Yintoni unyawo umngxuma? Treatment uzipho-ngonyawo: i insole, ukwenza

Yintoni unyawo umngxuma? inokufumaneka iifoto yale ngezifo kwinqaku langoku. Kwakhona, esi sifo mbuzo, siya ukuchaza, ukuchonga izinto zayo, uya dwelisa iimpawu akuxelele malunga unyango.

isishwankathelo

Leyo unyawo umngxuma? Le ngezifo, okubonisa deformation kweqondo asezantsi. Lubonakala yi kokushiywa iinzwane phantsi kunye wamvusa isithende up. Ngenxa deformation enjalo isigulane kwandisa zokusombulula arch ephawulekayo egosogoso.

unyawo Ulenze inokuba isifo ilifa, kwakunye nokuphuhlisa nobudala (ukusuka kwiminyaka 35). Isifo uchaphazelekayo kusisichasi flatfoot.

isigaba deformation

Yintoni egqibayo ukuba unyango wonyawo kuthembeke? Iingcali zithi lokuba ukhetho kwanonyango yi ngqo indaba ehlobene kuxeshani na isifo. Iingcali bahlule amanyathelo ezimbini deformation:

1. At ekuqaleni kwesi sifo kukho utshintsho kwizihlunu ezithambileyo (morphology). Ukuze ukusombulula le ngxaki, oogqirha bacebisa umguli ukubonelela uxinzelelo phezu kwentloko kwethambo amadeo yokuqala.
2. Ukuba uhlobo eyathi yaqulunqa amanyathelo unyango zange zitshitshiswe; kukho kwisigaba kubakho esi sifo kufuneka ungenelelo unyango ngokungxamisekileyo.

oonobangela

Kutheni ukuphuhlisa unyawo kuthembeke? Izizathu kunye indlela ngqo ukwandisa kwinqugwala iseti okwangoku icacisiwe. Noko ke, oogqirha bathi oku ngezifo kunokwenzeka ngenxa ukungalingani (kwezihlunu) ngenxa ehleliyo okanye buthathaka (paretic) zezihlunu ngamnye unyawo kunye umzantsi womlenze. Ngendlela, ezinye iingcali zithi ukuba maxa wambi xa uzihlola isigulane kunye deformation ekuthethwa uqinisekise i ukuhla okanye, icala, kwezihlunu ukwanda lutshitshe.

Ngokutsho oogqirha ezininzi, amaxesha amaninzi unyawo umngxuma senziwa ngenxa ngezifo kwenkqubo neuromuscular kunye nenani izifo, kwakunye kwemisipha muscular, ipoliyo, dizrafii spinal, isifo, isifo Charcot-Marie-Ukubola, syringomyelia, polyneuropathy, Ataxia Friedreich kaThixo, unedumbe lobuchopho, meningitis, meningoencephalitis, nangezilonda ebubonisayo nesibuhlungu ye umnqonqo.

kunqabile kakhulu le ngezifo kuphuhlisa ngenxa nemilenze amanxeba okanye talus engafanelekanga edidekile yaye amathambo calcaneus (kuziphuko zendalo).

Ngowe-20% yazo zonke izinto oko kwavusa unyawo ezibuhlazarha, ihlale ingacacanga.

iimpawu

Ezikhemisti kunye namaziko onyango ngokufuthi kuthengisa insoles ukuba kuthembeke ngonyawo. Yintoni injongo yawo? Inyaniso kukuba lo sifo akuthethi abonwe umguli.

Ngenxa yokwanda egumbini abagulayo enhle rhoqo ekhala neentlungu ezinyaweni, ukudinwa ngexesha ukuhamba kuhlolwe kwamalunga namaqatha. Kwakhona, ezinye izigulane bathi kunzima kakhulu ekukhetheni izicathulo.

Xa usibona umntu kunye ziingcali zoxilongo ingqalelo zibonisa ukwanda ukuphakama arch yangaphakathi langaphandle, flatness, ukwanda encinane uze uzise ekuncothukeni kweentende zeenyawo amacandelo ngaphambili, namadyungudyungu ezibuhlungu (umzekelo, emazantsi nocikicane ngomnwe omncinane kuloo ndawo), kwakunye deformation neminwe. Ukongeza, isigulane eso amaninzi gqitha ukuqina ngeenyawo.

neminye imiqondiso

unyawo Ulenze, awathi ngenxa sepoliyo, ukuze kuhambisane paresis ngomoya omnye awucaci ngokusebenzisana unyawo equinus. Xa oku kwezihlunu sinciphile kwaye deformation ongenzi nkqubela.

Ukuba umntu unezilonda Cerebral kuyagcinwa, UKUQINA ke oko iphawulwe, imvakalozwi kwezihlunu eyonyukileyo kunye nokusabela nokwanda (imicu). Loo nkqubo phambili kwaye elinye macala.

Izigulane zoxilongo bekhubazekile kudla abambiseneyo. Kodwa kuvame progression, ingakumbi ngamaxesha ukukhula esebenzayo (umz, iminyaka 5-8 kunye 11-15).

Xa lokufunyaniswa "isifo Ataxia Friedreich kaThixo" unyawo umngxuma ndlela-2 inkqubela. Ngokuqhelekileyo intsapho yomguli nayo amatyala sifo zikhona.

Ukwandisa INqaba unyawo oko kudla kudityaniswe Ataxia kunye iqinelwa nokuphazamiseka. Kwakhona, kuba isifo eso luphawulwa iingxaki zovakalelo wobulali kunye izitshanguba ze iphecana pyramidal.

Xa isifo, isifo Charcot-Marie-Ukubola ebantwini zimakishwe deformation 2-kabini phambili kwaye uyeke, kwakunye yoma kwezihlunu, elisuke phezulu.

Indlela ukuxilonga?

Uqheliso lomsebenzi unyawo umngxuma kufuneka kwenziwe ngokuyimfuneko. Nangona kunjalo, oku kufuneka kwenziwe kuphela emva kokuba uxilongo ziya kucaciswa yi-ngugqirha onamava. Ngokuqhelekileyo, le njongo ithunyelwa nomonde X-ray foot plantography.

Xa deformation etsho plantogram kutyhilwa lokungahlangani phakathi arc anolwazi enkulu, kunye Buze esesiphelweni olungaphandle unyawo. Xa zoxilongo oluphakathi saphawula wephiko ukuya kwikona engaphandle. Ngokumalunga sifo ngokukhawuleza, lo yamanyala yabantu onyawo yahlulwe-2.

Kukho iimeko phambili, xa imisele iminwe iminwe unyawo iyanyamalala zizonke. Oku kungenxa ukukhubazeka kwabo uzipho.

Ukuba ugqirha ikholelwa ukuba unobangela wale ngxaki sisifo yenkqubo neuromuscular, isigulane kufuneka ibhekiswe emine. Last liqhuba uviwo eneenkcukacha luvo, wenza ngomqolo ray, MRI kunye CT scans, kunye electromyography kunye nezinye izifundo.

Ukuba ukwenzakala endala amathambo tarsal kwisigulana ingafuna CT ngonyawo.

Ukuba unyawo ezibuhlazarha yabonakaliswa okokuqala ngoxa isigulane akukho sifo kwenkqubo neuromuscular, yaye akukho ukonzakala zangaphambili, ithetha indlela nentambo ithumba umnqonqo. Kulo mzekelo, umntu ngqo ukuba sihlolwe kwi-somdlavuza.

Indlela yokuphatha?

Amaqhinga yonyango uzipho-unyawo emiselwe isizathu uphuhliso wayo, kwakunye yokwanda umyinge wokuphelelwa arch egosogoso kunye nobudala yesigulane.

Xa ezimbi ephakathi kwaye kakuhle athile isigulane ukumisela umzimba, physiotherapy nokuphulula. iintlobo Unfixed esi sifo ulungiso iSADC endala ngokunxiba izihlangu kunye anolwazi avuswe.

Ngamandla wavakalisa isifo esingatshintshiyo, ingakumbi abadala, ngokuxhomekeke unyango ngotyando.

Ngokuxhomekeka kuhlobo ngezifo kunye oonobangela yophuhliso lwayo inokwenziwa arthrodesis, osteotomy, iceba okanye nesinqumka resection emathanjeni tarsal, imicu ukufakela asike le ifascia plantar. Kwakhona, sebenzisa imidibaniso ezahlukeneyo zezi zinto.

ukungenelela kuhlinzwa

Umsebenzi ukubuyisela unyawo lwenziwa ngendlela acwangcisiweyo phantsi Uhanjiso zomzimba. Eyona ndlela iphumelelayo indibanisela utyando okanye Chaklin Kusliku. Le ndlela yokugqibela sinika open cut okanye redressatsiyu plantar ifascia kunye iceba okanye nesinqumka resection le cuboid. Kamsinya nje isahlulo resected isusiwe, hindfoot uzimisele kwicala onyawo kunye phambili - to-angasemva. Emva koko, lo inxeba sutured, idreyini, kunye nomlenze ukutyabeka esezantsi uyasetyenziswa, nto leyo isuswe kwiiveki 6-7.

Ukusebenza indlela Chaklin plantar aponeurosis kwakhona redressiruyut okanye baziqhaqhe. amathambo Okulandelayo tarsal ebalelelwe lilanga. Ngaloo extensor Imisipha esandleni isusiwe, uze enze resection nesinqumka kwenxalenye cuboid kunye ukungquzulana entloko.

Ngokumalunga ithambo navicular, ngoko luthe lwancothulwa ngokungaphelelanga okanye ngokupheleleyo, kuxhomekeke ubungqongqo deformation.

Nge ukungenzi elinqatyisiweyo yokuqala amadeo luyenziwa (Ukongezelela) kuyo osteotomy. Xa Equinus kokubona tirhisa tenotomy le umsipha.

Xa kunokwenzeka ukuba ngexesha utyando indawo unyawo lingenako ukunyenyisa umlenze isamente isicelo kwiiveki 3, emva kokuba lisuswe, uze wenze izilungiso zokugqibela. Ngaphezu koko, walisusa lisetyenziswa kwakhona omnye iiveki-4.

Insoles abonise

Nokuba unyawo kuthembeke ngayo? Insoles wathatha ngokuchanekileyo izihlangu - le yenye yeendlela elula ukuba balahle umlenze ukukhathaza, kwakunye nokuthintela yayo.

Ngokutsho kweengcali, kunye nezigulane uzipho-unyawo kufuneka banike abalukhethayo for izihlangu kunye neqonga ngokubanzi kunye isithende eliphantsi. Oku kuya kuba negalelo ukulungisa imilenze kwindawo echanekileyo.

Kufuneka kuqatshelwe ukuba yokuthenga izihlangu wamathambo kufuneka ibe kuphela phantsi kweliso logqirha khona. Kwenzeka ukuba, lo wokugqibela iingcebiso izihlangu kunye anolwazi avuswe. Ukuqinisekisa inkxaso efanelekileyo KwiNqaba yonyawo, qiniseka ukuba isicelo tinsimbi, oko kukuthi, insoles ezizodwa, eveliswe odola.

Indlela ukunciphisa intlungu ebangela unyawo vuphukuphuku? Ukuzilolonga kunye neenkqubo komzimba ukuze unyango lwezifo abanjalo ezikhethiweyo qho ngamnye, ngengcebiso ugqirha khona. Nantsi eminye imizekelo:

1. Iqala isikhundla behleli. Ukuzilolonga wenziwa ngokukhululekileyo, ngoko ke uxhathiso (limiselwe imithwalo isicelo ukuya elunyaweni, nentlaka zemithambo).
2. Ukuqonda iintshukumo finger kunye iinyawo zombini zezifundo ezahlukeneyo (ngomthi, irabha, iibhola metal kwizinti enobubanzi ezahlukeneyo kunye al.) Xa ulandelelwano ethile - kufuneka ngokuthe ngcembe ukunciphisa ubukhulu kunye nobunzima - ulwando.
3. ukuma kwindawo yokuqala. SOCKS ngaphakathi ngesithende ngesandla, le shins ujikelezo lwangaphandle eliphezulu, ngoko sishintshe ukuya kwikona engaphandle yonyawo. Okulandelayo - nokuthotywa kumphezulu yomphantsi.

Kwakhona, ukunqanda mizwa ekhathazayo ukuba isigulane elawulwa iibhate iparafini, ibhafu yamanzi ashushu kunye deformation ngesandla ezichanekileyo ngohlobo umyalezo.