Maʻi maʻi Blount

ʻO ka maʻi Blount kahi maʻi ulu o ka iwi shin (tibia) kahi e huli ai ka wāwae o lalo i loko, e like me ka bowleg.

Kū ka maʻi Blount i nā keiki ʻōpio a me nā ʻōpio. ʻAʻole ʻike ʻia ke kumu. Manaʻo ʻia ma muli o nā hopena o ke kaupaona ma ka papa ulu. ʻO ka ʻaoʻao i loko o ka iwi shin, ma lalo pono o ke kuli, ʻaʻole hiki ke hoʻomohala maʻamau.

ʻAʻole like me nā kīʻaha, kahi mea e pololei i ka ulu ʻana o ke keiki, ulu ʻino ka maʻi Blount. Hiki iā ia ke hana i ke kūlou nui o hoʻokahi a ʻelua mau wāwae paha.

ʻOi aku ka maʻamau o kēia kūlana ma waena o nā keiki ʻAmelika ʻApelika. Pili pū ʻia me ka momona a me ka hele wanaʻao.

Kekahi a ʻelua paha o nā wāwae o lalo e huli i loko. Kapa ʻia kēia "kūlou." It paha:

• E nānā like i nā wāwae ʻelua
• Kū pono ma lalo o ke kuli
• E hele a ʻino koke

E nānā ka mea mālama ola iā ʻoe. E hōʻike kēia e huli i nā wāwae lalo i loko. ʻO kahi x-ray o ke kuli a me ka wāwae o lalo e hōʻoia i ka ʻike.

Hoʻohana ʻia nā pale i nā keiki e hoʻomohala i ke kūlou nui ma mua o ka makahiki 3.

Pono ka hana ʻokiʻoki inā ʻaʻole holo ka hana paʻa, a i ʻole ʻike ʻia ka pilikia a ʻelemakule ke keiki. Pili paha ke ʻoki ʻana i ka ʻoki ʻana i ka iwi shin e kau i ke kūlana kūpono. I kekahi manawa, e hoʻolōʻihi ʻia ka iwi.

I nā manawa ʻē aʻe, hana ʻia ke kaha ʻana e kaohi ai i ka ulu ʻana o ka hapalua o ka iwi shin. ʻAe kēia i ka ulu maoli o ke keiki e hoʻohuli i ke ʻano o ke kūlou. ʻO kēia kahi ʻoki liʻiliʻi loa. Hana maikaʻi ia i nā keiki me nā ʻōuli liʻiliʻi ʻoi aku ka nui o ka ulu ʻana e hana.

Inā hiki ke hoʻokomo i ka wāwae i ke kūlana kūpono, maikaʻi ka nānā. Pono e hana kūpono ka wāwae a nānā maʻamau.

ʻO ka mālama ʻole ʻana i ka maʻi Blount e alakaʻi i ka deformity holomua. Hiki i ke ʻano ke alakaʻi i nā ʻokoʻa i ka lōʻihi o ka wāwae, a hiki i ka hopena ke kīnā inā ʻaʻole mālama ʻia.

Hiki ke hoʻi mai ka maʻi Blount ma hope o ke kaha ʻana, keu hoʻi i nā keiki ʻōpio.

Kāhea i ka mea hāʻawi i kāu keiki inā kūlou ka wāwae a wāwae paha o kāu keiki. E kāhea aku hoʻi inā kūlou nā wāwae o kāu keiki e like me ke ʻano ʻoi aku o ka ʻino.

He mea kōkua paha ke kaupaona ʻana no nā keiki keu kaupaona.

Maʻi ʻo Blount; Tibia vara

• Anatomy iwi mua

Canale ST. ʻO Osteochondrosis a i ʻole epiphysitis a me nā aloha like ʻole. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 32.

ʻO Kliegman RM, Stanton BF, St. Geme JW, Schor NF. Nā deformities torsional a me nā angular. 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 675.