Izindlela nokwelashwa isithende iqhubezela: yokwelapha ukushaqeka-wave iqhubezela calcaneal, esimweni, ukwelashwa laser.

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Plantar fasciitis, noma abantu "isithende iqhubezela", ngokuvamile obuhambisana nokuthanda ubuhlungu onyaweni, kwenza kube nzima ukuhamba, kuholela microtraumas kwezicubu. Izimbangela zesifo kukhona isithende flat noma okungafanele ukuphakama, isisindo. Misa womuntu ine ukuma arched futhi isekelwa esimweni ezifana welulela bowstring umsipha kwangaphakathi, ehambisana emkhawulweni wayo omunye esithendeni, kwelinye igatsha out nasezinzwanini. Yisishiso futhi "Ukuqina sekuyenzeka" Achilles imisipha futhi emisipheni kuholela ubuhlungu, umbandela we ukuhamba unyawo. ubuhlungu Maximum ububonisa ngemva ilele, e-ukuhamba ekuseni.

Izifo sitholakale usebenzisa-X-ray kanye ultrasound. -X-ray isithombe unikeza camera calcium (ossified) kumaqoqo ku ngesimo shipoobraznogo encane Ukwakha-up - iqhubezela, ultrasound wembula ukuvuvukala emkhakheni. Lesi sifo kanzima kukhawulela kungenzeka abantu ukuhamba ngendlela evamile. Nale ukwelashwa isifo singakabi ezibizayo kanye nokwelashwa eside nge esifike ngesikhathi uchwepheshe. Okwamanje, lokhu okulandelayo physiotherapeutic ukwelashwa isithende iqhubezela: radiotherapy, ukwelashwa laser, ultrasound yokwelapha ukushaqeka-wave, imijovo hormone ukuthaka imithi electrophoresis usebenzisa potassium iodide futhi novocaine.

Cabanga emihle nemibi evame kakhulu zasebenzisa izindlela ekwelapheni isifo.

1. Indlela ngokuthi shock wave yokwelapha esithendeni iqhubezela (UHT) kusekelwe ukusetshenziswa amagagasi sonar ukuthi edabula izicubu amaseli izithende, ukuhlangana isithiyo, umsipha ossified futhi ngobumnene kuthinte ke. Uma le ukuchayeka kancane kancane wabhubhisa calcium imali. Ngaphezu kwalokho, indlela yokwelapha ukushaqeka-wave iqhubezela calcaneal kuthuthukisa ukugeleza kwegazi, futhi ngenxa yalokho, igazi ligeleze avuvukele izicubu indawo.

Izinzuzo le ndlela kukhona obungenakuphikwa. Okokuqala, indlela kuyinto non-koda futhi cishe kobuhlungu. izinqubo besikhatsi cishe imizuzu engu-15, kuye kaningi isifo kobukhulu - 4-6 ukwelashwa nge esingaba 3 amaviki phakathi kwazo. Okwesibili, le ndlela inika eliphezulu kakhulu ikhambi amazinga iziguli kanye nokuntuleka ngiwela ogibeni lwezidakamizwa, futhi sidlule ubuhlungu emva lesitigamu letimbili. Njengamanje, shock wave yokwelapha esithendeni iqhubezela kuyindlela eyingqayizivele nokwelapha izifo.

Ngaphezu indlela yokwelapha shock wave, zikhona okwengeziwe, indlela ezimbili ezingekho ngaphansi ethandwa emhloleni yokwelapha. Ake sihlole kubo.

2. Indlela yokwelapha magneto-laser (MDT, noma isithende sangaleso ukwelashwa laser) esekelwe imithelela ongaphakeme umfutho ukukhanya ugongolo (laser) kumaseli onesifo esiguli, futhi imiphumela engxenyeni abathintekayo amandla kazibuthe. Umphumela nokwanda isimiso somzimba sokuzivikela ezifweni, ncono kusebenta kwemandla agezi umzimba, kukhona umphumela anti-inflammatory, elikhishiwe kwezinye izinguqulo kuyaqina we ulwelwesi cell. Ngenxa yokuba yinkimbinkimbi imiphumela emzimbeni, MLT futhi iye yasetshenziswa ngempumelelo ekwelapheni isithende iqhubezela.

3. radiotherapy isithende iqhubezela, yigama enye indlela yokwelashwa esithendeni shkory, ogxile imithelela X-emisebeni kwamandla ongaphakeme kwezicubu zomzimba. Hlukanisa ebusweni (tube voltage apharathasi 20-60kV) futhi ijulile (tube voltage apharathasi 180-400 kV) yokwelapha. Eyokuqala isetshenziswa ukwelapha dermatological izifo sphere, kanti eyesibili iye yasetshenziswa ngempumelelo ekwelapheni izinqubo ukuvuvukala okwenzeka ezijulile. Ngaphansi kwethonya emisebeni kumaseli, ukwakheka ukubila zokuzivikela, kuvusa ezicutshini.

Yiqiniso, zonke izindlela ezintathu kunezimo yabo kanye nobubi obuthile. Kodwa namanje ngingathanda ukuba zihlale kubo indlela yokuqala ekwelapheni isithende iqhubezela. Ngokusho kochwepheshe, le ndlela idinga ayihloniphe kakhulu, ngoba ephumelela kunazo. Isici esiyinhloko yokuphumelela kule nqubo, ukwelashwa esifike ngesikhathi isiguli Ochwepheshe, abayoba ukhethe indlela efanele kakhulu sokwelashwa.

Mayelana ukuphumelela kwalesi indlela asivumela ukuba wahlulele idatha kwezibalo. Phakathi kweziguli 100 okwaxoxwa nabo ababekwa ziphathwe sangaleso isithende by yokwelapha shock wave, abantu abangaba ngu-90 baye baphawula nethonya elihle futhi babe emthumeni 10 kuphela. Ngaphezu kwalokho, abaningi egqanyisiwe yokuthi ukuphathwa cishe kobuhlungu futhi kancane obonakalayo, unemizwa engemnandi emva ukwelashwa okunjalo ingekho. Yiqiniso, ukuze inkonzo kuyodingeka bakhokhe imali eningi: eyodwa yesimiso kubiza cishe u- $ 40, elokususa izimpawu ezingemnandi kuyodingeka okungenani 2-3 izikhathi, futhi babuyele ngokugcwele mayelana 5 (kuncike izici ngazinye umzimba lesiguli).

Ngeshwa, le ndlela suschestvet eziningi Izimo. Shock-wave yokwelapha esithendeni iqhubezela is contraindicated kubantu besifazane abakhulelwe, abantu abaphethwe abampofu igazi ekunqandeni, kokuba isimila esibulalayo. Futhi hhayi Kunconywa ukuba bafeze le ndlela yokwelapha kubantu abanesifo sikashukela mellitus abanale izilonda ukuvuvukala kule iqhubezela (ubomvu kumiswa uqhekeke, njll).