Mapazi apansi

Phazi lathyathyathya (pes planus) limatanthawuza kusintha kwa mawonekedwe amiyendo pomwe phazi silimakhala ndi chipilala choyimirira.

Mapazi apansi ndi ofanana. Vutoli limakhala lachizolowezi kwa makanda ndi makanda.

Mapazi alyathyathya amapezeka chifukwa minofu yomwe imagwirizira palimodzi (yotchedwa tendon) ndi yotayirira.

Minofuyo imalimba ndikupanga chingwe pamene ana amakula. Izi zidzachitika mwana akadzakwanitsa zaka ziwiri kapena zitatu. Anthu ambiri amakhala ndi zipilala zabwinobwino akadzakula. Komabe, chipilalacho sichingakhale mwa anthu ena.

Mavuto ena obadwa nawo amayambitsa tendon zotayirira.

• Matenda a Ehlers-Danlos
• Matenda a Marfan

Anthu obadwa ndi izi akhoza kukhala ndi mapazi athyathyathya.

Kukalamba, kuvulala, kapena matenda atha kuvulaza ma tendon ndikupangitsa kuti mapazi athyathyathya akhazikike mwa munthu yemwe adapanga kale arches. Phazi lanthabwaloli limatha kuchitika mbali imodzi.

Nthawi zambiri, mapazi opweteka opweteka mwa ana amatha kuyambitsidwa ndi vuto lomwe mafupa awiri kapena kupitilira apo phazi limakula kapena kulumikizana. Vutoli limatchedwa mgwirizano wamatera.

Phazi lathyathyathya silimayambitsa kupweteka kapena mavuto ena.

Ana amatha kupweteka phazi, kupweteka kwa akakolo, kapena kupweteka m'munsi mwendo. Ayenera kuwunikidwa ndi othandizira azaumoyo ngati izi zingachitike.

Zizindikiro mwa akuluakulu zimatha kuphatikizira kutopa kapena kupweteka kwa mapazi atatha kuyimirira kapena kusewera masewera. Inunso mutha kukhala ndi ululu kunja kwa bondo.

Mwa anthu omwe ali ndi phazi lathyathyathya, phazi limalumikizana ndi nthaka ikaimirira.

Kuti mupeze vutoli, woperekayo akupemphani kuti muime pazala zanu. Ngati chingwe chimapangidwa, phazi lathyathyathya limatchedwa kusintha. Simufunikanso mayeso kapena chithandizo china.

Ngati chipikacho sichipangidwe ndi kuyimilira kwa zala zazing'ono (zotchedwa phazi lolimba), kapena ngati pali ululu, mayeso ena angafunike, kuphatikiza:

• CT scan kuti ayang'ane mafupa apansi
• Kujambula kwa MRI kuti ayang'ane tendon phazi
• X-ray ya phazi kuti ayang'ane nyamakazi

Mapazi athyathyathya mwa mwana safuna chithandizo ngati sakupweteka kapena kuyenda mavuto.

• Mapazi a mwana wanu amakula ndikukula chimodzimodzi, ngakhale nsapato zapadera, kulowetsa nsapato, makapu a chidendene, kapena mphero.
• Mwana wanu amatha kuyenda wopanda nsapato, kuthamanga kapena kudumpha, kapena kuchita zina zilizonse popanda kupondaponda mapazi.

Kwa ana okalamba komanso achikulire, osunthika osunthika mapazi omwe samapweteka kapena kuyenda pamavuto safuna chithandizo china.

Ngati mukumva kuwawa chifukwa chamapazi osunthika, izi zingathandize:

• Chingwe chothandizira (orthotic) chomwe mumayika mu nsapato zanu. Mutha kugula izi m'sitolo kapena mwazipanga kale.
• Nsapato zapadera.
• Minofu ya ng'ombe imatuluka.

Mapazi okhwima kapena opweteka amafunika kuyang'aniridwa ndi omwe amapereka. Mankhwalawa amatengera chifukwa cha phazi lathyathyathya.

Pampando wama tarsal, chithandizo chimayamba ndikupuma ndipo mwina woponya. Kuchita opaleshoni kungafunike ngati kupweteka sikukuyenda bwino.

Pazovuta zazikulu, opaleshoni imafunika kuchita izi:

• Sambani kapena konzani tendon
• Kusamutsa tendon kuti ibwezeretse chipilalacho
• Lama fuyusi mfundo phazi mu malo kukonza

Mapazi apamwamba kwa okalamba amatha kuchiritsidwa ndi zopewetsa ululu, mafupa, komanso nthawi zina opaleshoni.

Nthawi zambiri phazi lathyathyathya silimva kuwawa ndipo silimabweretsa mavuto. Sadzafunika chithandizo.

Zina mwazomwe zimapweteketsa mapazi amatha kutichitira popanda opaleshoni. Ngati mankhwala ena sakugwira ntchito, pamafunika opaleshoni kuti muchepetse ululu nthawi zina. Zinthu zina monga mgwirizano wa tarsal zitha kufunikira kuchitidwa opareshoni kuti phazi likhale losinthasintha.

Kuchita maopareshoni nthawi zambiri kumathandizira kupweteka ndi phazi kwa anthu omwe amafunikira.

Mavuto omwe angakhalepo pambuyo pa opaleshoni ndi awa:

• Kulephera kwa mafupa osakanikirana kuchira
• Kupunduka kwa phazi komwe sikuchoka
• Matenda
• Kutaya kuyenda kwamiyendo
• Ululu womwe sutha
• Mavuto akukwana nsapato

Itanani omwe akukuthandizani ngati mukumva kupweteka kumapazi kapena mwana wanu akudandaula za kupweteka kwa phazi kapena kupweteka kwa mwendo.

Nthawi zambiri sitingapewe. Komabe, kuvala nsapato zothandizidwa bwino kumatha kukhala kothandiza.

Pes planovalgus; Mabwalo ogwa; Kutchulidwa kwa mapazi; Pes planus

Mchere BJ. Zovuta zama tendon ndi fascia ndi achinyamata ndi akulu pes planus. Mu: Azar FM, Beaty JH, Canale ST, eds. Opaleshoni ya Campbell. Wolemba 13. Philadelphia, PA: Elsevier; 2017: mutu 82.

Myerson MS, Kadakia AR. Kuwongolera kupunduka kwa flatfoot mwa munthu wamkulu. Mu: Myerson MS, Kadakia AR, eds. Opaleshoni Yoyendetsa Mapazi ndi Ankolo: Kuwongolera Zovuta. Wachitatu ed. Philadelphia, PA: Elsevier; 2019: chaputala 14.

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.