Clubfoot kho

Txoj hlua kho kho (Clubfoot) yog phais kho txhawm rau txhim kho kev yug me nyuam ntawm taw thiab pob taws.

Hom kev phais mob uas tau ua yog nyob ntawm:

• Lub clubfoot hnyav npaum li cas
• Koj tus menyuam lub hnub nyoog
• Lwm txoj kev kho mob uas koj tus menyuam tau muaj los

Koj tus menyuam yuav muaj tshuaj loog (tsaug zog thiab tsis hnov ​​mob) thaum qhov phais.

Cov leeg yog cov ntaub so ntswg uas pab tuav cov pob txha ua ke hauv lub cev. Tendons yog cov ntaub so ntswg uas pab muab cov leeg rau pob txha. Ib tus clubfoot tshwm sim thaum cov leeg nruj thiab cov leeg khi tiv thaiv ko taw los ntawm kev ncab mus rau qhov chaw raug.

Txhawm rau txhawm rau kho clubfoot, 1 lossis 2 txiav raug txiav tawv nqaij, feem ntau nyob sab nraub qaum thiab ib puag ncig sab hauv sab hauv.

• Koj tus menyuam tus kws phais yuav ua kom lub leeg nyob ib sab ntev lossis luv dua. Achilles leeg nyob tom qab ntawm tus taw yog yuav luag txhua qhov txiav lossis lengthened.
• Cov menyuam loj zog lossis mob hnyav dua yuav xav tau qee tus txha pob txha. Qee zaum, pins, screws lossis paib raug muab tso rau hauv ko taw.
• Ib qho cam yog tso rau ntawm ko taw tom qab kev phais kom nws nyob hauv txoj hauj lwm thaum nws kho mob. Qee lub sij hawm ib qho kev cais tau muab tso rau thawj zaug, thiab cov lus pov tseg tau muab tso rau ob peb hnub tom qab.

Cov menyuam loj dua uas tseem muaj qhov ko taw tsis zoo tom qab phais tas yuav tsum tau phais ntau dua. Tsis tas li, menyuam yaus uas tsis tau raug phais yam tsis tau muaj kev phais mob thaum lawv loj tuaj. Hom kev phais lawv xav tau muaj xws li:

• Osteotomy: Tshem tawm ib feem ntawm pob txha.
• Fusion lossis arthrodesis: Ob lossis ntau cov pob txha fused ua ke. Tus kws phais yuav siv pob txha los ntawm lwm qhov chaw ntawm lub cev.
• Cov kav hlau, screws lossis paib tuaj yeem siv los tuav cov pob txha ua ke ib zaug.

Tus menyuam mos liab uas yug los nrog tus menyuam pob txhaws raug kho ua ntej nrog lub qhov cam kom ncab tus taw mus rau qhov chaw ib txwm nyob.

• Tus nrum tshiab yuav muab tso rau txhua lub limtiam kom ko taw tuaj yeem rub mus rau hauv txoj haujlwm.
• Cov kev hloov pauv tau txuas ntxiv mus li 2 hli. Tom qab pov, tus me nyuam hnav ib qho kev zawm hniav rau ntau xyoo.

Clubfoot pom nyob rau hauv cov menyuam yaus tuaj yeem feem ntau ua tiav zoo nrog kev nrum thiab txhaws, thiaj li zam kev phais.

Txawm li cas los xij, clubfoot kho qhov phais yuav tsum yog tias:

• Cov cam khwb cia lossis lwm yam kev kho mob tsis tau daws qhov teeb meem.
• Teeb meem rov qab los.
• Ib tus clubfoot yeej tsis tau kho.

Kev phom sij los ntawm cov tshuaj loog thiab phais yog:

• Cov teeb meem ua pa
• Kev tshuaj tiv thaiv
• Ntshav
• Kab mob

Cov teeb meem tsim nyog los ntawm clubfoot phais yog:

• Kev puas tsuaj rau cov hlab ntsha hauv ko taw
• Ntsej muag o
• Teeb meem ntshav ntws mus rau ko taw
• Qhov txhab kho teeb meem
• Lub cev txhav
• Mob caj dab
• Neeg tsis muaj zog

Koj tus menyuam tus kws kho mob yuav:

• Coj koj tus me nyuam keeb kwm kev kho mob mus
• Ua kev soj ntsuam lub cev tag nrho ntawm koj tus menyuam
• Ua duab xoo hluav taws xob ntawm lub clubfoot
• Ntsuam xyuas koj tus menyuam cov ntshav (ua kom tiav cov ntshav thiab ntsuas cov roj ntsha lossis ntshav txhaws)

Nco ntsoov qhia koj tus menyuam qhov chaw zov menyuam:

• Koj tus menyuam siv tshuaj dab tsi
• Suav cov tshuaj ntsuab, thiab cov vitamins koj yuav yam tsis muaj daim ntawv yuav tshuaj

Thaum lub hnub ua ntej kev phais mob:

• Kwv yees li 10 hnub ua ntej kev phais mob, koj yuav tau hais kom tsis txhob muab koj tus menyuam cov tshuaj aspirin, ibuprofen (Advil, Motrin), lossis lwm yam tshuaj uas ua rau koj cov menyuam cov ntshav txhaws.
• Nug txog cov tshuaj twg uas koj tus menyuam yuav tsum noj thaum hnub phais.

Hnub ntawm kev phais:

• Feem ntau, koj tus menyuam yuav tsis haus dej haus lossis noj dab tsi li ntawm 4 rau 6 teev ua ntej qhov kev phais mob.
• Tsuas yog muab dej rau koj tus menyuam haus nrog cov tshuaj uas koj tus kws kho mob hais kom koj muab rau koj tus menyuam.
• Lawv yuav qhia koj thaum yuav tuaj kho mob.

Ua raws li kev phais mob uas tau ua tiav, koj tus menyuam yuav mus tsev hauv tib hnub los yog nyob hauv tsev kho mob ntev txog 1 rau 3 hnub tom qab phais mob tas. Lub tsev kho mob yuav nyob ntev dua yog tias kev phais mob tau raug ua rau cov pob txha.

Tus me nyuam ko taw yuav tsum tau nyob hauv qhov chaw tsa. Cov tshuaj noj tuaj yeem pab tswj qhov mob.

Daim tawv nqaij ncig ntawm koj tus menyuam qhov yuav raug kuaj xyuas ntau zaus kom paub meej tias nws puas liab dawb thiab noj qab nyob zoo. Koj tus menyuam cov ntiv taw yuav raug kuaj xyuas saib puas yog xim liab thiab koj tus menyuam tuaj yeem txav tau thiab txav tau. Cov no yog cov cim ntawm kev ntshav txaus.

Koj tus menyuam yuav raug pov rau li 6 txog 12 asthiv. Tej zaum nws yuav raug hloov ntau zaus. Ua ntej koj tus menyuam tawm hauv tsev kho mob, koj yuav tau qhia yuav ua li cas thiaj li tu qhov cam.

Thaum nrum tawm zaum kawg, koj tus menyuam yuav raug coj mus nchuav hniav, thiab yuav raug xa mus kho kev kho mob. Tus kws kho mob yuav qhia koj qhov kev tawm dag zog kom ua nrog koj tus menyuam kom txhawm rau txhawm rau txhim kho taw thiab kom nws ua haujlwm ruaj khov.

Tom qab rov zoo los ntawm kev phais mob, koj tus menyuam txhais ko taw yuav nyob rau hauv txoj haujlwm zoo dua. Koj tus menyuam yuav tsum muaj peev xwm ua lub neej zoo, nrog rau kev ua kis las. Tab sis taw txhais tau yooj yim dua li ib txhais taw tsis tau kho nrog kev phais mob.

Feem ntau ntawm clubfoot, yog tias tsuas muaj ib sab cuam tshuam, tus menyuam tus ko taw thiab tus menyuam plab yuav me dua li tus menyuam yaus lub neej.

Cov menyuam yaus uas tau raug phais clubfoot tej zaum yuav xav tau lwm yam phais ntxiv nyob hauv lub neej tom ntej.

Kho ntawm clubfoot; Posteromedial tso; Achilles leeg tso tawm; Clubfoot tso tawm; Talipes equinovarus - kho; Tibialis anterior tendon hloov lwm lub tsev

• Tiv thaiv kev poob
• Kev phais mob kho mob - qhib

• Clubfoot kho - koob

Kelly DM. Congenital anomalies ntawm qis qis dua. Hauv: Azar FM, Beaty JH, Canale ST, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. 13th ed. Philadelphia, PA: Elsevier; 2017: chap 29.

Ricco AI, Richards BS, Herring JA. Kev ua tsis taus ntawm ko taw. Hauv: Herring JA, ed. Tachdjian's Kev Ntsuas Cov Neeg MobCov. Thib 5 ed. Philadelphia, PA: Elsevier Saunders; Xyoo 2014: chap 23.