Kudimburwa kwegumbo rezasi kune simba guru pakufamba kwemajoini nemamhasuru epazasi.Mushure mokugurwa, nzvimbo yekufamba kwemajoini inowanzoderedzwa, zvichiita kuti zvibvumirano zvemakumbo zvisingadiwi izvo saka zvakaoma kubhadhara neprostheses.Sezvo ma prostheses ezasi anofambiswa nenhengo yakasara, zvakakosha kuti unzwisise mhedzisiro yekudimburwa pamajoini makuru uye nei shanduko dzakadaro dzichiitika.
(I) Migumisiro kubva pakugurwa kwechidya
Kureba kwechigutsa kune zvakakosha pakushanda kwekubatana kwehudyu.Iyo ipfupi chigutsa, zvinoita nyore kuti hudyu ibvute, kutenderera nekunze uye kuchinjika.Mune mamwe mazwi, kune rumwe rutivi, gluteus medius uye gluteus minimus, iyo inobata basa guru mukutorwa kwehudyu, yakachengetedzwa zvachose;kune rumwe rutivi, boka re-adductor muscle rinogurwa muchikamu chepakati, zvichiita kuti kuderera kwesimba remhasuru.
(II) Migumisiro yekugurwa kwegumbo rezasi
Kudimburwa kwacho kwaisava nezvakawanda pakuchinjika kwebvi uye kuwedzera uye kusimba kwemhasuru.Iyo quadriceps ndiyo huru yemhasuru boka rekuwedzera uye inomira pane tibial tuberosity;boka guru remhasuru rinoita basa mukuchinjika ndiro posterior chidya tsandanyama boka, iyo inomira inenge yakaenzana kureba se medial tibial condyle uye fibular tuberosity.Nokudaro, mhasuru dziri pamusoro apa hadzina kukuvadzwa mukati mehurefu hwakakwana hwekudimburwa kwegumbo rezasi.
(III) Mhedzisiro inomuka kubva pakudimburwa kwerutsoka
Kudimburwa kubva kumetatarsal kuenda kuchigunwe kwaive kushoma kana kusave nemhedzisiro pakushanda kwemota.Kudimburwa kubva pajojo retarsometatarsal (Lisfranc joint) kusvika pakati.Iyo inokonzeresa kusaenzana kwakanyanya pakati peiyo dorsiflexors uye plantar flexors, iyo inotungamira kune plantar flexion contracture uye ankle inversion chinzvimbo.Izvi ndezvokuti mushure mokugurwa, basa remhuru ye triceps se plantar flexor prime mover yakachengetedzwa zvachose, nepo tendon dzeboka re dorsiflexor dzakabviswa zvachose, nokudaro kurasikirwa nebasa rayo rakakodzera.
Nguva yekutumira: Kubvumbi-28-2022