Hauv qab no, cov no yog cov ntsiab lus tseem ceeb ntawm tus ko taw uas tshwm sim thaum lub sij hawm pib ntawm kev loj hlob ntawm kev loj hlob thiab tuaj ntawm kev yug menyuam. Vim li cas cov clubfoot tseem tsis tau kawm txog qhov kawg, tiam sis feem ntau ntawm cov kev xav ntawm cov kws tshwj xeeb tuaj yeem sib dhos hauv ib qho: qhov feem ntau tshwm sim yog qhov ua tau rau cov leeg ntawm cov ceg mos mos ntawm cov ceg mos mos thiab ko taw. Lawv tuaj yeem tshwm sim los ntawm ntau yam, xws li cov neeg kho tshuab thiab cov paj hlwb ua rau txhua tus thiab qhov chaw ecology. Clubfoot yog ib qho teeb meem tshwm sim heev thiab, raws li kev txheeb cais, cov tub ntxhais hluas muaj ntau dua rau nws dua cov ntxhais. Hypospadias thiab sib tw clubfoot ntawm cov menyuam yaus - cov ntsiab lus ntawm tsab xov xwm.
Thawj cov cim qhia ntawm ib lub dav hlau qws tswm sim yog pom tseeb thiab hnov li cas tom qab yug tus me nyuam: lub ko taw tig mus rau sab nraud, nrog sab hauv sab hauv thiab tig mus ntxiv. Nyob rau hauv cov ntaub ntawv ntawm ib tug ntau dav hlau deformation ntawm lub ko taw, lub pob taws nws yog rub rub tawm, ko taw yog curved arched thiab tseem deployed on sab hauv sab upward. Hauv ob qho no, nws tsis tuaj yeem coj tus taw mus rau nws txoj haujlwm. Qhov tseeb yog qhov tseem ceeb ntawm kev ua kom muaj tus kabmob hauv lub cev los ntawm ko taw deformities nyob rau hauv cov kab mob neuromuscular (qhov twg ko taw yog feem ntau nyob rau hauv txoj haujlwm tseeb). Cov qog nqaij hlav feem ntau yog nrog cov kev hloov hauv cov nqaij ntshiv, ligaments, pob qij txha, thiab pob txha ntawm pob taw, yog li ob yam taw qhia ntawm cov pob txha caj npab yog: kev sib tw ntawm cov pob txha rau cov kis ntawm ntug taw (torsion), qhov cuam tshuam ntawm kev sib kis ntawm tus kheej (inflection) thiab varus deformity ntawm toes. Qhov zoo ntawm qhov chaw tsis yog ko taw no tsis zoo siab: thaum lub sij hawm sawv ntsug thiab taug txoj kev siab ntawm lub cev qhov ceeb thawj ntawm lub taw yog muab faib tsis ncaj, vim yog ib sab yog overloaded (luv dua), qhov thib ob tseem tsis tau tiav (ncav tau). Nws muaj peev xwm ua rau muaj kev ywj pheej, ploj hauv qhov pob qij txha pob txha, thiab kev muaj peev xwm ntawm ko taw kom poob mus rau kev ua kauj ruam thiab dhia dhia qis. Yog hais tias koj cia tej yam mus ntawm lawv tus kheej, qhov kev tawm tsam ntawm tus me nyuam yuav tsis ncaj ncees, thom khwm sab hauv, vim li no, thiab kev sib koom tes ntawm kev txav mus los. Nws yog ib qho nyuaj rau tus me nyuam yaus kom sib tw nrog cov me nyuam noj qab nyob zoo hauv kev ua si, koom nrog cov poj niam pib thiab lwm cov me nyuam cov kev ua si. Thaum kawg, ntxiv rau kev mob hlwb, clubfoot tuaj yeem ua rau cov teeb meem puas siab ntsws hauv tus menyuam.
Nco ntsoov kho!
Kev kho mob ntawm tus kabmob khaus lub plab yog ua raws li kev saib xyuas ntawm ib tus kws kho mob orthopedic. Nyob rau hauv cov ntaub ntawv ntawm thaum ntxov diagnostics, kho qoj ntawm gymnastics thiab kho mob massage, ntxiv rau outpatient physiotherapy cov txheej txheem, yog siv los kho qhov chaw ntawm lub ko taw. Cov kws kho mob feem ntau tau sau cov ntaub qhwv plaster tshwj xeeb thiab cov neeg qhia tsis yeem, kho qhov ko taw thiab ci hauv qhov chaw uas tau txais los ntawm kev kho mob. Nyob hauv tsev, koj tuaj yeem xyaum siv cov khoom ntawm physiotherapy, kho kev ua si thiab zaws, ua luam dej. Muaj qee zaum, nrog rau ntau hom kev deformity ntawm tus taw, kev kho mob phais, tshwj xeeb tshaj yog thaum muaj qee zaum qoj menyuam hauv cov laus dua, txij thaum muaj teeb meem feem ntau mob nyhav. Raws li txoj cai, txoj kev kho yuav pib tau tam sim ntawd tom qab kev tawm hauv tsev kho mob. Ua ib qho kev tiv thaiv ua ntej, cov menyuam yaus raug nquahu kom hnav cov khau tshwj xeeb orthopedic thiab kev kho mob ntxiv thiab kev kho mob raws li tus me nyuam lub hnub nyoog thiab lub cev muaj peev xwm.
Kho qhov zaws
Vim tias qhov tsis zoo ntawm cov leeg nqaij ntawm sab nrauv thiab sab npoo ntawm lub taub hau, nrog rau sab nraud thiab phiajcim sab ntawm ko taw, kev kho tshuaj tshwj xeeb thiab kev noj qab haus huv. Lub hom phiaj ntawm no zaws yuav ncab thiab softening ntawm strained thiab cov leeg nqaij hlav - lub puab lub taub hau ntawm gastrocnemius cov leeg, qhov Achilles tendon thiab nruab nrab sab ntawm lub taw. Ib txhij nrog rau txoj kev ua no, raws li txoj cai, ib qho tonic zaws ntawm cov leeg nqaij ncav yog nqa tawm: sab nraud taub hau ntawm gastrocnemius cov leeg thiab tom qab koov ntawm ko taw.
Npaj theem kev txhim kho
• Cov menyuam nyob ntawm nws lub plab
1. Lus tawm ntawm thaj chaw ntawm lub nraub qaum ntawm nrob qaum - kev ntaus, kev sib tsoo thiab sawing.
2. Tuav lub pob tw - ua haujlwm, nrog siab, sib zog, hnyav npuaj, kneading, tingling thiab patting.
3. Rov zuaj ntawm qhov caj dab - stroking (tawm hauv qab taw, los ntawm popliteal fossa mus rau pob tw), mob nyhav, hnoos tau yooj yim thiab tuav.
• Cov menyuam nyob ntawm nws sab nraud
4. Zuaj ntawm lub plab - ua clockwise, tsis cuam tshuam rau thaj chaw ntawm txoj cai hypochondrium.
5. Zawm ntawm lub hauv ntej ntawm tus ncej - stroking (txij li hauv qab taw, ntawm lub hauv caug hau mus rau thaj tsam ntawm lub puab tais), mob nyhav, hnoos tau yooj yim thiab tuav. Lub cheeb tsam ntawm lub patellar nws tus kheej thiab groin cheeb tsam yog tsis massaged.
Kev noj qab haus huv theem
1. Lub qhov muag tawm.
• Cov menyuam nyob ntawm nws lub plab
Pib lub zaws nrog cov niaj zaus stroking, ua si maj mam khiav ntawm kev taw qhia los ntawm pob taws los rau popliteal fossa. Tom qab ntawd zaws sab nraub qaum ntawm sab ceg (tsuas yog cov nyuj leeg). Los ntawm sab hauv ntawm lub tshuab raj, uas yog, los ntawm sab ntug ntawm cov curvature, thaum lub sij hawm zaws, tom qab lub zaws, cov nram qab no relaxing techniques yog siv: yooj yim stroking thiab muab tshuaj ntxuav nrog lub ntiv tes ntawm cov ntiv tes, maj mam tuav thiab kneading, ncab thiab vibration. Nyob rau sab nraum thaum lub zaws siv feem ntau toning cov tswv yim - mob siab heev rubbing, me me sawing, vigorous kneading, yooj yim pokolachivanie.
• Cov menyuam nyob ntawm nws sab nraud
Thaum zaws ntawm lub ntsej muag rau ntawm lub taub ci txhua txoj kev ntawm toning massage yog siv - hnyav rubbing, kneading, yooj yim ntiv tes nias.
2. Pob zeb tawm.
Nws muaj kev sib tsuam thaj tsam ntawm qhov sib koom tes thiab txhuam ncig ntawm lub pob taws. Ib zaws kuj siv tau ua ke nrog cov tswv yim ntawm acupressure ntawm pob taws lub pob qij thiab lub backside ntawm ko taw nrog tib lub sijhawm khawm ntawm qhov taw mus rau sab nraub qaum. Qhov no, nws yog ib qhov tsim nyog los tuav lub ko taw nyob hauv txoj hauj lwm kom yog, me ntsis unfolding nws sab nraud nyob rau hauv cov kev taw qhia rau tom ntej mus rau curvature.
Mob hlwb pob txha.
Kom ncab thiab muag muag cov ligaments, stroking, kneading, sawing, ncab thiab vibration, acupressure nrog tus ntiv tes xoo thiab cov forefinger tau siv ntau dua. Tus menyuam uas nrog clubfoot thiab thawj nkawm khau yuav tsum tau nrog cov khaub thuas
9. Taw ntsej muag.
• Tus me nyuam pw twj ywm hauv nws lub plab
Muab ib sab tes tuav lub lauj kaub, khawm tus menyuam txhais ceg hauv lub hauv caug txha. Tom qab ntawd, thaum tuav lub ko taw, pib ua lub zaws ntawm nws cov phiajcim sab. Thaum lub sij hawm zaws, nws yog ib qhov tsim nyog ncab lub puab sab hauv (cov leeg ntawm cov kab mob strained) thiab lub nplhaib sab ntug taw (ncab cov leeg). Nco ntsoov tias thaum lub sij hawm no zaws nws yog ib qhov tsim nyog yuav muab tus ko taw qhov chaw kom yog, uas yog, kho ceg ntawm sab nraub qaum, tsa nws sab ntug.
• Cov menyuam nyob ntawm nws sab nraud
Thaum ua zaws ntawm sab nraub qaum, qhov tshwj xeeb tshaj yog nyob rau sab nraud, cov khoom siv tonic yog siv - hnyav kneading, sawing, shearing, tingling, pinching. Nyob rau tib lub sijhawm, maj mam muab tus ko taw tso rau ntawm txoj hauj lwm kom zoo thiab khoov nws rau lub kaum ntse ntse sab xis nrog rau lub tshuab raj.
Thiab rov kawm ntawv lub cev
Txoj kev kawm tawm lub cev yog kev sib cais los ntawm kev ua kom muaj kev xyaum ua haujlwm thiab ua tiav nrog nrog zas thiab thermal cov txheej txheem. Kev ua cov qoj no pab ncab cov calcaneal cov leeg thiab tshem tawm ntawm qhov chaw haujlwm ntawm lub caj npab, thiab kuj pab txo kom txhob muaj qhov cuam tshuam - tshem tawm thiab nkaum sab hauv ntawm sab ko taw. Hauv thawj xyoo ntawm tus me nyuam lub neej, kev kho lub luag hauj lwm feem ntau tsuas yog ua tau lub cev tsis ua hauj lwm thiab ua kom tsis muaj zog ntawm kev ua zog.
Passive ce
1. Cov menyuam nyob ntawm nws lub plab. Muaj ib sab, tuav tus me nyuam lub tshuab raj thiab khoov nws txhais ceg hauv lub hauv caug txha. Tom qab ntawd, thaum tuav lub lauj kaub, nrog lub xib teg ncaj ntawm lwm txhais tes, ua cov taw tes nrawm ntawm qhov ko taw, nws khoov rau hauv pem teb, nrog rau cov ntiv taw sab nraud.
2. Cov menyuam nyob ntawm nws lub plab. Mus txuas ntxiv tuav tus me nyuam txoj hlua khi hauv txoj hlua khi, nrog kev xuas tes dawb, ua qhov taw qhia me me ntawm lub taw, maj mam muab thiab maj mam txo qis sab hauv thiab tuav txoj hlua sab nraud.
3. Cov me nyuam nyob ntawm nws sab nraud los yog zaum nrog ob txhais ceg. Nrog ib tus tes, ntxiab, thiab nias tus me nyuam lub tshuab ci rau saum rooj, kho nws nrog cov ntiv tes ua duab zoo li lub nplhaib ntawm pob taws. Nrog rau lwm sab tes, tuav lub ko taw kom lub qhov chaw nyob sab ntug tiv thaiv koj lub xib teg. Maj mam ua lub luag haujlwm ntawm lub taw mus rau sab nraub qaum, thaum nias ntawm nws sab ntug, me ntsis unfolding nws inwards.
4. Tus mos ab nyob ntawm nws sab nraud los yog zaum nrog ob txhais ceg. Npog tus me nyuam qis ceg nrog tag nrho xibtes, kho nws thiab ko taw hauv pob taws. Nrog rau lwm sab tes, puag tus me nyuam txhais ko taw kom nws cov phiajcim sab nrig tawm tsam koj xib teg. Mam li maj mam thiab ua tib zoo ua kom muaj kev taw qhia, sim ntiv taw mus rau sab nraud, nyob rau hauv cov kev taw qhia rau cov curvature.
5. Mus txuas ntxiv txhawm rau txhuam tus me nyuam txoj hlaub, rov ua dua ntawm taw sab hauv sab nraud, txo nws sab hauv thiab raising sab ntug.
6. Tus me nyuam muaj lus dag los yog tso. Nrog ib sab tes, rub tus ceg ntawm tus me nyuam hauv qab thiab kho nws hauv pob taws thiab pob taws. Nrog koj txhais tes, ua lub teeb, nias taw, so tawm ntawm tus me nyuam ntawm ko taw nrog tus xibfwb ncaj. Nrog koj cov ntiv tes, maj mam khoov tus taw ntawm koj tus kheej sab nraub qaum thiab ib txhij tig nws cov ntug sab nraud rau ntawm kev coj tsis sib haum mus rau qhov curvature.