Metatarsus adductus

Metatarsus adductus ndeyekuremara kwetsoka. Mapfupa ari muchikamu chekutanga chetsoka akakotama kana kutendeukira kune rumwe rutivi rwechigunwe chikuru.

Metatarsus adductus inofungidzirwa kuti inokonzerwa nenzvimbo yemucheche mukati medumbu. Ngozi dzinogona kusanganisira:

• Pasi pebeche rakanongedzerwa mudumbu (breech position).
• Amai vaive nemamiriro anonzi oligohydramnios, maakange asina kuburitsa zvakakwana amniotic fluid.

Panogona zvakare kuve nenhoroondo yemhuri yemamiriro acho.

Metatarsus adductus idambudziko rakajairika. Ndicho chimwe chezvikonzero nei vanhu vachikudziridza "mune-zvigunwe."

Vacheche vane metatarsus adductus vanogona zvakare kuve nechinetso chinonzi developmental dysplasia yehudyu (DDH), iyo inobvumidza pfupa rehudyu kuti ribude muhomwe yehudyu.

Iko kumberi kwetsoka kwakakotama kana kukona mukati kutarisana nepakati petsoka. Kumashure kwetsoka uye makumbo zvakajairika. Inenge hafu yevana vane metatarsus adductus vane shanduko idzi mumakumbo ese ari maviri.

(Kirabhu tsoka iri dambudziko rakasiyana. Rutsoka rwakanongedzwa pasi uye gumbo rakashandurwa mukati.)

Metatarsus adductus inogona kuongororwa ine bvunzo yemuviri.

Kunyatso kuongorora chiuno kunofanirwa kuitwawo kutonga zvimwe zvikonzero zvechinetso.

Kurapa hakuwanzo kudiwa kune metatarsus adductus. Muvana vazhinji, dambudziko rinozvigadzirisa pavanoshandisa tsoka dzavo zvakajairika.

Muzviitiko apo kurapwa kuri kutariswa, sarudzo inoenderana nekuti rakasimba sei tsoka kana mutapi wezvehutano achiedza kurururamisa. Kana tsoka ichinyatsochinja uye nyore kururamisa kana kufamba mune imwe nzira, hapana kurapwa kunogona kudikanwa. Mwana anozoongororwa nguva dzese.

Kugadzirira zvigunwe hakuvhiringidze mwana kuti ave mutambi mushure mehupenyu. Muchokwadi, vazhinji vanomhanya-mhanya uye vatambi vane zvigunwe.

Kana dambudziko rikasavandudzika kana tsoka yemwana wako isingachinjike zvakakwana, kumwe kurapwa kuchayedzwa:

• Kutambanudza maekisesaizi kunogona kudikanwa. Izvi zvinoitwa kana tsoka ichikwanisa kufambiswa zviri nyore munzvimbo chaiyo. Mhuri inodzidziswa maitiro ekuita aya maekisesaizi pamba.
• Mwana wako angangoda kupfeka chishongo kana shangu dzakasarudzika, dzinonzi dzosera-dzekupedzisira shangu, kwenguva zhinji yezuva. Idzi shangu dzinobata tsoka munzvimbo chaiyo.

Kazhinji, mwana wako anozofanirwa kuve nekukandwa patsoka uye gumbo. Makanda anoshanda zvakanyanya kana akaiswa mwana wako asati ave nemwedzi misere. Iyo yekukanda inogona kunge ichichinjiswa yega yega kusvika kumavhiki maviri.

Kuvhiya hakuwanzo kudikanwa. Kazhinji yenguva, mupi wako anononoka kuvhiyiwa kusvikira mwana wako ave pakati pemakore mana neatanhatu ekuberekwa.

Chiremba wemazino chiremba anofanirwa kuve nechekuita mukurapa akaremara zvakanyanya.

Mhedzisiro yacho ingangove yakanakisa. Vanenge vese vana vachave netsoka inoshanda.

Chiverengero chidiki chevacheche vane metatarsus adductus vanogona kuve nekuvandudza kusununguka kwechiuno.

Fonera wako mupi kana iwe uine hanya nezvechitarisiko kana kushanduka kwenzvimbo dzetsoka dzako dzemucheche.

Metatarsus varus; Forefoot varus; Kugadzirira zvigunwe

• Metatarsus adductus

Deeney VF, Arnold J. Orthopedics. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chitsiko 22.

Kelly DM. Congenital anomalies ezasi ekumucheto. Mune: Azar FM, Beaty JH, eds. Kushanda kwaCampbell Orthopedics. 14th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 29.

Winell JJ, Davidson RS. Tsoka nezvigunwe. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 694.