Nā hana kūpono ʻole o nā lālā iwi
ʻO nā pono ʻole o nā lālā iwi e pili ana i nā pilikia o ka hoʻolālā iwi i nā lima a me nā wāwae (nā lālā).
Hoʻohana pinepine ʻia ka huaʻōlelo lālā o ke kino iwi e wehewehe i nā kīnā o nā wāwae a i ʻole nā lima e pili ana i kahi pilikia me nā genes a chromosome paha, a i ʻole ia hanana ma muli o kahi hanana i kū i ka wā hāpai.
Aia pinepine nā mea maʻamau ʻole i ka wā hānau.
Hiki ke hoʻomohala nā ʻano kino lune ma hope o ka hānau ʻana inā he rikeke a i ʻole nā maʻi ʻē aʻe e pili i ka hanana iwi.
Ma muli o kekahi o kēia mau mea nā abnormalities o nā lālā skeletal:
- Kanesa
- Nā maʻi genetic a me nā pono ʻole chromosomal, e like me Marfan syndrome, Down Syndrome, a me Apert Syndrome, a me Basal cell nevus Syndrome.
- Kūpono kūpono ʻole i loko o ka ʻōpū
- Nā maʻi i ka wā hāpai
- ʻEha ma ka wā hānau
- Kaʻai pono ʻole
- Nā pilikia Metabolism
- Nā pilikia hāpai, e like me ka ʻoki ʻana i nā lālā mai ke kaʻina hoʻoweliweli o ka band amniotic
- Hoʻohana o kekahi mau lāʻau i ka wā o ka hāpai ʻana e like me thalidomide, ka mea e nalo ai ka ʻaoʻao luna o nā lima a i ʻole nā wāwae, a me ka aminopterin, e alakaʻi ai i ka pōkole o ka forearm
Kāhea i kāu kahu mālama ola inā he hopohopo kāu e pili ana i ka lōʻihi o ka lālā a me ka helehelena.
ʻO kahi pēpē me nā mea kūpono ʻole o ka lālā he mau hōʻailona ʻē aʻe a me nā hōʻailona, ke lawe pū ʻia, wehewehe i kahi maʻi kikoʻī a i ʻole ke hāʻawi ʻana i kahi kuhi no ke kumu o ka maikaʻi ʻole. Hoʻokumu ʻia ka diagnostics ma ka moʻolelo o ka ʻohana, ka mōʻaukala olakino, a me ka loiloi piha kino.
E komo pū paha nā nīnau mōʻaukala olakino:
- Loaʻa i kekahi o kou ʻohana nā ʻiwi ʻiwi?
- Aia kekahi mau pilikia i ka wā hāpai?
- He aha nā lāʻau a lāʻau paha i lawe ʻia i ka wā hāpai?
- He aha nā ʻōuli ʻē aʻe a i ʻole nā mea ʻē aʻe e kū nei?
ʻO nā hoʻokolohua ʻē aʻe e like me ka chromosome Studies, nā enzyme assays, x-ray, a me nā metabolic haʻawina e hana ʻia.
Deeney VF, Arnold J. Orthopedics. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 22.
ʻO Herring JA. Nā displasias iwi. I: Herring JA, hoʻoponopono. ʻO Tachdjian's Pediatric Orthopedics. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2022: chap 36.
McCandless SE, Kripps KA. ʻO nā genetics, nā hewa o ka metabolism i hānau ʻia, a me nā kānana hānau hou. I: Fanaroff AA, Fanaroff JM, eds. ʻO Klaus lāua ʻo Fanaroff's Care of the High Risk Neonate. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 6.