Ntev npaum li cas hnavkho mob cov me nyuam taug kev khau boots

Thaum tus me nyuam raug sau ntawv kho mob rau cov menyuam yaus taug kev khau boots rau pob txha, pob txha, lossis ko taw deformity, cov niam txiv cov lus nug tseem ceeb tshaj plaws yog ib txwm: "Puas ntev npaum li cas cov menyuam hnav khau looj plab?" Tsis zoo li cov khau ib txwm muaj, cov menyuam yaus taug kev khau looj plab yog cov khoom siv orthopedic uas sib npaug kom ruaj khov thiab txav tau yooj yim - hnav lawv luv luv yuav ua rau qeeb kho lossis rov ua dua - raug mob, thaum hnav ntev dhau tuaj yeem ua rau cov leeg tsis muaj zog thiab cuam tshuam kev loj hlob ntawm kev mus. Cov lus teb yog nyob ntawm tus menyuam tus mob tshwj xeeb, hnub nyoog, thiab kev rov qab los, tab sis cov lus qhia meej meej tuaj yeem pab cov niam txiv taug txoj kev no. Tsab ntawv xov xwm no tshawb txog cov txheej txheem ncua sij hawm rau cov xwm txheej tshwm sim, qhov tseem ceeb cuam tshuam, thiab cov lus nug uas siv tau los qhia meej tias ntev npaum li cas hnav cov menyuam yaus taug kev khau boots.

1. Mob pob qij txha thiab pob qij txha: luv-Lub sij hawm ruaj khov (2–6 lub lis piam)

Kev raug mob hnyav los ntawm kev ntog, kev ua kis las, lossis kev sib tsoo yog feem ntau yog vim li cas rau cov menyuam yaus taug kev khau boots, thiab lub sijhawm hnav yog ze rau kev raug mob hnyav. Cov khau looj plab no muab cov phiaj xwm kev txhawb nqa los tiv thaiv cov ntaub so ntswg puas thaum tso cai tswj kev kho mob - paub ntev npaum li cas hnav cov menyuam yaus taug kev khau looj plab ntawm no tiv thaiv ob qho tib si hauv qab - kev kho mob thiab dhau - kev cia siab.

Ankle Sprains (Qib-Specific Durations)

Pob taws pob taws yog cais los ntawm ligament puas, uas ncaj qha dictates ntev npaum li cas hnavkho mob cov me nyuam taug kev khau boots. Qib I (kev ncab me me) tsis tshua xav tau khau khau-RICE kho (so, dej khov, compression, nce) txaus. Rau Qib II (ib nrab ligament tear), qhov twg tus me nyuam tsis taus thiab tsis tuaj yeem nqa qhov hnyav tag nrho, cov menyuam yaus kho mob yuav tsum tau siv 2-4 lub lis piam. Lub nruj uprights ntawm khau khiab txwv sab - mus rau - sab txav, tiv thaiv re- kua muag thaum o subsides . Qib III (ua tiav kua muag) xav tau 4-6 lub lis piam ntawm khau looj plab hlaub, feem ntau ua ke nrog cov ntoo khaub lig rau thawj 1-2 lub lis piam kom txo qis. Ib tug muaj hnub nyoog 7-xyoo- uas twist pob taws thaum ncaws pob thiab qhia txog qhov mob hnyav nrog kev taug kev yuav feem ntau hnav cov menyuam yaus taug kev khau looj plab rau 3 lub lis piam, hloov mus rau khau ntaub txhawb nqa ib zaug tsis mob.

Cov pob txha ruaj khov (Metatarsal, ntiv taw, lossis pob taws)

Rau cov pob txha ruaj khov- qhov twg cov pob txha nyob twj ywm tsis muaj kev txav chaw - kho mob cov menyuam yaus taug kev khau boots ua rau "kev ua haujlwm tsis muaj zog," tso cai rau kev txav mus los ntawm cov pob qij txha tsis raug mob thaum tiv thaiv qhov chaw tawg. Ntev npaum li cas hnav cov menyuam yaus taug kev khau khau ntawm no txawv ntawm qhov chaw ntawm pob txha: ntiv taw pob txha (feem ntau hauv cov menyuam yaus) xav tau 3-4 lub lis piam, metatarsal fractures (los ntawm kev poob khoom hnyav) xav tau 4-6 lub lis piam, thiab pob taws ruaj khov xav tau 5-6 lub lis piam. Tsis zoo li cov cam khwb cia, cov khau khiab no tso cai rau cov menyuam mus kawm ntawv thiab koom nrog kev ua ub ua no, ua rau kev ua raws cai yooj yim dua. Lub cim tseem ceeb kom tsis txhob hnavkho mob cov me nyuam taug kev khau bootsyog thaum X-rays qhia cov pob txha callus thiab tus menyuam tuaj yeem taug kev yam tsis muaj mob.

Stress Fractures (Kev mob hnyav heev)

Cov menyuam yaus nquag (khiav, gymnasts) feem ntau tsim kev ntxhov siab puas tsuaj - cov pob txha me me los ntawm kev cuam tshuam rov qab. Cov kev raug mob no yuav tsis tshwm sim ntawm X-rays tam sim ntawd, tab sis qhov mob tsis tu ncua uas ua rau muaj kev cuam tshuam loj heev qhia txog qhov xav tau rau cov menyuam yaus taug kev khau. Ntev npaum li cas hnav cov menyuam yaus taug kev khau looj plab ntawm no yog 4-6 lub lis piam, vim tias khau boots ' shocks-absorbing soles faib qhov hnyav sib npaug, txo qhov siab ntawm qhov chaw tawg mus txog 40% piv rau cov khau ib txwm muaj. Ib tug 10-xyoo-laus tus ntoo khaub lig{13}} lub teb chaws khiav nrog kev ntxhov siab tawg hauv qhov thib tsib metatarsal yuav hnav khau rau 5 lub lis piam, maj mam rov qab mus rau kev khiav tsuas yog tom qab qhov mob tsis muaj kev hloov mus rau cov khau kis las.

2. Tom qab-Kev phais rov qab: Phased Wear (6–12 lub lis piam, Qee zaum ntev dua)

Tom qab kev phais ko taw lossis pob taws, cov menyuam yaus taug kev khau looj plab yog qhov tseem ceeb rau kev tiv thaiv qhov chaw phais thiab coj kev kho mob. Ntev npaum li cas hnav cov menyuam yaus taug kev khau looj plab ntawm no yog tus kheej zoo heev, raws li cov kws phais neeg kho lub sijhawm rau tus txheej txheem thiab tus menyuam txoj kev kho mob.

Kev Kho Mob Achilles Tendon

Kev kho mob Achilles yuav tsum tau tswj nruj nruj, ua rau cov menyuam yaus taug kev khau boots nrog kho pob taws nqa qhov tseem ceeb. Lub sijhawm hnav ua raws li cov phiaj xwm nruj: 2 lub lis piam tom qab-op nyob rau hauv khau raj kaw ntawm 20-30 degrees ntawm plantar flexion (kom txo cov leeg nqaij), ua raws li 4-6 lub lis piam ntawm kev txo qis pob taws (10 degrees ntawm 3-4 lub lis piam, nruab nrab ntawm 4-6 lub lis piam). Los ntawm lub lim tiam 6-8, cov menyuam yaus pib txiav cov khau khau, siv pob luj taws hauv khau li 1-2 lub lis piam ntxiv. Nyob rau hauv tag nrho, ntev npaum li cas hnavkho mob cov me nyuam taug kev khau bootsrau Achilles kho yog 6-8 lub lis piam, nrog tag nrho rov qab siv 3-4 lub hlis. Kev hla khau raj ntawm no muaj kev pheej hmoo rau cov leeg rov- tawg, muaj teeb meem loj.

Foot Deformity Kho (Clubfoot, Flatfoot)

Rau lub cev tsis zoo xws li clubfoot (tom qab Ponseti casting) lossis cov tsos mob hnyav, cov menyuam yaus taug kev khau (feem ntau hu ua "orthopedic boots" lossis "brace boots") tau hnav rau lub sijhawm ntev los tswj txoj haujlwm kho. Ntev npaum li cas hnav cov menyuam yaus taug kev khau khiab rau clubfoot: cov menyuam me tuaj yeem xav tau 23-teev hnav txhua hnub rau 3-6 lub hlis tom qab-casting, hloov mus rau hmo ntuj-tsuas yog hnav kom txog thaum muaj hnub nyoog 4 xyoos los tiv thaiv kev rov qab los. Rau flatfoot hnyav rau cov menyuam yaus tshaj 6- qhov twg orthotics tsis txo qis hauv caug / lub duav mob-khau raj hnav rau 8-12 lub lis piam thaum ua haujlwm txhua hnub, nrog kev soj ntsuam xyuas los ntsuas kev loj hlob ntawm koov. Qee cov menyuam yaus uas muaj qhov tsis zoo tsis tu ncua tuaj yeem hnav cov menyuam yaus taug kev khau boots tsis tu ncua rau ntau xyoo kom txog thaum ko taw loj hlob.

3. Cov Kab Mob Hlwb Ntev: Cov tsos mob- Tsav Tsheb (2 lub lis piam-1 Xyoo)

Cov mob ntev xws li Sever's Disease (heel growth plate o) lossis juvenile arthritis yuav tsum tau kho cov menyuam yaus taug kev khau looj plab los tswj qhov mob thiab tiv thaiv kev loj hlob. Ntev npaum li cas hnav cov menyuam yaus taug kev khau boots ntawm no yog cov tsos mob - nyob ntawm, feem ntau nrog luv luv, lub sijhawm hnav.

Sever's Disease (Calcaneal Apophysitis)

Sever's Disease, qhov ua rau mob pob taws nyob rau hauv 8–14-cov menyuam yaus, teb zoo raukho mob cov me nyuam taug kev khau bootsthaum mob flares. Cov khau khiab no txo ​​cov kev ntxhov siab ntawm cov phaj loj loj uas muaj lub hauv siab pob taws thiab poob siab -absorbing soles. Ntev npaum li cas hnav cov menyuam yaus taug kev khau boots ntawm no yog 2-8 lub lis piam: mob me (mob tsuas yog thaum kis las) xav tau 2-4 lub lis piam ntawm khau looj plab thaum ua ub ua no, thaum mob hnyav (mob nrog taug kev) yuav tsum tau puv -hnub hnav rau 4-8 lub lis piam. Kev cai orthotics tuaj yeem hloov cov khau khiab thaum mob, tab sis qee cov menyuam yaus xav tau khau looj plab qee zaum thaum loj hlob spurts los tiv thaiv rov tshwm sim. Thaum muaj hnub nyoog 15 xyoos, thaum lub phaj loj hlob tuaj, khau boots tsis tsim nyog.

Ntev npaum li cas hnav Cov Menyuam Kev Kho Mob Taug Kev Khau Taw: Cov Mob -los ntawm - Lub Sij Hawm

Hom mob	Kev kuaj mob tshwj xeeb	Standard Wear Duration	Qhov Kev Txiav Txim Tseem Ceeb Kom Tsis Txhob Hnav
Mob hnyav	Qib II Pob Tawb Sprain	2–4 lub lis piam	Tsis mob nrog qhov hnyav tag nrho- kabmob; ib txwm pob taws taw
Mob hnyav	Stable Metatarsal Fracture	4–6 lis piam	X-ray qhia pom tias kho pob txha; tsis limping
Tom qab{0}}Kev phais	Kev Kho Mob Achilles Tendon	6-8 lub lis piam (phased hnav)	Ib txwm taug kev yam tsis muaj pob taws nqa; tag nrho pob taws ntau yam ntawm kev txav
Mob mob	Sever's Disease (Acute Flare)	2–8 lis piam	Tsis muaj mob thaum kis las lossis taug kev txhua hnub
Congenital Deformity	Clubfoot (Tshaj tawm -Casting)	3-6 Lub Hlis (23 teev / hnub) + Hmo Hmo Hnav Kom Txog Hnub Nyoog 4	ruaj khov kho ko taw txoj hauj lwm; tsis muaj relapse

Yam tseem ceeb uas kho tau ntev npaum li cas hnavMedical Kids Taug kev khau looj plab hlaub

Thaum lub rooj muab cov lus qhia dav dav, ntau yam tuaj yeem ua kom luv lossis ntev npaum li cas rau hnav cov menyuam yaus taug kev khau boots. Lub hnub nyoog yog qhov tseem ceeb: cov menyuam yaus me kho tau sai dua li cov hluas, yog li 2- xyoo- hnub nyoog uas muaj tus ntiv taw tawg tuaj yeem hnav khau rau 3 lub lis piam, thaum lub hnub nyoog 14- xyoo- muaj qhov raug mob tib yam xav tau 4-5 lub lis piam. Kev ua raws li kev rov qab los kuj tseem ceeb heev rau- cov menyuam yaus uas so thiab tsis txhob muaj kev cuam tshuam siab - kev ua ub no thaum hnav cov menyuam yaus taug kev khau looj plab feem ntau nres sai dua li cov uas tsis quav ntsej txog kev txwv. Tsis tas li ntawd, cov teeb meem kev noj qab haus huv hauv qab (xws li, ntshav qab zib, osteoporosis) kho qeeb, yuav tsum tau hnav khau ntev. Kev ua raws li niaj zaus- kev nce qib nrog tus kws kho mob menyuam yaus yog qhov tseem ceeb los ntsuas qhov kev nce qib thiab kho lub sijhawm-X-rays, ultrasounds, lossis kev soj ntsuam kev taug kev tuaj yeem siv los txiav txim siab thaum twg yuav tsum txiav cov menyuam taug kev khau.

FAQ Txog Ntev npaum li cas Kev Kho Mob Cov Menyuam Taug Kev Khau Taw

Q1: Kuv tus menyuam puas tuaj yeem tso tseg tsis hnav cov menyuam yaus taug kev khau looj plab thaum ntxov yog tias lawv hais tias ko taw zoo dua?

A1: Tsis yog. Kev txo qhov mob tsis sib npaug ntawm kev kho tag nrho- cov pob txha thiab ligaments siv sijhawm ntev los kho dua li cov ntaub so ntswg. Piv txwv li, kev ntxhov siab puas yuav tsum tsis txhob mob tom qab 2 lub lis piam, tab sis cov pob txha tseem tsis muaj zog; txwv tsis pub cov menyuam yaus taug kev khau boots thaum ntxov ua rau muaj kev pheej hmoo rov qab - tawg. Nco ntsoov ua raws li tus kws kho mob lub sijhawm, txawm tias cov tsos mob zoo dua.

Q2: Ntev npaum li cas hnavkho mob cov me nyuam taug kev khau bootsrau ib tug me nyuam me thiab ib tug hluas uas muaj pob luj taws tib yam?

A2: Cov menyuam me (2–4 xyoos) kho sai dua-3 lub lis piam ntawm khau looj plab hlaub rau Qib II. Cov tub ntxhais hluas (13-18 xyoo) muaj cov pob txha metabolism qeeb, yog li lawv xav tau 4-5 lub lis piam. Cov khau khau rau menyuam yaus tshwj xeeb (nrog rau qhov muag muag thiab qhov me me) ua kom muaj kev txhawb nqa zoo yam tsis muaj qhov khaus khaus, thaum cov tub ntxhais hluas khau looj plab yuav muaj cov qauv nruj dua rau kev ua neej nyob.

Q3: Cov menyuam yaus kho mob puas yuav tsum tau hnav thaum hmo ntuj?

A3: Tsis tshua muaj, tshwj tsis yog tias tau sau tseg. Kev raug mob feem ntau tsuas yog yuav tsum tau hnav thaum nruab hnub- hmo ntuj hnav tuaj yeem cuam tshuam kev pw tsaug zog thiab txwv kev txav ntawm ko taw. Qhov tshwj xeeb suav nrog kev tshaj tawm - kho Achilles (khau raj hnav thaum hmo ntuj rau 4 lub lis piam tom qab-op ) thiab clubfoot (hnub hnav mus txog hnub nyoog 4 xyoos). Nco ntsoov nrog koj tus kws kho mob.

Q4: Ntev npaum li cas hnav cov menyuam yaus taug kev khau looj plab tom qab tshem tawm?

A4: 2-3 lub lis piam ntawm kev hloov pauv hloov. Casts ua rau cov leeg tsis muaj zog thiab nruj, yog li cov menyuam yaus kho mob cov khau boots muab kev txhawb nqa maj mam thaum rov tsim lub zog. Piv txwv li, tom qab 6-lub lim tiam pov rau pob taws pob taws, tus menyuam yuav hnav khau rau 2 lub lis piam los kho qhov hnyav ua ntej hloov mus rau khau ntaub.

Q5: Kuv tus menyuam muaj Sever's Disease- lawv puas yuav tsum hnavkho mob cov me nyuam taug kev khau bootstxhua lub sij hawm nws flares?

A5: Zoo li, tab sis lub sijhawm yuav luv luv nrog txhua qhov flare. Thawj cov flares feem ntau xav tau 4-6 lub lis piam ntawm khau, tab sis cov tom ntej (feem ntau thaum loj hlob spurts) tsuas yog xav tau 2-3 lub lis piam. Pairing khau looj plab hlaub nrog calf stretches thiab kev cai orthotics yuav txo tau flare zaus thaum lub sij hawm.

Q6: Ntev npaum li cas hnav cov menyuam yaus taug kev khau yog tias qhov kev raug mob tsis zoo li qhov xav tau?

A6: Tus kws kho mob yuav ncua sijhawm thiab kho kho. Piv txwv li, cov pob txha metatarsal uas qhia tau tias kho tau qeeb tom qab 6 lub lis piam yuav xav tau 2 lub lis piam ntxiv ntawm cov menyuam yaus taug kev khau boots ntxiv rau cov pob txha- txhawb kev kho. Tsis txhob ua tus kheej - txuas ntxiv hnav- kev soj ntsuam kev ua haujlwm kom ntseeg tau tias khau raj tseem yog txoj kev kho mob.

Hauv kev xaus, "Nyob ntev npaum li cas hnav cov menyuam yaus taug kev khau boots" tsis muaj leej twg -loj- haum- tag nrho cov lus teb, tab sis nws yog coj los ntawm hom kev raug mob, hnub nyoog, thiab kev rov zoo. Los ntawm 2 lub lis piam rau kev mob me me mus rau 6 lub hlis rau clubfoot, cov khau khiab no muab kev txhawb nqa tseem ceeb thaum hnav rau lub sijhawm kom raug. Los ntawm kev saib xyuas kev taw qhia kev tshaj lij, saib xyuas kev ua raws cai, thiab ua raws li kev ua raws-, cov niam txiv tuaj yeem xyuas kom lawv cov menyuam hnavkho mob cov me nyuam taug kev khau bootsntev txaus los kho tag nrho - yam tsis tas yuav ncua kev ua haujlwm ib txwm muaj.

Hu rau tam sim no