He aha te mea he waewae tuwhera? Treatment maikuku-waewae: te insole, mahi

He aha te mea he waewae tuwhera? Photos o tenei māuiuitanga e taea te kitea i roto i te tuhinga nei. Ano, te mate i roto i te pātai, ka tautuhi matou, tautuhi ona take, ka whakarārangi tohumate me te korero ki a koutou e pā ana ki te maimoatanga.

whakarāpopototanga

Ko te waewae tuwhera? Tenei māuiuitanga, tera i te deformation o nga topito o raro. Kei te āhuatanga i te reira e te Karauna o nga matimati ki raro, me te rekereke ake whakaarahia. Nā ki taua deformation i roto i nga piki manawanui mārika i kōpiko taumira kikorangi.

kia waiho waewae Hollow he mate tuku, me te ki te whakawhanake me te tau (i 35 tau). Ko te mate i roto i te pātai ko te ritenga o te flatfoot.

atamira deformation

He aha whakatau te maimoatanga o te waewae tuwhera? Tohunga mea e ko tika te whiriwhiri o te therapy mea e hāngai ana i te mea atamira ko te mate. Mataotao wehewehe rua kaupae deformation:

1. I te timatanga rawa o te mate i reira he huringa kiko ngohengohe (Morphology). I roto i te tikanga ki te whakatau i tēnei raruraru, tūtohu tākuta he manawanui ki te whakarato i te pēhanga ki runga ki te matenga o te wheua metatarsal tuatahi.
2. Ki te kahore te matatu i whakawhanakehia te mehua maimoatanga i tangohia, i reira te mea he wāhanga pūmau o te mate e titau wawaotanga akiaki hauora.

take o

He aha te whakawhanake waewae tuwhera? Ko te take, me te huarahi tangohia o te whakanui ake kikorangi huinga e kore kua ano i haamaramaramahia. Heoi, tākuta whakaaro e taea tenei māuiuitanga puta tika ki te tāne (uaua) e tika ana ki te Kōnei ranei paruparu (paretic) o uaua takitahi o te waewae, me te waewae o raro. E te ara, etahi tohunga e mea e te tahi mau taime, no te ui i te manawanui ki te deformation i roto i te pātai whakau i te hekenga i tohua ranei, hei kōrero, kore āhua uaua nui haere.

E ai ki te nuinga o tākuta, tino maha i hanga te waewae tuwhera tika ki te māuiuitanga o te pūnaha uauaio me te maha o nga mate, me te uaua te ma'ii'o, whakamemeke, dizrafii filosilivá, mate, mate Charcot-Marie-Niho, syringomyelia, polyneuropathy, ataxia a Friedreich, haaparuparu pararutiki, meningitis, meningoencephalitis, pukupuku Koló, me te mārere o te ua.

Tino uaua whanake tenei māuiuitanga e tika ana ki te wahi o raro o weranga ranei talus tano ore tauta me wheua calcaneus (piere).

I roto i te 20% o nga āhuatanga katoa i whakapataritari he waewae tuwhera, noho mārama.

tohu

I roto i pharmacies me pokapū hauora maha hoko insoles mō te tuwhera waewae. He aha e ratou mo? Ko te meka Ko e kore e tenei mate haere hia mo te manawanui.

Ki te hua i roto i te mate kikorangi tairanga tonu amuamu o te mamae i roto i te waewae, rohirohi i roto i haere, me te hūhi i roto i te hononga pona. Ano, etahi tūroro mea e whai ratou fifi nui i roto i te kōwhiringa o hu whakamarie.

A, no te tirohia i te tangata ki te tohunga māuiuitanga whakaaro te whakakite i te hua i roto i te tiketike o te kikorangi roto, ki waho, flatness, roha iti, me te kawe i te kapu o te wāhanga mua, opupu fakamamahi (hei tauira, i te turanga o te koromatua, me te maihao iti i roto i te rohe), kia rite ki te pai kia rite ki te deformation o te maihao. I tua atu, ko te maha he manawanui taua he pakeke waewae i tohua.

atu tohu

waewae Hollow, i whakawhanakehia rite ki te hua o te whakamemeke, kia haere tahi i te paresis unilateral te peroo i roto i te taha ki te equinus waewae. A, no te te heke tenei oro uaua, a kahore te te deformation ahu whakamua.

Ki te he e kitea pāpaka kaka he tangata, spasticity ka taea te tohua reira, nui haere āhua uaua, me te nui haere reflexes (iohere). He ahu whakamua, me te taha-tetahi he tukanga peheé.

Tūroro ki māuiuitanga congenital ko te tikanga më. whangai ana te reira ki te ahunga whakamua, tautautefito ki he lolotonga wā o te tipu kaha (hei tauira, 5-8 tau, me te 11-15).

A, no te te tātaritanga o "mate ataxia o Friedreich" waewae tuwhera 2-ara, me te ahu whakamua. Ko te tikanga he take o te mate e kitea ana hoki te whānau o te manawanui.

Te whakanui ake i te kikorangi o te waewae kua maha ngā reira ki ataxia me kiwi e raruraru. Ano, hoki he mate taua āhuatanga e disorders tūtohutanga ngawari me pāpaka o te wahi pyramidal.

A, no te mate, mate Charcot-Marie-Niho i roto i te tangata tohua deformation 2 taha-ahu whakamua, me te mutu, me te uaua atrophy, e toro whakarunga.

Me pēhea te ki te tātari?

Mahi ki te waewae tuwhera kia mahi tika. Heoi, kia tenei kia meatia i muri anake ka te tātaritanga kia haamaramaramahia e te tākuta mātanga. Ka rite ki te tikanga, kua tonoa ki te manawanui me te X-ray plantography waewae mo tenei whakaaro.

I roto i te deformation ngawari i runga i plantogram whakakitea hikinga hakoko mata nui pewa roto, me te protrusion runga i te mata waho o te waewae. I māuiuitanga āhua kitea kōpapatanga ki te mata waho. Ki te whakaaro ki te mate korerotia, e tahuri iho te ōhakitia tangata o te kapu ki te 2 ngā wāhanga.

He hoki ngā take matatau, ina ngaro mea rawa he takiwa maihao tapumati waewae. He tika ki to ratou hira maikuku tenei.

Ki te whakapono te tākuta e te take o te raruraru, ko te mate o te pūnaha uauaio, kia te manawanui me tuku atu ki ha toketā neave. fakahoko whakamutunga he whakamātautau neurological taipitopito, mahi tuarā Radiography, MRI ko CT scans, me electromyography me ētahi atu akoranga.

Ki te kia rapua e te mate tawhito o te wheua tarsal ki te manawanui CT waewae.

Ki te i whakakitea waewae tuwhera mo te wa tuatahi i te manawanui kahore mate o te pūnaha uauaio, me kahore whara o mua, korero reira o te pea o te puku ua. I roto i tenei take, kua whakahaua te tangata ki te tirohanga ki te matepukupuku rānei.

Me pēhea te ki te hamani?

takoto tātai therapy maikuku-waewae e te take o tona whanaketanga, me te te auau te whakanui ake o te kikorangi kōpiko me te tau o te manawanui.

I roto i te pathologies tika me painga tautuhia o te manawanui whakahau mahi therapy, i tua me te mirimiri. momo Unfixed o te mate ako momo Nireaha mā te mau hū ki he mata i roto whakaarahia.

Kaha te whakaputa mate pūmau, rawa i roto i ngā pakeke, i raro ki te maimoatanga hāparapara.

Tei runga i te momo o te māuiuitanga me nga take o tona whanaketanga taea te whakamana arthrodesis, osteotomy, heitiki ranei poro resection o nga wheua tarsal, iohere transplant me te tuakitanga o te waerewa. Ano, te whakamahi i ngā ngā o enei tikanga.

wawaotanga hāparapara

kawea te mahi ki te whakahoki i te waewae i roto i roto i te tikanga i āta whakamaheretia i raro i kawenga rehunga. Ko te kōwhiringa pai ko te huinga o te pokanga Chaklin Kusliku ranei. E whakarato ana te tikanga o muri he tarai redressatsiyu plantar ranei tuwhera fascia tahi ki te heitiki poro ranei resection o te tapawhā hāngai. Ka rite ki te wahi resected nekehia te, he piko i te aronga o te kapu, me te mua te hindfoot - ki-muri. I muri iho, e sutured te motu, awakeri, a kua tono raro te raima e alangá, e kore e nei nekehia 6-7 wiki.

I roto i te mahi redressiruyut hoki te tikanga Chaklin plantar aponeurosis ranei tuaki. Next wheua tarsal whanau. Ko te kupu extensor nekehia tendon i roto i te ringa te, a ka mahi i te resection poro o te wahi tapawhā me te tukinga upoko.

Ki te whakaaro ki te wheua navicular, ka kua nekehia reira wāhanga tino ranei, i runga i te pakeke o te deformation rānei.

Ki te kaha mahuetanga o te tuatahi metatarsal whakamana te (ato'a) reira osteotomy. A, no te mātakitaki Equinus noho tenotomy o te uaua i memenge Achilles.

I roto i te kaupapa e i roto i pokanga kore e taea ki te whakarite mo te waewae te raima te tono mo te 3 wiki, i muri nei te nekehia atu te reira, ka hanga whakatikatika whakamutunga te tūranga o te waewae. I tua atu, tono ano te tipare te hoki tetahi 4 wiki.

Insoles me mahi

Ahakoa waewae tuwhera tukinotia? Insoles a tika tangohia ake hu - ko tetahi o nga ara māmā ki te pehea o waewae riaka, me te tona ārai tenei.

E ai ki nga tohunga, ki te tūroro maikuku-waewae me hoatu ratou hiahia mo hu ki tūāpapa whānui, me te rekereke iti. Ka whai wāhi tēnei i ki whakatika nga waewae i roto i te tūranga tika.

Me mahara hoki käore te reira e ki te hoko hu orthopedic kia anake kia raro i te mātakitaki o te tākuta te haere. Ratau, kia tūtohu te muri hu ki te mata i roto whakaarahia. Ki te whakarite tautoko tika mō te kikorangi o te waewae, kia mohio ki te tono kiri, e ko, ki insoles motuhake, hangaia tono.

Me pēhea te ki te whakaiti i te mamae e ai te waewae tuwhera? E tīpakohia mahi me ngā tukanga whaiaroaro mo te maimoatanga o taua mate i runga i te pūtake takitahi, i runga i te kupu tohutohu o te tākuta te haere. Here te tahi mau hi'oraa:

1. Tīmata tūranga e noho ana. kawea Mahi i roto i noa, na te ātete (whakaritea e te pikaunga tono ki te waewae, kāpia gymnastic).
2. A noaa nekehanga maihao, me waewae e rua o ngā kaupapa rerekē (rakau, rapa, pōro maitai o rerekē rakau diameter me al.) I roto i te tetahi raupapa - kia āta ratou whakaiti i te rahi me te taimaha - hua.
3. tūranga tu Original. Tōkena roto i te ringa o te rekereke, te mōrahi shins hurihanga waho, ka whakawhiti ki te mata waho o te waewae. Next - te e tukupu ana o te mata o te kapu.

Hoki, ki te karo sensations kino ki te manawanui faaterehia parawini pati, he pati mahana me te deformation tika ā i roto i te puka o te mirimiri.