Pakakuvara chitsitsinho: zvibereko kurapwa uye migumisiro inosuruvarisa

Chokwadi, nokuti vanhu vazhinji, akatyoka chitsitsinho ingaita kure Hadzisi uye musoro chakajairika kuti rakanyatsojeka chisingawanzowaniki mushonga ano, asi hazvina kudaro. Maererano nenhamba, tsika kukuvara 3 - 4% kubva kutyorwa ose kuvimbika mapfupa.

The mwero kwokuomerwa chirwere ichi kunoratidzwa zvinhu nezvimedu misha uye kukuvara vagari okunze, sezvinoratidzwa X-ray mufananidzo yapihwa. Saka, pakakuvara chitsitsinho nyoro kwete aine misha remafupa nezvimedu uye kunotevera kuti joini hukawanika; Tinoberekwa yechipiri chimiro giravhiti misha nezvimedu, asi pasina kukuvadza majoini; asi kuvapo kwazvo mitswe runozivisa misha uye kuzotadzira articular hukawanika. Imwe nzira kana mumwe, kuona hunhu pakakuvara anogona zvikuru noruzivo nyanzvi pahwaro X-ray kuzviongorora.

Tinofanira kutanga kutsvaga chii zviratidzo zviri kubatana maitiro kutyorwa kuvimbika marangwanda. Nokuti ichi mufananidzo kurapwa, zvikurukuru dzinoratidzwa kuzvimba uye kurwadziwa kwazvo kuti anopararira kusvika nzvimbo achilles mudzira uye tsoka rose. The mufambo norutsoka anogona kana kuchengetwa kana kutyorwa, asi zvose kunoenderana hunhu rinooneka kukuvara. Fragment Kushaya chitsitsinho mapfupa achabatsirwa haasaruri chengetedzo kutsigira kugona, asi musoro yokumusoro chikamu calcaneal tuber zvachose immobilizes murwere noruzhinji. Naizvozvo zvakakodzera kuziva chii zvinobvira pakakuvara chitsitsinho: kumucheto, yoga uye compression, uyewo zvaizopedza uye pasina kwaakarerekera.

Zvisinei, kana, mushure X-ray kune kubvunza nyanzvi chirwere "akatyoka chitsitsinho", mishonga inofanira nokukurumidza. Zvakare, ndichibvunza hanya redunhu kunobva zvachose pamusoro chaizvo kukuvara.

Kana pakakuvara hakuna achiperekedzwa vanoshanda chitsitsinho pfupa zvimedu, pane nzira kuchinja yokurapa, kureva pasina kuvhiya. For munyoro kutsemuka kunoda mubhedha zororo, uyewo gypsum Ufukidze kuti ibvi kwenhambo 3 vhiki kusvika 2 months, asi izvi nguva dzingasiyana zvikuru zvichienderana yezvakaita chirwere. Somunhu chinamatidzwa yakarumbidza physiotherapeutic nzira, masaja uye hunorapa jimunasitikisi uye, mune dzimwe kurapwa mifananidzo uye akatakura vachibatsira midziyo chaiwo insoles.

Asi imwe tsoka wakaputsika anogona kupa uye mapfupa misha. Muzviitiko zvakadaro, pane zvimwe zvinetso, kunyanya kana totaura muviri compression mitswe pamusoro calcaneus, ayo kuburikidza kwakaita vazhinji "zvimedu", chakakomba deformation uye kuvadza pedyo pamwe hukawanika inozivikanwa. Chinangwa chikuru chemusha kurapwa zvibereko ndechokuti haufaniri kungova kudzoka chitsitsinho yakafanana, asi nokukurumidza kudzorera nyarara basa iri majoini ose rutsoka, uye ichi ndicho rakaoma zvikuru. Ndokusaka hwakadaro chitsitsinho kutsemuka kunoda vavhiyiwa, uye ipapo kwenguva vapore nguva, kureva kudzorera zvatinosiita nokushanda chikamu chino marangwanda.

Kana paine pakakuvara ari pamusoro chitsitsinho, vapore kunosanganisira akapfeka vachibatsira shangu, achiita kuchirapa muviri kuti pave kwemajoini uye hurongwa kushanyira physiotherapy.

Saka, misimboti pakupora nguva ine mabasa muchiitwa pamwe kufamba pamusoro subtalar muhudyu, Kuderedza axial mutoro pamusoro mutezo yose kupora (kusvika masvondo 12) uye nokuisa zvizere axial mutoro pamusoro yapfuura kuti kumwedzi.

Pakakuvara chitsitsinho asingadi kupfuura pasina zvikasawanirwa, uye kazhinji anoyeuchidza amene deforming arthrosis pamusoro subtalar muhudyu, posttraumatic wakarebesa tsoka uye sandara tsoka.