Varus knee: kuyini, kanjani ukukhomba nokwelashwa

-Delile

• Ungawabona kanjani amadolo e-varus
• Izimbangela ezingaba khona
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Izibonelo zokuzivocavoca kwamadolo e-varus
• 1. Vivinya umzimba ukuze uqinise uhlangothi lwethanga
• 2. Ukuzivocavoca umzimba ukuqinisa i-gluteus
• 3. Ukuzivocavoca umzimba ukuze uqinise emuva komlenze

Idolo le-varus, elaziwa nangokuthi i-geno varus noma "imilenze yezinkomo", yisimo sezakhi zofuzo lapho amadolo agcinwa ahlukane noma umuntu ekwazi ukuthinta iqakala elilodwa komunye, futhi kwenzeka lapho amathambo e-tibia ne-femur ayiqondaniswe kahle, enikeza umugqa womlenze umumo ohlukile.

Lesi simo sivamile ezinganeni futhi ngokuvamile siyanyamalala ngemuva kweminyaka yokuqala yokuphila, kodwa uma singanyamalali futhi siba sibi ngokuhamba kwesikhathi, kuboniswa ukuthi sifuna udokotela wamathambo, ukuze kube nezimbangela ezinjengo rickets, isifo sikaBlount nezinye izifo ezihlobene amathambo okukhula ayaqinisekiswa noma alahlwe.

Ukwelashwa kwedolo le-varus kungahluka ngokuya ngesizathu nezinga lenguquko, elingasuka ekubeni yi-vitamin D calcium supplementation kuphela uma kwenzeka ama-rickets, ngokwesibonelo, kuya ekuhlinzweni ukulungisa amathambo.

Ungawabona kanjani amadolo e-varus

Idolo le-varus livame ukubonwa ngudokotela wezingane wengane ekubonisaneni okujwayelekile, kepha kujwayelekile nokuthi abazali namalungu omndeni babone ukukhubazeka kwemilenze e-arched, lapho-ke kubalulekile ukuthi ubike kudokotela wezingane ukuze ukuthunyelwa udokotela wamathambo noma we-physiotherapist kwenziwa ukuze kuphenywe izimbangela ezingaba khona bese kuqala ukwelashwa okufanele.

Izimbangela ezingaba khona

Isizathu esivame kakhulu se-knee varus yisimo sangaphambi kofuzo esingalungiswa sodwa kuze kube seminyakeni engu-2 ngaphandle kwesidingo sokwelashwa. Kodwa-ke, uma kungekho buhlungu noma ubunzima bokuhamba, lesi simo singahlala kuze kube yiminyaka eyi-8 ngaphandle kwesidingo sokwelashwa okuthile, yize kufanele ihlolwe ngudokotela wezingane, udokotela wamathambo noma i-physiotherapist, ukuze kugadwe ukuvela noma ukuthuthuka.

Ezinye izimbangela zamadolo e-varus yilezi:

• Ukutheleleka kwamathambo;
• Isigaxa samathambo;
• Izimo ezinjenge-rickets ne-achondroplasia;
• Isifo sikaPaget
• Isifo sikaBlount;
• Ukukhuluphala;
• Ukuhola noma ubuthi be-fluoride;
• Ukuxega kwe-ligament;
• Ukuhamba kusenesikhathi.

Yize kuvame kakhulu ezinganeni, idolo le-varus lingenzeka kubantu abadala lapho kwakungekho ukwelashwa ebuntwaneni noma ezimweni zezifo ezihlangene ezifana ne-osteoarthritis, ngokwesibonelo. Ukuqonda kangcono ukuthi yini i-osteoarthritis nokuthi ilashwa kanjani.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuqinisekisa ukuxilongwa, kuzobhekwa i-asymmetry of the feather, gait kanye ne-angle yedolo le-varus, kepha ukuze kwaziwe ubukhulu becala, kujwayelekile ukuthi udokotela wamathambo acele ukuhlolwa kwe-X-ray yemilenze namadolo ukuma, phambili nohlangothi.

Uma kukhona ukusola kwesifo esithintekayo njengePaget noma iBlount, isibonelo, ukuhlolwa kwegazi nemifanekiso efana ne-computed axial tomography (CAT) kanye ne-nuclear magnetic resonance (NMR), kungalawulwa.

Yelashwa kanjani

Ukwelashwa kwamadolo e-varus kwenziwa ngokwenkinga nangezinga lenkinga. Ezinye zezindlela zokwelashwa ezisetshenziswa kakhulu zifaka:

• Ukwengeza kwe-calcium nevithamini D: esetshenziswa ikakhulu ezimweni zamarikethi, ngenxa yokushoda kwalezi zakhi zomzimba emzimbeni;
• I-Physiotherapy yokuqinisa imisipha: lapho kungokwasemzimbeni noma kubangelwa i-achondroplasia futhi ayinaso isifo esihambisanayo futhi ihlose ukuqinisa imisipha ngenkathi iqondanisa amathambo omlenze;
• Ukuhlinzwa: isetshenziswa ezimweni ezinzima, lapho ukugobeka ngaphandle kubukhali kakhulu futhi kubangela ubuhlungu nobunzima ukuhamba.

Ukuhlinzwa okubizwa nge-high tibial osteotomy, kuvame ukukhonjiswa kuphela kubantu abasha nasebekhulile, ngoba i-physiotherapy inemiphumela emihle lapho iqala ebuntwaneni, futhi ihlose ukujwayela ukwakheka kwamathambo ukunciphisa ingcindezi ejoyinini futhi ivumele ukuhlelwa kabusha kwe-tibia isifazane.

Izibonelo zokuzivocavoca kwamadolo e-varus

Ukuzivocavoca ukusiza ukulungisa idolo le-varus kufanele njalo kuqondiswe yi-physiotherapist noma i-orthopedist ngemuva kokuhlolwa komzimba, ngoba ukukhubazeka kwamanje kungagcina kulimaze uqwanga, amathambo nemisipha ngesikhathi sokuzivocavoca. Okunye kokuzivocavoca okungelulekwa ngochwepheshe yile:

1. Vivinya umzimba ukuze uqinise uhlangothi lwethanga

Lokhu kuvivinya kungasiza ekuqiniseni imisipha futhi kunciphise ukugobeka kwedolo le-varus.

Kumata wokuzivocavoca, lala ngohlangothi lwakho imilenze yomibili igobekile, vula futhi uvale amadolo akho njengoba kukhonjisiwe esithombeni.

2. Ukuzivocavoca umzimba ukuqinisa i-gluteus

Endabeni yedolo le-varus, kubaluleke kakhulu futhi ukuqinisa i-gluteus maximus futhi, ngalokho, umuntu kufanele abe nezinsizakalo ezi-4 phansi bese ephakamisa omunye wemilenze ebheke ophahleni. Lokhu kuhamba kufanele kwenziwe kancane futhi kuphindwe izikhathi eziyi-8 kuye kwezingu-10, ngamasethi ama-3, ngomlenze ngamunye.

3. Ukuzivocavoca umzimba ukuze uqinise emuva komlenze

Ukuze wenze lo msebenzi, kufanele ume ume uxhase izandla zakho esihlalweni noma odongeni, bese kuthi, lapho amadolo ehlangene, goba umlenze wakho emuva ngaphandle kokuhlukanisa amadolo. Lokhu kuvivinya kufanele kwenziwe phakathi kwezikhathi eziyi-8 kuye kwezingu-10 ngomlenze ngamunye, ngamasethi ama-3.