Kwa anthu ambiri amene akufunafuna mankhwala osapsa, "osakhala ndi poizoni" kuyankha kwa ululu wawo wam'mbuyo, zingawoneke ngati madokotala akuthamangira kupereka mankhwala (kuphatikizapo opioids ) ndi / kapena opaleshoni ya msana . Ndipo odwala omwe akhala akuwapweteka kwa nthawi yaitali amakhala otetezeka ku lingaliro; iwo angapite ndi malangizo a dokotala chifukwa chakuti atopa ndi ululu, chifukwa palibe china chilichonse chomwe apatsidwa kwa iwo (ndipo iwo sanachite zofufuza zawo), kapena onse awiri.
Ngati izi zikumveka ngati inu, gwirani mphindi imodzi, ndipo mutenge mpweya. Ambiri amatha kupweteka msana kwa odwala amatha kuyenda bwino podziwa njira yokhayokha; Njira iyi yowonjezerera mpumulo ikhoza kuphatikizapo mankhwala, kusintha kwa moyo (mwachitsanzo kutaya thupi) ndi kuchita masewera olimbitsa thupi - koma osati za opaleshoni.
Ndipo apa pali nsonga: Akatswiri ambiri a msana amakhulupirira kuti m'malo mogulitsa njira imodzi yokhayo yothandizira, kugwiritsa ntchito njira zingapo zingapereke zotsatira zofulumira komanso zozama kwambiri ponena za kupweteka kochepa komanso kuwonjezeka kwa thupi.
Imodzi mwa njira zambiri zopanda opaleshoni zopweteketsa m'mbuyo zomwe zakhala zikukudziwika, komanso kuwonetsa chidwi cha akatswiri azachipatala, ndiko kugwiritsa ntchito nsapato ndi / kapena machitidwe apansi. M'nkhani ino, tipenda momwe zipangizo zothandizira phazi zingathandizire kuchepetsa kupweteka kwanu kwakumbuyo.
Nsalu Zowonjezera vs. Custom Orthotics-Kodi Kusiyanasiyana N'kutani?
Pali phazi lothandizira ndipo pali zothandizira phazi, kotero tiyeni tiyambe mwa kupeza molondola.
Mukhoza kugula nsapato zosaloledwa, nsalu zothandizira ndi insoles-mwanjira ina, zipangizo zamakono zomwe zimalowa mu nsapato zanu ndikusintha (bwino kapena zoipitsa) kuyika kwa phazi lanu ndi minofu-ku sitolo yanu ya mankhwala. Mukhozanso kuwapanga iwo pa intaneti.
Njira imodzi yodziwira mtundu umenewu ndikuti iwo amabwera kalembedwe ndipo amapangidwa kwambiri.
Bungwe la American Podiatric Medical Association (APMA) linanena kuti mungathenso kutenga chomwe chimatchedwa "mwambo wopangidwa" phazi lothandizira pogwiritsa ntchito masitolo apadera kapena pa intaneti. Koma, bungwe limachenjeza, kupatula ngati cholembacho chidalamulidwa ndi dokotala ndi kukonzekeretsa mapazi anu, chimaonedwa kuti chimakhala chosakanizidwa osati chidziwitso.
Mitundu ya Kuika Zizindikiro
APMA imati mitundu yowonjezera ya nsapato imaphatikizapo zothandizira zitsulo zapamwamba kapena zitsulo zothanzika, zitsulo zothandizira zowonjezera ndi zothandizira, zitsulo zazitsamba zazitsulo ndi zothandizira, ndi zonyamulira pamapazi kuti zikhale zowonjezereka pamene pamphepete mwa nsapato yanu mumathamanga phazi lanu .
About Orthotics Custom
Mankhwala amtundu wina, amapezeka ndi mankhwala osungirako mankhwala okhaokha ndipo amalinganizidwa molondola kwa mapazi anu-mawonekedwe awo, maimidwe awo (kaya ali ogwirizana bwino kapena ayi), komanso momwe amachitira tsiku ndi tsiku.
Izi zinati, pali kusagwirizana kwakukulu pakati pa akatswiri a momwe akatswiri amakhalidwe abwino aliri, kuphatikizapo ambiri m'makampani amakhulupirira kuti ali atatha. Ndipo mtengo wamtengowu ukhoza kukhala wovuta kwambiri: Nkhani ya 2006 ya New York Times inati, malinga ndi katswiri wina wa zamalonda, mtengo wopanga mapulogalamu awiri, pa nthawi imeneyo, ndi $ 78.
Koma monga wogula, mwinamwake kulipira osachepera kawiri, ngakhale kawiri kawiri. Chifukwa chimodzi chachikulu cha izi ndi chakuti kuika dokotala-kuphatikizapo wopanga-kuwonjezera pa phindu lawo mpaka mtengo wapansi, kuyendetsa kwambiri.
APMA imanena kuti machitidwe opangidwa ndi machitidwe amapangidwa kwa inu ndi inu nokha, ndipo mwanjira yomwe amatsanirana bwino ndi magulu a mapazi anu. Izi ndizomwe amakhulupirira kuti angapangitse mapazi anu apadera komanso kudwala, kuphatikizapo, koma osati kumapeto kwa ululu wammbuyo, amati.
Mwachizoloŵezi, maina ochita mwambo amachita chimodzi, kapena zonse ziwiri, zinthu ziwiri:
- Amapereka chithandizo chowonjezera ndi chithandizo.
- Zimathandizira kuyendetsa phazi lanu (lomwe liri ndi mafupa 26, ndiyeno mafupa ambiri osunthika.) Mwa kuyendetsa kayendetsedwe kake, machitidwe anu amatha kusunga mapazi anu ndi minofu pamalo abwino kwambiri otha kuyima, kuyenda, kuthamanga , ndi zochitika zina zolemetsa.
The APMA imanena kuti musanayambe kulemba machitidwe anu, muyenera kufufuza osati mapazi anu okha, koma anu onse kumapeto. Ndipotu, amangolimbikitsa anthu kuti azichita izi, koma akatswiri ambiri ochizira matenda opatsirana komanso opaleshoni zamankhwala ndi madokotala amapereka chithandizochi.
Pomwe kuyesayesa kwachitika, panthawiyi ndikupanga mwambo wanu wamakhalidwe, APMA imati.
Kodi Ndi Liti Pamene Mukusowa Thandizo Lowonjezereka?
Kuyika nsapato ndi maonekedwe amtundu amagwiritsidwa ntchito kwambiri chifukwa cha mavuto a phazi. Matenda omwe anthu ambiri amagwiritsa ntchito popangira phazi amaphatikizidwa (kapena akulimbikitsidwa) amaphatikizapo mabango apamwamba, mabunioni, plantar fasciitis, matenda a shuga, ndi zina zambiri. Ngati mukuganiza kuti muli ndi zina mwa izi, lankhulani ndi dokotala wanu kapena / kapena podiatrist.
Koma nanga bwanji za mavuto akale?
Mwinamwake chifukwa chodziwika kwambiri cha msana chifukwa cha miyambo yamtundu ndi kusiyana kwa kutalika kwa miyendo. Kusiyanitsa kwa miyendo ya mimba (kusiyana kwa kutalika kwa miyendo) kungathe "kusuntha" mitsempha yomwe ingasokoneze mgwirizano wanu wa msana ndi minofu yake.
Zimagwira ntchito motere: Pamene mwendo wawung'ono umayesa kufika pansi (zomwe umachita ndi sitepe iliyonse yomwe mumatenga), amakoka ntchentche kumbali iyi pansi. Chotsatira ndicho chifuwa ndi mchiuno pa mbali yaifupi ya mwendo kukhala nthawi yayitali kusiyana ndi mbali yayitali ya mwendo. Chizolowezi chokonzekera chingathandize ngakhale kutalika kwa miyendo komanso kubwezeretsa muyeso wanu, makamaka kulemera kwake. Nkhumba zimagwira ntchito monga msinkhu wa kayendedwe ka msana ndi kusuntha, kotero mtundu uwu wa chidzudzulo ukhoza kukhala ndi mphamvu yaikulu kumbuyo kwa thanzi lanu la kumbuyo.
Zina kuposa izo, akatswiri ambiri amavomereza kuti miyambo yodalirika ndi mitundu ina yazondondomeko yamapazi sizimangoganizira zochitika zenizeni za msana. M'malo mwake, iwo amawoneka kuti akhoza kukhala othandiza kuti azikonzekeretsa.
Izi zinati, chinthu chimodzi chomwe akatswiri ambiri amavomerezana ndikuti kutchulidwa kwa mapazi (aka, mapazi otsika) nthawi zambiri amakhala okhudzidwa kwambiri. Ndipo mwambo wabwino wotchulidwa pamapazi amatha kuwongolera.
Ndiye kodi kuthamanga kwa phazi kumapweteka bwanji kupweteka kwanthawi yaitali? Kwenikweni ndi njira imodzi kapena ziwiri.
Maphunziro a 2014 mu magazini Foot anapeza katchulidwe kamene kamangoyambira pamapazi, chiuno, mapepala, ndi msana kudzera mwazochita zachipatala komanso zamaganizo zimatcha "kayendedwe ka kanyonga." Izi zowonjezereka zimakhala zofanana kwambiri zolakwika m'mafupa m'madera amenewa. Ofufuzawo akuwona kusintha kwa momwe mitsempha yam'mimba ndi ya m'mbuyo imagwira ntchito monga njira zowonetsera maulendo angayambe kapena kubweretsa ululu wammbuyo.
Olembawo akuwonjezera kuti kufufuza kwina kuli kofunika kuti awapatse chithunzi chonse momwe asingagwiritsire ntchito malemba kuti athandizire kusintha minofu ntchito, thupi lanu kapena onse awiri, ndipo potero amathetsa ululu wosachiritsika wamkati. Nkhani yabwino ndi yakuti mndandanda watsopano wa mafunso pa gawo la kafukufuku ukhoza kuthetsa mwatsatanetsatane.
Pakalipano, olemba a Foot Foot amavomereza kafukufuku wamtsogolo mwa kufotokoza pamene kugwiritsa ntchito chizolowezi chodziwika bwino ndi njira yowonongeka, ndi njira yabwino kwambiri yothetsera ululu wopweteka kwambiri.
Kodi Orthotics ya Mpumulo Wochepa Wakumbuyo Ukugwiradi Ntchito?
Makampani ovomerezeka amtunduwu amakula masiku ano- mwinamwake chifukwa chithandizo cha phazi chimapereka mwayi, njira yopanda opaleshoni yothetsera ululu wammbuyo wammbuyo.
Koma chifukwa china chikhoza kukhala chakuti m'magulu ena ogulitsa, kuikapo ndi ma orthotics akhala mawu a buzz, omwe angapangitse zotsatira zosayembekezereka za kulimbikitsa akatswiri osayenerera kuti apindule pa kutchuka kwawo.
Pofuna kuthetsa ntchito yopanda mafilimu yomwe imakhala ikuchitika pamsika, olemba nkhani ya 2016 yofalitsidwa mu nyuzipepala Foot amapereka ndemanga yofotokoza umboni ndi kugwiritsa ntchito zipangizozi.
Mmenemo, amatikumbutsa kuti kugwiritsa ntchito mankhwala odzola ndi zolembapo ndizosatetezedwa kwambiri ndi maphunziro apamwamba azachipatala (RCTs). Kutanthauziridwa kwa ogulitsa zaumoyo ku US, izi zikutanthauza kuti olemba sangathe kulangiza chithandizo chamtundu ngati chithandizo kwa anthu omwe akuyang'ana kuthetsa ululu wawo wopweteka wam'mimba.
Koma sizithunzi zonse. Ngakhale ziri zoona kuti maphunziro ambiri pa mbali zosiyanasiyana za nsapato ndi phazi chithandizo chokhudzana ndi kupweteka kwa kupweteka kwa m'mbuyo kumakhala kofunikira, olembawo akunena kuti kufufuza kwakukulu pa njira za biomechanical zomwe zimapindula ndi mapuloteni kale zilipo, ndipo zingagwiritsidwe ntchito Thandizani kudziwa zomwe zimagwira ntchito ndi zomwe siziri.
Mwamwayi, olembawo akutiuza kuti maphunziro oyendetsa ndege (omwe ali abwino kwambiri) ayamba kufalikira kudera lakafukufuku, zomwe zikutanthauza kuti posachedwapa tiwone mayankho ena.
Monga ndanenera poyamba, pamene adipoliti , MDs, ndi othandizira anthu onse amatha kupereka mayendedwe ngati njira yothetsera kupweteka kwa msana, kawirikawiri ndi kachipatala amene ali njira yolowera anthu omwe ali ndi ululu wopweteka. Ichi ndi chinthu chabwino, chifukwa kafukufuku wowerengeka popanda mankhwala ndi mankhwala opangidwa ndi chiropractic kusintha kumasonyeza kuti kusintha kwakukulu kungakhale ndi kuphatikiza kwa phazi zothandizira ndi kusintha.
Mwachitsanzo, phunziro la 2017 lofalitsidwa mu Archives of Physical Medicine Rehabilitation linapeza kuti mwa anthu 225 mu phunzirolo, okhawo amene ankavala nsapato za nsapato kapena amavala nawo limodzi anali ndi kusintha kwa chiropractic anaona kukulitsa kuti athe kugwira ntchito pamoyo wawo wa tsiku ndi tsiku . (Ophunzira onse ophunzira, kaya avala nsapato kapena ayi, kapena ali ndi chithandizo cha chiropractic kapena ayi, amatha kuchepetsa ululu wawo mkati mwa nthawi ya masabata asanu ndi limodzi.)
Koma iwo omwe anali ndi mankhwala achiropractic ndi orthotics apambana kuposa awo amene mankhwala awo anali othoteni okha.
Mawu Ochokera
Malingana ngati phazi lomwe ndilo dalaivala la ululu wanu wam'mbuyo, orthotics angapange njira yothetsera ululu wothandiza.
Mwa kuyankhula kwina, ngati muli ndi chizoloŵezi chotanthauzira phazi lanu, izi zimakhala zosagwiritsidwa ntchito mosamalitsa zomwe zingatanthauzire " chingwe cha kanyonga " ndipo zimapweteka kumbuyo kwanu. Motero, kutchulidwa ndi mtundu wa vuto la mwendo zomwe zizolowezi zamakhalidwe zingakhale zothandiza pamene mukufuna kupeza mpumulo womwe mukuyenera.
> Zotsatira:
> Cambron, JA, et. al. Ortho Orthotic Surgery kwa Chithandizo Chakumapeto Kwambiri Kumbuyo: Kuyesedwa kosalamulirika. Arch Phys Med Rehabil. April 2017 https://www.ncbi.nlm.nih.gov/m/pubmed/28465224/
> Kendall, JC, ndi. al. Kukhazika pansi kwa mapazi, kutalika kwa miyendo ya msendo ndi ululu wa m'mbuyo - ubale wawo ndi kayendetsedwe ka mankhwala pogwiritsa ntchito miyendo ya mapazi - mwachidule. Mphindi. June 2014. https://www.ncbi.nlm.nih.gov/pubmed/24703513
> Papuga MO, et al. Mazendo apansi pa ululu wopweteka m'mbuyo: Mkhalidwe wa kumvetsetsa kwathu ndi ndondomeko za kafukufuku wamtsogolo. Foot (Edinb). 2016.
> Malemba olembedwa ndi olemba Orthotics ndi Ma Insati. American Podiatric Medical Association webusaiti. http://www.apma.org/Learn/FootHealth.cfm?ItemNumber=988
> Tuff, Sarah. Kodi Mukufunikiradi $ 800 Custom Insole? The New York Times. June 2006. http://www.nytimes.com/2006/06/22/fashion/thursdaystyles/22Fitness.html