Clubfoot

Clubfoot ndimikhalidwe yomwe imakhudza phazi ndi mwendo wapansi phazi likatembenukira mkati ndikutsika. Ndi chikhalidwe chobadwa nacho, chomwe chimatanthauza kuti chimakhalapo pakubadwa.

Clubfoot ndi matenda obadwa nawo kwambiri amiyendo. Amatha kukhala ofatsa komanso osinthasintha mpaka okhwima komanso okhwima.

Choyambitsa sichikudziwika. Nthawi zambiri, zimachitika zokha. Koma vutoli limatha kupitilizidwa kudzera m'mabanja nthawi zina. Zowopsa zimaphatikizaponso mbiri ya banja lavutoli ndikukhala wamwamuna. Clubfoot amathanso kupezeka ngati gawo la matenda obadwa nawo, monga trisomy 18.

Vuto lofananalo, lotchedwa positional clubfoot, silowona phazi lowuluka. Zimachokera kuphazi labwinobwino lomwe limakhala moyenerera mwanayo ali m'mimba. Vutoli limakonzedwa mosavuta akabadwa.

Maonekedwe a phazi amatha kusiyanasiyana. Phazi limodzi kapena awiri atha kukhudzidwa.

Phazi limatembenukira mkati ndikutsika pobadwa ndipo kumakhala kovuta kuliyika pamalo oyenera. Minofu ndi phazi la ng'ombe limatha kukhala locheperako pang'ono kuposa zachilendo.

Matendawa amadziwika pofufuza.

X-ray yamapazi itha kuchitidwa. Ultrasound m'miyezi 6 yoyambirira ya mimba ingathandizenso kuzindikira matendawa.

Chithandizo chitha kuphatikizira kusunthira phazi pamalo oyenera ndikugwiritsa ntchito choponya kuti chikhale pamenepo. Izi nthawi zambiri zimachitika ndi katswiri wa mafupa. Chithandizo chiyenera kuyambika mwachangu, makamaka, atangobadwa kumene, pomwe kuli kosavuta kukonzanso phazi.

Kutambasula modekha ndikubwezeretsa kumachitika sabata iliyonse kukonza phazi. Nthawi zambiri, zida zisanu mpaka 10 zimafunika. Omaliza adzakhalabe milungu itatu. Phazi likakhala pamalo oyenera, mwanayo azivala chovala cholimba chokwanira kumapeto kwa miyezi itatu. Kenako, mwanayo amavala ma brace usiku komanso nthawi yopuma mpaka zaka zitatu.

Nthawi zambiri, vuto limakhala lolimba Achilles tendon, ndipo njira yosavuta imafunikira kuti mutulutse.

Milandu yayikulu yamiyendo yoyipa idzafunika kuchitidwa opaleshoni ngati mankhwala ena sakugwira ntchito, kapena ngati vuto libwerera. Mwanayo ayenera kuyang'aniridwa ndi wothandizira zaumoyo mpaka phazi likule bwino.

Zotsatira zake nthawi zambiri zimakhala zabwino ndi chithandizo.

Zolakwika zina sizingakonzeke kwathunthu. Komabe, chithandizo chitha kusintha mawonekedwe ndi ntchito ya phazi. Chithandizo sichingakhale chopambana kwenikweni ngati phazi lamiyendo limalumikizidwa ndi zovuta zina zobereka.

Ngati mwana wanu akuchiritsidwa chifukwa cha phazi lamiyendo, itanani wothandizirayo ngati:

• Zala zakuthupi zimatupa, kutuluka magazi, kapena kusintha mtundu pansi pa choponyacho
• Osewerawo akuwoneka kuti akupweteka kwambiri
• Zala zakumapazi zimasowa mu osewera
• Osewera amachoka
• Phazi limayambanso kutembenukira kuchipatala

Talipes equinovarus; Zilonda

• Kupunduka kwa Clubfoot
• Kukonza Clubfoot - mndandanda

Martin S. Clubfoot (talipes quinovarus). Mu: Copel JA, D'Alton ME, Feltovich H, ndi al. Kujambula Kwam'mimba: Kuzindikira Kwa Mwana Mayi ndi Kusamalira. Wachiwiri ed. Philadelphia, PA: Elsevier; 2018: mutu 64.

Warner WC, Beaty JH. Matenda olumala. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 34.

Winell JJ, Davidson RS. Phazi ndi zala. Mu: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 694.