Mukati
Rutsoka rwakatsetseka rwakachinjika runowanzo kuvakadzi uye runoratidzwa nekutsauka kwedorsal kwekutanga, yechina uye yechishanu metatarsal mapfupa, zvekuti yechipiri neyechitatu metatarsal mapfupa asingaratidzi kufamba anooneswa kudzvinyirira kwakanyanya pasi, kazhinji ne. anooneka anorwadza calluses ari paplantar side. Zviratidzo zvinorwadza zvinonyanya kuitika kana uchifamba pavhu risina kuenzana uye rakaoma.
Transversely flat tsoka - tsananguro
Rutsoka rwakati sandarara runodanwawo kunzi transverse flat foot. Kuremara kwetsoka kwakajairika kwatisingawanzo fungira nezvayo nekuti hakuoneki nezvirwere zvinonetsa. Munhu ane rutsoka rwakakwana ane zvibodzwa zvitatu zvinomutsigira, zvakadai se:
- bundu rechitsitsinho,
- musoro uye metatarsal mapfupa,
- musoro wechishanu metatarsal bone.
Mune vanhu vane rutsoka rwakatsetseka, rutsoka rwakachinjika rwetsoka runova flattened uye statics yaro inovhiringidzika, sezvo uremu hunoendeswa kune yechipiri uye yechitatu metatarsal mapfupa. Nekuda kweizvozvo, iyo forefoot inova yakakura zvakanyanya sezvo metatarsal mapfupa akaparadzana. Cross-flat tsoka inova dambudziko rakakomba kana inotanga kukonzera marwadzo. Mukurapa kwechirema ichi, zvinonyanya kukurudzirwa kuita maekisesaizi uye kushandisa orthopedic insoles.
Zvikonzero zvekuumbwa kweiyo transversely flat tsoka
Izvo zvinonyanya zvikonzero zve transverse flat tsoka ndezvi:
- sando chigunwe,
- rheumatoid arthritis,
- kuwandisa / kufutisa,
- kuderedza yechipiri uye yechitatu metatarsal mapfupa,
- chigunwe chikuru chakaoma,
- hallux valgus,
- yakarebesa mapfupa echishanu uye echishanu metatarsal achienzaniswa neXNUMXst metatarsal mapfupa,
- kuparadzaniswa kwemetatarsophalangeal yekubatana kwechipiri, chechitatu uye chechina minwe,
- too loose ligamentous apparatus (dambudziko iri rinowanzoitika muvakadzi mushure mekuita pamuviri).
Zviratidzo zvegumbo rakati sandarara
Kunyanya kudzvinyirirwa pamapfupa echipiri uye echitatu metatarsal paunenge uchifamba pane ma calluses aripo anokonzera kuzvimba kusingaperi muzvinyorwa zvakadzika zvakapfava nemarwadzo anotevera. Mumaronda epamusoro, kunyanya kune vakwegura, pane kurasikirwa kwe-subcutaneous tissue ine misoro inoputika ye metatarsal bones pasi peganda rakatetepa. Kuchinja kwakadaro kunokonzera kurwadziwa kukuru, kunyanya kana uchifamba pavhu rakaoma uye risina kuenzana, zvichiita kuti uremara hunokosha. Iko kuremara kunowanzoitika kumativi ese uye kunowanzo kuperekedzwa nehallux valgus kana sando zvigunwe.
Transversely flat tsoka - kuzivikanwa
Iwo mabvunzo ekutanga anoshandiswa kuona iyo transverse flat tsoka ndeye pedobarography uye podoscopy. Yokutanga ndeyekuongororwa kwetsoka yekombuta iyo inobatsira kuona kugoverwa kwekumanikidza pane imwe yetsoka. Muedzo uyu unoratidzawo chimiro chetsoka uye kuti dzinoshanda sei pakufamba nekumira. Podoscopy, kune rumwe rutivi, inongororwa yakadzikama uye ine simba yetsoka inoitwa uchishandisa mufananidzo wegirazi. Inobatsira pakusarudza chimiro chetsoka uye inoratidza chero chibage uye calluses.
Kurapwa kweiyo transversely flat tsoka
Kukanganisa kuripo kunofanirwa kuverengerwa mukurapwa. Muvanhu vechidiki, kuvandudzwa kunogona kuwanikwa nekushandiswa kweshangu dzehutsanana dzakagadzikana uye kushandiswa kwakarongeka kwezviitwa kudzorera tsandanyama yetsoka. Orthopedic insoles anoshandiswa mu transverse flat tsoka ari insoles anosimudza chinjikira arch yetsoka (shock-absorbing with metatarsal arch). Uyezve, mukurapa marwadzo, kwete-steroidal anti-inflammatory drugs inoshandiswa. Kazhinji, kuchinjika tsoka dzakatsetseka kunokonzerwa nekuremerwa kwemuviri - vanhu vakadaro vanofanirwa kurasikirwa nemakirogiramu asina kufanira nekukurumidza sezvinobvira, izvo zvinounza mhedzisiro yakanaka. Physiotherapy inobatsirawo, panguva iyo maitiro anosarudzwa mumwe nomumwe kune murwere; inobatsira kurwisa kuzvimba uye kurwadziwa.
Kushaikwa kwemhedzisiro mushure mekushandisa nzira dziri pamusoro apa kungave chiratidzo chekuvhiya. Kuvhiya mu transverse flat tsoka kunoitwa kana murwere achiwedzerwa ne:
- kubviswa kwekubatana kwe metatarsophalangeal,
- hallux valgus,
- nyundo chigunwe.
Transversely flat tsoka - maekisesaizi
Mienzaniso yezvidzidzo zvekusimbisa muscular-ligamentous apparatus yetsoka (akaitwa agere pasi):
- kubata zvigunwe zveimwe tsoka, eg bhegi, wozochipfuudza kune rumwe ruoko;
- kusimudza chitsitsinho chakakwirira,
- kupeta uye kutwasanudza zvigunwe (zvichienderana),
- muchisimudza homwe netsoka dzenyu,
- kukungurutsa mabhegi pasi,
- kusimudza mativi emukati etsoka kumusoro uye kupeta zvigunwe panguva imwe chete.
Prophylaxis mune yakachinjika tsoka yakatsetseka inosanganisira kusarudza shangu dzakakodzera uye kudzivirira huremu hwemuviri hwakanyanya.