Zimayambitsa, mavuto, ndi mankhwala
Ngati muli ndi mapazi apansi, mabowo anu ali otsika kapena mwinamwake ngakhale mulibe. Chikhalidwechi chimadziwikanso ndi mawu akuti "pes planus" kapena "pes valgus."
Mapazi Apansi ndi Kugonjetsa
Nthawi zambiri mapazi amtunduwu amawotcha katchulidwe kambirimbiri, zomwe ndi zomwe zimachititsa kuti phazi la phazi likhale pansi ndi mkati (flattening) pamene phazi limagwera pansi. Pronation ndiyendo yachiyendo komanso yofunikira.
Kugonjetsa, komabe, kumatanthauza kuti mapazi amatanthauzira mochuluka kwambiri pamene akuyima, akuyenda kapena akuthamanga.
Chifukwa cha chizoloŵezi chawo choposa, mapazi ochepa samatha kutengeka modabwitsa. Kusokonezeka kumeneku kungatanthauze kupsinjika maganizo pamapazi, minofu, ndi mawondo.
Nthawi zina mungadziwe kuti munthu ndi wamkulu kuposa wina aliyense. Mutha kuona chinachake chotchedwa chizindikiro "chala zazikulu kwambiri," pomwe zala za munthu ndizomwe zimayang'ana kunja.
Chithunzi chikuwonetsa chizindikiro chachikulu chazunja.
Zifukwa za Mapazi Apansi
- Kusintha kwachizolowezi kwachilendo - Pamene ana akukula, miyendo yawo idzakhala ndi kusintha kwa chitukuko chomwe chingabweretse kuwonjezereka kwa mabowo ndi kulemera kwake. Chitsanzo chimodzi ndi genu valgum, kapena mawondo ogogoda, kawirikawiri, mwachizoloŵezi kwa ana pazigawo zosiyana za kukula. Manyowa ofewetsa ana a ng'ombe kapena Achilles tendon amathandizanso kuti apange phazi lakuthwa. Ana ambiri adzalandira minofu yambiri ya mwana wa ng'ombe pamene akudutsa.
- Zovuta za Congenital Foot - Zomwe zilipo pakubereka ndipo nthawi zambiri zimapezeka kuti zimayambira kumayambiriro ndizo: metatarsus adductus , calcaneovalgus, ndi congenital vertical talus .
- Mabala a Tarsal - Mafatama a Tarsal ali ophatikizana ndi mafupa osakanikirana omwe amachititsa kuti phazi lopanda phazi likhale lopweteka kwambiri lomwe limagwirizanitsidwa ndi minofu yowawa. Mtundu woterewu umapezeka nthawi ina ukadali mwana kapena ukalamba.
- Mitsempha Yosavuta - Chilichonse chimene chimayambitsa mitsempha yosasunthika chingapangitse phazi lakuthwa kapena pansi. Mitsemphayi ndi minofu yomwe imagwirizanitsa mafupa ndipo imakhala ndi gawo lofunikira popereka mawonekedwe apansi. Chitsanzo cha chikhalidwe chomwe chimayambitsa kumasula kwa mitsempha ndi mimba, pomwe kusintha kwa ma hormonal kumasintha zitsulo. Matenda omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda , monga Ehlers-Danlos syndrome , Matenda a Marfan ndi nyamakazi ya nyamakazi.
- Kutalika kwa miyendo Yopanda malire - Ngati mwendo umodzi uli wautali kuposa wina, phazi limodzi likhoza kukhala lophatikizana ndi linzake kulipira. Kawirikawiri, phazi pamlingo wautali lidzakhala ndi phokoso lokhazikika poyesera kuchepetsa chiwalo chimenecho, ndikuyesa kusagwirizana. Kusiyana kwa miyendo ya miyendo kungayambidwe ndi zovuta za m'mimba monga scoliosis . Zingakhalenso chifukwa cha kusiyana kwenikweni kwa kutalika kwa mwendo umodzi wa mafupa poyerekezera ndi zina.
Mavuto Ambiri Okhudzana ndi Mapazi Apansi
- Hammertoes
- Mabunioni
- Kusokonezeka Maganizo
- Zigawo za Shin
- Arthritis of Foot Joints
- Tendonitis
- Plantar Fasciitis
Pamene Mapazi Aphatiki Amafuna Kuwasamalira
Ngati muli ndi mapazi ophwasa mwina simukusowa chithandizo - nthawi zina mwana kapena munthu wamkulu adzakhala ndi mabowo otsika ndipo alibe mavuto.
Ndi zachilendo kuti mapazi a mwana kapena ana aang'ono aponeke mpaka mapangidwe a mapazi awo atakula kwambiri.
Ngati kupweteka kumapangitsa mavuto achiwiri, makamaka kupweteka mwendo kapena phazi, chithandizo chingakhale chofunikira. Mapazi okwera pansi nthawi zina amachititsa kuvutika kuyenda kapena kuthamanga ndi kusokoneza ntchito za maseŵera. Ulendo wopita kuchipatala umaphatikizapo kuyesa kayendedwe ka mapazi ndi ntchito. Kupatula kuunika kwa phazi, ulendo ungaphatikizepo phazi X-ray ndi kusanthula mapazi anu mukuyenda.
Orthotics kwa Mapazi Apansi
Katswiri wanu wamaphunziro angapereke zothandizira zida kapena ma orthotics kuti awononge katchulidwe kake.
Ngakhale ma orthotics ndi arch akuthandizira sikusintha mwangwiro mawonekedwe a chingwechi, amathandiza kuthana ndi matchulidwe owonjezera omwe angayambitse kuvala ndi kupukuta pa minofu ndi ziwalo zanu. Zovala zogwiritsa ntchito mapulogalamu otchedwa kuyenda control zimathandizanso kuti anthu azigonjetsa. Ndondomekoyi ya sneaker ili ndi mapangidwe omwe amachititsa bata kwambiri mwa kuchepetsa kusuntha chidendene ndi nsanja ya nsapato. Kuonjezera apo, mankhwala opatsirana ndi machitidwe olimbitsa thupi angakhale okonzeka, makamaka ngati tendonitis ( tendon kutupa ) ilipo.
Kuponyera, Kuponyera ndi Kupaleshoni kwa Mapazi Aphatikizi
Mapazi apansi omwe amapezeka chifukwa chobadwa mwachisawawa kapena chitukuko angapangidwe, monga kupopera, kuponyera kapena kukonza opaleshoni.
- Chigoba chimaphatikizapo chingwe chokhala ndi chingwe chomwe chimagwira kumbuyo kwa mwendo, kupereka chithandizo chapadera ndi kuyendetsa mapazi. Kuchita opaleshoni kapena kupaleshoni kwapansi kungakhale koyenerera pa nthawi pamene matenda opatsirana amayamba chifukwa cha matenda a ubongo kapena amawonjezeredwa ndi matenda otchedwa posterior tibial tendonitis , omwe angakhale chidziwitso chokhalitsa cha mapazi otsika.
- Kutayira ndi njira yomwe anagwiritsidwa ntchito kwa ana omwe mapazi awo amakhala ophweka chifukwa cha fupa, monga metatarsus adductus. Zimaphatikizapo kugwiritsa ntchito mndandanda wa masewera othandizira kubwezeretsanso mafupa a mwendo ndi phazi ku malo awo oyenera .
- Njira zopangira opaleshoni zimakhala zosiyana malinga ndi chifukwa cha chikhalidwecho. Kukonzekera opaleshoni kuti muzitha kuyang'anira katchulidwe ka mankhwala kungaphatikizepo mapiritsi a mafupa kapena matenda a Achille akutalika. Tendon transfer, yomwe ndi ndondomeko yowonjezeretsa tendon kumalo ena a fupa, ingagwiritsenso ntchito kuchepetsa kutchulidwa ndi kupititsa patsogolo kayendedwe ka mapazi.
> Zotsatira:
> Mahan, Kieran T. MS, DPM, FACFS. (1992) Pes Planovalgus Deformity. Ku McGlamry, E. Dalton, DPM, Banks, Alan S. DPM, Downey, Michael S. DPM. (Eds.). Buku Lopatulika la Opaleshoni Yamapazi. (2nd ed.) (Pp.769-779). Baltimore: Williams & Wilkins.