Ngakhale zovuta, ambiri angathe kuchiritsidwa popanda opaleshoni
Ngakhale mavuto a mitsempha mwa ana akhanda angakhale ovuta kwa makolo, ambiri amatha kuchiritsidwa popanda opaleshoni ngati atadziwika msanga. Zina zimachitika panthawi ya ubwana pomwe zina zimachitika panthawi yobereka.
Malingana ndi kafukufuku, pafupifupi ana 100 peresenti ya ana obadwa ku US adzakhala ndi vuto la mafupa atabadwa. Kuvulala kobadwa kumakhala kovuta kwambiri ndi magawo atatu aliwonse omwe amapezeka pa nthawi ya ubereki yobereka (komwe mutu wa mwana umachokera kumayambiriro kwa chiberekero). Mofanana ndi zofooka za mafupa, zovulala zambiri za kubadwa zingathe kuchiritsidwa popanda opaleshoni chifukwa cha kufooka kwa mafupa omwe akukulirakulirabe.
Hip Dysplasia
Hip dysplasia ndi nthawi yachipatala yokhala ndi chingwe cha mchiuno chomwe sichikuphimba bwino mpira wa chifuwa (femur). Pamene mpira-ndi-chingwe cha mgwirizano wa m'chiuno sichili bwino, mgwirizano sungapangidwe mwachizolowezi.
Kupanda kupatsidwa mankhwala panthawi yake, chiuno cha dysplasia chikhoza kuwononga kwambiri moyo wa mwanayo m'zaka zapitazi ndipo zimapangitsa kuti msana usapite patsogolo.
Mwamwayi, chifukwa mafupa a mwana adakali kukula panthawi yomwe wabadwa, matenda oyamba omwe amapezeka amayamba kulandira mankhwala othandiza kwambiri. Kuzindikira kumapangidwa ndi kupanga khungu losavuta kansalu kamene kamasuntha ndi kuyendayenda mwendo wa khanda.
Hip dysplasia pakati pa ana obadwa kumene nthawi zambiri amachiza mwa kuika mchiuno moyenera ndi chingwe chotchedwa Pavlik harness .
Ngati chiuno cha dysplasia chimazindikiritsidwa pakapita patsogolo, chithandizo chosavuta chowonjezereka chingakhale chofunika. Kuchita opaleshoni kumawonetsedwa kawirikawiri kwa ana oposa zaka chimodzi.
Clubfoot
Clubfoot ndi vuto la kubadwa lomwe limayambitsa mapazi ndi mkati. Mwana akabadwa ali ndi vutoli, matope mkati ndi kumbuyo kwa mapazi ndi ofooka kwambiri ndipo zimapangitsa kuti mapaziwo azikhala molakwika.
Chifukwa chakuti makanda ali ndi mafupa akuluakulu komanso osagwirizana, madokotala amatha kuchiza matenda popanda opaleshoni pogwiritsa ntchito njira yachinyengo yotchedwa Ponseti Method.
Poyambira m'ma 1990, Njira ya Ponseti imaphatikizapo kuchepa kwapang'onopang'ono kwa makoswe, mitsempha, ndi mapuloteni ophatikizana. Pambuyo pa chithandizo chilichonse, mapazi amachokera m'malo ndi pulasitala mpaka mafupa ndi mafupa amatha kuyanjana bwino (kawirikawiri mkati mwa miyezi iwiri). Mofanana ndi hip dysplasia, mankhwala oyambirira akugwirizana ndi zotsatira zabwino.
Metatarsus Adductus
Metatarsus adductus ndi yopweteka mapazi omwe amachititsa phazi lapansi (kutsogolo) kutsogolo. Ana amabadwa, maonekedwewa amaoneka ngati maonekedwe a phazi.
Mwamwayi, ana ambiri obadwa ndi metatarsus adductus samafunikira chithandizo ndi oposa 90 peresenti kuthetsa okha.
Ana ena, komabe, akhoza kukhala pachiopsezo chachikulu cha chitukuko cha dysplasia ngati chithunzithunzi sichidzikonzekeretsa. Pazifukwa ngati izi, malo opanda mapazi amodzi amachititsa kuti asamangidwe kwambiri. Izi zingachititse kuti mfupa ya ntchafu ifike pamwamba ndi kutuluka m'thumba la m'chiuno, zomwe zimatsogolera ku mavuto oyenda komanso nyamakazi yosafulumira.
Ngati mutawapeza msanga, dokotala wanu adzakuwonetsani momwe mungayesere kuchita zolakwika kuti musinthe malingaliro. Pa milandu yowawa kwambiri, opaleshoni angafunikire kuti atuluke ziwalo zowonongeka, potsatiridwa ndi kuponyera phazi pamalo oyenera.
> Zotsatira:
> Nsomba, W .; Ellis, M .; ndi Cornwall, M. "Mphamvu ya Metatarsus Adductus Foot Type pa Mitima Plantar Pa Kuyenda mwa Anthu Achikulire Pogwiritsa Ntchito Pedobarograph." J Foot Ank Surg. 2015; 54 (3): 449-453. DOI: 10.1053 / j.jfas.2014.11.007.
> Loder, R. ndi Skopelja, A. "The Epidemiology and Demographics of Hip Dysplasia." SRN Orthop . 2011; 2011: 238607. DOI: 10.5402 / 2011/238607.
> Ponsetti, I. ndi Smoley, E. "The Classic: Congenital Club Foot: Zotsatira za Chithandizo." Clin Orthop Relat Res. 2009; 467 (5): 1133-1145. DOI: 10.1007 / s11999-099-0720-2.