Ubwino wa Hammer Toe Orthotic

Zamkati

• Chidule
• Mitundu ya hammer toe splints (orthotic)
• Kusiyana pakati pa ziboda ndi zikhalidwe
• Zomwe nyundo zala zamanyazi zimachita komanso sizichita
  
• Ubwino ndi zoyipa zamitundu yamiyendo yamiyendo yamphongo
• Chala chakuphimba
• Sokisi zala
• Osiyanitsa zala zazingwe (omwe amatchedwanso kuti obalalitsa, opumulira, kapena otambasula)
• Mpira wa phazi (metatarsal / sulcus) makatani
• Nyundo yam'manja yakunyumba
• Anatomy ya chala
• Nthawi yolankhula ndi dokotala
• Opaleshoni
• Kodi nyundo yamphongo ndi chiyani?
• Kutenga

Timaphatikizapo zinthu zomwe timaganiza kuti ndizothandiza kwa owerenga athu. Ngati mutagula maulalo omwe ali patsamba lino, titha kupeza ndalama zochepa. Nayi njira yathu.

Chidule

Hammer chala ndichikhalidwe pomwe pakati pala chala chakumapazi chimapindika. Kupindika kumapangitsa nsonga ya chala chako kutembenukira pansi kotero kuti imawoneka ngati nyundo. Zilonda zimatha kukhala pamwamba pa cholumikizira chapakati chifukwa chakusokonekera komanso kukakamizidwa ndi nsapato.

Ngati mukukumana ndi chala chakumaso pa chala chanu chachiwiri, chachitatu, kapena chachinayi kapena chala chaching'ono nthawi imodzi, pali mitundu ingapo yazipilala zamiyala yopangidwa kuti muchepetse kapena kupewa zovuta zokhudzana ndi phazi.

Mitundu ya hammer toe splints (orthotic)

Kusiyana pakati pa ziboda ndi zikhalidwe

U.S. Centers for Medicare and Medicaid Services (CMS) tsopano yatanthauzira chida chamtundu, kapena mafupa, ngati chothandizira chopangira gawo lina la thupi. Chizoloŵezi cha chikhalidwe chingakhale chokonzedweratu kapena chizoloŵezi chopangidwa kuti chikugwirizane nanu.

CMS imatanthauzira chopindika ngati choponyera kapena chokutira chomwe chimagwiritsidwa ntchito kuthandiza kukhazikitsa fupa losweka, losweka, kapena losweka.

Mawu atsopanowa pang'ono ndi pang'ono amayamba kusintha magwiritsidwe akale, pomwe mawu am'magawo amtundu wina nthawi zina amaphatikizana. Zomwe kale zinkatchedwa nyundo ya chala cha nyundo tsopano zimatchedwa orthotic.

Zomwe nyundo zala zamanyazi zimachita komanso sizichita

• Amapereka mphamvu kapena kukakamiza. Mfundo yopangira nyundo yazitsulo ndikulimbitsa mwamphamvu minofu yomwe imapindika chala chanu. Izi zimathandiza kuti minofu isamangidwe pamalo opindika yomwe imatha kukulitsa vutoli.
• Samakonza mafupa osweka. Nyundo yam'manja yopindika singawongole fupa momwe chimagwirira ntchito pafupa losweka. Izi ndichifukwa choti fupa lokha silithyoledwa mukakhala ndi chala cham'manja. M'malo mwake, minofu yomwe imapinditsa cholumikizira yagwirana, ndikupangitsa kupindika kwanu.
• Amapewa. Zowawa zambiri za chala chakanyundo zimachokera ku bunion kapena mapangidwe ake omwe amapanga pamwamba pa chala chanu chokhudzidwa. Mafupa amphongo a nyundo samapangitsa kuti bunion ichoke, koma amatha kuwongolera ululu. Zitha kupewanso kupindika pa chala kuti chisawonjezeke.

Mutha kukhala ndi mwayi woyeserera ma orthotic osiyanasiyana pompano mpaka mutapeza omwe amathandiza. Anthu ena amafunikira kuphatikiza kwa mafupa, monga chidendene chophatikizira ndi nyundo yazitsulo.

Mutha kupeza kuti katswiri wamapazi angakufikitseni ku yankho mwachangu, komanso motsika mtengo. Muyenera kuti muli ndi mapazi osangalala mukapeza katswiri wodziwa bwino ntchito. Ponseponse izi zitha kuthana ndi mavuto a zala zanu bwino komanso moyenera.

Ubwino ndi zoyipa zamitundu yamiyendo yamiyendo yamphongo

Pali mitundu ingapo yamankhwala am'miyendo yamiyala yomwe imapezeka. Ndi zida zonsezi, ndikofunikira kuti muvale nsapato zokwanira komanso malo ambiri mubokosi la zala. Ngati mungayese kufinya orthotic mu nsapato zothina, mutha kukulitsa zinthu.

Mitundu ina yamtunduwu ndi monga:

Chala chakuphimba

Ili ndi bandeji yopyapyala yokhala ndi lamba wa Velcro yomwe imatha kumangiriza chala cha nyundo kupita nayo pafupi nayo. Izi ndizothandiza kwambiri kwa anthu ena. Zimakhala zowononga pang'ono ndipo zimatha kutsukidwa ndikugwiritsidwanso ntchito. Mutha kukhala ndi zovuta kuzisunga ngati zala zanu ndi zazifupi kapena zopindika mbali.

Sokisi zala

Masokosi azala zazala, kapena masokosi opatula zala, makamaka masokosi okhala ndi zala zisanu zodulira zala zazing'ono ndi zokutira zomwe zimathandiza kusiyanitsa zala zanu. Izi zimakhala ndi malo ochepa ndipo sizingayambitse mkwiyo, ngakhale sizingapatule kwambiri monga mitundu ina.

Popita nthawi, amatha kupereka mpumulo pang'ono. Ngati zikukuvutani kupeza zokwanira, mutha kudzipangira sock yanu pocheka mabokosi mosikika bwino.

Osiyanitsa zala zazingwe (omwe amatchedwanso kuti obalalitsa, opumulira, kapena otambasula)

Awa ali ngati magolovesi odulidwa opangidwa ndi gel osakaniza zala zakuphazi ndikuwathandiza kuwongola. Mitundu ina imapangidwa kuti igawanitse zala zonse zisanu ndipo zina ziwiri zokha. Osiyanitsa zala zazitsulo amatha kukhala othandiza ngati akukwanira bwino, makamaka ngati mwadutsa zala. Kupanda kutero amakhala omangika komanso amatha kukwiyitsa.

Dziwani kukula, makamaka pamtundu wopangidwira zala zisanu zonse. Zala zakutali, kutalika kwake, ndi katayanitsidwe kake. Wolekanitsa wokulirapo sayenera zonse.

Ngati mugwiritsa ntchito cholekanitsa chala chachikulu chomwe ndi chachikulu kwambiri kwa inu, chimatha kupweteketsa mukatambasula zala zanu kapena kupaka zala zanu mkati mwa nsapato yanu. Yesani pamitundu yosiyanasiyana mpaka mutapeza yolingana ndi zala zanu.

Mpira wa phazi (metatarsal / sulcus) makatani

Zitsulozo ndi mafupa asanu akulu a mapazi anu omwe amalumikizana ndi zala zanu. Zina mwa zowawa za chala chakanyundo zimasamutsidwa kuzitsulo. Ma insoles omwe amathira mpira phazi lanu kapena amapereka chithandizo chowonjezera pansi pa zala zanu nthawi zina chimapereka mpumulo.

Nyundo yam'manja yakunyumba

Phukusi lakuphazi ndi mphete yazinthu zomwe zimayenda mozungulira chala cha nyundo ndipo zimasungidwa ndi padi yolumikizidwa yomwe imakhala pansi pa zala zanu. Nthawi zambiri amapangidwa ndi gel kapena kumva. Ngati sizowakwiyitsa kwambiri, zitha kukhala zothandiza kwa anthu ena okhala ndi zala.

Kukhala ndi malo okwanira mu nsapato zanu kuti zala zanu zithetsedwe mwachilengedwe zimathandiza kwambiri pakukonza kapena kukulitsa zala zanu. Nsapato zatsopano zitha kukhala zomwe simungathe kuzipeza pakadali pano. Mpaka mutha, yesetsani kuvala mafupa oyenera kunyumba mukakhala opanda nsapato kapena mukugona.

Mukayang'ana nsapato zatsopano, valani mafupa anu akamayesa nsapato kuti mupeze kukula koyenera komanso koyenera.

Anatomy ya chala

Kumvetsetsa momwe chala chimayambira kumatha kukuthandizani kusankha njira yolondola yotsatsira kapena kumvetsetsa malingaliro a dokotala kapena wamatsenga. Nazi mfundo zachangu paziwalo zanu zakumapazi:

Chala chanu chapangidwa ndi mafupa ang'onoang'ono atatu, omwe amadziwika kuti phalanges. Kuyambira kumapeto kwa chala chako, mafupa atatu ndi awa:

• distal (kumapeto kapena nsonga)
• pakati
• zoyandikira (pafupi kwambiri ndi phazi lako)

Mgwirizano womwe umakhudzidwa ndi chala cha nyundo ndi proximal interphalangeal joint (PIPJ). Uwu ndiye mgwirizano wapakati pakati pa proximal phalanx ndi middle phalanx. PIPJ imagwera pansi (yosinthasintha).

Mgwirizano wa metatarsophalangeal (MTPJ) uli m'malo osalowerera ndale kapena m'malo opatsirana. Mgwirizano wapakati wa interphalangeal (DIPJ) umakhala wopanda nkhawa kapena wosalowerera ndale.

Nthawi yolankhula ndi dokotala

Ngati maantibayotiki sakugwira ntchito kapena kukuwonjezerani zinthu, ndibwino kuyankhula ndi dokotala.

Akatswiri amiyendo (opita kudambo) amatha kukupatsani mankhwala opangidwa mwaluso omwe angakuthandizeni kwambiri. Katswiri wodziwika bwino ngati wopanga mafupa kapena wochita maopanga amatha kupanga mapangidwe amtundu kuti agwirizane ndi phazi lanu komanso mkhalidwe wabwino.

Palinso zinthu zambiri zomwe dokotala wanu wamapazi angayang'ane zomwe mwina simukuzidziwa. Izi zikuphatikiza:

• kutchulidwa kwambiri
• kufooka kosasintha
• zinthu zosakanikirana, monga chala chakanyundo chophatikizidwa ndi Achilles tendinosis

Opaleshoni

Ngati kupweteka kukupitilira kapena kuwonjezeka ngakhale kuli ndi mafupa, nthawi zina opaleshoni ndiyo yankho lokhalo. Njira yotchedwa resection arthroplasty ndiyo yomwe imagwiritsidwa ntchito kwambiri.

Pogwiritsa ntchito arthroplasty:

• Dokotala wochita opaleshoni amachotsa gawo limodzi la mafupa.
• Ma tendon amadulidwa ndikulumikizananso.
• Chingwe kapena tepi imagwiritsidwa ntchito kunyamulitsa chala chakumaso mpaka kuchira, nthawi zambiri pamasabata atatu kapena asanu ndi limodzi.

Anthu athanzi amatha kuchita izi popanda kugona mchipatala usiku wonse.

Kafukufuku mu 2000 wa anthu 63 (zala 118) adapeza kuti reseth arthroplasty yachepetsa ululu wa 92% ya omwe adaphunzira. Asanu peresenti anakumana ndi zovuta zazing'ono. Kafukufukuyu adachitika pafupifupi miyezi 61 atamaliza opaleshoni.

Kodi nyundo yamphongo ndi chiyani?

Choyambitsa chachikulu cha chala chakumapazi ndimavala nsapato pafupipafupi zomwe zimakhala zolimba m'bokosi la zala, kuphatikiza nsapato zazitali. Vutoli, ngakhale limatha kubweretsedwa ndi zoopsa.

Chala champhongo cha nyundo chitha kukhalanso chotsatira chachiwiri cha chilema china chodziwika kuti hallux valgus. Hallux valgus ndikumangika molakwika chala chachikulu chakuphazi chomwe nthawi zambiri chimayambitsa bunion kunja kwa chala.

Kusalongosoka kwa chala chachikulu chakuphazi kumadzaza zala zazing'ono zazing'ono. Kuchulukana kumatha kubweretsa chala champhongo, monga ngati mafupa akupanikizidwa ndi zidendene zazitali kapena bokosi lolimba lazala.

Zinthu ziwiri zokhudzana ndi chala chakumaso ndikumenyedwa chala. Chala cha Mallet chimachitika pomwe cholumikizira cha distal interphalangeal, osati cholumikizira chapakati, chatsamira.

Pakuphika chala, cholumikizira cha metatarsophalangeal chili mu hyperextension ndipo kulumikizana kwa prophimal ndi distal interphalangeal kumakhala kovuta. Izi zokhudzana ndi izi zimapezekanso pa chala chachiwiri, chachitatu, kapena chachinayi, ndipo zimatha kupanga bunion yopweteka.

Kutenga

Chala cha nyundo ndi bunion yomwe imatsata imatha kukhala yopweteka komanso yosokoneza moyo wanu. Mankhwala osiyanasiyana othandiza amatha kuthana ndi ululu wanu. Ngati izi sizikugwirani ntchito, madokotala amatha kukupatsani ma orthotic okonzedwa mwanzeru omwe atha kukhala osakhulupirika. Pomaliza, opaleshoni imatha kukhala yothandiza.