I-Varus knee: yintoni, indlela yokuchonga kunye nonyango

Umxholo

• Indlela yokuchonga idolo le-varus
• Izizathu ezinokubangela
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani
• Imizekelo yokuzivocavoca emadolweni
• 1. Ukuzivocavoca umzimba ukomeleza icala lethanga
• 2. Ukuzivocavoca umzimba ukomeleza i-gluteus
• 3. Zilolonge ukomeleza umva womlenze

Idolo le-varus, elikwabizwa ngokuba yi-geno varus okanye "imilenze yenkomo", yimeko yemfuza apho amadolo agcinwa ngaphandle nokuba umntu uyakwazi ukuchukumisa iqatha elinye ngokuchasene nelinye, kwaye kwenzeka xa i-tibia kunye ne-femur bone ayilungelelananga ngokuchanekileyo, inika umgca womlenze ubume obahlukileyo.

Le meko ixhaphakile kwiintsana kwaye ihlala inyamalala emva kweminyaka yokuqala yobomi, kodwa xa inganyamalali kwaye iya isiba mandundu ngokuhamba kwexesha, kubonisiwe ukuba kuyafunwa ugqirha wamathambo, ukuze izizathu ezinokubakho ezinje ngeerickets, isifo sikaBlount kunye nezinye izifo ezinxulumene amathambo okukhula aqinisekiswa okanye alahliwe.

Unyango lwamadolo e-varus lungahluka ngokwesiseko kunye nenqanaba lotshintsho, olunokuthi luqale nje ngokuba yivithamin D yokuncedisa i-calcium kwimeko yeerickets, umzekelo, kuqhaqho ukuze ulungelelanise amathambo.

Indlela yokuchonga idolo le-varus

Idolo le-varus lidla ngokuchongwa ngumntwana wabantwana kuthethwano oluqhelekileyo, nangona kunjalo kuqhelekile ukuba abazali kunye namalungu osapho babone ukukhubazeka kwemilenze ebotshiweyo, kwimeko apho kubalulekile ukuba uxele kugqirha wabantwana ukuze ukuthunyelwa ugqirha wamathambo okanye ingcali yomzimba yenziwa ukuze kukhangelwe izizathu ezinokubangela ukuba kuqaliswe unyango olufanelekileyo.

Izizathu ezinokubangela

Esona sizathu sixhaphakileyo sedolo le-varus sisimo sokumila kwangaphambili esinokulungiswa sodwa kude kube lixesha leminyaka emi-2 ngaphandle kwesidingo sonyango. Nangona kunjalo, ukuba akukho zintlungu okanye ubunzima bokuhamba, le meko inokuhlala kude kube yiminyaka eli-8 ubudala ngaphandle kwesidingo sonyango oluthile, nangona kufuneka ihlolwe ngugqirha wabantwana, ugqirha wamathambo okanye umzimba, ukuze uhlolo luqwalaselwe.

Ezinye izinto ezinokubangela ukuba i-varus idolo zi:

• Usulelo lwamathambo;
• Ithumba;
• Imiqathango efana rickets kunye achondroplasia;
• Isifo sikaPaget
• Isifo Blount;
• Ukutyeba kakhulu;
• Ilothe okanye ityhefu ye-fluoride;
• Ubunzima beLigament;
• Ukuhamba kwangethuba.

Ngaphandle kokuxhaphaka kakhulu ebantwaneni, idolo le-varus linokwenzeka kubantu abadala xa kwakungekho nyango ebuntwaneni okanye kwiimeko zezifo ezidibeneyo ezinjenge-osteoarthritis, umzekelo. Ukuqonda ngcono ukuba yintoni i-osteoarthritis kunye nendlela ephathwa ngayo.

Indlela yokuqinisekisa ukuxilongwa

Ukuqinisekisa ukuxilongwa, i-asymmetry yeentsiba, ukuhamba kunye ne-engile yedolo le-varus kuya kuqatshelwa, kodwa ukuze wazi ubungqongqo becala, kuqhelekile ukuba ugqirha wamathambo acele uviwo lwe-X-ray yemilenze kunye namadolo emi, ngaphambili nasecaleni.

Ukuba kukho isikrokro sesifo esichaphazelekayo njengePaget okanye iBlount, umzekelo, iimvavanyo zegazi kunye nemifanekiso efana nekhomputha ye-axial tomography (CAT) kunye ne-nuclear magnetic resonance (NMR), inoku-odolwa.

Unyango lwenziwa njani

Unyango lwamadolo e-varus lwenziwa ngokwesizathu kunye nenqanaba lengxaki. Ezinye zeendlela zonyango ezisetyenzisiweyo zibandakanya:

• Ukuxhaswa kweCalcium kunye novithamini D: isetyenziswa ikakhulu kwimeko yeerickets, ngenxa yokunqongophala kwezi zinongo emzimbeni;
• I-Physiotherapy yokomeleza izihlunu: xa iphila ngokwasemzimbeni okanye ibangelwa yi-achondroplasia kwaye ayinaso nasiphi na isifo esihambelana nayo kwaye ijonge ukomeleza izihlunu ngelixa ulungelelanisa amathambo omlenze;
• Ugqirha: isetyenziswe kwiimeko ezinzima, xa ukugobeka ngaphandle kubukhali kakhulu kwaye kubangela iintlungu kunye nobunzima bokuhamba.

Olu tyando lubizwa ngokuba yi-tibial osteotomy ephezulu, ihlala iboniswa kuphela kulutsha nakubantu abadala, kuba i-physiotherapy ineziphumo ezincumisayo xa iqalile ebuntwaneni, kwaye ijolise ukulungelelanisa ubume bamathambo ukunciphisa uxinzelelo kwindibaniselwano kunye nokuvumela ulungelelwaniso kwakhona lwe-tibia umfazi.

Imizekelo yokuzivocavoca emadolweni

Ukuzivocavoca ukunceda ukulungisa idolo le-varus kufuneka lihlale likhokelwa yi-physiotherapist okanye i-orthopedist emva kovavanyo lomzimba, kuba ukukhubazeka okwangoku kunokuphelisa ukonakalisa intlala, amathambo kunye nemisipha ngexesha lokuzilolonga. Olunye uqeqesho olunokucetyiswa yingcali zezi:

1. Ukuzivocavoca umzimba ukomeleza icala lethanga

Lo msebenzi unokunceda ukomeleza izihlunu kunye nokunciphisa ukugoba kwedolo le-varus.

Kwimethi yokuzivocavoca, lala ngecala yakho yomibini imilenze eguqukayo, vula kwaye uvale amadolo njengoko kubonisiwe emfanekisweni.

2. Ukuzivocavoca umzimba ukomeleza i-gluteus

Kwimeko yamadolo e-varus, kubaluleke kakhulu ukomeleza i-gluteus maximus kwaye, ngenxa yoko, umntu kufuneka abe neenkxaso ezi-4 emgangathweni aze aphakamise omnye wemilenze oya eluphahleni. Le ntshukumo kufuneka yenziwe kancinci kwaye iphindaphindwe ama-8 ukuya kwali-10 amaxesha, iiseti ezi-3, ngomlenze ngamnye.

3. Zilolonge ukomeleza umva womlenze

Ukwenza umthambo, kufuneka ume uxhase izandla zakho esihlalweni okanye eludongeni, emva koko, ngamadolo ndawonye, ​​gobisa umlenze wakho ngaphandle kokwahlula amadolo. Lo msebenzi kufuneka wenziwe phakathi kwamaxesha asibhozo ukuya kweli-10 umlenze ngamnye, useta iiseti ezi-3.