Cov menyuam yaus taug kev khau bootsrau pob txha

Fractures yog ib qho ntawm cov kev raug mob orthopedic ntau tshaj plaws hauv cov menyuam yaus, nrog rau cov menyuam yaus cov pob txha tawg (kev sib cais tibial pob txha hauv cov menyuam hnub nyoog 9 hli txog 4 xyoos) thiab pob taws pob taws ua rau cov npe. Thaum nws los txog rau qhov tsis yog - phais kev kho mob ntawm cov pob txha ruaj khov, cov menyuam yaus kho mob cov khau boots rau pob txha pob txha tau dhau los ua qhov kev xaiv ntawm cov kws kho mob orthopedists thoob ntiaj teb, hloov cov tsoos ib txwm nyob hauv ntau qhov xwm txheej. Tsis zoo li cov khau zoo tib yam lossis cov cam khwb cia, cov menyuam yaus kho mob cov khau khiab rau kev puas tsuaj yog tsim los kom sib npaug immobilization thiab kev nplij siab, muab kev txhawb nqa rau cov pob txha loj hlob thaum txo qhov cuam tshuam rau lub neej niaj hnub. Kab lus no tshawb txog tus nqi tseem ceeb, hom, kev siv cov lus qhia, thiab kev txhawj xeeb ntawm cov menyuam yaus kho mob taug kev khau khiab rau pob txha, muab cov lus qhia dav dav rau cov niam txiv.

Core Roles ntawmMedical Kids Taug kev khau looj plab hlaubrau Fracture hauv Fracture Recovery

Kev kho mob cov menyuam yaus taug kev khau boots tsis yog yooj yim xwb "kev txhawb nqa ko taw"; lawv pab ntau lub hom phiaj kho mob thoob plaws hauv cov txheej txheem kho pob txha, ncaj qha cuam tshuam rau kev ceev thiab zoo ntawm kev rov zoo.

1. Txhim kho qhov chaw puas tsuaj los tiv thaiv kev raug mob thib ob

The primary function of medical kids walking boots for fracture is to immobilize the fractured limb, ensuring the broken bone ends remain aligned during healing. Cov qauv feem ntau yog nruab nrog cov tawv uprights (feem ntau yog ua los ntawm kev cuam tshuam -polypropylene resistant) thiab circumferential strapping systems uas encapsulate sab ceg, pob taws, los yog ko taw, txwv tsis pub txav mus los uas yuav tshem tau cov pob txha. Piv txwv li, nyob rau hauv cov ntaub ntawv ntawm ib tug ruaj khov metatarsal puas, lub khauj khaum lub khauj khaum ib leeg thiab sab kev txhawb nqa tiv thaiv ko taw los ntawm twisting, thaum lub adjustable straps tuav ib tug snug haum kom lub fracture site ruaj khov. Qhov kev ruaj ntseg no yog qhov tseem ceeb rau kev zam kom tsis txhob ncua kev sib koom ua ke lossis malunion ntawm cov pob txha.

2. Txo qhov mob thiab txo qhov o

Fractures feem ntau ua rau mob hnyav thiab cov nqaij mos o vim cov hlab ntsha puas tsuaj thiab o. Kev kho mob cov menyuam yaus taug kev khau boots rau pob txha hais txog qhov no los ntawm ob qho qauv tseem ceeb: kev poob siab- nqus pob taws thiab pneumatic (cua- puv) chav. Lub zog- nqus pob taws txo qis qhov cuam tshuam ntawm qhov chaw tawg thaum taug kev, txo qhov mob tshwm sim los ntawm pob taws. Pneumatic qauv, xws li Breg Integrity Fracture Walker, tso cai rau cov niam txiv los kho cov huab cua siab kom siv maj mam compression rau thaj tsam o, txhawb nqa lymphatic kua thiab txo edema. Ib qho kev sim tshuaj ntsuam xyuas ntawm cov me nyuam mos cov pob txha tawg pom tias cov me nyuam hnav tshem taukho mob cov me nyuam taug kev khau bootsrau pob txha muaj qhov mob qis dua (txhais tau tias 1.2 vs. 1.8) tom qab 4 lub lis piam tom qab- raug mob piv rau cov hauv casts.

3. Txhawb nqa Natural Gait thiab nrawm ua haujlwm rov qab

Cov tsoos tsoos feem ntau txwv tsis pub taug kev ib txwm, ua rau cov leeg nqaij atrophy thiab sib koom ua ke nruj-ib qho teeb meem lig ntawm pob txha. Kev kho mob cov menyuam yaus taug kev khau boots rau pob txha pob txha yog tsim los nrog lub luj qis, ruaj khov qhov siab uas ua raws li lub hauv paus ntawm ko taw, tso cai rau cov menyuam taug kev nrog tus qauv gait ntau dua. Qhov no tsis tsuas yog pab tswj cov leeg nqaij, tab sis kuj txo cov kev pheej hmoo ntawm kev sib koom ua ke. Tib qhov kev sim tshuaj ntsuam xyuas pom tau tias 77% ntawm cov menyuam yaus hauv pawg khau raj rov qab mus rau cov haujlwm hauv qab "yuav luag txhua lub sijhawm" ntawm 4 lub lis piam, piv rau tsuas yog 41% hauv pawg cam khwb cia. Rau cov menyuam yaus uas muaj pob qij txha ruaj khov, cov menyuam yaus kho mob pob qij txha taug kev rau pob qij txha tuaj yeem tso cai rau pob taws tswj, ntxiv dag zog rau kev ua haujlwm zoo.

4. Txo qhov pheej hmoo ntawm cov teeb meem

Kev siv cov casts ntev ua rau muaj kev pheej hmoo ntawm cov teeb meem ntawm daim tawv nqaij xws li erythema, mob siab, thiab kis kab mob vim qhov cua tsis zoo thiab tsis muaj peev xwm los ntxuav daim tawv nqaij. Kev kho mob cov menyuam yaus taug kev khau rau pob txha daws qhov teeb meem no nrog cov qauv tsim tawm thiab cov khoom ua pa. Cov niam txiv tuaj yeem tshem cov khau looj plab txhua hnub los ntxuav tus menyuam daim tawv nqaij, tshuaj xyuas qhov liab los yog khaus, thiab tiv thaiv kev ya raws. Txawm hais tias ib txoj kev tshawb fawb tau sau tseg tias qhov teeb meem ntawm daim tawv nqaij me ntsis hauv cov pab pawg khau raj (72% vs. 50%), qhov sib txawv tsis yog qhov tseem ceeb, thiab cov khau boots qhov zoo hauv kev rov qab nrawm dua qhov kev pheej hmoo me me.

Hom ntawmMedical Kids Taug kev khau looj plab hlaubrau Fracture: Yuav Ua Li Cas Xaiv Qhov Zoo

Kev xaiv ntawm cov menyuam yaus kho mob cov khau khiab rau kev puas tsuaj yog nyob ntawm qhov chaw tawg, kev ruaj ntseg, thiab lub hnub nyoog ntawm tus menyuam. Cov lus hauv qab no qhia txog yam tseem ceeb thiab lawv daim ntawv thov los pab cov niam txiv txiav txim siab paub nrog cov kws kho mob cov lus qhia.

Hom khau raj	Muaj feem xyuam Hom Fracture	Cov yam ntxwv tseem ceeb	Tus Neeg Sawv Cev Hom / Qauv
Short Rigid Walker	Cov pob qij txha ruaj khov (metatarsal, phalange), pob taws pob taws me me	3-4 nti qhov siab, nruj ib leeg, adjustable straps, hnav yuag	Breg Integrity (Short Version), Dr. Comfort Fracture Boot
Siab Rigid Walker	Cov me nyuam mos pob txha, distal tibia / fibula fractures, syndesmosis sprains	8-10 nti qhov siab, puv sab ceg txhawb nqa, tiv thaiv kev sib hloov	Breg Integrity (siab Version), Aircast Tall Walker
Pneumatic Walker	Cov pob qij txha nrog mob hnyav (xws li pob taws pob taws), tom qab- phais rov qab	Huab cua- puv chamber rau adjustable compression, poob siab-absorbing ib leeg	HKJD Pneumatic Walker, Aircast XP Walker
Hinged Walker	Cov pob qij txha ruaj khov (theem rov qab lig), tom qab- kho cov leeg	Hinged pob taws pob qij txha rau kev tswj kev txav mus los, maj mam txav mus los	DonJoy Hinged Walker, Ossur FormFit Walker

Cov lus qhia tseem ceeb rau kev sivMedical Kids Taug kev khau looj plab hlaubrau Fracture

Kev siv kho mob cov menyuam yaus taug kev khau boots kom raug yog qhov tseem ceeb rau kev siv tshuaj kho mob kom zoo thiab tsis txhob muaj teeb meem. Cov niam txiv yuav tsum nruj me ntsis ua raws li cov lus qhia nram qab no nyob rau hauv kev saib xyuas ntawm pediatric orthopedists.

1. Ua kom muaj kev ua haujlwm zoo ua ntej siv

Kev kho mob cov menyuam yaus taug kev khau boots rau pob txha yuav tsum haum los ntawm cov kws kho mob lossis cov kws kho mob muaj ntawv pov thawj. Cov txheej txheem haum suav nrog ntsuas tus menyuam qhov ntev ntawm ko taw, calf circumference, thiab ntsuam xyuas qhov chaw tawg kom txiav txim siab qhov siab thiab qhov loj ntawm khau raj. Ib lub qhov dej zoo- haum khau raj yuav tsum muaj 0.5-1 cm ntawm qhov chaw nruab nrab ntawm tus ntiv taw thiab lub khauj khaum, lub pob taws snug uas tsis plam, thiab cov hlua uas tuaj yeem hloov kho kom ruaj khov yam tsis muaj kev txwv cov ntshav ntws. Cov niam txiv yuav tsum tsis txhob yuav ntau tshaj - khau looj plab hlaub uas tsis muaj kev cob qhia kws tshaj lij, vim tias qhov tsis zoo yuav ua rau muaj kev sib tsoo tsis zoo.

2. Ua raws li Lub Sijhawm Hnav Hnav

Lub sijhawm hnav ntawm cov menyuam kho mob taug kev khau khiab rau pob txha sib txawv raws li hom pob txha thiab kev kho kom zoo. Rau kev ruaj ntseg me nyuam mos cov pob txha, cov kws kho mob feem ntau pom zoo kom hnav khau rau 1 lub lis piam tsis tu ncua, ces "raws li xav tau" rau tag nrho 3 lub lis piam. Rau cov pob txha loj dua (piv txwv li, pob txha pob txha pob txha), lub sij hawm hnav yuav ntev mus txog 6-8 lub lis piam. Cov niam txiv yuav tsum tsis txhob ua luv luv lossis ncua sij hawm hnav tsis tu ncua -Kev tshem tawm ntxov tuaj yeem ua rau tawg tawg, thaum hnav ntau dhau tuaj yeem ua rau cov leeg nqaij atrophy. Kev ua raws li niaj zaus-ups (txhua 2-3 lub lis piam) tso cai rau cov kws kho mob kho cov kev npaj hnav khaub ncaws raws li cov txiaj ntsig X-ray.

3. Kev saib xyuas thiab saib xyuas txhua hnub

Kev saib xyuas txhua hnub ntawmkho mob cov me nyuam taug kev khau bootsrau pob txha pob txha muaj ob yam: kho khau raj thiab kev tu tawv nqaij. Lub khauj khaum lub plhaub sab nrauv tuaj yeem ntxuav nrog cov ntaub ntub dej, thaum tshem tawm cov hnab looj tes yuav tsum tau ntxuav tsis tu ncua kom tsis txhob muaj ntxhiab thiab kab mob loj hlob. Thaum tshem cov khau looj plab, cov niam txiv yuav tsum tshuaj xyuas tus menyuam daim tawv nqaij ntawm qhov liab, hlwv, lossis mob siab - yog tias pom muaj qhov txawv txav, hu rau tus kws kho mob tam sim ntawd. Tsis tas li ntawd, ua kom lub khauj khaum qhuav; yog tias tus me nyuam yuav tsum tau da dej, siv lub npog ntsej muag kom tsis txhob ntub rau sab hauv, uas yuav ua rau tawv nqaij khaus.

4. Ua ke nrog cov kev xyaum ua kom rov zoo

Thaum lub sij hawm rov qab los, cov kws kho mob yuav pom zoo cov kev kho mob yooj yim kom ntxiv dag zog rau kev siv cov menyuam yaus taug kev khau boots rau pob txha. Piv txwv li, thaum lub khau raj raug tshem tawm, cov menyuam yaus tuaj yeem ua pob taws ntau yam - ntawm - kev tawm dag zog (flexion thiab extension) lossis ntiv taw - xaiv cov kev tawm dag zog kom cov leeg muaj zog. Rau cov menyuam yaus, kev ua si xws li khaws cov pob zeb nrog cov ntiv taw tuaj yeem ua rau kev tawm dag zog ntau dua. Cov kev tawm dag zog no pab ua kom rov ua haujlwm zoo thiab txo qhov kev pheej hmoo ntawm kev sib koom ua ke tom qab tshem tawm khau raj.

FAQ Txog Kev Kho Mob Cov Menyuam Yaus Taug Kev Khau Rau Kev Kho Mob

Q1: Puas tuaj yeem kho cov menyuam yaus taug kev khau boots rau kev puas tsuaj tag nrho hloov cov tsoos tsoos?

A1: Tsis yog-lawv haum rau qhov ruaj khov, tsis yog- cov pob txha tawg (piv txwv li, me me pob txha, pob taws pob taws). Rau cov pob txha tsis ruaj khov nrog cov pob txha txav los yog qhib pob txha uas xav tau kev phais kho mob, cov tsoos casts lossis kev phais sab hauv kuj tseem yuav tsim nyog. Koj tus menyuam tus kws kho mob yuav txiav txim siab txog kev kho mob uas tsim nyog tshaj plaws raws li X- cov txiaj ntsig ntawm kab hluav taws xob thiab kev puas tsuaj ntawm pob txha.

Q2: Kuv tus menyuam yws yws ntawm qhov nruj los yog loog thaum hnav lub khauj khaum -Kuv yuav ua li cas?

A2: Qhov no yuav qhia tau tias khau raj nruj dhau, txwv tsis pub cov ntshav ncig. Tam sim ntawd loosen cov hlua thiab tshem tawm cov khau looj plab hlaub los xyuas seb cov tawv nqaij tsis muaj xim (xim daj lossis liab qab taw). Nqa tus me nyuam txhais ceg rau 15-20 feeb kom rov ua dua. Yog tias cov tsos mob tshwm sim, hu rau tus kws kho mob kom kho lub khau raj haum lossis loj. Tsis txhob hnov ​​​​qab txog kev qaug zog, vim tias nws tuaj yeem ua rau muaj teeb meem ntawm ischemia.

Q3: Kuv tus menyuam puas tuaj yeem koom nrog kev ua si lub cev thaum hnavkho mob cov me nyuam taug kev khau bootsrau pob txha?

A3: Tsawg- cuam tshuam cov dej num (piv txwv li, taug kev maj mam, zaum- ua si raws li kev ua si) raug tso cai, tab sis siab - cuam tshuam kev ua ub no (xws li, khiav, dhia, nce toj) yuav tsum zam, vim tias lawv tuaj yeem siv zog ntau dhau ntawm qhov chaw tawg. Qee cov menyuam yaus taug kev khau boots rau pob txha tsis muaj - khau khiab khau khiab, uas haum rau kev taug kev sab hauv tsev thiab sab nraum zoov, tab sis cov niam txiv yuav tsum saib xyuas tus menyuam kom tsis txhob ntog.

Q4: Yuav ua li cas ntxuav cov menyuam yaus taug kev khau boots kom tsis txhob ua puas rau lawv?

A4: Rau lub plhaub sab nraud, so nrog ib daim ntaub mos dipped hauv dej xab npum me me, ces qhuav nrog phuam huv. Cov ntaub npog uas tshem tau tau tuaj yeem yog tes- ntxuav nrog cov tshuaj ntxuav me me thiab cua- kom qhuav (tsis txhob siv lub tshuab ntxhua lossis ntxhua kom qhuav, vim qhov no yuav ua rau cov padding puas). Tsis txhob siv cov tshuaj hnyav lossis txhuam txhuam, uas tuaj yeem khawb lub khau raj lossis txo nws txoj kev txhawb nqa.

Q5: Kev hnav khau looj plab puas cuam tshuam rau kuv tus menyuam txoj kev loj hlob ntawm pob txha?

A5: Tsis yog-thaum ua kom haum thiab siv raws li kev qhia kho mob, cov menyuam yaus kho mob khau boots rau pob txha pob txha txhawb kev noj qab haus huv ntawm cov pob txha los ntawm kev tuav cov pob txha kom zoo. Tsis zoo li cov nrum nruam uas yuav ua rau lub siab loj hlob ntawm cov pob txha, feem ntau cov khau boots niaj hnub muaj cov qauv tsim kho uas tuaj yeem ua rau tus menyuam txoj kev loj hlob ntawm ko taw thaum lub sijhawm rov qab los. Kev ua raws li niaj zaus-ups xyuas kom cov khau raj raug kho raws sijhawm, tsis txhob muaj kev cuam tshuam rau pob txha loj hlob.

Hauv kev xaus, kev kho mob cov menyuam yaus taug kev khau boots rau pob txha tawg tau dhau los ua cov cuab yeej tseem ceeb hauv kev kho mob pob txha mos, muab qhov zoo ntawm kev ruaj ntseg, kev nplij siab, thiab kev txhawb nqa rov qab uas cov tsoos tsoos tsis tuaj yeem sib tw. Los ntawm kev xaiv hom khau raj zoo, ua raws li kev ua haujlwm haum thiab hnav cov lus qhia, thiab ua tib zoo saib xyuas txhua hnub, cov niam txiv tuaj yeem pab lawv cov menyuam rov qab los ntawm kev puas tsuaj thiab ua haujlwm zoo. Nco ntsoov, kev siv ntawmkho mob cov me nyuam taug kev khau bootsrau pob txha yuav tsum nyob rau hauv kev taw qhia ntawm pediatric orthopedists kom paub tseeb tias tus kheej thiab kev kho mob zoo.

Hu rau tam sim no