Kubatsirwa kweHammer Toe Orthotic

Zvemukati

• Mhedziso
• Mhando dzehammer toe splints (orthotic)
• Musiyano uripo pakati pechimedu uye orthotic
• Izvo zvinoita sando chigunwe orthotic chinoita uye chisingaite
  
• Pros uye cons yemhando dzesando zvigunwe orthotic
• Toe inoputira
• Zvigunwe masokisi
• Gel zvigunwe vaparadzanisi (inonziwo vaparadzi, vanozorodza, kana machira)
• Bhora retsoka (metatarsal / sulcus) makushoni
• Sando chigunwe crest pad
• Anatomy yechigunwe
• Nguva yekutaura nachiremba
• Kuvhiya
• Chii chinonzi sando chigunwe?
• Kutora

Isu tinosanganisira zvigadzirwa zvatinofunga zvinobatsira kuvaverengi vedu. Kana iwe ukatenga kuburikidza nehukama pane ino peji, isu tinogona kuwana diki komisheni. Heano maitiro edu.

Mhedziso

Sando chigunwe mamiriro apo panobatanidzwa pakati pechigunwe chakakotama kumusoro. Bhendi rinokonzeresa kuti chigunwe chetsoka yako chidzikire pasi kuitira kuti chiite kunge sando. Zvironda zvinogona kuitika pamusoro peiyo yakakosheswa yepakati mubatanidzwa nekuda kwekukwesana uye kumanikidzwa kubva kubhutsu.

Kana iwe uri kusangana nenyundo chigunwe pane yako yechipiri, yechitatu, kana yechina chigunwe kana kunyangwe akawanda zvigunwe panguva imwechete, kune akati wandei mhando sando zvigunwe zvigunwe zvakagadzirirwa kurerutsa kana kudzivirira zvinoenderana netsoka nyaya.

Mhando dzehammer toe splints (orthotic)

Musiyano uripo pakati pechimedu uye orthotic

Nzvimbo dzeU.S. dzeMedare uye Medicaid Services (CMS) ikozvino inotsanangura chishandiso, kana orthosis, sechitsigiro chekugadzira chikamu chemuviri. Iyo orthotic inogona kunge yakagadzirirwa kana tsika inogadzirwa kuti ikwane iwe.

CMS inotsanangura kuputsika sechinhu chakakandirwa kana kuputira chinoshandiswa kubatsira kumisikidza pfupa rakatyoka, rakatyoka, kana rakabviswa.

Izwi idzva iri zvishoma nezvishoma rinotsiva mashandisiro ekare, uko mazwi ekuti splint uye orthotic dzimwe nguva zvakapindirana. Icho chaimbodaidzwa kunzi sando zvigunwe kutsemuka zvino chave kunzi orthotic.

Izvo zvinoita sando chigunwe orthotic chinoita uye chisingaite

• Inopa simba rekuita kana kumanikidza. Iyo poindi yesando chigunwe orthotic ndeyekushandisa simba rekutwasuka pamhasuru dzinokombamira chigunwe chako. Izvi zvinobatsira kuchengetedza mhasuru kubva mukumira munzvimbo yakakombama izvo zvinogona kuita kuti mamiriro acho awedzere.
• Haiti kugadzirisa mapfupa akavhunika. Sando chigunwe orthotic haina kutwasanudza pfupa nenzira iyo chidimbu chinoshandiswa kune pfupa rakatyoka. Izvi zvinodaro nekuti bhonzo pacharo harivhunike kana uine sando chigunwe. Asi, mhasuru dzinokombamisa mubatanidzwa dzakabatira, zvichikonzera kukombama chigunwe chako.
• Inodzivirira. Zvizhinji zvekurwadziwa kwesando chigunwe zvinobva kune bunion kana kuumbwa kunowanzo gadzira pamusoro pechigunwe chako chakakanganiswa. Nyundo zvigunwe orthotic hazviite kuti bunion iende, asi vanogona kudzora marwadzo. Zvinogonawo kudzivirira kukotama kwechigunwe kubva pakuwedzera.

Iwe unogona kuve nekubudirira kuyedza zvakasiyana pamusoro peiyo-the-counter orthotic kusvikira wawana imwe inobatsira. Vamwe vanhu vanoda mubatanidzwa wemazino, senge chitsitsinho padhi pamwe nesando chigunwe orthotic.

Unogona kuona kuti nyanzvi yetsoka inogona kukuendesa kumhinduro nekukurumidza, uye zvakatonyanya kudhura. Iwe unogona kunge uine tsoka dzinofara kana iwe ukawana nyanzvi yakanaka yekushanda nayo. Pakazara izvi zvinogona kugadzirisa nyundo zvigunwe zvigunwe zvakanaka uye zvinobudirira.

Pros uye cons yemhando dzesando zvigunwe orthotic

Kune akasiyana akasiyana-e-epamberi sando zvigunwe zvigunwe zviripo. Nezvese izvi zvishandiso, zvakakosha kuti iwe upfeke zvakanaka-shangu shangu ine yakawanda nzvimbo mune zvigunwe bhokisi. Kana iwe ukaedza kumanikidza orthotic mune shangu-dzakakodzera-shangu, iwe unogona kuita kuti zvinhu zviwedzere.

Mimwe yemhando dzerthotic dzinosanganisira:

Toe inoputira

Iri bhanhire rakatetepa rakasungwa neVelcro tambo inogona kusunga sando chigunwe kune iri padyo nayo. Izvi zvinoshanda kwazvo kune vamwe vanhu. Izvo zvishoma zvinopinda uye zvinogona kushambidzwa uye kushandiswazve. Iwe unogona kunge uine dambudziko rekuzvichengeta kana zvigunwe zvako zvipfupi kana kukombama kudivi.

Zvigunwe masokisi

Zvigunwe zvigunwe, kana zvigunwe zvinoparadzanisa masokisi zvakanyanyisa, masokisi ane mashanu zvigunwe maburi akachekwa uye padding iyo inobatsira kupatsanura zvigunwe zvako. Izvi zvinotora nzvimbo diki uye hazvigone kukonzera kutsamwa, asi hazvizopa kupatsanurwa kwakawanda semamwe marudzi.

Nekufamba kwenguva, ivo vanogona kupa zvinyoro nyoro. Kana iwe uchinetseka kuwana kukwana kwakaringana, iwe unogona kugadzira yako yekuparadzanisa sokisi nekucheka maburi mune yakanyatsokwana, yakatetepa sokisi.

Gel zvigunwe vaparadzanisi (inonziwo vaparadzi, vanozorodza, kana machira)

Aya akafanana nemagurovhosi akachekwa akagadzirwa nejelisi ayo anoparadzanisa zvigunwe uye zvinobatsira kuramba zvakatwasuka. Dzimwe mhando dzinoitwa kutsemura zvigunwe zvese zvishanu uye zvimwe zvingori zviviri. Gel zvigunwe zvinoparadzanisa zvinogona kushanda kana zvichikwana mushe, kunyanya kana iwe wakayambuka zvigunwe. Zvikasadaro ivo vanonetsekana uye vanogona kutsamwisa.

Ziva hukuru, kunyanya mumhando inoitirwa zvigunwe zvese zvishanu. Zvigunwe zvinosiyana zvakanyanya pakureba, sedenderedzwa, uye pakatarisana. Chitsauko chimwe chete hachikwane zvese.

Kana iwe ukashandisa chigunwe chekuparadzanisa chakanyanya kukura kwauri, chinogona kukonzera kurwadziwa kana kutambanudza zvigunwe zvako kana kukwiza zvigunwe zvako mukati mehombodo yako. Edza pamhando dzakasiyana kusvika iwe wawana inoenderana nezvigunwe zvako.

Bhora retsoka (metatarsal / sulcus) makushoni

Iyo metatarsals ndiwo mashanu makuru mapfupa etsoka dzako anonamira kune zvigunwe zvako. Kumwe kwekurwadziwa kwesundo chigunwe kunoendeswa kune metatarsals. Insoles inokwenenzvera bhora retsoka yako kana kupa rutsigiro rwakawedzera pazasi pezvigunwe dzimwe nguva inogona kupa ruyamuro.

Sando chigunwe crest pad

Chigunwe chigunwe padombo iringi yezvinhu zvinofamba zvichitenderedza sando chigunwe uye inobatwa munzvimbo nepadiki yakasungirirwa iyo inogara pasi pezvigunwe zvako. Ivo vanowanzo gadzirwa nejel kana kunzwa. Kana zvisina kunyanya kutsamwisa, zvinogona kubatsira kune vamwe vanhu vane zvigunwe zvakawandisa.

Kuva nenzvimbo yakakwana mushangu dzako kuti zvigunwe zvako zvigurike nenzira yechisikigo zvichave nemhedzisiro huru pakugadzirisa kana kuwedzera sando zvigunwe. Shangu nyowani inogona kunge iri chinhu chausingakwanise kuwana izvozvi. Kusvikira iwe uchikwanisa, edza kupfeka zvakanaka orthotic kumba kana iwe uchigona kunge usina shangu kana iwe paunorara.

Kana iwe ukatarisa mune shangu nyowani, pfeka ako orthotic iwe paunenge uchiedza shangu kuti uwane saizi chaiyo uye inokwana.

Anatomy yechigunwe

Kunzwisisa maitiro echigunwe kunogona kukubatsira mukusarudza kurudyi pamusoro-pe-counter orthotic kana mukunzwisisa zvainokurudzirwa nachiremba kana nyanzvi. Heano akakurumidza chokwadi pane ako zvigunwe majoini:

Chigunwe chako chakaumbwa nemapfupa madiki matatu, anozivikanwa sephalanges. Kutanga kubva kumusoro kwechigunwe chako, mapfupa matatu ndeaya:

• iyo distal (magumo kana tip)
• pakati
• yakanyanya (padyo netsoka yako)

Mubatanidzwa uyo unokanganiswa mugunwe renyundo ndiwo mubatanidzwa wepakati pe interphalangeal joint (PIPJ). Uku ndiko kubatana kwepakati pakati peiyo proximal phalanx nepakati phalanx. Iyo PIPJ yakakotama pasi (yakachinjika).

Iyo metatarsophalangeal mubatanidzwa (MTPJ) iri mune chero yekusarerekera chinzvimbo uye hyperextended chinzvimbo. Iyo distal interphalangeal mubatanidzwa (DIPJ) ingave hyperextended kana mune yekusarerekera chinzvimbo.

Nguva yekutaura nachiremba

Kana ma-over-the-counter orthotic asingashande kwauri kana kuita kuti zvinhu zviwedzere, ipfungwa yakanaka kutaura nachiremba.

Nyanzvi dzetsoka (podiatrists) vanogona kuraira yetsika-yakagadzirwa orthotic iyo inokushandira zvakanyanya iwe. Nyanzvi inozivikanwa senge orthotist kana prosthetist anogona kugadzira orthotic kuti ikwane tsoka yako uye chaiyo mamiriro.

Kune zvakare zvakawanda zvinhu izvo tsoka yako chiremba anogona kutsvaga izvo iwe zvaungave usinga zive nezvazvo. Izvi zvinosanganisira:

• kunyanyisa kududzira
• kuchinja kushanduka
• mamiriro akasanganiswa, sando chigunwe chakabatanidzwa neAchilles tendinosis

Kuvhiya

Kana kurwadziwa kuchipfuurira kana kuwedzera kunyangwe orthotic, kuvhiya dzimwe nguva ndiyo chete mhinduro. Iyo nzira inozivikanwa se resection arthroplasty ndiyo inonyanya kushandiswa.

Mukutsvaga arthroplasty:

• Chiremba anovhiya anobvisa chikamu cheimwe yemabhonzo ezvigunwe.
• Iyo tendon inodimburwa uye yakasungirirwa zvakare.
• Tambo kana tepi inoshandiswa kubata chigunwe chakatwasuka kusvikira chapora, kazhinji mumasvondo matatu kusvika matanhatu.

Vanhu vane hutano vanowanzoita maitiro anoitwa pasina kugara kwehusiku muchipatara.

Chidzidzo muna 2000 chevanhu makumi matanhatu nevatatu (118 zvigunwe) chakawana kuti resection arthroplasty yakagadzirisa marwadzo e92 muzana yevanhu vakadzidza. Vashanu muzana vakasangana nematambudziko madiki. Chidzidzo ichi chakaitwa avhareji yemwedzi makumi matanhatu nemana mushure mekupedzisa kwekuvhiya.

Chii chinonzi sando chigunwe?

Chikonzero chikuru che sando chigunwe kugara uchipfeka shangu dzakanyanya kuomarara mubhokisi re zvigunwe, kusanganisira shangu dzakakwirira-chitsitsinho. Mamiriro acho, kunyange achigona kuunzwa nekushungurudzika.

Nyundo nyundo inogona zvakare kuve yechipiri mhedzisiro yeimwe chigunwe chakaremara chinozivikanwa se hallux valgus. Hallux valgus kusarongeka kwechigunwe chikuru chinowanzo kukonzera bunion kunze kwechigunwe.

Kusarongeka kwechigunwe chikuru chinokonzera kuwanda kwezvigunwe zvidiki. Kuunganidzwa kwacho kunogona kutungamira kugunwe renyundo, sekunge kuti mapfupa aimanikidzwa nezvitsitsinho zvakakwirira kana bhokisi rakaomarara retsoka.

Mamiriro maviri anoenderana ndiwo mallet chigunwe uye nzwara chigunwe. Mallet chigunwe chinoitika kana iyo distal interphalangeal mubatanidzwa, kwete wepakati mubatanidzwa, unokotama pasi.

Mune claw chigunwe, iyo metatarsophalangeal mubatanidzwa uri mu hyperextension uye inowirirana uye distal interphalangeal majoini ari mukutenderera. Aya mamiriro anoenderana anoitikawo pane chechipiri, chechitatu, kana chechina zvigunwe, uye zvinogona kukonzera bunion inorwadza kuumba.

Kutora

Sando chigunwe uye bhuniyu inoperekedza inogona kuva inorwadza uye inokanganisa hupenyu hwako. Zvimwe zvakasiyana-siyana zve-the-counter orthotic uye rubatsiro zvinogona kubatsira kubvisa marwadzo ako. Kana izvi zvikasashandira iwe, vanachiremba vanokwanisa kuraira tsika-dzakagadzirirwa orthotic dzinogona kuita hunyengeri. Sekupedzisira sarudzo, kuvhiyiwa kunogona kushanda.