Txhua Yam Koj Yuav Tsum Tau Paub Txog Ntsia Tus Cwj Pwm Mob Syella

Zoo Siab

• Cov tsos mob zoo li cas?
• Ua rau
• Yuav kuaj li cas txog NPS?
• Teeb meem
• NPS raug kho thiab tswj xyuas li cas?
• Qhov tshwm sim yog dab tsi?

Txheej txheem cej luam

Ntsia caj pas patella syndrome (NPS), qee zaum hu ua Fong syndrome lossis caj ces osteoonychodysplasia (HOOD), yog ib qho kev tsis sib haum xeeb muaj tsawg. Nws feem ntau cuam tshuam cov rau tes. Nws kuj tseem tuaj yeem cuam tshuam cov pob qij txha thoob plaws lub cev, xws li koj lub hauv caug, thiab lwm lub cev, xws li cov leeg poob siab thiab lub raum. Kav tsij nyeem ntxiv kom paub ntxiv txog tus mob no.

Cov tsos mob zoo li cas?

Cov tsos mob ntawm NPS qee zaum kuj pom tau ntxov li thaum yau, tab sis lawv tuaj yeem tshwm sim tom qab lub neej. Cov tsos mob ntawm NPS feem ntau tau ntsib hauv:

• ntsia hlau
• hauv caug
• lauj tshib
• lub plab mog

Lwm yam pob qij txha, pob txha, thiab cov nqaij mos mos kuj tuaj yeem cuam tshuam.

Txog ntawm cov tib neeg uas muaj NPS muaj cov tsos mob uas cuam tshuam lawv cov rau tes. Cov tsos mob no yuav suav nrog:

• rau tes tsis tuaj tawm
• rau tes rau me me
• qhov heev
• longitudinal splitting ntawm tus ntsia thawv
• ntsia thawv txawv txawv
• lub voos-voos-puab-lunula, uas yog sab hauv qab ntawm tus ntsia hlau, ncaj qha saum lub cuticle

Lwm yam, cov tsos mob tshwm sim tsawg, yuav suav nrog:

• disfigured me me ntiv taw
• patella me me lossis daim duab tsis meej, uas tseem hu ua lub hauv caug
• lub hauv caug txav, feem ntau tom qab (rau sab) lossis superior (rau saum)
• kev tiv thaiv los ntawm cov pob txha hauv thiab ib ncig ntawm lub hauv caug
• patellar dislocations, tseem hu ua kneecap dislocation
• txwv tsawg ntawm cov lus tsaig hauv lub lauj tshib
• arthrodysplasia ntawm lub luj tshib, uas yog caj ces muaj caj ces cuam tshuam txog pob qij txha
• dislocation ntawm lub luj tshib
• dav dav hyperextension ntawm pob qij txha
• iliac tshuab raj, uas yog ob tog, conical, bony tiv thaiv los ntawm pelvis uas feem ntau pom ntawm cov duab xoo hluav taws xob
• rov qab mob
• nruj Achilles leeg
• qis cov leeg leeg
• raum muaj teeb meem, xws li hematuria lossis proteinuria, lossis ntshav lossis protein hauv cov zis
• teeb meem qhov muag, xws li mob qog noj ntshav

Tsis tas li ntawd, raws li ib qho, kwv yees li ib nrab ntawm cov neeg kuaj mob nrog NPS muaj kev cuam tshuam patellofemoral tsis khov. Patellofemoral kev tsis txaus ntseeg txhais tau tias koj lub hauv caug tau txav tawm ntawm kev kho kom haum. Nws ua rau mob mob thiab o hauv lub hauv caug.

Lub cev pob txha qis dua yog lwm qhov kev mob tshwm sim. Ib txoj kev tshawb fawb los ntawm 2005 qhia tias cov neeg uas muaj NPS muaj 8-20 feem pua ​​qis dua ntawm cov pob txha pob txha ntau dua li cov tib neeg tsis muaj nws, tshwj xeeb tshaj yog nyob rau ntawm lub duav.

Ua rau

NPS tsis yog ib qho mob uas niaj hnub muaj. Cov kev tshawb fawb kwv yees tias nws tshawb pom hauv cov tib neeg. Nws yog kev mob caj ceg thiab ntau cov neeg uas muaj niam txiv lossis lwm tus neeg hauv tsev neeg uas muaj tus mob no. Yog tias koj muaj tus mob, cov me nyuam koj muaj yuav muaj 50 feem pua ​​muaj mob thiab.

Nws kuj tseem tuaj yeem tsim muaj tus mob yog tias tsis yog tus niam txiv muaj nws. Thaum zoo li no, nws yuav tshwm sim los ntawm qhov hloov ntawm LMX1B noob, tab sis cov kws tshawb nrhiav tsis paub xyov cov kev hloov pauv mus ua tus ntsia thawv patella li cas. Txog ntawm cov neeg muaj tus mob, ob niam txiv tsis yog tus muaj. Qhov ntawd txhais tau tias 80 feem pua ​​ntawm cov tib neeg tau txais qhov mob los ntawm ib ntawm lawv niam lawv txiv.

Yuav kuaj li cas txog NPS?

NPS tuaj yeem kuaj tau ntawm ntau qib tom qab koj lub neej. NPS qee zaum tuaj yeem pom muaj menyuam hauv plab, lossis thaum menyuam tseem nyob hauv plab, siv ultrasound thiab ultrasonography. Hauv cov menyuam mos, cov kws kho mob yuav kuaj pom tus mob yog tias lawv pom lub hauv caug lossis ob sab sib luag ntawm lub cev.

Hauv lwm tus neeg, cov kws kho mob yuav kuaj pom tus mob nrog qhov kev ntsuam xyuas mob, tshuaj xyuas tsev neeg keeb kwm, thiab kuaj ntsuas lub tsev kawm ntawv. Cov kws kho mob kuj tseem yuav siv cov duab sim hauv qab no los txheeb xyuas qhov txawv txav hauv pob txha, pob qij txha, thiab cov nqaij mos uas raug cuam tshuam los ntawm NPS:

• suav tomography (CT)
• Kev xoo hluav taws xob
• sib nqus resonance duab (MRI)

Teeb meem

NPS cuam tshuam ntau cov pob qij txha thoob plaws lub cev thiab tuaj yeem ua rau ntau yam kev nyuaj, nrog rau:

• Nce kev pheej hmoo ntawm pob txha tawg: Qhov no yog vim muaj qis pob txha ceev txuas nrog pob txha thiab pob qij txha uas feem ntau muaj lwm yam teeb meem, xws li tsis khov.
• Scoliosis: Cov hluas nrog NPS yog qhov muaj pheej hmoo ntau dua ntawm kev tsim muaj tus mob no, uas ua rau muaj qhov nkhaus ntawm tus txha nqaj qaum.
• Preeclampsia: Cov poj niam nrog NPS tej zaum yuav muaj kev pheej hmoo loj los tsim cov kev mob nyhav no thaum cev xeeb tub.
• Hnov qhov muag tsis zoo: Cov neeg uas muaj NPS tuaj yeem hloov qhov tsis hnov ​​mob mus rau qhov kub thiab txias. Tej zaum lawv yuav hnov ​​loog thiab qoj ib ce.
• Mob hnyuv teeb meem: Qee tus neeg nrog NPS qhia txog cem quav thiab chim siab mob plab hnyuv.
• Glaucoma: Qhov no yog qhov muag cuam tshuam uas qhov muag nce siab ntau qhov kev puas tsuaj rau optic hlab ntsha, uas tuaj yeem ua rau lub zeem muag tsis pom kev.
• Cov teeb meem raum: Cov neeg uas muaj NPS feem ntau muaj teeb meem rau lawv ob lub raum thiab lub raum. Nyob rau hauv ntau qhov xwm txheej ntawm NPS, koj tuaj yeem tsim kho lub raum tsis ua haujlwm.

NPS raug kho thiab tswj xyuas li cas?

Tsis muaj kev kho rau NPS. Txoj kev kho yog tsom rau kev tswj cov tsos mob. Piv txwv li lub hauv caug, piv txwv li, tuaj yeem tswj tau los ntawm:

• qhov mob kom txo tus mob xws li acetaminophen (Tylenol) thiab opioids
• tawg paj
• kev zawm hniav
• kev pab kho lub cev

Kev kho kom zoo yog qee thaum xav tau, tshwj xeeb yog tom qab lov.

Cov neeg muaj NPS kuj yuav tsum tau saib xyuas cov teeb meem raum. Koj tus kws kho mob yuav qhia kev tso zis txhua xyoo kom saib xyuas kev noj qab haus huv ntawm koj ob lub raum. Yog tias muaj teeb meem, tshuaj noj thiab lim ntshav tuaj yeem pab tswj thiab kho cov raum.

Cov poj niam cev xeeb tub uas muaj NPS muaj kev pheej hmoo ntawm kev muaj tus mob preeclampsia, thiab tsis tshua muaj qhov no tuaj yeem txhim kho tom qab yug menyuam. Preeclampsia yog qhov mob hnyav uas tuaj yeem ua rau qaug dab peg thiab qee zaum kev tuag. Preeclampsia ua rau muaj ntshav nce siab ntau ntxiv thiab tuaj yeem kuaj tau los ntawm cov ntshav thiab kuaj cov ntshav mus rau kev ntsuas cov khoom hauv nruab nrog cev.

Kev soj ntsuam ntshav siab yog qhov tseem ceeb ntawm kev saib xyuas ua ntej, tab sis nco ntsoov qhia rau koj tus kws kho mob paub yog tias koj muaj NPS kom lawv tuaj yeem paub txog koj cov kev pheej hmoo siab rau tus mob no. Koj yuav tsum nrog koj tus kws kho mob tham txog cov tshuaj uas koj tau siv kom lawv tuaj yeem txiav txim siab saib cov tshuaj twg thiaj nyab xeeb rau thaum cev xeeb tub.

NPS coj txoj kev pheej hmoo ntawm lub ntsej muag pa roj. Kab mob qog ntshav yuav kuaj tau los ntawm kev soj ntsuam qhov muag uas kuaj pom lub siab ntawm koj lub qhov muag. Yog tias koj muaj NPS, teem sijhawm mus kuaj qhov muag tsis tu ncua. Yog tias koj ua tus mob glaucoma, cov tshuaj kho qhov muag yuav siv los txo qhov siab. Koj tseem yuav tsum hnav tsom iav tshwj xeeb qhov muag tsom iav. Muaj qee kis, xav tau phais mob.

Zuag qhia tag nrho, ntau txoj hauv kev rau NPS yog qhov tseem ceeb rau kev kho mob ntawm cov tsos mob thiab cov nyom.

Qhov tshwm sim yog dab tsi?

NPS yog kev mob caj ces tsis tshua muaj tshwm sim, feem ntau tau txais los ntawm koj niam koj txiv. Lwm qhov xwm txheej, nws yog qhov tshwm sim los ntawm kev hloov hauv lub hauv paus LMX1B noob. NPS feem ntau ua rau muaj teeb meem ntawm cov ntsia hlau, hauv caug, lauj tshib, thiab pob taws. Nws kuj tseem tuaj yeem cuam tshuam tau ntau yam ntawm lwm cov kab ke hauv lub cev nrog rau lub raum, lub paj hlwb, thiab lub plab hnyuv plab.

Tsis muaj kev kho rau NPS, tab sis cov tsos mob tuaj yeem tswj tau los ntawm kev ua haujlwm nrog ntau tus kws tshaj lij. Sab laj nrog koj tus kws kho mob thawj zaug kom paub seb tus kws kho mob twg yog qhov zoo tshaj plaws rau koj cov tsos mob tshwj xeeb.