleev thiab cov tshuaj pleev ib ce ntawm cov tshuaj steroid lossis hom tsis-steroid zoo. Kev kho mob nrog cov tshuaj tau qhia thiab ua pov thawj zoo rau tus kab mob "pob txha pob taws": cinquefoil, muv venom, raws li cov tshuaj pleev ib ce los txo cov tsos mob. Cov tshuaj pleev yuav tsum tau siv tsis tu ncua nrog qhov mob hnyav tshaj plaws, tab sis peb lossis plaub zaug hauv ib hnub, tom qab ua kom sov lub pob taws. Lawv qhov kev ua tau tshwm sim raws li softening ntawm daim tawv nqaij, tshem tawm qhov mob, mob nyem, txhim kho cov ntshav txaus nyob rau hauv qhov mob.
Sabelnik
Marsh cinquefoil tau ntev tau siv dav hauv ob sab hauv thiab sab nraud, thiab txhawb kev kho thiab txo qhov mob ntawm qhov sib txawv. Nws yog siv raws li cawv tinctures, decoctions thiab tshuaj ntsuab infusions, siv topically externally. Nws cov nplooj muaj ntau yam tseem ceeb uas muaj cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob, txhim kho cov metabolism thaum noj qhov ncauj, thiab pab txhawb lub cev tiv thaiv thiab tiv thaiv kab mob. Tsis tas li ntawd, lub saber tsis muaj contraindications. Tshwj tsis yog cov niam cev xeeb tub thiab lactating niam yuav tsum tsis txhob siv saber.
Rau kev kho pob taws pob taws, cinquefoil tau lees paub tias yog ib qho tshuaj zoo tshaj plaws. Nyob ntawmLub hauv paus ntawm qhov kev npaj ntuj no yog cawv tincture. Kev kho mob yog peb lub lis piam rau kev tswj qhov ncauj. Raws li cov tincture ntawm cinquefoil, hmo ntuj compresses kuj tau ua rau ntawm qhov mob pob taws siv cov ntawv ci los yog thaj. Los ntawm badger, goose rog los yog glycerin, ib ntsiav tshuaj mumiyo thiab ib diav ntawm xws li ib tug tincture, lawv ua ib tug tshuaj pleev uas yog siv rau preheated daim tawv nqaij thiab tseem nyob rau hauv daim ntawv ntawm ib tug compress txhua hmo.
tshuaj tiv thaiv pob taws
Tso cai rau txo cov tsos mob ntawm tus kab mob thiab kev kho xws li:
- Shock yoj therapy (SWT) txhawm rau txhim kho cov ntshav. Nws yooj yim loosens cov pob txha nrog pulses.
- X-ray txoj kev kho, uas tsis muaj contraindications, uas tshuaj loog hauv zos ntawm cov spur.
- Ultrasound uas ua kom sov qhov chaw mob thiab ua kom cov txheej txheem metabolic, uas pab txhawb rau kev tsim cov ntaub so ntswg puas.
- Ib txoj hauv kev zoo tshaj plaws los tshem tawm cov kab mob xws li pob taws pob taws yog kev kho mob: tshuaj pleev, tshuaj pleev, nrog rau tag nrho cov kev kho mob, ntev thiab zoo. Haum rau ntau yam tshuaj pleev thiab cov tshuaj nplaum uas muaj cov khoom xws li butadione, diclofenac, ibuprofen los txo qhov mob.
- Ib txoj hauv kev, uas lawv sim ua kom tsawg li sai tau, yog kev phais, tsuas yog tsim nyog yog tias tag nrho lwm txoj kev ua tsis tiav.
Kev kho pob taws spur
Lwm txoj hauv kev ntawm kev saib xyuas kev kho mob suav nrog kev siv orthopedic insoles, silicone pob luj taws nrog rau qhov chaw so lossis qhov ntawm qhov chaw loj hlob hauv cheeb tsam. Txoj kev no tuaj yeem ua ke nrog ntau txoj kev ib txwm siv, cov nyhuv ntawm cov tshuaj pleev lossis tshuaj pleev, ua ke nrog kev saib xyuas pob taws, yuav ua rau kho sai thiab zoo dua.
Ntxiv rau, xws li kev pab cuam xws li thaj ua rau thaj, da dej sov so, lub cev qhwv, ua kom sov nrog paraffin (paraffin therapy), hlau ntawv ci, kev kho av nkos, kev kho laser thiab tshuaj thaiv kab mob kuj tseem siv tau. Blockades yog ib qho cuab yeej uas yuav tsum tsis txhob siv ntawm nws tus kheej. Kev txhaj tshuaj rau hauv pob taws ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory thiab analgesic tshuaj tsuas yog tso siab tau los ntawm tus kws kho mob tshwj xeeb, txwv tsis pub nws tsuas tuaj yeem ua rau tsis zoo.