Valgus tsoka dzinokanganisa vana - yekutanga zviratidzo, zvinokonzera nekurapa

Kukanganisa mukukudzika kwetsoka kunenge makumi mana kubva ku40% yevana vari pasi pezera remakore 4.5-5. Mune mamiriro ezvinhu akawanda, vana vanoonekwa kuti vane valgus deformity. Nehutachiona huno, tsoka dzomwana dzakadzikama uye dzinoratidzika kuwira mukati meumwe. Izvo zvikamu zvekunze zvetsoka zvishoma zvishoma. Kana iwe ukatarisa makumbo emucheche kubva kumusoro, inogadzira tsamba X.

Valgus tsoka dzisina simba muvana - zvinokonzera

Izvi zvakatsauka zvinokonzerwa nekusagadzikana kwakagadzirwa nemirairo mumakumbo etsoka. Pasi pesimba rekukura kwemuviri vanopera, mapfupa akadzingwa uye anopeta. Rutsoka rwaValgus mumwana rwakaumbwa nekuda kwezvikonzero zvakawanda, izvo zvakagadzirirwa zvikamu zviviri mumapoka:

• congenital;
• akawana.

Congenital valgus deformation yetsoka

Dambudziko rinowedzera munguva ye intrauterine kuumbwa kwemakumbo emufudzi. Netsoka yegasi-valgus inoitika nekuda kwekusafanira nzvimbo uye kukura kwemapfupa. Pashoma kakawanda, inowirirana nechemberi ye intrauterine kukuvadza uye kubatana dysplasia. Valgus kududzira kwetsoka muzvitsva zvinowanikwa mushure mokunge aberekwe kana mumwedzi yekutanga yehupenyu hwemwana. Panguva ino iri nyore kugadzirisa chimiro chetsoka, kudzorera kukwirira kwayo uye kururamisa kwakarurama.

Yakagadzirirwa deformation yemakumbo

Urwu urwere hwehutano hunobuda kubva kunze hunokonzera hunoita mushuloskeletal system. Kutanga, kuora kwevargus muvana hakuonekwi zvikuru. Zviratidzo zvinoratidzika zvechinetso zvinowanikwa pazera remwedzi 10-12, apo mwana anoedza kufamba ari oga. Flat-valgus inomira mumwana wemhando yakagadzirwa inokura nokuda kwezvikonzero zvinotevera:

• prematurity ;
• kushaya simba kwekubatanidza maviri;
• zvirwere zvakakomba, zvinotamirwa achiri muduku ( bronchitis , pneumonia, SARS, nevamwe);
• intrauterine kusagadzikana kwemisungo;
• rickets ;
• myodystrophy;
• poliomyelitis ;
• cerebral palsy;
• polyneuropathy;
• kukuvara kwemagetsi uye kuputsana kwemakumbo nekusara kwenguva refu kwekakanda;
• kuneta;
• nekutanga kutarisa mwana pamakumbo, kuedza nguva isati yasvika kumudzidzisa kufamba;
• kusarudzwa kusarudzwa kwehombodo;
• low mobility;
• kukwana kwe calcium mumuviri;
• kudya kwakakwana, kusinganzwisisiki;
• endocrine zvirwere.

Zviratidzo zvetsoka yegrougus muvana

Zviratidzo zvekutanga zvekuremara kunorondedzerwa zvinowanikwa pedyo negore rokutanga roupenyu hwomwana. Vabereki vanocherechedza kuti mwana paanenge asingafambi haanotenderi kune rutsoka rwose, asi kune rumwe rutivi rwemukati. Kusiyana kwezvakashandurwa tsoka kubva pamakumbo ane utano zvakaratidzwa zvakajeka mumufananidzo uri pasi apa. Zviratidzo zvehutano zvinoenderana nehuwandu hwekunyora kwegurus kwetsoka muvana:

1. Nzvimbo inonyoresa inoratidzirwa nekupenya kwemakumbo pasina kunyanya kuwira kwetsoka. Nzira yekusvibiswa kwemakumbo kubva kumugwagwa wakarurama wakatarisana nechitsitsinho kusvika kusvika kudhigirii 15.
2. Valgus kududzirwa kwetsoka muvana ekunyanyisa kwakaderera kunofambidzanawo nekuputika kwetsoka, asi iyo inogara mukati ne15-20 degrees.
3. Chiremera chakanyanya chechirwere chinosanganisira chirevo chisingatauri chetsoka uye nzvimbo yakakura yekudzvinyirira kwechidzitiro - 20-30 degrees.
4. Nzvimbo yakaoma zvikuru inoratidzika nechisimba chekugadzirisa kwechiso chetsoka. Chikwata chinopfuura 30 degrees sunken.

Nonspecific zviratidzo zvekuremara kukura:

• zvakashata, kushamisika;
• kuneta zvakaneta panguva yekumhanya nemitambo yakashanda;
• kunzwisisika kusinganzwisisiki munharaunda yezvitsvuku;
• capriciousness, kusagadzikana kwechecheche.

Valgus kukuvara kwetsoka muvana - kurapwa

Nzira dzokurapa dzinosarudzwa mumwe nomumwe kumwana mumwe nomumwe maererano nehuwandu hwehutachiona. Kune zvipi zviviri zvingasarudzwa nazvo kuti ururamise kupera-valgus kuora kwemakumbo muvana - kurapwa kunogona kuitwa nemaitiro asingashandisi uye anoshandiswa. Muchiitiko chekutanga, kurapwa kunosanganisira kupfeka mazamu anokosha emakumbo uye shangu, kuisa muviri, kurapa muviri. Kupindira kwekuvhipisa kunowanzosarudzwa (inenge 7% yevana), kana nzira inoshandiswa isingashandisi kana chirwere chacho chinowanikwa kare chiri mumamiriro akaoma.

Zvipfeko zveOrthopedic zvevana vane valgus deformity

Shoes uye sandals kumwana ane dambudziko riri kuongororwa rinongogadzirwa chete kurongeka. Zvishongo zveOrthopedic zvine ruvara rwegurgus zvinogadzirwa nemumwe munhu anotema kana zviyero zvakakwana, izvo chiremba anoita. Hazvina kunaka kutenga zvigadzirwa izvi zvakasununguka. Misi yekugadzira shangu inowanikwa pamusana wezvidimbu zvisingatenderane neimwe nzira yekutsauka uye kugadzika kwetsoka.

Nekubatsira kwembatya mbiri kana shangu, kumira kwegrougus hakururamiswi mumwana - kurapwa kunosanganisira kupfeka kwavo kwenguva refu. Kukura kwemakumbo uye kudzorerwa zvishoma nezvishoma kwemajimu avo kunoda kushandiswa kwemasikati panguva yakakodzera. Iwe haugone kuzvitenga zvemangwana kana kupfeka madiki maduku. Zvigunwe zvemucheche zvinofanira kusimbiswa zvakasimba munharaunda yezasi, nzvimbo yechitsitsinho uye sock.

Insoles for valgus tsoka dzakashata kuvana

Izvi zvigadzirwa zvakaitwa, sehombodo, zvakanyanyisa mumwe nomumwe. Kururamisa kurapwa kwevhuggus kushanduka kwetsoka kunopinda nepakati pezvikamu zvakasiyana kubva zvakaoma kusvika nyore. Ukuru, chimiro che insoles uye kubwinya kwechirongwa chekufukidzira kunofanira kusarudzwa maererano nehuwandu hwekunyora kwetsoka imwe neimwe uye nharaunda yekutsauka kwayo. Minor valgus kupera kwetsoka muvana yakarongedzwa nokukurumidza, zvinotora 3-5 mapaundi emagetsi anofungidzirwa. Nechirwere chisinganzwisisiki kusvika kune chakakomba, inowanzodiwa kuti uchinje iyo insole kwemakore akawanda.

Kuchengetedza nehutuku hwevhugasi hwechikafu muvana

Manual therapy ine basa rinokosha zvikuru mukurapwa kwehutano. Nzira yacho inofanira kuitwa neyanyanzvi anoziva. Vabereki vanogona kuzvimiririra vachiita mazai nehutachiona hwakasununguka mushure mekunge vadzidziswa nehuwandu hwemapurisa. Kushushikana kunosanganisira kushanda pamisungo:

• shure;
• sacrum uye chiuno;
• matonho;
• hip;
• shins;
• mberi kwepamusoro pemakumbo.

Munguva yekusikwa, kushambadzira kwekurapa kwemajoini kunoitwa zvakafanana. Kururamiswa kwakarongeka nzira yemitemo inobatsira:

• kunatsiridzirwa kwehutano hunoita;
• kumira kwetsoka kufamba;
• kusimbiswa kwema-corset musset;
• kusimudza izwi rose remuviri.

Kuchengetedza gorofu netsoka yevaggus nokuda kwevana

Ichi chinoshandiswa chinoshandiswa senzira yekubatsira manotsi. Chirwere chekuyamura chinobatsira:

• gadzirisa kukwirira kwechiso chetsoka;
• kuwedzera kupararira kweropa;
• kuwedzera kushanduka uye kufamba kwetsoka;
• kuti abvise marwadzo anorwadza paanenge achifamba uye achimhanya.

Uwandu hwekusava nehuwandu uye kuputika pane zvakagadziriswa zvinosarudzwa zvichienderana nezera remakumbo uye kasi iyo ine flat-valgus deformation inofambira mberi. Kune vana vasati vava nemakore matatu zviri nani kutenga gumbo rine zviduku nezviduku, zviri pedyo nemumwe. Mwana akwegura kupfuura iyo makore anogona kuratidzirwa kuti amhanye pamwe nepamusoro penzvimbo yekununura uye kushaya kukuru kwekuita simbi kana mabwe egungwa.

LFK nemagetsi evargusti etsoka muvana

Ikokurovedza kunofanira kukurudzirwa nemudzidzisi kana nyanzvi maererano nehuwandu hwehutano, makore uye mano ehucheche. Izvo zvinodikanwa kuti kurapwa kukuru kwekuvhiringidzika kwevaggus nebatsiro rwekurovedza muviri kunoitwa pasi pekutungamirirwa kweumwe nyanzvi. Pamba, iwe unogona kuita gymnastics iri nyore, kupa zvidzidzo zvevana mumutambo unotamba. Kudzidzira kwakananga nevhuggus tsoka dzakashata kuvana:

• achifamba pamatombo, zviduku zviduku, tambo tsanga;
• kubatwa kwezvinhu zviduku nezvigunwe zvetsoka - penile, hekecheche, mari;
• kuputika kwepini yokuputika, bhora;
• kuvhiringidza nezvigunwe zvako;
• "Goose inotsika" -kufamba, kukwira;
• achifamba nechitsigiro kune rutivi rwekunze nekunze kwetsoka, nezvigunwe, zvitsitsinho;
• "Nyeredzi" - mwana anoenda pamaoko ake, vabereki vanobata makumbo ake;
• zvikwata kubva panzvimbo yakamira (kumativi ose) padanda rejymnastic (rinogona kushandiswa ne-squeegee).

Valgus deformity yetsoka - opera

Nguva yakanakisisa yekupindira chirwere ndeye makore 8-12. Basa racho rinosarudzwa kana kuparara-flat-valgus kwetsoka rinorema-rutsoka kunowanikwa nechinokanganisa kukwana kwemaseri anodarika 30. Chiremba anovhiya mumwechete anosarudza nzira dzakachengeteka zvikuru uye dzisingabviri dzokurapa. Izvo zvinoshandiswa neviggus zvetsoka muvana zvinoruramiswa nemhando dzinotevera dzekushanda:

• kusimbisa tsvina yemushure mushure mutsvuku;
• subtalar arthroesis;
• kurereka kweAchilles tendon;
• nhanho-nhanho yekushanda kwezvinhu zvokugadzirisa kunze.