Chii chinonzi tsoka mhango? Treatment nzwara-rutsoka: yacho insole, maekisesaizi

Chii chinonzi tsoka mhango? Photos of zvokurwara ichi chinogona kuwanika ino munyaya. Uyewo, chirwere mubvunzo, tichaita kutsanangura, kuona kwayo zvinokonzera, achaita nyora zviratidzo uye kukuudza pamusoro kurapwa.

pfupiso

Ndizvo rutsoka negomba? zvokurwara ichi, zvichiratidza munhu deformation repasi wamativi. It kunoratidzwa kusiya zvigunwe pasi uye akamutswa chitsitsinho kumusoro. Nokuda deformation kwakadaro murwere inowedzerawo curved chaizvo Arch chisarudzo.

rutsoka Hollow angava nhaka chirwere, uyewo kuva nezera (kubva pamakore 35). The zvirwere mubvunzo kunopesana flatfoot.

deformation rwakazara

Chii chinoratidza kurapwa netsoka mhango? Nyanzvi dzinoti kusarudza kurapa iri zvakananga kufanana nyaya pane rwakazara ndiye chirwere. Nyanzvi kusiyanisa maviri deformation matanho:

1. Panguva chaipo chirwere pane nyoro zvinyama shanduko (Morphology). Kuti tigadzirise dambudziko iri, vanachiremba vanoti murwere kupa kumanikidza pamusoro wokutanga metatarsal mafupa.
2. Kana tisawirirane raikura kurapa matanho havana kutorwa, pane mudanga chokutambudzika chirwere chinoda kukurumidzirwa zvokurapa kupindira.

zvinokonzera

Sei kuva rutsoka mhango? Zvikonzero uye chaiyo mashandiro kwokuwedzera Arch yakatarwa haisati kuchijeka. Zvisinei, vanachiremba dzinoti zvokurwara ichi zvinogona kuitika nokuda kusaenzana (tsandanyama) nokuda hyper kana simba (paretic) nomunhu tsandanyama norutsoka uchingodzikira gumbo. Zviya, vamwe vanamazvikokota vanoti dzimwe nguva apo kuongorora murwere chete deformation iri mubvunzo zvisimbiswe waivapo kuderera kana, Ukuwo, vakawedzera tsandanyama inzwi rotsva.

Maererano vanachiremba vakawanda, kazhinji rutsoka mhango achiumbwa nokuda zvokurwara ari neuromuscular ezvinhu uye nhamba zvirwere, uyewo chinonzi dystrophy, poriyo, musana dizrafii, chirwere, Charcot-Marie-Tooth chirwere, syringomyelia, polyneuropathy, Friedreich kwakaita ataxia, palsy, yomumuzongoza, meningoencephalitis, benign uye nyanyisa mapundu pamusoro musana.

Very kashoma zvokurwara ichi anova nokuda dzakaderera dzomuviri kutsva kana isina kukodzera fused talus uye mapfupa calcaneus (mitswe).

Muna 20% zvose zvinhu wakatsamwisa rutsoka negomba, kuramba kujeka.

zviratidzo

In Pharmacies uye dzokurapwa nzvimbo kazhinji kutengesa insoles norutsoka mhango. Ndezvipi nokuda? Chokwadi ndechokuti chirwere ichi hazvirevi kupfuura kwakacherechedzwa kuti murwere.

With nokuwedzera yokufeva rakatenderera achirwara nguva vachinyunyuta kurwadziwa pamakumbo, kurukutika panguva kufamba uye kusagadzikana mune neketani mapfundo. Uyewo, vamwe varwere vanoti vane dambudziko iri kusarudzwa anonyaradza shangu.

Kana ukatarira munhu ane vaiona zvokurwara nyanzvi dzinoratidza kuwedzera kureba yomukati dzokunze yokufeva, flatness, zvishoma kuwedzera uye muuye inotsikwa nechemberi zvikamu, inorwadza Maronda akasiyana (semuenzaniso, mujinga napagumwe roruoko uye muduku nomunwe munharaunda), uyewo deformation yacho nemimwe. Mukuwedzera, akadaro kazhinji murwere anyatsoona rutsoka kuomarara.

zvimwe zviratidzo

rutsoka mhango, raikura somugumisiro poriyo, angaperekedzwa Blurred yaitsigira divi paresis pachiimbwa equinus rutsoka. Kana ichi tsandanyama matauriro ipfupi, uye deformation haisi kufambira mberi.

Kana munhu ane chepfungwa maronda zvinochengetwa, zvino rinogona akacherekedza spasticity, vakawedzera tsandanyama matauriro uye vakawedzera hunenge (mudzira). mumwe muitiro wakadaro mberi uye chimwe-mativi.

Varwere vachiberekwa zvokurwara rinowanzova bilateral. Kunoita kuti kunoita, kunyanya panguva yatinenge basa kukura (semuenzaniso, makore 5-8 uye 11-15).

Apo chirwere kuti "Friedreich kuti ataxia chirwere" mhango rutsoka 2-nzira uye kufambira mberi. Kazhinji mhuri murwere ndiwo zviitiko chirwere vari kuchengetwa.

Kuwedzera kwedenga norutsoka chinowanzoonekwa pamwe ataxia uye gait nenyonganiso. Uyewo, nokuti chirwere chakadai dzinoratidzwa munyoro nehanya zvinetso uye maronda ari pyramidal turakiti.

Kana chirwere, Charcot-Marie-Tooth chirwere muvanhu kwakaratidza 2-mativi mberi deformation uye kumisa, uyewo tsandanyama atrophy, izvo kunosvika kumusoro.

How rokuongorora?

Exercises tsoka negomba zviitwe hazvo. Zvisinei, izvi zvinofanira kuitwa chete pashure nechirwere achapiwa chinojekeswa chiremba ane ruzivo. Kazhinji, nokuti chinangwa ichi rwunotumirwa murwere uye X-ray plantography rutsoka.

In munyoro deformation pamusoro plantogram yakaratidza guru chinhu chakakombama concave rusesi yomukati pamucheto, uye protrusion pamusoro rokunze pamuuyo rutsoka. At mwero zvokurwara vakachengeta concavity kuchivanze mucheto. Panyaya raidudzwa chirwere, vanhu rupawo pamusoro sole rakakamurwa 2 nhengo.

Kunewo dzakabudirira kacho, kana fingapurindi minwe rutsoka contours zvachose. Izvi imhaka yavo nzwara wakarebesa.

Kana chiremba anotenda kuti mhaka dambudziko chirwere ari neuromuscular ino, murwere anofanira raireva wetsinga. Last achiitisa munhu chetsinga kuongororwa hwakadzama, anoita nomuzongoza radiography, MRI uye CT Scans, uye electromyography nezvimwe zvidzidzo.

Kana mutana kukuvara mapfupa tarsal murwere kungada CT tsoka.

Kana rutsoka booka chakaziviswa kekutanga apo murwere hapana chirwere ari neuromuscular ezvinhu, uye hapana kukuvara zvapfuura, rinotaura mukana ane musana bundu. Panyaya iyi, munhu inoendeswa rokuongorora kuti oncologist.

How kurapa?

Nzira nzwara-rutsoka ARV pakutsvaga nokuda kwayo kukura, uyewo kuwedzera mwero curved chematenga uye murwere zera.

In pathologies zvine mwero uye havaratidzi kurondedzerwa murwere aisirwe chiitwa kurapa, physiotherapy uye masaja. Unfixed siyana chirwere amenable kuchinja kururamiswa nokupfeka shangu ane vanomutswa yomukati mucheto.

Zvakasimba akaratidza yakamisirwa chirwere, kunyanya vakuru, pasi kuvhiya kurapwa.

Zvichienderana mhando zvokurwara uye zvinokonzera ayo budiriro inogona kuitwa arthrodesis, osteotomy, kirisendi kana resection mapfupa tarsal achikanganisa, mudzira nokuisazve uye kwetsinga pamusoro plantar fascia. Uyewo, shandisa anofambidzana siyana idzi nzira.

kuvhiya kupindira

The oparesheni rokudzorera tsoka rinoitwa nenzira yakarongwa nenzira pasi conduction yokutindivadza. The yakanakisisa nzira kunosanganisira kuvhiyiwa kana Chaklin Kusliku. Zvapedzisira nzira chinopa rakazaruka akagerwa kana redressatsiyu plantar fascia pamwechete kirisendi kana achikanganisa resection yacho cuboid. Nokukurumidza ari sezvo mugove resected zvabviswa, hindfoot ndeyokubvisa nenzira sepasi uye pamberi - kusvikira-shure. Zvadaro, ronda sutured, zvaimutambisira, uye nechezasi muzvidimbu varinamire parinoshandiswa, iyo isina kubviswa mavhiki 6-7.

In oparesheni nzira Chaklin plantar aponeurosis uyewo redressiruyut kana dissect. Next mapfupa tarsal pachena. Saka extensor mudzira muruoko yabviswa, uye ipapo kuita resection achikanganisa pamusoro cuboid mugove uye musoro kudhumhana.

With Panyaya ari navicular pfupa, zvino chinobviswa zvishomanana kana zvachose, zvichienderana kwokuomerwa yacho deformation.

With simba kusiya wokutanga metatarsal rinoitwa (anowedzera) nayo osteotomy. Paakaona Equinus vanopedza tenotomy of achilles mudzira.

Kuri kuti pakuvhiya nzvimbo rutsoka haisi kukwanisa kuchinja kuti gumbo varinamire rinoshandisirwa nokuda 3 kwemavhiki, pashure pacho hwaputswa, uye kuti okupedzisira padzimwe. Uyezve, mucheka rinoshandisirwa zvakare kwemamwe 4 kwemavhiki.

Insoles uye kurovedza

Kana rutsoka booka kubatwa? Insoles uye zvakarurama vakanonga shangu - iyi ndiyo imwe nyore nzira yavangabata gumbo kugozha, uyewo dziviriro zvayo.

Maererano nenyanzvi, pamwe nzwara-rutsoka varwere vanofanira kupa sarudzo yavo shangu vane hwayo chikuva uye pasi chitsitsinho. Izvi zvichaita kuti pave kugadzira namakumbo zvakarurama nzvimbo.

Zvinofanira kucherechedzwa kuti kutenga vachibatsira shangu vanofanira chete kuva pasi kutarisira kupinda chiremba. Sezvineiwo, yokupedzisira ringavakurudzira shangu imwe vanomutswa yomukati mucheto. Kuti vave nechokwadi rutsigiro chairo chematenga norutsoka, iva nechokwadi kuti kushandisa splints, kureva, anokosha insoles, kugadzirwa arayire.

How kuderedza marwadzo hunokonzera rutsoka negomba? Exercise uye vasiri nzira nokuda kurapwa kwezvirwere zvakadai vanosarudzwa nomunhu, pamusoro dzinoenda ari kupinda chiremba. Heino mimwe mienzaniso:

1. Kutanga chinzvimbo agere. Kuekisesaiza rinoitwa pachena, ipapo kurwisa (yakatarwa mitoro kurevawo rutsoka, gymnastic chingamu).
2. Kunzwisisa munwe kufamba uye vaviri tsoka dzakasiyana nyaya (emapuranga, rabha, simbi balls ose dhayamita tsvimbo siyana uye said.) Mune imwe kutevedzana - vanofanira kuderedza zvishoma nezvishoma kukura uye uremu - kuwedzera.
3. Original akamiswa. Masokisi mukati chitsitsinho muruoko, kufadza zvokunze kutenderera shins, ipapo yezwi rokunze kumucheto rutsoka. Next - the achideredza pamusoro pechiso inotsika.

Uyewo, kudzivisa zvisingafadzi nezvekufadza murwere raitongwa Paraffin dzokugezera, kugeza nemvura inodziya uye manually akarurama deformation muchimiro masaja.