Izinzuzo zeHammer Toe Orthotic

-Delile

• Ukubuka konke
• Izinhlobo ze-hammer toe splints (orthotic)
• Umehluko phakathi kwe-splint ne-orthotic
• Yenzani futhi ayenzi isando uzwane
  
• Ubuhle nobubi bezinhlobo zezinyosi zamazinyo zesando
• Ukusonga uzwane
• Amasokisi ozwane
• Abahlukanisi bezinzwane zeGel (okubizwa nangokuthi abasabalalisi, ama-relaxers, noma ama-stretchers)
• Ibhola lonyawo (metatarsal / sulcus) amakhushini
• Iphedi yesando uzwane
• I-anatomy yezwane
• Uzokhuluma nini nodokotela
• Ukuhlinzwa
• Kuyini isando uzwane?
• Ukuthatha

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Ukubuka konke

Isando uzwane yisimo lapho ukuhlangana okuphakathi kozwane kugobela phezulu. Ukugoba kubangela ukuthi ichopho lezinzwane zakho libheke phansi ukuze libukeke njengesando. Izilonda zingenzeka ngaphezulu kwesihlanganisi esiphakathi esigobile ngenxa yokushayisana nokucindezela kwesicathulo.

Uma uhlangabezana nozwane lwesando kuzwane lwakho lwesibili, lwesithathu, noma lwesine noma izinzwane eziningi ngasikhathi sinye, kunezinhlobo eziningana zezinhlaka zezinzwane zesando ezenzelwe ukukhulula noma ukuvimbela izingqinamba ezinyaweni ezihlobene.

Izinhlobo ze-hammer toe splints (orthotic)

Umehluko phakathi kwe-splint ne-orthotic

Izikhungo ze-U.S. ZeMedicare neMedicaid Services (i-CMS) manje zichaza i-orthotic device, noma i-orthosis, njengokwesekwa okwenziwe ngengxenye yomzimba. I-orthotic ingahle yenziwe noma yenziwe ngokwezifiso ukukulingana.

I-CMS ichaza isigaxa njengokuphonswayo noma okokugoqa okusetshenziselwa ukusiza ukusetha ithambo eliphukile, eliphukile noma elihlukanisiwe.

Leli gama elisha kancane kancane lingena esikhundleni sokusetshenziswa kwakudala, lapho amagama ahlukaniswa khona kanye nama-orthotic kwesinye isikhathi ehlangana. Lokho okwakuthiwa isigaxa sezinzwane sesando manje kubizwa ngokuthi i-orthotic.

Yenzani futhi ayenzi isando uzwane

• Inikeza amandla noma ingcindezi yokwenziwa. Iphuzu lesando uzwane orthotic ukusebenzisa amandla okuqondisa emisipheni egoba uzwane lwakho. Lokhu kusiza ukuvimbela imisipha ekuqineni endaweni egobile engenza isimo sibe sibi kakhulu.
• Ayilungisi amathambo aphukile. I-hammer toe orthotic ayilungisi ithambo ngendlela isihlwathi esifakwa ngayo kwithambo eliphukile. Lokhu kungenxa yokuthi ithambo ngokwalo aliphukile uma unezinzwane zesando. Esikhundleni salokho, imisipha egoba ilunga iye yangenwa, okwenza ukugoba kuzwane lwakho.
• Kuvimbela. Ubuningi bobuhlungu bezinzwane zesando buvela ku-bunion noma ukwakheka okuvame ukukhiqiza ngaphezulu kozwane lwakho oluthintekile. Ama-orthotic wezinzwane ze-hammer awenzi ukuthi i-bunion ihambe, kepha ingalawula ubuhlungu. Futhi zingavimbela ukugoba kozwane ukuthi kungabi kubi.

Ungase ube nempumelelo ngokuzama ama-orthotic ahlukahlukene ngaphandle kwamathenda uze uthole okusizayo. Abanye abantu badinga inhlanganisela yama-orthotic, njengephedi yesithende kanye ne-hammer toe orthotic.

Ungathola ukuthi uchwepheshe wonyawo angakusa kusixazululo ngokushesha, futhi eshibhile. Kungenzeka ube nezinyawo ezijabule kakhulu uma uthola uchwepheshe omuhle ozosebenza naye. Kukonke lokhu kungaxazulula izinkinga zezinzwane ngesando kahle nangempumelelo.

Ubuhle nobubi bezinhlobo zezinyosi zamazinyo zesando

Kunezinhlobonhlobo zamathambo ozwane ongaphezulu kokuphikisana nawo atholakalayo. Ngawo wonke lawa madivayisi, kubalulekile ukuthi ugqoke izicathulo ezilingana kahle ezinamakamelo amaningi ebhokisini lezinzwane. Uma uzama ukukhama i-orthotic ezicathulweni ezikubambayo, ungenza izinto zibe zimbi kakhulu.

Ezinye zezinhlobo ze-orthotic zifaka:

Ukusonga uzwane

Leli yibhandishi eliningana elincanyana elinentambo yeVelcro ekwazi ukubopha uzwane lwesando kulolo oluseduze nayo. Lokhu kuyasebenza kakhulu kwabanye abantu. Ziyahlasela kancane futhi zingagezwa futhi zisetshenziswe kabusha. Ungaba nenkinga yokuyigcina uma izinzwane zakho zimfushane noma zijika eceleni.

Amasokisi ozwane

Amasokisi ozwane, noma amasokisi wokuhlukanisa izinzwane ngokukhethekile, amasokisi anokusikwa kwezimbobo ezinzwaneni ezinhlanu kanye nokugwedla okusiza ukuhlukanisa izinzwane zakho. Lokhu kuthatha isikhala esincane futhi akunakwenzeka ukuthi kudale ukucasuka, yize kungeke kunikeze ukwahlukana okuningi njengezinye izinhlobo.

Ngokuhamba kwesikhathi, zinganikeza ukukhululeka okuncane. Uma unenkinga yokuthola ukulingana okufanele, ungenza i-sock yakho yokwahlukanisa ngokusika izimbobo kusokisi elilingana kahle, elincanyana.

Abahlukanisi bezinzwane zeGel (okubizwa nangokuthi abasabalalisi, ama-relaxers, noma ama-stretchers)

Lawa afana namagilavu ​​anqunyiwe enziwe ngejel ahlukanisa izinzwane futhi zisize ukuzigcina ziqondile. Ezinye izinhlobo zenziwa ukuhlukanisa zonke izinzwane ezinhlanu ezinye nje ezimbili. Abahlukanisi bezinzwane zeGel bangasebenza uma belingana kahle, ikakhulukazi uma weqe izinzwane. Ngaphandle kwalokho ziyabheda futhi zingacasula.

Qaphela usayizi, ikakhulukazi ngohlobo olwenzelwe zonke izinzwane ezinhlanu. Izinzwani ziyahlukahluka ngobude, ububanzi, nezikhala. Isihlukanisi sosayizi owodwa asihambisani konke.

Uma usebenzisa isihlukanisi sezinzwane esikhulu kakhulu kuwe, singadala ubuhlungu lapho welula izinzwane zakho noma uhlikihla izinzwane zakho ngaphakathi kwesicathulo sakho. Zama ngezinhlobo ezahlukahlukene uze uthole okulingana nezinzwane zakho.

Ibhola lonyawo (metatarsal / sulcus) amakhushini

Ama-metatarsal amathambo amahlanu amakhulu ezinyawo zakho anamathela ezinzwaneni zakho. Obunye bobuhlungu bezinzwane zesando budluliselwa kumetatarsali. Ama-insoles aqinisa ibhola lonyawo lwakho noma anikeze ukwesekwa okwengeziwe ngaphansi kwezinzwane kwesinye isikhathi anganikeza ukukhululeka.

Iphedi yesando uzwane

Iphedi yezinzwane yindandatho yento ejikeleza uzwane lwesando futhi ibanjwe yiphedi enamathiselwe ehlala ngaphansi kwezinzwani zakho. Imvamisa zenziwe ngejel noma zizwakale. Uma kungenakucasula kakhulu, kungasiza kwabanye abantu abanezinzwane ezigqagqene.

Ukuba negumbi elanele ezicathulweni zakho ukuze izinzwane zakho zikhafule ngendlela engokwemvelo kuzoba nomthelela omkhulu ekulungiseni noma ekwenzeni izinzwane zesando zibe zimbi kakhulu. Izicathulo ezintsha kungaba yinto ongeke uyithole njengamanje. Kuze kube yilapho ukwazi, zama ukugqoka imithambo efanele ekhaya lapho ungafaké zicathulo noma ulele.

Uma ubheka izicathulo ezintsha, gqoka ama-orthotic akho ngenkathi uzama izicathulo ukuthola usayizi ofanele futhi ulingane.

I-anatomy yezwane

Ukuqonda ukwakheka kozwane kungakusiza ekukhetheni i-orthotic efanelekile ekhawunteni noma ekuqondeni izincomo zikadokotela noma ze-orthotist. Nawa amaqiniso asheshayo kumajoyinti akho ozwane:

Uzwane lwakho lwakhiwe ngamathambo amancane amathathu, aziwa ngokuthi ama-phalanges. Kusukela esicopheni sezinzwane zakho, la mathambo amathathu yile:

• i-distal (ukuphela noma ithiphu)
• phakathi nendawo
• okulandelayo (okusondele kunyawo lwakho)

Ijoyinti elithintekayo kuzwane lwesando yi-proximal interphalangeal joint (PIPJ). Lokhu ukuhlangana okuphakathi phakathi kwe-phalanx eseduze ne-phalanx emaphakathi. I-PIPJ igobele phansi (igobekile).

I-metatarsophalangeal joint (MTPJ) isesimweni sokungathathi hlangothi nesikhundla se-hyperextended. Inhlanganisela ye-distal interphalangeal (DIPJ) ingalungiswa noma ibe sendaweni engathathi hlangothi.

Uzokhuluma nini nodokotela

Uma ama-orthotic e-counter-counter engakusebenzeli noma enza izinto zibe zimbi kakhulu, kuwumqondo omuhle ukukhuluma nodokotela.

Ochwepheshe bezinyawo (ama-podiatrists) banganquma i-orthotic eyenziwe ngokwezifiso ezokusebenzela kahle kakhulu. Isazi esaziwa ngokuthi i-orthotist noma i-prosthetist singaklama i-orthotic ukuze ilingane unyawo lwakho nesimo esifanele.

Kunezinto eziningi nodokotela wakho wezinyawo angazibheka ongahle ungazazi. Lokhu kufaka phakathi:

• ukubiza ngokweqile
• ukukhubazeka okuguqukayo
• izimo ezixubekile, njengezinzwane zesando ezihlanganiswe ne-Achilles tendinosis

Ukuhlinzwa

Uma ubuhlungu buqhubeka noma bukhuphuka naphezu kwamathambo, ukuhlinzwa kwesinye isikhathi kuyisixazululo kuphela. Inqubo eyaziwa ngokuthi i-resection arthroplasty iyona esetshenziswa kakhulu.

Ekuvuseleleni i-arthroplasty:

• Udokotela ohlinzayo ususa ingxenye yelinye lamathambo ezinzwane.
• Ama-tendon ayanqunywa futhi ahlanganiswe kabusha.
• Kusetshenziswa ucingo noma ithephu ukubamba uzwane uqonde luze luphole, imvamisa emavikini amathathu kuye kwayisithupha.

Abantu abaphilile imvamisa bangenziwa inqubo ngaphandle kokuhlala esibhedlela ubusuku bonke.

Ucwaningo olwenziwe ngo-2000 kubantu abangama-63 (izinzwane ezingama-118) lwathola ukuthi i-resection arthroplasty iqeda izinhlungu kubantu abangama-92% abafundile. Amaphesenti amahlanu aba nezinkinga ezincane. Ucwaningo lwenziwe ngokwesilinganiso sezinyanga ezingama-61 ngemuva kokuphothula ukuhlinzwa.

Kuyini isando uzwane?

Imbangela enkulu yezinzwane zesando ukugqoka njalo izicathulo eziqinile kakhulu ebhokisini lezinzwane, kufaka phakathi izicathulo ezinezithende eziphakeme. Isimo, noma singalethwa ukuhlukumezeka.

Isando uzwane kungaba futhi umphumela wesibili wokukhubazeka kwezinzwane okwaziwa ngokuthi yi-hallux valgus. IHallux valgus ukungahambisani kahle nozwane olukhulu oluvame ukudala ibunion ngaphandle kozwane.

Ukungahambi kahle kozwane olukhulu kubangela ukuminyana kwezinzwane ezincane. Ukuminyana kungaholela osozwaneni lwesando, njengokungathi amathambo acindezelwe izithende eziphakeme noma ibhokisi lezinzwane eliqinile.

Izimo ezimbili ezihlobene kukhona uzwane lwe-mallet nozipho uzipho. Uzwane lweMallet lwenzeka lapho ukuhlangana kwe-distal interphalangeal, hhayi okuhlangene okuphakathi, kuguqa phansi.

Kuzinzipho uzipho, ilunga le-metatarsophalangeal likwi-hyperextension futhi amalunga we-interphalangeal asondele futhi asendaweni ye-flexion. Lezi zimo ezihlobene nazo zenzeka kuzwane lwesibili, lwesithathu, noma lwesine, futhi zingadala ukuthi kube nebunion ebuhlungu.

Ukuthatha

Uzwane lwesando nebunion ehambisana naso kungaba buhlungu futhi kuphazamise impilo yakho. Izinhlobonhlobo zamathambo nezinsiza ezahlukahlukene zingakwazi ukusiza ukukhulula ubuhlungu bakho. Uma lokhu kungakusebenzeli, odokotela bangakunika ama-orthotic afaneleke ngokwezifiso angenza iqhinga. Njengesinqumo sokugcina, ukuhlinzwa kungasebenza.