Matenda Keller wa anyamata ndi atsikana

Ana ena, chifukwa cha kuvulala phazi, kuvala nsapato yochititsa manyazi otsika khalidwe losasangalatsa, si woyenera, kapena mapazi lathyathyathya zingachititse necrosis a trabecular fupa. matenda, imene inkatchedwa matenda Keller angasonyeze aakulu, chifukwa mu microfractures mafupa.

Kuwonjezera pa zifukwa izi matenda Keller chingakhale chifukwa chisokonezo magazi akuwuka pobadwa, kapena wonongeka a kagayidwe mu thupi.

Magazi si kuyenda mu malo yovulala, kuwamana mphamvu fupa, potero chifukwa mu necrosis ake (chilonda).

matenda Keller wa, malingana ndi malo necrosis, mwina mitundu iwiri, wina umene ndi wofala anyamata, ndi zina - atsikana.

Keller ndi matenda 1, amene asunga anyamata mosiyana osteochondropathy wotchedwa navicular fupa phazi. Disease akuyamba ndi maonekedwe a kutupa pa mbali chapamwamba phazi. M'kupita kwa nthawi, ululu zikuoneka zokha kukhudza, komanso poyenda. Kupewa kupweteka, mnyamata akuyamba kupotokola mwendo wake mu ndondomeko ya kayendedwe, moganizira gawo lakunja phazi. Matendawa akhoza kuyamba kwa masabata angapo zaka zingapo. Kawirikawiri gawo loyamba la ululu matenda zisadzachitike.

Chithandizo tichipeza okhwima fixation ya nthambi akhudzidwa ndi pulasitala, kuonetsetsa malo lolondola ndiponso kuchepetsa katundu wapansi. Osewera akhoza ziletso pa sabata kapena mwezi. Pambuyo pulasitala adzachotsedwa loletsa kulumpha, akuthamanga, sonyezani mwendo. Ndi zofunika kupereka chitonthozo pazipita. Monga njira thandizo awerenge phazi kapena m'munsi mwendo kutikita. Kuvala insoles mafupa chofunika. mankhwala panthawi yake limakupatsani kuchotsa matenda, kubwezeretsa mafupa. Only kwambiri ananyalanyaza matenda kungafune opaleshoni.

matenda Keller 2, ndiwo ambiri atsikana, izo osteohondropatija atsogoleri a wachiwiri ndi wachitatu mafupa metatarsal phazi. Iwo amakhala ndi maonekedwe a kutupa pa malo a chotupa cha. M'kupita kwa nthawi, ululu, poyamba yekha amapezeka pa palpation ndi, nakweza poyenda, makamaka pa mtunda m'goli. matenda Keller wa kumathandiza atsikana kuyenda mu nsapato ndi zidendene zofewa. Mpatuko kupunduka, chala, m'dera zowonongeka ndi adzafupikitsidwa lingasinthe mawonekedwe ake.

Mpaka zaka ziwiri matenda ya khateyo asymptomatic kapena pafupifupi mosadziwa.

Keller 2 matenda, mankhwala ayenera kuyamba posachedwapa, nawonso, ndi curable.

Anavulala nthambi anaika Nsapato ya pulasitala milungu inayi. Pambuyo kuchotsa Nsapato akulimbikitsidwa osambira phazi, orthotics kapena nsapato, Chipilala amathandiza. zofikisa kuvomerezedwa ndi mwendo ndi phazi. nkhawa thupi pa mwendo ayenera kukhala kochepa. Opaleshoni akusonyeza okha Zikavuta kwambiri.

Mankhwalawa matenda a mitundu onse ena kuposa gypsum amalangiza atavala jekeseni wa asidi nicotinic, amene bwino zochita makutidwe ndi okosijeni-kuchepetsa, mavitamini ena. Komanso, woikidwa UHF electrophoresis ndi mankhwala enaake kashiamu kapena analgesics magnetotherapy.

X-ray ntchito oterewa miyendo osteochondropathy.

matenda Keller angathe kupewedwa, ndipo si zovuta. tikulimbikitsidwa:

• kokha kuvala nsapato omasuka kukula wake. nsapato ambiri alibe kukonza phazi, tingayambe choipa. Little kapena zolimba magazi. Zotsatira ndi kuti, ndipo wina akhoza kukhala matenda Keller;
• dosing wa katundu pa miyendo;
• dokotala anu pa chizindikiro choyamba cha kupwetekedwa kapena zotupa zina phazi;
• yake azichitira deformities phazi, akuwuka chifukwa zifukwa zosiyanasiyana.