Ponseti clubfoot lapaʻau ma

E wehewehe i ke ano deformity ka wā o nā wāwae ua huli ma loko mai o ka lonikū (axis) o ka tibia, i ka manawa "clubfoot".

Congenital clubfoot pili ana i ka hui lala malformations a mea he huihui 'ana o okoa deformations o ka wāwae, IeAUPIIe, IAa IO pu supination o ka wawae a me ka pale Muscle abnormality. Clubfoot mau holo ana ia lŘlŘ ma kahi o 50 pakeneka o ka hihia. Ka 'inikua manawa no ka pono ole, ai "Classic" ke ano o ka clubfoot - Talipes ekvinoravus (Talipes equinovarus). IeAUPIIe, IAa IO congenital pathology ia lŘlŘ oi pinepine ia i loko o nā keikikāne ma mua i loko o na kaikamahine (2: 1 lākiō). Nā kumu o ka maʻi uaʻaʻole maopopo maopopo.

A me ka congenital kina, he ua i loaa palapala, i ka i kapaia neurogenic clubfoot, kena ae la ia ma ka hapanui o na hihia kue innervation.

ʻike, o typical mā o ka wāwae kauka e ukuhi i koke ma hope o ka hanau ana. Clubfoot e ole bother i ke keiki, a oia ao hoi oukou e ku, a hele. Eia naʻe, ua hoonohoia ka iapaau ana o ka clubfoot me ka hikiwawe e loaa ma hope o ka hānau, e lawe ka lanakila o ka elasticity o na nā'aʻaʻa mea nāna i hana i ka ami mea hōʻikeʻikeʻuʻuku, a me nā ligaments tendons, a mau sequentially. He nui loa, e kū ai i ka maikaʻi i nā hualoaʻa, e like me ka mea aole i pau, hoola iho ke koe uma, a e loli ai i ka mea a pau ana i loko o nā wāwae, e alakai ana i ka hope arthritic eha.

Children pele ho'āʻo i ka hana me kaʻoki kino, he makeʻe kulana iaoia,ʻikeʻia me ka Ponseti clubfoot iapaau ana (pākōlea lomilomi a me ka puna, i hoʻolei).

Hapanui clubfoot hiki ke hoola iho la oia ma kaʻuʻuku mai i loko o kahi o eono i ewalu pule ma hope o ka hanau ana. Orthopedic surgeon discusses me na makua i kaʻano o ke kanaka koho. Kona nā noi no ka? Ee wawae deformities e e ma muli o ka maopopo naauao o ka iaea ooieoeiiaeuiiai 'anatomia o ka wāwae, me ka liluwelo reactions o nāʻiʻo, ligaments, iwi.

Ponseti clubfoot lapaʻau ma - lāʻau 'ana i kūpono hoʻomohalaʻia e Kauka Ignacio Ponseti oi ma mua o 50 makahiki aku nei ma ke Kulanui o Iowa (USA), a me ka mākaukau pono-ai. Ponsetiʻano hana i hoʻolauna i loko o ka UK ma ka hopena o 1990s a popularized nationwide physiotherapist National Health Service ma Steve Wilde. Ma ka 2000s, ua lilo ka iaoia hoʻomano hoʻohana i ke aloha a hiki i Dr. John Herzenbergu i loko o ka US, a 'Eulopa, a me ka mahalo i ka surgeon i ka UK National Health Service Steve Mannayonu - ma Africa.

Ano, ma ka Ponseti iapaau ana o ka clubfoot ua noʻonoʻo i ke "gula paʻamau" i loa e hoʻomōhala ana i'āina.

Lapaau hoomaka ma ka hebedoma o ke keiki ka ola mua lua ole, a me ka straightening pae, i ka wa a ka manipulation o na tendons a me ligaments mau wāwae mai,ʻaʻole i ka eha. Ma hope o kēlā me kēia kaʻina hana pili i ka nou ana la o ka malama i ka loaʻa degere o ka hooponopono hou. Ua Ua pili ma ka manamana wāwae i ka groin, hookahi i ka pule ma ka hou kulana no elima i nā hebedomaʻehiku (ke kaumaha ma muli o ka degere o ka oolea o ka clubfoot). I loko o kēia kaʻina hana, i nā iwi o ka wawae i ke kiʻekiʻe o ua kūponoʻia.

Inā ma hope o redressatsii e pono i kekahi hou? Iaea, laila, i loko o ka hapanui o na hihia lawe mai tenotomy - mahele surgically Achilles tendon, i pono hooloihiia mai, e like me ka mea mau truncated i loko o ka clubfoot. Ma lalo o kaiakū anesthesia, ka mea, ua pili ma ke ala a pau ma ka scalpel. Kō piha dorsal palena manawa no ka wāwae. A laila, hoʻokō i ma luna o ka wāwae hookahi hou hoolei aku i ekolu i eha pule.

Ma hope o hoʻopunipuni ka anu u ia lŘlŘ tenotomy? Iaea hualoaʻa me ka kūikawā pākōlea kāmaʻa (koo aku ai "Denisa Brauna Turo") ka hāʻuleʻana ma luna o ka mea hiki ke hooheheeia hōʻino aku, a ua paa i pau ka moni i loko o ka hoʻoholo ma mua kulana ma ka? Ee i ke koena ke kanana nei i loko o ka'āina o ka puupuu wawae. ekolu eha paha mahina aahu i koo hiki ke hoemi i ka umikumamalima hola i ka lā ma hope, i ka wā e hiki mai ka mea i e hoʻohana wale i ka po. Komo i ke koo aku i ai i mau a hiki i eha makahiki, e pale aku recurrence o clubfoot.

Makahiki i loko o ke ao nei ua hanau me ka clubfoot aneane 150 000 keiki. Ponseti clubfoot lapaʻau ma - he painless a me ka holomua ma ka aneane 100 pakeneka o na hihia a pau o congenital abnormalities, ke ole ia ma pipiʻi hana ana.