I-Metatarsus adductus

IMetatarsus adductus ukukhubazeka konyawo. Amathambo engxenyeni engaphambili yonyawo agobile noma ajike abheke eceleni kozwane olukhulu.

I-Metatarsus adductus kucatshangwa ukuthi idalwa yisikhundla sengane ngaphakathi esibelethweni. Izingozi zingafaka:

• Iphansi lengane lalikhonjwe phansi esibelethweni (breech position).
• Umama ubenesifo okuthiwa yi-oligohydramnios, lapho engakhiphanga khona uketshezi lwe-amniotic olwanele.

Kungaba nomlando womndeni waleso simo.

I-Metatarsus adductus yinkinga ejwayelekile. Kungezinye zezizathu ezenza ukuthi abantu bahlakulele "ukuzwaneka".

Izinsana ezisanda kuzalwa ezine-metatarsus adductus nazo zingaba nenkinga ebizwa nge-developmental dysplasia ye-hip (DDH), evumela ukuthi ithambo lethanga liphume esikhwameni sesinqe.

Ingaphambili lonyawo ligobile noma li-angled lingene maphakathi nonyawo. Ngemuva konyawo namaqakala kujwayelekile. Cishe uhhafu wezingane one-metatarsus adductus unalezi zinguquko ezinyaweni zombili.

(Unyawo lweklabhu luyinkinga ehlukile. Unyawo lukhonjwe phansi neqakala lafakwa.)

I-Metatarsus adductus ingatholwa ngokuhlolwa komzimba.

Ukuhlolwa ngokucophelela kwesinqe kufanele futhi kwenziwe ukuze kukhishwe ezinye izimbangela zenkinga.

Ukwelashwa akuvamile ukuthi kudingeke i-metatarsus adductus. Ezinganeni eziningi, inkinga iyazilungisa njengoba zisebenzisa izinyawo zazo ngokujwayelekile.

Ezimweni lapho kucatshangelwa ukwelashwa, isinqumo sizoncika ekutheni unyawo luqine kangakanani lapho umhlinzeki wezokunakekelwa kwempilo ezama ukuliqondisa. Uma unyawo luguquguquka kakhulu futhi kulula ukuluqondisa noma ukuhambisa kolunye uhlangothi, akukho ukwelashwa okungadingeka. Ingane izohlolwa njalo.

Ukwenza inzwane akuphazamisi ekutheni ingane ibe ngumsubathi kamuva empilweni. Eqinisweni, abagijimi abaningi nabagijimi banokuzilungiselela.

Uma inkinga ingathuthuki noma unyawo lwengane yakho lungaguquguquki ngokwanele, ezinye izindlela zokwelashwa zizozama:

• Ukuzivocavoca okwelula kungadingeka. Lokhu kwenziwa uma unyawo lungahanjiswa kalula endaweni ejwayelekile. Umndeni uzofundiswa ukuthi ungayenza kanjani le mithambo ekhaya.
• Ingane yakho ingadinga ukugqoka isicucu noma izicathulo ezikhethekile, ezibizwa ngokuthi izicathulo ezibuyela emuva, isikhathi esiningi sosuku. Lezi zicathulo zibamba unyawo endaweni efanele.

Imvamisa, ingane yakho izodinga ukuba nesamente onyaweni nasemlenzeni. Isamente lisebenza kahle kakhulu uma lifakwa ngaphambi kokuba ingane yakho ibe nezinyanga eziyi-8 ubudala. Okusakazwayo kungenzeka kuguqulwe njalo emavikini ayi-1 kuye kwayi-2.

Ukuhlinzwa akuvamile ukudingeka. Isikhathi esiningi, umhlinzeki wakho uzophuza ukuhlinzwa kuze kube yilapho ingane yakho iphakathi kweminyaka engu-4 nengu-6 ubudala.

Udokotela wamathambo ezingane kufanele abambe iqhaza ekwelapheni ukukhubazeka okukhulu.

Umphumela ucishe ube muhle kakhulu. Cishe zonke izingane zizoba nonyawo olusebenzayo.

Inani elincane lezinsana ezine-metatarsus adductus lingaba nokuhlukaniswa kwentuthuko okhalweni.

Shayela umhlinzeki wakho uma ukhathazekile ngokubukeka noma ukuguquguquka kwezinyawo zosana lwakho.

Metatarsus varus; I-forefoot varus; Kuzwane

• I-Metatarsus adductus

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UKelly DM. Okuzenzakalelayo kokuzalwa komkhawulo ongezansi. Ku: Azar FM, Beaty JH, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2021: isahluko 29.

UWinell JJ, Davidson RS. Unyawo nezinzwani. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 694.