Thaum sivkho mob cov me nyuam taug kev khau boots

Rau cov niam txiv uas saib xyuas tus menyuam uas muaj ko taw lossis pob taws tsis xis nyob, kev txiav txim siab thaum twg yuav siv cov menyuam yaus taug kev khau looj plab yog qhov kev txiav txim siab tseem ceeb uas cuam tshuam ncaj qha rau kev rov qab los sai thiab ntev - ko taw kev noj qab haus huv. Tsis zoo li cov khau ntaub li niaj zaus, cov menyuam yaus taug kev khau looj plab yog cov cuab yeej tshwj xeeb orthopedic tsim los txhim kho cov qauv raug mob, rov faib qhov hnyav tawm ntawm qhov chaw tsis muaj zog, thiab tswj kev ua kom zoo rau kev kho. Kev siv cov menyuam yaus taug kev khau looj plab thaum ntxov tuaj yeem txwv tsis pub muaj kev loj hlob ntawm lub cev muaj zog, thaum ncua sijhawm lawv siv tuaj yeem ua rau raug mob hnyav, ua rau mob ntev, lossis ua rau cov qauv tsis zoo. Cov kab lus no qhia txog cov pov thawj-raws li cov xwm txheej, cov txheej txheem kho mob, thiab cov lus qhia siv tau los pab cov niam txiv txheeb xyuas qhov tseeb thaum siv cov menyuam yaus taug kev khau.

1. Mob pob taws thiab pob qij txha: Kev ruaj ntseg tam sim rau me me-rau- Mob hnyav

Kev raug mob hnyav los ntawm qhov chaw ua si ntog, kev sib tsoo kis las, lossis kev sib tsoo tsis sib haum yog qhov laj thawj feem ntau sivkho mob cov me nyuam taug kev khau boots. Cov kws kho mob orthopedists hais tias "qhov hnyav" yog qhov tseem ceeb ntawm qhov ntsuas - kev raug mob me me tsuas yog xav tau kev so xwb, tab sis nruab nrab - rau - mob hnyav xav tau cov qauv kev txhawb nqa cov khau khiab no.

Ankle Sprains (Qib II thiab III)

Pob taws pob taws yog cais los ntawm ligament puas: Qib I (qhov me me) teb zoo rau RICE (so, dej khov, compression, nce) kho ib leeg. Txawm li cas los xij, Qib II (ib nrab ligament kua muag) thiab Qib III (ua tiav kua muag) yuav tsum tau siv tam sim ntawd cov menyuam yaus taug kev khau boots. Cov khau khiab no ua rau lub ntsej muag sab nraud uas txwv sab - mus rau - sab txav, tiv thaiv rov qab - tawg ntawm cov ligaments tsis yooj yim thaum tus me nyuam taug kev, nce ntaiv, lossis koom nrog hauv cov dej num niaj hnub. Piv txwv li, ib tug muaj hnub nyoog 9- xyoo uas twist pob taws thaum lub sij hawm ntaus pob tesniv thiab tsis tuaj yeem hnyav yam tsis muaj qhov mob yuav muaj Qib II pob txha thiab yuav tsum pib siv cov menyuam yaus taug kev khau boots li ntawm 48 teev tom qab raug mob (tom qab thawj zaug o yog tswj nrog dej khov).

Cov ko taw ruaj khov lossis pob qij txha

Thaum tus me nyuam raug kev puas tsuaj ruaj khov-xws li pob txha metatarsal los ntawm kev tso cov khoom ua si hnyav los yog avulsion pob taws ntawm pob taws- kho mob cov menyuam taug kev khau looj plab yog qhov tseem ceeb rau "kev ua haujlwm tsis muaj zog." Tsis zoo li cov tsoos tsoos uas txwv tsis pub txav mus los, cov khau khiab no tso cai rau kev tswj qhov hnyav -cov kabmob thiab maj mam txav ntawm cov pob qij txha uas tsis muaj mob (xws li, cov ntiv taw), uas txhawb cov ntshav khiav thiab ua kom zoo. Piv txwv li, tus menyuam mos uas muaj tus ntiv taw ruaj khov, tuaj yeem rov qab mus tsev kawm ntawv thiab ua si lub teeb thaum hnavkho mob cov me nyuam taug kev khau boots, whereas ib tug cam khwb cia yuav cais lawv los ntawm ib txwm ua ub no.

Kev ntxhov siab tawg los ntawm kev siv ntau dhau

Cov menyuam yaus nquag (piv txwv li, gymnasts, hla- cov neeg khiav dej num hauv lub tebchaws, lossis cov neeg seev cev) feem ntau tsim kev ntxhov siab puas ntsoog- cov pob txha me me tshwm sim 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 cuam tshuam nrog kev ua ub no yog tus chij liab. Thaum kuaj pom, kev siv kho mob cov menyuam taug kev khau looj plab yog qhov tseem ceeb los txo qhov siab ntawm qhov chaw tawg. Cov khau boots 'kev poob siab-absorbing soles thiab contoured footbeds faib qhov hnyav sib npaug, tiv thaiv ntxiv micro- kev puas tsuaj thaum cia cov pob txha kho nws tus kheej .

2. Tom qab-Kev phais rov qab: Tiv thaiv cov ntaub so ntswg zoo thiab coj rov qab kho dua tshiab

Tom qab kev phais ko taw lossis pob taws, kev kho mob cov menyuam yaus taug kev khau looj plab yuav luag ib txwm muab raws li ib feem ntawm cov txheej txheem rov qab los. Lawv cov qauv tsim tau haum rau cov kev xav tau ntawm kev phais, ntsuas kev tiv thaiv nrog maj mam rov kho dua kom ntseeg tau tias qhov chaw kho kom raug.

Achilles Tendon Kho lossis Reconstruction

Cov leeg Achilles yuav tsum tau tswj nruj nruj thaum kho, uakho mob cov me nyuam taug kev khau bootsnrog kho pob taws lifts ib tug tsis yog -negotiable cuab tam tom qab kho phais. Cov kws kho mob feem ntau pom zoo kom pib nrog 15 hli pob taws nqa kom txo qis ntawm cov leeg, tom qab ntawd maj mam txo lub nqa ntau dua 6-8 lub lis piam. Qhov kev vam meej no- tsuas yog ua tau nrog cov menyuam yaus kho mob tshwj xeeb taug kev khau boots- tso cai rau cov leeg kom muaj zog yam tsis muaj rov ua dua. Cov khau tsis tu ncua tsis tuaj yeem hloov kho qhov kev txhawb nqa no, ua rau qhov tshwm sim ntawm kev phais muaj kev pheej hmoo.

Fracture Internal Fixation (Screws/Plates)

Tom qab kev phais kom ruaj khov ntawm cov pob txha tsis ruaj khov nrog cov ntsia hlau lossis cov phaj, cov menyuam yaus taug kev khau tiv thaiv cov khoom siv thiab cov ntaub so ntswg ib puag ncig. Cov khau boots 'txhim kho sab nrauv tiv thaiv kev sib tsoo los yog cuam tshuam uas tuaj yeem txo cov khoom siv, thaum padded liner txo qhov khaus los ntawm kev tshaj tawm - cov ntaub qhwv phais. Ib tug menyuam yaus uas tau txais kev phais mob pob taws tawg, piv txwv li, yuav siv cov menyuam yaus taug kev kho mob rau 8-12 lub lis piam tom qab-op, hloov mus rau kev txhawb nqa khau ntaub tsuas yog thaum X-rays paub meej tias cov pob txha koom ua ke.

Foot Deformity Correction (xws li Clubfoot Revision)

Cov menyuam yaus uas tab tom kho kho mob rau clubfoot lossis lwm yam kev hloov pauv hauv lub cev xav tau cov menyuam yaus taug kev khau boots kom tswj tau txoj haujlwm ko taw. Cov khau boots 'tus qauv tsim tiv thaiv ko taw los ntawm kev rov qab mus rau nws cov duab txawv txav, thaum lub tshuab ua pa mesh txo qis ntawm daim tawv nqaij los ntawm kev hnav ntev ntev -. Rau cov me nyuam me rov qab los ntawm kev phais clubfoot,kho mob cov me nyuam taug kev khau bootsfeem ntau hnav 24/7 (tshwj tsis yog thaum da dej) thawj 3 lub hlis tom ntej-op .

3. Cov mob ko taw ntev: Tswj kev mob thiab tiv thaiv kev loj hlob

Cov teeb meem mob ko taw ntev hauv cov menyuam yaus-feem ntau txuas nrog kev loj hlob, gait txawv txav, lossis siv ntau dhau -yuav tsum tau siv sijhawm ntev - kev txhawb nqa. Kev kho mob cov menyuam yaus taug kev khau yog siv thaum cov kev kho mob tshwj xeeb (piv txwv li, kev cai orthotics, kev txhawb nqa khau) tsis tswj cov tsos mob lossis tiv thaiv kom tsis txhob mob hnyav.

Hnyav Flat Feet (Pes Planus) nrog Mob

Cov menyuam yaus feem ntau muaj cov ko taw yooj yooj yim uas daws tau thaum muaj hnub nyoog 5 xyoos. Txawm li cas los xij, yog tias tus menyuam muaj hnub nyoog tshaj 6 xyoos muaj cov ko taw ncaj nraim nrog lub hauv caug, lub duav, lossis mob nraub qaum, nws yog lub sijhawm siv cov menyuam yaus taug kev khau. Cov khau khiab no ua tau zoo ua - hauv kev txhawb nqa koov thiab nruab nrab uprights uas kho cov ko taw, txo qis qis qis thaum khiav, dhia, lossis sawv ntev. Ib tug 7-xyoo-laus uas mob ko taw tiaj tus uas nyuaj rau koom nrog hauv chav kawm PE, piv txwv li, yuav tau txais txiaj ntsig los ntawm 8-12 lub lis piam hnavkho mob cov me nyuam taug kev khau bootsthaum ua haujlwm txhua hnub.

Sever's Disease (Calcaneal Apophysitis)

Sever's Disease- feem ntau ua rau mob pob taws hauv cov menyuam yaus (8-14 xyoo)- tshwm sim thaum pob taws loj hlob phaj los ntawm kev cuam tshuam rov qab. Cov menyuam yaus kho mob taug kev khau boots nrog pob luj taws thiab poob siab- cov khau looj plab yog siv thaum mob hnyav heev -ups. Lawv txo qhov siab ntawm lub phaj loj hlob, tso cai rau qhov mob kom txo qis thaum cia tus menyuam nyob twj ywm. Rau cov neeg ncaws pob uas muaj 10 xyoo nrog Sever's Disease, siv cov menyuam yaus taug kev khau looj plab thaum ua si thiab kev coj ua (thiab hloov mus rau cov khau khiab hauv tsev) tuaj yeem daws cov tsos mob hauv 1-2 lub lis piam ib flare.

Thaum sivMedical Kids Taug kev khau looj plab hlaub: Clinical Reference Table

Hom mob	Kev kuaj mob tshwj xeeb	Qhov taw qhia tseem ceeb rau Kev Siv Kho Mob Cov Menyuam Taug Kev khau	Hom Lub Sij Hawm Siv
Mob hnyav	Qib II Pob Tawb Sprain	Tsis tuaj yeem hnyav; o / bruising tam sim no	2-4 lub lis piam
Mob hnyav	Stable Metatarsal Fracture	Paub meej ntawm X-ray; mob nrog taug kev	4-6 lub lis piam
Tom qab{0}}Kev phais	Kev Kho Mob Achilles Tendon	Hnub 1 tshaj tawm -op (ib tus kws phais neeg txiav txim)	6-8 lub lis piam (nrog kho pob luj taws)
Mob mob	Painful Flat Feet (Age >6)	Kev mob tshwm sim tom qab 4 lub lis piam ntawm kev siv orthotic	8-12 lub lis piam
Mob mob	Sever's Disease (Acute Flare)	Mob pob taws txwv kev ua kis las / kev ua si txhua hnub	1-2 lub lis piam rau flare
Tom qab{0}}Kev phais	Clubfoot Hloov kho	Txhawm rau tuav kho ko taw txoj hauj lwm ncej -op	3-6 lub hlis (24/7 tshwj tsis yog da dej)

Kev ceev faj tseem ceeb: Nco ntsoov sab laj tus kws tshaj lij ua ntej

Thaum cov xwm txheej saum toj no muab cov lus qhia meej, tsis txhob ua tus kheej - kuaj xyuas thiab sau ntawv kho mob cov menyuam taug kev khau rau koj tus menyuam. Pediatric podiatrists los yog orthopedists siv lub cev kev kuaj mob, X-rays, los yog ultrasounds kom paub meej tias raug mob hnyav thiab txiav tawm tej yam kev mob uas ua raws li cov teeb meem tshwm sim (xws li, pob txha cyst vs. a stress fracture). Piv txwv li, ib tug me nyuam uas mob pob taws, tej zaum yuav xav tau kev kho mob cov menyuam taug kev khau looj plab hlaub rau Sever's Disease lossis tsuas yog khau tshiab rau cov neeg mob -fitting khau-tsuas yog tus kws tshaj lij tuaj yeem paub qhov txawv ntawm cov no. Tsis tas li ntawd, cov kws kho mob yuav kho cov khau khau kom haum (xws li, pluaj nro, pob taws nqa qhov siab) kom nws txhawb kev kho kom zoo yam tsis muaj kev txwv kev ncig lossis ua rau tawv nqaij khaus.

FAQ Txog Thaum Yuav SivMedical Kids Taug kev khau looj plab hlaub

Q1: Kuv tus menyuam mob ko taw tom qab kev ncaws pob -Kuv puas yuav tsum tau siv cov menyuam yaus taug kev khau looj plab tam sim ntawd?

A1: Tsis yog. Ua ntej, siv dej khov rau 15-20 feeb thiab so ko taw rau 24-48 teev. Yog tias qhov mob tshwm sim, tus me nyuam qaug zog, lossis o tshwm sim, teem caij mus ntsib kws kho mob. Yog tias kuaj pom tias muaj kev ntxhov siab tawg lossis Sever's Disease, ces siv cov menyuam yaus taug kev khau boots. Rau qhov mob me me, kev txhawb nqa khau kis las nrog kev poob siab-absorbing soles yog txaus.

Q2: Kuv puas tuaj yeem siv cov menyuam yaus taug kev khau boots rau kuv tus menyuam mos uas ntiv taw- taug kev?

A2: Nws nyob ntawm qhov ua rau. Cov ntiv taw ib ntus- taug kev (ntau tshaj hauv 1-2 xyoos kawm taug kev) tsis tas yuav tsum muaj cov menyuam yaus taug kev khau. Tab sis yog tus ntiv taw- taug kev mus dhau los muaj hnub nyoog 3 xyoos, lossis tus me nyuam muaj cov leeg nqaij ntshiv nruj, tus kws kho mob yuav pom zoo kom cov menyuam yaus taug kev khau (toe-taug kev braces) kom rov qab taug kev thiab tiv thaiv cov leeg tsis sib xws.

Q3: Thaum twg kuv tus menyuam tuaj yeem tso tseg tsis siv cov menyuam yaus taug kev khau looj plab tom qab tawg?

A3: Tsis txhob nres thaum ntxov -ib txwm ua raws li tus kws kho mob hais. Feem ntau, kev kho mob cov menyuam yaus taug kev khau khiab raug txiav tawm thaum X-rays qhia cov pob txha zoo, tus menyuam tsis muaj qhov hnyav nrog qhov hnyav- kabmob, thiab ntau yam ntawm kev txav yog ib txwm muaj. Rau cov pob txha ruaj khov, qhov no feem ntau yog 4-6 lub lis piam, tab sis cov mob hnyav yuav xav tau siv ntev dua kom tsis txhob raug mob.

Q4: Puas yog cov menyuam kho mob taug kev khau boots tom qab tshem tawm?

A4: Feem ntau yog. Tom qab tshem tawm, cov pob txha thiab cov leeg nyob ib puag ncig tsis muaj zog.Cov menyuam yaus taug kev khau bootsmuab kev txhawb nqa kev hloov pauv, cia tus menyuam rov tsim lub zog thaum tiv thaiv thaj chaw kho mob. Tus kws kho mob yuav pom zoo 2-3 lub lis piam ntawm kev siv khau raj tom qab tshem tawm cov ko taw tawg.

Q5: Puas tuaj yeem siv cov menyuam yaus taug kev khau ntev ntev ua rau kuv tus menyuam?

A5: Yog. Kev siv ntau dhau tuaj yeem ua rau cov leeg pob txha thiab pob qij txha tsis muaj zog (vim lub khauj khaum ua "stabilization ua haujlwm") thiab ncua kev loj hlob ntawm kev sib npaug. Ua raws li tus kws kho mob lub sijhawm pom zoo, thiab txhawb kev saib xyuas "khau raj-dawb" lub sijhawm nyob hauv tsev thaum raug mob nyob rau theem rov qab los tswj cov leeg nqaij.

Hauv kev xaus, kev paub txog thaum twg yuav siv cov menyuam yaus kho mob taug kev khau khiab ntawm kev nkag siab koj tus menyuam cov xwm txheej tshwj xeeb, sab laj tus kws tshaj lij, thiab paub txog cov cim tseem ceeb xws li mob, tsis ruaj khov, lossis tom qab- kev xav tau kev phais. Cov khau khiab no tsis yog "ib qho- loj- haum-tag nrho" kev daws teeb meem, tab sis thaum siv raws sijhawm, lawv muab kev txhawb nqa tseem ceeb uas ua kom kho tau sai thiab ua rau koj tus menyuam rov qab mus ua si yam nyab xeeb. Ib txwm ua qhov tseem ceeb rau kev taw qhia kev kho mob tshaj qhov kev kwv yees-koj tus menyuam txoj kev noj qab haus huv ko taw nyob ntawm nws.

Hu rau tam sim no