Iva navo tsoka dzakatsetseka Hazvirevi kuti chirwere chechirwere, asi chinokonzera marwadzo uye kusagadzikana uye chinokanganisa kufamba kwemwana. Ndosaka zvakakosha kupindira nenzira kwayo. Pano tinokusiyai zvose zvinokurudzirwa kupindira kwetsoka dzemwana
El tsoka yakatetepa Hazvirevi kuti chirwere, asi chinogona kuva chimwe kana nzira dzekubhadhara dzisipo, zvichikonzera zviratidzo (zvakadai sekurwadziwa mu tibial malleolus, chitsitsinho valgus, hallux valgus, uye claws) izvo zvinokonzera marwadzo uye kusagadzikana, kukanganisa kufamba uye kunaka kwe hupenyu hwemwana.
Chii chinokonzera flat flat muvana?
Vana vese vane makumbo akati sandara pakuzvarwa. Iyi i "evolutionary advantage" iyo inoshanda kupa a hwaro hwakafara hwerutsigiro muchikamu chekudzidza kutanga kufamba. Asi izvi zvinowanzoitika zvinodzokera pakati pemakore e8 ne12, apo tsoka dzinotanga kutora chimiro chakafanana nemunhu mukuru. Nokudaro, pasina kukanganiswa kwetsoka kunoonekwa pakuberekwa, kukanganiswa kwetsinga, kana zvirwere zvakananga zvinoda kuongororwa kwepakutanga, zera rakakodzera rekutanga kuongororwa kwemapfupa emakumbo emwana ari pakati pe6 ne8 yemakore.
Ndezvipi zvinetso zvinogona kukonzera tsoka dzakadzika?
Kunyangwe kana ichitora chimiro chechirwere, tsoka dzakadzika muvana dzinowanzoramba dzisina zviratidzo uye dzinongowanikwa kana mwana akaonekwa nenyanzvi yemapfupa nekuda kwezvikonzero zvakasiyana. concomitant pathologies. Mune zvimwe zviitiko zvinogona kuitika kuti mwana kunyunyuta kuneta kana kuputika, kuputika kana, kazhinji kacho, kurwadziwa mukati memakumbo etsoka. Izvi zviratidzo zvekuti, kunyangwe zvisina kurongeka zvakananga netsoka dzakati sandara, zvinogona kumiririra zviratidzo zveyambiro yemamiriro ezvinhu anogona kushanduka kuita mamwe marema akadai seanonzi "juvenile hallux valgus".
Nzira yekuziva sei kana mwana wako ane tsoka dzakadzika?
Anenge makore 6-8 ezera, kuongororwa kwetsoka dzemwana neothopedist kunoitwa kutanga kune zvose maererano nenhau dzemwana pachake, uchapupu hwevabereki, kuongororwa kwekupfeka kweshangu uye Kucherechedza nzira. yekufamba. Muhupo hwekuongororwa kwepronatory syndrome, nyanzvi ichaongorora kushanda kwekuremera kwe X-ray yemakumbo, kureva, kana mwana akamira, kuti adzidze kushanduka kwekuremara.
Tsoka dzakati sandarara dzinogadziriswa sei?
mishonga yakapfava
Kurapa kunonyanya kushanda kwemwana ane tsoka dzakadzika kunomiririrwa ne kudya kwakakwana uye tsika yemutambo iyo inobvumira kuvandudza kunoenderana. Muchokwadi, zvakaratidzwa nesainzi kuti inogadzirisa insoles inogona kubhadhara kuremara, asi kwete kuigadzirisa. Kune rimwe divi, zvakakosha kuti usvike pakuongororwa kwepathological flatfoot mukati memakore 8-9 ehupenyu, kuitira kuti usabvisa mikana yekurapa inopiwa nekuvhiyiwa kusingaite, iyo inogona kungoitwa muchikamu chekukura kwemwana. .
Kuvhiya
Iko kurapwa kwekuvhiya kwekutanga sarudzo ye pathological flat tsoka muhuduku (kusvika kutenderera makore gumi nemashanu) ndeye sinotarsal endorthesis. The endorthesis iprosthesis ine dhayamita inogona kusiyana kubva pa8 kusvika ku10 millimeters, iyo inoiswa pakati pecalcaneus uye talus, inokwanisa kukonzera proprioceptive stimuli inotungamirira kukura kwetsoka, kubudirira kururamisa kunofambira mberi kwekuremara.
Iyo ishoma invasive oparesheni, iyo zvinongotora anenge maminitsi gumi chete uye inoda kuiswa muchipatara kwehusiku humwe chete. Muvana zvingada peripheral anesthesia ine kana isina sedation. Bilateral surgery inowanzokurudzirwa kupa anesthesia imwe chete uye kuwana kugadziriswa kunoshanda kumativi ose maviri. Maprostheses anonyanya kushandiswa nhasi anogadzirwa netitanium (inert material isingakonzeri maitiro) uye kusiyana nekare, haisati yabviswa mu90% yezviitiko.
Pamazuva matatu mushure mekuvhiyiwa, vana vanogona kufamba uye vanogona kudzokera kuchikoro, nokudaro vachidzivisa kusavapo kwenguva refu. Mushure memazuva gumi nemashanu, makanda maviri anobviswa uye zvinokwanisika kuti vaduku vanogona kudzokera kumitambo yemvura.
Nekudaro, iwe uchafanirwa kumirira mazuva makumi mana nemashanu kuti umhanye zvakare uye 45-4 mwedzi yekudzidzira mitambo inosanganisira kushomeka kwenjodzi yekushungurudza. Muzviitiko zvisingawanzoitiki apo murwere wechidiki anonzwa kusagadzikana (somuenzaniso panguva yemitambo yemitambo) zvinokwanisika kubvisa prosthesis gore rimwe chete mushure mekudyara pasina kukanganisa kururamisa kunowanikwa.
Muchidimbu
Nzira yekuvandudza sei tsoka dzakadzika muvana?
Usati waenderera mberi nekugadziriswa kwekuvhiya, dzimwe nzira dzisingapindire dzinogona kuyedzwa, semuenzaniso nekudzidzira mitambo yakakodzera (yakanyanya kufanira kutamba, nhabvu, basketball, kushambira uye, pamusoro pezvose, martial arts anoitwa asina shangu) uye / kana kushandisa shangu uye insoles dzakakosha.