U-Valgus unyawo lwezinyawo ezinganeni - izibonakaliso zokuqala, izimbangela kanye nokwelapha

Ukwehlukana ekuthuthukiseni kwezinyawo kunabantwana abangaba ngu-40% abangaphansi kweminyaka engama-4.5-5. Ezimweni eziningi, izingane zitholwa ukuthi zinokukhubazeka kwe-valgus. Ngalesi sifo, izinyawo zomntwana ziyizicabha futhi zibonakala ziwela komunye nomunye. Izinhlangothi zangaphandle zenyawo ziphakanyiswa kancane. Uma ubheka imilenze yengane evela phezulu, yakha incwadi X.

U-Valgus unyawo lwezinyawo ezinganeni - izimbangela

Lokhu ukuphambuka kwenzeka ngenxa yemigqa engakhiwe kahle emanzini ezinyawo. Ngaphansi kwethonya lomzimba omzimba abawohloka, amathambo aphelelwa phansi futhi aguqa. Inyawo likaValgus emntwaneni lenziwa ngezizathu eziningi, ezihlukaniswe ngokomzimba ngamaqembu amabili:

• ukuzalwa;
• atholakele.

I-Congenital valgus deformation yezinyawo

Inkinga iqala ngesikhathi sokubunjwa kwe-intrauterine yezingalo zesisu. Unyawo lwe-flat-valgus lwenzeka ngenxa yendawo engafanele nokukhula kwamathambo. Ngaphansi kaningi, igoqa ngemuva kwesilima se-intrauterine kanye ne-dysplasia ehlangene. Ukuguqulwa kwezinyawo ezintweni ezisanda kuzalwa kutholakala ngokushesha ngemuva kokuzalwa noma ezinyangeni zokuqala zokuphila komntwana. Kulesi sigaba kulula ukulungisa ukuma kwonyawo, ubuyisele ukuphakama kwalo kanye nokubopha okulungile.

Ukuguqulwa okudingekayo kwezinyawo

Loluhlobo lwe-pathology luvela ezimbangela zangaphandle ezithinta uhlelo lwe-musculoskeletal. Okokuqala, ukukhubazeka kwe-valgus ezinganeni akubonakali kakhulu. Izimpawu eziveziwe zenkinga ziyabonakala ezinyangeni eziyi-10-12, lapho ingane izama ukuhamba yodwa. Ukuma kwe-Flat-valgus kwengane yohlu olutholakalayo luqala ngezizathu ezilandelayo:

• ukuguqulwa kokuqala ;
• ubuthakathaka bezicubu ezixhumeneyo;
• izifo ezinzima, zidluliselwe zisencane (i- bronchitis , i-pneumonia, i-SARS, nabanye);
• ukungenakudli kwemithi ye-intrauterine;
• i-rickets ;
• i-myodystrophy;
• i-poliomyelitis ;
• i-cerebral palsy;
• i-polyneuropathy;
• ukulimala kwamakhamzimba kanye nokuhlukana kwezinyathelo ngokugqoka isikhathi eside;
• ukukhuluphala;
• ukuqala ukubeka umntwana emilenzeni, imizamo ngaphambi kwesikhathi ukumfundisa ukuthi ahambe;
• ukukhetha okungalungile kwezicathulo;
• ukuhamba okuphansi;
• ukutholakala kwe-calcium emzimbeni;
• ukudla okungenamkhawulo, okuncane;
• izifo ze-endocrine.

Izimpawu zezinyawo ze-valgus ezinganeni

Izimpawu zokuqala zokukhubazeka ezichazweyo zibonakala zingaphezu konyaka wokuqala wokuphila kwengane. Abazali bayaqaphela ukuthi i-kid ngenkathi ehamba ayithembeli kuyo yonke inyawo, kodwa kuphela engxenyeni yayo yangaphakathi. Ukungafani kwezinyawo ezishintshiwe kusuka emilenzeni enempilo kuboniswa ngokucacile esithombeni ngezansi. Izimpawu ze-pathology zixhomeke ezingeni lika-valgus deformation wezinyawo ezinganeni:

1. Isiteji esilula sibonakala ngokugubha imilenze ngaphandle kokugwaza okukhulu kwezinyawo. I-angle yokuguqulwa kwamagqumeni ukusuka emgqeni oqondile kuya ekugcineni kwesigxathu kuya kuma-degree angu-15.
2. Ukuguqulwa kwezinyawo ze-Valgus ezinganeni ezinomunyu olinganiselayo kuhambisana nokuhlunga izinyawo, kodwa zihlala ngaphakathi ngama-15-20 degrees.
3. Izinga elibi lesi sifo lihlanganisa i-foot flat ecacile kanye ne-angle enkulu yokungaziphathi kahle kwezingqimba - ama-20-30 degrees.
4. Isigaba esinzima kakhulu sibonakala ngokugxila okuqinile kwezingalo. I-ankle ingaphezu kwama-degrees angu-30.

Izimpawu ezingekho emthethweni zokuthuthukiswa kwesici:

• ukuhlukumezeka, ukuphazamiseka;
• ukukhathala okusheshayo phakathi nemidlalo egijima neyasebenza;
• ukuzwa okungajabulisi esifundeni sezimpawu;
• ukuthandwa, ukucasula kwengane.

Ukukhubazeka kwezinyawo ze-Valgus ezinganeni - ukwelashwa

Izindlela zokwelashwa zikhethwe ngabanye ngane ngayinye ngokuhambisana nezinga le-pathology. Kunezinketho ezimbili okufanele ulungise ukukhubazeka kwezintambo-valgus kwezinyawo ezinganeni - ukwelashwa kungenziwa ngezindlela ezingezona zokuhlinzwa nezindlela zokusebenza. Esikhathini sokuqala, ukwelashwa kuhilela ukugqoka ama-insoles akhethekile nezicathulo, ukusikhipha umzimba, ukwelashwa ngokomzimba. Ukungenelela okuhlinzekwayo kungavamile ukushiwo (cishe amaphesenti angu-7%), uma indlela evamile ingasebenzi noma isifo sibonakala sisesimweni esinzima.

Izicathulo ze-Orthopedic ezinganeni ezinokukhubazeka kwe-valgus

Izicathulo nezicathulo ezinganeni ezinenkinga okucatshangelwayo yenziwa kuphela oda. Izicathulo ze-Orthopediki ezinokukhubazeka kwe-valgus zenziwa yilowo nalowo owenzelayo noma izilinganiso eziqondile, okwenziwa udokotela. Akuyona into engathandeki ukuthenga imikhiqizo enjalo ngokuzimela. Ukukhiqizwa kwezicathulo emasethweni kwenziwa ngeziminganiso ezijwayelekile ezingahambisani ne-angle ethize yokuphambuka nokwehlisa izinyawo.

Ngesiza esisodwa sezimbadada noma izicathulo, ukumiswa kwe-valgus akulungiswa ingane - ukwelashwa kuhilela ukugqoka kwabo isikhathi eside. Ukukhula kwemilenze nokubuyiselwa kancane kancane kwesimo sabo kudinga ukushintshwa kwezicathulo ngesikhathi esifanele. Awukwazi ukuyithenga ngekusasa noma ukugqoka amancane amancane. Izinzwane zomntwana kufanele zizinze ngokuqinile endaweni engezansi ye-shin, indawo yesithende kanye ne-sock.

Ama-insoles we-valgus izinyawo zokukhubazeka ezinganeni

Lezi zesekeli zenziwe, njengezicathulo, ngokuqinile ngabanye. Ukuphathwa kahle kwe-valgus deformation yezinyawo kuhamba ngezigaba eziningana kusuka kunzima kuya elula. Ubukhulu, ukuma kwe-insoles kanye nobukhulu bomsekeli we-arch kufanele kukhethwe ngokuhambisana nesilinganiso sokuqedwa kwonyawo ngalunye kanye ne-angle yokuphambuka kwayo. Ukukhubazeka okungaphansi kwezinyawo ezincane ezinganeni kulungiswa ngokushesha, kuzothatha ama-3-5 amadivaysi amadivayisi acatshangelwe. Ngezifo ezivame ukubhekana nezifo, ngokuvamile kuyadingeka ukushintsha i-insole iminyaka eminingana.

Ukuzibulala nge-valgus ukukhubazeka kwezinyawo ezinganeni

Ukwelashwa kwemithi kudlala indima ebaluleke kakhulu ekwelapheni kwezempilo. Inqubo kufanele yenziwe ngumchwepheshe oqeqeshiwe. Abazali bangazimela ngokuzimela nge-valgus deformity kuphela emva kokuqeqesha nomuthi wezincwadi. Ukuhlukunyezwa kuhilela ukusebenza emisipha:

• emuva;
• i-sacrum nesinqe;
• izintambo;
• izinyathelo;
• i-shins;
• phambi komnyango wemilenze.

Ngesikhathi sokuphunga, ukunyakaza kwezokwelapha okungahambi kahle kwamalungu kuyenziwa ngokufana. Inkambo yezinqubo ezenziwe ngendlela efanele inikeza:

• ukuthuthukiswa kwe-nerve conduction;
• ukujwayelekile kokuhamba ngezinyawo;
• ukuqinisa i-corset yemisipha;
• ukuphakamisa ithoni evamile yomzimba.

I-Massage pad nezinyawo ze-valgus ezinganeni

Lesi sesekeli sisebenzisa njengendlela yokwelashwa eyisizayo. Umshini wokusiza usiza:

• lungisa ukuphakama komgqa wonyawo;
• ukwandisa ukujikeleza kwegazi;
• ukwandisa ukuguquguquka nokuhamba kwezinyawo;
• ukuqeda izinzwa ezibuhlungu ngenkathi zihamba futhi zigijima.

Ubukhulu bezinhlayiya kanye nezimboniso kwi-accessory kukhethwe kuncike eminyakeni yobudala kanye nesisindo lapho ukuguqulwa kwe-flat-valgus kuqhubeka khona. Kubantwana abangaphansi kweminyaka engama-3 kungcono ukuthenga ibhola elinamakhi amancane nezincane, eziseduze nomunye. Ingane engaphezu kwaleyo minyaka ingahle iphakanyiswe ukuthi isebenze eduze kwendawo yokukhulula okungaphezulu ngokungahleleki okukhulu okwenza amacobolondo noma amatshe olwandle.

I-LFK enezinkinga ze-valgus zenyawo ezinganeni

Ukuvivinya umzimba kufanele kunconywe ngumhlengikazi noma umuthi wamazinyo ngokuhambisana nezinga le-pathology, ubudala kanye namakhono omntwana. Kuyinto efiselekayo ukuthi ukwelashwa okuyinhloko kokukhubazeka kwe-valgus ngosizo lokuqeqeshwa ngokomzimba kuqhutshwa ngaphansi kokuqondiswa kochwepheshe. Ekhaya, ungenza ama-gymnastics alula, unikeze izifundo zezingane zibe ifomu lokudlala. Ukuzivocavoca okulula nge-valgus ngezinyawo zokukhubazeka ezinganeni:

• ukuhamba ematje, amabhola amancane, isiteji sezindophi;
• ukuthunjwa kwezinto ezincane ngezinzwane ezinyaweni - ipensela, ishidi, imali;
• ukuqhutshwa kwephini yokubhoqa, ibhola;
• ukudweba ngezinzwane zakho;
• "Isinyathelo se-goose" - ukuhamba, ukuxosha;
• ukuhamba ngokusekela ohlangothini olungaphandle nangaphakathi lonyawo, ngezinzwani, izithende;
• "Ingwenya" - ingane iyahamba, abazali banamilenze;
• izigqoko ezivela endaweni yokuma (ngaphesheya) kwenduku yokuzivocavoca (ingashintshwa yi-squeegee).

Ukukhubazeka kukaValgus kokusebenza ngezinyawo

Isikhathi esiphezulu sokungenelela kokuhlinzekwa ngukudla kweminyaka engu-8-12. Ukusebenza kuqokwa uma ukukhubazeka okuphahleni-valgus kwesilonda esinzima kakhulu kunesifo sibonakala sinamazinga okuphambuka amazinga angaphezu kuka-30. Udokotela ohlinzayo ngamunye ukhetha izindlela zokwelapha eziphephile kakhulu nezincane kakhulu. Ukuguqulwa kwe-valgus kwezinyawo ezinganeni kulungiswa yizinhlobo zokusebenza ezilandelayo:

• ukuqinisa i-tendon ye-muscle tibial muscle;
• i-subthlar arthroesis;
• Ukweluleka kwethenda ye-Achilles;
• uhlelo lokusebenza ngesinyathelo ngesinyathelo samadivayisi wokulungisa yangaphandle.