Clubfoot nyob rau hauv cov me nyuam: ib txwm los yog anomaly?

Heev feem ntau ib txhia niam txiv admired clumsy moj yam, nws tus me nyuam, affectionately hu nws toed dais. Tab sis, ces, lawv mloog, vim hais tias cov lo lus tseem ceeb, nyob rau hauv cov ntaub ntawv no, "clumsy". Thiab qhov no yog ib tug wake-up hu txhua leej niam leej txiv uas yog ib qho mob ceev yuav tsum tau mus ntsib ib tug podiatrist.

Ua ntej ntawm tag nrho cov, nws yog ib qho tseem ceeb kom paub hais tias clubfoot nyob rau hauv cov me nyuam - ib tug pathological ko taw deformity, visualizes nws inward sib txawv los ntawm lub longitudinal axis ntawm lub tibia, thiab qhov tseeb hais tias muaj yog congenital thiab mas yuav kis tau ntaub ntawv ntawm cov physiological txawv txav.

Congenital clubfoot nyob rau hauv cov me nyuam tseem tsim nyob rau hauv lub plab, thiab tej zaum yuav ib tug ntawm ib tug txheej ntawm cov tsos mob yam ntxwv ntawm skeletal dysplasia thiab malformations. Ib tug zoo xws li cov anomaly yog ib tug deformation uas los ntawm kev yug me nyuam cov lus hais thiab maj pib loj mus sai heev. Yuav ua li cas yog lub zog ntawm xws li ib tug ua txhaum cai? Tsis txhob tus me nyuam yog yus muaj los ntawm flexion ntawm lub tib tug nyob rau hauv lub cheeb tsam ntawm lub pob luj taws sib koom tes, nrig txog kev pom deflated txheej ntug ntawm tus taw thiab rau pem hauv ntej nce ntawm nws department. Muaj kuj yog ib tug cov lus hais clubfoot nyob rau hauv cov me nyuam, nyob rau hauv uas tus taw yog muab sab hauv, thiab nws cov txheej ntug yog hais downwards thiab upwards, thiab lub puab concave ntug - tsuas yog upwards, sab nram qab ntawm ko taw yog hais downward thiab xa, thiab tib tug - txog thiab rov qab.

Nyob ntawm seb lub fixation ko taw nyob rau hauv orthopedic cov pob qij txha yog peb theem ntawm xws anomalies: lub teeb (deformation yuav passively tshem tawm), medium (tej passive ko taw kho) thiab hnyav (passive kho cais) Cov ntaub ntawv clubfoot. Txawm li cas los, hais txog ntawm qhov xwm ntawm tus deformation cai soj ntsuam dab tsis tsuas cov zoo thiab muaj nuj nqi ntawm tus taw nws tus kheej, tab sis kuj nrog rau tag nrho sab povtseg, raws li yog feem ntau paub hais tias ncua ossification ntawm tus pob txha ntawm tus taw, i.e. tom qab tsim ntawm nuclei ntawm ossification.

Raws li ib tug hnyav kab mob clubfoot nyob rau hauv cov me nyuam, kev kho mob yuav tsum tau pib zoo nyob rau hauv ua ntej nyob rau hauv kev txiav txim kom tsis txhob tsis saib tsis xyuas pathology, uas nyob rau hauv lub neej yav tom ntej tej zaum yuav muaj kev cuam tshuam tsis tsuas cov kev zoo nkauj ntawm kev taug kev, tab sis kuj ua rau ib tug xov tooj ntawm cov kab mob. Yog li, tsim kev kho mob ntawm congenital clubfoot yog ua nyob rau hauv cov kev taw qhia ntawm ib tug orthopedic pw hauv paus, tab sis nyob rau hauv cov tshuaj sau tseg thiab cov mob uas lub clumsy kas yuav tsum tau muab pw tsev kho mob nyob rau hauv lub orthopedic motels los yog tsev kho mob.

Nyob rau hauv hauv paus ntsiab lus, cov kev kho mob regimen yog zoo tib yam nyob rau hauv tag nrho cov kev soj ntsuam tus neeg mob, tiam sis tej zaum yuav muaj ib co nuances. Lub hauv paus yog ib tug complex conservative txoj kev muaj deformation kho thiab kho cov kev tshwm sim tau. Cov kev vam meej ntawm qhov kev kho no nyob nkaus rau lub heev ntawm tus taw distortion, kom xaiv mus kawm hauv chav kawm thiab raws sij hawm kom paub tias cov teeb meem. Rau siab thiab persistence kuj ua si ib qho tseem ceeb luag hauj lwm nyob rau hauv rov qab.

Niaj hnub no tshwj xeeb yog cov txheej txheem thaum ntxov haumxeeb txoj kev loj hlob, nrog rau tag nrho tshem tawm ntawm lub deformation kho siv ib tug plaster ntaub qhwv, kev kho mob zaws, them thiab dej kev kho mob, raws li tau zoo raws li cov kev siv ntawm cov kho splints pawg ntawm cov polymeric cov ntaub ntawv. Treat clubfoot nyob rau hauv cov me nyuam yuav tsum muaj thaum yug los thiab ua raws li tag nrho cov theem, kom meej meej raws li cov lus ncauj lus kom ntxaws qhia nyob rau hauv ib tug competent tshwj xeeb.

Thaum ineffectiveness ntawm conservative kev kho mob los yog lig mob ntawm clubfoot nyob rau hauv cov me nyuam eliminates phais pab siv txog leeg thiab ligaments, tab sis mus nqa tawm xws li ib tug txheej txheem yog tsim nyog nyob rau hauv thaum ntxov thaum yau.

Nws yog ib qho tseem ceeb rau koj nco ntsoov cov tseem ceeb tshaj plaws uas ib tug tej zaum teeb meem yuav tsum tau qhia raws li thaum ntxov li sai tau rau tus me nyuam txoj kev kho mob tsis tiv thaiv nws npaj los tsim.