Nā wāwae pālahalaha

ʻO nā kapuaʻi pālahalaha (pes planus) e kuhikuhi i kahi hoʻololi o ke ʻano o ka wāwae i ka wāwae ʻole o ka wāwae i ke kū ʻana.

ʻO nā wāwae pālahalaha kahi kūlana maʻamau. ʻO ke ʻano maʻamau i nā pēpē a me nā kamaliʻi liʻiliʻi.

Kū nā wāwae pālahalaha no ka mea hemo nā puʻupuʻu e paʻa ana i nā hono i ka wāwae (i kapa ʻia he mau tendons).

Hoʻoikaika nā aʻa a hana i kahi paʻa i ka ulu ʻana o nā keiki. E hana ʻia kēia ma ka manawa o 2 a 3 mau makahiki paha o ke keiki. Loaʻa i ka hapa nui o nā kānaka i nā pio ma ka manawa makua. Eia nō naʻe, ʻaʻole hana ʻia ka piʻo i kekahi poʻe.

Hoʻokumu kekahi o nā kūlana hoʻoilina i nā kaula leʻa.

• Ehlers-Danlos Syndrome
• ʻO Marfan Syndrome

ʻO nā poʻe i hānau ʻia me kēia mau ʻano he mau kapuaʻi pālahalaha ko lākou.

Hiki i ka ʻelemakule, nā ʻeha, a i ʻole nā ​​maʻi ke hōʻeha i nā ʻāʻī a hana i nā wāwae pālahalaha e ulu i kahi kanaka i hana mua i nā pio. ʻO kēia ʻano kapuaʻi pālahalaha e kū wale ma kekahi ʻaoʻao.

Kākaʻikahi ka eha o nā wāwae pālahalaha i nā keiki e kumu ʻia e kahi ʻano i ulu ai ʻelua a ʻoi aku paha o nā iwi i ka wāwae a hui pū paha. Kāhea ʻia kēia ʻano he kohu koina.

ʻO ka hapa nui o nā wāwae pālahalaha ʻaʻole ʻeha a i ʻole nā ​​pilikia ʻē aʻe.

Loaʻa i nā keiki ka ʻeha o ka wāwae, ʻeha kuʻekuʻe wāwae, a i ʻole ʻeha o ka wāwae o lalo. Pono lākou e loiloi ʻia e ka mea mālama ola inā kū kēia.

Pākuʻi ʻia paha nā ʻōuli i ka poʻe mākua i ka luhi a i ʻole ka ʻawā wāwae ma hope o ka lōʻihi o ke kū a pāʻani ʻana i nā haʻuki. Loaʻa paha iā ʻoe ka ʻeha ma waho o ka kuʻekuʻe wāwae.

I ka poʻe me ka wāwae pālahalaha, hoʻopili ka instep o ka wāwae i ka honua ke kū.

No ke kuhi ʻana i ka pilikia, e noi ka mea hāʻawi iā ʻoe e kū ma kou manamana wāwae. Inā kū kahi paʻa, kapa ʻia ka wāwae pālahalaha. ʻAʻole ʻoe e pono hou i nā hoʻāʻo a i ʻole ka mālama ʻana.

Inā kū ʻole ka piʻo me ke kū ʻana o kahi manamana wāwae (i kapa ʻia he mau wāwae pālahalaha paʻa), a inā he ʻeha, pono paha nā hoʻokolohua ʻē aʻe, e like me:

• CT scan e nānā i nā iwi i ka wāwae
• MRI scan e nānā i nā uaua o ka wāwae
• X-kukuna o ka wāwae e nānā ai no ka maʻi pākī

ʻAʻole pono nā wāwae pālahalaha i ke keiki i ka lāʻau lapaʻau inā ʻaʻole lākou e ʻeha a i ʻole nā ​​pilikia hele wāwae.

• E ulu a hoʻomohala nā wāwae o kāu keiki i nā mea like, inā he kāmaʻa kūikawā, he hoʻokomo kāmaʻa, hoʻohana ʻia nā kīʻaha heʻe, a i ʻole nā ​​pā.
• Hele wāwae paha kāu keiki me ka wāwae ʻole, holo a lele paha, a i ʻole hana i kekahi hana ʻē aʻe me ka hana ʻole i nā wāwae pālahalaha.

I nā keiki makua a me nā mākua, nā wāwae pālahalaha e kumu ʻole ai i ka ʻeha a i ʻole nā ​​pilikia hele wāwae ʻaʻole pono lākou e lapaʻau hou.

Inā loaʻa iā ʻoe ka ʻeha ma muli o nā wāwae pālahalaha, hiki ke kōkua i kēia mau mea:

• Kākoʻo kākoʻo (orthotic) āu e hoʻokomo ai i kou kāmaʻa. Hiki iā ʻoe ke kūʻai i kēia ma ka hale kūʻai a i hana ʻia ia e ka mea maʻamau.
• Nā kāmaʻa kūikawā.
• Kikoo nāʻiʻo ʻōpiopio.

Pono e nānā i nā wāwae pālahalaha a ʻeha paha e kahi mea hāʻawi. Pili ka lāʻau i ke kumu o nā wāwae pālahalaha.

No ka hui kuikahi tarsal, hoʻomaka ka hoʻomaʻamaʻa me ka hoʻomaha a me kahi mea hoʻolei. Pono paha ke ʻoki ʻana inā ʻaʻole hoʻomaikaʻi ka ʻeha.

I nā hihia ʻoi loa, pono paha ke kahakaha iā:

• E hoʻomaʻemaʻe a hoʻoponopono i ke olonā
• Hoʻololi o kahi tendon e hoʻihoʻi i ka pio
• Hoʻohui i nā hono i ka wāwae i kahi kūlana i hoʻoponopono ʻia

Hiki ke mālama ʻia nā wāwae pālahalaha i nā mākua makua me nā mea hōʻeha ʻeha, orthotics, a i kekahi manawa ʻoki kino.

ʻO ka hapa nui o nā wāwae pālahalaha ʻaʻole ʻeha a ʻaʻole pilikia. ʻAʻole lākou e pono i ka lāʻau.

Hiki ke mālama ʻia kekahi mau kumu o nā wāwae pālahalaha ʻeha me ka hana ʻole. Inā ʻaʻole holo pono nā ʻano lāʻau ʻē aʻe, pono paha ke ʻoki e hoʻomaha i ka ʻeha ma kekahi mau hihia. Pono paha kekahi mau kūlana e like me ke kāwili ʻana o ka taral e ʻoki ʻia e hoʻoponopono i ka hemahema i hiki ai i ka wāwae ke maʻalahi.

Hoʻomaikaʻi pinepine ke keʻoki kino i ka ʻeha a me ka hana wāwae no ka poʻe e pono ai.

ʻO nā pilikia ma hope o ke kahakaha ʻana:

• Ka hoʻōla ʻole o nā iwi i hoʻohui ʻia
• ʻO ka deformity wāwae e hele ʻole
• Maʻi kīnā
• Lilo o ka neʻe wāwae
• ʻEha hele ʻole
• Nā pilikia me ke kūpono o nā kāmaʻa

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i ka ʻūmau mau o kou mau wāwae a i ʻole ke namunamu a kāu keiki no ka ʻeha o ka wāwae a i ʻole ka ʻeha o ka wāwae o lalo.

ʻAʻole hiki ke pale ʻia ka hapa nui o nā hihia. Eia nō naʻe, hiki ke kōkua i ke komo ʻana i nā kāmaʻa i kākoʻo maikaʻi ʻia.

Pes planovalgus; Nā pio i hina; Kuhi o nā wāwae; Pes planus

Grear BJ. Nā maʻi o nā tendona a me ka fascia a me nā ʻōpio pes planus a me nā mākua. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 82.

Myerson MS, Kadakia AR. Ka hoʻoponopono ʻana i ka deformity flatfoot i ka makua. I: Myerson MS, Kadakia AR, eds. Nā hana hou o ka wāwae wāwae a me ka wāwae: ka hoʻoponopono ʻana i nā pilikia. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 14.

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.