Ke hoʻomaka kāu keiki liʻiliʻi e hele, e nānā paha ʻoe i ko lākou mau wāwae liʻiliʻi a noʻonoʻo, "Auē, ua huli ko lākou mau wāwae i loko, ʻeā?" I kekahi manawa e ʻike paha ʻoe e hāʻule iki ana kāu pēpē ma mua o nā pēpē ʻē aʻe ke hele a holo paha lākou. ʻO kēia ka mea a mākou e kapa pinepine ai he "mau wāwae manu nūnū," a kapa pū nā kauka iā ia he "intoeing ." He mea kēia e hopohopo nei nā mākua he nui. Akā he mea maoli anei ia e hopohopo ai? E kamaʻilio kākou e pili ana i ia mea me nā kikoʻī hou aku, ea?
He aha kēia mau manamana manu nūnū?
I ka ʻōlelo maʻalahi, ʻo nā wāwae manu nūnū ke huli ʻia nā manamana wāwae o kāu keiki i loko, ma kahi o ke kū pololei ʻana i mua. E noʻonoʻo i kēia ʻano, ke hele mākou, mālama mākou i ko mākou mau wāwae i mua. Akā i kēia hihia, he ʻokoʻa iki ia. ʻO ke kumu nui o kēia, ʻaʻole i kuhikuhi pono ʻia kekahi o nā iwi a i ʻole nā hono o nā wāwae o ke keiki. ʻO ia hoʻi, aia kahi "kūpono ʻole" iki. ʻIke pinepine ʻia kēia i ka wā e hoʻomaka ai ke keiki e hele.
ʻO ka mea nui, ma ke ʻano he makuahine a he makuakāne paha, he mea maʻamau iā mākou ke hopohopo no kā mākou mau keiki. ʻOi loa aku i ko lākou wā ʻōpiopio, no ka mea, ʻaʻole hiki iā lākou ke ʻike inā he mea e hōʻeha ana iā lākou. Akā, ʻaʻole pinepine nā wāwae manu nūnū e hōʻeha. I ka hapa nui o ka manawa, e hoʻomaikaʻi ke kūlana iā ia iho i ka hala ʻana o ka manawa, me ka ʻole o nā pilikia nui.
Pehea ka maʻamau o kēia ʻano?
ʻO ka ʻoiaʻiʻo, he maʻi maʻamau loa nā wāwae manu nūnū e kū mai ana i nā makahiki mua o ke ola o kahi keiki. I ka wā e aʻo mālie ai nā keiki e hele, e emi nui ana kēia maʻi. No laila, ʻaʻole maʻamau nā wāwae manu nūnū i ka wā e ulu aʻe ai nā keiki a hiki i ka wā ʻōpio. Eia naʻe, he mea kakaikahi loa, hiki i kēia maʻi ke hoʻomau i kekahi mau mākua.
Pehea ka hopena o ka wāwae kalapu i kaʻu pēpē?
E ʻike paha ʻoe e huli ana nā wāwae o kāu keiki i loko, inā paha e kū wale ana a e hele ana paha. He mea kupanaha iki paha kēia iā ʻoe, akā e like me ka mea i ʻōlelo ʻia ma mua, he mea maʻamau loa ia. ʻO ka mea nui, ʻaʻole e hōʻeha pinepine nā wāwae manu nūnū i ke keiki. A i ka wā e ulu aʻe ai ke keiki, pono e hoʻomaikaʻi mālie kēia kūlana.
No ke aha e kū mai ai nā wāwae manu koraka? He aha nā kumu?
Ke kū pono ʻole nā iwi ma ka wāwae o kāu keiki, ka kuʻekuʻe wāwae (ma lalo o ke kuli), a i ʻole ka ʻūhā (ma luna o ke kuli), hiki i kāu kauka ke hoʻohana i ka huaʻōlelo "pigeon foot" a i ʻole "intoeing." ʻEkolu mau kumu nui no kēia:
1. Nā iwi ma ka wāwae:
ʻO nā iwi e hoʻopili ai i ko kākou mau manamana wāwae i ka hui kuʻekuʻe wāwae ua kapa ʻia ʻo `(Metatarsals)` . I kekahi manawa, i ka wā hānau, `(congenital)` kēia mau iwi `(Metatarsals)`, ʻoiai nā mea ma waenakonu o ka wāwae, hiki ke hoʻokiʻekiʻe ʻia i loko. Ua kapa ʻia kēia ʻano `(Metatarsus adductus)`A laila ua like ke ʻano o ka wāwae me ka leka "C". He kumu maʻamau kēia o ka `(Intoeing)` i nā pēpē ma lalo o 12 mau mahina. Hoʻonui kekahi mau mea i ka pilikia o kēia kūlana `(Metatarsus adductus)`. Eia kekahi laʻana:
- Inā aia ke pēpē ma ke kūlana breech i loko o ka ʻōpū.
- Inā emi ka nui o ka wai amniotic i loko o ka ʻōpū (Oligohydramnios) .
- Inā ua loaʻa i kekahi o ka ʻohana kēia maʻi ma mua o `(mōʻaukala ʻohana)` .
2. Iwi ʻūhā (Tibia):
ʻO ke kumu maʻamau o nā wāwae manu nūnū i nā keiki ma waena o nā makahiki 1 a me 3, ʻo ia ke ʻano i huli ʻia ai ka iwi shin, a i ʻole "Tibia", i loko, i waenakonu o ke kino. Ua kapa ʻia kēia ʻo "Inward tibial torsion" . Inā huli ʻia ka "Tibia" o kāu keiki i loko e like me kēia, e ʻike iki ʻia ko lākou mau wāwae he mau wāwae kūlou . Hoʻomaikaʻi pinepine kēia ʻano ma kāna iho i ka wā e hiki ai ke keiki ma kahi o 5 mau makahiki.
3. Iwi ʻūhā - Femur:
Inā ʻike ʻia ke kuli o kāu keiki e huli ana i loko e pili ana i ka hui ʻūhā, ua kapa ʻia ʻo ia he "Femoral anteversion" . ʻO kēia no ka mea ua hoʻohuli ʻia ka iwi ʻūhā "Femur" i loko. Hiki ke hoʻoili ʻia kēia ʻano mai ka makua a i ke keiki i kekahi manawa. Hiki ke hana ʻia ka "Femoral anteversion" e ke kūlana o ka pēpē i loko o ka ʻōpū, a i ʻole ma ka "crowding" i loko o ka ʻōpū. ʻIke pinepine nā kauka i kēia ma waena o 3 a me 6 mau makahiki, a laila emi mālie ke ʻano.
Nā pilikia pili ʻē aʻe i kakaikahi
ʻAʻole pinepine loa, aia kekahi mau pilikia olakino ʻē aʻe e pili ana i ke kūlana o nā wāwae manu nūnū. ʻO kēia mau mea:
- `(Cerebral palsy)` (he pilikia me ka ʻōnaehana nerve, e like me ka cerebral palsy)
- `(Clubfoot - Talipes equinovarus)` (He ʻano ʻino loa o ka wāwae i loaʻa i ka wā hānau)
- Nā ʻano ʻino o ka ulu ʻana o ka hui hip
- ʻO Skewfoot a me nā malformations kakaikahi ʻē aʻe o ka wāwae
He mau maʻi kakaikahi loa kēia, no laila mai hopohopo. Inā he kānalua kāu, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka.
Loaʻa anei kēia ʻano i nā mākua?
ʻO ka maʻamau, hoʻomaikaʻi ke kūlana o nā wāwae manu nūnū iā ia iho i kou wā ʻelemakule. Eia nō naʻe, hiki i kekahi mau kūlana ke hoʻomau i kona hiki ʻana i ka wā makua. ʻElua mau hihia nui:
- Ke hoʻomau nei ke kūlana `(Metatarsus adductus)` i ʻōlelo mua ʻia (ua huli ʻia nā manamana wāwae i loko, e hoʻohālike ana ka wāwae me he ʻano "C").
- Ke hoʻomau nei o ka "Femoral anteversion" (ka wili ʻana o ka iwi ʻūhā i loko kokoke i ka ʻūhā).
He aha nā hōʻailona o nā wāwae manu nūnū?
Inā he mau wāwae manu nūnū kou, e ʻike paha ʻoe e kū pono ana nā wāwae o kāu keiki kekahi i kekahi a huli i loko. Penei paha ke ʻano o kēia:
- Hoʻomaha wale nō
- ʻOiai e kū ana `(Kū ana)`
- ʻOiai e hele ana `(Walking)`
- I ka holo ʻana `(Holo)`
Hiki i nā keiki me nā wāwae manu nūnū ke kuʻia a hāʻule iki aʻe i ka wā e hele ai a holo paha ma mua o nā keiki ʻē aʻe o ko lākou mau makahiki.
ʻO ka mea nui, ʻoiai ʻaʻole ka pigeon foot ke kumu pololei o ka maʻi ʻaʻai, inā hoʻomau ke ʻano a hiki i ka wā makua, hiki ke hoʻonui iki i ka pilikia o nā haki stress a me ka arthritis.
Pehea e ʻike ai ke kauka i kēia?
ʻO ka hapa pinepine, ʻike nā kauka i ka wāwae kalapu ke lawe ʻoe i kāu keiki no kahi nānā maʻamau o ke keiki. E hana lākou i kahi hoʻokolokolo kino a nīnau e pili ana i ka mōʻaukala olakino o kāu keiki. Inā e hoʻomaka ana kāu keiki e hele, e nānā pono ke kauka i ke ʻano o ka hele ʻana o kāu keiki. E nānā pono lākou i nā kihi o ko lākou mau wāwae, nā kuʻekuʻe wāwae, nā kuli, a me nā pūhaka. Hiki ke noi ʻia nā keiki makua e holo.
He aha nā hoʻokolohua e hana ʻia nei?
E ʻike ke kauka i nā wāwae manu nūnū ma o nā hoʻokolohua kihi a me ka lolouila . He ʻāpana kēia o ka hoʻokolokolo kino. ʻAʻole pono nā kukuna X ke ʻole ka hoʻomaikaʻi ʻole ʻana o ke kūlana i ka wā e ulu ai ke keiki a i ʻole he mau hōʻailona ʻē aʻe.
He aha ka lāʻau lapaʻau no kēia?
ʻO ka nūhou maikaʻi, ʻo ka hapa nui o nā hihia o nā wāwae manu nūnū e hoʻōla iā lākou iho me ka ʻole o ka lāʻau lapaʻau. Ma muli o ke kumu o nā wāwae manu nūnū, hiki i kāu kauka ke paipai i kahi ala "e nānā a kali". A i ʻole, hiki iā lākou ke paipai i nā hoʻoikaika kino a i ʻole ka lāʻau lapaʻau kino e kōkua i ka hoʻoponopono ʻana i nā wāwae manu nūnū.
Eia nō naʻe, he mea kākaʻikahi loa, pono paha e noʻonoʻo ʻia nā lāʻau ʻē aʻe. ʻO kēia mau mea:
- Ke hoʻolei ʻana i nā moʻo:
Inā koʻikoʻi ke kūlana (Metatarsus adductus) a ʻaʻole hoʻi e hoʻomaikaʻi iā ia iho, hiki i ke kauka ke ʻōlelo aku i kekahi mau ʻano o nā ʻōpala e hoʻolōʻihi a hoʻolōʻihi i nā ʻiʻo o ka wāwae. E like me kāu e noʻonoʻo ai, he mea nui a paʻakikī hoʻi ka mālama ʻana i ka ʻōpala o kahi pēpē i maʻemaʻe a maloʻo. I kekahi manawa hiki i kēia mau ʻōpala ke ʻānai a honi ʻino. Inā he mau nīnau kāu e pili ana i ke kau ʻana i kēia mau ʻōpala, e kamaʻilio me kāu kauka.
- ʻOki kino - Osteotomy:
Inā koʻikoʻi ka tibia a hoʻomau ke keiki i nā pilikia hana i ko lākou wā ʻelemakule a kokoke i ka wā ʻōpio, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi kauka orthopedic pediatric e kūkākūkā i ka hiki ke hana ʻoki. ʻAʻole ʻōlelo pinepine ʻia ke ʻoki no ka femoral anteversion. Eia nō naʻe, hiki ke noʻonoʻo ʻia ke ʻoki no nā keiki ma luna o 11 mau makahiki me nā hōʻailona koʻikoʻi. Ua kapa ʻia kēia ʻoki he osteotomy .
Hiki ke pale ʻia kēia?
Ke kamaʻilio mākou e pili ana i ka pale ʻana i kahi maʻi, nānā mākou i nā kumu pilikia e kōkua ana i ia mea. Hiki iā mākou ke hoʻololi i kekahi o lākou, ʻaʻole hiki iā mākou ke hoʻololi. ʻAʻole hiki iā mākou ke kaohi i nā kumu o nā wāwae manu nūnū. ʻO kēia mau mea:
- ʻO ka hāpai ʻana he māhoe a he nui paha, e like me nā māhoe a i ʻole nā māhoe ʻekolu.
- Ka emi ʻana o ka nui o ka wai amniotic i loko o ka ʻōpū (Oligohydramnios) .
- ʻŌpū nui .
- Aia ke pēpē ma ke kūlana breech .
- He ʻano maʻamau kēia o ka ulu maʻamau .
Akā ʻo ka nūhou maikaʻi, ʻaʻole pinepine nā wāwae manu nūnū i ka ʻeha a lilo pinepine ke ʻano i mea maikaʻi ma kāna iho.
He aha ka manaʻolana no nā keiki me nā wāwae manu nūnū?
He maikaʻi loa ka nānā ʻana no nā keiki me ka wāwae kalapu. I ka wā e ulu aʻe ai nā keiki a hoʻomaikaʻi i ko lākou kaulike a me ka hoʻonohonoho ʻana , e hoʻomaikaʻi pinepine ʻia ke kūlana o ka wāwae kalapu. Inā hoʻomau ke kūlana i ke kula, hiki i ke keiki ke hilahila iki a hilahila paha iā ia iho. He mea kākaʻikahi loa, hiki i ke kauka ke kūkākūkā i nā pono a me nā pōʻino o ke kahakaha ʻana a i ʻole ke ʻoki kino me ʻoe.
Āhea wau e ʻike ai i ke kauka e pili ana i nā wāwae manu nūnū?
Inā he mau hopohopo kou e pili ana i kēia mau mea, e kamaʻilio me kāu pediatrician:
- E pili ana i ke ʻano o nā wāwae a i ʻole nā wāwae o kāu keiki , ʻoiai inā he ʻano kūlou ko lākou mau wāwae.
- Inā hāʻule pinepine ke keiki.
- Inā ʻike ʻoe i kekahi mea ʻē e pili ana i ka holo ʻana o kāu keiki .
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:
- He aha ke kumu o ka loaʻa ʻana o nā wāwae manu nūnū i kaʻu keiki?
- E ola anei nā wāwae manu nūnū me ka ʻole o ka lāʻau lapaʻau ?
- Aia kekahi mau hoʻomaʻamaʻa kino e hiki iā mākou ke hana ma ka home e kōkua ai i ka hoʻoponopono ʻana i nā wāwae manu nūnū?
Hiki ke hoʻoponopono ʻia kēia? He kīnā anei kēia? He kīnā hānau?
Eia kekahi o nā nīnau a nā mākua he nui.
- ʻAʻole pinepine ka wāwae kalapu e mau a hiki i ka wā makua. ʻO ka maʻamau, i ka wā e ulu ai nā keiki, e ikaika aʻe ko lākou mau ʻiʻo, a hoʻomaikaʻi ko lākou kaulike, hoʻomaikaʻi ke kūlana iā ia iho me ka ʻole o ka lāʻau lapaʻau. E nānā pono kāu kauka i ka wāwae kalapu o kāu keiki. I nā hihia kakaikahi, hiki ke noʻonoʻo ʻia he koho kahi hoʻolei a ʻoki paha.
- ʻAʻole paha ʻoe makemake i ke ʻano o kou mau wāwae, akā ʻaʻole ia he kīnā. ʻAʻohe pilikia o ka poʻe me ia mau wāwae i ka hele wāwae, ka holo ʻana, a i ʻole ka hana ʻana i nā hana o kēlā me kēia lā.
- He ʻano ʻē ka hemahema hānau i ke kino o kahi pēpē hānau hou. Ma muli o ka mea maʻamau o ka wāwae kalapu i nā pēpē a me nā keiki liʻiliʻi he nui, ʻaʻole ia i manaʻo ʻia he kīnā hānau.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
Hiki i ka huaʻōlelo "claw feet" ke lilo i mea hopohopo iki no nā mākua. Eia naʻe, ʻo ka nūhou maikaʻi, ʻaʻole ia he mea ʻeha. Eia kekahi, ʻoiai ʻoe e hopohopo nei i ke ʻano o kāu keiki ke hele lākou, ʻo ka hapa nui o ka manawa, e hoʻomaikaʻi nā claw feet iā lākou iho me ka ʻole o ka lāʻau lapaʻau a ʻaʻole ia e hōʻeha mau loa. Inā he hopohopo kou e pili ana i ke ʻano o nā wāwae a i ʻole nā wāwae o kāu keiki, mai makaʻu e kamaʻilio me kāu kauka e pili ana i ia mea. E hāʻawi ia iā ʻoe i ka maluhia o ka noʻonoʻo.
Nā wāwae manu nūnū, Ke komo ʻana i loko, Ola kino o ke keiki, Nā wāwae i hoʻohuli ʻia i loko, Nā kīnā o ka wāwae, Ka ulu ʻana o ka iwi, Ka hele wāwae o nā keiki











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