I naute ke pawh chhung lam hawiin a inher em? (Pigeon Toes/Intoeing) Hemi chungchang hi han sawi ila!

I fate chu a kal tan chuan an ke te te chu i en a, "Wow, an ke chu chhung lam hawiin a inher a ni lawm ni?" A châng chuan i naute chu an kal emaw, an tlan emaw hian naute dangte aiin a tlu tlem zâwk tih i hmu mai thei. Hei hi "pigeon feet" kan tih tlangpui a ni a, doctor-te pawhin ``intoeing .'' an ti bawk.Hei hi nu leh pa tam takin an ngaihtuah thin a ni. Mahse, ngaihtuahawm tak a ni tak tak em? Chipchiar zawkin sawi ila, kan sawi dawn em ni?

Heng pigeon ke ruhte hi eng nge ni?

A awlsam zawngin sawi ila, pigeon feet chu i fa ke ruhte chu hmalam hawi nghal mai lovin, chhung lam hawia hawitir a ni. Hetiang hian han ngaihtuah teh, kan kal lai hian kan ke chu kan ding nghet tlat thin. Mahse he thu-ah hian a danglam deuh. Hei hi a chhan ber chu naupang ke ruh emaw, ruh ruh emaw thenkhat chu kawng dik lam hawi lo vang a ni. Chu chu ``misalignment`` tlem a awm tihna a ni. Hei hi naupangin a kal tan tirh hian a hriat hmasak ber fo thin.

A pawimawh ber chu, nu emaw, pa emaw kan nih angin kan fate kan ngaihtuah hi thil pangngai tak a ni. A bik takin an naupan lai chuan, thil engemawin a ti na em tih an hre thei lo. Mahse pigeon ke hian natna a thlen lo tlangpui. A tam zawkah chuan hun kal zelah a dinhmun chu a mah chauhin a tha chho zel a, harsatna lian tham a awm lo.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Dik tak chuan pigeon ke hi naupang dam kum hmasa berah a awm fo thin. Naupangte chuan zawi zawiin kea kal an zir chuan he dinhmun hi nasa takin a tlahniam a ni. Chuvangin naupangte an lo puitlin a, tleirawl an thlen chuan pigeon ke hi a tam lo hle. Mahse, a tlem hle a, puitling thenkhatah chuan he natna hi a awm reng thei.

Engtin nge clubfoot hian ka naute hi a nghawng ang?

I fa ke chu ding mai emaw, kal mai emaw pawh ni se, chhung lam hawiin a inher tih i hmu mai thei. Hei hi i tan chuan thil mak deuhin a lang thei a, mahse a hmaa kan sawi tawh ang khan a awm fo thin. A pawimawh ber chu pigeon ke hian naupang tan natna a thlen lo tlangpui. Tin, naupang a lo puitlin chuan he dinhmun hi zawi zawiin a lo tha chho zel tur a ni.

Engvangin nge crow’s feet hi a lo awm? A chhante chu engte nge ni?

I fa ke ruh, ke ruh (khup hnuai lam), emaw a kekawr (khup chunglam) emaw ruh te chu a line tha tawk lo a nih chuan i doctor chuan "pigeon foot" emaw "intoeing" emaw tih thumal hi a hmang thei ang. Hei hi chhan lian tak pathum a awm a, chungte chu:

1. Ke ruh chhunga ruh awmte:

Kan ke ruh leh ke ruh inzawmna ruh te hi `(Metatarsals)` an ti a. A chang chuan, pian tirh hian `(congenital)` heng `(Metatarsals)` ruhte, a bik takin ke lai takah te hi a chhung lam hawiin a inher thei a ni. Hetiang dinhmun hi `(Metatarsus adductus)` an ti aTichuan ke chu "C" letter ang mai a ni. Hei hi nausen thla 12 hnuai lam `(Intoeing)` thlentu a ni. Thil engemaw tak chuan he `(Metatarsus adductus)` natna hi a tipung a ni. Entir nan:

• Naute chu a pum chhunga a awm laiin breech position-ah a awm a nih chuan .
• Nausen pum chhunga amniotic fluid awm zat a tlahniam chuan (Oligohydramnios) .
• Chhungkaw zinga mi tu emaw chuan `(chhungkaw chanchin)` hma khan hetiang dinhmun hi a lo nei tawh a nih chuan .

2. Ke ruh (Tibia): .

Naupang kum 1 leh 3 inkar zingah pigeon feet vei tam ber chu shin bone, a nih loh leh ``Tibia'' chu chhung lam hawia, taksa lairil lam hawia a awm vang a ni. Hei hi ``Inward tibial torsion'' an ti a. I fate ``Tibia'' chu hetiang hian chhung lam hawiin a awm a nih chuan an ke chu bow-legged deuhin a lang thei . Hetiang dinhmun hi naupang kum 5 vel a tlin meuh chuan a mah chauhin a tha chho tlangpui.

3. Kawng ruh - Femur: .

I fa khup chu hip joint nena khaikhin chuan chhung lam hawia a lan chuan ``Femoral anteversion'' an ti a ni. Hei hi a chhan chu thigh bone ``Femur'' chu chhung lam hawiin a inher vang a ni. Hetiang dinhmun hi a chang chuan nu leh pa atanga fate hnenah a kai thei bawk. ``Femoral anteversion'' hi naute chu a pum chhunga a awmna hmun avang te, a nih loh leh nausen pum chhunga ``crowding'' vang te pawh a ni thei. Doctor-te chuan kum 3 leh 6 inkarah hei hi an hre tlangpui a, chutah chuan a natna chu a tlahniam zauh zauh a ni.

Harsatna dang, a kaihhnawih hmuh tur awm lo

A tlem hle a, hriselna lama harsatna dang, pigeon ke dinhmun nena inzawm thei a awm. Chung zingah chuan:

• `(Cerebral palsy)` (nervous system lama harsatna, cerebral palsy ang chi) .
• `(Clubfoot - Talipes equinovarus)` (Pian tirh atanga ke awm chu a piansualna nasa tak) .
• Hip joint-a hmasawnna dik lo awm
• Skewfoot leh kea malformation dang hmuh tur awm lo

Hengte hi thil awm lo tak tak a nih avangin hlauthawng suh. Rinhlelhna i neih chuan Doctor nena inbiak a tha ber.

Hetiang dinhmun hi puitlingah pawh a awm em?

A tlangpuiin, pigeon feet dinhmun hi i upat deuh deuh chuan a mah chauhin a tha chho thin. Mahse, dinhmun ṭhenkhat chuan puitlin thlengin a awm reng thei a ni. Case lian ber pahnih chu:

• A hmaa kan sawi tawh `(Metatarsus adductus)` dinhmun (ke ruhte chu chhung lam hawiin, ke chu "C" ang maia lang) chu a la awm reng a ni.
• ``Femoral anteversion`` (hip bulah thigh ruh chhung lam hawia inher) a awm reng.

Pigeon feet hi eng symptoms nge ni?

Pigeon ke i neih chuan i fa ke chu a inhmachhawn a, chhung lam a hawi tih i hmu mai thei. Hei hi hetiang hian a lang thei:

• Chawlh hahdam lai chauh
• Ding lai hian `(Standing)`
• Kal lai hian `(Kal)`
• `(Running)` tih run lai hian

Pigeon ke nei naupangte chu an kum rualpui naupang dangte aiin an kal emaw, an tlan emaw hian an tlu leh tlu tlem zawk thei.

Pawimawh tak chu, pigeon foot hian direct-in arthritis a thlen lo nain, puitling thlenga a awm reng chuan stress fracture leh arthritis a thlen theihna a tipung deuh thei a ni.

Engtin nge doctor hian hei hi a hriat theih?

A tam zawkah chuan doctor-te chuan i fa chu routine well-child check-up-a i hruai hian clubfoot hi an hmuchhuak ṭhin. Physics exam an ti ang a, i fa medical history an zawt ang. I fa chu a kal tan a nih chuan doctor chuan i fa kal dan chu uluk takin a en ang. An ke, an ke ruh, khup leh hip angle te chu an ngaihven hle ang. Naupang kum upa zawkte pawh tlan turin an ti thei bawk.

Eng test nge tih a nih?

Doctor hian pigeon feet hi angle leh flexibility test hmangin a enfiah ber ang . Chungte chu taksa enfiahnaah hian a tel ve a ni. Naupang a lo upat deuh deuh emaw, a lan chhuah dan dang a awm loh chuan X-ray lak a ngai lo tlangpui.

Hei hi eng enkawl dan nge ni ang?

Thu lawmawm tak chu pigeon feet tam zawk hi chu enkawl ngai lovin anmahni chauhin an dam tha thin. Pigeon ke awm chhan a zirin i doctor chuan "watch and wait" tih a rawt thei ang. A nih loh leh, pigeon ke siamthatna tura pui turin exercise emaw physical therapy emaw an rawt thei bawk.

Mahse, a tlem hle a, enkawlna dang ngaihtuah a ngai mai thei. Chung zingah chuan:

• Serial casting hrang hrang:

A natna (Metatarsus adductus) a nasat emaw, a mah chauha a ṭhat loh emaw chuan doctor chuan ke ruhte tihzauh leh sei tûrin cast hrang hrang a rawt thei a ni. I ngaihtuah angin naute cast fai leh vawt taka vawn hi a pawimawhin a harsa hle. A châng chuan heng cast te hi a itchy thei a, a rimchhia thei bawk. Heng cast te hi hman dan tur chungchanga zawhna i neih chuan i doctor nen inbia ang che.

• Surgery - Ruh (Osteotomy) tih a ni.

Tibia a nasat a, naupang chu a upat deuh deuh a, tleirawl a hnaih deuh deuh a, a hnathawh danah harsatna a nei chhunzawm zel a nih chuan, i doctor chuan pediatric orthopaedic surgeon hnenah operation tih theih dan tur sawipui turin a refer thei che a ni. Femoral anteversion tan chuan operation hi a tha lo tlangpui. Mahse, naupang kum 11 chunglam, natna lan chhuahna na tak nei tan chuan operation tih ngaihtuah theih a ni. He surgery hi osteotomy an ti a .

Hei hi ven theih a ni em?

Natna invenna chungchang kan sawi hian a thlentu risk factors te kan en thin. Thenkhat chu kan thlak danglam thei a, a then chu kan thlak thei lo. Pigeon ke awm chhan hi kan thunun theih tak tak a ni lo. Chung zingah chuan:

• Twin emaw multiple emaw naupai, twins emaw triplets emaw neih.
• Nausen pum chhunga amniotic fluid awm zat tlahniam (Oligohydramnios) .
• Nausen lian tak .
• Naute chu breech position ah a awm a .
• Hei hi normal development atanga normal variant a ni .

Mahse thu lawmawm tak chu pigeon ke hian natna a thlen tam lo va, a dinhmun chu a mah chauhin a tha chho fo thin.

Pigeon ke nei naupangte tan eng nge hmalam hun?

Naupang clubfoot nei tan chuan outlook a tha hle. Naupangte an lo upa chhoh zel a, an balance leh coordination a lo ṭhat chhoh zel chuan clubfoot dinhmun pawh a ṭha chho zel ṭhin. Chu dinhmun chu sikul thlenga a awm reng chuan naupang chu a zak deuh emaw, a rilru a buai deuh emaw a ni thei. A tlem hle a, doctor chuan casting emaw surgery emaw a thatna leh that lohna a sawipui thei che a ni.

Pigeon feet chungchangah engtikah nge doctor ka hmuh ang?

Heng thil chungchangah hian ngaihtuahna i neih chuan i naupang enkawltu doctor nen inbia ang che:

• I fa ke emaw ke emaw a lan dan chungchang , a bik takin ke bow-legged anga lang a nih chuan.
• Naupang chu a tlu fo chuan .
• I fa tlan danah thil danglam tak i hmuh chuan .

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal hian hetiang zawhna hi i zawt thei ang:

• Eng thilin nge ka fa hian pigeon feet a neih tir?
• Pigeon ke hi enkawl loh chuan a dam tha ang em ?
• In lama exercise kan tih theih tur, pigeon ke siamthatna tur a awm em?

Hei hi siamthat theih a ni em? Hei hi rualbanlo a ni em? Nau piangsual a ni em?

Hengte hi nu leh pa tam takin zawhna an neih \henkhat chu an ni.

• Clubfoot hi puitling thlengin a awm reng lo. A tlangpuiin naupang an lo puitlin chuan an taksa ruh a chak a, an balance a lo tha chho zel a, enkawl ngai lovin an dinhmun chu a mah chauhin a lo tha chho zel a ni. I doctor chuan i fa clubfoot chu uluk takin a enfiah ang. A tlem berah chuan cast emaw surgery emaw chu duhthlan tur anga ngaih theih a ni.
• I ke lan dan hi i duh lo mai thei, mahse rualbanlo a ni lo. Anmahni nei mite chuan kea kal, tlan leh nitin thil tihnaah harsatna an nei lo.
• Nausen piang thar taksaa thil awm dan pangngai lo (birth defect) hi a ni. Nausen leh naupang tê tam takah clubfoot hi a hluar em avangin piansualna anga ngaih a ni lo.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

“Claw feet” tih thumal hi nu leh pate tan chuan a buaithlak deuh thei. Amaherawhchu, chanchin lawmawm tak chu a pawi lo tih hi a ni. Tin, i fate kal laiin a hmel lan dan tur i ngaihtuah mai thei a, mahse a tam zawkah chuan claw feet hi engmah enkawl lohvin a mah chauhin a tha ang a, chhiatna nghet tak a thlen lo ang. I fa ke emaw ke emaw hmel lan dan chungchangah ngaihtuahna i neih chuan i doctor nen inbiakna neih hlau suh. Rilru thlamuanna nasa tak a pe ang che.

` Pigeon ke, Intoeing, Naupang hriselna, Inchhung lam hawi ke, Ke deformities, Ruh thanna, Naupang kal dan