Kev kho mob ntawm luj taws spurs poob siab-yoj txoj kev kho: xyuas. Kev kho mob ntawm luj taws spurs pej xeem tshuaj thiab cov tshuaj noj

Calcaneal spur tsis yog ib tug txaus ntshai tus kab mob, uas yog fraught nrog neeg tuag taus txim. Cuaj kaum, nws muaj peev xwm ho cov nyom lub neej los ntawm qhov thiab mob heev. Tsiv mus nyob rau tib lub yooj yim nrog xws li ib tug teeb meem no twb tsis tuaj tawm. Yog li ntawd, txoj kev kho mob ntawm pob taws spurs yam tsawg kawg ntawm ib tug ces dag theem, nws yuav tsum tau lub npe hu rau sawv daws.

Qhov kom zoo dua ntawm lub poob siab-yoj txoj kev kho

Muab ntau npaum li cas tus kab mob yog luj spur, cov txheej txheem ntawm kev kho mob yuav ua nplua nuj ntau yam ntawm cov tswv yim uas cia koj mus neutralize qhov teeb meem. Pib kev kho mob ntawm pob taws spurs txhais tau tias thiab ib txoj kev xws li poob siab-yoj txoj kev kho, kuj raug xa mus rau raws li ultrasonic. Qhov no txoj kev muaj peev xwm yuav piav raws li tus hluas, tiam sis lub ntsiab tiav nrog nws, paub meej tias nws qhov tseeb.

Twb tau nyob rau hauv lub 90 lub, cov kws kho mob nyob rau hauv lub teb chaws Yelemees muaj pib siv cov kev kho mob ntawm pob taws spurs poob siab-yoj txoj kev kho. Testimonials tau pov thawj cov hauj lwm zoo ntawm kev kawm, tom qab uas nws pib los mus siv nyob rau hauv lwm lub teb chaws. Tus nqi ntawm qhov kev kho no yog hais tias nws tso cai rau neutralize tus kab mob no tsis muaj kev phais. Ntawm daim tawv nqaij thiab nqaij mos kev raug mob yog li txo kom tsawg li tsawg. Nyob rau hauv kev, cov txheej txheem no yuav muab txhais li ib tug tsis tshua dawb siab zoo. Nrog hais txog mus rau theem ntawm cov hauj lwm zoo ntawm no kev kho mob, nws yog piv nrog soj ntsuam tom qab phais.

Kev kho mob ntawm luj taws spurs poob siab yoj txoj kev kho (xyuas ntawm tus qauv, raws li twb tau hais, ntau tshaj kev zoo), yuav siv cov tshwj xeeb cov khoom uas emits suab tsis strike. Lub pulses ntawm cov tsis tawm txim liab ntawm ib tug tej yam zaus, ua rau lub mob feem nyob rau hauv xws li ib tug yam uas cov pulses yog sim raws li ib tug tshwm sim ntawm uas kis receptors.

Lwm feature ntawm cov qauv no yog nws muaj peev xwm txo tau cov load rau hauv lub ligament vim loosening ntawm ntsev deposits, uas tshwm sim vim lawv leaching. Qhov no txoj kev ua li cas rau cov spur yuav pab txo o, tshem tawm qhov mob thiab txhim khu cov ntaub so ntswg lwm.

Ntxiv mus, cov kev kho mob ntawm pob taws spurs poob siab yoj txoj kev kho (xyuas cov uas tsuas paub meej tias nws tseem ceeb) muaj lig los rau hauv tus txheej txheem ntawm cell lwm thiab tsub kom tus nqi ntawm metabolic dab tshwm sim nyob rau hauv cov ntaub so ntswg. Raws li ib tug tshwm sim, los ntawm kev txo qhov mob thiab lub tom ntej tshem tawm ntawm nws ua ultrasound raug ua kom tiav rov qab los ntawm lub pob taws.

Nws yog ib qho tseem ceeb kom to taub tias cov poob siab yoj txheej txheem tsis muaj ib tug tsis zoo feem nyob rau kev noj qab nyob qhov chaw ntawm ko taw, xa xwb qhov txawv txav daim ntawv. Qhov no tshwm sim tau ua tau los ntawm kev siv ntawm tshwj xeeb elastic membrane uas tiv thaiv kev noj qab nyob cov ntaub so ntswg.

Nyob rau hauv tus txheej txheem ntawm kev kawm lub ntsiab lus: "Luj spur: kev kho mob (shock yoj txoj kev kho)," nws yog ib qho tseem ceeb kom nco ntsoov lwm feature ntawm ultrasound raug - stabilizes ntshav microcirculation los ntawm kev txhim kho cov hlab ntsha. Nyob rau hauv cov ntaub ntawv no, lub poob siab-yoj txoj kev muaj peev xwm pheev antispasmodic, daws thiab anti-inflammatory nyhuv. Ntxiv mus, lub cev-tshuaj, thermal thiab txhua yam nyhuv zoo nkaus li ib txhij.

Npaj rau kev kho mob

Ua ntej ultrasound yuav siv, tus neeg mob yuav tsum tau ua raws li ib tug ob peb yam yooj yim cov kauj ruam:

- yauv magnetic resonance txoj kev kho (yog tias tsim nyog), thiab nais maum kuaj los ntawm ib tug podiatrist;

- kom tau qhov kev tshwm sim ntawm X-ray kuaj;

- dhau qhov kev xeem uas yuav txiav txim rau cov ntshav txhaws (coagulation).

Soj ntsuam orthopedic kws phais neeg yog ib qho tseem ceeb kauj ruam nyob rau hauv cov kev npaj, vim hais tias txoj cai ua ntej rau txoj kev, ib tug kws txiav txim hais tias feem ntawm lub pob taws, uas nta ib tug tshwj xeeb rhiab. Nyob rau hauv feem ntau, nws yog qhov chaw ntawm lub luj, qhov twg thiab xa ib tug poob siab yoj ntawm lub suab.

Tus heev essence ntawm cov txheej txheem yog tsis yog yooj yim. Thawj daim tawv nqaij yog smeared gel, tom qab uas nws tsim ib tug tshwj xeeb applicator sensor uas xa ib tug kev sib kho dua 1500 pulses ntawm daim tawv nqaij. Yog li, tej nqaij mos yuav perceive tej yam pulses mus rau ib tug tob ntawm 4 cm. Cov kua nruab nrab tej zaus tsis propagate sai sai, sai sai dhau los ntawm lub nqaij mos thiab thaws rov los los ntawm tus pob txha. Nyob rau hauv lub kawg, nws tag nrho los rau hauv tus txheej txheem ntawm sib sib zog nqus micro-zaws.

Uas yog siv thaum lub sij hawm txoj kev kho

Niaj hnub nimno yees siv nyob rau hauv cov mob uas ib tug twg tam sim no txoj kev kho. Luj spurs, uas kho mob yuav tsum tau ib tug siab, kuj hais txog lawv tawm. Cov khoom muaj rau cov kws kho mob, tso cai rau kom muab ib tug poob siab-yoj nyhuv thaum tus neeg mob yog dag, raws li tau zoo raws li nyob rau hauv ib tug hauj lwm zaum. Tus txheej txheem nws tus kheej yog ua feem ntau yog nyob rau hauv ib tug tshwj xeeb kev kho mob chaw los yog lub tsev kho mob. Yog hais tias qhov no yog lub siab tshaj plaws uas ib tug neeg mob pom tau tias - yog ib lub teeb kov, raws li ultrasonic tsis inaudible thiab invisible.

Thaum lub sij hawm ib lub chav kawm ntawm kev kho mob yog nqa tawm los ntawm ib tug nruab nrab ntawm 5-7 kev kho mob. Raws li rau qhov ntev ntawm ib tug kev sib kho, nws yog 10-30 feeb. Lub duration ntawm lub luv ntawm kev kho mob yog txiav txim nyob ntawm tus neeg mob lub noj qab haus huv. Yog hais tias luj mob yog tam sim no, qhov kev sib kho yuav tsum tshem tawm.

Tom qab txoj kev kho tau nqa tawm, nws yuav txawv cov kev siv ntawm mob: lub cov ib feem ntawm tus taw yog txo chiv los ntawm hais txog 20%, thiab ces rau 5 teev maj txo.

Yog hais tias tus kab mob tau undergone kev kho mob nyob rau hauv advanced theem, qhov mob yuav rov qab los ib pliag, tab sis, ces yuav maj mam ploj lawm.

Nta thiab cov kev pab ntawm tej yam poob siab yoj txoj kev kho

Kev kho mob nrog ultrasound tej zaum yuav muaj cov nram qab nyhuv:

- Pib tus txheej txheem ntawm resorption thiab calcification kev lwj;

- kev txhim kho ntawm cov ntshav ncig nyob rau hauv lub cheeb tsam cov;

- txo txoj kev xav ntawm kev mob;

- lub strengthening ntawm tendons thiab ligaments.

Nws ua rau kev txiav txim zoo them sai sai mus rau lub zoo uas cov kev kho mob ntawm pob taws spurs poob siab-yoj txoj kev kho. Testimonials paub meej tias tej zoo zoo sonication:

- muaj yog ib txwm lub cib fim tau kho nyob rau hauv ib tug pw hauv paus;

- qhov teeb meem yog solved tsis muaj kev phais;

- efficiency ntawm txoj kev yog es siab;

- muaj tsis muaj kev phiv;

- thaum lub sij hawm ntawm kev kho mob tsis muaj mob;

- tag nrho txoj kev yuav siv sij hawm tsawg tshaj li 30 feeb.

Thaum UHT tej zaum yuav txhob

Txawm tias muaj tseeb hais tias cov kev siv ntawm ultrasound tsis koom nrog tej zaum kev puas tsuaj rau kev noj qab nyob, yuav tsum tsis txhob yuav siv nyob rau hauv tej yam tej yam kev mob no hom ntawm txoj kev kho. Lawv yog:

- intoxication;

- tsis tshua muaj ntshav siab;

- cev xeeb tub;

- lus plawv dhia;

- hypotension;

- phem hlav laus nyob rau hauv lub cheeb tsam cov ntawm ko taw;

- txwv tsis pub cawv rau cov pob txha loj hlob nyob rau hauv cov nqe lus ntawm cov me nyuam nyob rau hauv lub hnub nyoog ntawm 18 xyoo;

- fragility ntawm vascular network;

- cov hlab ntsha thrombosis (nyob rau hauv ob txhais ceg);

- mob ntawm poob siab system;

- kis kab mob.

Luj spur: medicating

Yog hais tias peb tham txog kev kho mob cawv rau qhov teeb meem no, yog tsim nyog hmoog rau tej pab pawg ntawm cov tshuaj uas muaj peev xwm muaj ib tug tseem ceeb nyhuv:

- Hormonal kev kho mob. Pawg no tej zaum yuav muaj xws li "Betamethasone" ( "Diprospan"), "hydrocortisone" thiab "Kenalog." Raws li rau "hydrocortisone", nyob rau hauv feem ntau, nws yuav siv sij hawm rau hauv daim ntawv ntawm tshuaj pleev los yog gel. Tab sis "Betamethasone" yog siv raws li ib lub zos txhaj nyob ib zaug ib lub lim tiam. Qhov no tshuaj tau lub ntsiab lus tsuas yog thaum peb muaj nrog ib tug loj heev hauv daim ntawv ntawm tus kab mob no. Lub essence ntawm qhov kev txiav txim "Diprospan" yog txo kom txo tau tus nqi ntawm cov inflammatory kev sib kho nyob rau hauv cov ntaub so ntswg. Nyob rau hauv tej yam xws li "luj spur, Cov tsos mob thiab kev kho mob", tshuaj yuav tsum tau txais tshwj xeeb xim vim hais tias ntawm nws cov efficiency thiab daim ntawv thov ntawm ib qho tseem ceeb nuances.

- Npaj ntawm lub nonsteroidal anti-inflammatory qeb. Qhov no yog ib tug "ketoprofen", "diclofenac", "ibuprofen" thiab "Voltaren". Ntsiab kho usefulness ntawm cov tshuaj yog txo mus rau txo vascular permeability, yuav txo tau ntawm o thiab tiam activators txhim kho lub microvasculature. Cov tshuaj yuav tsum tau siv nyob rau hauv daim ntawv ntawm lub zos nyiaj, tshuaj thiab cov ntsiav tshuaj.

- txhais tau tias muaj antiinflammatory nyhuv hos los ntawm daim ntawv thov rau ntawm daim tawv. Nws ntog rau hauv pawg no "Dimexidum" uas tej zaum yuav muaj rau hauv daim ntawv ntawm concentrated kua, tshuaj pleev, suppositories thiab tshuaj kua. Tus kho nyhuv ntawm cov tshuaj vim nws muaj peev xwm rau sai allergic rau hauv tej nqaij mos thiab sib sib zog nqus khaubncaws sab nraud povtseg ntawm daim tawv nqaij. Yog hais tias koj muaj nrog cov kua "Dimexidum", nws yog ib qho tseem ceeb kom nkag siab txog hais tias siv nws nyob rau hauv feeb meej daim ntawv yuav tsis. Cov tshuaj yuav tsum tau diluted nrog dej nkaus xwb thiab ces thov mus rau lub cheeb tsam cov nyob rau hauv daim ntawv ntawm daim ntawv sau npe.

- physiotherapy muab tshuaj. Subject: "Luj spur cov tsos mob thiab kev kho mob tshuaj" yog hais txog txoj kev tshawb no ntawm kev kawm xws li laser txoj kev kho thiab tej yam vibroacoustics.

"Vitaphone" - ib tug tsim nyog lwm

Qhov zoo tshaj thiab tseem ceev tau yuav tiav tau yog hais tias, ua ke nrog tshuaj siv vibroacoustic los ntawm kev siv lub ntaus ntawv, "Vitaphone".

Tus Neeg Mob 4, qhov kev txiav txim hom yog muaj, txhua tus uas yog qhia tau ib cov degree ntawm heev ntawm cov kab mob xws li luj spur. "Vitaphone" Cov kev kho mob muaj ib tug xov tooj ntawm tangible kev pab, yog tsim nyog hmoog rau:

- relieves lub cev ntawm toxins;

- pab txoj kev mob ntawm lub cev;

- normalizes lub lymphatic kua thiab neutralize o;

- pab txoj kev ntshav thiab outflow ntawm venous ntshav nyob rau hauv particular.

Lub essence vibroacoustics tej yam impulse thiaj kom txo tau cov capillary phab ntsa, li no ua ntau yam kom nquag plias cov ntshav txaus thiab ntshav stagnation yog tiv thaiv tau. Lub vibroacoustic nyhuv yuav sib sib zog nqus cov ntaub so ntswg qualitatively cuam tshuam uas los ntawm cov pa massage yog tsis yooj yim sua. Ib tug ntaus cim txo nyob rau hauv kev mob tshwm sim nyob rau hauv ib tug nruab nrab ntawm 3-4 zaug.

Nyob rau hauv cov ntaub ntawv no, "Vitaphone" muaj ib co contraindications rau nws siv. Cev xeeb tub poj niam thiab cov neeg uas tau ntsia dag pacemakers, raug vibroacoustics txwv tsis pub. Qhov no txoj kev yog tsis tseem ceeb rau cov neeg mob uas tau raug tshuaj mob nrog kub taub hau, muaj cov phem txhab thiab thrombophlebitis.

Spurs kho mob nrog Laser

Qhov no hom ntawm kho kev cuam tshuam, uas tseem hu ua quantum kho mob yog ib yam ntawm cov feem ntau heev thiab pheej yig. Lub laser muaj ib tug xov tooj ntawm zoo uas muaj nqis hmoog rau:

- decongestant thiab antibacterial cov nyhuv;

- Tsawg nqi ntawm kev kho mob;

- analgesic cov nyhuv;

- anti-inflammatory teebmeem.

Laser kev kho mob yuav muab faib ua peb qhov tseem ceeb theem. Thawj, tus neeg mob undergoes kev kho mob zaug txhua hnub rau 10 hnub, ua raws li los ntawm ib tug thib ob kauj ruam ntawm laser raug rau ib tug spur, uas tsuas kav 14 hnub. Ua tiav thawj theem ntawm ib tug repetition ntawm txoj kev kho (10 hnub), tab sis muaj tej yam kev hloov kho.

Qhov no txoj kev yuav suav hais tias ib tug ntawm qhov zoo tshaj ntawm neutralizing ib qho teeb meem xws li luj spur. laser kev kho mob (cov neeg mob cov lus teb paub meej tias muaj kev ruaj ntseg hom kev kawm) yuav pib nrog ib tug tsis muaj zog daim ntawv thov ntawm tej yam, uas tom qab zog. Yog hais tias ib tug kev sib kho tsis tau coj lub yam tau, koj tus kws kho mob yuav muab tshuaj rau ib tug ob peb repetitions.

Txawm tias tus nqi ntawm laser txoj kev kho, nws muaj tej yam contraindications. Peb yuav tau tham txog cov kab mob xws li mob plawv tsis ua hauj lwm, tej qog, hyperthyroidism, pulmonary insufficiency thiab ntshav qab zib. Nyob rau hauv cov ntaub ntawv ntawm xws li ib tug mob yog qhov zoo tshaj plaws xaiv lwm yam ntawm txoj kev kho.

Nyob rau hauv xws li ib tug kab mob, raws li lub pob taws spur, laser kev kho mob (tswv yim kws kho mob paub meej tias nws) nyob ib qho ntawm feem nrhiav-tom qab kho txoj kev.

Raug X-ray

Rau zoo txoj kev feem ntawm lub pob taws spur kev kho mob yog ntaus nqi los ntawm cov X-ray. Lub essence ntawm txoj kev yog los xyuas kom meej tias cov concentrated beams yog raws kev coj kom lub cheeb tsam cov ntawm luj taws. Ntsis raug tawg ua rau lub fact tias muaj yog txhaws ntawm lub paj txoj, yog li ntawd tus mob disappears.

Kev kho mob ntawm luj taws spurs, implying radiotherapy, xam rau 10 zaug, txhua tus uas kav tsawg tshaj li 10 feeb.

Nyob rau hauv no txoj kev muaj tangible pab, tsim nyog ntawm cov xim:

- tawg muaj feem xyuam rau xwb lub pob taws spur;

- yog ib txwm tau ntawm pw kho mob ;

- ib tug txaus siab efficiency;

- X-rays muaj anti-inflammatory thiab anti-kev tsis haum cov nyhuv;

- contra yam tsawg kawg nkaus;

- rau txoj kev yog kiag li tsis mob.

Nyob rau hauv qhov teeb meem ntawm contraindications thaum uas siv cov X-ray, nws yog tsim nyog sau cia hais tias hluav taws xob kis yog txwv tsis pub xwb los cev xeeb tub cov poj niam. Rau cov neeg uas muaj ib tug luj spur, radiotherapy kev kho mob tej zaum yuav yog ib tug ntawm qhov zoo tshaj plaws kev xaiv. Nyob rau hauv cov ntaub ntawv no, tom qab ua kom tiav rau thaum kawg ntawm kev kho mob yog tsim nyog los xyuas kom meej qhov unloading ntawm ko taw. Qhov no txhais tau tias nws yog tsim nyog los siv tshwj xeeb orthopedic insoles los yog nkawm khau, tswj nyhav thiab muaj ib tug noj qab nyob zoo txoj kev ua neej.

Kev kho mob cov kua tsib raws li ib tug kev kho mob rau Spurs

Muab hais tias ib co tshuaj cov txheej txheem muaj contraindications, koj yuav tsum ib txwm muaj ib txoj kev xaiv nyob rau hauv tej yam ntawm tej teeb meem xws li luj spurs. Kev kho mob ntawm cov kua tsib (cov lus teb ntawm cov neeg mob paub meej tias nws cov hauj lwm zoo) muaj lub peev xwm mus neutralize lub spurs rau lub pob taws. Tus nqi ntawm qhov kev kho no yog hais tias nws yuav nqa tawm ntawm nws tus kheej nyob rau hauv ib lub tsev. Tus heev kev kho mob cov kua tsib yog muag tsis muaj ib tug tshuaj rau ntawm tej chaw muag tshuaj.

Lub essence ntawm txoj kev yog txo mus rau ib tug pleev qhov xauv nyob rau hauv cov kua tsib nyob rau hauv lub cheeb tsam cov ntawm ko taw thiab mus pw nrog nws. Rau xws li lub hom phiaj haum daim ntawm paj rwb los yog gauze, uas yog tsim nyog rau moisten cov kua tsib, rau xa mus rau lub ko taw, them nrog polyethylene thiab fix. Lug txhim khu lub kho yuav tsum tau hnav thom khwm. Yuav kom ua tau tiav neutralization ntawm lub Spurs yuav tsum rov qab ua txoj kev ua no 20 lub sij hawm, dua li tsis muaj kev cuam tshuam. Yuav kom ncua yog tsis tsim nyog txawm nyob rau hauv lub rooj plaub uas tus mob yog tsis muaj. Qhov no yog ib tug ncaj txhim khu kev qha txoj kev, los ntawm txoj kev uas muaj peev xwm yuav tshem tawm los ntawm luj taws spurs. Kev kho mob ntawm cov kua tsib tawm tswv yim yog tsis tshua muaj qhov zoo thiab tsis fraught nrog rau tej kev phiv.

Lwm yam kev kho mob txoj kev

Muaj ntau ntau txhais tau tias los ntawm uas zoo feem xyuam rau txoj luj spurs nyob rau hauv tsev. Koj yuav tsum tau pib nrog ointments uas tau pov thawj lawv qhov tseeb:

- indometacin tshuaj pleev. Qhov no anti-inflammatory siv yeeb tshuaj muaj peev xwm muab tau yooj yim yuav tau hauv ib tug tsev muag tshuaj. Qhov no tshuaj pleev yuav tsum tau kom huv si txawm lig los plhws rau hauv cov cuam tshuam los luj peb lub sij hawm ib hnub twg. Qhov nruab nrab kev kho mob kav rau ob los yog peb lub lis piam tsis muaj ib tug so.

- hydrocortisone tshuaj pleev. Yuav kom kho qhov no tau muab cov nyiaj pab ntau tshaj cov nyhuv, koj yuav tsum pre-zog ob txhais ceg, thiab xwb ces tshiav tshuaj pleev rau hauv lub pob taws.

- "Dolobene". Hauv qhov no, peb tab tom tham txog kev npaj ua ke uas muaj kev cuam tshuam rau cov nyom. Nws tuaj yeem txhim kho cov txheej txheem metabolic nyob rau hauv cov hauv paus ntaub so ntswg. Nyob rau tib lub sij hawm, siv lub gel nrog ib tug nyias txheej thiab kom zoo zoo rub nws. Cov txheej txheem rov qab 3-4 zaug ib hnub twg. Yog tias yuav tsum tau xa ib daim gel rau hauv daim ntawv ntawm ib qho kev sib tshuam, ces kom tsis txhob muaj qhov tawv nqaij hlawv, koj yuav tsum tos ob peb feeb rau cawv kom tawg.

- Nrog rau xws li ib qho teeb meem raws li calcaneal spurs, kev kho mob nrog ointments txhais tau hais tias kev siv cov neeg noj zaub mov txawv. Yog li ntawd, nws ua rau kev txiav txim siab los hais txog cov tshuaj pleev hmoov o. Ua rau nws, koj xav tau 1 teaspoon ntsev (ua li hauv av), 1 tablespoon ntawm zib mu thiab 50 ml ntawm iodine. Zib ntim thiab ntsev yuav tsum tau sib tov sib xyaw thiab ntxiv rau qhov resulting loj ntawm iodine. Lub ointment tiav lawm yog kom tov thiab smeared nyob rau lub paj rwb pad, uas yog siv rau lub pob taws nws.

- Qe-kua tshuaj pleev. Raws li cov khoom xyaw, koj yuav tsum tau siv ib nrab ib khob ntawm Kua cider vinegar, 100 g ntawm butter thiab 1 raw qe. Lub melted butter nyob rau hauv dej da dej yuav tsum tau txias thiab tov nrog lub qe. Lub plhaub yuav tsum tsis txhob muab pov tseg - nws yuav tsum tau crushed thiab ntxiv rau qhov sib tov. Vinegar ntxiv ntxiv kawg, tom qab uas txhua yam yog tov tov. Tsis tas li ntawd lub ointment npaj txhij yog muab nyob rau hauv ib lub tub yees rau 2 lub lim tiam. Nyob rau hauv tus txheej txheem nws yuav tsum tau stirred. Nws yog thov mus rau qhov lauj kaub steamed, tom qab uas yog tus compress yog tsau nyob rau hauv ko taw rau 30 feeb. Tom qab ib teev tom qab cov kua pleev yuav ntxuav tawm, cov ntiv taw muab tso rau ntawm txhais ceg.

Yog hais tias muaj yog ib tug luj spur, ntsev kev kho mob muaj peev xwm kuj yuav yog ib tug zoo txoj kev uas yuav tau tshem ntawm qhov mob. Qhov no yog ib da dej, rau qhov kev npaj ntawm kev tov soda thiab ntsev. Tus da dej yog npaj tau yooj yim heev: hauv 1 liter dej (kub), ib tug tablespoon ntawm soda thiab tib tus nqi ntsev yog bred. Tag nrho cov no yog tov tov kom txog thaum lub Cheebtsam yog ua tiav. Ib da dej yog tsim los ntawm cov kua qab.

Raws li koj tau pom, muaj ntau txoj hauv kev los cuam tshuam tus luj kis las. Thaum xaiv ib hom txheej txheem, tsis txhob hnov qab txog kev tsis haum xeeb. Yog tias qhov kab mob loj heev tuaj yeem txhais tias yog lub teeb, ces muaj txhua yam uas yuav tau tshem ntawm pob luj hauv tsev.