IMetatarsus adductus

I-Metatarsus adductus kukukhubazeka kweenyawo. Amathambo akwisiqingatha esingaphambili sonyawo olugobileyo okanye ajike ajonge kwicala lezwane.

I-Metatarsus adductus icingelwa ukuba ibangelwa yimeko yosana ngaphakathi kwisibeleko. Iingozi zinokubandakanya:

• Umphantsi wosana wawukhonjwe ezantsi esibelekweni (breech position).
• Umama wayenemeko ebizwa ngokuba yi-oligohydramnios, apho engakhange avelise ngokwaneleyo i-amniotic fluid.

Kunokubakho nembali yosapho yale meko.

I-Metatarsus adductus yingxaki eqhelekileyo. Sesinye sezizathu zokuba kutheni abantu bephuhlisa "iinzwane."

Iintsana ezine-metatarsus adductus nazo zinokuba nengxaki ebizwa ngokuba yi-dysplasia yentsimbi (DDH), evumela ukuba ithambo lethanga liphume kwisokhethi.

Umphambili wonyawo ugobile okanye ujonge ngaphakathi embindini wonyawo. Umva wonyawo namaqatha ziqhelekile. Phantse isiqingatha sabantwana abane-metatarsus adductus banolu tshintsho kwiinyawo zombini.

(Unyawo lweklabhu yingxaki eyahlukileyo. Unyawo lukhonjwe phantsi kwaye iqatha lijikile.)

I-Metatarsus adductus inokufunyanwa kuvavanyo lomzimba.

Uvavanyo olunonophelo lwenyonga kufuneka lwenziwe ukulawula ezinye izizathu zengxaki.

Unyango kunqabile ukuba lufuneke kwimetatarsus adductus. Uninzi lwabantwana, ingxaki iyazilungisa njengoko basebenzisa iinyawo zabo ngokwesiqhelo.

Kwiimeko apho unyango luthathelwa ingqalelo, isigqibo siya kuxhomekeka ekubeni lungqine kangakanani unyawo xa umboneleli wezempilo ezama ukululungisa. Ukuba unyawo lubhetyebhetye kwaye kulula ukulolula okanye ukuhamba kwelinye icala, akukho nyango lunokufuneka. Umntwana uya kujongwa rhoqo.

In-toeing ayiphazamisi ukuba umntwana abe yimbaleki kamva ebomini. Ngapha koko, uninzi lwee-sprinters kunye neembaleki zinenzwane.

Ukuba ingxaki ayiphucuki okanye unyawo lomntwana wakho aluguquki ngokwaneleyo, olunye unyango luya kuzanywa:

• Ukuzolula umzimba kunokufuneka. Oku kwenziwa ukuba unyawo lunokuhanjiswa ngokulula kwindawo eqhelekileyo. Usapho luya kufundiswa ukwenza le mithambo ekhaya.
• Umntwana wakho unokufuna ukunxiba isicathulo okanye izihlangu ezizodwa, ezibizwa ngokuba zezihlangu eziguqukayo, uninzi losuku. Ezi zihlangu zibambe unyawo kwindawo efanelekileyo.

Rhoqo, umntwana wakho kuya kufuneka afakwe isamente elunyaweni nasemlenzeni. Isamente zisebenza kakuhle xa zibekwe phambi kokuba umntwana abe neenyanga ezisi-8 ubudala. Isamente iya kutshintshwa rhoqo emva kweeveki ezi-1 ukuya kwezi-2.

Uqhaqho olunqabileyo alufuneki. Uninzi lwexesha, umboneleli wakho uya kulibazisa utyando ade umntwana wakho aphakathi kweminyaka emi-4 ukuya kwe-6 ubudala.

Ugqirha wamathambo wabantwana kufuneka abandakanyeke kunyango lweziphene ezinzima.

Isiphumo sihlala sihle kakhulu. Phantse bonke abantwana baya kuba nonyawo olusebenzayo.

Inani elincinci leentsana ezine-metatarsus adductus zinokuphucuka ekukhupheni inyonga.

Biza umnikezeli wakho ukuba unenkxalabo malunga nokubonakala okanye ukuguquguquka kweenyawo zosana lwakho.

IMetatarsus varus; I-forefoot varus; Ekuzwaneni

• IMetatarsus adductus

UDeeney VF, uArnold J. Orthopedics. Ku: Zitelli BJ, McIntire SC, Nowalk AJ, ii-eds. UZitelli no-Davis ’Atlas of Pediatric Physical Diagnosis. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2018: isahluko 22.

UKelly DM. Ukungaqheleki kokubeleka komda osezantsi. Ku: Azar FM, Beaty JH, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-14. IPhiladelphia, PA: Elsevier; 2021: isahluko 29.

UWinell JJ, Davidson RS. Unyawo neenzwane. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 694.