Lapaʻau clubenot congenital

Anter

• Lapaʻau mālama no ka wāwae wāwae
• Lapaʻau hōʻoki no ka wāwae wāwae

ʻO ka lapaʻau ʻana no ka wāwae wāwae, ʻo ia ka wā e hānau ai ka pēpē me ka huli ʻana o 1 a i ʻole 2 mau wāwae i loko, pono e hana ʻia me ka hikiwawe loa, i nā pule mua ma hope o ka hānau ʻana, i pale i nā hemahema mau o ka wāwae o ke keiki. Ke hana pololei ʻia, aia kahi manawa e hele maʻamau ke keiki.

Hiki ke mālama ʻia ka lāʻau no ka clubfoot bilateral ke hana ʻia ma o ka Ka hana Ponseti, ʻo ia hoʻi ka hana a me ke kau ʻana o ka plaster i kēlā me kēia pule ma nā wāwae o ka pēpē a me ka hoʻohana ʻana i nā kāmaʻa orthopedic.

ʻO kekahi ʻano o ka lapaʻau ʻana no ka wāwae wāwaeʻoki kino e hoʻoponopono i ka hemahema i nā wāwae, i hui pū ʻia me ka hoʻōla kino, i hiki ke hala i mau mahina a mau makahiki paha.

Lapaʻau mālama no ka wāwae wāwae

Pono e hana i ka mālama conservative no ka wāwae wāwae e ka orthopedist a me nā:

1. ʻO ka hoʻoponopono wāwae a me ka hoʻonohonoho ʻana i ka plaster i kēlā me kēia pule no ka loli o 5 a 7 mau loli loli. Hoʻokahi manawa i ka hebedoma e neʻe ke kauka a huli i ka wāwae o ka pēpē e like me ka hana Ponseti, me ka ʻole o ka ʻeha no ka pēpē, a kau i ka plaster, e like me ka mea i hōʻike ʻia ma ke kiʻi mua;
2. Ma mua o ke kau ʻana i ka pahu hope loa, hana ke kauka i ka tenotomy o ke kuʻekuʻe wāwae, ʻo ia ke kaʻina hana me ka hoʻoluʻu a me ka anesthesia ma ka wāwae o ka pēpē e hoʻoponopono ai i ka lono;
3. Pono i ka pēpē ke kī hope loa no 3 mau mahina;
4. Ma hope o ka hemo ʻana o ke kime hope loa, pono i ka pēpē e hoʻokomo i ka orthosis Denis Browne, ʻo ia nā kāmaʻa orthopedic me kahi lāʻau i waenakonu, e like me ka mea i hōʻike ʻia i ke kiʻi ʻelua, 23 mau hola i ka lā, no 3 mau mahina;
5. Ma hope o 3 mau mahina, pono e hoʻohana i ka orthosis no 12 mau hola i ka pō a no 2 a 4 mau hola i ka lā, a hiki i ke keiki he 3 a 4 mau makahiki paha e hoʻopau i ka hoʻoponopono clubfoot me ka manipula a me ka plaster a pale i ka hoʻi hou.

I ka hoʻomaka o ka hoʻohana ʻana o nā kāmaʻa, ʻoluʻolu ʻole paha ke keiki, akā hoʻomaka koke ke aʻo e neʻe i kona mau wāwae a maʻa iā ia.

ʻO ka lapaʻau ʻana no ka wāwae wāwae ma o ka hana Ponseti, ke hana pololei ʻia, loaʻa nā hopena maikaʻi loa a hiki i ke keiki ke hele maʻamau.

Lapaʻau hōʻoki no ka wāwae wāwae

Pono e hana i ka hana ʻokiʻoki no ka clubfoot congenital ke hana ʻole ka lāʻau conservative, ʻo ia hoʻi, ma hope o 5 a 7 mau plasters ʻaʻole ʻike ʻia nā hopena.

Pono e hana i ke kaha ma waena o 3 mau mahina a me 1 makahiki a ma hope o ka hana e hoʻohana ke keiki i ka mea hoʻolei no 3 mau mahina. Eia naʻe, ʻaʻole hiki i ke kīpoki ke hoola i ka wāwae wāwae. Hoʻomaikaʻi ia i ka helehelena o ka wāwae a hiki i ke keiki ke hele, akā naʻe, hoʻemi ia i ka ikaika o nā mākala o nā wāwae a me nā wāwae o ka pēpē, hiki ke hoʻonāukiuki a ʻeha mai ka makahiki 20.

Hiki i ka Clubfoot physiotherapy ke kōkua i ka hoʻoikaika ʻana i nā mākala o ka wāwae a kōkua i ke keiki e kākoʻo kūpono i nā wāwae. ʻ lapaʻau physiotherapeutic no ka wāwae wāwae komo pū me nā manipula, hōʻola a me nā bandages e kōkua i ke kūʻana i kou mau wāwae.