Kev txav yog qhov tsim nyog txhua hnub rau kev ua haujlwm ntawm lub cev. Lub ntsiab mechanism uas qhov no muab yog musculoskeletal system. Nws yog cov pob qij txha uas muab kev txav mus los thiab ua haujlwm txuas rau qhov chaw ntawm lub cev. Qhov loj tshaj plaws ntawm tag nrho cov yog lub duav sib koom tes (HJ), uas nqa ib tug loj load. Yog li ntawd, nws hnav tawm thiab raug mob sai dua lwm tus. Ib qho kev raug mob rau nws (xav tias nyuaj thiab txaus ntshai) ua rau kev phais. Kev kho mob ntev thiab nyuaj.
Txhawm rau kho kom sai thiab rov zoo dua nyob rau lub sijhawm zoo li no, ib qho orthosis tau muab tshuaj rau lub duav sib koom, lossis lub fixator. Nws yog hom kev xaiv rau kev cam khwb cia vim nws tseem ua kom qhov sib koom ua ke nyob rau hauv txoj haujlwm physiologically.
Vim li cas kev kho mob nyuaj?
Kev nyuaj hauv kev kho mob muaj raws li hauv qab no:
- HJ pob txha mos tsis zoo;
- kev sib koom ua ke yog anatomically complex;
- txoj kev pheej hmoo rov raug mob ib txwm muaj;
- feem ntau ntawm cov pob qij txha puas.
Tag nrho cov ntsiab lus no rau qhov xav tau siv cov ntaub qhwv. Lawv lub luag haujlwm tseem ceeb yog tshem tawm qhov sib koom ua ke thiab tiv thaiv kev cuam tshuam los ntawm kev txhim kho.
Tus neeg khaws cia ua dab tsi
Nws yog ib qho tsim nyog yuav tsum siv daim ntaub qhwv thiab orthosis ntawm lub duav pob qij txha:
- Tom qab raug mob thiab phais cov txheej txheem, orthosis kho qhov sib koom ua ke. Cov leeg thiab ligaments tau txais lub sijhawm los hloov mus rau qhov haujlwm dhau los.
- Kom txo kev pheej hmoo ntawm cov teeb meem thiab rov raug mob.
- Rau qhov raug mob me, cov ntaub qhwv ntsej muag muab kev txhawb nqa thiab ua kom sov lub pob qij txha, txo qhov mob.
- Yog tias muaj kab mob congenital pathologies ntawm lub duav sib koom, lawv yuav tsum tau kho tam sim.
- Nyob rau theem pib ntawm arthrosis thiab mob caj dab kom txo tau txoj kev loj hlob.
Nyob rau hauv cov ntaub ntawv no, lub orthosis rau lub duav sib koom ua ke muab stabilization, muaj ib tug analgesic nyhuv.
Retainers in general
Cov neeg tuav pov hwm txawv, lawv raug cais raws li hauv qab no:
- Bandage rau TBS - fastened rau lub duav thiab lub duav nrog elastic, breathable Velcro.
- Orthoses yog cov qauv nruj uas muaj kev tiv thaiv zoo thiab suav nrog cov hlau thiab yas. Lub orthosis rau lub duav pob qij txha yog tsau rau ntawm kev sib koom tes nrog cov hlua thiab lacing.
- Cov pob txha zoo ib yam li orthoses, tab sis ntxiv nrog cov hinges.
Thaum twg tso cai thiab thaum twg nws txwv?
Orthoses thiab splints yog siv:
- inLub sijhawm rov qab los tom qab muaj kev raug mob hnyav rau lub caj dab femoral, ntau dua trochanter thiab lub duav sib koom;
- after arthroplasty;
- tom qab kev phais kho hniav thib ob;
- thaum rov kho dua tom qab kho pob txha deformities;
- rau arthropathy, arthrosis thiab mob caj dab;
- tom qab ua tiav tshem tawm ntawm lub taub hau thiab caj dab los tsim kev sib koom tes tshiab;
- rau kev kho mob ntawm cov leeg nqaij;
- me nyuam lub plab dysplasia (congenital).
Txoj hlua tsis xav tau rau:
- kab mob tawv nqaij;
- qhov txhab ntshav;
- mob tom qab phais.
muaj ntau yam dab tsi?
Qib hardness yog qhov txawv:
- Soft - Ua los ntawm cov ntaub mos muag. Lawv yog cov muaj txiaj ntsig tiv thaiv ntau dua.
- Semi-rigid - muaj cov phaj ntxiv hauv, nruab nrab fixation. Sab nrauv ntawm lub cuab yeej yog ua los ntawm ntaub.
- Rigid orthoses rau lub duav pob qij txha (splints) yog hlau-yas. Qhov sib koom ua ke yog immobilized kiag li. Orthosis - yog ob sab thiab unilateral. Nrog cov hlua thiab Velcro, lub orthosis yog adjustable loj.
Tseem muaj kev kho cov ntaub qhwv:
- xov xwm;
- hinged.
Articulating devices - muaj cov fasteners tshwj xeeb, lawv pab txhawb kev sib koom tes thaum taug kev.
Hingeless cov cuab yeej yog ib qho qauv tsim, siv ntau dua rau cov pob txha tawg.
Ntau txog Unilateral Orthosis
Ib-sab nruj orthosis rau lub duav sib koom ua ke muaj 2 qhov chaw - ib qho muaj fastenings ntawm lub duav, lwm qhov - ntawm femoral ib feem. Cov pob khawm tshwj xeeb yog tsim los ntawm lawv, tso cai rau koj los kho cov cuab yeej rau koj tus kheej, uas yog, orthosis yog kho tau. Ib qho kev txav ntawm txhais ceg yog ua tau: abduction mus rau sab, nce, nqis.
Ob sab rigid orthoses ua kom lub cev tsis muaj zog ntawm lub duav sib koom ua ke hauv ib txoj haujlwm. Ces qhov mob yuav txo.
Yuav ua li cas xaiv tus orthosis rau lub duav sib koom
Tau kawg, nws yog qhov zoo dua yog tias tus kws kho mob xaiv, suav nrog tus neeg mob lub cev ntawm tus neeg mob, nrog rau qib kev raug mob ntawm qhov sib koom ua ke.
Nws nyuaj rau tus neeg tsis paub xaiv qhov tsim nyog orthosis ntawm lawv tus kheej. Qhov no kuj tseem ceeb heev vim tias qhov kev xaiv tsis raug cai ua rau tus neeg mob mob thiab yuav tsis kho. Thaum xaiv, tsis tsuas yog qhov loj ntawm cov khoom yuav tsum raug coj mus rau hauv tus account, tab sis kuj nws lub zog, yooj yim, ceev lub zog thiab lub hom phiaj.
Ib qho tseem ceeb kuj yog rau cov ceg uas yuav siv tau - ib qho orthosis rau sab xis pob qij txha lossis sab laug.
Tab sis lub hom thiab cov chaw tsim khoom ntawm cov khoom - qhov no twb yog raws li qhov kev thov ntawm tus neeg mob. Kev yuav khoom yog qhov zoo tshaj plaws hauv khw muag khoom tshwj xeeb: ntawm no koj tuaj yeem xaiv qhov loj me, qib ntawm fixation. Tsis tas li ntawd, yog tias muaj teeb meem nrog orthosis, koj tuaj yeem xa rov qab thiab hloov nrog lwm tus.
Top 5 cov khoom zoo tshaj plaws raws li kws kho mob thiab cov neeg siv khoom
Cov khoom zoo tshaj yog:
- Splint nrog Fosta pob khawm - muab kev kho siab tshaj plaws ntawm lub duav thiab lub duav. Relieves o, mob hnyav thiab mob. Durable thiab tuav tau zoo.
- Cov me nyuam lub duav abduction orthosis - OttoBock bandage - yog siv los kho dysplasia (congenital dislocation ntawm lub duav) rau cov me nyuam hnub nyoog qis dua 1 xyoos. Lub spacer uas twb muaj lawm tso cai rau koj los kho qhov yug me nyuam ntawm lub duav, thaum daim tawv nqaij tsis raug mob. Tsis muaj kev nyuaj siab.
- Medi Hip Orthosis Kho Hlwb Orthosis - 2 daim tuaj yeem yuav sib cais kom tso cai qhov loj me. Siv lub sijhawm rov qab los tom qab raug mob thiab ua haujlwm.
- Orthosis "Orlette" rau lub duav pob qij txha muaj zog, lub teeb, ruaj khov kho cov leeg. Sab nraum muaj ib tug mos, breathable elastic, nyob rau tib lub sij hawm, nws fits snugly rau lub pob qij txha. Qhia rau pob txha kom ua tiav ntawm ceg ceg.
- Bandage "Crate" - cov khoom muag muag, elastic thiab breathable. Nws yog siv los tiv thaiv tom qab raug mob.
User Rules
Basic use rules:
- Nws yog qhov zoo dua los tso rau ntawm orthosis nyob rau hauv txoj hauj lwm yooj yim, thaum lub duav cov leeg tau so thiab lub orthosis tuaj yeem kho kom nruj.
- Nyias cov hnab looj tes yuav tsum hnav hauv qab orthosis kom nqus hws;
- Hmo ntuj, lub orthosis raug tshem tawm kom ua pa;
- Yog tias muaj teeb meem tshwm sim thaum lub sijhawm ua haujlwm ntawm orthosis, tsis txhob siv nws;
- Nws yog txwv tsis pub disassemble thiab kho cov lus qhia koj tus kheej.
Kev tu cov orthoses yog qhov yooj yim heev - nws pom zoo kom ntxuav nws hauv dej xab npum yam tsis tas nyem nws vim nws qias neeg. Qhuav nyob rau hauv daim ntawv disassembled kom txog thaum qhuav. Koj tsis tuaj yeem dai ntawm txoj hlua, nws ncab. Ntxuav tes nkaus xwb, tsis yog dej kub, tsis muaj hmoov.
Qhov kev xaiv zoo tshaj yog siv xab npum menyuam mos los yog tshuaj ntxuav tsev.
Qhuav lub cuab yeej yam tsis siv lub tshuab plaub hau lossis roj teeb, tsis nyob hauv tshav ntuj, hauv qhov ntxoov ntxoo, uas yog, nyob rau hauv ib txoj kev ntuj.
Qhov no yog qhov tseem ceeb tshwj xeeb rau cov pob khawm thiab cov khoom hlau. So cov khoom yas nrog cov tshuaj tua kab mob, ua tib zoo tshem cov seem ntawm nws kom tsis txhob muaj tawv nqaij khaus.
Lubricate hlau hinges nrog roj kom lawv swb smoothly.
Results of application
Cov nyhuv ntawm orthoses tsis tshwm sim tam sim, tab sis nws ruaj khov. Qhov no yog ib qho kev pab loj rau kev puas tsuaj, uas tom qab raug mob ib txwm dhau los ua qhov tseem ceeb rau kev so thiab tsis muaj kev hloov pauv.
Txoj haujlwm ntawm qhov sib koom ua ke yog qhov tseeb anatomically. Lub teeb compression txhim kho cov ntshav thiab qog ntshav, uas txo qhov mob thiab o.
kev ua tau zoo thiab kev tshuaj xyuas cov neeg siv khoom
Kev tshuaj xyuas txog orthosis ntawm lub duav pob qij txha hais tias nws yeej pab tau kom txo tau qhov mob, hnyav. Kev pabcuam zoo thiab txhim khu kev qha tau sau tseg. Niaj hnub no nyob rau hauv Russia tus qauv nrov tshaj plaws yog lub npe nrov ntawm cov khoom orthopedic Orlett. Cov cuab yeej kho mob no yog tsim los ntawm kev tshaj lij, suav nrog txhua qhov kev xav tau tsim nyog. Ib lub tuam txhab German tau tsim lawv rau lub sijhawm ntev.xyoo.
Qhov kev tshuaj xyuas zoo tshaj plaws muaj cov ntaub qhwv ntsej muag muag Orlett MAN-10, uas tsis yog tsuas yog ua los ntawm cov khoom siv tshiab, nws tseem tsim cov nyhuv compression lub teeb, uas yuav pab kom yaj o thiab txo qhov mob. Los ntawm cov saum toj no, peb tuaj yeem txiav txim siab tias orthosis tuaj yeem dhau los ua ib qho cuab yeej tseem ceeb rau kev tiv thaiv thiab rov kho dua tom qab raug mob hnyav.
