I naute piang thar hian a ke pakhat emaw, a ke pahnih emaw chu chhung lam hawiin a inhnukdawk em? A châng chuan nu emaw pa emaw chuan ke ruh chu a sir lam emaw, chung lam emaw a hawi tih an hmuh hian hlauhna leh lungngaihna nasa tak an neih hi thil awmze nei tak a ni. Hetiang dinhmun hi damdawi lama kan sawi thin Clubfoot, a nih loh leh `(talipes equinovarus)` tih hi a ni. Hei hi naute zingah hmuh tur a ni a, pian tirh lamah pawh a awm reng a ni. Chuvangin, hei hi hlau lo ila, a chipchiar zawng tak chu i zir zawk ang u.
A awlsam zawngin, Clubfoot hi eng nge ni?
Clubfoot hi pian tirh atanga awm thin a ni. A awlsam zawngin, naute ke emaw, ke emaw chhung lam hawia a inherna dinhmun a ni. Naute ke i en chuan a kephah chu a sir lamah a inher a, a chang chuan chunglam pawh a hawi tih i hmu ang.
Hei hi a chhan chu naute ke leh kea ruh leh ruh inzawmkhawmtu tissue tendons te hi a tlangpui aia tawi leh tight zawk an nih vang a ni. Hetianga tightness hian ke chu chhung lam hawia inher ang maiin a siam thin. Naute clubfoot nei zinga a chanve vel chuan ke pahnihah hian he natna hi an nei a ni. Hei hi i ngaihtuah angin a hlauhawm lo. He natna hian nau piang thar 1,000 zinga pakhat vel a nghawng a ni. Hei hian common condition a ni tihna a ni.
Tun hma chuan hei hi surgery lian tak a ngai thin. Mahse tûn laia medical science hmasawn tak kan neih hmang hian non-surgical method leh surgery tenau tak tak hmangin a tidam vek tawh mai thei .
Clubfoot chi hrang hrangte chu engte nge ni?
Clubfoot hi chi hnih ah then theih a ni. Enkawlna tur thutlukna siam hunah hei hi hriat a pawimawh hle.
| Clubfoot chi khat a ni | Hrilhfiahna awlsam tak |
|---|---|
| Isolated (or Idiopathic) Clubfoot (a nih loh leh Idiopathic) a ni | Hei hi a tam ber chi a ni. Naute hian Clubfoot tih loh chu hriselna lama harsatna dang a nei lo tihna a ni. ‘Idiopathic’ tih thumal hian a chhan dik tak hriat a ni lo tihna a ni. |
| Non-isolated clubfoot a ni | Hetiang chi hi hriselna lama harsatna dang nen pawh a thleng thin. Entirnan, ruh natna (arthrogryposis) emaw, nervous system lama harsatna (spina bifida) emaw ang chi dinhmun nen hmuh theih a ni. |
Clubfoot natna lan chhuah dan engte nge ni?
A lan chhuahna ber chu naute ke pakhat emaw, pahnih emaw chu chhunglam hawiin, ke dang lam hawiin a inher tihna a ni. Chu bâkah, heng thilte hi i hmu thei bawk ang.
- Ke chu kal (kidney) ang mai a ni .
- Ke chhungril lamah crease thuk tak nei.
- Ke arch hi a pangngai aia sang (cavus foot deformity) a ni.
- Ke natna vei calf muscle chu ke dang aiin a te zawkin a lang .
- A ke natna chu a dang aiin a tawi zawk a ni .
- Ankle a nghet lo.
- Ke chu a pum puia ben emaw, a sei emaw theih loh.
A pawimawh ber chu he natna hian naute tan natna a thlen lo. Chuvang chuan naute chu a tap lo thei a, lungawi lohna a lantir lo thei bawk.
Clubfoot tana a chhan leh a hlauhawmna
Researcher-te chuan hei hi eng thil nge a thlen tih chiang takin an la sawi thei lo a, mahse , genetic leh environmental factors pahnih inzawmkhawm a ni thei niin an ngai .
Risk tipungtu thilte
- Mipa naupang nih: Hmeichhia aiin mipa naupangin clubfoot an neih hi a let hnih velin an tam zawk.
- Chhungkaw chanchin: Chhungkaw zinga mi (nu, pa, unaupa) chuan clubfoot a nei tawh a nih chuan naute pawhin a vei theihna a sang zawk.
- Nau piangsual dang: Hei hi natna dang ``Spina bifida`` emaw ``cerebral palsy`` emaw nen a awm thei.
- Naupai laiin harsatna: Oligohydramnios ang chi dinhmun, naupai laiin naute chhehvela amniotic fluid awm zat tlahniam.
- Naupai laia nu nungchang: Naupai laia meizuk, zu in emaw, ruihhlo dang hman emaw hian a hlauhawmna a tipung thei bawk.
Naute enkawl loh chuan eng nge a nghawng ang?
Clubfoot hi a mah chauha dam tur thil a ni lo. Chuvangin naute kal tan hmaa enkawl hmasak a pawimawh tak zet a ni. Enkawl loh chuan naute hian nakin lawkah hetiang harsatna hi a nei thei a ni:
- Kea kal harsatna: A tlangpuiin kan kephah hmangin kan kal thin. Mahse, naupang clubfoot nei chuan an ke sir emaw, chunglam emawa kal a zir thei a ni.
- Ke natna: Kea kal dan pangngai lo chuan ke hliam leh natna hrik a thlen thei.
- Skin lesions (Calluses): Ke vun hi a thim thei a, callus a siam thei bawk.
- Arthritis: Nakin lawkah chuan ruh natna, ruh natna, leh ruh natna thlentu, ruh natna ang chi natna a lo awm thei a ni.
Chuvangin, clubfoot a hriat veleh enkawl tan hi i naute hmalam hun atana i tih theih tha ber a ni.
Clubfoot hriatchhuah leh enkawl tan
Vawi tam tak chu i naupai laiin ultrasound scan hmangin i doctor hian he natna hi a hmu thei thin. Hei hi a hmaa hriat hian i naute pian hnua i mamawh enkawlna tur ruahmanna siam turin a pui ang che.
A châng chuan scan-ah a lang lo a nih pawhin naute pian hnua taksa enfiahna hmasa berah doctor-in a hmuchhuak ang. A châng chuan, a natna hriat chian nân X-ray neih a ngai thei bawk.
Enkawl tan hun tha ber chu naute pian hnu kar khat emaw kar hnih emaw chhungin a ni. A rang thei ang bera enkawl tan chuan nakin lawka harsatna tam tak a veng thei a ni.
Clubfoot enkawl dan tur
Doctor team pakhat chu clubfoot enkawl turin an inkhawm tlangpui.
- Pediatric Orthopedist: Naupang ruh leh ruhkawr lama harsatna nei doctor ni.
- Orthopedic Surgeon: Doctor, ruh leh ruh natna te chu surgery hmanga enkawltu a ni.
- Physical Therapist: Nausen kea chakna siam tura puitu leh a che tha thei tura puitu.
Enkawl dan tlangpui engemaw zat a awm.
Ponseti hmanga tih dan
Hei hi khawvela enkawlna hmanraw hman lar ber leh hlawhtling ber a ni. Hei hi thla hnih atanga thla thum vel a ni.
1. Ke hrual leh cast hnawih: Specialist doctor chuan naute ke chu a awmna tur dik takah zawi zawiin a han hrual ang. Tichuan, ke ruh atanga kekawr chunglam thlengin cast an hnawih ang.
2. Kar tin plaster thlak: Kar khatah vawi khat (ni 4-7 inkar) chu plaster hlui chu la chhuakin, a ke chu a awmna tur dik takah tlem tal an hrual leh a, plaster thar an hnawih thin. Chutianga plaster 5-7 vel an hnawih hnuah chuan ke chu a tam zawk chu a awmna tur dik takah a awm ta a ni.
3. Achilles Tenotomy: Final cast kan hnawih hmain doctor chuan operation tenau tak a ti thin. Hemi ah hian kephah chhunga Achilles tendon chu a tikehsawm deuh a ni. Hei hian stitch pawh a mamawh lo. Hei hian tendon tight, shortened chu a chhuah tir a, a duh angin a sei thei bawk.
4. Plaster hnuhnung ber chu:Surgery zawhah plaster hnuhnung ber chu an hnawih leh thin. Kar 3 vel dah a ni a, chutah chuan lakchhuah a ni.
French tawng hman dan
Hei hi Ponseti method nen a inang a, mahse plaster ai chuan tape leh splints hman a ni. He enkawlna hi physical therapist-in a ti thin. Hei hi nitin tih ngai a ni. Physics therapist hian nu leh pate chu in lama tih dan tur a zirtir bawk.
Kekawrte bik bun (Bracing) .
Ponseti method emaw French method emaw hmanga ke chu siamthat vek a nih hnuah chuan a form hluiah a kir leh theihna chance a sang hle. Hei hi heng kekawr bik (braces) te hi venna atana hman a ni.
Hei hi a tlangpuiin kekawr pahnih ("boots and bar") nena inzawm metal bar a ni.
- Hei hi thla 3 hmasa berah nitin (darkar 23 vel) i ha tur a ni .
- Chumi hnuah chuan naute chuan zan mut laiin leh mut laiin kum 4 vel an tlin thlengin hetiang hi a ha tur a ni .
Doctor-in a sawi ang chiah hian heng kekawrte hi hak a pawimawh hle a, chutiang a nih loh chuan ke a hliam leh theihna chance a sang hle.
Inzai
A chang chuan clubfoot hi a na hle thei bawk. A nih loh leh, hmanraw dang chuan duhthusam result a pe lo thei bawk. Chutiang hunah chuan surgery neih a tha. He surgery hi naute kal tan hmaa tih a tha ber.
Naute enkawl zawh hnuin a hmalam hun chu eng ang nge ni ang?
Hei hi nu leh pa tinte harsatna lian ber a ni. A hmaa hmuhchhuah a nih a, enkawl dik a nih chuan result a hlawhtling hle.
I naute hian pheikhawk pangngai a bun thei ang a, a kal thei ang a, a tlan thei ang a, a tlan thei ang a, na lovin a zuang thei ang a, naupang dang ang bawkin a khel thei ang a, a inel thei bawk ang.
Mahse, clubfoot nei leg-ah hian danglamna tlem a la awm thei.
- Ke natna vei chu ke dang aiin pheikhawk size pakhat velin a te zawk thei.
- Chu ke kekawr bul chu a hring deuh mai thei .
- Chu ke chu ke dang aiin a tawi deuh mai thei.
Mahse heng inthlak danglamna hian naute nitin hnathawhnaah nghawng lian tham a nei lo tlangpui.
Brace hman awlsam zawk nan tips tlemte
Brace rei tak hman hi nang leh i naute tan pawh harsatna a ni thei. Heng tips te hian a pui thei ang.
- Game-ah siam rawh: Brace on laiin i naute nen inkhel rawh. I ke hmanga kick, ke ben leh hrual, etc. tih ang chi thil ti rawh.
- I tih danah telh la: I naute i mut tir hunah brace bun hi tih danah siam rawh. Hei hian i naute chu mut hun a thlen hunah brace bun hun a ni tih a hriatthiam tir ang.
- Lotion hnawih suh: Brace hnawih na hmunah cream emaw lotion emaw hnawih loh tur. Vun lama harsatna an tizual thei a ni. Vun a sen deuh hi thil pangngai a ni. Mahse, blister ang maia a lan chuan kekawr chhungah a kekawrte chu a tla thla tihna a ni thei. I doctor hnenah hrilh rawh.
- Slipping kha titawp rawh: I pheikhawk hrui kha khauh takin khauh rawh. A châng chuan socks bun hian i kekawrte chu a hmunah a awm reng theih nân a ṭanpui thei a ni.
Thil ngaihtuah tur i neih chuan i naute doctor emaw, physical therapist emaw hnenah chu chu sawipui hlau ngai suh.
Take-Home Thuchah a ni
- Clubfoot hi natna tlanglawn tak a ni a, nau piang lai pawhin a awm thin. I sualna a ni lo.
- Hetiang dinhmun hian naute a ti na lo a, mahse enkawl a ngai a ni.
- Hlawhtling ber chu a rang thei ang bera enkawl tan a ni thei a, chu chu naute pian hnu kar hmasa berah a ni.
- Ponseti method hi khawvel hmun hrang hranga hman thin, non-surgical treatment method hlawhtling tak a ni.
- Ke siamthat a nih hnuah chuan re-strain a awm loh nan hun bituk chhung atan brace bik vuah a pawimawh hle.
- Enkawlna dik tak i neih chuan i fa chu naupang dang zawng zawng ang bawkin nun hlim tak, hrisel leh thawkrim takin a nung thei a ni.
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