Mene ne wani m kafar? Jiyya kambori-ƙafa: da insole, motsa jiki

Mene ne wani m kafar? Hotuna da wannan Pathology za a iya samu a yanzu labarin. Har ila yau, da cuta a cikin tambaya, za mu ayyana, gane ta haddasawa, zai jera cututtuka da kuma gaya muku game da magani.

Takaitacciyar

Wannan shi ne m kafar? Wannan Pathology, yana ambaton mai nakasawa daga cikin ƙananan extremities. An halin tsallake yatsun saukar da wani tãyar da diddige up. Saboda irin wannan nakasawa a cikin haƙuri ƙaruwa markedly mai lankwasa baka ƙuduri.

M kafar iya zama wani hereditary cutar, kazalika da ci gaba da shekaru (daga shekaru 35). A cuta a cikin tambaya shi ne kishiyar na flatfoot.

nakasawa mataki

Abin da kayyade da magani daga m kafar? Masana sun ce cewa zabi wani far ne kai tsaye related al'amari a abin da mataki ne da cuta. Kwararru rarrabe biyu nakasawa matakai:

1. A farkon sosai da cutar akwai taushi nama canji (ilimin halittar jiki). Domin warware wannan matsala, likitoci bayar da shawarar a haƙuri ga samar da matsa lamba a kan shugaban na farko yatsun kafa kashi.
2. Idan iri da samar da magani da matakan da aka dauka ba, akwai wani barga lokaci da cutar cewa bukatar gaggawa likita shiga tsakani.

Sanadin

Me ci gaba da m kafar? A dalilan da daidai inji na kara baka sa ya ba tukuna aka bayyana. Duk da haka, likitoci bayar da shawarar cewa wannan Pathology iya faruwa saboda rashin daidaituwa (tsoka) saboda wuce-wuri ko raunanar (paretic) na mutum tsokoki na da ƙafãfu da kuma ƙananan kafa. Af, wasu masana sun ce wani lokacin idan nazarin wani haƙuri tare da nakasawa a tambaya tabbatar da alama rage ko, conversely, ya karu tsoka sautin kasa.

Kamar yadda mafi likitoci, mafi sau da yawa m kafar aka kafa saboda da Pathology na neuromuscular tsarin da kuma yawan cututtuka, kazalika da murdede dystrophy, cutar shan inna, da laka dizrafii, cuta, Charcot-Marie-Hakori cuta, syringomyelia, polyneuropathy, Friedreich ta ataxia, cerebral palsy, meningitis, meningoencephalitis, benign kuma m marurai na laka.

Sosai da wuya wannan Pathology tasowa saboda da ƙananan wata gabar jiki na konewa ko improperly Fused talus da kashi cikin diddige ƙasũsuwa (samu karaya).

A 20% na dukkan abubuwan da tsokani wani m kafa, kasance m.

cututtuka

A magani da cibiyoyin harkokin likita, sau da yawa sayar insoles domin kafa m. Menene suka ga? Gaskiyar ita ce, wannan cuta ba ya wuce kada a gane shi ga mãsu haƙuri.

Tare da karuwa a cikin arched vault rashin lafiya kullum na fara jin ciwo a ƙafafunsa, gajiya a lokacin tafiya da kuma rashin jin daɗi a cikin idon gidajen abinci. Har ila yau, wasu marasa lafiya sun ce sun yi wahala a zabin da dadi takalma.

Lokacin da kyan gani, daga wani mutum tare da la'akari Pathology masana bayyana wani karuwa a tsawo na ciki da kuma m baka, flatness, kadan fadada da kuma kawo soles na gaban sassan, m blisters (misali, a tushe na thumb da Ƙaramin yatsana a yankin), kazalika da nakasawa da yatsunsu. Bugu da kari, irin wannan haƙuri shi ne sau da yawa wani alama kafa ya sagè.

wasu alamu

M kafa, wanda ci gaba a sakamakon cutar shan inna, iya a tare da mara kyau unilateral paresis a tare da fiya da ƙafa. Lokacin da wannan tsoka sautin da aka rage, da nakasawa ba ci gaba.

Idan mutum yana da cerebral raunuka ne kiyaye, to, shi za a iya alama spasticity, ta ƙara tsoka sautin kuma Ya ƙãra reflexes (agara). Irin wannan tsari ne m da kuma daya-gefe.

Marasa lafiya da nakasar Pathology ne yawanci dangantakar. Yana o ƙarin ci gaban, musamman sã'õ'in aiki girma (msl, 5-8 shekaru da kuma 11-15).

Lokacin da ganewar asali "Friedreich ta ataxia cuta" m kafar 2-hanyar da ci gaba. Yawancin lokaci haƙuri da iyali ne ma lokuta da cutar suna lura.

Kara baka da kafar shi ne sau da yawa a hade tare da ataxia da Gait disturbances. Har ila yau, irin wannan cuta halin da m ji na ƙwarai cuta da kuma raunuka da pyramidal fili.

Lokacin da cuta, Charcot-Marie-Hakori cuta a cikin mutane alama 2-gefe m nakasawa da kuma daina, kazalika da tsoka atrophy, wanda kara sama.

Yadda za a gane asali?

Darussan da wani m kafar ya kamata a yi dole. Duk da haka, wannan ya kamata a yi kawai bayan da ganewar asali za a tabbatar da shi a wani gogaggen likita. Matsayin mai mulkin, don wannan dalili aka aiko zuwa ga haƙuri da X-ray plantography kafar.

A m nakasawa a kan plantogram saukar manyan baka concave sako ciki baki, da kuma wani protrusion a kan m gefen ƙafar. A matsakaici Pathology lura concavity ga m baki. Game da pronounced cuta, da mutum bugu na tafin kafa ne zuwa kashi 2 sassa.

Akwai kuma m lokuta, a lokacin da wani yatsa yatsunsu kafar contours bace gaba ɗaya. Wannan shi ne saboda su kambori deformity.

Idan likita ya yi imanin cewa hanyar da matsalar shi ne wata cuta daga cikin neuromuscular tsarin, da mãsu haƙuri ya kamata a kira su da wani neurologist. Last gudanar da wani cikakken neurological jarrabawa, ya yi aikin kashin baya radiography, MRI da CT scans, kuma electromyography da sauran karatu.

Idan wani tsohon ciwo da kasusuwan kafa ga mãsu haƙuri iya bukatar CT kafar.

Idan m kafar da aka saukar a karon farko yayin da haƙuri ba cuta daga cikin neuromuscular tsarin, da kuma wani gabata raunuka, shi yayi magana akan yiwuwar wani laka ƙari. A wannan yanayin, mutum ne zuwa ga dubawa ga oncologist.

Yadda za mu bi?

Dabara kambori-kafar far ne m da dalilin da ta ci gaba, kazalika da kara kudi na lankwasa baka da haƙuri da shekaru.

A moderately da talauci a tsare pathologies na haƙuri rubũta motsa jiki far, physiotherapy kuma tausa. Unfixed siffofin da cutar amenable ra'ayin mazan jiya gyara ta saka takalma da tashe ciki baki.

Karfi da bayyana ajali cuta, musamman a cikin manya, batun m magani.

Dangane da irin Pathology da Sanadin ta ci gaba da za a iya yi arthrodesis, osteotomy, jinjirin wata ko sandan resection kasusuwa cikin yatsun da kasusuwa, agara dashi da kuma dissection na tafin fascia. Har ila yau, amfani da daban-daban haduwa da wadannan dabaru.

m baki

The aiki don mayar da kafar ne da za'ayi a cikin wani shirin kaiwa hanya a karkashin madugu maganin sa barci. A mafi wani zaɓi ne mai hade da tiyata ko Chaklin Kusliku. A karshen Hanyar samar da wani bude yanke ko redressatsiyu tafin fascia tare da jinjirin wata ko sandan resection na cuboid. Da zaran resected rabo an cire, bayan kafa shi ne lankwasa a cikin shugabanci na tafin kafa da kuma gaban - to-raya. Bayan nan, da rauni ne sutured, magudana, da kuma ƙananan reshe plaster ne amfani, wanda ba a cire 6-7 makonni.

A aiki da hanyar Chaklin tafin aponeurosis ma redressiruyut ko dissect. Next kasusuwan kafa danda. Kamar wancan extensor agara a hannunka an cire, sa'an nan kuma yi da wani sandan resection na cuboid rabo da wani shugaban karo.

Game da na navicular kashi, sa'an nan aka cire partially ko gaba daya, dangane da tsananin daga cikin nakasawa.

Tare da karfi tsallake na farko yatsun kafa da aka yi (bugu da žari) shi osteotomy. Lokacin da ake duba fiya ciyar gyara nakasa daga cikin Achilles jijiya.

A cikin taron cewa a lokacin tiyata da matsayi na kafa ba zai iya daidaita ga kafa plaster ne amfani for 3 makonni, bayan da aka cire, da kuma yin karshe gyare-gyare. Bugu da ari, bandeji aka yi amfani sake for wani 4 makonni.

Insoles da kuma darussan

Ko da m kafar bi? Insoles kuma daidai tsince takalma - wannan shi ne daya daga cikin mafi sauki hanyoyin da rabu da kafar iri, kazalika da kareshi.

A cewar masana, da kambori-kafar marasa lafiya dole ne ba su son na takalma da fadi da dandamali da kuma a low diddige. Wannan zai taimaka wajen kayyade kafafu a daidai matsayi.

Ya kamata kuma a lura da cewa saya orthopedic takalma kamata kawai a karkashin kulawa da halartar likita. Ba zato ba tsammani, da karshen iya bayar da shawarar takalma da tashe ciki baki. Don tabbatar da ta dace da goyon baya ga baka da kafar, tabbata ga tambaya splints, cewa shi ne, musamman insoles, kerarre yi oda.

Yadda za a rage zafi da cewa yana sa da m kafar? Motsa jiki da kuma physiological hanyoyin domin lura da irin cututtuka suna zaba a kan wani mutum-akai, a kan shawarwarin da halartar likita. Ga wasu misalai:

1. An fara matsayin zaune. Motsa jiki yana da za'ayi kyauta, sa'an nan da juriya (gyarawa da lodi amfani da kafar, gymnastic danko).
2. Sanin yatsa ƙungiyoyi da kuma duka biyu ƙafa na daban-daban batutuwa (katako, roba, karfe bukukuwa daban-daban diamita sandunansu, kuma al.) A wani jerin - suka kamata a hankali rage girman da nauyi - karuwa.
3. Original tsaye. Safa cikin diddige a hannunka, matsakaicin waje juyawa shins, sa'an nan miƙa mulki ga m gefen ƙafar. Next - ragewan daga cikin farfajiya na soles.

Har ila yau, don kauce wa m majiyai zuwa haƙuri gudanar paraffin baho, a dumi wanka da hannu daidai nakasawa a cikin nau'i na tausa.