Kodi phazi dzenje? Chithandizo claw mapazi: ndi insole thupi

Kodi phazi dzenje? Photos of kudwala limeneli lili m'nkhani pano. Komanso matenda funso, ife kumaonetsa, mmene zinthu zake, lembani zizindikiro ndi kukuuzani mankhwala.

Chidule

Kuti ndi phazi dzenje? kudwala ichi, kutanthauza mapindikidwe wa malekezero a m'munsi. Iwo amakhala ndi kuchotsa zala pansi ndi anamuukitsa chidendene mmwamba. Chifukwa mapindikidwe zoterozo mu mtima ukuwonjezeka ndinasintha yokhota kumapeto Chipilala kusamvana.

Dzenje phazi akhoza kukhala matenda otengera kwa makolo komanso kukhala ndi zaka (kwa zaka 35). The matenda funso ndi zosemphana flatfoot.

siteji mapindikidwe

Kodi Mzimuyo mankhwalawa phazi dzenje? Akatswiri amanena kuti kusankha mankhwala ndi kukugwirizana kanthu pa zimene siteji ndi matenda. Akatswiri kusiyanitsa masitepe awiri mapindikidwe:

1. Pa chiyambi cha matenda pali minofu zofewa kusintha (kafukufuku wakapangidwe kazachilengedwe). Pofuna kuthetsa vutoli, madokotala amalangiza wodwala kupereka kuthamanga pa mutu wa woyamba metatarsal fupa.
2. Ngati mavuto amene anayamba miyeso chithandizo anali Sadadzipangire, pali gawo khola la matenda amafuna mwamsanga alowererepo zachipatala.

zimayambitsa

N'chifukwa chiyani kukhala dzenje phazi? The zifukwa ndi njira yeniyeni kuwonjezeka Chipilala akonzedwa silinakwaniritsidwe Mukalongosola. Komabe, madokotala amati kudwala zimenezi zingachitikire chifukwa vutoli (minofu) chifukwa Hyper kapena zofooketsa (paretic) minofu munthu wa miyendo ndipo mwendo m'munsi. Mwa njira, akatswiri ena amanena kuti nthawi zina pamene kufufuza mtima ndi mapindikidwe mu funso atsimikizire kuchepa Amowabu kapena, Tikawonetsetsa kuchuluka minofu kamvekedwe kwalephera.

Malingana ndi madokotala ambiri, nthawi zambiri dzenje phazi aumbike chifukwa cha kudwala a dongosolo neuromuscular ndi chiwerengero cha matenda, komanso akulu dystrophy, poliyo, msana dizrafii, matenda, matenda Charcot-Marie-dzino, syringomyelia, polyneuropathy, ataxia Friedreich a oziziritsa ziwalo, meninjaitisi, meningoencephalitis, chosaopsa ndi zilonda zotupa za chingwe msana.

kawirikawiri kudwala izi akufotokozera chifukwa nthambi m'munsi a zilonda zamoto kapena zosayenera zinaphatikizidwa talus ndi mafupa calcaneus (fractures).

20% mwa zinthu zonse chikwiyire phazi dzenje, kukhala bwinobwino.

zizindikiro

Mu pharmacies ndi malo zachipatala zambiri kugulitsa insoles kwa dzenje phazi. Kodi iwo kuti? mfundo ndi yakuti matenda sikuti kudali amaona wodwalayo.

Ndi kuwonjezeka mu arched m'chipinda chotetezeka odwala zonse kudandaula ululu mu mapazi, kutopa pa kuyenda ndi kusapeza mu malo bondo. Komanso, odwala ena amati vuto lalikulu kusankha nsapato omasuka.

Pamene kuonera munthu ndi ankaona kudwala akatswiri awulule kuwonjezeka mu msinkhu wa mkati ndi kunja Chipilala, flatness yolalikira pang'ono ndi kubweretsa zidendene zigawo kutsogolo, matuza chowawa (mwachitsanzo, patsinde pa chala chachikulu ndi chala chaching'ono m'dera), komanso mapindikidwe wa zala. Komanso ngati wodwala zambiri Amowabu phazi stiffness.

zizindikiro zina

Dzenje phazi, kumene chifukwa cha poliyo, akhozanso kukopeka ndi yachimbuuzimbuuzi unilateral paresis molumikizana ndi equinus phazi. Pamene kamvekedwe minofu yafupika, ndi mapindikidwe sakupita patsogolo.

Ngati munthu ali ndi zotupa oziziritsa ali anati, ndiye akhoza kudzakhala spasticity, kuchuluka minofu kamvekedwe ndi bongo kuchuluka (tendon). Chotero ndondomeko ndi kupata ndi mmodzi ndiye amaganiza.

Odwala kudwala kobadwa nako zambiri amgwirizano. Amamuchititsa kupitirira makamaka m'nyengo ya kukula yogwira (mwachitsanzo, zaka 5-8 ndipo 11-15).

Pamene matenda a "Friedreich ndi matenda ataxia" dzenje phazi 2-njira ndi patsogolo. Kawirikawiri banja wodwalayo komanso milandu ya matenda anati.

Kuwonjezeka Chipilala phazi nthawi zambiri pamodzi ataxia ndi gait chisokonezo. Komanso, kwa matenda amenewa yodziwika ndi zipolowe wofatsa tilinazo ndi zotupa pa mundawo pyramidal.

Pamene matenda, Charcot-Marie-Kam'nyanja matenda anthu amalembedwa 2 amaganiza mwapang'onopang'ono mapindikidwe ndi kusiya, komanso minofu ya manja, chimene chimafika oposa.

Kodi matenda?

Zochita ndi phazi dzenje zizichitidwa kwenikweni. Komabe, zimenezi ziyenera kuchitidwa pokhapokha matenda adzakhala zikhulupiriro ndi dotolo odziwa. Monga ulamuliro, kwa cholinga ichi chitumidwa kwa wodwalayo ndiponso X-ray plantography phazi.

Mu mapindikidwe wofatsa pa plantogram anaulula lalikulu Arc concave recess mkati m'mphepete, ndi protrusion pa m'mphepete lakunja phazi. Pa kudwala zolimbitsa anati concavity m'mphepete lakunja. Pankhani matenda chitaperekedwa amaonekera anthu a yekha ndi mbali 2.

Palinso milandu zapamwamba, pamene contours zala zala phazi kutha palimodzi. Ichi ndi chifukwa claw chilema awo.

Ngati dokotala amakhulupirira kuti vuto ndi matenda a dongosolo neuromuscular, wodwala ayenera amatchedwa matenda okhudza ubongo a. Last achititsa mwatsatanetsatane ubongo bwinobwino amachita msana radiography, Kujambula ndi CT mapanga sikani, ndi electromyography ndi maphunziro ena.

Ngati choipa akale mafupa tarsal kwa wodwala kungafune CT phazi.

Ngati dzenje phazi zidavumbulutsidwa kwa nthawi yoyamba pamene wodwala palibe matenda a dongosolo neuromuscular, ndipo palibe kuvulala yapita, limanena za n'zotheka msana chotupa. Pankhaniyi, munthu walangizidwa anayendera kuti oncologist lapansi.

Kodi kuchitira?

Machenjerero claw mapazi mankhwala anatsimikiza chifukwa cha chitukuko, komanso mlingo kuwonjezeka kwa Chipilala n'njokhota ndi zaka wodwalayo.

Mu pathologies amtengo ndi bwino kumatanthauza wodwalayo mankhwala zolimbitsa mankhwala physiotherapy ndi kutikita. mitundu Unfixed wa matenda amenable ndiwofatsa kudzudzulidwa ndi kuvala nsapato ndi anamuukitsa m'mphepete lamkati.

Mwamphamvu anasonyeza matenda amodzi, makamaka achikulire, nkhani mankhwala opaleshoni.

Malinga mtundu wa kudwala ndipo zimayambitsa chitukuko angathe kuchitidwa arthrodesis, osteotomy, kachigawo kapena mphero resection mafupa tarsal, tendon kumuika ndi kung'ambika wa fascia plantar. Komanso, ntchito osakaniza zosiyanasiyana za njira izi.

alowererepo opaleshoni

ntchito zobwezeretsa phazi ikuchitika m'njira wopita pansi conduction ochititsa dzanzi. Njira ndi osakaniza opaleshoni kapena Chaklin Kusliku. The njira yamasika lili lotseguka odulidwa kapena redressatsiyu plantar fascia pamodzi ndi kachigawo kapena mphero resection wa cuboid lapansi. Atangomva gawo resected chikutha ndi hindfoot akufunitsitsa motsogozedwa yekha ndipo kutsogolo - ndi kumbuyo. Kenako, chilonda ndi sutured, kuda, ndi kutsikira nthambi pulasitala amenewa, amene si kuchotsedwa masabata 6-7.

Ntchito njira Chaklin plantar aponeurosis komanso redressiruyut kapena dissect. Kenako mafupa tarsal adachitira umboni. Choncho extensor tendon mu dzanja chikutha ndipo kenako kuchita mphero resection wa gawo cuboid ndi mutu kugunda.

Pankhani fupa navicular, ndiye amachotsedwa pang'ono kapena kwathunthu, malingana ndi kuopsa kwa mapindikidwe a.

Ndi kuchotsa wamphamvu woyamba metatarsal imagwiridwa (Komanso) izo osteotomy. Pamene kuona Equinus amathera tenotomy wa Achilles tendon.

Kukachitika kuti pa opaleshoni malo a phazi sangathe kusintha kwa pulasitala mwendo umagwiritsidwa kwa masabata 3, kenako chikutha ndi kusintha komaliza. Komanso bandeji umagwiritsidwa kachiwiri kwa milungu 4.

Insoles ndi ntchito

Kaya dzenje phazi ankachitira? Insoles ndi molondola anatola nsapato - izi ndi imodzi mwa njira zovuta kuchotsa mavuto mwendo, komanso kupewa ake.

Malinga ndi akatswiri, ndi odwala claw mapazi azipereka asankhira nsapato ndi nsanja lonse ndi chidendene otsika. Izi zimathandiza kuti kukonza miyendo mu malo olondola.

Iwo ayenera kukumbukira kuti kugula nsapato mafupa ayenera kukhala kuyang'aniridwa ndi dokotala nawo. Zodabwitsa ndizakuti, yotsirizira angakulangizeni nsapato ndi anamuukitsa m'mphepete lamkati. Kuonetsetsa chithandizo choyenera kwa Chipilala phazi, onetsetsani kuti ntchito splints, ndiye insoles wapadera, chopangidwa kuyitanitsa.

Kodi kuchepetsa ululu omwe amachititsa phazi dzenje? Khalani ndi ndondomeko zokhudza thupi zochizira matenda amasankhidwa anthu paokhapaokha, Kuchokela pamawu a dokotala nawo. Nazi zitsanzo zina:

1. Kuyambira malo atakhala. Chitani ikuchitika momasuka, ndiye kulimbikira (mulibe katundu ntchito ku mapazi, gymnastic chingamu).
2. Kumvetsa kayendedwe chala ndi mapazi a nkhani zosiyanasiyana (matabwa, labala ndi zitsulo mipira ndodo osiyana awiri ndi Al.) Mu ndondomeko zina - ayenera pang'onopang'ono kuchepetsa kukula ndi kulemera - kuwonjezeka.
3. Choyambirira ubwenzi udindo. Masokosi mkati chidendene m'manja, pazipita kunja kasinthasintha shins, ndiye kusintha m'mphepete lakunja phazi. Kenako - kuponya pamwamba pa zidendene lapansi.

Komanso, kupewa zomverera zosasangalatsa munthu wodwala kutumikiridwa osambira paraffin, kusamba ofunda ndi mapindikidwe pamanja zolondola mu mawonekedwe a kutikita.