Chithandizo cha fupa pa chala choyamba. Valgus chilema ya chala chachikulu: mankhwalawa

Valgus chilema - vuto zofala, makamaka pakati pa akazi achikulire. Cones kwa chala miyendo yanu musati muziyang'anira zinthu zabwino kwambiri, ndi kupitirira wa kudwala matenda ndi chifukwa kwambiri thupi nkhawa. Nanga mankhwala fupa pa chala choyamba? Kodi zida amapereka mankhwala amakono?

Kodi valgus chilema?

Yonyansa tokhala pa miyendo nthawi zambiri ndi china chirichonse kuposa valgus chilema ya chala chachikulu. Mchikakamizo cha anthu kapena zifukwa zina zimasiyanasiyana kusokonekera katundu pa phazi, womwe kumabweretsa kusalandira phalanx ya chala kwa olamulira achilengedwe. Kumene, kusintha bwanji udindo wa mafupa onse phazi - ngati sanalandire chithandizo chilema pang'onopang'ono chimakwirira phalanges onse ndi mafupa.

magwero Main a deformities phazi

Ndipotu, kudwala izi kusiya osauka mchikakamizo cha zifukwa zambiri - onse kunja ndi mkati. Mu malo oyamba mu mndandanda zifukwa muyenera mwatchutchutchu kutengera za kumtundu - ngati mayi ali valgus chilema wa chala choyamba, pali Mwina mkulu kuti izi kulepheretsanso matenda ndi ana ake. Mwa njira, zinthu pangozi jenda wamkazi, monga akazi a zaka okhwima monga matenda anapezeka kaŵirikaŵiri.

Komanso, matenda amaganizira atavala nsapato manyazi ndi zidendene mkulu ndi wosakhazikika ndi yopapatiza chala lapansi. chakuti nsapato izi pamene kuyenda amalenga vutoli - katundu waukulu imagwera pa forefoot lapansi.

Zifukwa mulinso lathyathyathya mtanda mtundu umene pali kusintha mu minofu kamvekedwe mu forefoot lapansi. Komano, kulemera muyeso komanso amalenga katundu zina, zomwe kumaonjezera ngozi ya mapindikidwe. Nthawi zina fupa pa miyendo ndi chifukwa cha kuvulala makina, monga choipa, fupa lothyoka kapena dislocation.

siteji matenda

Mwatsoka, matenda a mapazi ndi vuto zofala. Ndipo ndikofunika kwambiri kuona maonekedwe a kupsyinjika mu magawo oyambirira, pamene inu mukhoza kukonza, popanda thandizo la dokotala. Mu mankhwala amakono, izo anaganiza kuonetsetsa magawo anayi a hallux valgus chachikulu chala:

• digiri yoyamba. Limodzi ndi kupatuka yaing'ono ya chala (madigiri zosakwana 20) ndipo ndi wamkulu zokongoletsa kuposa kusapeza thupi.
• Mu gawo lachiwiri la matenda mbali ya kuchimwa kwa pafupifupi 20-30 madigiri.
• Mbali yachitatu amakhala ndi kusamutsidwa madigiri 30-50, pamene pali mavuto koyamba phalanges zina za mapazi, kayendedwe zochepa mfundo ya chala choyamba.
• Mu sitepe wachinayi kupatuka ngodya ndi pa madigiri 50, pamene pali mapindikidwe ndithu phazi lonse, ndi odwala amadandaula kuwawa mosalekeza.

Mulimonsemo m'pofunika kuzindikira kuti matenda amenewa phazi ndi zosasangalatsa kwambiri ndi woopsa. Choncho, kuoneka tokhala kakang'ono m'munsi mwa pachala chachikulu ayenera yomweyo kupempha thandizo kwa dokotala-zamafupa.

Kodi zizindikiro za matenda limodzi ndi?

Kumene, valgus mapindikidwe limodzi ndi zingapo mwa zizindikirozi khalidwe. Mu masiteji koyamba muona mapangidwe tokhala kakang'ono, "mbewu" patsinde pa pachala chachikulu. Poyamba, odwala ndazindikira zodabwitsazi zambiri monga chilema zodzikongoletsera, ngati palibe kusapeza thupi.

Koma ngati nthenda ili m'kati chala chachikulu wayamba kupatuka kwa phalanges ena. Odwala akudandaula za kulemera mu miyendo ndipo soreness amene amabwera ndi kuyenda kwa nthawi yaitali, makamaka nsapato wovuta. Mu gawo lachitatu ululu ndi nthaŵi zonse mwamuna. Nthawi zambiri mafupa akhudzidwa kukhala chofuna kuyamba - zimakhala zofewa asamatupe, ndi reddens khungu. Mbali chachinayi cha chitukuko cha matenda amakhala ndi mapindikidwe pafupifupi phalanges onse phazi - ululu ndi nthawi ino, ngakhale pa mpumulo.

njira matenda

Amaganiziridwa hallux valgus chachikulu chala si wovuta, makamaka ngati wodwala apempha thandizo magawo kenako chitukuko matenda. Komabe, pali matenda ena phazi amene anatsagana ndi zizindikiro zofanana - monga mapindikidwe a mafupa akhoza kugwirizana ndi nyamakazi, gout ndi matenda ena. Choncho, mtima wa bwino pochitika ena mayesero zina, monga X-ray Kupenda - pa cithunzithunzi dokotala sangathe kuwona chimodzimodzi pamaso pa mapindikidwe ndi digiri ya ukulu wake, amene ankalemekeza, adzapereka poyankha funso la mmene tiyenera kuchitira matenda amenewa mapazi.

Chithandizo cha fupa pa chala choyamba

Ngati muli kukayikirana aliyense chitukuko mapindikidwe ayenera kukaonana ndi dokotala. Chithandizo cha fupa pa chala chachikulu makamaka zimadalira ndendende pa siteji ya matenda. Mu magawo oyambirira, mukhoza kuthetsa vutoli pogwiritsa ntchito njira ndiwofatsa, koma Mulimonsemo m'pofunika kukonzekera chakuti mankhwala adzakhala yaitali ndi zovuta.

Ngati pali kutupa, dokotala ayenera kuyamba kuthetsa izo, kuti magawowa alili. Chifukwa chaichi, zosiyanasiyana wothandizila odana ndi yotupa ntchito - zotsatira kwambiri pa nkhani pano ali angakhale angelo wapadera ndi zodzola.

Komanso, n'kofunika kusankha nsapato lamanja. Kuyambira hairpins mkulu ndi zala yopapatiza kusiya mokomera nsapato chikopa omasuka ndi chala lonse. Choncho, nsapato ayenera mafupa ndi atsogolere kugawa moyenera katundu wapansi. dokotala komanso adzasankha inu zakudya zoyenera kuti kudzakuthandizani kuti thupi lanu kulemera lolamulidwa ndi kuchepetsa mosavuta kutupa.

Imathandiza kwambiri nthawi zonse (tsiku) Zochita kwa mapazi, zimene zingakuthandizeni kubwezeretsa sayenda ya zida za ligamentous. Komanso, musaiwale kuti minofu yomangika zachititsanso kuti mavuto - kuti kuthetsa izi chinthu choopsya odwala amalangiza njira ya mankhwala kutikita.

Kumene, mankhwala umaphatikiza onse a physiotherapy. Makamaka, limatithandiza odwala osambira zachipatala, komanso electrophoresis ndi mankhwala, ultrasound mankhwala matope.

Mafupa chipangizo kwa chilema kudzudzulidwa

Modern zamafupa amapereka chuma cha zipangizo kuthandiza kukonza kupotozedwa mu magawo oyambirira. Mwachitsanzo, odwala akulimbikitsidwa kufunafuna insoles wapadera, zimene zimapereka katundu wa olowa akhudzidwa.

Komanso, ogwira ndi bandeji wapadera pa mafupa mwendo, umene "amachotsa" chala m'njira yoyenera amagwira izo. chipangizo oterewa nthawi zambiri amavala usiku, monga kuyenda palibe yabwino kwambiri.

Interdigital odzigudubuza ndi insoles wapadera kuthandiza bwino kugawa katundu forefoot ndi zowoneka agwirizane izo. Pofuna kuthandiza Chipilala yopingasa phazi ntchito zikulumikizana wapadera, koma iwo anaikira avale mosalekeza.

Chimodzi mwa zinthu zothandiza kwambiri zamafupa ano ndi tayala limene pali ziyangoyango pa fupa la chala choyamba. Iwo ntchito kuchipatala, ndi nthawi kuchira pambuyo opaleshoni. tayala Izi zikhoza kufooka nthawi zonse, ngakhale pansi nsapato.

Opaleshoni mankhwala a matenda

Mwatsoka, tokhala pa zala zazikulu si nthawi zonse amenable mankhwala ndiwofatsa. Nthawi zina, nawobe amachita opaleshoni ya. Masiku ano, pali njira zoposera zikwi ntchito ngati - kusankha mapindikidwe kudzudzulidwa zimadalira mlingo wa matenda ndi comorbidities.

Nthawi zina, ndi kuchotsa mutu mafupa metatarsal kapena phalanx ya chala choyamba. Koma nthawi zambiri madokotala sangathe kubwezeretsa kapangidwe yachibadwa phazi. Pa ndondomeko, dokotalayo imatsitsimula Mitsemphayi mozungulira malo, ndi kubwerera otsiriza malo yachibadwa. Ngati ndi kotheka, mafupawo atathana ndi zomangira wapadera. Only mu Zikavuta kwambiri, zimfundo akhudzidwa phazi m'malo mwa amadzala.

konzanso pambuyo opaleshoni

Kutalika kwa nthawi konzanso zimatengera makamaka mlingo wa kuchulukitsa kwa ntchito. Nthawi zambiri, kale mu masiku 1-2 wodwala akhoza ndipo ayenera kupanga magulu bwino chala. Monga ulamuliro, atapita masiku 10 wodwala kale kuyenda, koma, ndithudi, kuona ena mosamala. Ayenera kupewa yaitali ndipo kwambiri maganizo pa mfundo za kumapazi.

Komanso, muyenera kusamalira nsapato zoyenera - ndi zedi kukhala omasuka ndi nsonga lonse ndi zabwino mantha mayamwidwe. Mwa njira, ndi bwino kufunsa dokotala inu kusankha yoyenera mafupa nsapato.

zodzitetezera

Zimakhala zosavuta kupewa chitukuko cha mapindikidwe, kuposa kuyesa kukatenga mankhwala fupa pa chala choyamba. Koma zodzitetezera ndi wosavuta. Woyamba ndi kusiya nsapato wovuta. Chidendene ayenera kukhala wolimba osati kwambiri (palibe masentimita oposa asanu), ndi sock - lonse zokwanira kuti amaumiriza phalanx lapansi. Osachepera choncho ayenera kuyang'ana ngati nsapato zonse - pa zikondwerero, mukhoza kupanga zosiyana.

Kumbukirani kuti zigwirizane phazi chingathe kupirira thupi lanu, kotero onani chithunzi ndi kupewa kunenepa. Nkofunika kwambiri, ndi chisamaliro phazi - zonse osambira ofunda, kutikita ndi olimbitsa adzakhala zofunika kwambiri mapazi.

Valgus chilema ana

Ana monga matenda nthawi zambiri amapezeka mu mawonekedwe a lathyathyathya-valgus flatfoot, imene pali Chipilala kupsyinjika - chidendene cha munthu wodwala pang'ono anakana kunja. Chotero matenda kungachititse kuti ena zosokonezeka. Choyamba ndi Dziwani kuti ngati mwana akukula kumakhaladi zolimba kusuntha, chifukwa kuyenda limodzi ndi kupweteka m'thupi. Komanso, n'zotheka kupindika zimfundo zina ndi mafupa, kuphatikizapo msana.

Mwamwayi, ndi kuzindikira mwamsanga ndi mankhwala a matenda madokotala ananena zawo ana bwino. Nthawi zambiri, kuthetsa mapindikidwe n'zotheka popanda opaleshoni. Ana kukatenga wapadera nsapato mafupa amapanga zothandizira olimbitsa komanso amalangiza zofikisa zonse. Ndithu chitukuko cha mafupa ndi minofu machitidwe bwanji kupalasa njinga, kuyenda wosavala nsapato pa pamalo m'goli (monga miyala) komanso maphunziro kusambira. Opaleshoni mankhwala a mapazi valgus pa ana ikuchitika yekha kukachitika kuti mankhwala ndiwofatsa sayankha zabwino.