Ukunqunywa kwezitho ezingezansi kunomthelela omkhulu ekuhambeni kwamalunga nemisipha yesitho esingezansi.Ngemva kokunqunywa, indawo yokunyakaza kwamalunga ivame ukuncishiswa, okuholela ekukhonteni kwemilenze engathandeki okunzima ukuyinxephezela ngama-prostheses.Njengoba ama-prostheses aphansi aqhutshwa isitho esisele, kubalulekile ukuqonda imiphumela yokunqunywa emalungeni amakhulu nokuthi kungani kwenzeka izinguquko ezinjalo.
(I) Imiphumela yokunqunywa kwethanga
Ubude be-stump bunomthelela omkhulu emsebenzini wokuhlangana kwe-hip.Lapho isiphunzi sisifishane, kuba lula ukuthi inqulu ithumbe, ijikelezise ngaphandle futhi igobe.Ngamanye amazwi, ngakolunye uhlangothi, i-gluteus medius ne-gluteus minimus, edlala indima enkulu ekuthunjweni kwe-hip, igcinwe ngokuphelele;ngakolunye uhlangothi, iqembu le-adductor muscle linqunywe engxenyeni ephakathi, okuholela ekunciphiseni kwamandla emisipha.
(II) Imiphumela yokunqunywa komlenze ongezansi
Ukunqunywa kwaba nomthelela omncane ebangeni lokuguquguquka kwamadolo kanye nokunwetshwa namandla emisipha.I-quadriceps iyiqembu le-muscle eliyinhloko lokunwetshwa futhi liyama ku-tuberosity ye-tibial;iqembu eliyinhloko le-muscle elidlala indima e-flexion yiqembu le-posterior thigh muscle, elimisa cishe ukuphakama okufanayo ne-condyle ye-tibial ephakathi kanye ne-fibular tuberosity.Ngakho-ke, imisipha engenhla ayilimazi phakathi nobude obuvamile bokunqunywa komlenze ophansi.
(III) Imiphumela evela ekunqanyulweni kwengxenye yonyawo
Ukunqunywa kusuka ku-metatarsal kuya ozwaneni kube nomthelela omncane noma kwangenawo nhlobo ekusebenzeni kwemoto.Ukunqunywa kusuka ejoyintini le-tarsometatarsal (i-Lisfranc joint) kuya phakathi nendawo.Kubangela ukungalingani okwedlulele phakathi kwama-dorsiflexors kanye nama-plantar flexors, abeka phambili ekuvumelwaneni kwe-plantar flexion kanye ne-ankle inversion position.Lokhu kungenxa yokuthi ngemva kokunqunywa, umsebenzi wethole le-triceps njenge-plantar flexor prime mover igcinwa ngokuphelele, kuyilapho izintambo zeqembu le-dorsiflexor zinqanyuliwe ngokuphelele, ngaleyo ndlela zilahlekelwa umsebenzi wazo ofanele.
Isikhathi sokuthumela: Apr-28-2022