Hōʻike ka genu varum i ka ʻae ʻana o nā kuli i waho. Ua ʻōlelo ʻia he physiological ma mua o 3 mau makahiki, a he pathological ke hoʻomau. Ma ka ʻōlelo maʻamau, ʻōlelo mākou i kekahi manawa no "nā wāwae kakaka". Holo nā kuli ʻelua mai kekahi i kekahi. Hiki ke noʻonoʻo ʻia kekahi mau lāʻau lapaʻau inā he pathological genu varum.

Wehewehe o ka varum kuli

ʻO ka genu varum e pili ana i ka haʻalele ʻana o nā kuli e kū i ka wā ulu. I ka hānau ʻana, ʻaʻole i paʻa pono ke koʻi o nā lālā haʻahaʻa. He genu varum maoli ke keiki hānau hou, ʻo ia hoʻi, he ʻeʻe o nā kuli i waho.

E hoʻohuli mālie ʻia ke koʻi o nā lālā haʻahaʻa me ka loaʻa ʻana o kahi valgum genu (ka hoʻokaʻawale ʻana o nā kuli i loko) ma mua o ka loaʻa ʻana o ka alignment physiological makua. Eia nō naʻe, aia kekahi mau hihia e hoʻomau ai ka genu varum. Ua ʻōlelo ʻia he pathological, kūʻē i ka physiological genu varum e kū nei i nā makahiki mua o nā keiki. Hiki i ka pathological genu varum ke loaʻa nā wehewehe he nui i wehewehe ʻia ma lalo nei.

Knee kumu ia oe Var

Ma kahi o 3 mau makahiki, ʻike ʻia ka genu varum i ka physiological. He kahua ia o ka ulu ana o ke keiki. A laila e align mālie nā kuli me ke axis physiological makua.

Manaʻo ʻia ka genu valgum he pathological inā ʻaʻole e emi. He hōʻailona kēia hihia o ka pōʻino i ka cartilage ulu i loaʻa i kahi kumu hānau a i loaʻa paha. ʻO nā kumu nui o ka pathological genu varum:

• congenital varus ka mea maʻamau ka hopena o ka male ʻana o ka fetal;
• ʻo nā rikeke hemahema ka wikamina D a i ʻole nā ​​rickets kūpaʻa vitamin, ka hopena i hemahema a lohi paha ka mineralization iwi;
• ʻo ka achondroplasia kahi maʻi genetic i hopena i ka dwarfism;
• ʻO ka maʻi o Blount, kahi i hōʻike ʻia e ka ulu ʻana o ka tibia;
• kekahi mau dysplasias, ʻo ia hoʻi, nā maʻi i ka hoʻomohala ʻana o nā ʻiʻo a i ʻole nā ​​ʻāpana e like me ka focal fibrocartilaginous dysplasia.

DIAGNOSTIC kuli du Var

Hoʻokumu ʻia ia ma kahi hoʻokolohua hoʻokolohua. I ke kikoʻī, e ana ke kauka ʻoihana olakino:

• ka mamao waena, ʻo ia ka mamao ma waena o nā condyles o loko o nā femur;
• ke kihi femoro-tibial, ʻo ia ka ʻōlelo i ke kihi ma waena o ka femur (hoʻokahi iwi o ka ʻūhā) a me ka tibia (iwi o ka wāwae).

I ka hapa nui o nā hihia, hana ʻia ke kuhi o ka genu valgum i nā keiki. E kau ʻia kēia i kahi kū me nā kuli i hoʻonui ʻia a me nā kneecaps e kū pono ana i mua. Inā hōʻole ke keiki, hiki ke hana i ka hoʻokolokolo ʻana ke moe ʻoe i lalo.

No ka hoʻonui ʻana i ka ʻike a ʻike i ke kumu o ka genu varum, hiki ke hana ʻia nā hoʻokolohua hou. Hiki i ka 'oihana mālama ola ke noi aku:

• nā hoʻokolohua kiʻi olakino;
• he mahele lāʻau o ka wikamina D.

Nā kānaka i hoʻopilikia ʻia e ka genu varum

Hiki ke ʻike ʻia ka Genu varum i nā keiki he nui ma waena o 0 a 2 mau makahiki. A laila lilo ia i pae o ka ulu maʻamau.

ʻOi aku ka maʻalahi o ka pathological genum varum. Aia ia i ka wā e hoʻomau ai ka ʻae ʻana o nā kuli ma hope o 3 mau makahiki. ʻIke pinepine ʻia i nā keiki akā i kekahi manawa i nā pākeke.

Hiki i kekahi mau mea ke hoʻonui i ka pilikia o ka genu varum pathological:

• predisposition kūlohelohe;
• ke kaumaha nui a i ʻole ka momona;
• nā hemahema, ʻo ia hoʻi nā hemahema huaora;
• ka hoʻomaʻamaʻa ʻana i kekahi mau haʻuki, ʻoi loa ma kahi kiʻekiʻe.

ʻO ka hoʻohuli ʻana o nā kuli i waho

Hōʻike ʻia ka genu varum e ka ʻae ʻana o nā kuli i waho. Ua mamao loa nā kuli ʻelua mai kekahi i kekahi. Ma ka ʻōlelo maʻamau, ʻōlelo mākou i kekahi manawa no "nā wāwae kakaka". Ma muli o ka hihia, hiki ke hoʻololi i nā kuli:

• unilateral a i ʻole bilateral;
• ʻoi aku a ʻoi iki paha o ke koʻikoʻi;
• symmetrical a asymmetrical paha.

ʻO nā hōʻailona ʻē aʻe

• ʻO ka pilikia i ka hele ʻana: Ke hoʻomau ʻia, hiki i ka genu varum ke hoʻopilikia i ka neʻe ʻana o nā lālā haʻahaʻa. I kekahi manawa hiki ke hele pū ka ʻeha me ka ʻeha ma nā kuli a me ka ʻoʻoleʻa.
• Ka pilikia o nā pilikia: Hiki i ka pathological genum varum ke alakaʻi i kahi luku holomua o ka cartilage. He kumu pilikia kēia no ka gonarthrosis (osteoarthritis o ke kuli).

Ma mua o 3 mau makahiki, ʻaʻole pono ka physiological genu valgum i kahi lapaʻau. He pae ulu maʻamau kēia. ʻO ka hoʻohuli ʻana i waho o nā kuli e mae maoli.

Ma ka ʻaoʻao ʻē aʻe, hiki ke noʻonoʻo ʻia ka mālama ʻana i kekahi mau hihia o ka genu varum pathological. Pili ia i ke kumu i ʻike ʻia a me nā hōʻailona i ʻike ʻia:

• wikamina D supplementation ma ka hihia o ka hemahema;
• kahi osteotomy kahi hana ʻoki e pili ana i ka hoʻoponopono ʻana i nā iwi a me nā deformities hui;
• deepiphysiodesis, kahi hana ʻoki e hoʻoliʻiliʻi epiphysiodesis (ulu maʻi me ka trauma i ka cartilage);
• ka lapaʻau orthopedic me, no ka laʻana, ke kau ʻana o nā splint a me / a i ʻole nā ​​insoles;
• nā kau physiotherapy;
• anti-inflammatory and analgesic lapaʻau no ka ʻehaʻeha loa i nā kuli.

ʻAʻole hiki ke pale ʻia kekahi mau maʻi genu varum, ʻoi aku ka nui o nā kumu genetic. Ma ka ʻaoʻao ʻē aʻe, pili nā hihia ʻē aʻe i nā mea pilikia hiki ke pale ʻia. ʻO ka mea nui, pono e:

• pale a paio i ka overweight i loko o nā keiki;
• mālama i ka papaʻai kaulike a me nā ʻano mea e hōʻalo ai i nā hemahema o nā meaʻai.