Ukubeka kahle kwemilenze kuqinisekisa ukugcinwa kwesimo somzimba nomzimba ovamile. I-Clubfoot iyisifo se-musculoskeletal system, lapho unyawo lukhubazekile khona. Ihamba emkhatsini we-longitudinal we-shin ngaphakathi ngaphakathi kwezingxenyana ezahlukene, kuye ngokuthi ubuhlungu besifo.
I-Clubfoot ezinganeni - izimpawu
I-symptomatology yalesi sifo ibonakala ngokucacile ngisho nokubukeka, ngakho-ke i-orthopedist enolwazi oluzokwazi ukufaka isifo esifanele ngisho nalapho ihlolwe. Indlela yokuhlonza i-clubfoot enganeni:
- ukuphenduka kwedwa ngaphakathi;
- Yomibili imilenze iphendulelana;
- ukuhlukumezeka, ukuzulazula;
- wakhuphuka wangaphakathi nokunciphisa unqenqemeni lwonyawo;
- umkhawulo wokuhamba kanye nokuntuleka kwemisebenzi ethile yehlanganiso ye-ankle;
- ukufiphaza, ukuvinjelwa kwezinyawo emkhakheni we-plantar;
- isithende sokufuduka phezulu;
- ukwanda emgqeni wonyawo;
- ukuhlushwa kwamathambo ama-shin;
- ukukhathala ngokushesha, ubuhlungu lapho uhamba.
Izinga lobukhulu bezimpawu ezibhalwe kuhlukile, ingane ingaba nemibonakaliso ehlukene yemitholampilo. Kubalulekile ukuthola i-clubsfoot ezinganeni ngesikhathi esifanele, ukwelashwa kwezinyawo ezilula kunzima ezinkathini zokuqala. Ngendlela yokwelapha efanele, isici singasuswa ngokuphelele ngosizo lwezindlela ezizenzekelayo, ngaphandle kokwenza ukungenelela kokuhlinzwa.
Kungani ingane ihlushwa?
Izinto ezibangela inkinga ebuzwayo zihlukaniswa ngokusho kwayo. Izimbangela ze-clubfoot ezinganeni zingaba nesibindi futhi zitholakale. Esikhathini sokuqala, izimpawu zesifo ziyahlolwa ngesikhathi sokuthuthukiswa kwe-intrauterine, ukukhubazeka kwezinyawo kubonakala nge-ultrasound. Ukutholakala kwezifo ezibhekene nezifo ezineminyaka engu-1-3 ubudala futhi ngokuvamile abazinaki abazali ngenxa yezinethemba lokuthi ingane "izophuma".
I-Congenital Clubfoot Ezinganeni
Kuyinto engavamile ukuveza imvelaphi yangempela yokuguquguquka kwezinyawo, kuma-20 amacala avela ku-100
- ama-amniotic bands;
- i-toxemia eqinile ngesikhathi sokukhulelwa;
- ukungabi namanzi ;
- ukuxuba komzimba womzimba we-embryo ngegobolondo elivikelayo (amnion);
- ukutheleleka ngegciwane elibhekene nomama ozayo;
- ukucindezeleka kwe-musculature ye-uterine kuya emntwaneni;
- i-beriberi;
- izifo zofuzo;
- ukwelashwa kwezidakamizwa ezinamandla ngesikhathi sokukhulelwa;
- Ukubhema, utshwala kanye nezinto ezinobuthi ngesikhathi sokukhulelwa;
- isikhundla esingalungile se-fetus;
- izimo ezimbi zemvelo;
- izimo zokusebenza ezilimazayo zikababa noma umama nabanye.
Kungakhathaliseki ukuthi kungani i-clubfoot ebusweni ikhulelwe izingane, ukwelashwa kufanele kuqale ngokushesha ngemuva kokuba kutholakale ukuxilongwa. Njengoba ukwelashwa okufika ngesikhathi, ungakwazi ukuqeda ngokuphelele ukugula ngaphambi kokuba ingane ineminyaka engu-4 ubudala. Uma ungathathi noma yiziphi izinyathelo, izinguquko emathanjeni nasemalungwini, ukuguquka kwezinyawo kuzobe kungenakuguqulwa futhi kudinga ukungenelela okuhlinzekwa.
Kungani ingane ihlangana lapho efunda ukuhamba?
Isimo esichazwe akuyona ukukhubazeka. Okokuqala, umntwana ukhululekile kakhulu ukugcina ukuzinza ngokuvula amasokisi ngaphakathi, ngenxa yesimo samadolo nezinyawo. Kulesi simo, ukwelashwa akudingeki, inkinga izolahleka kancane kancane lapho ingane iqala ukuhamba ngokuzethemba. Ukwelashwa kuyadingeka uma ezinye izimbangela ze-clubfoot zitholakala:
- ukukhubazeka kokuzalwa;
- i-dysplasia yamathambo noma amalunga;
- i-poliomyelitis;
- izinqubo ezibangela ukuvuvukala emzimbeni;
- i-rickets ehlushwa, ngisho nangesimo esibucayi.
Kungani ingane ihlala izicathulo?
Uma imali yengane ishintshe kuphela uma ishiya emgwaqweni, isimiso sohlelo lokusebenza konke kuhambisane. Imbangela ye-clubfoot ezinganeni ezikulesi simo izicathulo ezikhethiwe ngokungafanele:
- inkulu kakhulu noma encane kakhulu;
- isihlangu esingenakwenzeka;
- izinyosi ezithambile noma emuva;
- ukungabi nokusekelwa kwezinyawo;
- ukuphakama okuphezulu noma okuphansi;
- izicathulo ezincane noma ezincane kakhulu;
- ukuxubha;
- iqinile, i-outsole enzima.
Kungani ingane ingaba nomlenze owodwa?
Isizathu esivamile sale nkinga ukulimala komshini kunyawo. Uma ingane ishaywa ngonyawo olulodwa, kudingeka uhlole ukuthi unayo yini imifino, imivimbo noma izinkinga, isilonda esikhumbeni. Ngemuva kokuphulukiswa, umthamo wengane ujwayelekile. Kubalulekile ukwesaba uma kukhona izingane ezihlala zingekho ngaphansi kwezingane, ukwelashwa kuyadingeka kulezi zimo ezilandelayo:
- ukuxuba okungalungile kwamathambo ngemva kokuphuka;
- ukucindezeleka okukhulu kwemisipha yomlenze;
- izakhiwo namajoyini angama-musculoskelet;
- izinyawo ezinzima;
- i-poliomyelitis;
- i-neuralgia;
- izicubu zezithambo ezithambile namathambo.
Indlela yokulungisa i-clubfoot enganeni?
Ngenxa yokuphumelela kwemithi yesimanje, ukukhubazeka kwezinyawo akunakwenzeka ezinganeni ezineminyaka esikoleni. Izindlela eziphumelelayo zokuphilisa i-clubfoot enganeni, zenziwa kusukela ezinsukwini zokuqala zokuphila komntwana. Ngeminyaka engama-4-5 noma ngaphambili, kuye ngokuthi izinga lokuvinjelwa, lesi sifo singasuswa ngokuphelele. Izindlela zokwelashwa kwe-clubfoot ezinganeni:
- ukugaya ("amabhuzu", ukulangazelela);
- ukuphoqeleka kwamajoyina nabafundisi;
- ama-conifer okugeza;
- izicelo zeparafini;
- imijovo ye-toxin ye-botulinum;
- kinesiotherapy;
- sigqoke izicathulo ezikhethekile zamathambo;
- ukwelashwa okuyingqayizivele (ukubhuca);
- ukuvocavoca.
- ukuhlinzwa okuhlinzekwayo ()
Ezimweni ezinzima futhi uma indlela yokuzimela ingasebenzi, ukulungiswa kwe-clubfoot ezinganeni kuyenziwa ngosizo lokuhlinzwa okuhlinzekwa, lapho isikhathi samathambo, amalunga kanye nezinsimbi ze-ligamentous tendon zilungiswa. Ukwelashwa kufanele kukhethwe ngabanye kuphela ngumhlinzeki ohlinzayo wamazinyo, imizamo yokuzimela yokugcina isimo sezinyawo ingaholela ezinkingeni.
Izicathulo ze-clubfoot ezinganeni
Ukuze ubuyisele i-gait efanele, kubalulekile ukulungisa izinyawo zomntwana endaweni efunayo. Izicathulo zomuthi wama-antiviral nge-clubfoot ezinganeni zibizwa ngokuthi i-brace. Lezi zibopho eziphakeme ezikhethekile (kunezinketho zasehlobo), ukugqoka okunconywa ngemuva kokwelapha nge-gypsum. Ama-insoles for clubfoot ezinganeni kufanele abe ngaphandle kwe-instep, wonke ama-brace analezi zici ezilandelayo:
- ukusatshalaliswa komfaniswano komthwalo emilenzeni;
- emuva kanzima;
- amabhuzu afanelekayo afanelekayo;
- Izibopho ezilungiswayo, i-Velcro noma i-laces;
- izinzwane eziqinile;
- ukulungiswa kwesigcawu sangaphambili nangaphakathi;
- ebanzi futhi ezinzile, kodwa i-flexible sole.
Ukubhuka nge-clubfoot ezinganeni
Ukwelashwa kwemithi kusiza ukususa i-muscle hypertonia futhi kancane kancane kugcizelele isikhundla sezinyawo. Ngaphandle kosizo lokusikhipha umzimba ngeke ukwazi ukuqeda i-clubfoot ezinganeni, ukwelashwa kufanele kube okuphelele. Esikhathini sokuqala ukuxhaphazwa kwezincwadi kwenziwa kuphela ngumchwepheshe onolwazi. Uma abazali bekhumbula le ndlela futhi bangayiphinda, ukwelashwa ekhaya kuvunyelwe. Aba-Orthopedists batusa ukuvakashela u-masseur oqeqeshiwe, ngoba phakathi neseshini ingane kufanele ibe endaweni ethile, ngenqenqemeni elingaphandle.
Yenza imithi yokwelapha ebantwaneni, ukuzivocavoca
I-Gymnastics iyindlela yokwelapha eyisizayo, ilungisa imiphumela etholakala ngezindlela ezingenhla. Ukuqeqeshwa ngokomzimba ngaphezu kwalokho kuvimbela i-clubfoot ephindaphindiwe ezinganeni, ukwelashwa okunjalo kungasetshenziswa njengokuvimbela ukuphindaphindiwe nezinyawo eziphambili, ukwakheka komkhuba wokubeka kahle izinyawo uma uhamba. Okokuqala, ukuvocavoca kwenziwa ngaphansi kokuqondiswa komzimba wamazinyo, ngemva kwalokho ongakwenza ekhaya.
Ukuzivocavoca okulula kwe-clubfoot ezinganeni:
- Ukuhamba ngezithende nezinzwane. Amasokisi kufanele ahlukaniswe ngezindlela ezahlukene.
- Isosha. Kudingekile ukuhamba, ukuphakamisa amadolo akho ngokufana kakhulu.
- Umculi we-circus. Ukuhamba ngenduku yokuzivocavoca (phansi).
- I-clown. Gcina izinyawo zakho ndawonye. Ukuqothula izithende, ngangokunokwenzeka uthathe izinzwane eceleni. Izinyathelo ezimbalwa zokuhamba amamitha ambalwa.
- Umqoqi. Iminwe yonyawo ithatha izinto ezincane phansi bese izihambisa kwenye indawo.