Igikorwa rusange cyamahugurwa yo gusubiza mu buzima busanzwe Achilles tendon yaturika, intego nyamukuru yo gusubiza mu buzima busanzwe ni: umutekano mbere, imyitozo ngororamubiri ikurikije ibyifuzo byabo.
Icyiciro cya mbere nyuma yo kubagwa
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Igihe cyo gukingira no gukira (ibyumweru 1-6).
Ibintu bikeneye kwitabwaho: 1. Irinde kurambura inzira ya Achilles;2. Ivi rikora rigomba guhindagurika kuri 90 °, kandi amaguru ya dorsiflexion agomba kugarukira kumwanya utabogamye (0 °);3. Irinde compresses zishyushye;4. Irinde kugabanuka igihe kirekire.
Kugenda kwambere hamwe no kurinda uburemere nibintu byingenzi mugihe cyambere cya nyuma yibikorwa.Kuberako kwikorera ibiro hamwe no kugendana hamwe bitera gukira n'imbaraga z'imitsi ya Achilles, kandi birashobora gukumira ingaruka mbi ziterwa na immobilisation (urugero, guta imitsi, gukomera kw'ingingo, kurwara rubagimpande, kwibumbira hamwe, hamwe na trombus nini).
Abarwayi basabwe gukora ibikorwa byinshigufatanyaingendo kumunsi, harimo imigeri dorsiflexion, flexar flexion, varus, na valgus.Dorsiflexion yibirenge bifatika bigomba kugarukira kuri 0 ° kuri 90 ° yo guhindagurika kw'ivi.Kwimuka hamwe no kurambura byoroshye bigomba kwirindwa kugirango ukingire agace ka Achilles gakiza kutarenza cyangwa guturika.
Iyo umurwayi atangiye igice cyuzuye kuburemere bwuzuye, imyitozo yamagare ihagaze irashobora gutangizwa muriki gihe.Umurwayi agomba gutegekwa gukoresha inyuma yikirenge aho gukoresha ikirenge cyambere mugihe cyamagare.Gukanda inkovu hamwe nu mucyo byoroshye bishobora gutera gukira no kwirinda gufatana hamwe no gukomera.
Ubuvuzi bukonje hamwe no kuzamura ingingo zanduye birashobora kugabanya ububabare no kuribwa.Abarwayi bagomba gutegekwa kuzamura ingingo zanduye bishoboka umunsi wose kandi bakirinda gufata ibiro igihe kinini.Umurwayi arashobora kandi kugirwa inama yo gushira paki inshuro nyinshi muminota 20 buri mwanya.
Imyitozo yo mu kibuno no mu ivi yegeranye igomba gukoresha uburyo bwo gutoza buhoro buhoro.Imyitozo ifunguye kandi imashini isotonic irashobora gukoreshwa nabarwayi bafite ibiro bike.
Ingamba zo kuvura: Mugihe ukoresheje inkoni cyangwa inkoni iyobowe na muganga, jya wambara uburemere bugenda butera munsi yinkweto zifatika hamwe niziga;imigeri ikora dorsiflexion / flexar flexion / varus / valgus;inkovu ya massage;kurekura ingingo;imyitozo yimitsi yimitsi yegeranye;kuvura umubiri;kuvura ubukonje.
Icyumweru 0-2: Amaguru magufi ya brace immobilisation, akaguru mumwanya utabogamye;uburemere bw'igice gifite inkoni niba byihanganirwa;ice + compression yaho / pulse magnetic therapy;guhindagurika kw'ivi no gukingira amaguru Gukora ibimera bifatika, varus, valgus;kurwanya kwadriceps, gluteal, imyitozo yo gushimuta ikibuno.
Ibyumweru 3: Inkunga-amaguru magufi adahagarikwa, akaguru mumwanya utabogamye.Gutera imbere igice-kiremereye kiremereye kugendana inkoni;ikora + - ifasha imigeri ya plantar flexion / varus yamaguru, imyitozo ya valgus yamaguru (+ - imyitozo yubuyobozi);Kwihutisha imigeri mito yimigozi (intertarsal, subtalar, tibiotalar) mumwanya utabogamye;irwanya kwadriceps, gluteal, hamwe namahugurwa yo gushimuta ikibuno.
Ibyumweru 4: Amahugurwa akomeye ya dorsiflexion;Kurwanya ibikorwa byimikorere ya plantar flexion, varus, na eversion hamwe na reberi ya elastike;imyitozo yuburemere bwigice cyimyitozo-isokinetic imyitozo yo kurwanya (> dogere 30 / amasegonda);hejuru yicaye hasi Kurwanya Heel rehabilitation treadmill imyitozo.
Ibyumweru 5: Kuraho umugeri, kandi abarwayi bamwe barashobora kujya mumahugurwa yo hanze;inyana ebyiri z'amaguru kuzamura imyitozo;imyitozo yuburemere bwigice cyimyitozo-isokinetic iringaniza imyitozo yo kurwanya (dogere 20-30 / isegonda);intebe yo hasi yo gusubiza mu buzima busanzwe imyitozo;Amahugurwa yo gutwara (kurinda mugihe cyo gukira).
Ibyumweru 6: Abarwayi bose bakuyeho imikufi kandi bakora imyitozo yo kugenda hejuru yubutaka bwo hanze;bisanzwe imyitozo ya Achilles tendon yo kwagura imyanya yicaye;imbaraga nke zo guhangana (pasive) kuzunguruka imitsi imbaraga (varus resistance, valgus resistance) amatsinda abiri;imyitozo yo kuringaniza ukuguru kumwe (Uruhande rwiza --- uruhande rwanduye rugenda rwihuta);gusesengura kugenda.
Ibipimo byo kuzamurwa mu ntera: ububabare na edema biragenzurwa;kubyara ibiro birashobora gukorwa bayobowe na muganga;imigeri dorsiflexion igera kumwanya utabogamye;hafi yimitsi yo hepfo imitsi imbaraga zigera kumurongo 5/5.
Icyiciro cya kabiri nyuma yo kubagwa
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Mu cyiciro cya kabiri, habaye impinduka zigaragara murwego rwo gutwara ibiro, kwiyongera kwa ROM yingingo zanduye no kongera imbaraga zimitsi.
Intego yibanze: Kugarura urwego ruhagije rwimikorere yo kugenda bisanzwe no kuzamuka ingazi.Kugarura amaguru dorsiflexion, varus, na valgus imbaraga kugeza kurwego rusanzwe 5/5.Subira mu rugendo rusanzwe.
Ingamba zo kuvura:
Kurinda, irashobora kwihanganira kwikorera ibiro kugirango yimenyereze imyitozo yuzuye, kandi irashobora gukuramo inkoni mugihe nta bubabare;sisitemu yo gukandagira mumazi imyitozo yo kugenda;inkweto z'inkweto zifasha kugarura ingendo zisanzwe;imyitozo ngororamubiri ikora dorsiflexion / plantar flexion / varus / imyitozo ya valgus;amahugurwa yemewe;imyitozo ya isometric / isotonic imbaraga: guhinduranya imigeri / valgus.
Imyitozo ya neuromuscular yambere hamwe ningingo zimyitozo ngororamubiri kugirango iteze imbere kugarura proprioception, neuromuscular nuburinganire.Mugihe imbaraga nuburinganire byagarutsweho, uburyo bwimyitozo nabwo buva mubice byombi byo hepfo bikagera kuruhande rumwe.Massage yinkovu, kuvura kumubiri, hamwe no gukangurira hamwe bigomba gukomeza nkuko bikenewe.
Ibyumweru 7-8: Umurwayi agomba kubanza kwambara ikariso arinzwe nudukoni kugirango arangize uburemere bwuzuye bwingingo zanduye, hanyuma akureho inkoni yambare inkweto kugirango yikoreze uburemere bwuzuye.Agatsinsino gashobora gushyirwa mukweto mugihe cyo kuva mubirenge byamaguru.
Uburebure bwikibero cyagatsinsino bugomba kugabanuka uko intera yimigendere yiyongera.Iyo urugendo rwumurwayi rugarutse mubisanzwe, agatsinsino karashobora gutangwa.
Kugenda bisanzwe nibisabwa kugirango ugende udashimuswe.Amapompe y'ibirenge arimo flexar flexion no kwagura dorsi.Dorsiflexion bivuze ko amano yafashwe asubira inyuma uko bishoboka kwose, ni ukuvuga, ikirenge gisubizwa inyuma kumwanya ntarengwa;
Kuri iki cyiciro, imyitozo yoroheje yo guhinduranya imitsi isometric imitsi irashobora gutangira, kandi amabuye ya reberi arashobora gukoreshwa mumyitozo mugihe cyanyuma.Wubaka imbaraga zimitsi ushushanya imiterere yinyuguti ukoresheje akaguru ku gikoresho kinini.Iyo intera ihagije yo kugenda yagezweho.
Urashobora gutangira kwitoza imitsi ibiri yingenzi yibimera byinyana.Imyitozo yo kurwanya Plantar flexion yo kurwanya ivi kugeza 90 ° irashobora gutangira ibyumweru 6 nyuma yo kubagwa.Imyitozo yo kurwanya Plantar flexion irwanya ivi irashobora gutangira icyumweru cya 8.
Ihindagurika ryibimera rishobora kandi gukoreshwa muriki cyiciro ukoresheje igikoresho cyagutse cyamavi hamwe nimashini yunama amaguru.Muri iki gihe, imyitozo yamagare yagenwe igomba gukorwa hamwe nibirenge, kandi amafaranga agomba kwiyongera buhoro buhoro.Kugenda inyuma kuri podiyumu byongera imbaraga za eccentric plantar flexion igenzura.Aba barwayi bakunze kubona kugenda inyuma byoroshye kuko bigabanya gukenera priming.Birashoboka kandi kumenyekanisha imyitozo yimbere.Uburebure bwintambwe burashobora kwiyongera buhoro buhoro.
Micro-squat hamwe no kurinda amaguru (tendon ya Achilles yaguwe hashingiwe kububabare bwihanganirwa);amatsinda atatu yo kurwanya iringaniye (pasive) imyitozo yo guhinduranya imitsi (varus resistance, valgus resistance);Kuzamura amano (imyitozo yo guhangana cyane soleus);amano azamura amavi agororotse mumwanya wicaye (imyitozo ya gastrocnemius irwanya cyane).
Shigikira uburemere bwumubiri kuringaniza kugirango ushimangire imyitozo yigenga;kora inyana izamura imyitozo + - EMG itera imbaraga mumwanya uhagaze;gukora imyitozo yongeye kugenda munsi ya podiyumu;kora imyitozo yo gusubiza mu buzima busanzwe hamwe n'ibirenge (iminota 15);imyitozo yo kuringaniza (ikibaho kiringaniye).
Ibyumweru 9-12: amahugurwa yo kwagura inyana triceps;inyana ihagaze izamura imyitozo yo kurwanya (amano akora hasi, nibiba ngombwa, imitsi y'amashanyarazi irashobora kongerwamo);imyitozo yo kwihanganira ibirenge mbere yo kwihangana (iminota 30);kuzamura ibirenge, Landing gait imyitozo, buri ntambwe ni santimetero 12 zitandukanye, hamwe no kugenzura ibintu hamwe;kugenda imbere kuzamuka, gusubira inyuma kumanuka;imyitozo ya trampoline.
Nyuma yo gusubiza mu buzima busanzwe
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Icyumweru cya 16: Amahugurwa yoroheje (Tai Chi);gahunda yo gutangira iratangira;amahugurwa menshi ya isometric.
Amezi 6: Kugereranya impera zo hasi;ikizamini cya isokinetic;ubushakashatsi bwo kugenda;inyana imwe yamaguru izamura amasegonda 30.
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Email: liuyaoyao@medtechcah.com
Igihe cyo kohereza: Ugushyingo-25-2022
