Kab mob Osgood-Schlatter (OSD) yog qhov ua rau muaj mob hauv caug hauv cov hluas. Nws tau tshwm sim los ntawm kev rov ua dua ntawm cov leeg nqaij ntshiv, uas ua rau cov leeg nqaij (lub hauv caug) leeg rub rau ntawm pob txha pob txha (tibia) tsim kev mob thiab mob - thiab feem ntau pom tau pob. OSD tshwm sim feem ntau hauv cov tub hluas, tshwj xeeb yog cov uas ua kis las koom nrog ntau qhov kev dhia, dhia thiab hloov pauv sai sai - xws li ncaws pob thiab ncaws pob. OSD feem ntau yog txwv tus kheej thiab tsuas yog ua rau muaj teeb meem tas mus li lossis xiam oob khab. Txawm li cas los xij, muaj ntau txoj hauv kev los txo qhov mob ntawm OSD thiab ua rau nws muaj lub cev ntau dua kom txog thaum qhov xwm txheej daws nws tus kheej.
Cov kauj ruam
Ntu 1 ntawm 3: Siv Tshuaj Kho Tsev
Kauj Ruam 1. So thiab zam kev ua kom mob
Tej zaum qhov tseem ceeb tshaj plaws uas koj tuaj yeem ua los pab daws qhov mob los ntawm OSD yog kom tsis txhob ntaus pob ncaws pob lossis ua cov haujlwm uas ua rau feem ntau ua rau muaj teeb meem. Cov kis las uas koom nrog dhia ntau yam, xws li ntaus pob thiab ntaus pob, tshwj xeeb yog tsis zoo rau OSD.
- Tus nqi ntawm kev so xav tau sib txawv thiab nyob ntawm tus neeg, tab sis cia siab tias nyob qhov twg los ntawm ob peb lub lis piam mus rau ob peb hlis ua ntej yuav txo qis qhov mob thiab o tuaj.
- Qhov mob nrog OSD tuaj yeem tshwm sim los yog ze li qub; nws feem ntau tshwm sim hauv ib lub hauv caug xwb, tab sis qee zaum tshwm sim hauv ob qho tib si.
Kauj Ruam 2. Siv dej khov rau ntawm koj lub hauv caug
Daim ntawv thov dej khov yog ib qho kev kho mob zoo rau txhua qhov kev raug mob musculoskeletal, suav nrog OSD. Kev kho mob khaub thuas yuav tsum tau siv rau qhov mob pob (tibial tuberosity) nyob hauv qab ntawm koj lub hauv caug li 20 feeb txhua ob rau peb teev rau ob peb hnub, tom qab ntawd txo qis raws li qhov mob thiab o tuaj ib sab.
- Ib txwm qhwv cov dej khov los yog khov gel ntim rau hauv cov phuam nyias thiaj li tiv thaiv kom khov rau ntawm koj cov tawv nqaij.
- Yog tias koj tsis muaj cov dej khov lossis cov pob gel, tom qab ntawd siv lub hnab khov taum pauv ntawm koj lub freezer.
Kauj Ruam 3. Siv lub hauv caug duav los yog patellar immobilizer
Thaum so thiab siv dej khov rau koj lub hauv caug, txiav txim siab tseem siv lub hauv caug tshwj xeeb txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau tshem tawm koj cov leeg nqaij.
- Lub hauv caug tuaj yeem nrhiav tau ntawm cov khw muag khoom uas muag kev kho mob thiab khoom siv kho mob - nug tus kws kho mob lub cev, kws kho mob, lossis tus kws kho mob pob txha kom paub ntau ntxiv.
- Xwb, koj tuaj yeem sim txoj hlua khi hlua khi, uas haum ib puag ncig koj txhais ceg hauv qab koj lub hauv caug. Nws tuaj yeem txhawb koj lub hauv caug lub leeg thaum ua haujlwm lub cev thiab faib qee qhov quab yuam kom deb ntawm tibial tuberosity.
- Kev ua tsis tiav tsis tsim nyog nrog OSD, tab sis txiav txim siab hloov mus rau lwm yam kev lom zem uas tsis koom nrog dhia lossis khiav, xws li ua luam dej, rowing lossis ntaus golf.
Kauj Ruam 4. Siv tshuaj tiv thaiv kab mob los yog tshuaj tua kab mob
Cov tshuaj tsis-steroidal anti-inflammatory (NSAIDs) xws li ibuprofen, naproxen lossis tshuaj aspirin tuaj yeem yog cov kev daws teeb meem luv luv los pab koj daws qhov mob thiab o ntawm OSD. Xwb, koj tuaj yeem sim cov tshuaj yuav tom khw muag khoom (tshuaj pleev) xws li acetaminophen (Tylenol). Cov tshuaj no tuaj yeem nyuaj rau koj lub plab, ob lub raum thiab lub siab, yog li nws zoo tshaj tsis siv lawv ntau dua 2 lub lis piam ntawm qhov ncab. Ntsib nrog koj tus kws kho mob ua ntej noj tshuaj.
- Nco ntsoov tias NSAIDs tsis ua rau OSD luv.
- Cov tshuaj steroid xws li cortisone muaj zog tiv thaiv kab mob, tab sis kev txhaj tshuaj yuav tsum tsis txhob muab rau cov tub ntxhais hluas nrog OSD vim muaj kev pheej hmoo - feem ntau, muaj peev xwm ua rau cov leeg tsis muaj zog, cov leeg nqaij hauv lub cev thiab txo qis kev ua haujlwm ntawm lub cev.
Kauj Ruam 5. Ncab koj quadriceps
Thaum lub hauv caug mob hnyav tau tsaws, pib ua qee qhov quadriceps ncab. Ib qho ntawm qhov ua rau OSD yog rov ua dua quadriceps contractions (los ntawm kev dhia ntau dhau, piv txwv li) thiab tseem nruj dhau quadricep tendons. Xws li, kawm paub yuav ua li cas ncab pawg leeg leeg no tuaj yeem pab txo qhov nro thiab mob hauv thaj chaw uas lub hauv caug pob txha txuas rau saum pob tw (tibia).
- Txhawm rau ncab koj quadriceps thaum sawv, khoov koj txhais ceg tom qab koj yog li koj lub hauv caug tau khoov, koj pob taws txog ntawm qib ntawm koj lub taub qab. Lob koj lub pob taws thiab rub koj txhais taw mus rau koj lub cev kom txog thaum koj hnov zoo li ncab hauv koj lub hauv caug qis thiab hauv caug. Tuav txog 30 vib nas this thiab rov ua dua peb txog tsib zaug txhua hnub kom txog thaum koj pom cov tsos mob tsawg.
- Kev ncab rau txoj hlab pas, uas feem ntau nruj, kuj tseem tuaj yeem ua tau. Khoov ntawm lub duav thiab sim kov koj cov ntiv taw yog qhov pib yooj yim ntawm txoj hlab ntaws.
Ntu 2 ntawm 3: Siv Lwm Txoj Kev Kho Mob
Kauj Ruam 1. Tau zaws ceg
Cov ntaub so ntswg sib sib zog nqus yog pab tau rau cov kab mob me-rau-nruab nrab vim tias nws txo cov leeg nruj, tiv thaiv kev mob thiab txhawb kev so. Pib nrog 30 feeb zaws, tsom mus rau koj cov leeg pob tw thiab thaj chaw hauv caug. Cia tus kws kho mob mus tob li koj tuaj yeem tiv taus yam tsis muaj yeej.
- Tus kws kho mob yuav siv tus txheej txheem kev sib txhuam ntawm kev sib txhuam ntawm koj thaj chaw hauv caug yog tias lawv xav tias muaj kev txhim kho cov nqaij caws pliav.
- Ib txwm haus dej ntau tam sim tom qab zaws kom yaug tawm cov khoom ua mob thiab cov kua qaub los ntawm koj lub cev. Ua tsis tiav yuav ua rau mob taub hau lossis xeev siab me ntsis.
Kauj Ruam 2. Sim siv tshuaj kho kab mob
Acupuncture cuam tshuam nrog siv rab koob me me rau hauv cov ntsiab lus tshwj xeeb ntawm lub cev kom txo qhov mob thiab o. Acupuncture tsis nquag pom zoo rau OSD, tab sis nws zoo li tsis muaj kev pheej hmoo thiab yeej tsim nyog tau sim, tshwj xeeb yog tias nws tau ua tiav thaum cov tsos mob tshwm sim thawj zaug. Raws li cov hauv paus ntsiab lus ntawm cov tshuaj suav ib txwm, kev siv tshuaj kho mob los ntawm kev tso tawm ntau yam tshuaj suav nrog endorphins thiab serotonin, uas ua rau txo qhov mob.
- Cov ntsiab lus kho mob uas tuaj yeem pab daws koj lub hauv caug tsis yog txhua qhov nyob ze qhov mob - qee qhov tuaj yeem nyob hauv thaj chaw deb ntawm koj lub cev.
- Acupuncture tau siv los ntawm ntau tus kws tshaj lij kev noj qab haus huv suav nrog qee tus kws kho mob, kws kho mob pob txha, naturopaths, kws kho mob lub cev thiab kws kho mob zaws - tus twg los xij uas koj xaiv yuav tsum tau ntawv pov thawj los ntawm National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM).
Kauj Ruam 3. Xav txog khau orthotics
Ib qho kev pheej hmoo rau OSD yog qhov tsis zoo ntawm lub tshuab biomechanics thaum khiav thiab dhia, thiab qee zaum qhov tshwm sim los ntawm ko taw tiaj thiab lub hauv caug khawm. Orthotics tau hloov kho cov khau ntxig uas txhawb nqa koj txhais ko taw, kho koj ob txhais ceg thiab txhawb nqa kev siv lub tshuab biomechanics zoo dua thaum sawv, taug kev, khiav thiab dhia.
- Cov kws paub txog kev noj qab haus huv uas ua tus kws kho mob tshwj xeeb suav nrog podiatrists thiab qee tus osteopaths thiab kws kho paj hlwb.
- Qee qhov phiaj xwm kev pov hwm kev noj qab haus huv them rau tus nqi ntawm kev kho lub cev, tab sis yog tias koj tsis ua, tom qab ntawd txiav txim siab ib khub ntawm cov khoom pov tseg ntawm lub txee-lawv zoo li tsis tshua kim thiab tuaj yeem pab daws sai.
Ntu 3 ntawm 3: Tau Txais Kev Kho Mob
Kauj Ruam 1. Sim kho kev kho mob ultrasound
Kev kho mob ultrasound yog kev kho mob siv los ntawm qee tus kws kho mob, kws kho mob thiab kws kho mob lub cev txhawm rau txhawm rau txo qhov mob thiab txhawb kev kho mob rau ntau yam kev raug mob, suav nrog OSD. Zoo li nws lub npe cuam tshuam, nws tawm suab ntau zaus los ntawm cov muaju (koj tsis tuaj yeem hnov nws) uas cuam tshuam rau cov cell thiab cov nqaij ntawm lub cev.
- Txawm hais tias ib qho kev kho mob ultrasound tuaj yeem qee zaum txo koj qhov mob thiab mob, ntau dua li nws yuav siv peb txog tsib qhov kev kho mob kom pom cov txiaj ntsig tseem ceeb.
- Kev kho mob ultrasound kho mob tsis mob thiab feem ntau kav ntev li 10 - 20 feeb.
Kauj Ruam 2. Nrhiav qee yam kev kho lub cev
Yog tias koj li OSD tsis teb rau kev saib xyuas hauv tsev lossis lwm txoj kev kho mob, tom qab ntawd txiav txim siab txais qee yam kev kho lub cev rau koj lub hauv caug. Tus kws kho mob lub cev tuaj yeem qhia koj tshwj xeeb thiab tsim kom muaj kev nthuav dav thiab ntxiv dag zog rau koj li quadriceps thiab hauv caug.
- Kev kho lub cev feem ntau xav tau ob txog peb zaug hauv ib lub lis piam rau plaub mus rau yim lub lim tiam txhawm rau cuam tshuam qhov teeb meem musculoskeletal ntev.
- Tus kws kho mob lub cev kuj tseem tuaj yeem kho koj lub hauv caug nrog kev kho mob ultrasound, tej zaum txawm tias kaw koj lub patella thiab tej zaum kuj tseem ua rau koj ib khub ntawm kev cai orthotics.
Kauj Ruam 3. Mus ntsib kws kho mob tshwj xeeb
Koj yuav tsum tau mus ntsib kws kho mob tshwj xeeb xws li kws kho pob txha lossis kws kho mob rheumatologist txhawm rau txiav txim tawm qhov ua rau mob hnyav hauv lub hauv caug uas tuaj yeem ua raws li OSD - cov xwm txheej zoo li patellar lossis tibial kev ntxhov siab tawg, mob pob txha, mob caj dab, pob txha pob txha, osteochondritis dissecans los yog kab mob Perthes.
- X-rays, kuaj pob txha, kuaj mob ultrasound, MRI thiab CT scan yog cov cuab yeej uas cov kws tshwj xeeb yuav siv los pab txheeb xyuas koj lub hauv caug mob.
- Koj tus kws kho mob kuj tseem yuav xa koj mus kuaj ntshav txhawm rau txiav tawm kev mob rheumatoid lossis mob pob txha.
Lub tswv yim
- Tsis quav ntsej cov ntaub ntawv uas qhia koj tus kab mob yuav ploj mus hauv ob xyoos; qhov no tsis yog lawm. Coob leej neeg muaj qhov no mus txog rau thaum laus. Txawm li cas los xij, feem ntau cov tsos mob ntawm OSD yuav ploj mus thaum tus menyuam ua tiav lawv qhov kev loj hlob ntawm tub ntxhais hluas - txog hnub nyoog 14 xyoos rau cov ntxhais thiab 16 rau cov tub.
- OSD feem ntau tshwm sim thaum tus menyuam txoj kev loj hlob spurts, thaum cov pob txha, cov leeg thiab cov leeg raug tsim thiab hloov pauv sai.
- Lub hauv caug tuaj yeem tiv thaiv lub ntsej muag muag los ntawm kev puas tsuaj ntxiv.
