Lewa kiʻekiʻe

ʻO ke ākea kiʻekiʻe kahi paʻa i hāpai ʻia ma mua o ka maʻamau. Holo ka piʻo mai nā manamana wāwae a hiki i ka kuʻekuʻe wāwae ma lalo o ka wāwae. Kāhea ʻia ia hoʻi ʻo pes pesus.

ʻO ke ākea kiʻekiʻe ke kūʻē i nā wāwae pālahalaha.

ʻO nā piʻo wāwae kiʻekiʻe he nui aku ka liʻiliʻi ma mua o nā kapuaʻi pālahalaha. ʻO ke kumu o ka iwi (orthopedic) a i ʻole ke aʻalolo (neurological) ke kumu.

ʻAʻole like me nā kapuaʻi pālahalaha, nā wāwae i paʻa i ka wāwae e ʻehaʻeha. ʻO kēia no ka mea ua kau ʻia ke koʻikoʻi hou aʻe ma ka ʻāpana o ka wāwae ma waena o ka kuʻekuʻe wāwae a me nā manamana wāwae (metatarsals). Hiki i kēia kūlana ke paʻakikī i ke komo ʻana i nā kāmaʻa. ʻO ka poʻe i loaʻa nā kakaka kiʻekiʻe e pono pinepine i ke kākoʻo wāwae. Hoʻokumu paha kahi piʻo kiʻekiʻe i ke kīnā ʻole.

ʻO nā hōʻailona me:

• ʻO ka lōʻihi o ka wāwae
• Nā kāmaʻa paʻa paʻakikī
• ʻO ka ʻeha o ka wāwae me ka hele wāwae, kū, a me ka holo ʻana (ʻaʻole i loaʻa i kēlā me kēia hōʻailona kēia).

Ke kū ke kanaka ma ka wāwae, hele ke ʻano o ka hū i puha. ʻO ka hapa nui o ke kaumaha ma ke kua a me nā pōpō o ka wāwae (poʻo metatarsals).

E nānā kāu mea mālama ola inā ʻike maʻalahi ʻia ka piʻo kiʻekiʻe, ʻo ia hoʻi hiki ke neʻe a puni.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• X-ray o nā wāwae
• X-ray o ka iwi kuamoʻo
• Uila uila
• MRI o ka ʻiwi
• Nā haʻawina conduction nerve
• Ke hoʻāʻo ʻana i nā genetic e nānā i nā gen genedary i hiki ke hoʻoili i kāu keiki

ʻO nā pio kiʻekiʻe, ʻo nā mea maʻalahi a mālama maikaʻi ʻia paha, ʻaʻole pono e mālama ʻia.

Hiki i nā kāmaʻa pololei ke kōkua i ka hoʻoluhi i ka ʻeha a hoʻomaikaʻi i ka hele wāwae. Hoʻopili kēia i nā hoʻololi i nā kāmaʻa, e like me ka insert arch a me kahi insole kākoʻo.

ʻO ke kaha e pālahalaha ai ka wāwae e pono ai i kekahi manawa i nā hihia koʻikoʻi. ʻO nā pilikia aʻa e kū nei e pono e mālama ʻia e nā loea.

Aia ke kuanaʻike i ke ʻano o ke kū ʻana o nā pio kiʻekiʻe. I nā hihia maʻalahi, e ʻaʻe ana i nā kāmaʻa kūpono a me nā kākoʻo arch.

Komo pū nā pilikia:

• ʻEha mau
• Ke hele wāwae paʻakikī

Kāhea i kāu mea hāʻawi inā manaʻo ʻoe he ʻeha kou wāwae e pili ana i nā pio kiʻekiʻe.

Pono e nānā i ka poʻe me ka wāwae i paʻa i ka wāwae no ke ʻano o ke aʻa a me ka iwi. Ke kōkua nei i ka loaʻa ʻana o kēia mau kūlana ʻē aʻe e pale a hoʻēmi paha i nā pilikia o ka piʻo.

Pes cavus; Lewa kiʻekiʻe wāwae

Deeney VF, Arnold J. Orthopedics. I: Zitelli BJ, McIntire SC, Norwalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 22.

Grear BJ. Nā maʻi Neurogenic. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 86.

ʻO Winell JJ, ʻo Davidson RS. Ka wāwae a me nā manamana wāwae. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 674.