Metatarsus adductus

Metatarsus adductus ndi phazi lopunduka. Mafupa omwe ali kumapeto kwa theka la phazi amapindika kapena kutembenukira mbali yakuphazi.

Metatarsus adductus imalingaliridwa kuti imayambitsidwa ndi malo a khanda mkati mwa chiberekero. Zowopsa zingaphatikizepo:

• Pansi pake mwanayo adalowetsedwa m'mimba (mphepo yam'mlengalenga).
• Amayi anali ndi vuto lotchedwa oligohydramnios, momwe sanatulutse madzi amniotic okwanira.

Pakhoza kukhalanso ndi mbiriyakale yabanja ya vutoli.

Metatarsus adductus ndi vuto wamba. Ichi ndi chimodzi mwazifukwa zomwe anthu amakhalira "ndi zala zazing'ono."

Ana obadwa kumene omwe ali ndi metatarsus adductus amathanso kukhala ndi vuto lotchedwa development dysplasia ya m'chiuno (DDH), yomwe imalola kuti fupa la ntchafu lituluke mchikopa.

Kutsogolo kwa phazi kumakhala kokhota kapena kozungulira pakati pa phazi. Kumbuyo kwa phazi ndi akakolo ndi zachilendo. Pafupifupi theka la ana omwe ali ndi metatarsus adductus amasintha pamapazi onse awiri.

(Kalabu phazi ndi vuto lina. Phazi limalozetsedwa pansi ndipo bondo latembenuzidwira mkati.)

Metatarsus adductus imatha kupezeka ndi mayeso athupi.

Kufufuza mosamalitsa mchiuno kuyeneranso kuchitidwa kuti muchepetse zina zomwe zimayambitsa vutoli.

Chithandizo sichofunikira kwenikweni pa metatarsus adductus. Mwa ana ambiri, vutoli limadzikonza lokha momwe amagwiritsira ntchito mapazi awo mwachizolowezi.

Pomwe chithandizo chikuganiziridwa, chisankho chimadalira momwe phazi lilili lolimba pamene wothandizira zaumoyo amayesa kuwongola. Ngati phazi limasinthasintha komanso ndikosavuta kuwongola kapena kusunthira kwina, sipangakhale chithandizo. Mwanayo amayang'aniridwa pafupipafupi.

Kukhazikika sikumasokoneza mwana kukhala wothamanga mtsogolo m'moyo. M'malo mwake, othamanga ambiri komanso othamanga ali ndi mwayi wowawa.

Ngati vutoli silikuyenda bwino kapena phazi la mwana wanu silisinthasintha mokwanira, mankhwala ena adzayesedwa:

• Zochita zolimbitsa zingakhale zofunikira. Izi zimachitika ngati phazi limatha kusunthidwa mosavuta. Banja lidzaphunzitsidwa momwe angagwiritsire ntchito izi kunyumba.
• Mwana wanu angafunikire kuvala ziboda kapena nsapato zapadera, zotchedwa nsapato zomaliza, masana ambiri. Nsapato izi zimagwira phazi pamalo oyenera.

Nthawi zambiri, mwana wanu amafunika kuponyedwa phazi ndi mwendo. Makina ogwiritsira ntchito bwino amagwiritsidwa ntchito kwambiri ngati atavalidwa mwana wanu asanakwanitse miyezi 8. Makinawo atha kusintha pamasabata 1 kapena 2 aliwonse.

Kuchita opaleshoni sikofunikira kwenikweni. Nthawi zambiri, omwe amakupatsani mwayi amachedwetsa opaleshoni mpaka mwana wanu ali pakati pa 4 ndi 6 wazaka.

Dokotala wamatenda a ana ayenera kutenga nawo mbali pothana ndi zovuta kwambiri.

Zotsatira zake nthawi zonse zimakhala zabwino kwambiri. Pafupifupi ana onse adzakhala ndi phazi lomwe limagwira ntchito.

Ana ochepa omwe ali ndi metatarsus adductus amatha kusunthika mchiuno.

Itanani omwe akukuthandizani ngati muli ndi nkhawa ndi mawonekedwe a mapazi a khanda lanu.

Metatarsus varus; Forefoot varus; Kukakamira

• Metatarsus adductus

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

Kelly DM. Kobadwa nako anomalies a m'munsi malekezero. Mu: Azar FM, Beaty JH, olemba. Opaleshoni ya Campbell. Wolemba 14th. Philadelphia, PA: Elsevier; 2021: chaputala 29.

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.