Varus bondo: ndichiyani, momwe mungadziwire ndi chithandizo

Zamkati

• Momwe mungazindikire bondo la varus
• Zomwe zingayambitse
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Zitsanzo za machitidwe a mawondo a varus
• 1. Chitani masewera olimbitsa thupi kuti mulimbitse mbali ya ntchafu yanu
• 2. Chitani masewera olimbitsa thupi kuti mulimbitse gluteus
• 3. Chitani zolimbitsa thupi kumbuyo kwa mwendo

Vala la varus, lomwe limatchedwanso geno varus kapena "miyendo ya anyamata", ndimakhalidwe abwinobwino momwe mawondo amapatukirana ngakhale munthuyo atatha kukhudza bondo limodzi motsutsana ndi linzake, ndipo zimachitika pomwe tibia ndi mafupa achikazi ali osagwirizana molondola, kupatsa mzere wa mwendo mawonekedwe ena.

Vutoli limapezeka mwa ana ndipo nthawi zambiri limazimiririka mzaka zoyambirira za moyo, koma likapanda kuzimiririka ndipo limakulirakulira pakapita nthawi, limanenedwa kuti likufuna dokotala wamankhwala, kuti izi zitheke monga rickets, matenda a Blount ndi matenda ena okhudzana ndi mafupa okula amatsimikiziridwa kapena kutayidwa.

Chithandizo cha bondo la varus chimatha kusiyanasiyana kutengera chifukwa ndi kuchuluka kwa kusinthako, komwe kumatha kungokhala kungowonjezera vitamini D kashiamu pakakhala ma rickets, mwachitsanzo, kuchitira opareshoni kuti akonzenso mafupa.

Momwe mungazindikire bondo la varus

Vala la varus nthawi zambiri limadziwika ndi dokotala wa ana akamakambirana pafupipafupi, komabe zimakhalanso zachilendo kwa makolo ndi abale kuti azindikire kuwonongeka kwa miyendo yolimba, momwemo ndikofunikira kukawuza adotolo kuti kutumizidwa ku orthopedist kapena physiotherapist iyenera kuchitidwa kuti ifufuze zomwe zingayambitse ndikupereka chithandizo choyenera.

Zomwe zingayambitse

Chomwe chimayambitsa bondo varus ndimomwe zimakhalira zomwe zimatha kukonzedwa zokha mpaka zaka 2 osafunikira chithandizo. Komabe, ngati palibe kupweteka kapena kuyenda movutikira, vutoli limatha kukhala mpaka zaka 8 osafunikira chithandizo chapadera, ngakhale liyenera kuyesedwa ndi dokotala wa ana, orthopedist kapena physiotherapist, kuti kusinthika kapena kusintha kuyang'anitsidwe.

Zina mwazomwe zimayambitsa varus bondo ndi:

• Matenda a mafupa;
• Chotupa cha mafupa;
• Zinthu monga ma rickets ndi achondroplasia;
• Matenda a Paget
• Matenda Blount;
• Kunenepa kwambiri;
• Kutsogolera kapena poyizoni wa fluoride;
• Ligament kulekerera;
• Kuyenda molawirira.

Ngakhale ndizofala kwambiri mwa ana, bondo la varus limatha kuchitika kwa achikulire pomwe kunalibe chithandizo ali mwana kapena matenda ophatikizana monga osteoarthritis, mwachitsanzo. Kumvetsetsa bwino kuti osteoarthritis ndi chiyani komanso momwe amachiritsidwira.

Momwe mungatsimikizire matendawa

Pofuna kutsimikizira kuti ali ndi matendawa, kuyerekezera kwa nthenga, mayendedwe ake ndi mbali yake ya bondo la varus kudzawonedwa, koma kuti adziwe kuopsa kwa mlanduwo, sizachilendo kwa sing'anga kufunsa mayeso a X-ray a miyendo ndi mawondo kuyimirira, kutsogolo ndi mbali.

Ngati pali kukayikira kwa matenda omwe akukhudzidwa monga Paget kapena Blount, mwachitsanzo, kuyesa magazi ndi zithunzi monga computed axial tomography (CAT) ndi nuclear magnetic resonance (NMR), zitha kulamulidwa.

Momwe mankhwalawa amachitikira

Mankhwala a varus bondo amachitika molingana ndi zomwe zimayambitsa komanso kuchuluka kwa vutoli. Zina mwazomwe mungagwiritse ntchito ndi monga:

• Calcium ndi vitamini D zowonjezerapo: amagwiritsidwa ntchito makamaka pakakhala ma rickets, chifukwa chosowa kwa michere m'thupi;
• Physiotherapy yolimbitsa minofu: ikakhala yamthupi kapena yoyambitsidwa ndi achondroplasia ndipo ilibe matenda aliwonse oyanjana nayo ndikulimbikitsa kulimbitsa minofu ikulumikiza mafupa amiyendo;
• Opaleshoni: imagwiritsidwa ntchito pamavuto akulu, pomwe kupindika kwakunja kuli kwakuthwa kwambiri ndipo kumayambitsa kupweteka ndi zovuta kuyenda.

Kuchita opareshoni kotchedwa high tibial osteotomy, kumangowonetsedwa kwa achinyamata komanso achikulire, popeza physiotherapy imakhala ndi zotsatira zabwino poyambira muubwana, ndipo cholinga chake ndi kusintha mawonekedwe a mafupa kuti achepetse kuthamanga kwa olumikizana ndikulola kuyanjananso kwa tibia ndi chachikazi.

Zitsanzo za machitidwe a mawondo a varus

Zolimbitsa thupi zothandiza kukonza bondo la varus nthawi zonse liyenera kutsogozedwa ndi physiotherapist kapena orthopedist pambuyo pofufuza, chifukwa kupunduka komwe kulipo kumapeto kwake kumatha kuwononga chichereŵechereŵe, mafupa ndi minofu panthawi yochita masewera olimbitsa thupi. Zina mwazochita zomwe akatswiri angakulangizeni ndi izi:

1. Chitani masewera olimbitsa thupi kuti mulimbitse mbali ya ntchafu yanu

Ntchitoyi ingathandize kulimbitsa minofu ndikuchepetsa kupindika kwa bondo la varus.

Pa mphasa wochitira masewera olimbitsa thupi, gonani chammbali mwendo mutasinthasintha miyendo, tsegulani ndikutseka mawondo anu monga zikuwonetsedwa pachithunzichi.

2. Chitani masewera olimbitsa thupi kuti mulimbitse gluteus

Pankhani ya bondo la varus, ndikofunikanso kulimbikitsa gluteus maximus ndipo, chifukwa chake, munthu ayenera kukhala ndi zothandizira 4 pansi ndikukweza mwendo umodzi kupita kudenga. Kusunthaku kuyenera kuchitika pang'onopang'ono ndikubwereza 8 mpaka 10 nthawi, pamaseti atatu, ndi mwendo uliwonse.

3. Chitani zolimbitsa thupi kumbuyo kwa mwendo

Kuti muchite masewera olimbitsa thupi, muyenera kuyimirira ndikugwirizira manja anu pampando kapena kukhoma, kenako, ndi mawondo anu palimodzi, pindani mwendo wanu osalekanitsa mawondo anu. Ntchitoyi iyenera kuchitidwa pakati pa 8 mpaka 10 ndi mwendo uliwonse, kwa magulu atatu.