Izibonelelo zeHammer Toe Orthotic

Umxholo

• Ushwankathelo
• Iindidi zehammer toe splints (orthotic)
• Umahluko phakathi kwe-splint kunye ne-orthotic
• Yintoni ihammer toe orthotic ayenzayo kwaye ayenzi
  
• Iinkonzo kunye neengxaki zeentlobo zeethambo zesando
• Ukusonga iinzwane
• Iikawusi iinzwane
• Abahluli bezinzwane zeGel (ekwabizwa ngokuba ngabasasazi, ii-relaxers, okanye ii-stretchers)
• Ibhola yeenyawo (i-metatarsal / sulcus) ii-cushions
• Isikhonkwane sokukhusela isikhonkwane
• I-anatomy yenzwane
• Uza kuthetha nini nogqirha
• Ugqirha
• Yintoni ihammer toe?
• Ukuthatha

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ushwankathelo

Iinzwane zehammer yimeko apho ukudibana okuphakathi kweswane kubheka phezulu. Ukugoba kubangela ukuba incam yenzwane yakho ijike iye ezantsi ukuze ijongeke ngathi yinyundo. Izilonda zingenzeka ngaphezulu kwendawo edibeneyo phakathi ngenxa yokuxubana kunye noxinzelelo kwisihlangu.

Ukuba uhlangabezana neenzwane zesando kwinzwane yakho yesibini, yesithathu, okanye yesine okanye iinzwane ezininzi ngaxeshanye, kukho iindidi ezininzi zezinto zokucheba iinyundo ezenzelwe ukunciphisa okanye ukuthintela imiba yeenyawo ezinxulumene noko.

Iindidi zehammer toe splints (orthotic)

Umahluko phakathi kwe-splint kunye ne-orthotic

Amaziko aseMelika e-Medicare kunye neeNkonzo zeMedicaid (i-CMS) ngoku ichaza isixhobo se-orthotic, okanye i-orthosis, njengenkxaso yokufakelwa yelungu lomzimba. I-orthotic inokuchongwa kwangaphambili okanye isiko lenziwe ukuba likulingane.

I-CMS ichaza ubuqhekeza njengokuphoswa okanye ukusongelwa izinto ezisetyenziselwa ukunceda ukuseta ithambo elaphukileyo, elaphukileyo, okanye elaphukileyo.

Esi sigama sitsha ngokuthe chu ukushenxisa usetyenziso lwakudala, apho amagama atyibilikayo kunye nama-orthotic ngamanye amaxesha ahlangana ngaphezulu. Into eyayibizwa ngokuba yihammer splint splint ngoku ibizwa ngokuba yi-orthotic.

Yintoni ihammer toe orthotic ayenzayo kwaye ayenzi

• Ukubonelela ngamandla okanye uxinzelelo. Inqaku lesando se-orthotic kukukhulisa amandla kwiimisipha ezigoba uzwane lwakho. Oku kunceda ukugcina izihlunu zingagungqi kwindawo egobileyo engenza imeko ibe mandundu.
• Ayilungisi amathambo aphukileyo. Isando se-orthotic asilungelelanisi ithambo ngendlela i-splint esetyenziswe ngayo kwithambo elaphukileyo. Kungenxa yokuba ithambo ngokwalo alophukanga xa unesando sehamile. Endaweni yoko, izihlunu ezigoba ngokudibeneyo ziye zangenelela, zabangela ukugoba kuzwane lwakho.
• Iyathintela. Ininzi yeentlungu zesando sehamile zivela kwi-bunion okanye ukwakheka okuhlala kuvelisa ngaphezulu kobhontsi wakho ochaphazelekayo. I-hammer toe orthotic ayenzi ukuba i-bunion ihambe, kodwa banokulawula iintlungu. Banokuthintela ukugoba kwiinzwane ukuba kungabi kubi.

Unokuba nempumelelo ukuzama iindlela ezahlukileyo zokuya kwi-counter uze ufumane enye eyincedayo. Abanye abantu badinga indibaniselwano ye-orthotic, enje ngephedi yesithende kunye nehammer toe.

Unokufumanisa ukuba ingcali yeenyawo inokukusa kwisisombululo ngokukhawuleza, kwaye nangabizi kakhulu. Unokuba neenyawo ezonwabileyo ukuba ufumana ingcali elungileyo yokusebenza nayo. Ngokubanzi oku kungasombulula iingxaki zeenzwane ngokufanelekileyo nangempumelelo.

Iinkonzo kunye neengxaki zeentlobo zeethambo zesando

Kukho iintlobo ngeentlobo zamayeza oreotiki angaphaya kwekhawuntareni akhoyo. Ngazo zonke ezi zixhobo, kubalulekile ukuba unxibe izihlangu ezikulungeleyo ezinamagumbi amaninzi kwibhokisi yeenzwane. Ukuba uzama ukukhama i-orthotic kwizihlangu ezilinganayo, unokwenza izinto zibe mbi ngakumbi.

Ezinye zeentlobo ze-orthotic zibandakanya:

Ukusonga iinzwane

Eli libhandeji elincinci nelicekethekileyo elinomtya weVelcro onokubopha inzwane yesando kule ikufutshane nayo. Oku kusebenza kakhulu kwabanye abantu. Ziyangenelela kancinci kwaye zinokuhlanjwa kwaye zisetyenziswe kwakhona. Unokuba nengxaki yokuyigcina ukuba iinzwane zakho zimfutshane okanye zijikajika ecaleni.

Iikawusi iinzwane

Iikawusi zenzwane, okanye iikawusi zokwahlula iinzwane ngokuthe ngqo, ziisokisi ezinemingxunya emihlanu yokunqunyulwa kwemingxunya kunye neephedi zokunceda ezinokwahlula iinzwane zakho. Oku kuthatha indawo encinci kwaye akunakulindeleka ukuba kubangele ukucaphuka, nangona kungazukubonelela ngokwahlukana kakhulu njengezinye iintlobo.

Ixesha elingaphezulu, banokubonelela ngesiqabu. Ukuba unengxaki yokufumana ulungelelwaniso olulungileyo, unokwenza i-sock yokwahlulahlula ngokusika imingxunya kwisokisi efanelekileyo, efanelekileyo.

Abahluli bezinzwane zeGel (ekwabizwa ngokuba ngabasasazi, ii-relaxers, okanye ii-stretchers)

Ezi zifana neiglavu ezisikiweyo ezenziwe ngejeli ezahlula iinzwane kwaye zibancede ukuzigcina zilungile. Ezinye iintlobo zenzelwe ukwahlula iinzwane ezintlanu kwaye ezinye zimbini nje. Abahluli bezinzwane zeGel banokusebenza kakuhle xa benokulingana ngokufanelekileyo, ngakumbi ukuba uwele iinzwane. Ngaphandle koko banobunzima kwaye banokucaphukisa.

Qaphela ubungakanani, ngakumbi kuhlobo olenzelwe zonke iinzwane ezintlanu. Iinzwane zahluka kakhulu kubude, umjikelo, kunye nokushiyana. Umahluli wesayizi enye ayihambelani konke.

Ukuba usebenzisa isahluli seenzwane esikhulu kuwe, sinokubangela iintlungu xa wolula iinzwane zakho okanye uhlikihla iinzwane zakho ngaphakathi kwesihlangu sakho. Zama kwiindidi ezahlukeneyo de ufumane enye elingana neenzwane zakho.

Ibhola yeenyawo (i-metatarsal / sulcus) ii-cushions

Izixhobo zentsimbi ngamathambo amahlanu amakhulu eenyawo zakho ancamathisela iinzwane zakho. Ezinye zeentlungu zesando zedluliselwe kwiimetali. I-insoles ezibhola ibhola yonyawo lwakho okanye ukubonelela ngenkxaso ethe kratya ngaphantsi kweenzwane ngamanye amaxesha zinokunika isiqabu.

Isikhonkwane sokukhusela isikhonkwane

Iphedi yokufaka iinzwane sisazinge semathiriyeli esijikeleza iinzwane zesando kwaye sigcinwe endaweni ngephedi eqhotyoshelweyo ehleli phantsi kweenzwane zakho. Zihlala zenziwe ngejel okanye zivakala. Ukuba ayicaphukisi kakhulu, inokuba luncedo kwabanye abantu abanezwane ezigqagqeneyo.

Ukuba negumbi elaneleyo kwizihlangu zakho ukuze iinzwane zakho zikhuphe ngendlela yendalo kuya kuba nefuthe elikhulu ekulungiseni okanye ekwenzeni iinzwane zesando zibe mbi. Izicathulo ezintsha zinokuba yinto ongenakuyifumana ngoku. Kude kube uyakwazi, zama ukunxiba i-orthotic efanelekileyo ekhaya xa unganxibanga zihlangu okanye xa ulele.

Xa ujonga kwizihlangu ezitsha, nxiba ii-orthotic zakho ngelixa uzama izihlangu ukufumana ubungakanani obufanelekileyo kunye nokulingana.

I-anatomy yenzwane

Ukuqonda ukwakheka kweenzwane kunokukunceda ekukhetheni i-orthotic efanelekileyo ekhawuntareni okanye ukuqonda ugqirha okanye iingcebiso zamazinyo. Nazi iinyani ezikhawulezayo kumalungu akho eenzwane:

Uzwane lwakho lwenziwe ngamathambo amancinci amathathu, abizwa ngokuba ziipalanges. Ukuqala kwincam yenzwane yakho, la mathambo mathathu ngala:

• distal (isiphelo okanye incam)
• esiphakathini
• esondeleyo (kufutshane nonyawo lwakho)

Idibeneyo echaphazelekayo kwizwane zenyundo yintlangano ye-interphalangeal joint (PIPJ). Olu ludibaniso oluphakathi phakathi kwe-phalanx ehamba phambili kunye ne-phalanx ephakathi. I-PIPJ igobele ezantsi (iguquguquke).

Umdibaniso we-metatarsophalangeal joint (MTPJ) ukwimeko yokungathathi hlangothi kunye nendawo ethe xhaxhe. Umdibaniso we-interphalangeal ngokudibeneyo (i-DIPJ) iphakanyisiwe okanye ikwindawo yokungathathi hlangothi.

Uza kuthetha nini nogqirha

Ukuba ii-orthotic ezingaphaya kwekhawuntarethi azisebenzi kuwe okanye zenze izinto zibe mbi ngakumbi, licebo elihle ukuthetha nogqirha.

Iingcali zeenyawo (i-podiatrists) zinokuyalela i-orthotic eyenziweyo eya kusebenza kakuhle kuwe. Ingcali eyaziwa ngokuba yi-orthotist okanye i-prosthetist inokuyila i-orthotic ukuze ilingane unyawo lwakho kunye nemeko echanekileyo.

Zininzi izinto ugqirha wakho wonyawo anokuzijonga onokuthi ungazi. Oku kubandakanya:

• ukubiza kakhulu
• ukukhubazeka okuguqukayo
• iimeko ezixubeneyo, ezinje ngesando uzwane ezidityaniswe ne-Achilles tendinosis

Ugqirha

Ukuba iintlungu ziyaqhubeka okanye zonyuka ngaphandle kwamathambo, utyando ngamanye amaxesha sisisombululo sodwa. Inkqubo eyaziwa ngokuba yi-resection arthroplasty yeyona isetyenziswa kakhulu.

Kwi resection arthroplasty:

• Ugqirha ususa inxalenye yelinye lamathambo ezinzwane.
• Imisipha iyanqunyulwa kwaye iphinde ifakwe.
• Ucingo okanye iteyiphu isetyenziselwa ukubamba uzwane ngqo ide inyange, ngesiqhelo kwiiveki ezintathu ukuya kwezintandathu.

Abantu abaphilileyo bahlala bekwenziwa inkqubo ngaphandle kokulala esibhedlele.

Uphononongo olwenziwe ngo-2000 kubantu abangama-63 (iinzwane ezili-118) zafumanisa ukuba ukubuyisela kwakhona i-arthroplasty kukhulula iintlungu kuma-92 epesenti abantu abafundileyo. Iipesenti ezintlanu zafumana iingxaki ezincinci. Isifundo senziwe umndilili weenyanga ezingama-61 emva kokugqitywa kotyando.

Yintoni ihammer toe?

Unobangela ophambili wesando seenyawo kukunxiba izihlangu ezixineneyo kwibhokisi yeenzwane, kubandakanya nezihlangu eziphakamileyo. Imeko, nangona inokuziswa ngumothuko.

Iinzwane zehammer zisenokuba sisiphumo sesibini sokonakala kwezwane okubizwa ngokuba yi-hallux valgus. IHallux valgus kukungalungelelanisi ubhontsi omkhulu oqhele ukudala ibunion ngaphandle kuzwane.

Ukungalungelelanisi ubhontsi omkhulu kubangela ukuxinana kweenzwane ezincinci. Ukuxinana kungakhokelela kwinzwane yesando, ngokungathi amathambo acinezelwe zizithende eziphakamileyo okanye ibhokisi yebhontsi eqinileyo.

Iimeko ezimbini ezinxulumene nomlenze we-mallet kunye neenzwane. Iinzwane zeMallet zenzeka xa indibaniselwano ye-distal interphalangeal, hayi indibaniselwano ephakathi, igobele ezantsi.

Kwinzwane yozipho, ilunga le-metatarsophalangeal likwi-hyperextension kwaye amalungu kunye ne-distal interphalangeal edibeneyo ahamba. Ezi meko zinxulumene nazo ziyenzeka nakubhontsi wesibini, owesithathu, okanye owesine, kwaye kunokubangela ukuba ibunion ebuhlungu ibumbe.

Ukuthatha

Ubhontsi wehammer kunye ne-bunion ehamba nayo kunokuba buhlungu kwaye kuphazamise ubomi bakho. Iindidi zee-orthotic ezingaphezulu kwekhawuntareni kunye nezixhobo ezinokunceda ekuncedeni ukunciphisa iintlungu. Ukuba ezi azisebenzi kuwe, oogqirha banokukunika ii-orthotic ezenziwe ngokwesiko ezinokuthi zenze iqhinga. Njengento yokugqibela, utyando lunokusebenza.