Metatarsus adductus
Metatarsus adductus yog txhais ko taw deformity. Cov pob txha nyob rau hauv pem hauv ntej ib nrab ntawm ko taw khoov los yog tig rau hauv sab ntawm tus ntiv taw loj.
Metatarsus adductus yog xav los ntawm tus menyuam qhov chaw nyob sab hauv lub tsev menyuam. Kev phom sij kuj yuav muaj xws li:
- Tus menyuam cov menyuam hauv qab tau taw hauv plab (chaw khoov).
- Tus niam muaj tus mob hu ua oligohydramnios, uas nws tsis tsim cov kua dej amniotic txaus.
Tej zaum kuj tseem muaj keeb kwm tsev neeg ntawm tus mob no.
Metatarsus adductus yog ib qho teeb meem uas ncaj. Nws yog ib qho ntawm cov laj thawj uas vim li cas tib neeg tsim "kev tiv thaiv-hauv ntiv taw."
Cov menyuam mos yug tshiab uas muaj metatarsus adductus kuj tseem muaj teeb meem hu ua kev loj hlob ntawm lub ntsag (DDH), uas ua rau cov leeg pob txha xaub tawm ntawm lub ntsag.
Sab xub ntiag ntawm lub taw yog khoov los yog ntawm lub ntsej muag mus rau nruab nrab ntawm tus taw. Sab nraub qaum thiab pob taws tsis zoo li qub. Li ntawm ib nrab ntawm cov menyuam yaus uas siv metatarsus adductus muaj cov kev hloov ntawm ob txhais taw.
(Qws ko taw yog qhov teeb meem sib txawv. Qhov ko taw taw thiab nws pob luj taws tig rov los.)
Kev kuaj mob Metatarsus adductus tuaj yeem kuaj tau nrog kev kuaj lub cev.
Kev kuaj mob ntawm lub ntsag yuav tsum tau ua kom ntsuas lwm qhov ua rau muaj teeb meem.
Yuav kho tsis tshua tau tshuaj metatarsus adductus. Feem ntau ntawm cov menyuam yaus, qhov teeb meem kho nws tus kheej vim yog lawv siv lawv tus taw nquag.
Thaum muaj kev kho mob, qhov kev txiav txim siab yog nyob ntawm seb cov ko taw nruj npaum li cas thaum tus kws kho mob sim ncaj nws. Yog hais tias tus taw yog yooj ywm thiab yooj yim kom ncaj los yog txav mus rau lwm qhov, tsis muaj kev kho mob ntxiv. Tus me nyuam yuav raug kuaj xyuas tsis tu ncua.
Tus ntiv taw tsis cuam tshuam nrog tus menyuam yaus ua kis las tom qab lub neej. Qhov tseeb, ntau tus neeg ncaws pob thiab cov kis las tau sib tw ntiv taw.
Yog tias qhov teeb meem tsis zoo lossis koj tus menyuam txhais ko taw tsis yoog raws, lwm yam kev sim yuav raug sim:
- Yuav tsum tau ua kom qoj ib ce. Cov no yog ua tiav yog tias ko taw tuaj yeem hloov tau yooj yim mus rau hauv txoj haujlwm qub. Tsev neeg yuav tau qhia yuav ua li cas ua cov kev qoj ib ce nyob tom tsev.
- Koj tus menyuam yuav tsum hnav khau lossis khau tshwj xeeb, hu ua khau hloov tshiab, rau ntau hnub. Cov khau no tuav ko taw nyob hauv txoj hauj lwm tseeb.
Tsis tshua muaj txiaj ntsig, koj tus menyuam yuav tsum muaj kev pov rau ntawm ko taw thiab ceg. Cov haujlwm pov tau zoo yog tias lawv muab ua ntej koj tus menyuam muaj 8 lub hlis. Lub tsev menyuam tej zaum yuav hloov pauv txhua 1 txog 2 asthiv.
Kev phais mob tsis tas yuav muaj. Feem ntau, koj tus kws khomob yuav ncua sijhawm phais mob kom txog rau thaum koj tus menyuam muaj 4 mus txog 6 xyoo.
Cov kws kho menyuam yaus orthopedic kws kho mob yuav tsum koom nrog kev kho mob deformities ntau dua.
Qhov tshwm sim yog yuav luag ib txwm zoo. Yuav luag txhua tus menyuam yaus yuav muaj ko taw uas ua haujlwm.
Cov menyuam mos uas muaj metatarsus adductus me me yuav muaj kev loj hlob ntawm lub ntsag.
Hu rau koj tus kws kho mob yog tias koj muaj kev txhawj xeeb txog qhov zoo li lossis hloov tau ntawm koj tus me nyuam txhais ko taw.
Metatarsus varus; Forefoot varus; Hauv-ntiv taw
- Metatarsus adductus
Deeney VF, Arnold J. Orthopedics. Hauv: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli thiab Davis 'Atlas Kev Kuaj Mob Rau Menyuam yausCov. 7 tus ed. Philadelphia, PA: Elsevier; 2018: chap 22.
Kelly DM. Congenital anomalies ntawm qis qis dua. Hauv: Azar FM, Beaty JH, eds. Campbell's Kev Ua Haujlwm OrthopedicsCov. Xab 14th. Philadelphia, PA: Elsevier; 2021: chap 29.
Winell JJ, Davidson RS. Qhov ko taw thiab ntiv taw. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm PediatricsCov. 21st ed. Philadelphia, PA: Elsevier; 2020: chap 694.