Koj tus me nyuam puas muaj ob txhais ceg khoov? Cia peb kawm txog Kab Mob Blount!

Cov niam thiab cov txiv, nej puas tau pom tias thaum nej tus me nyuam pib taug kev, lossis thaum lawv khiav thiab ua si, lawv ob txhais ceg khoov rau sab hauv, zoo li tsab ntawv "C"? Nws yog ib txwm rau cov menyuam mos kom muaj ob txhais ceg khoov me ntsis. Tab sis, nws tsis yog ib txwm tshwm sim li ntawd. Qee zaum, qhov no yuav yog ib qho mob hu ua Blount's Disease , uas yog ib yam dab tsi uas yuav tsum txhawj xeeb txog. Yog li hnub no, peb yuav tham txog nws kom meej, zoo li koj tus phooj ywg tab tom qhia koj txog nws.

Kab mob Blount yog dab tsi tiag?

Hais yooj yim xwb, tus kab mob Blount yog ib yam mob uas cuam tshuam rau kev loj hlob ntawm tibia , pob txha tuab hauv qab lub hauv caug, rau cov menyuam yaus. Nws tseem hu ua tibia vara . Ntawm qhov kawg ntawm peb cov pob txha muaj cov khoom tshwj xeeb hu ua cov phaj loj hlob . Cov phaj ntawd yog cov uas ua rau peb cov pob txha loj hlob, thiab peb loj hlob siab dua. Hauv tus kab mob Blount, cov phaj loj hlob ntawm sab hauv ntawm tibia tsis loj hlob zoo. Tom qab ntawd ceg pib khoov rau sab hauv thiab nkhaus.

Nws yog ib qho ib txwm rau cov menyuam yaus me, tshwj xeeb tshaj yog txog li ib xyoos, kom muaj ob txhais ceg khoov me ntsis (peb hu lawv ua "pob ceg"). Thaum lawv pib taug kev, qhov kev khoov no maj mam ploj mus thiab lawv ob txhais ceg ncaj nraim thaum muaj hnub nyoog ob xyoos. Txawm li cas los xij, tus menyuam uas muaj tus kab mob Blount tsis poob qhov kev khoov no hauv lawv ob txhais ceg. Nws yuav pom tseeb dua thaum tus menyuam loj hlob tuaj.

Qhov txawv ntawm kev khoov ceg ib txwm muaj thiab tus kab mob Blount yog dab tsi?

Txawm hais tias ob qho no yuav zoo li zoo ib yam thaum xub thawj siab ib muag, muaj qhov sib txawv loj heev.

• Kev khoov ntawm lub cev: Qhov no feem ntau tshwm sim rau cov menyuam yaus. Thaum lawv pib taug kev, feem ntau yog thaum muaj hnub nyoog ob xyoos, qhov kev khoov ntawm ob txhais ceg no yuav ncaj nraim ntawm nws tus kheej . Qhov no tsis tas yuav muaj kev kho mob tshwj xeeb.
• Kab mob Blount: Qhov no yog ib qho mob uas ceg hauv qab lub hauv caug khoov rau sab hauv . Qhov khoov no pom tseeb heev. Qhov no tsis zoo dua thaum tus menyuam loj hlob tuaj, thiab tuaj yeem hnyav dua .

Tam sim no koj nkag siab qhov txawv lawm, puas yog? Tsis tas yuav ntshai tus menyuam yaus me me ob txhais ceg nkhaus. Tab sis yog tias nws tseem mob, lossis zoo li mob zuj zus tuaj, koj yuav tsum mus ntsib kws kho mob.

Leej twg thiaj muaj tau tus kab mob Blount? Leej twg muaj feem yuav mob ntau dua?

Txawm hais tias ib tug menyuam twg los xij tuaj yeem mob Blount's kab mob, qee tus neeg muaj kev pheej hmoo siab dua.

• Hnub Nyoog: Cov tsos mob feem ntau tshwm sim rau cov menyuam yaus hnub nyoog tshaj ib xyoos, feem ntau ntawm hnub nyoog 1 thiab 3. Qhov no hu ua Blount's uas pib mob thaum ntxov . Qee zaum, tus kab mob no tuaj yeem tshwm sim thaum lawv tseem hluas lossis txawm tias tom qab ntawd hauv lub neej. Qhov no hu ua Blount's uas pib mob lig .
• Qhov hnyav ntawm lub cev: Cov menyuam yaus uas rog dhau , lossis cov uas hnyav sai sai, muaj feem yuav mob no ntau dua.
• Kev taug kev ntxov dhau: Qee qhov kev tshawb fawb tau pom tias cov menyuam yaus uas pib taug kev ua ntej 12 lub hlis kuj muaj kev pheej hmoo.

Tiam sis nco ntsoov, tus kab mob Blount yog ib yam kab mob tsis tshua muaj . Nws tau tshaj tawm tias cuam tshuam rau tsawg dua 1% ntawm cov pej xeem.

Kab mob Blount cuam tshuam li cas rau lub cev ntawm tus menyuam?

Qhov mob no ua rau tus menyuam pob txha nqaj qaum (tibia) tsis loj hlob zoo, ua rau ceg khoov rau sab hauv. Hloov chaw cov ntiv taw taw ncaj nraim rau pem hauv ntej, lawv tig mus rau sab hauv. Cov ceg nkhaus zoo li tsab ntawv "C".

Yog tias qhov no tsis kho kom zoo, qhov mob yuav hnyav zuj zus.

• Qhov nkhaus ntawm ceg yuav nce ntxiv, ua rau nws tsis tuaj yeem taug kev .
• Tej zaum yuav nyuaj rau ua tej yam xws li kev ua si thiab kev tawm dag zog uas siv koj ob txhais ceg.
• Kev puas tsuaj rau cov hlab ntsha tuaj yeem tshwm sim rau ntawm ob txhais ceg.
• Cov mob xws li mob pob qij txha hauv lub hauv caug tuaj yeem ua rau mob.

Xav txog seb, koj tus me nyuam nyiam khiav thiab dhia thiab ua si, tab sis qhov sib txawv ntawm lawv ob txhais ceg ua rau lawv ua tsis tau li ntawd. Qhov ntawd tu siab npaum li cas? Yog vim li cas nws thiaj li tseem ceeb kom paub txog qhov no thiab ua sai sai.

Cov tsos mob ntawm tus kab mob Blount yog dab tsi?

Cov tsos mob tseem ceeb yog kev khoov ntawm ceg hauv qab lub hauv caug . Lwm cov tsos mob suav nrog:

• Tus ceg zoo li nws khoov rau sab hauv zoo li tsab ntawv "C".
• Qhov khoov no tsuas yog nyob rau hauv ib ceg lossis ob ceg.
• Cov ntiv taw thiab ob txhais ceg tig mus rau hauv es tsis tig ncaj nraim rau pem hauv ntej.

Feem ntau cov menyuam yaus tsis mob vim yog ceg khoov no. Txawm li cas los xij, cov tub ntxhais hluas yuav mob hauv caug . Qhov mob no yuav nce ntxiv, tshwj xeeb tshaj yog thaum ua si, khiav, lossis dhia.

Yog tias tus kab mob hnyav zuj zus, cov tsos mob xws li:

• Mob pob qij txha ntawm lub hauv caug
• Kev taug kev nyuaj
• Kev puas tsuaj rau cov pob qij txha thiab cov hlab ntsha

Dab tsi ua rau muaj tus kab mob Blount? Puas yog nws tau los ntawm noob caj noob ces?

Qhov ua rau muaj tus kab mob Blount tseem tsis tau pom tseeb .

Txawm li cas los xij, qee qhov kev tshawb fawb qhia tau tias, raws li tau hais ua ntej, qhov kev pheej hmoo no siab dua rau cov menyuam yaus uas pib taug kev ua ntej 12 lub hlis thiab rau cov neeg uas hnyav sai sai thaum tseem hluas.

Lwm cov kev tshawb fawb qhia tias nws yuav yog los ntawm noob caj noob ces . Qhov ntawd yog, qee zaum nws yog los ntawm noob caj noob ces.Muaj peev xwm ua tau tias muaj qee yam tsis raug. Qhov teeb meem ntawm no yog tias cov phaj loj hlob ntawm sab hauv ntawm lub pob txha femur tsis loj hlob zoo. Ib qho noob caj noob ces uas tau txais los ntawm niam txiv tuaj yeem ua rau muaj qhov tsis zoo ntawm cov phaj loj hlob no.

Tus kws kho mob yuav paub tseeb li cas tias qhov no yog tus kab mob Blount?

Yog tias koj tus menyuam ob txhais ceg raug xav tias khoov, tus kws kho mob yuav ua qhov kev kuaj xyuas lub cev kom zoo ua ntej. Tom qab ntawd, lawv yuav kom thaij duab X-ray ntawm tus menyuam ob txhais ceg. Daim duab X-ray no feem ntau yog thaij los ntawm pob luj taws mus rau lub duav.

Los ntawm cov duab X-ray, tus kws kho mob tuaj yeem txiav txim siab tau meej tias tus menyuam pob txha loj hlob li cas thiab dab tsi ua rau nws ceg khoov mus rau hauv.

Feem ntau tus mob no yuav raug kuaj pom tom qab tus menyuam muaj li ob xyoos . Qhov no yog vim, raws li tau hais ua ntej lawm, kev khoov ceg ib txwm yog ib txwm muaj thaum muaj hnub nyoog li no. Yog tias qhov khoov ceg tseem muaj tom qab ob xyoos, tus kws kho mob yuav xav tias muaj tus kab mob Blount thiab ua cov kev kuaj mob kom paub meej.

Cov kev kho mob rau tus kab mob Blount yog dab tsi?

Kev kho mob rau tus kab mob Blount tsis zoo ib yam rau txhua tus. Nws txawv nyob ntawm lub hnub nyoog ntawm tus menyuam thiab qhov hnyav ntawm tus kab mob . Muaj ob txoj kev kho mob tseem ceeb.

1. Hnav lub brace

Qhov no suav nrog kev hnav ib lub brace tshwj xeeb, lossis brace , uas txuas ntawm tus menyuam lub duav mus rau ko taw. Qhov no feem ntau ua rau cov menyuam yaus hnub nyoog qis dua peb xyoos . Lub brace no feem ntau tsis tas yuav hnav thoob plaws hnub, tab sis cov kws kho mob pom zoo kom hnav nws tsuas yog thaum hmo ntuj thaum pw tsaug zog li ib xyoos . Qhov no maj mam ua rau ceg ncaj.

2. Muaj kev phais mob

Qee zaum, tshwj xeeb tshaj yog tias tus menyuam muaj hnub nyoog tshaj plaub xyoos lossis yog tias ceg tsis ncaj txawm tias tom qab hnav lub brace, tus kws kho mob yuav pom zoo kom phais .

Qhov kev phais no hu ua osteotomy . Hais yooj yim xwb, nws yog txiav pob txha, ncaj nws, thiab kho nws. Muaj ntau txoj kev siv rau qhov no:

• Kho cov pob txha nrog cov staples lossis pins .
• Siv ib txoj kev hu ua tension band plating .
• Ua kom ceg ncaj los ntawm kev tshem ib daim pob txha ntawm pob txha nqaj qaum (tibia) uas puas lawm lossis ntxiv ib daim pob txha tshiab .

Txawm hais tias qhov kev phais no yuav zoo li yog ib qho teeb meem loj los xij, nws tseem ceeb heev rau yav tom ntej ntawm tus menyuam thiab kho tus ceg kom zoo.

Yuav ua li cas saib xyuas ib tug menyuam tom qab phais?

Nws yog ib qho tseem ceeb heev uas yuav tsum tau saib xyuas koj tus menyuam tom qab phais mob.

• Khaws qhov txhab kom huv si: Koj yuav tsum xyuas qhov chaw phais kom paub seb puas muaj kab mob . Ntxuav qhov txhab thiab siv tshuaj raws li koj tus kws kho mob qhia.
• Tsis txhob muab qhov hnyav rau ntawm ceg: Nws tsis yog lub tswv yim zoo los muab qhov hnyav rau ntawm ceg uas tau phais mob rau 6 txog 8 lub lis piam . Yog tias koj muab qhov hnyav rau ntawm nws, pob txha yuav tsis kho kom zoo thiab yuav rub tawm dua. Koj tus kws kho mob yuav qhia koj tias koj yuav tsum siv crutches ntev npaum li cas.

Puas muaj ib txoj kev los tiv thaiv kom tus kab mob no tsis txhob loj hlob tuaj?

Tu siab kawg li, tsis muaj txoj hauv kev tseeb los tiv thaiv kab mob Blount.

Txawm li cas los xij, muaj ob peb yam koj ua tau los pab koj tus menyuam cov pob txha loj hlob zoo thiab muaj zog:

• Noj zaub mov kom zoo.
• Qhia tus me nyuam kom tawm dag zog tsis tu ncua .
• Yog tias tsim nyog, muab cov vitamin D lossis calcium raws li tus kws kho mob hais.
• Tswj kom muaj qhov hnyav noj qab haus huv uas haum rau lub hnub nyoog ntawm tus menyuam.

Nco ntsoov tias, ua ntej muab cov vitamins lossis lwm yam khoom noj khoom haus rau koj tus menyuam, koj yuav tsum sab laj nrog kws kho mob kom paub tseeb tias nws muaj kev nyab xeeb.

Yog tias kuv tus menyuam muaj tus kab mob Blount's, kuv yuav tsum tau tos li cas?

Qhov kev kwv yees rau ib tug me nyuam uas muaj tus kab mob Blount nyob ntawm tus me nyuam lub hnub nyoog thaum kuaj pom tias muaj tus kab mob thiab qhov hnyav ntawm tus kab mob .

• Cov menyuam yaus hnub nyoog qis dua plaub xyoos tuaj yeem cia siab tias yuav zoo rov qab zoo heev yog tias kuaj pom tus kab mob ntxov thiab pib kho.
• Txawm li cas los xij, yog tias tus kab mob raug kuaj pom lig lossis tsis kho kom zoo, qhov nkhaus ntawm ceg tuaj yeem zuj zus tuaj, ua rau cov pob qij txha puas tsuaj loj heev thiab ua rau nws nyuaj rau taug kev .

Tom qab kho mob tas, muaj feem me me uas cov menyuam yaus thiab cov neeg laus yuav rov qab mob dua . Txawm li cas los xij, yog tias kuaj pom thiab kho tus kab mob thaum ntxov, qhov kev pheej hmoo yuav tsawg heev.

Kab mob Blount kav ntev npaum li cas?

Yog tias tus kab mob no tsis raug kho, nws tuaj yeem kav ntev mus ib txhis thiab tej zaum yuav hnyav dua thaum tus menyuam loj hlob tuaj.

Tom qab kev kho mob, nyob ntawm seb tus menyuam mob hnyav npaum li cas, tom qab lub sijhawm rov zoo los ntawm kev phais lossis tom qab hnav lub brace li ib xyoos, qhov nkhaus ntawm ceg yuav zoo dua .

Txawm li cas los xij, raws li tau hais ua ntej lawm, muaj qhov pheej hmoo me me ntawm kev rov qab los, yog li tus kws kho mob pom zoo kom koj coj koj tus menyuam mus kuaj mob tsis tu ncua thiab xyuas seb kev kho mob puas ua tiav.

Koj yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj pom tej yam no txog koj tus menyuam, mus ntsib kws kho mob tam sim ntawd:

• Txawm tias tom qab tus me nyuam pib taug kev, lossis tom qab li ob xyoos , qhov nkhaus ntawm ob txhais ceg tsis ncaj nws tus kheej.
• Yog tias tus me nyuam muaj mob nrog rau ob txhais ceg nkhaus.
• Tus me nyuam muaj teeb meem taug kev.Yog tias nws zoo li, lossis yog tias koj tsis tuaj yeem muab qhov hnyav rau ntawm koj ceg / ob txhais ceg.

Koj yuav tsum nug tus kws kho mob li cas?

Thaum koj mus ntsib kws kho mob, nws yog ib lub tswv yim zoo los nug qee cov lus nug zoo li no:

• Tom qab phais tas, kuv tus menyuam yuav siv crutches ntev npaum li cas?
• Kuv tus menyuam puas tuaj yeem ua si kis las nrog tus mob no?
• Yog tias nws muaj teeb meem taug kev, tus kws kho mob puas pom zoo kom nws siv cov khoom siv pab txhawb kev txav mus los ?
• Yog tias kuv tus menyuam yuav tsum tau hnav lub brace, lawv yuav tsum pib hnav thaum twg thiab siv ntev npaum li cas?

Nco ntsoov tias, nws yog ib qho ib txwm muaj rau cov menyuam mos uas muaj ob txhais ceg khoov me ntsis, thiab qhov no yuav ploj mus thaum lawv pib taug kev lossis muaj hnub nyoog li ob xyoos. Txawm li cas los xij, yog tias koj pom tias koj tus menyuam ob txhais ceg tsis ncaj, lossis qhov khoov zuj zus tuaj, nco ntsoov mus ntsib kws kho mob. Kev kuaj mob thiab kev kho mob thaum ntxov tuaj yeem pab tiv thaiv qhov khoov kom tsis txhob hnyav zuj zus thiab tiv thaiv cov teeb meem xws li mob pob qij txha.

Thaum kawg, ob peb yam uas yuav tsum nco ntsoov

Yog li, kuv vam tias koj tam sim no nkag siab zoo dua txog Kab Mob Blount, uas peb tau tham txog hnub no.

Qhov tseem ceeb tshaj plaws yog tsis txhob ntshai thaum koj pom ib tug me nyuam ob txhais ceg khoov, tab sis sim nkag siab seb qhov no puas yog ib txwm lossis ib yam dab tsi uas yuav tsum txhawj txog.

• Kev khoov ntawm lub cev yog ib qho uas tshwm sim ntau rau cov menyuam yaus thiab feem ntau nws ploj mus thaum muaj hnub nyoog 2 xyoos.
• Hauv Blount's Disease, qhov khoov ntawm ceg yog qhov hnyav heev, tsis zoo dua ntawm nws tus kheej, thiab tej zaum yuav hnyav zuj zus.
• Yog tias koj muaj lus nug dab tsi, mus ntsib kws kho mob menyuam yaus lossis kws phais pob txha .
• Kev kuaj mob thiab kho mob thaum ntxov yog txoj hauv kev zoo tshaj plaws los xyuas kom meej tias tus menyuam yav tom ntej muaj kev noj qab haus huv zoo.

Tsis muaj kev xyiv fab loj dua li pom koj tus menyuam noj qab nyob zoo thiab zoo siab. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog tej yam zoo li no.

Kab mob Blount, ob txhais ceg khoov, pob txha menyuam yaus, tibia vara, ob txhais ceg khoov, kev noj qab haus huv menyuam yaus, Kab mob Blount, cov phaj loj hlob, pob txha loj hlob