ʻO ka wāwae wāwae ʻōiwi: he aha ia, pehea e ʻike ai a mālama iā ia

Anter

• Pehea e ʻike ai
• Nā kumu kūpono
• Lapaʻau clubenot congenital

ʻO ka wāwae wāwae hānau hānau, ʻo ia hoʻi ʻo ka echinovaro clubfoot a i ʻole, makemake nui ʻia, ʻo "clubfoot inward", kahi maʻi kūlohelohe i hānau ʻia ai ka pēpē me hoʻokahi wāwae i huli i loko, a hiki ke ʻike ʻia ka loli i hoʻokahi kapuaʻi a ʻelua paha.

Hiki ke hoʻōla ʻia ka wāwae wāwae Congenital inā mālama ʻia ka mālama e like me ke alakaʻi a ka pediatrician a me ka orthopedist, a me ke ʻano Ponseti, nona ka hoʻohana ʻana i ka plaster a me nā kāmaʻa orthopedic, a i ʻole ke ʻoki e hoʻoponopono i ke kūlana. o nā wāwae, akā hōʻike wale ʻia ke kahakaha ke ʻole kahi hopena o nā ʻano hana ʻē aʻe.

Pehea e ʻike ai

Hiki ke hana ʻia ka ʻike o ka wāwae wāwae i ka wā hāpai ma o ka ultrasound, a hiki ke ʻike ʻia ke kūlana o nā wāwae e kēia hoʻokolokolo. Eia nō naʻe, hiki ke hōʻoia i ka wāwae wāwae ma hope o ka hānau ʻana ma o ka hoʻokolo kino ʻana, a ʻaʻole pono e hana i kahi hōʻike kiʻi ʻē aʻe.

Nā kumu kūpono

ʻAʻole ʻike ʻia nā kumu o ka wāwae wāwae a kūkākūkā nui ʻia, akā manaʻo kekahi mau kānaka noiʻi he ʻano genetical kēia ʻano a ma loko o ka hoʻomohala ʻia ʻana o ka pēpē aia ka hoʻoulu ʻana i nā genes no kēia hemahema.

ʻO kekahi kumumanaʻo i ʻae ʻia a kūkākūkā ʻia ʻo ia nā pūnaewele me ka hiki ke hana a hoʻonāukiuki i ka ulu ʻana i loko o ka ʻaoʻao o ka wāwae a me ka wāwae a i ka wā e ʻaelike ana, alakaʻi lākou i ka ulu a me ka ulu ʻana o nā wāwae i loko.

ʻOiai he nui nā manaʻo e pili ana i ka wāwae wāwae, he mea nui ka hoʻomaka mua ʻana o ka mālama ʻana e hōʻoia i ke ola o ke keiki.

Lapaʻau clubenot congenital

Hiki ke hoʻoponopono i ka wāwae wāwae ke hoʻomaka koke ka mālama ʻana. ʻO ka makahiki kūpono e hoʻomaka ai i ka lapaʻau ʻana he hoʻopaʻapaʻa, me kekahi mau orthopedists e paipai ana e hoʻomaka koke ka lāʻau ma hope o ka hānau ʻana, a no nā poʻe ʻē aʻe i hoʻomaka wale ʻia i ka wā he 9 mau makahiki o ka pēpē a i kona wā ma kahi o 80 cm ke kiʻekiʻe.

Hiki ke hana i ka hoʻomaʻamaʻa ma o nā manipula a i ʻole ke ʻoki, i hōʻike wale ʻia inā ʻaʻole maikaʻi ka hana mua. ʻO ke ʻano nui o nā manipula no ka mālama ʻana i ka wawae i ʻike ʻia ma ke ʻano ʻo Ponseti, kahi e hoʻopili ai i nā wāwae o ke keiki e ka orthopedist a me ke kau ʻana i ka plaster i kēlā me kēia pule ma kahi o 5 mau mahina no ka hoʻopili pono ʻana o nā iwi o ka wāwae a me nā aʻa. .

Ma hope o kēia wā, pono i ke keiki e ʻaʻa i nā kāmaʻa kāmaʻa orthopedic i 23 mau lā i ka lā, no 3 mau mahina, a i ka pō a hiki i ka piha ʻana o 3 a i ʻole 4 mau makahiki, i pale ka wāwae i ka wāwae. Ke hana pololei ʻia ke ʻano Ponseti, hiki i ke keiki ke hele wāwae a hoʻomōhala maʻamau.

Eia nō naʻe, i nā hihia kahi kūpono ʻole ka hana Ponseti, hiki ke hōʻike ʻia i ke kaha ʻana, a pono e hana ʻia ma mua o ka piha ʻana o ke keiki he 1 makahiki. I kēia ʻoki kino, hoʻonoho ʻia nā wāwae i ke kūlana kūpono a kikoo ʻia ke tendon Achilles, i kapa ʻia he tenotomy. ʻOiai maikaʻi a hoʻomaikaʻi hoʻi i ka helehelena o ka wāwae o ke keiki, hiki i ka hala ʻana o ka manawa e lilo ka ikaika o ke keiki i nā mākala o nā wāwae a me nā wāwae, a ʻoi aku ka nui o ka manawa e hōʻeha a lilo i ʻoʻoleʻa.

Eia hou, hiki i ka clubfoot physiotherapy ke kōkua ma o ka hoʻomaikaʻi ʻana i ke kūlana kūpono o nā wāwae a me ka hoʻoikaika ʻana i nā mākala o nā wāwae a me nā wāwae o ke keiki.