Contents
- He aha ka flatfoot
- He aha kāu e ʻike ai e pili ana i nā wāwae wāwae
- ʻO nā kumu o nā wāwae palahalaha i nā mākua
- Nā hōʻailona o nā wāwae palahalaha i nā mākua
- Nā degere o nā wāwae palahalaha i nā mākua
- Nā ʻano o nā wāwae palahalaha i nā mākua
- Ka lapaʻau ʻana i nā wāwae palahalaha i nā mākua
- Kāohi i nā wāwae palahalaha i nā mākua ma ka home
- Nā nīnau a me nā pane kaulana
Hiki i nā kānaka ke piʻi i 20 mau ʻanuʻu i ka lā. Ua hōʻoia ʻo Nature e hiki i nā wāwae ke kū i ke kaumaha nui, a hāʻawi iā lākou i nā waiwai kūikawā. Hoʻonohonoho ʻia nā iwi o ka wāwae i ʻelua mau pio: longitudinal a me ka transverse. ʻO ka hopena, ua hoʻokumu ʻia kahi ʻano arch, ʻo ia ka mea hoʻopuʻihaʻi o nā wāwae kanaka, e hāʻawi ana i ka ukana i ka wā e hele ai. Akā i kekahi manawa, emi a nalo loa kēia ʻāpuka a pili pono ka wāwae me ka ʻili. Hoʻopilikia nui kēia i nā iwi a me nā hui.
ʻO nā kapuaʻi palahalaha i kekahi ʻano he mea maʻamau no nā kamaliʻi liʻiliʻi, ʻoiai ke ulu nei lākou, a ke kūkulu wale nei nā iwi. ʻO nā mākua, ma kekahiʻaoʻao, uaʻike pinepineʻia me nā kapuaʻi palahalaha ke hele mai lākou me nā hoʻopiʻi o kaʻeha ma ko lākou mau wāwae.
ʻO nā pilikia me nā wāwae me nā wāwae palahalaha e ʻike pinepine ʻia a hiki i ka maka. ʻO kēia ka piko o nā manamana wāwae, ka puʻu ma ka manamana wāwae nui, ka wāwae ākea, nā kulina a me nā kelepona.
He aha ka flatfoot
ʻO ka wāwae flat he deformity o ka wāwae, e alakaʻi ana i ka uhaki ʻana i kāna hana depreciation, wehewehe. ʻo ka traumatologist, ka mea hoʻomaʻamaʻa ʻo Aslan Imamov. - Me nā kapuaʻi palahalaha, hoʻololi ke ʻano o ka pio maʻamau o ka wāwae, ma ka longitudinal - ma ka ʻaoʻao o loko o ka wāwae, a me ka transverse - ma ka laina o ke kumu o nā manamana lima. Hiki i kēia kūlana ke loaʻa nā hopena koʻikoʻi.
He aha kāu e ʻike ai e pili ana i nā wāwae wāwae
Nā kumu | nāwaliwali i nā ʻiʻo o nā wāwae, ke kaumaha, nā kāmaʻa ʻoluʻolu ʻole, nā ʻeha, rickets a i ʻole polio. |
Ōuli | ka luhi a me ka ʻeha o nā wāwae, hiki ʻole ke komo i nā kuʻekuʻe wāwae a i ʻole ko lākou hehi ʻana i loko, ʻehaʻeha ke hele. |
lapaʻau | orthopedic insoles, foot gymnastics, hoole i na ku'e ku'eku'e, laau lapaau, oki |
Kāohi | hoʻoikaika wāwae, kāmaʻa kūpono, mālama kaumaha |
ʻO nā kumu o nā wāwae palahalaha i nā mākua
ʻO ka pio o ka wāwae o ke kanaka he iwi, nā ʻiʻo, a me nā ʻiʻo. ʻO ka mea maʻamau, pono ka ikaika o nā ʻiʻo a me nā ligament e kākoʻo i nā iwi. Akā i kekahi manawa nāwaliwali lākou, a laila ulu nā wāwae palahalaha. Ma keʻano he kūlana, ua hoʻokumuʻia kēiaʻano i ka wā kamaliʻi a me ka'ōpiopio a hoʻoikaika i ka manawa. Ua kapa ʻia kēlā mau wāwae pālahalaha he static, a ʻoi aku ia ma luna o 82% o nā hihia āpau.
Nā kumu o nā wāwae palahalaha:
- ʻaʻole lawa ka ukana ma nā wāwae a me kahi noho maʻamau;
- nawaliwali congenital o na ligaments;
- ke kaumaha nui ma nā wāwae ma muli o ke kaumaha nui, kū i ka hana a i ʻole nā kāmaʻa ʻoluʻolu a me nā kuʻekuʻe wāwae;
- nā hōʻeha a me nā maʻi o ka wā kamaliʻi (fractures, paralysis a rickets i ka wā kamaliʻi);
- predisposition hoʻoilina (ua hoʻokumu hewa ʻia ka ʻāʻī o ka wāwae i ka utero, aia ma 3% o nā hihia).
Nā hōʻailona o nā wāwae palahalaha i nā mākua
ʻO nā hōʻailona o nā wāwae palahalaha e pili ana i ke ʻano a me ka pae o ka maʻi. ʻO ka hapa pinepine:
- ka luhi, ka ʻeha a me ke kaumaha ma nā wāwae a me nā wāwae i ke kū ʻana, e hele ana a i ʻole ka hopena o ka lā;
- ka ʻūhā a me ka pehu ma nā kuʻekuʻe wāwae a me nā wāwae;
- ʻAʻole hiki i nā wahine ke komo i nā kāmaʻa kiʻekiʻe;
- hoʻololi i ka nui o ka wāwae
- nā pilikia me ke kohoʻana i nā kāmaʻa;
- hehi i ka kuʻekuʻe wāwae i loko;
- ʻehaʻeha ke hele.
Nā degere o nā wāwae palahalaha i nā mākua
Loaʻa i kēlā me kēia ʻano o nā wāwae pālahalaha kona mau ʻano ponoʻī, no laila, noʻonoʻo mau nā kauka i ke ʻano o ka deformation i ka ʻike longitudinal a me ka transverse.
Ma muli o ke koʻikoʻi o ka pathology, hoʻokaʻawale nā orthopedists i nā pae IV o nā wāwae flat:
I kēkelē | ʻoluʻolu, aneane asymptomatic, luhi a me ka ʻeha o nā wāwae i kekahi manawa i ka hopena o ka lā; hooponopono maalahi |
II degere | Ua ʻike ke kanaka i nā ʻeha ʻokoʻa ma nā wāwae, nā kuʻekuʻe wāwae a me nā keiki bipi, ka pehu a me ke kaumaha o nā wāwae i ka hopena o ka lā, hiki ke hoʻololi i ka hele ʻana, a ʻike ʻia ka deformity o nā wāwae ma waho. |
III degere | deformity koʻikoʻi o ka wāwae - ʻaʻohe "arch", ʻeha mau ma ka ʻaoʻao haʻahaʻa o nā wāwae, ma nā kuli, nā ʻūhā a me ke kua lalo. E kū'ē i kēia kumu, hiki ke hoʻomohala i kēia mau mea: curvature o ka spine, arthrosis a me osteochondrosis, disc herniation a me nā poʻo. ʻO ke ʻano o kahi crunch ma nā kuli, ʻo ia hoʻi ua hoʻomaka nā hui e hāʻule. Me ka mālama ʻole ʻana, hiki i kēia pae ke alakaʻi i ke kīnā. |
IV degere | ka huli ʻana o ka wāwae i loko, ʻeha nui, paʻakikī i ke kanaka ke neʻe, hiki ke hoʻololi ʻia ka iwi āpau. |
Nā ʻano o nā wāwae palahalaha i nā mākua
Ma muli o ka pae o ka wāwae i hoʻololi i ka deformation, hiki i nā wāwae pālahalaha ke longitudinal a i ʻole transverse, a me ka paʻa a paʻa ʻole.
wāwae pālahalaha lōʻihi
ʻO ka lōʻihi lōʻihi o loko o ka wāwae he deformed, ma muli o ka hopena, ua aneane pili loa ka wāwae o ka wāwae me ka ʻili, a piʻi ka lōʻihi o ka wāwae. Me ke kēkelē ikaika, hiki ke hoʻomohala ʻia kahi paʻa o nā wāwae a me kahi ʻano X o nā wāwae. Manaʻo ʻia ka luhi a me ka ʻeha o nā wāwae me ka ulu ʻana o ka maʻi.
Inā, i ka wā o ka deformation o ka longitudinal arch, kahi blockage i loko me ka deviation mai ke kikowaena waena, ua kapa ʻia kēia ʻano he wāwae flat-valgus.
ʻOi aku kēia ʻano o nā wāwae palahalaha:
- poʻe ʻelemakule;
- nā mea pāʻani;
- nā mea pena lauoho a me nā mea pena;
- nā wahine hāpai;
- nā mea pā o nā kāmaʻa kiʻekiʻe;
- ka poʻe noho a me ka momona;
- kanaka ma hope o ka ʻeha wāwae.
ʻO nā wāwae pālahalaha
Ua ʻano ʻino ka wāwae mua a ua hele ka manamana wāwae nui i kona ʻaoʻao i waho. Ke alakaʻi nei kēia i ka emi ʻana o ka ʻaʻa transverse. Hoʻokumu ka poʻe maʻi i nā calluses a me nā kānana ma ka wāwae, e emi ana ka wāwae. Ma waho aʻe o ka manamana nui, ua hoʻopōʻino ʻia ka lua a me ke kolu o nā manamana lima. Ma waho, nānā lākou i ka pihi, a piʻi ka curvature i ka puka ʻana o nā puʻupuʻu mai ka manamana lima - ka iwi valgus.
Ma muli o ka hoʻololi ʻana i nā kiko heleuma, ua ākea ka wāwae a paʻakikī i nā kānaka ke komo i nā kāmaʻa. Hoʻopiʻi pū nā maʻi i ka ʻeha ma ke kumu o nā manamana lima. ʻO ka pinepine, loaʻa kēia ʻano wāwae palahalaha i nā wahine 35 - 50 mau makahiki.
Paʻa paʻa wāwae
ʻAʻole loli ka deformation o ka arch me kahi ukana ma ka wāwae.
Nā wāwae paʻa ʻole
Me ka hoʻonui i ka ukana ma ka wāwae, e emi ana ke kiʻekiʻe o kona mau pio.
Ka lapaʻau ʻana i nā wāwae palahalaha i nā mākua
ʻO ka maikaʻi o ka mālama ʻana i nā wāwae palahalaha e pili ana i ka makahiki a me ke ʻano o ka deformity o ka wāwae o ke kanaka. ʻO ka ʻōpio ka mea maʻi, ʻoi aku ka manaʻo o kāna mau wānana. I ka pae mua, ʻike ʻia nā hopena maikaʻi loa i nā maʻi liʻiliʻi a ʻōpio. No ka hoʻoikaika ʻana i nā ʻiʻo o ka wāwae, ʻōlelo ʻia ka lomilomi, nā hoʻomaʻamaʻa therapeutic, orthopedic insoles a me nā laina wāwae.
Hiki ke hoʻokō i kekahi hopena i ka mālama ʻana me ke degere II o nā wāwae pālahalaha, akā naʻe, ʻoi aku ka nui o ka manawa a me ka hoʻoikaika.
Hoʻemi ʻia ka mālama ʻana i ka degere III o nā wāwae palahalaha e hoʻōki i ka piʻi ʻana o ka maʻi a hoʻomaha i ka maʻi ʻeha.
lapaʻau '
Hoʻoholo ʻia ka hele ʻana a me ke kiʻekiʻe o nā wāwae pālahalaha e kahi traumatologist-orthopedist. No ka hōʻoia ʻana, hoʻohana pinepine lākou:
- mea kanu - ua hoʻoholo ʻia ka hele ʻana o nā wāwae palahalaha e ka paʻi ʻana o ka wāwae o ka wāwae, i hana ʻia ma ka plantograph;
- X-ray o ka wāwae - kōkua kēia ʻano noiʻi e hoʻokumu i ka ʻike a me ke degere o nā wāwae palahalaha.
ʻO ka pinepine, pono nā x-ray. Akā ʻaʻole hilinaʻi ke kauka iā ia wale nō, akā ma ke kiʻi holoʻokoʻa, ʻoiai ʻo ka wāwae he ʻōnaehana paʻakikī, hoʻoikaika ʻo Dr. Imamov.
Nā lāʻau lapaʻau hou
– Ke hele ka wāwae palahalaha transverse i ke degere II-III me ka hōʻino nui ʻana o nā manamana lima, pono ka hoʻoponopono ʻana. Akā,ʻo kēia mau kaʻina hana e hoʻopau wale i nā hopena, akā,ʻaʻole e hakakā i nā kumu - nāʻiʻo pilikia a me nā ligaments. No laila, ma hope o ka hana, pono ʻoe e komo mau i nā kāmaʻa me nā insoles kūikawā a i ʻole insoles, wahi a ke kauka orthopedic ʻo Aslan Imamov.
Me nā kapuaʻi palahalaha lōʻihi, paipai au: pololei ka hele ʻana, hele wāwae ʻole ma luna o nā ʻiliʻili a me ke one a i ʻole nā moena lomilomi, e wehe mau i nā ʻiʻo o ka wāwae a ʻōwili i kēlā me kēia manawa ma ka ʻaoʻao o waho o ka wāwae, lomilomi, hoʻomaʻamaʻa physiotherapy a me physiotherapy.
Me kahi wāwae palahalaha i haʻi ʻia, pono e hoʻohana ʻia nā insoles orthopedic a me nā kāmaʻa hoʻokahi.
Me ka haʻahaʻa haʻahaʻa, lawa ia e hoʻokomo i nā insoles orthopedic pākahi, hana i ka massage a me ka hoʻomaʻamaʻa wāwae. ʻO ka Physiotherapy, ka ʻauʻau, ka ʻauʻau mehana me ka paʻakai kai a me ka lāʻau lapaʻau e hāʻawi pū i ka hopena.
Kāohi i nā wāwae palahalaha i nā mākua ma ka home
No ka paleʻana i nā wāwae pālahalaha, ponoʻoe e hoʻoikaika i nāʻiʻo a me nā ligaments o nā wāwae, no laila,ʻo kekahi o nā mea maikaʻi loa o ka paleʻana,ʻo ia ka hoʻonaʻauao kino a me ka hoʻoikaika kino. Hiki ke hana ʻia kekahi o ia mau mea ma ka home a ma ka pākaukau, penei:
- e hele ana ma nā manamana wāwae, nā kuʻekuʻe wāwae a me nā ʻaoʻao o loko a me waho o nā wāwae, me nā manamana wāwae i hoʻopaʻa ʻia a hoʻokiʻekiʻe ʻia;
- kaʻa wāwae ʻole i ka poepoe a me ka ʻōmole wai;
- ʻohi i nā mea liʻiliʻi me nā manamana wāwae;
- ke kaʻa ʻana mai nā socks a hiki i nā kuʻekuʻe wāwae;
- ka huli ʻana o nā wāwae ma nā ʻaoʻao like ʻole, e moe ana a i ʻole e noho ana.
Nā nīnau a me nā pane kaulana
Nīnau mākou i nā nīnau e pili ana i nā wāwae palahalaha ʻO ke kauā orthopedic ʻo Aslan Imamov.