ImpiloIzifo nemibandela

Ukwelashwa nokuvikelwa isithende iqhubezela yokwelapha ukushaqeka-wave: ukubuyekezwa. Ukwelashwa nokuvikelwa isithende iqhubezela amakhambi abantu nemithi

Calcaneal sangaleso akusona isifo esiyingozi, okuyinto zigcwele kuholele ekufeni. Noma kunjalo, kungaba kakhulu izinkinga zokuphila ngokusebenzisa ngisezinhlungwini futhi ezinzima. Move nge kalula efanayo abanenkinga enjalo isesengaphakathi. Ngakho-ke, izindlela zokwelashwa esithendeni iqhubezela okungenani ku ezingeni eligcizelela ukubukeka kwangaphandle, kufanele kakwaziwe yibo bonke abantu.

Buhle yokwelapha ukushaqeka-wave

Njengoba sazi ukuthi ezivamile isifo isithende sangaleso, inqubo yokwelashwa wayesengaba ezihlukahlukene ocebile amasu ezikuvumela iwukudambisa inkinga. Ngempumelelo ekwelapheni isithende iqhubezela izindlela futhi indlela ezifana yokwelapha ukushaqeka-wave, okubhekiselwa kuzo nangokuthi ultrasonic. Le ndlela lingachazwa ngokuthi ngokulinganiswa ayemncane, kodwa impumelelo nalo, uqinisekise ngokuhlathulula ukusebenza kwawo.

Kakade 90, odokotela e-Germany aseqalile ukusebenzisa ekwelapheni isithende iqhubezela yokwelapha ukushaqeka-wave. Nobufakazi zikufakazela ukusebenza kwe amasu, ngemva kwalokho-ke waqala ngenkuthalo ukusebenzisa kwamanye amazwe. Inani lale ukwelashwa ukuthi uvumela iwukudambisa isifo ngaphandle ukuhlinzwa. Skin nokulimala ezithambile izicubu Ngakho kuyehla kube sezingeni eliphansi. Ngokuvamile, le ndlela singachazwa ngokuthi i mnene kakhulu. Ngokuphathelene ezingeni ukuphumelela kwalesi yokwelapha, ifaniswe imiphumela ngemva kokuhlinzwa.

Ukwelashwa nokuvikelwa isithende iqhubezela shock wave therapy (ukubuyekezwa indlela, njengoba sekuphawuliwe kakade, kunokuhle), kuhilela ukusetshenziswa imishini ekhethekile likhipha amaza omsindo isiteleka. I pulses ngala magagasi sasikhipha at a imvamisa ezithile, isinyathelo ingxenye onesifo ngendlela yokuthi pulses avimbelwe ngenxa ezithwala receptor.

Esinye isici le ndlela yikhono layo ukunciphisa umthwalo phezu umsipha ngenxa ziba ngcono kasawoti imali, okuyinto zenzeka ngenxa leaching yabo. Le nqubo imithelela sangaleso kusiza ekwehliseni ukuvuvukala, uyoqeda ubuhlungu futhi kuthuthukise izicubu ukuvuselelwa.

Ngaphezu kwalokho, ekwelapheni isithende iqhubezela shock wave therapy (Izibuyekezo zazo kuphela ukuqinisekisa ukubaluleka kwayo) has imiphumela ezuzisayo on inqubo cell ukuvuselelwa kanye kwandisa izinga izinqubo umzimba okwenzeka emisipheni. Ngenxa yalokho, ngokunciphisa ubuhlungu kanye nokuqedwa alandelayo izimbangela ultrasound yayo ukuchayeka kuholela ukuqedela nokuvulwa isithende.

Kubalulekile ukuqonda ukuthi inqubo shock wave ayinayo ukonakaliswa izingxenye unyawo enempilo, ukuze kuqedwe ukufa kwabantu kuphela ifomu okungavamile. Lo mphumela Lwenziwe ngokusebenzisa ulwelwesi ekhethekile nokunwebeka evikela inyama ephilile.

Ngo inqubo ukutadisha kwengqikithi ethi: "Heel sangaleso: ukwelashwa (ukushaqeka yokwelapha wave)," kubalulekile uqaphele ngesinye isici ultrasound ukuchayeka - kuzole igazi microcirculation ngokuthuthukisa imithambo yegazi. Kulokhu, indlela ukushaqeka-wave uyakwazi kunethonya antispasmodic, ekuxazululeni nomphumela eqeda ukuvuvukala. Ngaphezu kwalokho, ngokomzimba-chemical, umphumela ezishisayo kanye mechanical livela kanyekanye.

Ilungiselela ukwelashwa

Ngaphambi izosetshenziswa ultrasound, isiguli kufanele silandele izinyathelo ezilula ezimbalwa:

- ibhekane kazibuthe yokwelapha resonance (uma kunesidingo), futhi ukuhlolwa udokotela wezinyawo;

- ukuze uthole imiphumela ye-X ray izivivinyo;

- ekuvivinyweni ukuthi inquma igazi ekunqandeni (coagulation).

Ukuhlolwa udokotela ohlinzayo olungisa amathambo kuyisinyathelo esibalulekile khona ekulungiseleleni, ngoba ngakwesokudla ngaphambi inqubo, onguchwepheshe enquma ukuthi ingxenye isithende, okuyinto izici ngesisa ekhethekile. Ezimweni eziningi, kuba maphakathi isithende, kuphi futhi uthumele wave shock umsindo.

kakhulu Ingqikithi yalo inqubo kunzima neze. Okokuqala isikhumba ezigcotshwe ijeli, ngemva kwalokho-ke usungula nokokuyifaka inzwa ekhethekile okuthumela session kuka 1500 pulses ngesikhumba. Ngakho, izicubu zomzimba ezithambile babone umthelela pulses a-4 cm ukujula. Lolu ketshezi naphakathi amagagasi ethile imvamisa asakaze ngokushesha, ngokushesha edabula izicubu zomzimba ezithambile futhi yabonisa kusuka amathambo. Ekugcineni, konke kuza inqubo ezijulile micro-massage.

Lokho isetshenziswa ngesikhathi yokwelapha

ubuchwepheshe besimanje kusetshenziswa labo Ezimeni lapho yimuphi ukwelashwa okuqhubekayo. Isithende iqhubezela, okuyinto ukwelashwa kufanele kube okusezingeni eliphezulu, futhi sihlobana osenyameni yabo. Imishini atholakale odokotela, ivumela ukunikeza umphumela ukushaqeka-wave uma isiguli ungephansi kwemandla, kanye endaweni awulutho kuNkulunkulu. Inqubo ngokwaso uqhutshwa kuvamise ukuba isikhungo sezokwelapha ezikhethekile noma umtholampilo. Uma lena esiphezulu ukuthi isiguli azizwa - kuyinto touch ekukhanyeni, njengalokhu amagagasi ultrasonic inaudible futhi engabonakali.

Ngesikhathi Inkambo yokwelashwa Kwenziwa okuyisilinganiso sabangu-5-7 ukwelashwa. Njengoba isikhathi Ngesinye isikhathi kuba Amaminithi ayi-10-30. Ubude isikhawu phakathi ukwelashwa kunqunywa kuye impilo lesiguli. Uma ubuhlungu isithende abakhona, kuseshini kungamiswa.

Ngemva ukwelashwa wenziwa, ke ziyahlukahluka ukushuba ubuhlungu: ingxenye ethintekile unyawo kuyehla ekuqaleni ngo-20%, bese amahora 5 kancane kancane kunciphisa.

Uma lesi sifo usebhekene ukwelashwa ngezigaba eziphambili, ngizwa ubuhlungu buya isikhashana, kodwa ke siyaphela kancane kancane noma kunjalo.

Izici nezinzuzo umthelela ukushaqeka yokwelapha wave

Ukwelashwa nge-ultrasound kungase kube nomphumela ezilandelayo:

- Qala inqubo resorption futhi calcification zokuwohloka;

- Ukuthuthukiswa kwegazi endaweni ethintekile;

- ukunciphisa umuzwa wobuhlungu;

- nasekuqiniseni imisipha kanye nemisipha.

Kunengqondo ukuba banake izinzuzo okuyinto ekwelapheni isithende iqhubezela yokwelapha ukushaqeka-wave. Nobufakazi uqinisekise ethize izimfanelo ezinhle sonication:

- kukhona njalo ithuba aphathwe esigulini esingalalisiwe esibhedlela;

- inkinga isixazululekile ngaphandle kokuhlinzwa;

- nekusebenta indlela kunalokho okusezingeni eliphezulu;

- azikho imiphumela emibi;

- ngesikhathi sokwelashwa buhlungu;

- yonke inqubo ithatha esingaphansi kwemizuzu engu-30.

Lapho kungenzeka UHT contraindicated

Naphezu kweqiniso lokuthi ukusetshenziswa ultrasound ingabe akuhileli umonakalo kokuphakelwa ezempilo, akufanele isetshenziswe ezimweni ezithile lolu hlobo yokwelapha. Ziyakwazi:

- ukudakwa;

- umfutho ophansi wegazi;

- nokukhulelwa;

- ukushaya kwenhliziyo okungajwayelekile;

- hypotension;

- izimila abulalayo isebenze Endaweni ethintekile nonyawo;

- kungavunyelwe ithonya enethambo ukukhula ngokuya ezingaphansi kweminyaka eyi-18;

- fragility kwenethiwekhi semithambo;

- umthambo thrombosis (imilenze);

- iziyaluyalu isimiso sezinzwa;

- nezifo ezithathelwanayo.

Isithende sangaleso: uthobe

Uma sikhuluma ithonya zezokwelapha ezikhuluma ngale ndaba, kuyafaneleka ukunaka amaqembu athile izidakamizwa ezingaba nomthelela obonakalayo:

- ukwelashwa kwama-hormone. Lokhu sigaba zingafaka "Betamethasone" ( "Diprospan"), "Hydrocortisone" futhi "Kenalog." Kepha "Hydrocortisone", ezimweni eziningi, kuthatha ifomu wamafutha noma ijeli. Kodwa "Betamethasone 'lisetshenziswa njengophawu umjovo wendawo okungenani kanye ngesonto. Lokhu imithi ebalulekile kuphela uma sinawo ukubhekana ifomu ezinzima zalesi sifo. Ingqikithi isenzo "Diprospan" sinciphile ukuze wehlise inani balamuli ukuvuvukala kule izicubu. Ngaphansi izihloko ezifana "isithende sangaleso, Izimpawu kanye Ukwelashwa", izidakamizwa libanakekele ekhethekile ngenxa nokusebenza ngendlela nokusebenzisa umehluko wemisindo nemiqondo yamagama ebalulekile.

- Amalungiselelo of the nonsteroidal isigaba eqeda ukuvuvukala. Lena "ketoprofen", "diclofenac", "i-ibuprofen" futhi "Voltaren". Ukhiye iwusizo zokwelapha le mithi kuyehla kube wehlise permeability semithambo, ukuncishiswa ukuvuvukala isizukulwane activators ngcono microvasculature. Le mithi ingasetshenziswa ngesimo izimali zendawo, imijovo kanye amaphilisi.

- kusho kokuba umphumela antiinflammatory Kusetshenziswe lokusebenza isikhumba. Iwela kulesi sigaba "Dimexidum" okungenzeka ifomu uketshezi kanzulu yokugcoba, suppositories nama-gel. Umthelela zokwelapha zomuthi ngenxa yokuba nekhono lokuhlinzeka ngoba Ukungena okusheshayo ku izicubu zomzimba ezithambile kanye izingqimba ezijulile kwesikhumba. Uma une ukubhekana ketshezi "Dimexidum", kubalulekile ukuqonda ukuthi uyisebenzisa e ifomu kanzulu abakwazi. Isixazululo kufanele buhlanjululwe ngamanzi kuphela bese ukufaka isicelo kule ndawo eyayithintekile behamba ngendlela izicelo.

- Physiotherapy yokuphuza imithi. Isihloko: "Heel izimpawu sangaleso nezidakamizwa ukwelashwa" libhekisela ekutadisheni amasu ezifana yokwelapha laser kanye vibroacoustics umthelela.

"Vitaphone" - alternative Uyakufanelekela

Imiphumela esebenza kahle kakhulu futhi esheshayo bungatholakala uma, kanye nemithi esetshenziselwa imiphumela vibroacoustic zokusebenzisa i-parachute, "Vitaphone".

Sibekezele 4, mode isinyathelo luyatholakala, ngasinye sazo kuthambekele ngezinga elithile kobukhulu izifo ezifana isithende sangaleso. "Vitaphone" Ukwelapha enezinto eziningi nezinzuzo ezingokoqobo, nibaluleke benaka:

- aqede umzimba ubuthi;

- ngcono isimo kwesimiso somzimba sokuzivikela ezifweni;

- normalizes le amanzi lymph kanye iwukudambisa ukuvuvukala;

- kuthuthukisa kwegazi futhi outflow wegazi emithambo yegazi ngokukhethekile.

Ingqikithi vibroacoustics umthelela ngiyibona kunciphisa ukuze wehlise ulwelwesi lwama-capillary, kanjalo waba matasa ukugeleza kwegazi negazi yokujama tsi is kuvinjelwe. Umthelela vibroacoustic kuhilela izicubu ezijulile qualitatively ezithinta ukuthi yi-massage ezivamile akunakwenzeka. A ukwehla olukhulu endleleni ubuhlungu kwenzeka e-avareji yamaphesende 3-4 izikhathi.

Kulokhu, "Vitaphone" anezinye Izimo ngokusetshenziswa kwayo. Abesifazane abakhulelwe kanye nalabo ozifakile elawula ukushaya kwenhliziyo yokufakelwa, ukuchayeka vibroacoustics akuvumelekile. Le nqubo akuyona efanele ngoba uma kuhlinzwa iziguli ezifuna betholakala imfiva, khona izilonda okubulalayo nokuhlala thrombophlebitis.

Spurs Ukwelashwa nge-Laser

Lolu hlobo kokungenela zokwelapha, okuthiwa futhi ukwelashwa quantum ingenye ezivame kakhulu futhi okungabizi. I laser has eziningi eziwusizo ukuthi bayakufanelekela benaka:

- decongestant nomphumela elwa namagciwane;

- Izindleko okuphansi ukwelashwa;

- umphumela analgesic;

- nemiphumela ethile eqeda ukuvuvukala.

imisebe ye-laser kungenziwa ihlukaniswe izigaba ezintathu. Okokuqala, isiguli asitholayo amaseshini ukwelashwa nsuku zonke izinsuku ezingu-10, kulandele isinyathelo sesibili laser ukuchayeka kwi sangaleso, ozobakhona ezingu-14. Ucedzela Esigabeni sokuqala ukuphindaphindwa therapy (izinsuku ezingu-10), kodwa ukushintshwa ezithile.

Le ndlela kungenziwa kubhekwe omunye ephumelela kunazo at zokuyithena inkinga ezifana isithende sangaleso. ukwelashwa laser (iziguli izimpendulo ukuqinisekisa amasu ukuphepha) iqala amandla isicelo eliphansi umthelela, kamuva anda. Uma kweseshini akuzange imiphumela oyifunayo, udokotela wakho angase linqume ezinikezwa ambalwa.

Naphezu ukubaluleka ukwelashwa laser, it has Izimo ezithile. Sikhuluma izifo ezifana senhliziyo, iyiphi izimila, i-hyperthyroidism, esingamahlalakhona yamaphaphu kanye nesifo sikashukela. Endabeni ka kokutshelwa ngokukhubazeka kwengane kungcono ukukhetha olunye uhlobo yokwelapha.

Ngo leso sifo, njengoba sangaleso isithende, ukwelashwa laser (impendulo odokotela siliqinisekise) uhlala omunye likufuna izindlela zokwelapha eziningi.

Ukuchayeka-X-ray

Ukuze izindlela eziphumelelayo umthelela on ekwelapheni isithende sangaleso kuthiwa wenziwa yi-X-ray. Ingqikithi yalo ndlela ukuqinisekisa ukuthi imishayo kanzulu lapho siqondiswa ukuba Endaweni ethintekile esithendeni. ukuchayeka Lokulingene emisebeni kuholela yokuthi kukhona ukuvaleka eziyimpumelelo emsipheni, ukuze ubuhlungu iphele.

Ezokwelapha esithendeni iqhubezela, lokusho radiotherapy, ibalwa 10 amaseshini, ngamunye ozobakhona ngemizuzu engaphansi kuka-10.

Kule ndlela kukhona nezinzuzo ezingokoqobo, azinake:

- emisebeni kuthinta kuphela sangaleso isithende;

- uhlale kungenzeka ukwelashwa sinenkonzo yokunakekela iziguli emakhaya ,

- a ukusebenza sezingeni eliphezulu;

- X ray nethonya eqeda ukuvuvukala futhi anti-iguliswa;

- okungenani contra;

- kunemidanti ngokuphelele kobuhlungu.

Mayelana nodaba Izimo lapho usebenzisa-X-ray, kuyafaneleka ukuthi ukuchayeka emisebeni eyingozi akuvunyelwe kuphela kwabesifazane abakhulelwe. Kulabo has a sangaleso isithende, ukwelashwa ngemisebe kungenzeka okukodwa kokukhethwa kukho kakhulu. Kulokhu, ngemva kokuqeda imithi oyinikiwe kuyadingeka ukuqinisekisa athula senyawo. Lokhu kusho ukuthi-ke kubalulekile ukusebenzisa ekhethekile insoles wamathambo noma izicathulo, ulawule isisindo futhi silondoloze indlela yokuphila enempilo.

Bile Medical njengendlela yokwelapha for Spurs

Njengoba sazi ukuthi ezinye izinqubo zokwelapha kukhona Izimo, kufanele ngaso sonke isikhathi inketho okunye e umthelela nezindaba ezifana isithende iqhubezela. Ukwelashwa nokuvikelwa Bile (izimpendulo iziguli ukuqinisekisa ukusebenza yayo) unakho iwukudambisa iqhubezela phezu isithende. Inani lale ukwelashwa ukuthi kungaba kwenziwe ngokuzimela elihlangana ekhaya lothile. I Bile yezokwelapha kakhulu okuthengiswa ngaphandle kadokotela ngasiphi ekhemisi.

Ingqikithi indlela kuyehla kube lotion ukukhiya ku Bile endaweni ethintekile unyawo bese ngiyolala naye. Ngezinhloso enjalo isiqephu sendawo esikahle e ukotini noma gauze, okuyilona elidingekayo ukuze moisten Bile, ukunamathisela unyawo, embozwe polyethylene ne fix. Ukuthuthukisa kokungathembeki akufanele igqoke amasokisi. Ukuze sifinyelele neutralization ephelele Spurs udinge ukuphinda lokhu inqubo izikhathi 20, okungcono ngaphandle kokuphazamiseka. Ukuze umise okwesikhashana akudingekile ngisho esimweni lapho buhlungu wazizwa. Lena yindlela sasivumela okuthembekile, esebenzisa ezingasetshenziswa kuyoqedwa isithende iqhubezela. Ukwelashwa nokuvikelwa Bile impendulo kuyinto omuhle kakhulu hhayi kubabangele yini imiphumela emibi.

Ezinye izindlela ukwelashwa

Kukhona izindlela eziningi ngawo ukuthonya ngempumelelo iqhubezela isithende ekhaya. Kufanele uqale nge yokugcoba esebenzisekayo ukuqondana abo:

- wamafutha indometacin. Lesi sidakamizwa eqeda ukuvuvukala angathengwa kalula ekhemisi. Lokhu okugcoba kufanele kahle wagcoba ku esithendeni ethintekile kathathu ngosuku. Ukwelapha isilinganiso sithatha amasonto amabili noma amathathu bengaphumuli.

- hydrocortisone wamafutha. Ukulungisa lokhu wanika umphumela esiphezulu, kumelwe oyi-ukuwapheka ngesitimu kunokuwabilisa imilenze, futhi kuphela ke ukukuthinta wamafutha ku esithendeni.

- "Dolobene". Kulokhu kuba ukulungiselela inhlanganisela kokuba umphumela anti-inflammatory. It uyakwazi ukwenza ngcono izinqubo umzimba e izicubu unyawo. Kulokhu, udinga ukusebenzisa ijeli ungqimba elincanyana basihlikihle kahle. Inqubo iyaphindwa 3-4 izikhathi ngosuku. Uma udinga ukusebenzisa ijeli ngendlela cindezela, ukuze ugweme zesikhumba ukusha kudingeka ulinde amaminithi ambalwa ukuze utshwala badlula.

- Uma inkinga ezifana isithende iqhubezela, yokwelapha ihilela ukusebenzisa amafutha zokupheka athandwayo. Ngakho kunengqondo ukusho namafutha noju. Ukuze ekuwulungiseleleni uzodinga 1 isipuni sikasawoti (ukugaya esihle), 1 isipuni uju kanye 50 ml i-iodine. Uju nosawoti kufanele kube okuxubile kahle bese wengeza mass okuholela iodine. Iphele wamafutha kahle enyakaza futhi ezigcotshwe iphedi ukotini ukuthi lisetshenziswa isithende ethintekile.

- Egg-ayisikhilimu wamafutha. Njengoba izithako ezidingekayo ukusebenzisa ingxenye ingilazi cider uviniga, 100 g le-bhotela no 1 Iqanda eluhlaza. Zaphela ku a okugeza amanzi kuphole namafutha exutshwa amaqanda. Igobolondo akudingekile sokuntshinga - ke kuyodingeka ugaye futhi ungeze ingxube. Uviniga sengezwe zokugcina, ngemva kwalokho yonke into kahle exubile. Ngokulandelayo, namafutha siphelile efakwa imbala amasonto ama-2. Ngo inqubo kubalulekile ugovuze. It lisetshenziswa isithende steamed, bese zigxilé ukugoqa ngezinyawo imizuzu 30. Isigamu sehora kamuva namafutha is wageza off, wageza up on umlenze lufakwa a Sock.

Uma kwakuba khona sangaleso isithende, impatho usawoti nakho kungaba indlela enhle ukuqeda izinhlungu. Kuyinto mayelana okugeza, esetshenziselwa ukulungiswa soda kasawoti. Ilungiselela kubhavu nje: e 1 litre amanzi (hot) buhlanjululwe isipuni soda usawoti efanayo. Konke lokhu kahle enyakaza kuze nokonakala ephelele yezingxenye. Kusukela isixazululo ewumphumela ugqoko.

Njengoba ubona, izindlela eziphumelelayo nomthelela eziningi isithende iqhubezela. Ukukhetha indlela ethile, akufanele sikhohlwe mayelana Izimo kungenzeka. Uma ngezinga elithile ngobucayi isifo singachazwa ngokuthi ukukhanya, khona-ke kukhona zonke ithuba ukuqeda isithende iqhubezela elihlangana ekhaya lothile.

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