Плоскостопие — это уплощение поперечного или продольного свода стопы, нарушает слаженную работу опорно-двигательного аппарата, провоцируя быструю усталость ног. Признаки плоскостопия — болезненные ощущения при ходьбе, деформация пальцев (халюс вальгус, косточка на мизинце), нарушение амортизации. Это приводит к возникновению воспалительных процессов в суставных сочленениях нижних конечностей. В комплексную терапию заболевания обязательно включается лечение плоскостопия в домашних условиях. Оно необходимо при всех степенях деформации для более эффективного воздействия и коррекции патологического уплощения ступней.
Содержание
Можно ли вылечить плоскостопие в домашних условиях
Убрать плоскостопие в домашних условиях можно, если пациент дисциплинирован, знает, что такое самоконтроль. Он должен выполнять пошагово ежедневные лечебно-оздоровительные процедуры: гимнастику для развития подвижности стоп, хождение босиком, плаванье, массаж, самомассаж, ношение ортопедической обуви, компрессы и ванночки для ног. Важный элемент лечебного процесса — сбалансированный рацион, который позволяет обогатить организм витаминами и минералами, необходимыми для правильного развития и восстановления костных структур.
В зрелом возрасте сложнее, чем в детстве, повлиять на исправление формы ступни, основные изменения, формирование костно-мышечных структур ног и их рост активно идет у детей в возрасте до 6-7 лет. В некоторых случаях корректировка уровня изменений свода стопы возможна в период до 10-12 лет. У взрослого регулярное выполнение домашнего комплекса коррекции позволяет остановить прогрессию патологии. В сочетании с врачебными манипуляциями (консервативные методы или хирургическая операция) — полностью восстановить анатомически верное положение ступней человека, устранив деформацию и проистекающий из нее дискомфорт для опорно-двигательного аппарата.
Методы домашней терапии
Успешно избавиться от плоскостопия в домашних условиях можно, если пациент еще не вышел из дошкольного возраста. Вид терапии способен помочь взрослым в устранении имеющихся нарушений строения подошвы ног и первые признаки деформации пальцев. Основная задача больного соблюдать регулярный системный подход к выполнению упражнений, ежедневно пользоваться лечебными народными средствами и не забывать про обязательный курс массажа.
Упражнения и гимнастика
Гимнастические упражнения в домашних условиях помогают укрепить мышцы ног, восстановить растяжение связочных структур, у детей — сформировать правильное положение стоп, устранить усталость, повысить выносливость и снять спазмирующие боли. ЛФК улучшает микроциркуляцию в области ступни, приток крови стимулирует регенераторные процессы и останавливает деформацию со смещением косточек на большом пальце и мизинце.
находясь в положении сидя, поднимать гимнастический или массажный мяч с шипами, зафиксировав его ступнями;
собирать разбросанные по комнате карандаши и ручки без помощи рук, захватывая канцелярские принадлежности пальцами ног;
ходить 10 минут попеременно на носочках и на пятках, подняв руки высоко над головой;
совершать плавные перекаты с носка на пятку и обратно;
передвигаться попеременно на внутренней и на внешней сторонах стопы, руки предварительно высоко поднять;
выполнять перекаты стоп на бутылке (пустой или наполненной водой/песком);
босиком ходить по траве, морской гальке, песку, при отсутствии такой возможности (условия проживания, зимний период) применять специальное напольное покрытие (коврики с бугристыми поверхностями);
двигать стопой, изгибая подошву во всех отделах (имитация хода гусеницы);
торсионные скручивания (максимальный поворот влево-вправо) при плотном соприкосновении стопы с полом (необходимо сохранять равновесие);
сжимать и веерообразно разжимать пальцы на ногах;
вращение стопы по часовой стрелке (и обратно).
Массаж и самомассаж
Эффективен при уплощении, помогает оптимально расслабить мышцы, снять усталость после ходьбы и скорректировать малые деформации, снять нагрузку на сустав, стимулирует кровоток и нормализует отток лимфы. Курс у специалиста в сочетании со специальными приспособлениями и ковриками помогает восстановить структуру стопы и снять болезненность при передвижении.
Различают: поглаживание с расслаблением, выжимание, разминание, растирание, поколачивание. Внимание уделяют подошвенной части, икроножной мускулатуре, при передвижении она связана с работой ступни.
Самомассаж при уплощении стоп выполняется аккуратно и бережно. Внимание следует уделять проработке каждого пальца, массировать свод, растирать мышцы голени, не допуская болевых ощущений. Из приспособлений стоит обратить внимание на колесики с шипами для стимуляции поверхностных рефлекторных зон, электромассажеры, гидромассажный аппарат (используется строго по инструкции).
Средняя длительность воздействия — 10 минут на каждую ногу. Неверное выполнение может усугубить течение недуга.
При плоскостопии у малышей массаж доверяют специалисту. Активно растущий организм более уязвим, требует бережного, деликатного обращения.
С морской солью: на 1 л теплой воды добавить 1 ст. л. морской соли, парить ноги 15-20 минут (применять не чаще 1 раза в неделю).
Контрастные ванночки (10-15 секунд попеременно в холодной, теплой и горячей воде). Ноги предварительно распарить. Курс — 10 дней.
Ванночки с хвойными настоями. Шишки и иголки проварить 3 часа, дать отстояться, добавить на 1 л воды и парить 15-20 минут.
В тазу емкостью 5 л заварить 1 кг дубовой коры. Ножные ванны принимать 1 раз в день две недели.
Пропарить ноги с настоем шалфея: в 2 л воды растворить 100 г сухих листьев шалфея (можно добавить 100 г мяты перечной), ступни держать не менее 20 минут.
Народные средства
Для восстановления кожных покровов, избавления от припухлостей, болей, остановки деформационных процессов используют:
Плоскостопие поддается терапевтическому лечению. Исключение — тяжелые виды плоскостопия, 4 степень, требующая хирургического вмешательства, врожденная патология. При своевременной коррекции заболевания полного восстановления свободного передвижения удается добиться в 95-97% случаев.
Противопоказания и предосторожности при домашнем лечении:
Беременность, период лактации.
Тяжелые формы со значительными деформирующими сдвигами костей стоп.
Индивидуальная непереносимость компонентов (аллергия на состав мазей, компрессов).
Ограничение двигательной активности с рекомендуемым постельным режимом.
При переутомлении не стоит насильно выполнять упражнения, чтобы не травмировать ноги.
ЛФК, массаж, разогревающие компрессы неприменимы при сопутствующих заболеваниях: инфекционных с повышением температуры тела, кожных гнойных дефектах, проблемах с кровообращением, аллергии, онкологических заболеваниях.
Прогрессирование болезни, общее ухудшение состояния требуют отказа от народной терапии.
Любое лечение должно быть на пользу, а не во вред, следует проконсультироваться с квалифицированным медицинским работником относительно включения в терапевтическую схему того или иного приема или рецепта. Убрать плоскостопие любого вида в домашних условиях проще детям, результат будет длительным и симптоматика уйдет. Взрослым диагностировать и исправлять деформацию значительно сложнее.
Плоскостопие — небезопасное заболевание, которому нужно уделить внимание.
Человеческая стопа должна иметь два свода — продольный и поперечный.
Они выполняют важную роль — сохраняют равновесие при передвижении. Но, в случае деформации этой части тела, возможно появление серьезных последствий.
В первую очередь появившееся плоскостопие негативно сказывается на работоспособности позвоночника и суставов.
Человек, страдающий таким недугом быстро устает, не может долго ходить. Так что же это за болезнь такая и как ее выявить?
Откуда берется плоскостопие
Понятие «плоскостопие»
Этим словом называют состояние стопы, при котором она неестественно сглажена и не имеет сводов, то есть вогнутостей.
Стопа при заболевании теряет амортизирующие свойства и повышает тем самым нагрузку на позвоночник и ноги.
Симптомы заболевания
Обратить внимание нужно на следующие признаки :
Усталость после долгой ходьбы, сопровождающаяся отеком ног, болью, чувством жжения икр, которое дает о себе знать ближе к ночи.
Появление косолапости — сказывается нагрузка на позвоночник, который становится дугообразным и придает походке неестественность.
Болевые ощущения — появляются не только в ногах, но и в спине, шее, бедрах. Возникают они по причине неправильной нагрузки веса тела.
Потеря равновесия. Если человека с плоскостопием попросить присесть на корточки, ему будет это очень трудно сделать, из-за потери равновесия.
Вросший ноготь — один из характерных признаков.
Тест краской. Можно провести простой тест — покрасить стопу краской и встать на лист бумаги. Если в центре зона соприкосновения узкая, то стопа здорова. В противном случае диагноз — плоскостопие, которое характеризуется широким отпечатком всей стопы на бумаге.
Быстро изнашиваемая обувь, а у женщин каблук с внутренней стороны.
Ходьба на каблуках доставляет дискомфорт и боль.
Растут косточки. При плоскостопии со временем начинают появляться косточки на ногах из-за деформации стопы.
Эти симптомы можно встретить не только у взрослых, но и у детей.
Как только они проявились, следует сразу обратиться к ортопеду для диагностики и лечения заболевания. Если плоскостопие выявлено на ранних стадиях, то оно успешно вылечивается.
Причины плоскостопия
Факторами, являющимися предпосылками к заболеванию несколько :
ожирение — при большой нагрузке веса стопа не может выдержать и прогибается;
неправильная обувь — узкая, большая, неудобная. Это приводит к неверному формированию стопы. Следует знать, что дети с самого маленького возраста должны ходить в обуви с супинатором;
увеличенные нагрузки на позвоночник и ноги — беда любого спортсмена и людей тяжелых профессий;
травмы нижних конечностей;
рахит — самая часто встречающаяся причина. Появляется из-за дефицита витамина Д, вследствие чего кости размягчаются и становятся податливыми;
сидячая работа — если долго пребывать в таком положении, мышцы ног слабеют и уже не способны держать тело в правильной позе;
беременность — гормоны в этот период готовят тело женщины к родовому процессу, размягчая кости. К тому же быстро увеличивающийся вес — это большая нагрузка на своды стоп.
Поэтому появление плоскостопия у беременных — частая проблема. Можно даже заметить, что нога увеличилась в размере. Это происходит из-за того, что свод прогнулся. В большинстве случаев симптомы плоскостопия исчезают после родов.
При появлении любых признаков, плоскостопие врожденное или приобретенное однозначно нужно лечить как можно быстрее.
Лечение
Медикаментозное лечение
Избавление от плоскостопия медикаментами до сих пор невозможно. Они не способны не только вылечить, но даже замедлить процесс болезни. Врач может назначить лекарство только при сильных болезненных ощущениях. И это чаще всего нестероидные противовоспалительные препараты.
Ортопедические стельки
Стельки-супинаторы изготавливаются всегда в индивидуальном порядке с учетом особенностей стопы. Материал — пластик, так как именно он хорошо нагревается и становится при этом пластичным. Как только температура понижается — стелька затвердевает.
Индивидуальное изготовление заключается в нагреве заготовки феном, после чего на нее ставится стопа. Чтобы выполнить правильный супинатор, свод стопы лентой поднимается и подставляется специальная подушечка.
Супинаторы изготавливаются в двух вариантах :
для обуви с каблуком;
для обуви без каблука.
Если ребенок постоянно будет ходить в правильной обуви до семилетнего возраста, хотя бы с трех лет, то болезнь полностью излечится. При этом нужно вовремя менять супинатор, ведь детская нога быстро растет.
Подросткам и взрослым также рекомендовано ношение стелек. Это заметно улучшает ходьбу, останавливает процесс дальнейшего разрушения стопы.
Лечение дома
Плоскостопие можно и нужно лечить в домашних условиях. Помогут избавиться от этой болезни следующие меры.
Обувь
Она должна быть специальной — ортопедической. Такая обувь способна удержать свод стопы в правильном положении, приучая к правильной ходьбе без заваливания внутрь. Если наблюдается легкая степень поражения, тогда достаточно пользоваться специальными стельками с супинатором.
Массаж
Очень эффективное средство. Проводит массаж только профессионал, который благодаря своему опыту может размять свод до состояния придания ему нужной формы. В процессе различных массажных приемов — поглаживания, растирания, похлопывания и т.д. усиливается кровообращение и эти факторы более быстро приближают срок выздоровления. Если говорить про домашний массаж, то с этой ролью справятся массажные коврики и специально разработанные массажеры.
Правильная стопа — это правильно развитый мышечный корсет. Чтобы соблюдать это условие, нужно как можно больше двигаться — ходить в походы, заниматься лыжами, плавать, кататься на коньках и роликах. Все упомянутые виды спорта отлично подходят для развития мышц.
Прогулки
Лучше гулять по неровным поверхностям с голыми ступнями. Это может быть просто асфальт, песок, газон или галька. Лучше всего — это прогулки босиком по теплому песку или хвое. Что происходит в ногах? Неровности воздействуют на активные точки стопы и это способствует ее правильному формированию. Если на улице зима, то можно ходить по пуговицам, камешкам или гороху, например дома.
Перекатывания
Нужно перекатывать различные предметы ногами. Причем не только поперек, но вдоль тоже. Для этого упражнения можно использовать бутылку, скалку, валик. А можно расстелить полотенце на полу и постараться собрать его с помощью пальцев ног.
Бревно
Подразумевается хождение по бревну. Именно оно придает стопе естественную форму. Делать это упражнение лучше боком.
Велосипед
Отличный способ борьбы с плоскостопием. Ездить хорошо бы без обуви, тогда нагрузка идет на свод стопы с фиксацией ее в естественном изгибе.
Походка
Однозначно нужно следить за походкой. Она должна быть правильной — с расправленными плечами, с ровной спиной, с параллельными ногами. При ходьбе стопа должна опираться на внешний, а не на внутренний край.
Питание
Нужно употреблять как можно больше продуктов, содержащих кальций.
Витамин Д можно получить из лекарства или от солнца. Следует больше находиться под ультрафиолетом. Важно, витамин Д усваивается лишь в первой половине дня. Так, что гулять лучше до обеда. И следить обязательно за весом, иначе излишне отложенные жиры приведут только к усугублению болезни.
Ванночки
Они делают стопу мягче и расслабляют ее. Для приготовления ванн нужно взять литр теплой воды, и добавить 1 столовую ложку морской соли. Время процедуры — 20 минут.
Физиотерапия
Дает хорошие результаты при комплексном лечении и в совокупности со стельками-супинаторами.
санаторно-курортное лечение с грязевыми аппликациями и ножными ваннами.
Цель физиотерапевтического воздействия — укрепление мышц свода стопы и избавление от болезненных ощущений.
Лечебные упражнения
При любых ортопедических отклонениях, основой лечения является гимнастика. Самыми широко используемыми признаны следующие:
Хороший результат дает попеременная ходьба на внутренней и внешней стороне стопы. Руки должны находиться на поясе.
Чаще нужно ходить на пятках, а потом на носках по комнате с поднятыми над головой руками.
Исходное положение — ноги на ширине плеч, руки на поясе, спина прямая. Из этого положения корпус поворачивается как можно дальше вправо, затем влево.
Полезно делать упражнение пальцами. Это позволяет тренировать мышцы. Исходное положение — сидя с вытянутыми вперед ногами. Пальцы нужно сжимать и расправлять как можно шире — веером. Каждая позиция должна выполняться на максимальном пределе.
Позиция — сидя на стуле. Носки тянутся на себя как можно дальше и это положение фиксируется на несколько секунд.
Стопы вращаются то в одну сторону, то в другую.
Босыми ногами нужно стараться передвигаться по длинной скалке или специальной гимнастической скалке. При этом пятка должна плотно вставать к носку другой ноги. Важно удержать равновесие.
Также хорошо развивает упражнение, в котором нужно с пола пальцами ног поднять карандаш или ручку. Причем держать предмет нужно обеими ногами. Повторить 10 раз.
Если есть мяч размером с орешек, можно зажимать его пальцами и походить в таком положении по полу. Со временем задача усложняется, и упражнение выполняется сразу двумя ногами.
Плоскостопие эффективно лечится в домашних условиях, но успех зависит от наличия терпения и регулярности. Даже ежедневные занятия на протяжении месяца дают видимый результат.
Результаты лечения
Следует знать, что полностью плоскостопие можно вылечить только до 7 лет. Именно до этого возраста от врожденного или рахитического плоскостопия можно избавиться консервативным лечением.
Когда ребенок становится старше, стопа только корректируется и выполняется терапия для поддержания или улучшения ситуации. Если замедлить процесс деформации стопы невозможно, тогда доктор может настаивать на хирургическом вмешательстве.
Хирургическая коррекция подразумевает фиксацию стопы на длительное время гипсом в правильном положении и использование костылей.
Когда болезнь не врожденная, а приобретенная, то успех лечения зависит от избавления от основного заболевания. Например, если человек страдает диабетической полинейтропатией, то плоскостопие при достижении стабильного уровня сахара в крови прогрессировать не будет.
Не нужно пускать болезнь на самотек, она очень быстро развивается.
Стопа человека нужна не просто для движения, но для амортизации и смягчения толчков, которые во время ходьбы неизбежны. Чтобы в полной мере выполнять эту функцию, она имеет определенное строение. Важно лечение плоскостопия у взрослых в домашних условиях, ведь при этой патологии стопа больше не выполняет свою рессорную функцию.
Статьи по теме:
Плоскостопие: берут ли с ним в армию?
Определяем плоскостопие в домашних условиях
Узнаем о симптомах и лечении поперечного плоскостопия
Плоскостопие 2 степени — лечение в домашних условиях
Как правильно делать массаж при плоскостопии у детей
Интересно! У стопы изогнутая форма, которую сравнивают с аркой или дугой (можно оставить след на мокром песке, чтобы точно узнать ее форму). Когда человек ходит, он не опирается на всю поверхность стопы, а только на пяточную кость, основание первого и пятого пальца.
Какие виды бывают
Благодаря правильному строению, при ходьбе по ровной поверхности, тело может равномерно распределять нагрузку. Если у человека плоскостопие, то форма стопы деформирована, ее своды утолщены.
Виды плоскостопия в зависимости от структуры свода:
поперечное. В такой ситуации поперечный свод становится широким. Именно такой вид патологии чаще всего диагностируется у взрослых;
продольное. За счет уменьшения высоты продольного свода стопа становится длиннее. Часто встречается у детей, подростков;
комбинированное. Оба вида изменения стопы присутствуют в той или иной степени.
Важно! Плоскостопие может быть врожденным. Оно встречается редко и связано с аномальным строением скелета ребенка. Узнайте все о симптомах и лечении плоскостопия.
Причины плоскостопия
Основные возможные причины:
Травмы в области стопы. Это не только переломы, но также проблемы с мышечным или связочным аппаратом.
После перенесенного рахита. Из-за болезни кости становятся мягкими, легко и быстро деформируются.
Статическое плоскостопие может быть вызвано разными причинами, связанными с увеличением нагрузки на стопу (чаще всего встречается у прекрасной половины). Причиной статического плоскостопия может быть ожирение или беременность, постоянное положение стоя, ношение тесной обуви или на каблуке (каблук более 4 см), мышцы становятся менее упругие из-за возраста. Не исключается наследственный фактор.
Что же включает в себя лечение плоскостопия у взрослых в домашних условиях (см. видео)? Подход должен быть комплексным, и первые важные этапы – это покупка ортопедической обуви, выполнение определенного вида упражнений, проведение массажа. Также стоит учесть, что при разных степенях заболевания назначают разные комплексы лечения.
Внимание! Вы можете узнать, как определить плоскостопие в домашних условиях тут.
1 степень
Первая степень плоскостопия лечится консервативными методами. Регулярно выполняйте упражнения:
немного расставить ноги и подняться на носочки 10 раз;
положить на пол скалку, трубу, бутылку или маленький мячик, на этот предмет поставить стопы и катать его ногами 5 минут;
сядьте, поставьте стопы на пятки и вращайте ими в разные стороны по 10 раз в каждую;
выполнить шаги на противоположных сторонах стопы (10 – на внешней, 10 – на внутренней);
стать на пятки и перекатиться на носок, затем обратно – 10 раз;
в течение трёх минут согнуть и разогнуть пальцы;
пальцами ног перекладывать лёгкие предметы.
Делайте массаж ног: разминайте стопы или используйте массажёры. Носите только качественную обувь:
ортопедическую;
стельки должны быть изготовлены по стопе;
обувь не должна быть тесной;
подбирайте с каблуком 2–4 см
Соблюдайте принципы правильного питания, чтобы избежать набора веса, а лучше придерживайтесь диеты и избавьтесь от лишних килограммов, если они имеются.
2 степень
Своевременное лечение плоскостопия 2 степени поможет избежать оперативного вмешательства. В курс лечения входит:
массаж;
специальная гимнастика;
обязательно подобрать ортопедическую обувь;
заказать стельки для профилактики натоптышей;
мануальная терапия;
не перегружать ноги ходьбой;
выполнять упражнения, которые укрепляют мышцы ног стопы, формируют осанку;
занятия плаванием.
3 степень
Чем раньше начать лечение, тем быстрее получите результат:
следите за своим весом, соблюдайте диету (если есть даже незначительно лишние килограммы, от них лучше избавиться);
делайте контрастные ванночки для ног (холодная, горячая вода);
носите удобную обувь, рекомендуется ортопедическую, должен присутствовать каблук, но не выше 4 см, обувь не должна быть узкой, но и не сильно просторной;
регулярно делайте массаж стоп;
подключите физиотерапию.
К сожалению, эти рекомендации помогают не всем, зачастую приходится прибегать к хирургическому вмешательству.
Ортопедическая обувь и специальные стельки
Важно поменять обувь на время лечения, чтобы обеспечить стопе правильное естественное положение при ходьбе. Подошва специальной обуви может поглощать удары в процессе движения человека.
Результаты от ношения правильной обуви:
нагрузка на стопу становится меньше;
усталость ног уменьшается;
не происходит дальнейшей деформации суставов;
стопа получает улучшенные амортизирующие функции;
нагрузка на позвоночник снижается.
Индивидуальные ортопедические стельки могут заменить специальную обувь. Такое лечение будет дешевле по стоимости. Стельки учитывают особенности строения стопы, обладают различными дополнительными элементами.
Упражнения ЛФК
Чтобы исправить деформации стопы, если они еще носят незначительный характер, в домашних условиях можно делать специальную гимнастику. Достаточно будет 15 минут в день, чтобы укрепить мышцы, сформировать правильное положение стопы. К тому же, упражнения улучшают кровоток и снижают общую утомляемость ног.
Какие упражнения рекомендуются:
поднимать мячик ногами;
положить на пол карандаши и ручки, стараться поднимать их, используя пальцы ног;
ходить на цыпочках;
ходить, опираясь на внешнюю сторону стопы;
взять бутылку (пустую или с водой) и перекатывать ее ногами.
Лечебный массаж
При лечении плоскостопия у взрослых в домашних условиях специальный массаж активно рекомендуется всеми специалистами. Важно, чтобы массаж проводил квалифицированный работник, а общий курс лечения составил не менее дюжины процедур. Длительность одного массажного сеанса для одной ступни не должна быть менее 10 минут.
Важно! В принципе, можно не обращаться к специалисту за лечебным массажем, а проводить его самостоятельно. Тогда придется купить специальное массажное приспособление: коврик, ролики, шарики.
Чтобы расслабить мышцы после массажа, рекомендуется принимать теплые ванночки для ног. Консервативное домашнее лечение, описанное выше, подходит только для первой стадии плоскостопия, пока стопа еще не сильно деформировалась.
Какие народные методы помогут
Массажный коврик
Такие коврики в большом ассортименте продаются в аптеках. Они подходят для самостоятельного массажа. Каждый день по специальному коврику нужно просто ходить босиком 5 минут.
Самостоятельный массаж
В народе к специалистам никогда не обращались, а старались делать массаж в домашних условиях. Нужно четырьмя пальцами руки зафиксировать ступню горизонтально. Большим пальцем руки давить по всей поверхности стопы. Особенно эффективен такой лечебный массаж утром.
Соблюдение диеты
На начальной стадии плоскостопие можно вылечить, скорректировав свое меню. Нужно отказаться от сладкого и мучного, исключить жирную пищу из рациона. Отныне основу меню составляют овощи, каши. Нужно есть до пяти раз в день, но не более 350 граммов еды за один прием. Так получится избавиться от лишнего веса, который часто приводит к деформации стопы.
Витамины
Дополнительно при плоскостопии нужно обязательно пить молоко, ведь в нем содержится витамин Д. Можно просто принимать витамин Д, купленный в аптеке в чистой форме. Вообще, если есть сомнения в том, что организм получает достаточно витаминов и минералов, можно пропить специальный курс таких препаратов.
Что делать для профилактики
Чтобы вопроса лечения плоскостопия у взрослых в домашних условиях не стояло вообще, нужно следить за массой тела, правильно выбирать обувь. Женщины должны понимать, что постоянное ношение высоких каблуков неминуемо ведет к развитию плоскостопия.
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