Kururamiswa tsoka. Makumbo zvakasiyana yakareba. makumbo bandy

Chimwe chinokosha zvinoumba akakodzera hakusi makumbo shapely. Zvisinei, zvakanaka zvokunze mashoko hunhu wakanyatsoumbwa hazvisi zvose. Makumbo rinogonawo kuva nhamba payakaipira, nei vakadzi kazhinji simbi uye yakavharwa. Hanya ichi nyaya uye varume.

Kwavari, runako kuri nhamba inokosha uye, kunyanya, chimiro tsoka. Sei isu kugadzira chii hakuna kupiwa kwatiri pakuzvarwa? Kuti izvi zvidaro, mushonga ano inopa nzira dzakasiyana-siyana kuti operative uye zvisiri operative hunhu.

zvakajairika dambudziko

Maererano zvokurapa uwandu, mumwe munhu kunze chiuru vakachengeta kupfupikisa gumbo. The musiyano dzakaderera muzvidimbu kureba kupfuura 2 cm. Izvi ezvinhu inowanzopiwa yakawanikwa netsaona. Kana zvakasiyana gumbo kureba iri chokuziva, kazhinji asymptomatic. Ndiro ngozi zvokurwara ichi.

mhando kupfupikisa

Chikonzero musiyano gumbo pakureba kunogona kuva:

- vachiberekwa;
- yakawanikwa.

In yokutanga nyaya zvokurwara anoita pacharo vainzwa vaduku uye ipapo zvishoma nezvishoma mberi. Kana uchifungidzira dambudziko huripo anofungidzirwa musiyano makumbo zvinogona tsunga tisingatungamirirwi. Chinotevera ndechokuti kubvunza nyanzvi.

Matambudziko nedzimwe gumbo urefu

Zvokurwara ane zvikuru nemigumisiro. It kunokonzera:

- musana marwadzo;
- misalignment of chiuno;
- panowanikwa deforming arthrosis uye aseptic necrosis pamusoro hudyu nzvimbo;
- zvaipesana statics uye gait;
- panowanikwa akuvara kufanana;
- kutyorwa kwekodzero dzokuremekedza ergonomics;
- tsandanyama kusaenzana.

Chinyorwa kurapa

Zvokuita iri chiitiko kuti munhu kunodiwa gumbo kururamiswa? Imwe nzira kunze izvi ndiko kushandiswa evanhu nzira. Nyanzvi kushanda munharaunda iyi ndivo zvinyoronyoro asi zvinechinangwa kuburikidza nokuedza zvinodiwa kuzorora tya tsandanyama.

Uyezve, munhu anoda makumbo kururamiswa anofanira kuita chaiwo muviri uye kuramba kuvandudza zvinhu chimiro. Strong tsandanyama kutsigira mapfupa marangwanda, uye kubvumira musana ako. Mukuwedzera, zvavakabvumirana makirasi mu swimming uye bhiza Kuda, uyewo kudzidzisa kunyatsonzwisisa simulators.

Special zvinogadzirwa

Kana rimwe gumbo mupfupi rumwe, Zvinokurudzirwa kupfeka vachibatsira chitsitsinho pamakusheni. Vanewo kunzi compensatory insoles. Nhongai zvinhu zvakadai somunhu uye tichishandisa akakurumidza.

Vachibatsira chitsitsinho pamakusheni kuti Kudzikamiswa pamusoro vertebral mbiru uye chemabhazi, kuturika flatfoot uye scoliosis uye tichibvisa zvikuru mwoyo muzongoza migove.

Kana musiyano iri gumbo kureba zvinokosha, murwere kuwedzera kune compensatory insoles uye Arch zvitsigiso inodiwa. Chete pamwe chete ivo waburuswa rutsoka nomuzongoza, zvakarurama mamiriro.

Kuti vajaire kuna insoles uye chematenga zvitsigiso, munhu vanoda nguva. Saka, kuduku kusagadzikana kunounza kuzvuzvungudza murwere chete mumazuva manomwe okutanga. Shure iyi, hurumende iri akavandudzika zvikuru. Vachibatsira insoles uye chitsitsinho pamakusheni kushanda kumborega kuti akanzwa nevanhu. Panguva iyoyo kufamba zvinova zvikuru vasununguka, uye zvisingafadzi nezvekufadza makumbo uye shure kurega kunetseka.

Nokuti rakasungwa tsoka chitsitsinho pamakusheni anoshandiswa, yakagadzirwa latex uye akafukidza nematehwe. zvigadzirwa izvi kwete chete kunetseka pamusoro mapfundo chitsitsinho. Uchibatsirwa dzavo, akaita ezasi maoko nemakumbo nokururamiswa chadzo uye anatomical kupfupikisa iri kuwanda 8-12 millimeters.

Zvisinei, zvinokosha kuyeuka kuti panyaya kana kurwadziwa musana uye tsoka zvakachengeterwa mazuva anopfuura manomwe kushandisa chigadzirwa, zvakakodzera kubvunza munhu podiatrist. Chiremba Achasarudza chakakodzera munhu murwere chitsitsinho pamakusheni.

Ilizarov chidobi

Mune 90s remakore rapfuura ave achishingaira chinozoiswa vachibatsira kururamiswa tsoka. Izvi seti dzakasiyana maoparesheni zvakagadzirirwa kugadzirisa vawana uye vachiberekwa deformities repasi uye okumusoro ehomwe muviri. mirayiridzo iyi, rinonziwo anthropometric cosmetology, yakatanga nokuda zviitiko Wemabhonzo G. A. Ilizarova. Kururamiswa gumbo urefu, maererano nenhungamiro zvinoberekwa midziyo kuti kwokunze Kuda kutamba.

Nzira uye akagamuchira rimwe zita - compression-kukanganisika osteosynthesis. Kwakavakirwa mutemo akavhura uye akaita Ilizarov. Rinotaura kuti kunetseka kuti kunoitika apo Makakatanwa mapfupa uye dzakapoteredza nyoro rinenge kunomutsa pakuberekwa kutsva remafupa rinenge uye kukura kwayo.

Kururamiswa tsoka zvinoberekwa nzira iri kuitwa kwetsinga pakati mafupa. bata kwakadaro anonzi osteotomy. Kana makumbo kururamiswa inomuda hudyu nzvimbo, kwetsinga riri pasi femur. Dzimwe nguva Kuvhiya chinodiwa kuwedzera rezasi gumbo. Muchiitiko chino, kwetsinga pasi tibia uye fibula. Akaumba somugumisiro manipulations dzakadaro mapfupa unopinza haina chokuita zvachose. Pakati pavo pane pakaputsika 1 mm. Saka gumbo wakaiswa pamwe nembambo uye tsono yaiitirwa nehafu zvenzeve kana Ilizarov zvindori. Next, wose magadzirirwo rinogara rwakatambanudzwa. Kure pakati mapfupa zvishoma nezvishoma chinowedzera 1 mm kuti zuva rimwe. Saka chinoitika rutsoka kururamiswa. Zvichaitwa kuwedzerwa nokuda Munotatamura pamusoro mafupa. Izvi anonzi "kutsauswa."

Dzimwe nguva izvi makumbo nezvishoma inogona kurwadza zvikuru. Muzviitiko zvakadaro, murwere Mushonga Nachiremba analgesics. Pashure penguva kusanzwa uye marwadzo zviri yekudyidzana ipfupi.

nzira Bliskunova

Dzimwe nguva varwere, kuvhiya rinoitwa kushandisa imwe nzira. nzira iyi Bliskunova ane siyanei pfungwa. Maererano nzira iyi, iyo midziyo, izvo mutandavadze rinoitwa pfupa, akasima kupinda mapfupa tishu. Vose mberi kwacho iyi, sezvo mutemo, zvinoitika kumba. Chokwadi kuti kunze rutsoka vanovhiya siya ratchet. Its zvikuru nyore kuchinja, uye inoita kuti murwere pachavo.

Zvairatidza kuti Step

The kunonyanyisa zvibodzwa kuti kunogona kuwanikwa kana kururamiswa yakaitwa makumbo surgically, -. Wedzerai kuderedza muzvidimbu 16 masendimita Panguva iyoyo nenzira dzakasiyana kuchinja pazvidya nezviuno saizi. Zvakabuda kwacho urebese navo 6 uye 10 cm azvaitwa. Zvisinei, unyanzvi nhamba achavaponesa murwere uye zvomusejari zvechadenga wacho.

Kudiwa kuvhiyiwa zvinofungidzirwa pachishandiswa mishonga uye aesthetic zviratidzo, izvo zvinosanganisira:

- disproportionate urefu rezasi wamativi, wakatorwa chokuita mutumbi;
- kuvapo muna pfupa Foot rinenge vawana kana vakaremara kuti kuvhiringidza dzose kufamba murwere;
- kukodzera pfupa kuporesa pashure achirwadziwa kutsemuka;
- siyana kureba makumbo;
- chido chomunhu kuva akareba.

The postoperative kumwedzi

Muitiro makumbo dzikawedzerwa kunotora mashanu mwedzi minomwe. Chete ipapo hwavapo chikwata anogona kubviswa. Zvadaro anotanga nguva Kuda kutamba, izvo chinodiwa kuitira kuti vadzivise deformation ari makumbo. Panguva ino murwere anoda zororo uye dosed yakawanda muviri kudzivirira tsandanyama atrophy uye kuvhiringidza majoini, zvinogona kuitika pasina kurovedza muviri. Izvi kupora nguva kunotora mana mitanhatu.

Kana murwere anogona kutanga kutamba mitambo? Serious mutoro bvumidzwa 4 chete mwedzi pashure pakupera kutara nguva. Asi Skating kana rollerblading, kushingaira kutamba kana nekuchirika kungava papera chete pagore.

The curvature repasi Mbabvu

Yakarurama chimiro tsoka - ndiwo kana vari avo zvizere uchenjeri kuonana mana pfungwa, zvinoti:

- pakati yehudyu;
- mumabvi;
- iri pakati Shin;
- in pazvitsitsinho.

Chero zvarakasiya nokutonga ichi vachiti kuti munhu kururama makumbo. The hunhu kusarurama zvinoitika:
- C-zvakaumbwa apo anobata chete chitsitsinho;
- X-zvakaumbwa apo anobata chete rezasi gumbo.

Uyewo, curvature ari makumbo ndechenhema nokuda kururama kwemashoko tsandanyama, uyewo vechokwadi Kutemeswa nechepazasi kumugumo mapfupa deformation.

Non-zvomusejari nzira achibvisa urema

How kutwasanudza makumbo dzakaminama? Mune zvimwe zviitiko, varwere vanogona kubatsirwa nokugara jooga zvidzidzo kana kuita mitambo kurovedza. Hide makumbo dzakaminama kuchaita uye zvakarurama vakanonga nguo.

Yoga makirasi kubvumira vatungamirire tsandanyama matauriro, achisimbisa kwazvo. A seti chaizvo muviri zvakagadzirirwa kwenyama vanachandagwinyira uye simbisa nyoro tishu nzvimbo. Mumutsetse rezasi muzvidimbu mapfundo vakwanise compression pakati chaiyo zvinhu, zvakadai zvidhina.

kuvhiya kupindira

Kana uchishanda nzira makumbo curvature kururamisa murwere asina kudzivisa yakareba vapore. Izvi imhaka kuvhiyiwa.

Varwere vari marudzi maviri remapazi:

- chikweshe;
- vachibatsira kushandisa Ilizarov kwokunze fixator.

Chokutanga izvi zvinosanganisira epurasitiki shins. Mukuru chiratidzo nokuda - wechokwadi, nhema, X-yakaumba C-zvakaumbwa curvature. Krutoplatistika kuitwa kana nokushaiwa tsandanyama rinenge riri yepazasi gumbo, akagarisa kana zvirwere kana nhaka zvinhu zvakapfuura.

Mudziyo nokuti kururamiswa makakombama Ilizarov makumbo kuti rinoshandiswa uye inogara rezasi muzvidimbu anobvisa dzenhema uye yechokwadi curvature.

Compression kutsauswa midziyo kunoita kuti kugadzirisa pfupa zvezvinyorwa muvira zvakarurama nzvimbo nokuda makakatanwa kana compression. With nzira iyi, murwere anobvumirwa kubuda pamubhedha pashure pemazuva maviri chete kana vatatu, kushandisa madondoro kana Walker kufamba.

To neminwe vaiva tuduku

Kunaka kwevanhu muviri kunokanganisa kwete chete chimiro rezasi wamativi. The aesthetic chimiro makumbo akapamba minwe yakarebesa uye wakaremara nezvipikiri. Shata Kutarira uye zvigunwe repasi mapazi pamwe vasingadzoreki fomu. izvi zvose haibvumiri munhu kusarudza hwomutambarakede uye yakanaka shangu uye ari kufamba marwadzo uye kusanzwa.

Kuti kubvisa dambudziko iri, zvinonzi aronga kururamiswa zvigunwe. Swatanudza navo kunogona kuderedza kureba kushandisa zvomusejari nzira. Mugumisiro oparesheni iyi yokuderedza pakureba minwe 1.5-2 cm. The nzira iri nyore uye rinoitwa pamusoro outpatient hwaro. manipulations All yaitwa pasi zvomunharaunda yokutindivadza. Asi dzimwe nguva, pachigaro chikumbiro murwere, mukuru yokutindivadza inoshandiswa. Musimboti kupindira kwakadaro - kubviswa shoma pfupa rinenge nekusazvidzora ganda. Pashure pokuvhiyiwa chiremba akaisa mbambo, iyo anoita somunhu retainer, kukurudzira kupodzwa zvakakodzera pamusoro phalanx.

The vapore nguva pashure kupindira ichi Rinotora anenge mwedzi, panguva iyo murwere zano kupfeka chaiwo shangu. Uyewo, Chiremba Wemabhonzo kuchaita kutokurudzira kupfuura Zvakanyanya Kunaka Panguva Yepamuviri pakutyaira muoti.

Kuti runako tsoka pamusoro nemimwe zvinogona kuitwa uye zvipikiri kururamiswa. nzira iyi prosthetics vachishandisa anokosha gels uye acrylates.

chipikiri kururamiswa rinotanga kubviswa kubva chake chakakandirwa. Mushure anodhinda yakaitwa, kuburikidza icho kubva chaiwo läpinäkyvä epurasitiki prosthesis unotemwa. Chakagadzirwa chipikiri akatasva pamusoro pretreated dzaparadzwa nzvimbo.