Cov ntiv taw tuaj yeem ua nkhaus thaum lawv raug kev nyuaj siab thiab nyuaj siab, uas yog qhov tshwm sim tshwm sim ntawm kev hnav nqaim-toed, khau siab khau. Ligaments thiab cov leeg ib puag ncig cov pob qij txha tau tawg, ua rau cov ntiv taw ua tsis raug thiab ua rau mob. Cov ntiv taw loj feem ntau raug rau qhov raug mob zoo li no, feem ntau hu ua bunion. Cov ntiv taw kuj tuaj yeem ua nkhaus los ntawm kev tawg thiab txav chaw yog tias lawv muaj kev raug mob txaus. Ntau yam kev ua tsis raug kuj tseem tuaj yeem cuam tshuam qhov sib luag ntawm koj cov ntiv taw. Yog tias ntes tau ntxov txaus (nyob ntawm qhov ua rau), koj tuaj yeem tuaj yeem ncaj cov ntiv taw nkhaus nrog ntau yam kev kho mob tsis phais; tab sis yog tias qhov teeb meem txuas ntxiv mus ntev, koj yuav xav tau kev phais kom raug.
Cov kauj ruam
Txoj Kev 1 ntawm 4: Txheeb Xyuas Koj Li Mob
Kauj Ruam 1. Teem sijhawm nrog koj tus kws kho mob hauv tsev
Yog tias koj tau pom tias ib lossis ntau dua ntawm koj cov ntiv taw nkhaus, tshwj xeeb yog tias mob lossis mob sib koom, tom qab ntawv teem sijhawm mus ntsib koj tus kws kho mob. Koj tus kws kho mob hauv tsev tau kawm paub zoo kom muaj peev xwm txiav txim tawm txhua yam mob hnyav (xws li kev tawg lossis kis kab mob), tab sis nco ntsoov koj tsev neeg tus kws kho mob tsis koom tes lossis kws kho mob tshwj xeeb, yog li koj yuav tsum tau mus ntsib kws kho mob tshwj xeeb kom tau txais kuaj mob kom raug.
- Koj tus kws kho mob yuav txiav txim siab kuaj X-ray ntawm koj txhais taw kom tau txais lub tswv yim zoo ntawm qhov teeb meem.
- Koj tus kws kho mob yuav siv ntshav los ntawm koj thiab kuaj xyuas koj cov piam thaj vim tias cov teeb meem ko taw feem ntau tshwm sim rau cov neeg mob ntshav qab zib.
Kauj Ruam 2. Tau txais kev xa mus rau kws kho mob tshwj xeeb
Orthopods yog cov kws tshaj lij sib koom ua ke uas kho cov teeb meem sib koom los ntawm kev zawm hniav, ntxais, phais lossis lwm txoj hauv kev. Koj yuav tsis xav tau phais rau koj cov ntiv taw nkhaus, tab sis koj lub orthopod tuaj yeem txheeb xyuas qhov teeb meem sib koom ua ke, ntsuas seb puas yog mob caj dab yog qhov tseem ceeb thiab sau tshuaj tiv thaiv kab mob los yog tshuaj loog (tshuaj pleev) yog xav tau.
Koj tus kws kho orthopedist kuj tseem yuav xav kuaj X-duab hluav taws xob, kuaj pob txha, MRI lossis kuaj mob ultrasound kom paub tseeb thiab kuaj mob koj txhais taw zoo
Kauj Ruam 3. Mus ntsib kws kho mob
Tus kws kho mob tshwj xeeb hauv teeb meem ko taw hu ua tus kws kho mob. Podiatrists tuaj yeem ua haujlwm phais me me ntawm ko taw, tab sis lawv feem ntau tsom mus rau ko taw ntau dua/txhawb nqa koj lub khau (hu ua orthotics), kev zawm hniav thiab kev cai ua khau.
- Tus kws kho mob plab yog qhov chaw zoo ntawm cov ntaub ntawv ntawm cov khau tsim nyog rau koj txhais taw.
- Tus kws kho mob lub cev, tus kws kho mob lub cev thiab naturopaths kuj tseem yog cov ntaub ntawv zoo txog kev mob ko taw thiab ntiv taw thiab muab kev kho mob ntuj, tsis cuam tshuam.
Txoj Kev 2 ntawm 4: Hais Txog Bunions
Kauj Ruam 1. Saib xyuas qhov mob
Ib qho pob txha yog mob hnyav thiab sib koom ua ke uas ua rau thaum cov ntiv taw loj txuas mus tas li ntawm cov ntiv taw me, feem ntau yog hnav khau tsis haum lossis khau uas nqaim dhau (xws li khau siab). Cov ko taw tiaj tus kuj pab txhawb rau kev tsim bunion, uas tuaj yeem ua rau mob rheumatoid lossis mob pob txha pob txha vim tias mob, liab liab thiab npub, mob hnyav koom nrog. Raws li kev txhim kho pob txha, cov ntiv taw loj dhau los ua nkig thiab ua rau muaj mob ntau dua, uas tuaj yeem ua rau mob plab thiab lwm yam teeb meem sib koom tes hauv pob taws lossis hauv caug.
- Cov tshuaj tiv thaiv cov tshuaj yuav tom khw (xws li ibuprofen lossis naproxen) lossis tshuaj pleev (xws li acetaminophen) tuaj yeem tiv thaiv qhov o thiab mob tshwm sim los ntawm qhov txhab.
- Yog tias qhov mob hnyav, yuav siv tshuaj muaj zog los ntawm koj tus kws kho mob hauv tsev lossis orthopod (xws li COX-2 inhibitors lossis tshuaj morphine).
- Kev txhaj tshuaj steroid ncaj qha rau hauv qhov sib koom tes tuaj yeem siv tau rau kev tiv thaiv qhov mob thiab o.
Kauj Ruam 2. Hloov koj nkawm khau
Feem coob ntawm cov pob txha tshwm sim rau cov poj niam uas hnav khau uas nqaim dhau. Hloov mus rau khau uas muaj lub thawv ntiv taw kom dav thiab txhawb nqa zoo dua tuaj yeem tuaj yeem nres qhov kev loj hlob thiab mob ntawm pob txha, tab sis nws tej zaum yuav tsis ncaj cov ntiv taw loj rov qab rau nws txoj haujlwm ib txwm muaj. Tom qab muab cov khau zam zoo, yog tias qhov pob txha tseem mob thiab txwv kev ua haujlwm, tom qab ntawd yuav tsum txiav txim siab phais.
- Koj yuav tsum muaj peev xwm qoj koj cov ntiv taw thaum koj nkawm khau nyob.
- Yuav tsum muaj tsawg kawg 1/2 nti (1.25 cm) ntawm qhov chaw nruab nrab ntawm cov lus qhia ntawm koj cov ntiv taw thiab qhov kawg ntawm koj nkawm khau thaum sawv ntsug.
- Nkawm khau thiab khau khiab taug kev feem ntau yog qhov kev xaiv zoo.
Kauj Ruam 3. Tau txais ib txoj phuam
Kaw cov yas, ntoo lossis hlau txuas ib ncig ntawm cov ntiv taw cuam tshuam tuaj yeem pab txo qhov mob thiab rov tsim kho qhov sib koom tes, nyob ntawm seb koj tau muaj kab mob ntev npaum li cas. Silicone los yog cov ntaub qhwv rau ntawm ko taw lossis ua cov khau ntxiv kuj tseem tuaj yeem pab kho qhov txhab, tab sis nws nyob ntawm qib kev puas tsuaj. Orthopods, podiatrists, kws kho mob lub cev thiab kws kho paj hlwb tuaj yeem yog txhua yam kev pab nrog kev sib tsoo lossis khau orthotics.
- Arch txhawb nqa thiab orthotics hloov kho qhov zoo ntawm koj txhais taw, kho qhov sib npaug thiab qhov hnyav faib thoob plaws cov leeg ntawm koj txhais taw thiab ntiv taw.
- Kev zaws, maj mam ncab thiab da dej khov kuj tseem tuaj yeem pab txo qhov mob thiab ua haujlwm tsis zoo ntawm cov qhov txhab.
Kauj Ruam 4. Xav txog kev phais qhov muag
Kev phais Bunion feem ntau cuam tshuam nrog kev txhuam cov pob txha thiab/lossis txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nws. Cov phais phais thiab cov xov hlau feem ntau xav tau los tuav cov ntiv taw pob txha nyob hauv qhov chaw thaum koj kho. Rau cov pob qij txha puas hnyav, qhov sib koom tes tuaj yeem sib xyaw ua ke lossis txawm tias raug tshem tawm tag nrho thiab hloov pauv nrog cov khoom sib koom ua ke. Lub hom phiaj ntawm kev phais yog kho qhov mob thiab ua kom muaj kev txav mus los, tsis yog txhawm rau "ko taw zoo dua" ko taw lossis ua rau nws muaj peev xwm hnav khau siab dua. Yog tias nruj, cov khau taw taw tau hnav tom qab phais, feem ntau yuav ua rau lub qhov txhab rov qab los.
- Bunion kho yog phais mob sab nrauv. Tom qab phais tas, ko taw tau npog nrog cov ntaub qhwv loj, ua kom nruj.
- Cov pob txha feem ntau siv sijhawm rau lub lis piam los kho, yog li hnav lub khau tiv thaiv tsawg kawg rau rau lub lis piam tom qab phais tas. Lub sijhawm no, zam kev taug kev ntau dhau lossis tsis tseem ceeb.
Txoj Kev 3 ntawm 4: Hais Txog Kev Hloov Chaw
Kauj Ruam 1. Ua kom koj cov ntiv taw hloov kho
Kev txav ntawm cov ntiv taw yog qhov tshwm sim feem ntau ntawm kev raug mob ntawm ko taw, txawm tias nws yog xwm txheej (xws li ua rau koj ntiv taw qis) lossis txhob txwm ua (xws li ncaws pob ncaws pob). Cov ntiv taw xoo yog qhov mob thiab zoo li tsis haum, tab sis feem ntau nws tsis cuam tshuam nrog kev tawg. Kev hloov kho tus ntiv taw xoo nrog qee yam ntawm cov txheej txheem kev qhia lossis hloov kho (xyaum los ntawm kws kho mob, kws kho mob paj hlwb thiab kws kho paj hlwb), yog qhov kev kho mob uas tsim nyog tshaj plaws. Kev daws qhov mob feem ntau ua raws tam sim tom qab kho tas.
- Kev txav chaw tsis nquag tshwm sim yam tsis muaj kev cuam tshuam los ntawm kws tshaj lij kev noj qab haus huv.
- Qhov sib koom ua ke ntev dua, qhov muaj feem ntau ntawm cov leeg ruaj khov thiab/lossis cov leeg puas, yog li kev kho sai sai tom qab raug mob yog qhov tseem ceeb.
Kauj Ruam 2. Txhawb koj tus ntiv taw kom txog thaum nws zoo
Thaum koj cov ntiv taw sib koom tes tau rov kho dua, nws yog ib qho tseem ceeb los txhawb nws nrog daim kab xev lossis daim kab xev kho mob muaj zog vim tias cov leeg thiab cov leeg uas ua kom sib koom ncaj tuaj yeem tuaj yeem rub tawm ib ntus lossis tsis muaj zog. Raws li qhov tsim nyog, cov ntiv taw tshiab tshiab tuaj yeem ua rau tsis ruaj khov rau ob peb hnub kom txog thaum cov ntaub so ntswg sib txuas tuaj yeem ntxiv dag zog.
Txiav txim siab ua koj tus kheej txoj hlua nrog popsicle sticks thiab tus kws qhia kab xev
Kauj Ruam 3. Ntxiv dag zog rau koj cov ntiv taw nrog kev tawm dag zog
Tsis ntev tom qab koj cov ntiv taw txav mus los tau hloov pauv thiab ruaj khov, koj yuav tsum ntxiv dag zog nws nrog kev tawm dag zog tshwj xeeb. Phuam phuam (siv koj cov ntiv taw txhawm rau tsoo lossis khaws phuam los ntawm hauv av) thiab pob zeb tuaj tos (khaws cov pob zeb los ntawm hauv av nrog koj cov ntiv taw) ua haujlwm zoo rau ntxiv dag zog rau cov leeg thiab cov leeg ntawm koj cov ntiv taw thiab ko taw.
- Tham nrog koj tus kws kho mob ua ntej pib siv ntiv taw ib ce, tshwj xeeb tshaj yog tias koj muaj lwm yam mob xws li mob caj dab lossis ntshav qab zib.
- Yog tias cov kev tawm dag zog no tsis ua haujlwm zoo lossis mob hnyav rau ua, mus ntsib kws kho mob lub cev lossis kws kho paj hlwb kom tau txais kev pab tus kheej ntau dua.
Txoj Kev 4 ntawm 4: Kev Cuam Tshuam Nrog Lwm Yam Kev Ua Phem
Kauj Ruam 1. Ua kom koj lub hammertoe tsau
Hammertoe, tseem hu ua ntiv taw sib cog lus, yog qhov deformity ntawm tus ntiv taw thib ob, thib peb lossis plaub uas tshwm sim los ntawm kev cog lus ntawm qhov sib koom ua ke, uas ua rau pom zoo li rauj. Hammertoes feem ntau hloov pauv tau hauv thawj theem tab sis tuaj yeem ua nruj yog tias lawv tsis raug kho kom tsim nyog. Hammertoes tshwm sim los ntawm kev hnav khau uas me dhau lossis nqaim dhau, lossis hnav khau siab uas ua rau muaj kev nyuaj siab ntau dhau ntawm cov leeg nqaij ntawm cov ntiv taw.
- Hammertoe tuaj yeem kho tau los ntawm kev phais (txiav thiab ncab cov leeg sib cog lus, tom qab ntawd tso tus hlau hlau/hlau txuas ib sab rau kev sib koom ua ke rau kev txhawb nqa), lossis txhoj puab heev ncab cov txheej txheem nyob rau niaj hnub. Kev sib tsoo thiab kev txhawb nqa kuj tseem tuaj yeem ua tau zoo rau kev txo qis rauj.
- Siv koj cov ntiv tes zaws ib ncig ntawm cov ntiv taw, tom qab ntawd rub tawm (ncab) tus rauj rauj, tuav txhua qhov ncab li ob peb feeb. Mus txuas ntxiv qhov no ntau zaus txhua hnub rau lub asthiv lossis txog thaum koj pom qhov kev txhim kho tseem ceeb.
Kauj Ruam 2. Tau kho koj cov ntiv taw ntiv taw
Claw ntiv taw txhais tau hais tias koj cov ntiv taw tau sib tsoo vim yog qhov sib zog (kev sib zog) ntawm qhov sib thooj thiab sib nrug deb, uas yuam kom kawg ntawm cov ntiv taw txhawm rau khawb rau hauv khau ib leeg. Mob calluses los yog pob kws tsim thaum kawg ntawm cov ntiv taw cuam tshuam. Cov ntiv taw ntiv taw yog tshwm sim los ntawm kev hnav khau uas tsawg dhau thiab kuj los ntawm qee yam kab mob (xws li ntshav qab zib) lossis xwm txheej (mob leeg nqaij).
- Claw ntiv taw kuj tseem tuaj yeem kho tau los ntawm kev phais zoo ib yam siv rau rauj, uas suav nrog txiav thiab ncab cov leeg sib cog lus.
- Sim taug kev ntawm cov lus qhia ntawm koj cov ntiv taw, uas yuav ua rau txuas ntxiv (thiab ncab) ntawm cov leeg/pob qij txha sib cog lus.
Kauj Ruam 3. Ua kom koj cov ntiv taw ntiv taw ruaj ruaj
Cov ntiv taw Mallet zoo ib yam li ntiv taw ntiv taw tab sis cuam tshuam qhov txawv txav tsuas yog nyob ntawm qhov sib koom ua ke nyob deb (qhov kawg ntawm cov ntiv taw). Cov ntiv taw ntiv taw feem ntau tshwm sim los ntawm cov khau uas nruj dhau hauv lub thawv ntiv taw lossis cov uas muaj lub luj taws siab. Kev quab yuam cov khau no tso ntawm koj txhais taw ua rau tsis khoov koj cov ntiv taw.
- Cov ntiv taw Mallet kuj tseem tuaj yeem kho tau los ntawm cov txheej txheem phais zoo ib yam siv rau rauj thiab ntiv taw ntiv taw - txiav thiab ncab cov leeg sib cog lus.
- Txhua qhov kev sim yuav tsum tau ua kom kis koj cov ntiv taw thaum tsis muaj khau. Cov ntiv taw-sib nrug cov khoom tuaj yeem hnav los pab kwv yees koj cov ntiv taw mus rau qhov chaw kho lub cev kom raug.
Lub tswv yim
- Cov tsos mob tshwm sim feem ntau cuam tshuam nrog cov ntiv taw nkhaus suav nrog: ntiv taw mob (feem ntau mob thiab/lossis kub hnyiab), o thiab liab liab, tsim callus, tendon contracture, ntiv taw luv thiab limping.
- Txhawm rau txo qis kev mob ntxiv rau hauv koj cov ntiv taw sib txuas, tso cov paws me me los yog cov khoom lag luam zoo sib xws hauv nruab nrab ntawm koj cov ntiv taw kom tiv thaiv lawv los ntawm kev txhuam ua ke.
- Yog tias muaj kab mob hu rau ntawm koj lub qhov txhab, tsau koj txhais taw hauv qhov sov da dej nrog Epsom ntsev rau 15 feeb (kom ua kom nws mos) ua ntej maj mam tshem tawm nws nrog pob zeb pumice. Nws yuav siv sijhawm peb txog tsib qhov kev kho mob nyob rau ob peb lub lis piam kom tshem tawm cov tawv tawv tawv.
