Kukosha kweMatombo eTarsal Mukushanda uye Kuputika
Mafupa ematombo etsoka anokosha mukufamba uye nezvimwe zvakawanda. Iko kupi mapfupa aya, uye chii chinoitika kana nzira yakadai sekuputsika inoitika?
Maziso eTartaal eGumbo
Mafupa ematarisa ari mukatikati megomba uye rearfoot (inonziwo hindfoot) nzvimbo dzedutsoka rwevanhu. Aya mapfupa anozivikanwawo seatasus pamwe chete.
Kune mapfupa manomwe mumapfupa emasitalia:
- Talus (ankle bone)
- Calcaneus (chitsitsinho chetatu)
- Navicular
- Cuboid - Iyo cuboid inopa kugadzikana kwetsoka uye inobatsira nekufamba kwezvigunwe
- Mune cuneiform yemavirira - Iyi pfuti inobatanidza huwandu hwemitsipa mutsoka
- Inonzi cuneiform yapakati-Inonzi cuneiform iri mukati kana yakakosha mukugadzikana kwetsoka
- Cuneiform inotevera
Iyo nguruve ndiyo yakakura pamapfupa e-tarsal, uye ndiyo pfupa guru pane dzose.
Anatomy of the Foot and Tarsal Bones
Mafupa anonyangadza anotaura nemapfupa e metatarsus, boka remapfupa mashanu marefu ari pakati pemapfupa emapfupa uye phalanges (mapfupa emakona). Iti tsasi inosangana nemakumbo emakumbo pamusoro, iyo inobatanidza kusvika ku tibia nemafuta mapfupa emakumbo. Dzidza zvakawanda nezvemakumbo ekutuka uye muviri .
Movement of the Foot and Tarsal Bones
Nhengo yemakumbo inobvumira rutsoka kuti rufambe uye ruchifamba munzvimbo dzakasiyana. Inversion rutsoka rwakanyunguduka kuitira kuti rutsoka rutsoka runotarisa mukati kumucheto wepakati wemuviri, uye eversion rutsoka rwakasungirirwa kuitira kuti rutsoka rutsoka runotarisana nechokunze, kure nemuganhu uri pakati pemuviri.
Kutsika rutsoka kuitira kuti zvigunwe zvigadzire pasi zvinonzi plantar flexion . Chimwe chinopesana, kusungira rutsoka kusvika kumusoro kuitira kuti zvigunwe zviri kutarisa mudenga zvinonzi dorsiflexion .
Pronation uye Supination
Mimwe mitauro miviri inoshandiswa kurondedzera kufambidzana mutsoka inokurudzira uye kutumidzwa. Izvi zvinorondedzera rutsoka runowanzofamba richifamba uye kuti rutsoka runowedzera sei pasi, zvakadai sekuti richimhanya.
Mukurumbira unotsanangura kuwira kune imwe kunze kwechitsitsinho uye mukati mukati nekuputika kwetsoka. Ichi chiitiko chakakosha uye chakakosha chetsoka panguva yelocomotion; asi mamiriro ezvinhu asina kunaka anogona kuitika umo kududzwa kwacho kwakanyanyisa panguva yekufamba (kudarika).
Kupindira kunotsanangura kushandura kwekutaura (zvinonziwo pasi-kududzira) umo rugwaro rutsoka pane panzvimbo kune kunze kwerutsoka. Kutarisa kunowanzoitika mukudengenyeka apo rutsoka ruchikurira panguva yechigamba; zvisinei kune mamiriro ezvinhu asina kukodzera umo kukwidziridza kwakanyanya panguva yekufamba. Izvi zvakanyanyisa kubhururuka kwemakumbo kunzvimbo dzakawanda pamakumbo nematoni emubatanidzwa uye zvinogona kukonzera mavoti emakumbo nekumwe kukuvadzwa.
Kunyoresa, kushandiswa, uye kukwirira kwepamusoro kunogona kuchinja mararamiro ako nenzira dzakawanda.
Tarsal Fractures
Kuparara kwechibhakera kunowanzoshandiswa kurondedzera chero kuputsika kwetsoka. Zvechokwadi tarsal fractures mumapfupa e-tarsal uye netsoka dzekumusoro hadziwanzoitiki. Zvinogona kuitika kubva mukukuvadzwa kwepamuviri kana kumanikidzwa kubva pamabasa ekudzokorora.
Kushungurudzika kwezvipfeko kana mvere dzisina kufara zvinogona kuitika kakawanda mumatenda kana mumasasa. Kana iwe ukashushikana nekutengesa kunetseka kuputika, kunyanya kuputika kwevashandi, iva nechokwadi chokuti chiremba wako anoongorora huwandu hwevhitamini D sezvo izvi zvakakosha mukurapa.
Zviratidzo kubva kunoputika kwemafuro zvinosanganisira kurwadziwa nekukurumidza uye kunetseka nekuremerwa netsoka, uye unyoro munzvimbo yechiputsika . Kuputsika kwepfungwa kunowanzokonzera mukutanga kwekutambudzika kwekutambudzika uye kuoma nekutakura-kuwedzera.
Kurapa kwemafupa echitsuwa zvinowanzobatanidza kukandwa pasi petsoka kwemavhiki anenge matanhatu uye murwere achigara kubva patsoka dzakaputsika. Nokuda kwezvakakonzera kuputika, bhokisi rinokosha rinogona kunyorwa. Mitsuko inoshandiswa mumakumbo maviri aya kuti uremerwe netsoka kubva petsoka apo ichirapa. Dzimwe nguva kuvhiyiwa kunodiwa, uye kunogona kubatsira vanhu kudzokera kumitambo kupfuura zvingave zvichiita.
Novel mishonga yakadai sedhick wave therapy uye bone marrow aspirate kuisa pfungwa zvakare inoshandiswa seimwe nzira.
Foot Pain
Tichifunga nezvehuwandu hwemapfupa nedzimwe zvivako mutsoka, hazvishamisi kuti dzimwe nguva zvinogona kuoma kuziva chikonzero chekurwadziwa kwetsoka . Tora nguva yekudzidza zvakawanda nezvako, uye zvaunogona kuita kudzivirira tsoka dzako kuti dzisakuvadza.
Sources:
Shaked, R., Walters, E., uye M. O'Malley. Tarsal Navicular Stress Fractures. Current Reviews in Musculoskeletal Medicine . 2017 Jan 21. (Epub mberi kwekudhinda).