He aha mea he puha wāwae? Lapaʻau maiuu o na-wawae: ka insole, hoʻokō '

He aha mea he puha wāwae? Photos o keia pathology hiki ke loaʻa i loko o ka keia pauku. Nō hoʻi, i ka maʻi i loko o ninau, e hoakaka mākou, hōʻike kona kumu, e helu symptoms, a hai aku ia oe e pili ana i ka lapaau.

Summary

Ia mea he puha wāwae? Kēia pathology, mau mea kōkua i ka deformation o ka laloʻaoʻao. Ua Ua wehewehe aku ma ka ia kāna o na manamana ia, a me ka hoala kuekue wawae mai. Ma muli o ia mea deformation i loko o ka hoʻomanawanui, piʻi pū markedly uma e pio mai ka hoʻonā 'ana.

Hollow wawae paha ia he hereditary maʻi, e like me ka hoʻomōhala me ka makahiki (mai ka 35 makahiki). I ka maʻi i loko o nīnau nei ke ku pono ana o ka flatfoot.

deformation ke kahua

He aha e hoʻoholo i ka iapaau ana o ka puha wāwae? Kilo'ōlelo aku nei au i ke koho ana o ka Inc mea pololei nā mea i ka ke kahua o ka maʻi. Hoʻomalu maopopo mau deformationʻanuʻu:

1. I ka loa hoʻomaka o ka maʻi he mea pahee'aʻaʻa loli (morphology). I mea e hoʻonā i kēia pilikia, kauka waiho aku i ka hoomanawanui i ka i puʻe ma luna o ke poʻo o ka mea mua metatarsal iwi.
2. Inā ke kanana nei i hoʻomohala i ka iapaau ana i ole ia, he mea i hale hānai pae o ka maʻi e koi ka manaʻo 'inikua' uao.

kumu o ka

No ke aha la hoʻomōhala puha wāwae? Nā kumu a me ka kiko'īʻano papa hana o ka hoʻoulu e pio 'ia paha i ole i ua möakäka hou. Eia naʻe, kauka paipai i keia pathology ke'ākoʻakoʻa ma muli o ka imbalance (Muscle) ma muli o ka hyper ole hoʻonāwaliwali i (paretic) o kanaka nāʻiʻo o ka wāwae, a malalo wawae. Ma ke ala, i mau kāhuna kālai aku nei au i kekahi manawa, i ka wa ina hookolokolo i ka hoomanawanui me ka deformation ma ka nīnau hoʻokūpaʻa i ka na hiohiona emi ana paha, conversely, mahuahua Muscle leo ke aloha.

E like me ka hapanui kauka, loa pinepine ua hana puha wawae no i ka pathology o ka neuromuscular'ōnaehana a me ka helu o nā maʻi, e like me muscular dystrophy, polio, spinal dizrafii, maʻi, Charcot-Marie-Try maʻi, syringomyelia, polyneuropathy, Friedreich ka ataxia, cerebral lolo, meningitis, meningoencephalitis, benign a me malignant hikoko o ka spinal kaula.

Loa kākaʻikahi keia pathology e hoʻomōhala ana i aie i ka lalo lala o nā'ā a me improperly fused talus a calcaneus iwi (fractures).

I ka 20% o nā mea a pau i nā kumumea i hoonaukiuki aku i kekahi puha wawae, koe unclear.

symptoms

Ma keʻena kūʻai lāʻau lapaʻau a me ka 'inikua-oaio? A pinepine kuai insoles no ka wawae kāwaha. He aha nā mea no? Ka mea mea i keia mai, aole ia i hele unnoticed no ka hoʻomanawanui.

Me ka ulu i loko o ka e pio mai vault maʻi mau ka hoohewa ana o ka eha ma ka wawae, luhi i hele ana a me ka discomfort i loko o ka na puupuu wawae ami. Nō hoʻi, kekahi nā mea maʻi e olelo aku i ka mea, i ka pilikia nui ma loko o ke koho ana o hōʻoluʻolu kamaa.

A hiki aku i ka noonoo pathology poe akamai i hōʻike me ka hoomahuahua i loko o ke kiʻekiʻe o ka pā, a mawaho e pio mai, flatness, wahi? Anoe, a lawe mai i ka pae o ka mua pauku, ola blisters (e like, ma ke kumu o ka manamana nui a me ka uuku manamana lima i loko o ka wahi), e like me ka deformation o na manamana nana aku la au, mai kekahi kanaka. Eia hou, e like me ka hoʻomanawanui He pinepine ka na hiohiona wawae oolea.

hoi na hana mana

Hollow wawae, a hoʻomohala i ka hopena o ke polio, hiki e ukali e blurred unilateral paresis i loko o ka huipūʻana me ka equinus wāwae. I ka ua hoemiia keia Muscle leo, a me ka deformation ua ole i holopono.

Inā he kanaka e malama cerebral lesions, laila, ka mea hiki e hāliu aku spasticity, mahuahua Muscle leo, a mahuahua reflexes (tendon). Oia ke kaʻina mea e holumua ai, a hoʻokahi-kapakahi.

Nā mea maʻi me ka congenital pathology mea IeAUPIIe, IAa IOʻeluaʻaoʻao. Ua mālama i ka Holomua, o ka oi aku i manawa o kaʻeleu ulu (e laʻa me, 5-8 makahiki a me 11-15).

A hiki i kaʻike, o "Friedreich ka ataxia maʻi" puha wawae 2-ala a me ka holo pono. I hookuu i ke hoʻomanawanui i ka 'ohana i kekahi hihia o ka maʻi i malama.

Mahuahua i ka pio mai o ke wāwae ka mea, ua pinepine hui me ka ataxia a me ka gait haunaele. Nō hoʻi, no ka mea, he maʻi wehewehe aku ma ka mehana pā lonoaʻili kāna hana a me lesions o ka pyramidal'āpana.

I ka maʻi, Charcot-Marie-Try maʻi i loko o kānaka ia 2-kapakahi e holumua ai deformation a ana, e like me Muscle atrophy, i kŰlń ao keu.

Pehea e diagnose?

Kino me ka puha wawae i e hana pono. Naʻe, i kēia E e hana wale ma hope o kaʻike, e e möakäka hou ma ka hoao ana i ka kauka. E like me ka rula, no keia mea ua hoouna aku la i ke ahonui a me ka X-Ray plantography wāwae.

I ka mehana deformation ma plantogram hoike nui piʻo concave recess loko maka, a me ka protrusion ma ke kae o ka wāwae. At lōpū pathology malama concavity i ke kae. Me ka pili ana i ka haʻi maʻi, ua maheleia ka kanaka paʻi o ke poho i loko o 2 apana.

Aia nō i nui kou hihia, nalo loa ka wā i fingerprint manamana wawae contours. O ke kumu ho i kā lākou mau maiuu o na deformity.

Inā ke kauka manaoio i ke kumu o ka pilikia o ka maʻi o ka neuromuscular'ōnaehana, e e haawiia keia i ke hoʻomanawanui i ka neurologist. Hope e lawelawe ai i ka piha neurological ninaninau, hanaʻia spine radiography, MRI a me HI scan NineManga.com, a me ka electromyography a me nā haʻawina.

Inā he eha kahiko o na iwi tarsal i ka hoʻomanawanui i koi HI wāwae.

Inā puha wawae i hoikeia mai ai no ka manawa mua ana o ka hoʻomanawanui i maʻi o ka neuromuscular oihana, aʻaʻohe mua nā palapū, ka mea, olelo no ka manawa kūpono o ka spinal kaulaʻeho. Ma keia hihia, ke kanaka ua kauoha ia e nana i ka oncologist.

Pehea e hana?

Nā kaʻa mokulele maiuu o na-wawae Inc ua nānā 'ana i ke kumu o kona ulu ana, e like me ka ulu ana o ka uma e pio mai, a me ka hoʻomanawanui ka makahiki.

I moderately a poorly hoakaka pathologies o ka hoʻomanawanui i hoakaka ia me ka Inc, physiotherapy a me ka lomilomi. Unfixed ano o ka maʻi amenable makeʻe kulana? Iaea ma ka aahu lole kamaʻa me ka ho'ālaʻia ma loko lihi.

Ikaika i olelo ia paʻa maʻi, o ka oi aku i loko o nā mākua, malalo iho o keʻoki lāʻau lapaʻau lapaau.

Ke kaumaha ma muli o ka 'ano o pathology a me na kumu o kona? Acaeoey hiki ke hana arthrodesis, osteotomy, crescent a auka resection o na iwi tarsal, tendon transplant a me dissection o ka plantar fascia. Nō hoʻi, hana likeʻole me ka hui pu ana o kēia mau 'ana i kūpono.

ʻoki lāʻau lapaʻau 'uao

Ke hana i ka wāwae no ka hoʻihoʻi ua lawe mai i loko o ka lokoʻino a ano ma lalo o conduction anesthesia. Ka pono koho mea he huihui 'ana o keʻoki kino a Chaklin Kusliku. Ka hope iaoiaeii hoʻolako i hamama oki paha redressatsiyu plantar fascia pu me ka crescent paha auka resection o ka cuboid. A hiki i ka resected hapa ua weheʻia, ka hindfoot ka manao ma ke ala e hiki aku ana i ka hooponopono, a me ka alo - i-hope. Mahope, i kaʻeha ua sutured, moni loa, a ua noi haʻahaʻa lala puna, i ua ole wehe 6-7 pule.

I ana i ka papa hana Chaklin plantar aponeurosis i redressiruyut paha dissect. Next tarsal iwi i hanau. Penei extensor tendon i loko o ka lima ua wehe ', a laila, hana i kekahi auka resection o ka cuboid wahi, a me ka poo hookui hookahe koko ana.

Me ka pili ana i ka navicular iwi, a laila ka mea, ua wehe 'hapa' ia 'ole loa, ke kaumaha ma muli o ka oolea o ke deformation.

Me ka ikaika ia kāna o ka mua metatarsal ua hana (aiiieieoaeuii) ia osteotomy. I ka nānā Equinus pana aku au i tenotomy o ka Achilles tendon.

I ka hanana ana iʻoki kino i ke kulana o ka wāwae mea,ʻaʻole hiki ke hoʻomaʻa no ka wāwae puna ua noi no 3 pule, ma hope i ka mea, ua wehe ', a e hooholo mākaʻi kiaʻi. Eia, ua noi hou i ka lole wili no kekahi 4 pule.

Insoles a me nā kino

Ina puha wawae lapaau ana? Insoles a pono hapai i kamaa - keia mea kekahi o ka easiest aoao e pakele o ka'ūhā ke kanana nei, e like me kona Kāohiʻana.

E like me ka poe akamai, me ka maiuu o na-wāwae nā mea maʻi e haawi aku i ko lakou makemake no ka kāmaʻa me ka laula anuu, a me ka haahaa kuekue wawae. Kēia, e hoʻonui i ka hoʻopunipuni nā wāwae i loko o ka pololei kulana.

It E e kaulana no hoi ia e kūʻai orthopedic kamaa e wale nō ia ma lalo o ka hooponopono ana o ka mea e hele ana i kauka. Incidentally, ka hope e waiho aku kāmaʻa me ka ho'ālaʻia ma loko lihi. E hōʻoia 'kupono kākoʻo no ka mea e pio mai ana o ka wawae, eʻoiaʻiʻo e pili splints, i mea, kūikawā insoles, ua hanaʻia e kauoha.

Pehea e emi i ka eha i ke kumu o ka puha wāwae? Hookoikoi a physiological kaʻina hana no ka iapaau ana o ia mau maʻi i koho ma luna o kekahi kanaka kumu, ma o ka hoike ana o ka hele kauka. Eia nō kekahi examples:

1. E hoʻomaka ana kūlana e noho ana. Hoʻokō 'ua lawe mai o ka' elele, a laila, i ka ia'ku (paa ma ka wahie, noi i ka wawae, gymnastic nui aʻe).
2. , Hoʻopaʻa hoʻi manamana lima neʻe a me nā wāwae o kekahi kanaka (lāʻau, laholio, metala waihoʻoluʻu o kekahi anawaena mau laau la, a AL.) Ma ka kekahi kaʻina, - ka mea, e ke kiʻekiʻe o emi i ka nui a me ka kaumaha - mahuahua.
3. Original e ku ana kūlana. Socks i loko o ke kuekue wawae ma ka lima, i ka i kā mākou mawaho kuapo Main, laila, hoʻololi i ke kae o ka wāwae. Next - i ka hookuu ana o ka ili o na puupuu wawae.

Nō hoʻi, e pale aku kaʻawaʻawa loa ka waiʻona ma ke i ka hoomanawanui lawelawe paraffin bato, he mehana auau a me ka hana lima pololei deformation i loko o ka palapala o ka lomilomi.