Ua kūlou i loko ka wāwae o kāu keiki liʻiliʻi? E kamaʻilio kākou e pili ana iā Metatarsus Adductus!

ʻOiai kou hauʻoli i ka hoʻi ʻana mai o kahi pēpē hānau hou i ka home, aia kekahi mau manawa e makaʻu iki ai ʻoe i nā mea liʻiliʻi, ʻeā? I kekahi manawa ʻike ʻoe i kahi loli iki i nā wāwae o kāu pēpē. Malia paha ua kūlou nā manamana wāwae i loko. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Kāhea mākou i kēia kūlana ʻo `(Metatarsus Addductus)`. ʻOiai paha he ʻano ʻē iki ka inoa, mai makaʻu. E wehewehe maʻalahi kākou.

He aha kēia `(Metatarsus Adductus)`? ʻO wai ka mea e loaʻa ana?

I ka ʻōlelo maʻalahi, ʻo `(Metatarsus Addductus)` he loli liʻiliʻi ia i ka wāwae i loaʻa i kekahi mau pēpē i ka wā hānau (`(Congenital)`). He piʻo iki kēia o ka wāwae o kāu pēpē mai waenakonu o ka wāwae a i nā manamana wāwae, i loko. Me he mea lā he piʻo iki i ka wāwae, e like me ka maiʻa.

Hoʻopilikia pinepine kēia i nā pēpē ʻōpiopio loa . Hiki iā ia ke hoʻopilikia i kekahi a i ʻole nā ​​wāwae ʻelua. I kekahi manawa, inā loaʻa i kahi kanaka ʻelemakule kēia maʻi, he mea paha ia i hānau ʻia me lākou.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea ka maʻamau o kēia?" ʻO ka ʻoiaʻiʻo, ʻo `(Metatarsus Adductus)` ka maʻi wāwae maʻamau i ʻike ʻia e nā kauka pediatric. Manaʻo kekahi mau noiʻi e pili ana ia i hoʻokahi i loko o 1,000 mau pēpē i hānau ʻia. Akā hōʻike kekahi mau hōʻike ʻoi aku ka maʻamau, malia paha he 12% o nā pēpē i hānau ʻia me kēia maʻi. No laila, inā loaʻa i kāu pēpē kēia maʻi, e hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.

Pehea lā e pili ai kēia i kaʻu pēpē?

Hopohopo ka nui o nā mākua e pili ana kēia i ka wā e hiki mai ana o kā lākou keiki. ʻO ka nūhou maikaʻi, ʻo ka hapa nui o nā pēpē me ka metatarsus adductus e hoʻomaikaʻi iā lākou iho i ko lākou wā ʻelemakule, me ka ʻole o ka lāʻau lapaʻau. I kekahi manawa, paipai paha nā kauka i nā hoʻomaʻamaʻa hoʻolōʻihi maʻalahi.

Eia nō naʻe, i nā hihia kakaikahi, hiki i kekahi mau pēpē ke loaʻa ka pilikia me ka ulu ʻana o ka iwi ʻūhā ('Developmental Hip Dysplasia`). No laila, ke nānā pono nei nā kauka i kēia.

ʻO ka mea nui, ʻo ka hapa nui o nā pēpē me kēia maʻi e ola olakino a hana me ka ʻole o nā pilikia.

He aha ka ʻokoʻa ma waena o `(Metatarsus Adductus)` a me `(Clubfoot)`?

Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo "Clubfoot." ʻOiai he mau pilikia wāwae hānau ʻia nā mea ʻelua, aia kahi ʻokoʻa ma waena o nā mea ʻelua.

Ma ka `(Metatarsus Adductus)`, ʻo ka ʻaoʻao mua wale nō o ka wāwae e kūlou ana i loko.

Eia nō naʻe, i loko o kahi kūlana i kapa ʻia ʻo "Clubfoot", ʻo nā loli i loko o nā aʻalolo e hoʻopili ai i nā ʻiʻo o ka wāwae a me ka wāwae i nā iwi hiki ke hoʻohuli i ka wāwae holoʻokoʻa o ka pēpē i loko, i kekahi manawa a hiki i kahi e huli ai ke kapuaʻi o ka wāwae i luna a i ʻole i ka ʻaoʻao. He ʻano paʻakikī iki kēia ma mua o "Metatarsus Adductus".

Aia kekahi maʻi i kapa ʻia ʻo `(Skew Foot)`. Ma kēia, ua hoʻonohonoho ʻia nā manamana wāwae a me nā iwi kuʻekuʻe wāwae ma ke ʻano o ka leka Z. Hiki i kēia maʻi ke hana i nā pilikia me ka hele wāwae (`(Gait Disorders)`). No laila, inā ʻike ʻoe i kekahi mea ʻokoʻa ma nā wāwae o kāu pēpē, ʻoi aku ka maikaʻi o ka hōʻike ʻana i ke kauka e ʻike pono i ke ʻano o ia mea.

He aha nā kumu o ka `(Metatarsus Adductus)`?

ʻO kaʻoiaʻiʻo, he paʻakikī i nā kauka ke kuhikuhi i ke kumu pololei o kekahi mau pēpē e ulu ana i ka "Metatarsus Addductus". Eia nō naʻe, aia kekahi mau kumu i manaʻo ʻia e kōkua i kēia:

• Moʻolelo ʻohana: I kekahi manawa he maʻi hoʻoilina paha kēia. ʻO ke ʻano kēia, inā ua loaʻa i kekahi o ka ʻohana kēia maʻi ma mua, aia kahi manawa liʻiliʻi e loaʻa pū i ka pēpē.
• Kaomi i loko o ka ʻōpū: ʻOiai ke pēpē i loko o ka ʻōpū, i kekahi manawa ma muli o ka nele o kahi i loko o ka ʻōpū a i ʻole ke kūlana o ke pēpē, hiki ke kau ʻia ke kaomi ma ka wāwae, e kūlou ai ka wāwae ma kēia ʻano.
• Ka emi ʻana o ka wai amniotic (`(Oligohydramnios)`): Inā emi ka nui o ka wai amniotic e hoʻopuni ana i ka pēpē i loko o ka ʻōpū, ua manaʻo ʻia hoʻi he kumu paha ia o kēia maʻi.

Hiki ke kū mai kēia kūlana me ka nānā ʻole i kēia mau kumu, no laila he mea nui e hoʻomanaʻo ʻaʻole na ʻoe ia hewa.

He aha nā hōʻailona o ka `(Metatarsus Adductus)`?

ʻO ke ʻano nui, ʻo ia ka huli ʻana o ka lihi o waho o ka wāwae a me nā manamana wāwae i loko. Hiki ke emi iki kēia piʻo ʻana i kekahi mau pēpē, a ʻoi aku ka ʻike ʻia i kekahi. I kekahi mau keiki, hiki ke paʻakikī iki nā wāwae, ʻo ia hoʻi , ʻaʻole hiki iā lākou ke neʻe maʻalahi.

E ʻike mua paha ʻoe i kēia ke nānā pono ʻoe i nā wāwae o kāu pēpē. A i ʻole, ke hoʻomaka kāu pēpē e hele, e like paha lākou me he mea lā e hele ana me ko lākou mau wāwae i loko (`(Pigeon Toes)` a i ʻole `(Intoeing)`).

Pehea e ʻike ai i kēia maʻi?

ʻO ka maʻamau, ke lawe ʻoe i kāu pēpē i ka keʻena lapaʻau mahina (`(Well-baby Care Visit)`), e ʻike ke kauka i kēia piʻo o ka wāwae i ka wā e nānā ana i ka pēpē. A i ʻole, e like me ka mea i ʻōlelo ʻia ma mua, e ʻike paha ʻoe i kēia loli ke hoʻomaka ka pēpē e hele.

Nā hoʻokolohua diagnostics

I ka manawa pinepine, e ʻike ke kauka i kēia kūlana ma ka nānā kino ʻana i ka wāwae o ke pēpē. E nānā ke kauka i ke ʻano o ke kūlou ʻana o ka wāwae, a inā he palupalu a paʻa paha.

Inā ʻoʻoleʻa loa ka wāwae o kāu pēpē a ʻike ʻia paha ua piʻo loa, hiki i kāu kauka ke ʻōlelo aku i kahi X-ray e kiʻi i kahi kiʻi maopopo o ke kūlana o nā iwi.

Pehea e mālama ʻia ai ka Metatarsus Addutus?

ʻO kēia kahi e loaʻa ai i nā mākua he nui ka hōʻoluʻolu. No ka hapa nui o nā pēpē, e hoʻomaikaʻi kēia kūlana iā ia iho i ka wā e hiki ai lākou i ko lākou lā hānau mua, me ka ʻole o kekahi mālama kūikawā. ʻAe, pololei kēlā! I ka ulu ʻana o ko lākou kino, e pololei mālie ana ko lākou mau wāwae.

Eia nō naʻe, inā ʻoʻoleʻa nā wāwae o kāu pēpē a nui iki paha ke kūlou , e kuhikuhi paha kāu kauka iā ʻoe i kahi orthopaedist pediatric. He poʻe loea kēia mau kauka e mālama i nā pilikia e pili ana i ka ʻōnaehana iwi o ko mākou kino, ʻo ia hoʻi nā iwi, nā ligaments, a me nā tendons.

He aha inā ʻaʻole e hoʻomaikaʻi kēia kūlana ʻoiai ke ulu aʻe ka pēpē?

Inā piʻo a ʻoʻoleʻa paha nā wāwae o kāu pēpē i ko lākou lā hānau mua, e ʻōlelo paha kāu kauka e hoʻomaka i ka lāʻau lapaʻau. Hiki i ka lāʻau lapaʻau ke komo pū me:

• Nā ʻokiʻoki a i ʻole nā ​​ʻāpana ʻokiʻoki: I kekahi manawa, hiki ke kau ʻia kahi ʻokiʻoki liʻiliʻi (a i ʻole ʻāpana ʻokiʻoki) ma ka wāwae o ke pēpē, kahi e hoʻololi ʻia i kēlā me kēia pule. Kōkua kēia i ka mālama ʻana i ka wāwae i ke kūlana kūpono.
• Nā kāmaʻa kūikawā: Hiki iā ʻoe ke hoʻohana i nā kāmaʻa kūikawā e kōkua i nā ʻiʻo a me nā iwi o ka wāwae e lawe i ke ʻano kūpono.
• Nā Hoʻomaʻamaʻa Hoʻolōʻihi: Hiki i ke kauka ke hāʻawi iā ʻoe i kekahi mau hoʻomaʻamaʻa hoʻolōʻihi maʻalahi e hana no nā wāwae o kāu pēpē. Hiki iā ʻoe ke hana i kēia ma ka home. E noʻonoʻo e like me ka hāʻawi ʻana i kāu pēpē i kahi lomilomi liʻiliʻi.

ʻOiai kekahi lāʻau lapaʻau e hoʻohana ʻia, hāʻawi pinepine ia i nā hopena maikaʻi. Kākaʻikahi loa, ʻo ia hoʻi, inā ʻaʻole e hoʻomaikaʻi ke kūlana ma hope o 10 mau makahiki, ʻaʻole e noʻonoʻo nā kauka i ke ʻoki kino. Akā, kākaʻikahi loa kēlā hana.

Hiki ke mālama ʻia nā pākeke me Metatarsus Adductus?

ʻAʻole maʻamau kēia ʻano i nā pākeke. Eia nō naʻe, inā kūlou kou mau wāwae i loko a paʻakikī iā ʻoe ke hele, he manaʻo maikaʻi ke ʻike ʻana i kahi podiatrist. Hiki iā ia ke kōkua iā ʻoe e hoʻoponopono i ke ʻano ma ke kuhikuhi ʻana i nā kāmaʻa kūikawā e kūpono iā ʻoe.

Hiki iaʻu ke pale aku i kaʻu pēpē mai ka ulu ʻana o ka Metatarsus Adductus?

He nīnau kēia a nā mākua he nui e nīnau ai. ʻO ka mea pōʻino, ʻaʻohe mea hiki iā mākou ke hana e pale aku ai i kēia maʻi mai ka hanana ʻana. He mea pinepine kēia e hana ʻia i ka wā e ulu ana ke pēpē i loko o ka ʻōpū.

Eia nō naʻe, inā ʻike ʻoe i kekahi kūlou ʻē i nā wāwae o kāu pēpē, a i ʻole kahi loli i ke ala e hele ai kāu pēpē, e haʻi koke aku i ke kauka. ʻO ka wikiwiki o kou ʻike ʻana, ʻo ka maʻalahi ka hoʻomaka ʻana i ka lāʻau inā pono.

Ke hoʻonui nei nā pilikia olakino ʻē aʻe i ka pilikia o kaʻu pēpē i ka hoʻomohala ʻana iā Metatarsus Adductus?

ʻAe, aia kekahi mau kūlana. No ka laʻana, inā loaʻa i kāu pēpē kahi dysplasia hip developmental (e like me ka mea i ʻōlelo ʻia ma mua) a i ʻole kahi maʻi ʻāʻī (torticollis), ʻoi aku ka kiʻekiʻe o ka pilikia o ka loaʻa ʻana o ka metatarsus adductus. Inā loaʻa i kāu pēpē kekahi o kēia mau pilikia olakino ʻē aʻe, e kamaʻilio pū me kāu kauka e pili ana iā lākou.

Inā loaʻa i kaʻu pēpē ʻo `(Metatarsus Adductus)`, he aha kaʻu e manaʻo ai?

Pono paha ʻoe e lawe pinepine i kāu pēpē i ke kauka. Makemake paha ke kauka e nānā i nā wāwae o kāu pēpē, a inā he ʻōpala kāu pēpē ma luna o lākou, e hoʻololi iā ia i hoʻokahi manawa i ka pule.

ʻO ka mea nui loa, ʻo ia ka lawe ʻana i kāu pēpē i kēlā me kēia manawa ma ke keʻena lapaʻau a me ka hoʻāʻo a ke kauka e kuhikuhi ai. Ma kēlā ala, hiki i ke kauka ke ʻike inā e hoʻomaikaʻi ana nā wāwae o ka pēpē a inā paha e pono ai ka lāʻau hou aku.

Hoʻomaikaʻi pinepine ʻo Metatarsus Adductus i ka wā kamaliʻi. No laila, me ke ahonui iki a me ka hahai ʻana i nā ʻōlelo a kāu kauka, hiki i kāu pēpē ke holo a pāʻani me ka ʻole o nā pilikia.

Pehea e mālama ai i kaʻu pēpē me ka `(Metatarsus Adductus)`?

E hahai pono i nā ʻōlelo aʻo a pau a ke kauka i hāʻawi ai. ʻAʻohe pono e kaupalena i ka hana kino o ka pēpē a hāʻawi paha i kekahi lāʻau kūikawā a hiki i ka wā e ʻōlelo ai ke kauka iā ʻoe.

E hoʻomanaʻo, ʻo `(Metatarsus Adductus)` kahi maʻi i ʻike ʻia i nā pēpē, a hoʻopau pinepine ia ma kāna iho, a hiki ke ho'ōla ʻia me nā lāʻau maʻalahi. ʻAʻohe pilikia o nā keiki me kēia maʻi e ola i kahi ola olakino a hana.

Leka Lawe-Home

ʻAe, e hōʻuluʻulu kākou i nā mea a mākou i kamaʻilio ai:

• ʻO ka `(Metatarsus Adductus)` kahi kūlana kahi e kūlou ai ka ʻaoʻao mua o ka wāwae o kahi pēpē i loko.
• He mea maʻamau kēia, a i ka hapanui o ka manawa ʻaʻohe mea e hopohopo ai.
• E ola maikaʻi ka hapa nui o nā pēpē iā lākou iho i ko lākou wā ʻelemakule, me ka ʻole o ka lāʻau lapaʻau.
• I kekahi manawa pono paha nā hana maʻalahi e like me nā hoʻomaʻamaʻa hoʻolōʻihi, nā kāmaʻa kūikawā, a i ʻole nā ​​​​plasters.
• Inā ʻike ʻoe i kekahi mau loli e like me kēia ma nā wāwae o kāu pēpē, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka no ka ʻōlelo aʻo.
• ʻOiai me kēia ʻano, hiki i kāu keiki liʻiliʻi ke ola i kahi ola olakino a hauʻoli hoʻi.

No laila, mai hopohopo nui ʻoe no kēia. E hahai i nā ʻōlelo aʻo a ke kauka, e mālama i kāu pēpē me ke aloha. E maikaʻi nā mea a pau!

ʻO Metatarsus Adductus, hāʻule ka wāwae pēpē, nā kīnā o ka wāwae pēpē, ka wāwae e huli ana i loko, ke kīnā o ka wāwae hānau, ka wāwae kalapu, ke olakino o ke keiki, nā orthopedics