Ponseti ncheihu n'elu ọgwụgwọ na

Iji kọwaa ihe e ji mara nrụrụ mgbe ụkwụ laghachi n'ime si longitudinal axis nke adị ka okporo ụkwụ, okwu bụ "ncheihu n'elu".

Congenital ncheihu n'elu na-ezo aka otu N'ịdị malformations na bụ a Nchikota dị iche iche deformations ụkwụ, na-emekarị so iche ihu n'elu nke ụkwụ na ukwu muscle nhata. Ụkwụ ncheihu n'elu abụọ stop n'akparamagwa banyere 50 percent nke ikpe. The ọgwụ na okwu maka a nkịtị ma ọ bụ "kpochapụwo" ụdị ụkwụ ncheihu - Talipes ekvinoravus (Talipes equinovarus). Abụkarị congenital daa ọrịa emee ihe ugboro ugboro n'ebe ụmụ nwoke karịa ụmụ agbọghọ (2: 1 ruru). Na-akpata ọrịa na-ghọtara.

Yana a congenital ntụpọ, e na-enwetara ụdị, na-akpọ neurogenic ncheihu n'elu, mere ọtụtụ mgbe mebiri innervation.

Diagnosis nke-ahụkarị ntụpọ ụkwụ dọkịta na-ewepụta ozugbo mgbe amuchara nwa. Ụkwụ ncheihu n'elu ga emekpala nwa, ruo mgbe ọ na-amụta na-eguzo na-eje ije. Otú ọ dị, na ọgwụgwọ nke na ụkwụ ncheihu họpụtara ka anya dị ka o kwere mee mgbe mụrụ-uru nke ekwedo nke anụ ahụ na-etolite na nkwonkwo, akwara na akwara, na-aga n'ihu sequentially. Ọ dị ezigbo mkpa iji nweta ihe kacha mma results, dị ka ọ na-adịghị akwụsị gwọrọ anọgide curved, nke na-emetụta dum ije na ụkwụ, na-eduga na ụdi ogbu na nkwonkwo mgbu.

Children-emekarị na-agbalị na-emeso na-enweghị usiakidem, a mgbanwe usoro, mara dị ka Ponseti ncheihu n'elu omume (ọgwụgwọ ịhịa aka n'ahụ na plaster nkedo).

Imeriime ụkwụ ncheihu n'elu nwere ike gwọrọ na obere na isii na asatọ izu mgbe amuchara nwa. Orthopedic dọkịta na-awa na-atụle na ndị nne na nna a dịgasị iche iche nke ọgwụgwọ nhọrọ. Ya amụma n'ihi na agbazi ntụpọ n'ụdị ga-dabere na a nghọta doro anya nke ọtọ Mmebe ụkwụ, ndu Jeremaya mere, nke uru ahụ, ụdọ, ọkpukpu.

Ponseti ncheihu n'elu ọgwụgwọ na - achịkwa Usoro mepụtara Dr. Ignacio Ponseti ihe karịrị afọ 50 gara aga na Mahadum nke Iowa (USA), na oké ọma pụtara. Ponseti Usoro ke ẹkenam ke UK ke mbubreyo 1990s na-ewu ewu mba physiotherapist National Health Service site Steve Wilde. Na 2000s, usoro aghọwo ọtụtụ-eji ekele Dr. John Herzenbergu na US na Europe, na ekele na dọkịta na-awa na UK National Health Service Steve Mannayonu - na Africa.

Ugbu a na Ponseti ọgwụgwọ nke ncheihu n'elu a na-ewere na "gold ọkọlọtọ" ọtụtụ mba ndị mepere emepe.

Ọgwụgwọ-amalite na mbụ ma ọ bụ abụọ n'izu nke ndụ nwa, na hulite adọ, mgbe aghụghọ nke akwara na akwara njikọ ụkwụ anaghị eme ka ihe mgbu. Mgbe ọ bụla usoro na-emetụta nkedo ịnọgide na-enwe enweta ogo mgbazi. Ọ na-etinyere site mkpịsị aka ụkwụ ukwu, otu ugboro n'izu na ọhụrụ na ọnọdụ maka ise izu asaa (dabere na ogo nke ogo ka ụkwụ ncheihu n'elu). N'oge usoro a, ọkpụkpụ ụkwụ na-eji nwayọọ nwayọọ kwekọọ.

Ọ bụrụ na mgbe redressatsii adịghị mkpa ọ bụla ọzọ mgbazi, mgbe ọtụtụ mgbe rụrụ mpaghara ukwu anụ - nkewa surgically òtù Achilles akaị, nke na-achọ ogologo oge, dị ka mgbe ọ truncated na ụkwụ ncheihu n'elu. N'okpuru obodo ná Nkụnwụ Ahụ, ọ na-na-akọrọ site n'ụzọ nile gafee mkpa mee. Enweta full dorsal ndọtị ụkwụ. Mgbe ahụ wetara na ụkwụ ọzọ wuara atọ na izu anọ.

Mgbe gwara nzọụkwụ emee mpaghara ukwu anụ mgbazi pụta pụrụ iche ọgwụgwọ shoes (nkwado ma ọ bụ "Denisa Brauna taya") eji na metal okporo ígwè, nke bụ ofu akwụsị na a gaghị agara ọnọdụ site na-agbazi mmapụta nje na mpaghara nke ụkwụ. Mgbe atọ ma ọ bụ ọnwa anọ yi a nkwado nwere ike na-ebelata ka iri na ise awa ụbọchị, na-eme n'ọdịnihu na ha nwere ike-eji naanị n'abalị. Eyi nkwado ruo abụọ ruo afọ anọ iji gbochie nlọghachite nke ụkwụ ncheihu n'elu.

Kwa afo na ụwa a mụrụ nwere ụkwụ ncheihu n'elu fọrọ nke nta 150 000 ụmụ. Ponseti ncheihu n'elu ọgwụgwọ na - a enweghi mgbu na ihe ịga nke ọma na ọ fọrọ nke nta 100 percent nke N'ọnọdụ nile nke congenital abnormalities, na-azọpụta na oké ọnụ ígwè arụmọrụ.