Kupindika zala: zimayambitsa, mankhwala. Opaleshoni wapansi

Kupindika zala, nthawi zambiri, kuthamangitsa akazi koposa anthu. Ichi ndi chifukwa kuvala nsapato ndi zidendene kapena nsapato zolimba chitsanzo. Pa sanasiye kutiuza, opunduka fupa, anayamba akukangamizani mzake, chifukwa ndiwo anapanga matuza kapena chimanga. Bone pamene kupweteka m'malo olumikizirana mafupa kukhala chofuna, ndi kuvala nsapato samaona ngati izo. Kodi kuchotsa vuto ili? Choyamba, tiyeni tione zizindikiro choyamba. Ndipotu, aliyense amadziwa kuti chithandizo mwamsanga akuyamba, kosavuta adzachotsa kupweteka, ndipo alibe opaleshoni wapansi.

Zizindikiro zoyambirira za matenda

Kudwala matenda a, maonekedwe a ululu kuvala nsapato. Pamene inu kukhudza odwala mafupa anthu amamva ululu, redness, kapena kutupa zotheka, koma zazing'ono. Anthu ambiri kulabadira zizindikiro loyamba kuyambira muzindikire matenda ndi kale pa diso kuonekera yokhota kumapeto. Ngati vuto ndi chala chachikulu, ndiye obrazutsya "fupa" imene kumaoneka zodzikongoletsera chilema.

Zala zina olumala kuthamanga kwambiri yapafupi, imbaenda chowawa chafing ndi indentation zala pa wina ndi mzake. Zingatipangitse kudutsa zala. Pa chiyambi cha matenda m'pofunika kukaonana ndi katswiri ndi kuyamba mankhwala si opaleshoni.

Zimayambitsa kupindika zala

Asayansi osati elucidated zimayambitsa matenda mpaka mapeto, koma akukhulupirira kuti awa ali ayenera kutengera za kumtundu zimene akufotokozera kufooka kwa mafupa ndi minofu connective. Zimenezi zimathandiza munthu flatfoot, kufooka kwa mafupa, nyamakazi, matenda osiyanasiyana a dongosolo endocrine. Chifukwa chachikulu kupindika ndi imatengedwa omangika ndi kuvala nsapato zolimba, zomwe ndi kuthamanga zonse pa malo ofooka, kumaphwanya dongosolo lawo.

mitundu ya matenda

Pali mitundu ingapo ya kudwala:

1. Hammer kupindika zala. Mu matenda amenewa ndi zala ndi flexed. Kusonkhana ndi kuvala yaing'ono kukula nsapato, nyamakazi kapena yopingasa flatfoot. Mtolo wotaya kusinthasintha ake ndi digiri ya mavuto wathyoka flexion ntchito. Pali mitundu iwiri. Mbali yoyamba, chala akhoza flattened ndi dzanja, wachiwiri - simukhala ngakhale ndi dzanja. M'pofunika kukaonana ndi podiatrist ndi kuyamba zofikisa achire, atavala insoles kukonza ndi rectifiers chala. Zikavuta popanda opaleshoni sangachite.
2. Claw kuswa nkhungu zala. Kugwirizana ndi kuvala nsapato zothina. Chonchi matenda chakhungu innervation wa phalanx ya zala kukhudza fupa ndi minofu minofu. Muyenera kupita nsapato ndi zala lonse ndi zofewa, kufinya zala zake. Valani ena splint wapadera chala kuti amasunga zala zanu kukhudza. Ngati dokotala akusankhidwa ndi kukonzedwa opaleshoni ya tendon, ndiye ikuchitika ndi puncture, opanda kudula minofu ndi motalika machiritso ndondomeko.
3. Anawoloka zala. Mtundu wa kupindika osati kuchotsa ngakhale katswiri. Zowoneka bwino kuti mu nkhani iyi zala ali pa wina ndi mzake. chifukwa mwina ndi nsapato amphamvu ndi yopapatiza chala, matenda nyamakazi kapena yopingasa flatfoot. Pa chiyambi cha kupindika zala kuvala straighteners chala wapadera, koma nthawi ntheradi mwatsatane yekha wapansi.
4. Valgus chilema wa chala choyamba. Ndi matenda amakula fupa, amene nthawi zonse akukumbutsa yekha ululu ndi wosakhazikika mwendo poyenda. Nthawi zina amakhala chofuna, ofiira ndi zilonda pa kuthamanga ndi flexion phazi. Matendawa achuluke, fupa limakula ndi chala kwambiri olumala. Ankachitira makamaka ndi opaleshoni.
5. Taylor mapindikidwe (kupindika chala wachisanu). Pamene matenda ngati chala zazing'ono apangidwe inwards. Izi zimachitika kwa miyendo zosayenera kaimidwe pamene atakhala. Ena evert phazi ndi kuthamanga ukugwa kumbali. Pamene mapindikidwe izi zimachitika chala chaching'ono pa mwendo ndipo pali kugundana (excrescence) m'malo mwa anzawo. Mankhwalawa kudwala izi ndi zofunika kopambana kusintha malo okhalamo, kuvala lotayirira, nsapato zofewa, zisoti kutsatira chala chaching'ono mu malo olondola.

Kupindika pachala chachikulu

Mu nthawi yathu, kwambiri ambiri, walandira matenda olowa ndi chala chachikulu. Pa malo a kupindika mwala kuoneka pa zala. Iwo nthawi zambiri chofuna ndi zilonda.

Pali magawo angapo a matenda:

1. The mapindikidwe a zala sadzachitanso noticeable. No yotupa ndondomeko. Palibe ukuwawa.
2. Zowoneka amakhala noticeable kupatuka chala zosiyana. Nthawi zina ululu ndi adazindikira olowa.
3. Chala ankatembenukira kwambiri. Panali fupa kulitchula. Ululu zambiri ndi yaitali.
4. ululu sasiya yaitali kwambiri, mapindikidwe wa zala mwamphamvu chionetsedwe.

Matenda zimene zimachititsa kupindika zala

Kuwonjezera atavala nsapato cholakwika, pali zinthu zingapo zokhudza maonekedwe a kupindika zala zanga. matenda lofunika kwambiri monga matenda a shuga, psoriasis, mawotchi kuwonongeka kwa zala kapena zala, nyamakazi, ndi kufooka kwa mafupa. Chifukwa cha kuvulala phazi, angathe reflex dystrophy. Matendawa akhoza kuyamba chifukwa cha kuwonongeka kwa wamanjenje dongosolo la miyendo. Oziziritsa ziwalo, dzenje phazi, angapo sclerosis, matenda Charcot-Marie, kungachititse kuti kusintha pathological a dongosolo neuromuscular ya phazi ndi zala.

Komanso ali ndi chizolowezi deformations ngati anthu ndi majini. Ngati mayi anu ali ngati fupa ndi, chiopsezo kwa inu, ndi pano. Koma izi ndi zinthu zonse powonjezera. Chinthu chachikulu chomwe fupa kwa zala, madokotala ambiri okayikitsa, yopapatiza kapena zolimba nsapato. Iwo anaona kuti m'mayiko otentha kapena underdeveloped kuti samavala nsapato konse, kapena ukadalipo nsapato, matenda palibe kwathunthu.

Chithandizo cha matenda

Mmodzi ambiri zokhazikidwa ndi kosatheka kupereka odwala onse. matenda Ichi chokha amafuna munthu njira. Malinga mlingo wa kupindika ndi kukhalapo kwa ululu, dokotala angakupatseni mankhwala ndiwofatsa kapena opaleshoni.

Pofuna kuletsa mapindikidwe mankhwala kuvala nsapato zapadera, Chipilala zogwiriziza ndi correctors phazi. Pakati pa chala chachikulu ndi chala kachiwiri anaikapo mu wodzigudubuza wapadera, amene amasunga zala zanu mu malo msinkhu ndi mabasi kupindika zina.

Ululu kumachitika pamene kutupa mu olowa. Zimafunika kuti asiye. Pakuti ichi akuchipatala odana ndi yotupa mankhwala. Zimakhala Komanso nkhani physiotherapy ndi kutikita. Nthawi yapadera, jakisoni corticosteroid akhonza kupatsidwa. Disprospan adzalandira zotsatira zabwino, Kenalog, ndi hydrocortisone.

Ngati kutupa kwa kapisozi olowa chifukwa kukhudzana ndi matenda, ndiye dotolo n'kukulemberani mankhwala ndi antiseptics. Koma njira zonse izi okha kusiya matenda. Kuti tichotse kwathunthu, muyenera opaleshoni.

Wothandiza mafupa zipangizo

Masiku ano anatulukira zipangizo zambiri mafupa amene anatulutsa njira kwakukulu vutoli. Izi wapadera insoles, zidendene, insoles, interdigital odzigudubuza correctors. Ena amafuna kuvala masana, ena pa avale usiku. Cholinga cha makina onga - kusunga zala mu malo olondola, motero kukatseka zina curving ndondomeko.

Iwe ukhoza kugula mphira kulimba n'zogwirizana pa maola ochepa. Izi lonse mphira Mzere wokhala Ikani-kugundana kwa Chipilala phazi. Ndi zolimba kwambiri ndi ungatilepheretse mapazi yachibadwa magazi. Choncho, sitinganene kufooka kwa nthawi yaitali.

Pali matayala omasuka amene anaikapo mu nsapato ndi mapazi a kukhudza mtima kusokoneza gawo nsapato pamwamba. Iwo mongoyembekezera relieves wodwalayo.

mankhwala ntchito

Zikavuta wa mapindikidwe, pamene palibe njira sititenga, munthu amakhala kupweteka m'thupi ndipo sangathe kuvala nsapato iliyonse, monga kuthandiza ntchito. Pali pa zana mitundu yosiyanasiyana ya ntchito. Ambiri, excision opaleshoni yafupika pamwamba kapena m'mphepete limodzi kuchotsa minofu zofewa ndi fupa, amene kusokoneza malo zachibadwa za zala.

M'njira choopsa cha matenda akhoza kuika zomangira, mgwirizano waya kapena mbale. Kuchita ntchito yambiri milandu pansi mankhwala oletsa ululu pamalopo. Kutalika kwa zikunena ngati ora limodzi.

mitundu ya ntchito

Taganizirani mitundu yofala opaleshoni:

• Ekzostektomiya. Kuchotsa adzakhala mutu wa metatarsal fupa. Izi dipatimenti fupa limene tokhala anapanga.
• Osteotomy. Pa ntchito imeneyi amachotsa mbali ya fupa kapena phalanx.

• Artplastika resection. Kudula nsonga ya metatarsal fupa pamphambano ndi phalanges lapansi. Pali olowa metatarsophalangeal.
• olowa arthrodesis. Pangani zinthu pa zikunena kuti stiffness olowa.
• Opaleshoni m'malo olumikizirana mafupa ndi amadzala yokumba.
• Kubwezeretsa Opaleshoni Mitsemphayi ndipo zimakhala connective padziko olowa ya chala chachikulu.

kupewa matenda

Pofuna kupewa mapindikidwe zala pa phazi, m'pofunika kusiya chitsanzo cha nsapato ndi kusamukira njira yabwino kwambiri. Ziyenera kukhala otsika nsapato za chitendene chosongoka, ndi zingwe, ndi ufulu chala lonse. Msinkhu, kusintha nsapato kukula, choncho onetsetsani kuti kunyamula koyenera zovala zatsopano musanagule. Tiyenera kukumbukira kuti madzulo ndi kupondaponda mwendo zitunda, kuti nsapato ndi bwino kugula mu nthawi tsiku. Tisaletse Kumapazi kupereka masewera nsapato, nsapato kuwala ndi kuvina zatchatchatcha, nsapato. Ndi zofunika kusankha mankhwala zopangwidwa kuchokera ku zipangizo achilengedwe.

Akazi pa 40 ndi amuna a zaka zoposa 45, ngakhale kuti boma chala kuti anaikapo mu insoles nsapatoyo, chifukwa mu nthawi iyi, kukhala obwera ndi ukalamba mapazi mosabisa.

Chinthu chachikulu ndi inu simungathe kudziletsa medicate. Only katswiri amadziwa kuwongola zala bwino. Zizindikiro woyamba wa matenda ayenera kupita zamafupa kapena dokotala.