Ngokuthuthukiswa kwesifo sikashukela, iziguli kufanele ziyinake kakhulu impilo yazo. Futhi lolu daba alukhathaleli kuphela ukulinganisa okulawulwa njalo noshukela wegazi, kanye nokugcina ukudla, kepha futhi nokugqoka izicathulo ezifanele. Izicathulo zabanesifo sikashukela kufanele zikhethwe ngendlela yokuthi zikhululeke futhi zikhululeke ukugqoka ngenkathi zivimba ukukhula kwengqangi efana nonyawo lwesifo sikashukela.
Izicathulo ezifanele zingakuvimbela kanjani ukuthuthukiswa kwezinkinga?
Isifo sikashukela yisifo esikhohlisa kakhulu. Ngaphezu kweqiniso lokuthi ihambisana nezimpawu eziningi ezingemnandi (umlomo owomile, ukoma ongacimekiyo, ukuqina kwesisindo, njll.), Futhi kusithinta kabi isimo semicu yezinzwa nokusakazeka kwegazi emikhawulweni ephansi.
Ngenxa yezinqubo ezinjalo, umuzwa wesiguli uyancipha futhi amanxeba emilenzeni yakhe aphulukisa kancane kancane. Ngakho-ke, noma yikuphi ukulimala kwemishini esikhunjeni kungadala izilonda ze-trophic kanye nokuthuthuka okuqhubekayo kwe-gangrene.
Kumele kuqashelwe ukuthi izilonda zingavela hhayi kuphela esikhunjeni, kepha futhi zifihle ngaphansi kwe-keratinized epithelium. Futhi njengoba abanesifo sikashukela benomkhawulo wezinhlungu onciphile, abakakuboni ukubukeka kwabo isikhathi eside.
Futhi kaningi, izilonda ze-trophic ezifihliwe zithinta ngqo izinyawo, ezithola umthwalo omkhulu kakhulu ngenxa yesisindo somuntu. Ngakho-ke, izinkinga zesimo sonyawo lwesifo sikashukela ziqala ukukhula, okuvame ukuholela isidingo sokunqunywa. Kusukela lapho ungena esilondeni noma usikwe kokutheleleka, hhayi kuphela izicubu ezithambile zezinyawo, kodwa nama-tendon kanye nezakhi zamathambo kungathinteka.
Ukugqoka izicathulo zamathambo kungavela ngezikhathi ezithile noma njalo phambi kwezinkomba ezinjalo:
- osteomyelitis;
- i-osteortropathy enokulimala konyawo nokubonakala kwayo okuncane;
- izilonda ze-trophic;
- ukugeleza kwegazi okungahambi kahle ezinzwaneni;
- isifo sikashukela se-polyneuropathy;
- isifo sikashukela i-angiopathy;
- ukunqunywa.
Izimpawu zonyawo lwesifo sikashukela
Amaphutha amakhulu lapho ukhetha izicathulo
Kubalulekile ukuthi abanesifo sikashukela bafunde iqiniso elilodwa elilula - izicathulo ezisezingeni eliphakeme nezilungile azishibhile. Futhi ukuza esitolo, akufanele ugcine, ngoba impilo eyengeziwe incike kuyo. Kungcono uma umuntu onesifo sikashukela enezimbambo ezimbalwa kuphela zezingubo ekhabethe lakhe, kodwa kuzoba ntofontofo futhi kwenziwe ngezinto ezisezingeni elifanele.
Ngaphezu kwalokho, ngenxa yokuthi iziguli ezinesifo sikashukela zinomuzwa ophansi wemikhawulo ephansi, zivame ukuzithenga izicathulo ezinobukhulu obungu-1-2 ezincane ngokwazo. Kodwa-ke, bakholelwa ukuthi uhleli kahle "ehleli ezinyaweni zakhe", kepha lokhu akufanele kwenziwe. Izicucu ezincane zigxilisa izinyawo, okuholela ekuphulweni okukhulu kokujikeleza kwegazi labo kanye nomonakalo wokuphela kwezinzwa.
Kepha izicathulo ezikhululekile, ezinobukhulu obungu-1-2, nazo azinconywa ukuba zithengwe. Okokuqala, ukugqoka kudala ukungahambi kahle esigulini, kanti okwesibili, kwandisa ukungezwani ezinyaweni futhi kunomthelela ekubonakala kwamaqubu nomongo wamathambo.
Ukuba khona kwama-suture angaphakathi kukhulisa ubungozi bokulimala onyaweni kanye nokuvela kwezilonda ezi-trophic. Kepha ububanzi bomkhiqizo kulolu daba abubalulekile. Into esemqoka ukuthi ilingana ngokuphelele ngosayizi.
Izici Zokukhethwa Komkhiqizo
Lapho ukhetha izicathulo zabanesifo sikashukela, kuyadingeka ukuthi ucabangele ukungabi bikho kwesiqeshana esiqinile. Emikhiqizweni eshibhile, i-sock iqinile impela, kepha abakhiqizi abaningi bathi kungukubakhona kwempumulo enjalo okunikeza ukuvikeleka okuhle kwemilenze. Kepha hhayi esimweni sikashukela.
Ukunakwa okuyinhloko kumele futhi kukhokhwe kuze kufinyelele ezingeni lokuvalelwa komkhiqizo. Kumboza ingaphezulu lezinyawo futhi ikuvikele othulini nasebumnyameni, kuvimbela ukungena kokungcola nothuli kube amanxeba nokusikeka, ngaleyo ndlela kuvimbele ukutheleleka kwawo. Ngakho-ke, ukugqoka ama-slipper, izimbadada nezinye izinhlobo zezicucu ezivulekile kuyinto engathandeki kakhulu kwabanesifo sikashukela.
Ku-mellitus yesifo sikashukela, ukugqoka izicathulo ezivulekile akufanelekile, ngoba lokhu kwandisa ingozi yokutheleleka kwamanxeba nokusikwa.
Iphuzu elibaluleke ngokulinganayo ileveli yokuqina kokuphela. Izicucu zesifo sikashukela kufanele zihlukaniswe yizinga eliphakeme lokuqina kokuphela futhi lokhu kufanele kubangelwe ukuthi ngokuthuthuka kwesifo sikashukela umthwalo ophambili uwela ebunzini, imikhiqizo engabizi kangako enesilinganiso esiphakathi sokuqina noma i-soft sole igqwala ngokushesha futhi ibangele ukuphazamiseka okukhulu isiguli ukuthi sikugqoke, kufaka phakathi kufaka phakathi izinhlungu.
Ngamanye amagama, izicathulo zabesilisa nabesifazane zabanesifo sikashukela akufanele zibe nezinsipho ezithambile kakhulu, ngoba ubungozi bokulimala kanye nokuthuthuka okuqhubekayo kwezinkinga lapho uzigqokile kukhuphuka kaningana.
Futhi ukukhuluma ngokukhetha izicathulo ezigulini ezinesifo sikashukela i-mellitus, izici ezilandelayo kufanele ziphawulwe:
- umkhiqizo kumele ube nezinga eliphakeme lokuqina;
- ukugoba okuwukuphela kufanele kunikezwe;
- uzwane kufanele luphakanyiswe kancane ukuze kuncishiswe umthwalo obonayo.
Njengoba ezitolo ezejwayelekile kunzima kakhulu ukuthola izicathulo ezinjalo, iziguli eziningi ziyayala ezitolo eziku-inthanethi. Kodwa ukwenza lokhu akunconyiwe, ngoba ngaphambi kokuthenga umuntu kufanele alinganise umkhiqizo futhi ahlole izinga lokududuzeka kwakhe. Ngakho-ke, odokotela bayelulekwa ukuthi bathenge izicathulo zamathambo, ezenziwe ngawodwana, ngokuya ngemikhawulo yonyawo kanye nezinga lokuthuthuka kwezinkinga.
Yini okufanele ibe izicathulo zabashukela?
Ekhuluma ngokuthi yiziphi izicathulo okufanele zibe yizazi zesifo sikashukela, kuyadingeka futhi ukuqaphela amaphuzu ambalwa abalulekile ekukhetheni kwakhe. Ukuqashelwa okufanele kufanele kukhokhwe kumanani wangaphakathi womkhiqizo. Izicucu ezenziwe kahle zamathambo kufanele zibe nama-insoles, ukukhethwa kwazo kuncike ezintweni eziningi - isisindo sesiguli, ukuba khona kwezilonda ezinamaqhubu, ubungako bokulimala kwezinyawo, njll.
Izici eziyinhloko zezicucu zamathambo
Kunoma ikuphi, udinga ukunaka ngokukhethekile ama-insoles, futhi kufanele akhethwe ngudokotela ngokwahlukile. Kepha ukuzithola, kufanele futhi unake ukuphakama kwezicathulo. Ngakho-ke, ngokwesibonelo, uma izicathulo eziphansi noma izicathulo ziqinile ezinyaweni futhi ayikho indawo yama-insoles ama-orthopedic kuwo. Ngakho-ke, izazi zesifo sikashukela ziyalulekwa ukuthenga izicathulo eziphakeme, lapho ukuphakama phakathi kwesisekelo nengxenye ephezulu yomkhiqizo kukuvumela khona ukuthi ufake i-insole kuwo.
Inkomba elandelayo yokukhetha izicathulo yizinto ezibonakalayo. Kumele ibe sezingeni eliphezulu futhi ingabangeli ukungaphatheki kahle lapho igqokwa. Ngakho-ke, lapho ukhetha izicathulo ezisezingeni eliphakeme nezinhle, kufanele kubhekwe okulandelayo:
- imikhiqizo yokwenziwa, yize ibiza kakhulu, ayifanele abantu abanesifo sikashukela, kufanele banake izicathulo ezenziwe ngesikhumba sangempela esithambile, esingeke sigcwale futhi sibangele nobuhlungu lapho bugqokwa;
- ngaphakathi, umkhiqizo kufanele wenziwe ngezinto eziwumunto ezivimbela ukunqwabelana komswakama kanye nokuvela kokuqhuma kwe-diaper emilenzeni.
Futhi ukukhuluma kafushane ngezici zokukhetha izicathulo zamathambo, kufanele kuqashelwe izici eziningana ezibalulekile:
- ukuba khona kwevolumu eyengeziwe kuthwane lomkhiqizo;
- ukuthobeka okuphezulu kwezinto okwenziwe kuzo;
- amathuba okufaka esikhundleni ama-insoles aphinda ngokuphelele ukugoba konyawo;
- amandla okushintsha ivolumu yangaphakathi yezicathulo (amasela, izifakelo, i-Velcro, njll.).
Ngokuqondene nezicucu zasebusika, kubalulekile futhi ukuthi uthenge imikhiqizo ekhethekile efakwe ngaphakathi, ngaphakathi kwayo engekho okokuthunga. Inketho ephumelele kakhulu kuleli cala yizakhiwo ezenziwe nge-neoprene, ezihlome ngeVelcro yokulawula ivolumu yangaphakathi.
Isifo sikashukela sidinga nje ukusebenzisa ama-insoles wamathambo, ngoba kuphela esingavimbela ukuthuthukiswa okuqhubekayo konyawo lwesifo sikashukela.
Kukholelwa ukuthi izicathulo ezisezingeni eliphakeme kakhulu zamathambo zenziwa eJalimane. Kepha lokhu akunjalo. Futhi ezweni lethu kukhona abakhiqizi abenze umsebenzi omuhle kakhulu walomsebenzi. Into esemqoka, uma umkhiqizo wenziwa uku-oda, ukuhlinzeka ngamapharamitha afanele.
Kufanele kuqondwe ukuthi izicathulo ezinhle zamathambo azishibhile, futhi ukuzicosha akulula. Kepha uma usukhethe kahle, uzobona ukuthi kufanelekile. Ngasikhathi sinye, kumele kushiwo ukuthi noma ngabe ukwazile ukuthenga izicathulo ezisezingeni eliphakeme zamathambo, kuzodingeka futhi wenze ezinye izindlela zokuvimbela ezingavimba ukuthuthuka okuqhubekayo konyawo lwesifo sikashukela.
Ukuvimbela
Noma ugqoka izicathulo zamathambo nsuku zonke, kubaluleke kakhulu ukubheka njalo izitho ezingaphansi kwanoma yimuphi umonakalo, kufaka phakathi imifantu emincane. Ngaphezu kwalokho, kuyadingeka ukugeza kahle izitho ekuseni nakusihlwa, ngemuva kwalokho kufanele belashwe ngezixazululo ze-antiseptic, okokugcoba noma ngamagiya, kudokotela ammisile.
Ngaphezu kwalokho, amasokisi nama-slipper kufanele akhethwe ngokucophelela. Le mikhiqizo kufanele futhi yenziwe ngezindwangu zemvelo, ingagcobhozi izinyawo futhi ingadaleki ukujabha. Noma ngentuthuko yesifo sikashukela kanye nonyawo lwesifo sikashukela, kubalulekile ukuthatha izakhiwo ezinamabala amaningi, ezisiza ukuqinisa ukungatheleleki kanye nokwenza ngcono isimo sesikhumba.
Uma ukuhlolwa konyawo kuveza ukulimala noma ubomvu, kufanele uthintane nodokotela ngokushesha
Abaningi besifo sikashukela badlala imidlalo ukuze basuse ubungozi bezinkinga. Futhi lokhu kunembile, noma kunjalo, kuleli cala futhi, umuntu kufanele asondele ngokucophelela ekukhetheni izicathulo kanye nokunakekelwa kwazo. Kwezemidlalo, inketho enhle kunazo zonke ama-sneaker enziwe ngesikhumba sangempela. Ngaphezu kwalokho, zona:
- kufanele kube lula futhi kukhululekile ukugqoka ngangokunokwenzeka;
- abanawo umthungo wangaphakathi;
- kumele zibe nama-insoles asuswayo ukuze ukwazi ukuwafaka esikhundleni samathambo;
- kumele ibe nezicubu ezikhethekile zomoya ezinikeza umoya omncane.
Ngemuva kwamakilasi, kuyadingeka ukwenza ukugcinwa okufanele kwezicathulo zezemidlalo. Kumele yomiswe kahle, futhi igcotshwe ngookhilimu abakhethekile ukuze bangaphuki noma bonakale. Uma izicathulo zenziwe ngendwangu ethambile, zingagezwa, kepha kubalulekile ukungazivumeli ukuba zome.
Futhi okubaluleke kakhulu, izicathulo zemidlalo, njengemilenze, kumele ziphathwe ngezikhathi ezithile ngama-antiseptic agents ukuvimbela ukwakheka kwephunga elingathandeki noma ukuthuthukiswa kwezifo zokukhunta. Ungawathenga kunoma yisiphi isitolo sezicathulo.
Futhi ngokufingqa, kufanele kuqashelwe ukuthi ngokuthuthukiswa konyawo lwesifo sikashukela, kubalulekile ukuthi ungakhethi izicathulo ezifanele kuphela, kodwa futhi uzinakekele kahle, futhi wenze nezindlela zokuvimbela, okufanele zichazwe kabanzi ngudokotela oholayo.