Ua ʻike anei ʻoe i ka wā e hoʻomaka ai kāu keiki liʻiliʻi e kū a hele paha, ua kūlou iki ko lākou mau wāwae ma nā kuli, e like me ke kakaka? He mea maʻamau no ka makuahine a makua paha ke makaʻu iki i ka ʻike ʻana i kēia. I kekahi manawa, ke hoʻi mai nā ʻohana a me nā hoaaloha i ka home a ʻōlelo mai, "Auē, ua lōʻihi loa nā wāwae o kaʻu pēpē," e hoʻoweliweli hou aku ia iā ʻoe. Akā, he mea anei kēia e makaʻu ai? E kamaʻilio kākou e pili ana i kēia i kēia lā.
I ka ʻōlelo maʻalahi, he aha nā wāwae kakaka?
ʻO nā wāwae kūlou, a i ʻole e like me kā mākou e kapa nei ma ka ʻōlelo lapaʻau (Genu Varum) , he ʻano ia e kūlou ai kekahi a i ʻole nā wāwae ʻelua o ke keiki i waho ma ke kuli. Hoʻoulu kēia i kahi āpau nui ma waena o nā kuli ma mua o ka maʻamau ke kū pololei ke keiki me ko lākou mau kuʻekuʻe wāwae. Inā ʻoe e nānā pono, ua like ke ʻano o nā wāwae me ke kakaka. Hiki iā mākou ke ʻike maopopo i kēia ʻano, ʻoiai ke hele ke keiki.
E noʻonoʻo ʻoe e hoʻohui pū ana i nā kuʻekuʻe wāwae o kāu pēpē. A laila pono e pili kokoke nā kuli. Akā, ʻo ke keiki me kēia maʻi "Bow Legs" ua hohola ʻia ko lākou mau kuli.
Akā eia kekahi mea e hoʻomanaʻo ai: He mea maʻamau loa kēia maʻi i waena o nā pēpē hānau hou a me nā kamaliʻi. ʻO ka hapa nui o ka manawa, ʻaʻole ia he mea koʻikoʻi.
No ke aha e huki ʻia ai nā wāwae o nā pēpē liʻiliʻi penei?
Hiki ke nui nā kumu no kēia, akā e kamaʻilio mua kākou e pili ana i ke kumu maʻamau a maʻamau loa .
He ʻāpana ia o ke kaʻina ulu maʻamau! (Physiologic Genu Varum)
ʻO kēia ke kumu nui o ke kūlou ʻana o nā wāwae i nā pēpē a ʻaʻohe kumu e hopohopo ai. I ka ʻōlelo maʻalahi, he pae maʻamau kēia o ka ulu ʻana o ke keiki.
E noʻonoʻo i ka liʻiliʻi o kahi hakahaka o kahi pēpē i loko o ka ʻōpū o kona makuahine no ʻeiwa mahina. E like me ka ʻōpuʻu e pua koke ana. ʻOiai i loko o kēia hakahaka liʻiliʻi, pono kekahi o nā iwi o ke pēpē e wili a hoʻohuli iki e kūpono ai. He ʻoiaʻiʻo loa kēia no nā iwi ma nā wāwae.
No laila, ma hope o ka hānau ʻana o ke pēpē, i kona ulu ʻana, kū ʻana, a hele ʻana, e hoʻomaka mālie ana kēlā mau wāwae wili e pololei. E like me nā pua e wehe mālie ana a pua. He manawa iki kēia hana. ʻO ka maʻamau, i ka makahiki 18 mahina a i 2 mau makahiki, ma kahi o 95% o nā wāwae o nā keiki ua pololei loa.
No laila, inā ʻaʻole i piha kāu pēpē i ʻelua makahiki a ua kūlou kona mau wāwae ʻelua i ka manawa like, ʻo ia paha ma muli o kēia kaʻina hana ulu maʻamau. Kāhea mākou i kēia (Physiologic Genu Varum) .
No laila, i ka manawa hea e pono ai kākou e makaʻu?
Inā ʻaʻole e nalowale nā ʻeha wāwae o kāu keiki i ka piha ʻana o 2 makahiki, a inā paha e ʻoi aku ka ʻino, aia paha kekahi kumu olakino ʻē aʻe no ia mau mea. I kēlā hihia, he mea nui e ʻike i ke kauka no ka ʻōlelo aʻo.
Hiki ke loaʻa nā ʻeha wāwae no nā kumu ʻē aʻe e like me kēia.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka Maʻi o Blount | He maʻi ulu kēia i hoʻokumu ʻia e kahi pilikia me ka papa ulu ma ka piko o ka iwi ʻūhā o ke keiki. I ka ʻōlelo maʻalahi, he pilikia ia me ka wahi e kōkua ai i ka ulu ʻana o ka iwi. ʻOi aku ka maʻalahi o ka loaʻa ʻana i nā keiki momona a me nā keiki e hele wikiwiki ana. |
| ʻO nā Rikeke | He kūlana i hoʻokumu ʻia e ka nele o ka wikamina D a i ʻole ka calcium . Ke nele kēia mau meaola, nāwaliwali nā iwi e like me nā pūpū niu, palupalu, a hiki ʻole ke hāpai i ke kaumaha a hoʻomaka e kūlou. ʻIke ʻia kēia kūlana ma nā ʻāina e ulu ana e like me ko kākou ʻāina. |
| Ka hoʻokalakupua ʻana | ʻO ke ʻano maʻamau o ka dwarfism he maʻi ulu iwi i kapa ʻia ʻo achondroplasia . Hiki i kēia ʻano ke kumu i nā wāwae kūlou. |
| Nā pilikia iwi ʻē aʻe | Hiki ke huki ʻia nā wāwae ma muli o nā kūlana e like me ka haki mua i ho'ōla pono ʻole ʻia, a i ʻole ka ulu ʻana o ka iwi maʻamau (Bone Dysplasia) . |
| Nā lāʻau make | Hiki ke hiki mai kēia ʻano ma muli o nā kumu kakaikahi loa, e like me ka lāʻau make i hoʻokumu ʻia e ka ʻai ʻana i nā mea e like me ke kēpau a i ʻole ka fluoride. |
He aha nā hōʻailona o kēia maʻi?
ʻO ka hōʻailona nui, e like me kā mākou i kūkākūkā ai ma mua, ʻo ia ke ʻano o nā wāwae o ke keiki. ʻO ka hōʻailona maopopo loa, ʻaʻole i hui pū nā kuli i ka wā e kū pololei ana ke keiki, akā ua mamao loa. ʻOi aku ka ʻike ʻia o kēia i ka wā e hele ana ke keiki.
I kekahi manawa e hele paha kēia mau keiki me ko lākou mau manamana wāwae i huli i loko. Kāhea pū mākou i kēia (Nā Manawa Manu Pigeon / Intoeing) .
Akā ʻo ka mea nui loa ma ʻaneʻi, ʻo ia ka maʻamau , ʻaʻole kēia kūlana `(Bow Legs)` e hōʻeha i ke keiki. A ʻaʻole hoʻi e hoʻopilikia kēia kūlana i ka hiki o ke keiki ke kolo, hele, a holo paha ma kekahi ʻano.
Inā ʻaʻole i hoʻomaka ka ʻeha o nā wāwae o kāu keiki e hoʻomaikaʻi i ka wā e 2 ai lākou, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka ʻohana.
Pehea e ʻike ai ke kauka i kēia?
Ke lawe ʻoe i kāu pēpē i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kāu pēpē i ke kino a nīnau iā ʻoe e pili ana i ka mōʻaukala olakino o kāu pēpē.
- Inā ʻaʻole i piha ke keiki i ʻelua makahiki: ʻAʻole hana ke kauka i nā hoʻokolohua ʻē aʻe. Akā, e aʻo aku ʻo ia e nānā inā e nalowale ana ka pehu o ka wāwae i kona wā e ulu aʻe ai ke keiki. ʻO kēia ke kaʻina hana maʻamau.
- No nā keiki ma luna o 2 mau makahiki: Hiki i ke kauka ke ana i nā wāwae o ke keiki a nānā i ke ʻano o ka hele ʻana o ke keiki. Eia kekahi, hiki ke hana ʻia kahi X-ray e nānā i ke kūlana o nā iwi ma nā wāwae a me nā kuli. Hiki ke hana ʻia kahi hoʻāʻo koko e nānā i nā kūlana e like me ka rickets.
I kekahi manawa, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi loea orthopedic .
Hiki ke ho'ōla ʻia nā ʻeha moe? He aha nā lāʻau lapaʻau?
ʻAe, hiki nō. Aia nā koho lapaʻau i ke kumu o ke kūlana a me ka makahiki o ke keiki.
No nā pēpē ma lalo o 2 mau makahiki
E like me kaʻu i ʻōlelo ai ma mua, ʻo nā wāwae kūlou i nā pēpē a me nā keiki liʻiliʻi ma lalo o 2 mau makahiki e hoʻopau pinepine ia ma kāna iho. No laila, inā ʻaʻole koʻikoʻi loa ke kūlana, ʻaʻohe pono o ka lāʻau lapaʻau. E hoʻomau ke kauka i ka nānā ʻana i ka ulu ʻana o ke keiki.
No nā keiki ma luna o 2 mau makahiki
Inā hoʻomau kēia ʻano ma hope o ka piha ʻana o nā makahiki 2, e pili ana ka lāʻau lapaʻau i ke kumu.
- No ka maʻi o Blount:Inā ʻike mua ʻia ka maʻi, hiki ke mālama ʻia me nā kāmaʻa i hana kūikawā ʻia, nā splints, a i ʻole nā mea pale.
- No Rickets: Hoʻōla ʻia kēia ma ka hoʻohui ʻana i ka wikamina D a me ka calcium i ka meaʻai a ke keiki. I kekahi manawa, inā kumu ʻia ke kūlana e kahi kumu genetic, pono paha ka mālama ʻana e kahi loea.
ʻoki kino
Inā ʻaʻole hiki i nā lāʻau lapaʻau ʻē aʻe ke kāohi i ke kūlana a hoʻōki i ka hōʻino hou ʻana o ka iwi, pono paha ke ʻoki ʻana. Mai makaʻu i ka lohe ʻana i kēia huaʻōlelo. ʻO kēia nā ʻoki ʻana e hana ʻia nei me ka holomua.
1. Ka Ulu ʻAna i Alakaʻi ʻia: Ma kēia kaʻina hana, kau ke kauka lapaʻau i kahi pā hao liʻiliʻi a i ʻole staple ma ka ʻaoʻao olakino o ka iwi wāwae o ke keiki e hoʻōki i ka ulu ʻana. ʻAe kēia i kekahi ʻaoʻao olakino ʻole o ka iwi e ulu e kūlike me ka ʻaoʻao olakino. E pololei ka wāwae i ka wā e ulu maoli ai ke keiki. Ke pololei ka wāwae, wehe ʻia ka pā.
2. Tibial Osteotomy: Ma kēia kaʻina hana, ʻoki ke kauka lapaʻau i ka iwi ma lalo o ke kuli, hoʻoponopono hou iā ia, a hoʻoponopono hou i ka wāwae i pololei. Hoʻopaʻa ʻia ka iwi me kahi pā a me nā wili i loko o ka wāwae a i ʻole kahi kiʻi waho ma waho o ka wāwae a hiki i kona ho'ōla ʻana.
ʻO kekahi mau nīnau ʻē aʻe no nā makuahine
ʻEhia ka lōʻihi o ka manawa e pololei ai nā wāwae o kahi pēpē?
I ka hoʻomaka ʻana o kahi pēpē e hele, hoʻomaka pinepine ko lākou mau wāwae e pololei. Hana ʻia kēia ma waena o 11 a me 18 mau mahina . I ka hapanui o nā hihia, ʻaʻole kēia e hoʻoulu i nā hopena ʻaoʻao lōʻihi.
Āhea wau e makaʻu maoli ai?
Inā ʻaʻole e nalowale ka pehu ʻana o ka wāwae o kāu keiki i ka wā e 2 a 3 paha ko lākou mau makahiki , inā e ʻoi aku ka ʻino o ka pehu ʻana , inā hoʻokahi wale nō wāwae e pehu ana , inā ʻeha ke keiki , a inā pōkole ke kiʻekiʻe o ke keiki no kona mau makahiki , e ʻike pono i ke kauka.
Aia kekahi ala e pale aku ai i kaʻu pēpē mai ka loaʻa ʻana o nā 'wāwae kūlou'?
ʻAʻohe ala e pale aku ai i ke kaʻina ulu maʻamau (Physiologic Genu Varum) a mākou i kamaʻilio ai ma mua. No ka mea, he mea maoli ia. Eia naʻe, hiki iā ʻoe ke pale aku i nā maʻi e like me ka rickets. ʻO ka mea maikaʻi loa e hana ai no kēlā, ʻo ia ka hōʻoia ʻana ua loaʻa i ke keiki ka nui o ka wikamina D a me ka calcium. Ma ko mākou ʻāina, ʻo ka hōʻike ʻana i ka pēpē i ka lā kakahiaka ke ala maikaʻi loa e loaʻa ai ka wikamina D. Eia kekahi, he mea nui e hāʻawi i ka meaʻai e like me nā kuhikuhi a ke kauka.
Leka Lawe-Home
- ʻIke ʻia nā wāwae kūlou i nā pēpē a me nā keiki ʻōpio.He mea maʻamau a maʻamau loa.
- I ka hapanui o nā hihia (ma kahi o 95%), ʻo kēia kūlana kekahi ʻāpana o ka ulu ʻana o ke keiki a hoʻopau wale ia ma ka piha ʻana o 2 makahiki.
- ʻAʻole kēia kūlana maʻamau e hōʻeha i ke keiki, a ʻaʻole ia e hoʻopilikia i ka hele wāwae a i ʻole ka holo ʻana.
- Inā ʻaʻole e nalowale nā ʻeha wāwae o kāu keiki ma hope o ko lākou mau makahiki 2 a 3 paha, inā e ʻoi aku ka ʻino, a inā ʻike ʻia ma kekahi wāwae wale nō, e ʻike koke i kāu kauka.
- He mea nui loa ka hāʻawi ʻana i kāu keiki i ka meaʻai kaulike e loaʻa ai ka lawa ʻana o ka wikamina D a me ka calcium e pale aku ai i nā maʻi e like me ka rickets.
- Me ka mālama kūpono, hiki ke mālama pono ʻia nā ʻeha wāwae mai kekahi kumu a hiki i ke keiki ke alakaʻi i kahi ola olakino a hana.
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