He wāwae kalapu ko kāu pēpē? E aʻo kākou i nā mea āpau e pili ana i ka wāwae kalapu! (Congenital Talipes Equinovarus)

Ua kūlou kekahi a ʻelua paha wāwae o kāu pēpē hānau hou i loko a huki ʻia i loko? I kekahi manawa he mea maʻamau loa no ka makuahine a makua paha ke makaʻu a kaumaha i ka wā e ʻike ai lākou ua huli ʻia ke kapuwaʻi o ka wāwae i ka ʻaoʻao a i luna paha. ʻO kēia ke ʻano a mākou e kapa nei ma ke ʻano lapaʻau he Clubfoot, a i ʻole `(talipes equinovarus)`. He ʻano kēia i ʻike ʻia i nā pēpē a loaʻa i ka wā hānau. No laila, mai makaʻu kākou i kēia, akā e aʻo i nā kikoʻī pololei.

I ka ʻōlelo maʻalahi, he aha ka Clubfoot?

ʻO ka wāwae kalapu kahi maʻi i loaʻa i ka wā hānau. I ka ʻōlelo maʻalahi, ʻo ia ke ʻano i huli ʻia ai ka wāwae a i ʻole nā ​​​​wāwae o kahi pēpē i loko. Inā ʻoe e nānā i ka wāwae o ka pēpē, e ʻike ʻoe ua huli ʻia ke kapuaʻi o ka wāwae i ka ʻaoʻao, a i kekahi manawa i luna.

ʻO kēia no ka mea, ʻoi aku ka pōkole a me ka paʻa o nā aʻalolo, nā ʻiʻo e hoʻopili ai i nā ʻiʻo i nā iwi, ma ka wāwae a me ka wāwae o ka pēpē ma mua o ka maʻamau. ʻO kēia paʻa e hoʻolilo i ka wāwae e like me ka wili ʻia i loko. Ma kahi o ka hapalua o nā pēpē me ka wāwae kalapu i loaʻa kēia maʻi ma nā wāwae ʻelua. ʻAʻole kēia he mea weliweli e like me kou manaʻo. Hoʻopilikia kēia maʻi i hoʻokahi i loko o 1,000 mau pēpē hānau hou. ʻO ia hoʻi, he maʻi maʻamau ia.

I ka wā ma mua, ua koi ʻia kēia i ke ʻoki kino nui. Akā me ka ʻepekema lapaʻau holomua i loaʻa iā mākou i kēia lā, hiki ke ho'ōla loa ʻia me nā ʻano hana ʻoki ʻole a me nā ʻoki kino liʻiliʻi loa .

He aha nā ʻano nui o ka wāwae kalapu?

Hiki ke hoʻokaʻawale ʻia ka wāwae kalapu i ʻelua ʻano nui. He mea nui ka ʻike ʻana i kēia i ka wā e hoʻoholo ai i ka lāʻau lapaʻau.

He aha nā hōʻailona o ka wāwae kalapu?

ʻO ka hōʻailona nui, ʻo ia ka huli ʻana o kekahi a i ʻole nā ​​wāwae ʻelua o ke pēpē i loko, ʻo ia hoʻi i ka wāwae ʻē aʻe. Eia kekahi, e hiki iā ʻoe ke ʻike i kēia mau mea.

• Ua like ke ʻano o ka wāwae me he puʻupaʻa lā .
• He ʻūmiʻi hohonu ma loko o ka wāwae.
• ʻOi aku ke kiʻekiʻe o ke apo o ka wāwae ma mua o ka maʻamau (cavus foot deformity).
• ʻIke ʻia ka ʻiʻo bipi o ka wāwae i hoʻopilikia ʻia he liʻiliʻi ma mua o ka wāwae ʻē aʻe .
• ʻOi aku ka pōkole o ka wāwae i hoʻopilikia ʻia ma mua o kekahi .
• ʻOʻoleʻa o ke kuʻekuʻe wāwae.
• ʻAʻole hiki ke kūlou piha a hoʻolōʻihi paha i ka wāwae.

Nā kumu a me nā kumu pilikia no ka wāwae kalapu

ʻAʻole hiki i nā kānaka noiʻi ke ʻōlelo pololei i ke kumu o kēia, akā manaʻoʻiʻo lākou he hui pū ʻana paha o nā kumu genetic a me ke kaiapuni .

Nā mea e hoʻonui ai i ka pilikia

• ʻOiai he keikikāne: ʻOi aku ka nui o ka ulu ʻana o nā keikikāne i ka wāwae kalapu ma mua o nā kaikamahine.
• Moʻolelo ʻohana: Inā ua loaʻa i kekahi o ka ʻohana (makuahine, makuakāne, kaikaina) ka wāwae kalapu, ʻoi aku ka nui o ka pilikia o ka pēpē i ka loaʻa ʻana iā ia.
• Nā kīnā hānau ʻē aʻe: Hiki ke hana kēia me nā kūlana ʻē aʻe e like me ka "Spina bifida" a i ʻole "cerebral palsy".
• Nā pilikia i ka wā hāpai: Nā kūlana e like me oligohydramnios, kahi emi ʻana o ka nui o ka wai amniotic e hoʻopuni ana i ka pēpē i ka wā hāpai.
• ʻO ke ʻano o ka makuahine i ka wā hāpai: ʻO ka puhipaka, ka inu ʻana i ka waiʻona, a i ʻole ka hoʻohana ʻana i nā lāʻau ʻē aʻe i ka wā hāpai hiki ke hoʻonui i ka pilikia.

He aha ka hopena i ka pēpē inā ʻaʻole mālama ʻia?

ʻAʻole hiki ke ho'ōla ʻia ka wāwae kalapu ma kāna iho. No laila, he mea nui loa ka mālama ʻana iā ia ma mua o ka hoʻomaka ʻana o ka pēpē e hele. Inā ʻaʻole mālama ʻia, hiki i ka pēpē ke loaʻa nā pilikia e like me kēia i ka wā e hiki mai ana:

• Nā pilikia hele wāwae: ʻO ka maʻamau, hele mākou me ka hoʻohana ʻana i nā kapuwaʻi o ko mākou mau wāwae. Eia nō naʻe, hiki i kahi keiki me ka wāwae kalapu ke aʻo e hele ma ka ʻaoʻao a i ʻole ka piko o ko lākou wāwae.
• Nā maʻi wāwae: ʻO ka hele wāwae ʻole hiki ke alakaʻi i nā ʻeha wāwae a me nā maʻi.
• Nā ʻeha ʻili (Calluses): Hiki i ka ʻili ma nā wāwae ke mānoanoa a hana i nā calluses.
• ʻArthritis: ʻO nā kūlana e like me ka arthritis, ka mea e hoʻoulu ai i ka pehu, ka ʻeha, a me ka ʻoʻoleʻa i nā hono, hiki ke ulu i ka wā e hiki mai ana.

Ke ʻike ʻana i ka wāwae kalapu a me ka hoʻomaka ʻana o ka lāʻau lapaʻau

I ka hapanui o nā hihia, hiki i kāu kauka ke ʻike i kēia kūlana i ka wā o kahi scan ultrasound i kou wā hāpai. ʻO ka ʻike ʻana i kēia i ka wā mua e kōkua iā ʻoe e hoʻolālā no ka lāʻau āu e pono ai ma hope o ka hānau ʻana o kāu pēpē.

I kekahi manawa, ʻoiai inā ʻaʻole ʻike ʻia ma ke kiʻi, e ʻike ke kauka iā ia i ka wā o ka hoʻokolokolo kino mua ma hope o ka hānau ʻana o ke pēpē. I kekahi manawa, hiki ke ʻōlelo ʻia kahi X-ray e hōʻoia i ke kūlana.

ʻO ka manawa kūpono loa e hoʻomaka ai i ka lāʻau lapaʻau i loko o ka pule mua a ʻelua paha ma hope o ka hānau ʻana o ka pēpē. ʻO ka hoʻomaka ʻana i ka lāʻau lapaʻau i ka wā hikiwawe loa hiki ke pale i nā pilikia he nui i ka wā e hiki mai ana.

Nā ʻano lapaʻau no ka wāwae kalapu

ʻO ka maʻamau, hui pū kahi hui o nā kauka e mālama i ka wāwae kalapu.

• ʻO ke kauka ʻoki kino keiki: He kauka loea i nā pilikia o ka iwi a me nā hono i nā keiki.
• Kauka Lapaʻau Orthopedic: He kauka nāna e mālama i nā pilikia o ka iwi a me nā hono ma o ke ʻoki ʻana.
• Kauka Hoʻōla Kino: He kanaka e kōkua i ke kūkulu ʻana i ka ikaika ma nā wāwae o ke pēpē a kōkua iā lākou e neʻe pono.

Aia kekahi mau ʻano lapaʻau nui.

Ke ʻAno Ponseti

ʻO kēia ke ʻano lapaʻau i hoʻohana nui ʻia a holomua hoʻi ma ka honua. He hana kēia e lawe ai ma kahi o ʻelua a ʻekolu mahina.

1. Ke kīkoʻo ʻana i ka wāwae a me ke kau ʻana i kahi ʻōpala: Hoʻolōʻihi mālie ke kauka loea i ka wāwae o ke pēpē e lawe mai iā ia i ke kūlana kūpono. A laila, hoʻopili ʻia kahi ʻōpala mai nā manamana wāwae a i luna o ka ʻūhā.

2. Hoʻololi ʻana i ka plaster i kēlā me kēia pule: Hoʻokahi manawa i kēlā me kēia pule (ma waena o 4-7 mau lā), wehe ʻia ka plaster kahiko, huki ʻia ka wāwae i ke kūlana kūpono iki aʻe, a hoʻopili ʻia kahi plaster hou. Ma hope o ka hoʻopili ʻia ʻana o 5-7 mau plaster ma kēia ʻano, aia ka wāwae ma ke kūlana kūpono.

3. Achilles Tenotomy: Ma mua o ke kau ʻana i ka hoʻolei hope loa, hana ke kauka i kahi ʻoki liʻiliʻi. Ma kēia, ʻoki iki ʻia ke aʻalolo Achilles ma ke kuʻekuʻe wāwae. ʻAʻole pono kēia i nā humuhumu. ʻAe kēia i ka aʻalolo paʻa a pōkole e hoʻokuʻu ʻia a ʻae ʻia e ulu a hiki i ka lōʻihi i makemake ʻia.

4. ʻO ka palaki hope loa:Ma hope o ke ʻoki ʻana, hoʻopili ʻia ka palaki hope loa. Waiho ʻia no kahi o 3 mau pule a laila wehe ʻia.

Ke ʻAno Palani

Ua like kēia me ke ʻano Ponseti, akā ma kahi o ka plaster, hoʻohana ʻia ka lipine a me nā splints. Hana ʻia kēia lāʻau e kahi mea hoʻōla kino. He mea kēia e pono e hana ʻia i kēlā me kēia lā. Aʻo pū ka mea hoʻōla kino i nā mākua pehea e hana ai i kēia ma ka home.

Ke komo ʻana i nā kāmaʻa kūikawā (Bracing)

Ma hope o ka hoʻoponopono piha ʻia ʻana o ka wāwae me ka hoʻohana ʻana i ke ʻano Ponseti a i ʻole ke ʻano Farani, aia kahi manawa kūpono e hoʻi hou i kona ʻano kahiko. ʻO kēia ka mea e pale aku ai kēia mau kāmaʻa kūikawā (nā pale).

ʻO ka maʻamau, he ʻauamo hao kēia i hoʻopili ʻia i ʻelua mau kāmaʻa ("nā kāmaʻa puki a me ke kaola").

• Pono ʻoe e ʻaʻahu i kēia i ka lā a pau (ma kahi o 23 mau hola) no nā mahina 3 mua.
• Ma hope o kēlā, pono ke pēpē e ʻaʻahu i kēia i ka wā e hiamoe ana i ka pō a i ka wā e hiamoe ai a hiki i ka piha ʻana o 4 mau makahiki .

ʻoki kino

I kekahi manawa, hiki i ka wāwae kalapu ke koʻikoʻi loa. A i ʻole, ʻaʻole paha e hāʻawi nā ʻano hana ʻē aʻe i nā hopena i makemake ʻia. I ia mau hihia, ua ʻōlelo ʻia ke ʻoki ʻana. ʻOi aku ka maikaʻi o ka hana ʻana i kēia ʻoki ma mua o ka hoʻomaka ʻana o ka pēpē e hele.

Pehea lā ka wā e hiki mai ana o ke pēpē ma hope o ka mālama ʻana?

ʻO kēia ka pilikia nui loa i loaʻa i kēlā me kēia mākua. Inā ʻike mua ʻia a mālama pono ʻia, e holomua loa nā hopena.

E hiki i kāu pēpē ke komo i nā kāmaʻa maʻamau, hele wāwae, holo, lele me ka ʻeha ʻole, a pāʻani a hoʻokūkū e like me nā keiki ʻē aʻe.

Eia nō naʻe, aia nō paha he mau loli iki i ka wāwae i loaʻa ka wāwae kalapu.

• ʻOi aku ka liʻiliʻi o ka nui o ke kāmaʻa o ka wāwae i hoʻopilikia ʻia ma mua o kekahi wāwae.
• He lahilahi iki paha ka ʻāpana bipi o kēlā wāwae.
• ʻOi aku paha ka pōkole o kēlā wāwae ma mua o kekahi wāwae.

Akā, ʻaʻole nui ka hopena o kēia mau loli i nā hana o kēlā me kēia lā a ka pēpē.

ʻO kekahi mau ʻōlelo aʻoaʻo e maʻalahi ai ka hoʻohana ʻana i ka brace

ʻO ka hoʻohana ʻana i kahi mea kākoʻo no ka manawa lōʻihi hiki ke lilo i mea paʻakikī no ʻoe a me kāu pēpē. Hiki i kēia mau ʻōlelo aʻoaʻo ke kōkua.

• E hana i pāʻani: E pāʻani me kāu pēpē ʻoiai e kau ana ke kākoʻo. E hana i nā mea e like me ke kīkē ʻana me kou mau wāwae, ke kūlou ʻana a me ke kīkoʻo ʻana i kou mau wāwae, a pēlā aku.
• E hoʻolilo iā ia i ʻāpana o kāu hana maʻamau: E hoʻolilo i mea maʻamau ke kau ʻana i ke kāʻei i ka wā e hoʻomoe ai ʻoe i kāu pēpē. E kōkua kēia i kāu pēpē e hoʻomaopopo ua hiki i ka manawa e kau ai i ke kāʻei i ka wā e hiamoe ai.
• Mai hoʻopili i ka lotion: Mai hoʻopili i nā kirīmi a i ʻole nā ​​lotion i nā wahi i hoʻopili ʻia ai ke kākoʻo. Hiki iā lākou ke hoʻonui i nā pilikia ʻili. He mea maʻamau ka ʻulaʻula iki ʻana o ka ʻili. Eia nō naʻe, inā like ia me kahi pehu, ʻo ia hoʻi ke paheʻe nei ke kuʻekuʻe wāwae i loko o ke kāmaʻa. E haʻi i kāu kauka e pili ana i ia mea.
• E ho'ōki i ka pahe'e: E ho'opa'a i kou mau kaula kāma'a. I kekahi manawa, hiki i ke kau 'ana i nā soka ke kōkua i ka mālama 'ana i kou mau kāma'a ma kahi.

Inā he mau hopohopo kou, mai makaʻu e kamaʻilio me ke kauka a kāu pēpē a mea hoʻoponopono kino paha e pili ana i ia mea.