Ukwa esithendeni: ukwelashwa elikhiqizayo futhi imiphumela edabukisayo

Yiqiniso, abantu abaningi, i-isithende eziphukile kungase kubonakale mkhuba uyimbudane futhi iwubuphukuphuku okungukuthi ngempela ezingavamile kwezokwelapha zanamuhla, kodwa akunjalo. Ngokwezibalo, ukulimala isici 3 - 4% wabo bonke ukwephula ubuqotho amathambo.

I degree of nokugasela ngamandla kwalesi sifo libhekene izici izingcezwana ukufuduka futhi kwadala umonakalo izakhi ngokuhlanganyela, njengoba kufakazelwa-X-ray isithombe etholwe. Ngakho, ukwa esithendeni omnene hhayi ephelezelwa displacement izinsalela kanye nokwethuka ezibushelelezi ngokuhlanganyela; esingokwemvelo yesibili ukuma adonsela phansi displacement izingcezwana, kodwa ngaphandle ukulimala emalungeni; kodwa khona waphuka ezinzima nobuntu ukufuduka kanye umonakalo ezishelelayo articular. Ngandlela-thile, ukucacisa ubunjalo ukwa uchwepheshe can onolwazi kakhulu ngesisekelo-X-ray luhlolo.

Okokuqala sidinga ukuthola ukuthi yini izimpawu ahambisana ukuhlukumeza nobuntu ubuqotho skeleton. Ngenxa yalesi sithombe yomtholampilo, ngokuyinhloko libhekene ukuvuvukala kanye ubuhlungu obukhulu ukuthi usabalala endaweni Achilles umsipha lonke unyawo. Ukuhamba kwe-unyawo yezimanga ligcinwe noma akufanele sephulwe, kodwa konke kuncike ubunjalo umonakalo obonakalayo. LukaMuratori Offset isithende ithambo kuhambisana nokugcinwa olungaphelele nekhono, kodwa Waphuka engxenyeni engenhla tuber calcaneal immobilizes ngokuphelele nobuntu lesiguli. Ngakho-ke kubalulekile ukwazi ukuthi kungenzeka ukwa esithendeni: onqenqemeni, ngilahliwe futhi kokucindezelwa, kanye offset futhi ngaphandle kokuthatha ihlangothi.

Uma Nokho, ngemva ze-X ray ukuba kokubonisana onguchwepheshe ukuthi nginesifo "isithende waphuka", the ukwelashwa kufanele kube ngokushesha. Nalapha futhi, labagula wesifunda lithembela ngokuphelele imininingwane umonakalo.

Uma ukwa akuyona ephelezelwa shift isithende izinsalela, kukhona indlela olandelanayo ukwelashwa, okungukuthi ngaphandle ukuhlinzwa. Ukuze ukwa omnene kudinga embhedeni ukuphumula, kanye Gypsum Imbondela kwamadolo enkathini eyiminyaka 3 amaviki izinyanga 2, kodwa kulezi zikhathi ingahluka kakhulu kuye ngokuthi uhlobo lesi sifo. Njengoba ibhekwa Kunconywa izinqubo physiotherapeutic, massage and yokuzijwayeza ekwelapheni, futhi kwezinye izithombe zokwelapha kanye naye ethwele zikagesi wamathambo njengoba insoles ekhethekile.

Kodwa foot eziphukile ungahlinzekela bone ukufuduka. Ezimweni ezinjalo, kukhona ezinye ezinkingeni ikakhulukazi uma kuziwa umzimba kokucindezelwa waphuka we calcaneus, izimpawu nokudlanga inqwaba "izingcezwana", a ukusonteka sina futhi ukulimala evele eduze ngokuhlanganyela. Injongo eyinhloko yokwelashwa ayitheli ukuthi akumelwe nje ubuyele esithendeni ngendlela efanayo, kodwa futhi ngokushesha buyisela umsebenzi kobuhlungu zonke emalungeni ngezinyawo, futhi lokhu kunzima kakhulu kangakanani. Yingakho ophukayo isithende olunjalo ludinga ukuhlinzwa, bese isikhathi nokuvuselelwa eside, okungukuthi, ukubuyisela ukusebenza evamile lokhu ingxenye skeleton.

Uma kukhona ukwa okungenhla esithendeni, ukuvuselelwa kuhilela ugqoke izicathulo wamathambo, ukwenza ukuzivocavoca ezakhelwe ukuthuthukisa ukuvakashelwa ehlanganyelwe kanye oluhlelekile Physiotherapy.

Ngakho, izimiso kwesikhathi yokutakula aqukethe e ukwenza ukuzivocavoca nge nokuhamba kwezindikimba ngokuhlanganyela subtalar, nokukhawulela umthwalo Axial ku esitho kulo yokuthola (amasonto 12) futhi obeka Axial umthwalo esigcwele ku kokuphela kwaleso sikhathi.

Ukwa esithendeni aluphumeleli benganakwa futhi uvame ukuzikhumbuza yena deforming arthrosis ka subtalar ngokuhlanganyela, deformity posttraumatic senyawo futhi izinyawo flat.