Koj puas tau pom tias thaum koj tus me nyuam pib sawv lossis taug kev, lawv ob txhais ceg khoov me ntsis ntawm lub hauv caug, zoo li ib txoj hlua khi? Nws yog ib txwm muaj rau niam lossis txiv yuav ntshai me ntsis thaum lawv pom qhov no. Qee zaum, thaum cov txheeb ze thiab cov phooj ywg tuaj tsev thiab hais tias, "Auj, kuv tus menyuam ob txhais ceg ntev heev," nws ua rau koj ntshai ntxiv. Tab sis qhov no puas yog ib yam dab tsi uas yuav tsum ntshai tiag? Cia peb tham txog qhov no hnub no.
Hais yooj yim xwb, cov ceg hneev yog dab tsi?
Ob txhais ceg khoov, lossis raws li peb hu nws hauv cov lus kho mob (Genu Varum) , yog ib qho mob uas ib lossis ob txhais ceg ntawm tus menyuam khoov rau sab nraud ntawm lub hauv caug. Qhov no ua rau muaj qhov sib txawv loj dua li qub ntawm lub hauv caug thaum tus menyuam sawv ntsug nrog lawv cov pob luj taws ua ke. Yog tias koj saib ze ze, ob txhais ceg yuav zoo li lub hneev. Peb tuaj yeem pom cov duab no meej, tshwj xeeb tshaj yog thaum tus menyuam taug kev.
Xav txog tias koj tab tom muab koj tus menyuam cov pob luj taws ua ke. Ces ob lub hauv caug yuav tsum ze ua ke. Tab sis ib tug menyuam uas muaj qhov teeb meem "Bow Ceg" no lawv lub hauv caug nthuav tawm sib nrug.
Tiam sis ntawm no yog ib yam uas yuav tsum nco ntsoov: Tus mob no feem ntau tshwm sim ntawm cov menyuam mos thiab cov menyuam yaus me. Feem ntau, nws tsis yog qhov mob hnyav.
Vim li cas cov menyuam yaus ob txhais ceg thiaj raug rub li no?
Tej zaum yuav muaj ntau yam ua rau qhov no, tab sis cia peb tham txog qhov laj thawj feem ntau thiab ib txwm muaj ua ntej.
Nws yog ib feem ntawm txoj kev loj hlob ib txwm muaj! (Physiologic Genu Varum)
Qhov no yog qhov laj thawj tseem ceeb uas ua rau cov menyuam mos ob txhais ceg khoov thiab tsis muaj laj thawj yuav tsum ntshai. Hais yooj yim xwb, qhov no yog theem ib txwm ntawm kev loj hlob ntawm tus menyuam.
Xav txog seb qhov chaw me me uas tus menyuam mos nyob hauv nws niam lub tsev menyuam rau cuaj lub hlis. Zoo li lub paj uas yuav tawg paj. Thaum nyob hauv qhov chaw me me no, qee tus pob txha ntawm tus menyuam yuav tsum ntswj thiab tig me ntsis kom haum rau hauv. Qhov no yog qhov tseeb tshwj xeeb rau cov pob txha hauv ob txhais ceg.
Yog li ntawd, tom qab tus menyuam yug los, thaum nws loj hlob, sawv ntsug, thiab taug kev, cov ceg uas nkhaus ntawd maj mam pib ncaj. Ib yam li cov paj ntawm lub paj maj mam qhib thiab tawg paj. Cov txheej txheem no siv sijhawm me ntsis. Feem ntau, thaum muaj hnub nyoog 18 lub hlis txog 2 xyoos, kwv yees li 95% ntawm cov menyuam yaus ob txhais ceg ncaj kiag li.
Yog li, yog tias koj tus menyuam hnub nyoog qis dua 2 xyoos thiab nws ob txhais ceg khoov tib lub sijhawm, feem ntau nws yog vim qhov txheej txheem kev loj hlob ib txwm muaj no. Peb hu qhov no (Physiologic Genu Varum) .
Yog li ntawd, peb yuav tsum ntshai thaum twg?
Yog tias koj tus menyuam cov mob ceg tsis ploj mus thaum muaj hnub nyoog 2 xyoos, lossis yog tias lawv zoo li hnyav zuj zus, tej zaum yuav muaj lwm yam mob uas ua rau lawv mob. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob kom tau txais kev qhia.
Mob plab kuj tuaj yeem tshwm sim rau lwm yam laj thawj zoo li no.
| Vim li cas | Ib qho lus piav qhia yooj yim |
|---|---|
| Kab mob Blount | Qhov no yog ib qho teeb meem loj hlob uas tshwm sim los ntawm teeb meem nrog lub phaj loj hlob ntawm sab saum toj ntawm tus menyuam pob txha nqaj qaum. Hais yooj yim xwb, nws yog ib qho teeb meem nrog thaj chaw uas pab pob txha loj hlob. Nws yuav tshwm sim ntau dua rau cov menyuam rog dhau thiab cov menyuam uas taug kev sai. |
| Kab mob pob qij txha | Ib qho mob uas tshwm sim los ntawm qhov tsis txaus vitamin D lossis calcium . Thaum cov as-ham no tsis txaus, cov pob txha yuav qaug zog zoo li cov plhaub txiv maj phaub, mos, thiab tsis tuaj yeem nqa qhov hnyav thiab pib khoov. Qhov mob no tseem pom muaj nyob rau hauv cov tebchaws uas tseem tab tom txhim kho zoo li peb lub tebchaws. |
| Kev dwarfism | Hom kab mob dwarfism uas pom ntau tshaj plaws yog qhov teeb meem loj hlob ntawm pob txha hu ua achondroplasia . Tus mob no kuj tseem tuaj yeem ua rau ob txhais ceg nkhaus. |
| Lwm yam teeb meem pob txha | Ob txhais ceg kuj tseem tuaj yeem raug rub vim yog cov mob xws li pob txha tawg yav dhau los uas tsis tau kho kom zoo, lossis pob txha loj hlob tsis zoo (Bone Dysplasia) . |
| Kev lom | Tus mob no kuj tseem tuaj yeem tshwm sim vim yog qee yam tsis tshua muaj, xws li kev lom los ntawm kev noj cov tshuaj xws li txhuas lossis fluoride. |
Cov tsos mob ntawm tus mob no yog dab tsi?
Cov tsos mob tseem ceeb, raws li peb tau tham ua ntej, yog qhov tsos ntawm tus menyuam ob txhais ceg. Qhov cim pom tseeb tshaj plaws yog tias lub hauv caug tsis sib koom ua ke thaum tus menyuam sawv ntsug, tab sis nyob deb ntawm lwm tus. Qhov no pom tseeb dua thaum tus menyuam taug kev.
Qee zaum cov menyuam no yuav taug kev nrog lawv cov ntiv taw tig mus rau sab hauv. Peb kuj hu qhov no (Ntiv taw nquab / Intoeing) .
Tiam sis qhov tseem ceeb tshaj plaws ntawm no yog tias feem ntau qhov mob '(Bow Ceg)' no tsis ua rau tus menyuam mob. Thiab qhov mob no tsis cuam tshuam rau tus menyuam lub peev xwm nkag, taug kev, lossis khiav li cas los xij.
Yog tias koj tus menyuam qhov mob ceg tsis tau pib zoo dua thaum lawv muaj 2 xyoos, nws yog qhov zoo tshaj plaws los tham nrog koj tus kws kho mob hauv tsev neeg.
Tus kws kho mob kuaj mob li cas?
Thaum koj coj koj tus menyuam mus ntsib kws kho mob, thawj qhov uas nws yuav ua yog kuaj koj tus menyuam lub cev kom zoo thiab nug koj txog keeb kwm kev noj qab haus huv ntawm koj tus menyuam.
- Yog tias tus me nyuam hnub nyoog qis dua 2 xyoos: Feem ntau tus kws kho mob yuav tsis ua lwm yam kev kuaj mob. Hloov chaw, nws yuav qhia kom saib seb qhov o ntawm ceg puas ploj mus thaum tus me nyuam loj hlob tuaj. Qhov no yog cov txheej txheem ib txwm muaj.
- Rau cov menyuam yaus hnub nyoog tshaj 2 xyoos: Tus kws kho mob yuav ntsuas tus menyuam ob txhais ceg thiab saib seb tus menyuam taug kev li cas. Tsis tas li ntawd xwb, yuav muaj kev thaij duab X-ray los xyuas seb cov pob txha hauv ob txhais ceg thiab hauv caug puas zoo. Kuj tseem yuav muaj kev kuaj ntshav los xyuas seb puas muaj mob xws li mob pob txha caj qaum (rickets).
Qee zaum, koj tus kws kho mob yuav xa koj mus rau tus kws kho mob tshwj xeeb orthopedic .
Puas kho tau qhov mob hauv txaj? Yuav kho li cas?
Yog, nws yeej ua tau. Cov kev xaiv kho mob nyob ntawm seb qhov ua rau muaj mob thiab hnub nyoog ntawm tus menyuam.
Rau cov menyuam yaus hnub nyoog qis dua 2 xyoos
Zoo li kuv tau hais ua ntej lawm, cov menyuam mos thiab cov menyuam yaus hnub nyoog qis dua 2 xyoos feem ntau yuav zoo li qub. Yog li ntawd, tshwj tsis yog tias qhov mob hnyav heev , tsis tas yuav kho mob. Tus kws kho mob yuav saib xyuas tus menyuam txoj kev loj hlob.
Rau cov menyuam yaus hnub nyoog tshaj 2 xyoos
Yog tias tus mob no tseem muaj tom qab muaj hnub nyoog 2 xyoos, kev kho mob yuav nyob ntawm qhov ua rau.
- Rau Kab Mob Blount:Yog tias pom tus kab mob thaum ntxov, nws tuaj yeem kho tau los ntawm kev siv khau tshwj xeeb, cov ntaub qhwv, lossis cov hlau nplaum.
- Rau Rickets: Qhov no kho tau los ntawm kev ntxiv vitamin D thiab calcium rau hauv cov zaub mov ntawm tus menyuam. Qee zaum, yog tias qhov mob no yog los ntawm caj ces, kev kho mob los ntawm kws kho mob tshwj xeeb yuav tsum tau ua.
Kev phais mob
Yog tias lwm yam kev kho mob tsis ua haujlwm tswj tau qhov mob thiab tiv thaiv kev puas tsuaj ntxiv rau pob txha, tej zaum yuav tsum tau phais. Tsis txhob ntshai hnov lo lus no. Cov no yog kev phais uas tam sim no tau ua tiav.
1. Kev Loj Hlob Uas Tau Qhia: Hauv txoj kev phais no, tus kws phais yuav muab ib daim hlau me me los yog ib daim hlau txuas rau sab pob txha ceg ntawm tus menyuam kom tsis txhob loj hlob. Qhov no yuav ua rau sab pob txha sab tod uas tsis zoo loj hlob kom phim sab pob txha sab zoo. Tus ceg yuav ncaj thaum tus menyuam loj hlob raws li ntuj tsim. Thaum tus ceg ncaj lawm, daim hlau ntawd yuav raug tshem tawm.
2. Kev phais pob txha Tibial: Hauv txoj kev phais no, tus kws phais yuav txiav cov pob txha hauv qab lub hauv caug, kho nws kom zoo li qub, thiab kho ceg kom ncaj. Cov pob txha raug khi nrog ib lub phaj thiab ntsia hlau rau hauv ceg lossis ib lub thav duab sab nraud sab nraud ceg kom txog thaum nws kho tau zoo.
Qee cov lus nug ntxiv rau cov niam
Yuav siv sijhawm ntev npaum li cas rau tus menyuam ob txhais ceg kom ncaj?
Thaum tus me nyuam pib taug kev, lawv ob txhais ceg feem ntau pib ncaj. Qhov no tshwm sim ntawm 11 thiab 18 lub hlis ntawm hnub nyoog . Feem ntau, qhov no tsis ua rau muaj kev phiv mus sij hawm ntev.
Thaum twg kuv thiaj yuav tsum ntshai tiag tiag?
Yog tias koj tus menyuam ceg o tsis ploj mus thaum lawv muaj 2 lossis 3 xyoos , yog tias qhov o zuj zus tuaj , yog tias tsuas yog ib ceg o xwb , yog tias tus menyuam mob , lossis yog tias tus menyuam qhov siab luv rau nws lub hnub nyoog , nco ntsoov mus ntsib kws kho mob.
Puas muaj ib txoj kev los tiv thaiv kuv tus menyuam kom tsis txhob muaj 'ceg nkhaus'?
Tsis muaj ib txoj kev twg los tiv thaiv txoj kev loj hlob ib txwm muaj (Physiologic Genu Varum) uas peb tau tham txog ua ntej. Vim tias nws yog ib yam ntuj tsim. Txawm li cas los xij, koj tuaj yeem tiv thaiv cov mob xws li rickets. Qhov zoo tshaj plaws ua rau qhov ntawd yog xyuas kom tus menyuam tau txais vitamin D thiab calcium txaus. Hauv peb lub tebchaws, kev tso tus menyuam rau lub hnub sawv ntxov yog txoj hauv kev zoo tshaj plaws kom tau txais vitamin D. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom muab cov khoom noj khoom haus raws li cov lus qhia ntawm tus kws kho mob.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov ceg khoov pom tau rau cov menyuam mos thiab cov menyuam yaus.Ib yam dab tsi uas tshwm sim ntau thiab yooj yim heev.
- Feem ntau (kwv yees li 95%) qhov mob no yog ib feem ntawm tus menyuam txoj kev loj hlob thiab nws yuav ploj mus thaum muaj hnub nyoog 2 xyoos.
- Tus mob ib txwm no tsis ua rau tus menyuam mob , thiab nws tsis cuam tshuam rau kev taug kev lossis khiav.
- Yog tias koj tus menyuam cov mob ceg tsis ploj mus tom qab lawv muaj 2 lossis 3 xyoos, yog tias lawv hnyav zuj zus, lossis yog tias lawv tsuas tshwm sim ntawm ib ceg xwb, mus ntsib koj tus kws kho mob tam sim ntawd.
- Nws yog ib qho tseem ceeb heev uas yuav tsum muab zaub mov zoo rau koj tus menyuam kom muaj vitamin D thiab calcium txaus kom tiv thaiv tau cov kab mob xws li rickets.
- Yog tias kho kom zoo, qhov mob ceg los ntawm txhua yam ua rau tuaj yeem tswj tau zoo thiab tus menyuam tuaj yeem ua lub neej noj qab nyob zoo thiab nquag.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus