Chipilala chapamwamba

Chipilala chapamwamba ndi chipilala chomwe chimakwezedwa kuposa zachilendo. Chipilalacho chimayambira kuchokera kumapazi mpaka chidendene pansi pa phazi. Amatchedwanso pes cavus.

Chipilala chapamwamba ndichosiyana ndi mapazi athyathyathya.

Malo okwera mapazi sakhala ofala kwambiri kuposa mapazi osalala. Amakhala pachiwopsezo cha mafupa (mafupa) kapena mitsempha (minyewa).

Mosiyana ndi mapazi athyathyathya, mapazi opindika kwambiri amakhala opweteka. Izi zili choncho chifukwa kupsinjika kwakukulu kumayikidwa pagawo la phazi pakati pa bondo ndi zala (metatarsals). Vutoli limatha kupangitsa kuti zikhale zovuta kulowa mu nsapato. Anthu omwe ali ndi zipilala zapamwamba nthawi zambiri amafunika kuthandizidwa ndi phazi. Chipilala chachikulu chingayambitse kulemala.

Zizindikiro zake ndi izi:

• Kufupikitsa kutalika kwa phazi
• Zovuta zokwanira nsapato
• Kupweteka kwa phazi ndikuyenda, kuyimirira, ndi kuthamanga (sikuti aliyense ali ndi chizindikirochi)

Munthuyo akaimirira phazi, instep imawoneka yopanda pake. Kulemera kwambiri kumakhala kumbuyo ndi mipira ya phazi (mutu wazitsulo).

Wothandizira zaumoyo wanu adzawona ngati chipilalacho chimasinthasintha, kutanthauza kuti chimatha kusunthidwa.

Mayeso omwe angachitike ndi awa:

• X-ray ya mapazi
• X-ray ya msana
• Zojambulajambula
• MRI ya msana
• Maphunziro owongolera amitsempha
• Kuyesedwa kwa majini kuti muyang'ane majini obadwa nawo omwe angamupatse mwana wanu

Mitsuko yayikulu, makamaka yomwe imasinthasintha kapena imasamalidwa bwino, singafunike chithandizo chilichonse.

Nsapato zowongolera zitha kuthandizira kuthetsa ululu ndikuwongolera kuyenda. Izi zimaphatikizapo kusintha kwa nsapato, monga cholumikizira arch ndi cholimbikitsira chothandizira.

Kuchita opareshoni phazi nthawi zina kumafunika pamavuto akulu. Mavuto aliwonse amitsempha omwe alipo ayenera kuthandizidwa ndi akatswiri.

Maganizo amatengera momwe zimakhalira zipilala zazitali. Pazaka zochepa, kuvala nsapato zoyenera ndi zotchingira kumbuyo kungapereke mpumulo.

Zovuta zingaphatikizepo:

• Kupweteka kosatha
• Kuvuta kuyenda

Itanani omwe akukuthandizani ngati mukuganiza kuti muli ndi ululu wamapazi okhudzana ndi zipilala zazitali.

Anthu omwe ali ndi mapazi olimba kwambiri ayenera kuyang'aniridwa ngati ali ndi minyewa komanso mafupa. Kupeza izi kungathandize kupewa kapena kuchepetsa mavuto.

Pes cavus; Chipilala chapamwamba

Deeney VF, Arnold J. Orthopedics. Mu: Zitelli BJ, McIntire SC, Norwalk AJ, olemba., Eds. Zitelli ndi Davis ’Atlas of Pediatric Physical Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 22.

Mchere BJ. Matenda a Neurogenic. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 86.

Winell JJ, Davidson RS. Phazi ndi zala. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 674.