Kuyini foot eziyize? Ukwelashwa uzipho unyawo: i insole, umsebenzi

Kuyini foot eziyize? Izithombe zalesi zokugula kungatholakala esihlokweni samanje. Futhi, lesi sifo okukhulunywa ngakho, sizobe ichaze, uchaze izimbangela ngeke uhlu izimpawu futhi bakutshele mayelana nokwelashwa.

Okufingqiwe

Lokho kuyinto unyawo eziyize? Lokhu zokugula, okusho ukusonteka wemikhawulo aphansi. It libhekene Ukushiywa izinzwane phansi kanye ephakanyiswe isithende up. Ngenxa ukusonteka anjalo esikhathini nesineke inyuka ngokuphawulekayo lwalugobile lwaleli isixazululo.

ngezinyawo elingenalutho kungaba nesifo esiwufuzo, kanye ukuthuthukisa ngeminyaka (kusukela eminyakeni 35). Lesi sifo okukhulunywa kuphambene flatfoot.

ukusonteka esiteji

Yini enquma ekwelapheni unyawo eziyize? Ochwepheshe bathi kukhethwa indlela yokuyelapha ngqo ngendaba ehlobene nalezi, ngasiphi isigaba lesi sifo. Ochwepheshe ukuhlukanisa izinyathelo ezimbili ukusonteka:

1. At ekuqaleni kwalesi sifo kukhona soft izicubu ushintsho (morphology). Ukuze ukuxazulula le nkinga, odokotela batusa isiguli ukunikeza ingcindezi ekhanda we metatarsal ithambo kuqala.
2. Uma ubunzima lapho bahlakulele izinyathelo ukwelashwa azisuswanga, kukhona isigaba esitebeleni isifo edinga kokulashwa okusheshayo.

izimbangela

Kungani ukuthuthukisa unyawo eziyize? Izizathu futhi imishini esiqondile okwandisa lwaleli isethi ingakamiswa hlandla. Nokho, odokotela basikisela ukuthi lokhu zokugula singenzeka ngenxa ukungalingani (kwemisipha) ngenxa Hyper noma buthaka (paretic) imisipha ngazinye unyawo nomlenze aphansi. By endleleni, abanye ochwepheshe bathi ukudlala ngezinye izikhathi lapho behlola isiguli ne ukusonteka okukhulunywa ukuqinisekisa ukwehla okuphawulekayo noma, Ngakolunye uhlangothi, kukhuphuke imisipha ithoni ehluleka.

Ngokusho odokotela abaningi, kwakhiwa avame unyawo eziyize is ngenxa zokugula kohlelo kwamanyuroni kanye nenombolo ye izifo, kanye sokuwohloka kwemisipha, uvendle nesifo dizrafii umgogodla, isifo, isifo sikaCharcot-Marie-Izinyo, syringomyelia, polyneuropathy, ataxia Friedreich sika, ne-cerebral palsy, meningitis, meningoencephalitis, izimila benign nesibulalayo we nomgogodla.

Kakhulu akuvamile lokhu zokugula eba ngenxa nasemilenzeni engezansi ukusha noma talus engafanele tho futhi amathambo calcaneus (waphuka).

Ngo-20% kuzo zonke izici ukuthi kwasusa unyawo eziyize, ahlale akucacile.

izimpawu

Pharmacy kanye nezikhungo zezokwelapha ngokuvamile ukudayisa insoles ngonyawo eziyize. Yiziphi bona? Iqiniso liwukuthi ukuthi lesi sifo aluphumeleli waphawuleka isiguli.

Nge ukwanda arched egumbini wayegula njalo ukukhononda ubuhlungu ezinyaweni, ukukhathala ngesikhathi ukuhamba kanye nokuhlukumezeka emalungeni iqakala. Futhi, ezinye iziguli bathi kufanele nobunzima obukhulu lapho ukhetha Izicathulo.

Uma kubhekwa umuntu ne kubhekwe zokugula ochwepheshe zembula ukwanda ukuphakama lwaleli kwangaphakathi futhi yangaphandle, flatness, ukunwetshwa kancane futhi alethe amathe izigaba phambi, amabhamuza ubuhlungu (isib, ngasesinqeni se isithupha kanye umunwe kancane kule ndawo), kanye ukusonteka neminwe. Ngaphezu kwalokho, isiguli enjalo ngokuvamile kuba wawubona unyawo ukuqina.

nezinye izimpawu

ngezinyawo elingenalutho, okuyinto ithuthukiswe ngenxa uvendle, kungase kuhambisane esilufifi paresis sohlangothi olulodwa ngokuhlanganyela equinus unyawo. Uma le ithoni kwemisipha kuyehla, kanti ukusonteka akuyona ethuthuka.

Uma umuntu unezilonda cerebral kuyagcinwa, spasticity ke lingakwazi imakwe, kukhuphuke imisipha ithoni futhi elisheshayo anda (umsipha). inqubo enjalo iqhubekela phambili futhi eyodwa emaceleni.

Iziguli zokugula azalwa naso ngokuvamile zamazwe amabili. It uvame ukuba inchubekelembili, ikakhulukazi ngezikhathi ukukhula asebenzayo (isib, eminyakeni 5-8 kanye 11-15).

Lapho sitholakele "Friedreich sika isifo ataxia" unyawo eziyize 2-indlela futhi ethuthuka. Ngokuvamile umndeni lesiguli futhi amacala lesi sifo kuyagcinwa.

Ukwandisa igobela le unyawo ngokuvamile kuhlangene ataxia futhi Gait thuthuva. Futhi, ngoba leso sifo libhekene omnene ukuzwela iziyaluyalu kanye izilonda ipheshana pyramidal.

Lapho isifo, isifo sikaCharcot-Marie-Izinyo e abantu bamake 2 emaceleni ukusonteka enenqubekela phambili futhi bayeke, kanye kwemisipha yoma, ezisabalele phezulu.

Indlela ukuxilonga?

Bonisa nge unyawo eziyize kufanele kwenziwe ngempela. Nokho, lokhu kufanele kwenziwe kuphela ngemva uphethwe uzobe elicwengwé i udokotela 'ebona. Njengomthetho, le njongo ithunyelwa nesineke futhi-X-ray plantography unyawo.

Ngo ukusonteka omnene ku plantogram wembula arc ikhefu ngilugweda onqenqemeni kwangaphakathi esikhulu, kanye protrusion ku emaphethelweni elingaphandle unyawo. Ngezinye zokugula ngokulinganisela waphawula concavity emaphethelweni yangaphandle. Ngokuphathelene isifo evelele, lo isinyathelo womuntu ematheni ihlukaniswe yaba izingxenye 2.

Zikhona nezinye izimo ezithuthukisiwe, lapho wabuka zeminwe iminwe unyawo zinyamalale ngokuphelele. Lokhu kungenxa uzipho yabo deformity.

Uma udokotela ukholelwa ukuthi imbangela yenkinga iyisifo kohlelo kwamanyuroni, isiguli kufanele udluliselwe isazi sezinzwa. Kugcine uqhuba ukucwaningwa okuningiliziwe esithinta izinzwa, wenza emgogodleni esimweni, i-MRI nakuma-CT scan, futhi electromyography nezinye izifundo.

Uma ukulimala endala amathambo tarsal isiguli kungadinga CT unyawo.

Uma unyawo eziyize yabonakaliswa okokuqala ngenkathi isiguli kungekho isifo kohlelo kwamanyuroni, futhi akukho ukulimala langaphambilini, likhuluma kungenzeka umgogodla intambo lwesimila. Kulokhu, lo muntu siqondiswe ukuhlolwa kuya oncologist.

Indlela esiphatha ngayo?

Amaqhinga yokwelapha uzipho unyawo kunqunywa isizathu sokuthuthuka, kanye isibalo lwaleli lwalugobile kanye nobudala lesiguli.

Ngo pathologies ngokulinganisela futhi ongacaciswanga kahle isiguli linqume umsebenzi yokwelapha, Physiotherapy futhi massage. amafomu Unfixed lesi sifo amenable ukulungiswa olandelanayo ngu ugqoke izicathulo nge ephakanyiswe onqenqemeni kwangaphakathi.

Kakhulu uzwakalise isifo esithile, ikakhulukazi abadala, kuncike ukwelashwa kuhlinzwa.

Kuye uhlobo zokugula kanye izimbangela sokuthuthuka engenziwa arthrodesis, osteotomy, ucezu noma nhlonhlo resection amathambo tarsal, umsipha ukufakelwa futhi asike izidumbu zabantu we fascia plantar. Futhi, sebenzisa inhlanganisela ezahlukene kulezi zindlela.

kokungenela kuhlinzwa

Ukusebenza ukubuyisela unyawo wenziwa ngendlela lohleliwe ngaphansi conduction izinzwa. Inketho engcono luyinhlanganisela ukuhlinzwa noma Chaklin Kusliku. Indlela yokugcina inikeza evulekile cut noma redressatsiyu plantar fascia kanye ucezu noma nhlonhlo resection we cuboid. Njengoba nje ingxenye resected lisusiwe, hindfoot uzimisele bebheke ematheni kanye phambi - kuya-labaqaphi elingemuva. Ngemva kwalokho, Isilonda sutured, abakhwabanisi, futhi aphansi esitho usimende sisetshenziswa, okuyinto akakhishwanga amasonto 6-7.

Ngo ukusebenza indlela Chaklin plantar aponeurosis futhi redressiruyut noma enqamula. amathambo Landelayo tarsal elingenalutho. extensor Ngakho umsipha esandleni isuswe, bese enze resection nesigaxa ingxenye cuboid kanye ukushayisana ikhanda.

Ngokuphathelene ithambo navicular, bese isuswe kancane noma ngokuphelele, kuncike ngobucayi ukusonteka.

Nge ukungenzi eqinile wokuqala metatarsal wenziwa (ngaphezu kwalokho) ke osteotomy. Lapho Equinus abagcina ukuchitha tenotomy we Achilles umsipha.

Uma kwenzeka ukuthi ngesikhathi ukuhlinzwa yokuma unyawo akakwazi ulungise umlenze usimende sisetshenziswa amasonto 3, ngemva kwalokho-ke luyasuswa, futhi senze ukulungisa sokugcina. Ngaphezu kwalokho, ibhandishi sisetshenziswa futhi uthole enye i-amasonto 4.

Insoles kanye umzimba

Kungakhathaliseki ngezinyawo eziyize iphathwa? Insoles futhi kahle wacosha izicathulo - lena ngenye yezindlela elula ukuqeda umlenze ubunzima, kanye nokuvinjelwa yayo.

Ngokusho ochwepheshe, iziguli uzipho ngezinyawo kumele makudle kwabo izicathulo ne platform ububanzi kanye isithende ongaphakeme. Loku kutawufaka sandla ukulungisa imilenze sikhundla lengiyo.

Kufanele kuphawulwe ukuthi ukuthenga izicathulo wamathambo kufanele kuphela kwenziwe ngaphansi kokuqondisa udokotela ukuba khona. Phela, lo yokugcina ingagunyaza izicathulo nge ephakanyiswe onqenqemeni kwangaphakathi. Ukuqinisekisa ukwesekwa efanele igobela le ngezinyawo, qiniseka ukusebenzisa imilenze, okungukuthi, insoles ekhethekile, ekhiqizwa oda.

Kanjani ukuze banciphise ubuhlungu elibanga unyawo eziyize? Ukuzivocavoca kanye nezinqubo bokuphila ukwelapha izifo ezinjalo akhethiwe umuntu ngamunye, ngesiphakamiso udokotela ukuba khona. Nazi ezinye izibonelo:

1. Ukuqala isikhundla ehlezi. Ukuzivocavoca Kwenziwa ngokukhululekile, bese ukumelana (omiswe imithwalo isetshenziswa unyawo, gum Gymnastic).
2. Ukuqonda umunwe ukunyakaza futhi zombili izinyawo lwaletinye tifundvo (sokhuni, iraba, zazifakwa amabhola ezahlukene ubukhulu izinduku kanye al.) Ngaphezu ukulandelana ezithile - kufanele kancane kancane ukunciphisa ubukhulu nesisindo - ukwanda.
3. imile Original. Amasokisi ngaphakathi isithende esandleni, esiphezulu zangaphandle Ukujikeleza shins, bese ukwedlulisela ukuba emaphethelweni elingaphandle unyawo. Okulandelayo - the ukwehlisa ebusweni amathe.

Futhi, ukugwema emizweni ongathandeki isiguli iqondiswa upharafini zokugeza, Geza ngamanzi afudumele kubhavu kanye deformation ngesandla lesifanele ngesimo massage.