He mau wāwae kūlou ko kāu keiki liʻiliʻi? E aʻo kākou e pili ana i ka maʻi Blount!

E nā Māmā a me nā Pāpā, ua ʻike anei ʻoukou i ka wā e hoʻomaka ai kāu keiki liʻiliʻi e hele, a i ʻole i ka wā e holo ai a pāʻani ai, e kūlou ana ko lākou mau wāwae i loko, e like me ka leka "C"? He mea maʻamau no nā pēpē ke kūlou iki nā wāwae. Akā, ʻaʻole ia e hana mau ʻia pēlā. I kekahi manawa, he maʻi paha kēia i kapa ʻia ʻo Blount's Disease , he mea ia e hopohopo ai. No laila, i kēia lā, e kamaʻilio mākou e pili ana i ia mea me nā kikoʻī, me he mea lā e haʻi aku ana kekahi hoaaloha iā ʻoe e pili ana i ia mea.

He aha maoli ka maʻi o Blount?

I ka ʻōlelo maʻalahi, ʻo ka maʻi Blount kahi maʻi e hoʻopilikia ai i ka ulu ʻana o ka tibia , ka iwi mānoanoa ma lalo o ke kuli, i nā keiki. Ua kapa ʻia hoʻi ʻo tibia vara . Ma nā wēlau o ko kākou mau iwi he mau ʻāpana kūikawā i kapa ʻia he mau papa ulu . ʻO kēlā mau papa ka mea e ulu ai ko kākou mau iwi, a e ulu aʻe kākou. I ka maʻi Blount, ʻaʻole e ulu pono ka papa ulu ma loko o ka tibia. A laila hoʻomaka ka wāwae e kūlou i loko a lilo i kekee.

He mea maʻamau no nā pēpē ʻōpio, ʻoiai a hiki i kahi o hoʻokahi makahiki, ke kūlou iki nā wāwae (kapa mākou iā lākou he "mau wāwae pōpolo"). Ke hoʻomaka lākou e hele, nalowale mālie kēia kūlou ʻana a pololei ko lākou mau wāwae a hiki i ka piha ʻana o ʻelua makahiki. Eia nō naʻe, ʻaʻole e nalowale kēia kūlou ʻana o nā wāwae o ke keiki me ka maʻi Blount. Hiki ke ʻike nui ʻia i ka wā e ulu ana ke keiki.

He aha ka ʻokoʻa ma waena o ke kūlou maʻamau o nā wāwae a me ka maʻi Blount?

ʻOiai paha e like kēia mau mea ʻelua i ka nānā mua ʻana, aia kahi ʻokoʻa nui.

• Kūlou Kino: He mea maʻamau loa kēia i nā pēpē ʻōpio. Ke hoʻomaka lākou e hele, ma kahi o ʻelua makahiki, e kūlou pololei kēia kūlou ʻana o nā wāwae ma kāna iho . ʻAʻole pono kēia i kekahi mālama kūikawā.
• ʻO ka maʻi Blount: He ʻano kēia kahi e kūlou ai ka wāwae ma lalo o ke kuli i loko . He ʻike nui ʻia kēia kūlou. ʻAʻole e hoʻomaikaʻi kēia ma kāna iho i ka wā e ulu ana ke keiki, a hiki ke ʻoi aku ka ʻino .

I kēia manawa ua maopopo iā ʻoe ka ʻokoʻa, ʻeā? ʻAʻohe pono e makaʻu i nā wāwae kekee iki o kahi keiki liʻiliʻi. Akā inā hoʻomau ia, a i ʻole e ʻoi aku ka ʻino, pono ʻoe e ʻike i ke kauka.

ʻO wai ka mea hiki ke loaʻa i ka maʻi Blount? ʻO wai ka mea i ʻoi aku ka pilikia?

ʻOiai hiki i kekahi keiki ke loaʻa i ka maʻi ʻo Blount, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• Makahiki: ʻIke pinepine ʻia nā hōʻailona i nā keiki ma luna o hoʻokahi makahiki, ma waena o nā makahiki 1 a me 3. Ua kapa ʻia kēia ʻo Blount's early-onset . I kekahi manawa, hiki ke ʻike ʻia ka maʻi i ka wā ʻōpio a i ʻole ma hope o ke ola. Ua kapa ʻia kēia ʻo Blount's late-onset .
• Kaumaha o ke kino: ʻO nā keiki momona loa , a i ʻole e piʻi koke ke kaumaha, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o kēia maʻi.
• Ke hele wāwae ʻana i ka wā mua loa: Ua ʻike kekahi mau noiʻi ua pilikia pū nā keiki e hoʻomaka ana e hele ma mua o 12 mau mahina .

Akā e hoʻomanaʻo, he maʻi laha ʻole ka maʻi o Blount. Ua hōʻike ʻia e pili ana i ka emi ma mua o 1% o ka heluna kanaka.

Pehea ka hopena o ka maʻi Blount i ke kino o ke keiki?

ʻO kēia kūlana ke kumu o ka ulu pono ʻole ʻana o ka iwi ʻūhā o ke keiki (tibia), e kūlou ai ka wāwae i loko. Ma kahi o ke kuhikuhi pololei ʻana o nā manamana wāwae i mua, huli lākou i loko. Piʻo ka wāwae e like me ka leka "C".

Inā ʻaʻole mālama pono ʻia kēia, hiki i ke kūlana ke ʻoi aku ka ʻino.

• Hiki ke hoʻonui ʻia ke kūlou o ka wāwae, e hiki ʻole ai ke hele .
• He mea paʻakikī paha ke hana i nā mea e like me ka pāʻani a me ka hoʻoikaika kino e pili ana i ka hoʻohana ʻana i kou mau wāwae.
• Hiki ke hōʻino ʻia nā aʻalolo ma nā wāwae.
• Hiki i nā kūlana e like me ka arthritis i ke kuli ke hōʻeha.

E noʻonoʻo, makemake kāu keiki liʻiliʻi e holo a lele a pāʻani, akā ʻo kēia ʻokoʻa o ko lākou mau wāwae e pale aku iā lākou mai ka hana ʻana pēlā me ke kūʻokoʻa. He mea kaumaha anei ia? No laila he mea nui e makaʻala i kēia a hana koke.

He aha nā hōʻailona o ka maʻi o Blount?

ʻO ka hōʻailona nui ka kūlou ʻana o ka wāwae ma lalo o ke kuli . ʻO nā hōʻailona ʻē aʻe:

• Me he mea lā ua kulou i loko ke ʻano o ka wāwae e like me ka leka "C".
• Hiki i kēia kūlou ke hana ʻia ma hoʻokahi wāwae wale nō a i ʻole ma nā wāwae ʻelua.
• Ua hoʻohuli ʻia nā manamana wāwae a me nā wāwae o nā wāwae i loko ma kahi o ke kū pololei ʻana i mua.

ʻAʻole ʻeha pinepine nā kamaliʻi ma muli o kēia wāwae kūlou. Eia nō naʻe, hiki i nā ʻōpio ke ʻeha i ke kuli . Hiki ke hoʻonui ʻia kēia ʻeha, ʻoiai i ka wā e pāʻani ana, holo ana, a lele paha.

Inā hele a koʻikoʻi ka maʻi, e like me nā hōʻailona:

• ʻO ka maʻi ʻaʻai o ke kuli
• Paʻakikī ka hele wāwae
• Ka pōʻino o nā hono a me nā aʻalolo

He aha ke kumu o ka maʻi Blount? He hoʻoilina anei ia?

ʻAʻole i ʻike ʻia ke kumu maoli o ka maʻi ʻo Blount .

Eia nō naʻe, ua hōʻike kekahi mau noiʻi, e like me ka mea i ʻōlelo ʻia ma mua, ʻoi aku ke kiʻekiʻe o kēia pilikia i nā keiki e hoʻomaka ana e hele ma mua o 12 mau mahina a me ka poʻe e piʻi koke ke kaumaha i ka wā ʻōpiopio.

Hōʻike nā haʻawina ʻē aʻe he mea hoʻoilina paha ia. ʻO ia hoʻi, i kekahi manawa he mea hoʻoilina ia.Aia kekahi hiki ke hewa kekahi mea. ʻO ka pilikia ma ʻaneʻi, ʻaʻole i ulu pono nā papa ulu ma loko o ka femur. Hiki i kahi gene i hoʻoilina ʻia mai nā mākua ke hana i kahi kīnā i loko o kēia mau papa ulu.

Pehea lā e ʻike pono ai ke kauka he maʻi Blount kēia?

Inā manaʻo ʻia ua kūlou nā wāwae o kāu keiki, e hana mua ke kauka i kahi hoʻokolokolo kino piha . A laila, e kauoha lākou i kahi X-ray o nā wāwae o ke keiki. Lawe pinepine ʻia kēia X-ray mai ke kuʻekuʻe wāwae a i ka ʻūhā.

Mai nā kiʻi X-ray, hiki i ke kauka ke hoʻoholo pono i ke ʻano o ka ulu ʻana o nā iwi o ke keiki a me ke kumu o ka kūlou ʻana o ka wāwae i loko.

ʻIke pinepine ʻia kēia maʻi ma hope o ka piha ʻana o ke keiki i ʻelua makahiki . ʻO kēia no ka mea, e like me ka mea i ʻōlelo ʻia ma mua, he mea maʻamau ke kūlou ʻana o ka wāwae i kēia makahiki. Inā mau ka piʻo ʻana o ka wāwae ma hope o ʻelua makahiki, e kānalua ke kauka i ka maʻi o Blount a hana i nā hoʻokolohua e hōʻoia iā ia.

He aha nā lāʻau lapaʻau no ka maʻi ʻo Blount?

ʻAʻole like ka lāʻau lapaʻau no ka maʻi Blount no kēlā me kēia kanaka. ʻOkoʻa ia ma muli o ka makahiki o ke keiki a me ke koʻikoʻi o ka maʻi . ʻElua mau ʻano lapaʻau nui.

1. Ke kau nei i kahi pale lima

ʻO kēia ke komo ʻana i kahi mea pale kūikawā, a i ʻole ke kākoʻo , e hoʻolōʻihi ana mai ka ʻūhā o ke keiki a i ka wāwae. Hana pinepine ʻia kēia no nā keiki ma lalo o ʻekolu makahiki . ʻAʻole pono e komo pinepine ʻia kēia mea pale i ka lā a pau, akā ua ʻōlelo nā kauka e komo wale i ka pō i ka wā e hiamoe ana no hoʻokahi makahiki . Hoʻopololei mālie kēia i ka wāwae.

2. Ke hana ʻoki kino ʻana

I kekahi manawa, ʻoiai inā ʻoi aku ka nui o nā makahiki o ke keiki ma mua o ʻehā a inā ʻaʻole pololei ka wāwae ma hope o ke kau ʻana i kahi pale lima, hiki i ke kauka ke ʻōlelo aku i ke ʻoki kino .

Ua kapa ʻia kēia ʻoki kino he osteotomy . I ka ʻōlelo maʻalahi, pili ia i ka ʻoki ʻana i ka iwi, hoʻopololei iā ia, a hoʻoponopono iā ia. Nui nā ʻano hana i hoʻohana ʻia no kēia:

• Ke hoʻopaʻa ʻana i ka iwi me nā staples a i ʻole nā ​​pine .
• Ke hoʻohana nei i kahi ʻano hana i kapa ʻia ʻo tension band plating .
• Ke hoʻopololei nei i ka wāwae ma ka wehe ʻana i kahi ʻāpana iwi mai ka iwi ʻāʻī i hōʻino ʻia (tibia) a i ʻole e hoʻohui i kahi ʻāpana iwi hou .

ʻOiai paha he mea nui kēia ʻoki kino, he mea nui loa ia no ka wā e hiki mai ana o ke keiki a no ka hoʻoponopono pono ʻana i ka wāwae.

Pehea e mālama ai i kahi keiki ma hope o ke kaʻina hana?

He mea nui loa ka mālama ʻana i kāu keiki ma hope o ke ʻoki ʻana.

• E mālama i ka ʻeha maʻemaʻe: Pono ʻoe e nānā mau i kahi ʻoki no ka maʻi . E hoʻomaʻemaʻe i ka ʻeha a kau i ka lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka.
• Mai kau i ke kaumaha ma ka wāwae: ʻAʻole ia he manaʻo maikaʻi e kau i kekahi kaumaha ma ka wāwae i hana ʻia i ke ʻoki no 6 a 8 mau pule . Inā ʻoe e kau i ke kaumaha ma luna, ʻaʻole paha e ho'ōla pono ka iwi a hiki ke huki hou ʻia. E haʻi aku kāu kauka iā ʻoe i ka lōʻihi o kou hoʻohana ʻana i nā koʻokoʻo.

Aia kekahi ala e pale aku ai i ka ulu ʻana o kēia maʻi?

ʻO ka mea pōʻino, ʻaʻohe ala paʻa e pale aku ai i ka maʻi o Blount.

Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e kōkua i nā iwi o kāu keiki e ulu olakino a ikaika hoʻi:

• E ʻai i ka meaʻai kaulike.
• Ke hoʻoikaika kino i ke keiki i nā manawa a pau .
• Inā pono, e hāʻawi i ka wikamina D a i ʻole ka calcium e like me ke kauoha a ke kauka.
• Ka mālama ʻana i ke kaumaha olakino e kūpono i ka makahiki o ke keiki.

E hoʻomanaʻo, ma mua o ka hāʻawi ʻana i kāu keiki i nā huaora a i ʻole nā ​​​​mea hoʻopihapiha meaʻai ʻē aʻe, pono ʻoe e nīnau aku i ke kauka e hōʻoia i ka palekana.

He aha kaʻu e manaʻo ai inā loaʻa i kaʻu keiki ka maʻi Blount?

ʻO ka wānana no ke keiki me ka maʻi ʻo Blount e pili ana i ka makahiki o ke keiki i ka wā i ʻike ʻia ai a me ke koʻikoʻi o ka maʻi .

• Hiki i nā keiki ma lalo o nā makahiki ʻehā ke manaʻo i kahi ho'ōla maikaʻi loa inā ʻike mua ʻia ka maʻi a hoʻomaka ka lāʻau lapaʻau.
• Eia nō naʻe, inā ʻike lohi ʻia ka maʻi a ʻaʻole i mālama pono ʻia, hiki i ke kūlou ʻana o ka wāwae ke ʻoi aku ka ʻino, e hōʻeha nui ai i nā hono a paʻakikī ai ka hele wāwae .

Ma hope o ka mālama ʻana, aia kahi manawa liʻiliʻi e hoʻi hou mai nā wāwae kūlou i nā keiki ʻōpio a me nā pākeke. Eia nō naʻe, inā ʻike ʻia a mālama ʻia ka maʻi i ka wā mua, ua haʻahaʻa loa ka pilikia.

Pehea ka lōʻihi o ke ola ʻana o ka maʻi Blount?

Inā ʻaʻole mālama ʻia kēia maʻi, hiki iā ia ke mau i ke ola holoʻokoʻa a hiki ke lilo i mea ʻino aʻe i ka wā e ulu aʻe ai ke keiki.

Ma hope o ka lāʻau lapaʻau, ma muli o ke koʻikoʻi o ke kūlana o ke keiki, ma hope o ka wā hoʻōla mai ke ʻoki ʻana a i ʻole ma hope o ke kau ʻana i kahi mea pale no kahi makahiki, e hoʻomaikaʻi nui ʻia ke kūlou ʻana o ka wāwae.

Eia nō naʻe, e like me ka mea i ʻōlelo ʻia ma mua, aia kahi pilikia liʻiliʻi o ka hoʻi hou ʻana, no laila ke ʻōlelo nei ke kauka e lawe ʻoe i kāu keiki no nā nānā mau ʻana a nānā i ka holomua o ka lāʻau.

I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?

Inā ʻike ʻoe i kēia mau mea e pili ana i kāu keiki, e ʻike pono i ke kauka:

• ʻOiai ma hope o ka hoʻomaka ʻana o ke keiki e hele, a ma hope paha o ʻelua mau makahiki , ʻaʻole pololei ke kūlou ʻana o nā wāwae ma kāna iho.
• Inā loaʻa ka ʻeha i ke keiki me nā wāwae kekee.
• He paʻakikī ke keiki e hele.Inā manaʻo ia, a inā ʻaʻole hiki iā ʻoe ke kau i ke kaumaha ma kou wāwae/mau wāwae.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kekahi mau nīnau e like me kēia:

• ʻEhia ka lōʻihi e pono ai kaʻu keiki e hoʻohana i nā crutches ma hope o ke ʻoki ʻana?
• Hiki i kaʻu keiki ke pāʻani haʻuki me kēia maʻi?
• Inā paʻakikī iā ia ke hele wāwae, ke ʻōlelo nei ke kauka e hoʻohana ʻo ia i nā lako kōkua neʻe ?
• Inā pono kaʻu keiki e komo i kahi pale lima, i ka manawa hea lākou e hoʻomaka ai e komo a no ka lōʻihi?

E hoʻomanaʻo, he mea maʻamau no nā pēpē ke kūlou iki nā wāwae, a e nalo wale kēia ma ke hoʻomaka ʻana e hele a i ʻole ma kahi o ʻelua makahiki. Eia nō naʻe, inā ʻike ʻoe ʻaʻole pololei nā wāwae o kāu keiki, a i ʻole e ʻoi aku ka ʻino o ke kūlou ʻana, e ʻike pono i ke kauka. Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka pale ʻana i ke kūlou ʻana mai ka ʻoi aku ka ʻino a pale i nā pilikia e like me ka rumatika.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

No laila, ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i ka maʻi o Blount, a mākou i kamaʻilio ai i kēia lā.

ʻO ka mea nui loa, ʻaʻole e hopohopo ke ʻike ʻoe i nā wāwae kūlou o ke keiki, akā e hoʻāʻo e hoʻomaopopo inā he mea maʻamau ia a i ʻole he mea e hopohopo ai.

• He mea maʻamau ke kūlou kino i nā pēpē ʻōpio a hoʻopau pinepine ia ma kāna iho i ka piha ʻana o 2 mau makahiki.
• I ka maʻi ʻo Blount, koʻikoʻi ke kūlou ʻana o ka wāwae, ʻaʻole hoʻomaikaʻi ia iho, a hiki ke lilo i mea ʻino aʻe.
• Inā he kānalua kāu, e ʻike pono i kahi kauka pediatric a kauka orthopedic paha .
• ʻO ka ʻike mua ʻana a me ka mālama ʻana i ke ola kino o ke keiki ka ala maikaʻi loa e hōʻoiaʻiʻo ai i ke olakino o ke keiki i ka wā e hiki mai ana.

ʻAʻohe ʻoliʻoli nui aʻe ma mua o ka ʻike ʻana i kāu keiki olakino a hauʻoli. No laila, he mea nui loa ka makaʻala i ia mau mea.

ʻO ka maʻi Blount, nā wāwae kūlou, nā iwi o nā keiki, tibia vara, nā wāwae kūlou, olakino o nā keiki, ka maʻi Blount, nā papa ulu, ka ulu ʻana o ka iwi