Essanyu ly’omwana wo omuto okutandika okutambula! Naye oluusi oyinza okuba nga walabye omwana ng’atambula si ng’ekigere kyonna kiri ku ttaka, wabula ng’ebigere bye bifaanana ng’azina. Kya bulijjo nnyo maama oba taata okuwulira ng’atidde katono n’okutya nga balaba kino. "Oo, waliwo ekikyamu ku mwana wange?" Oyinza okulowooza. Ddala kino kintu kya kutya? Bino byonna ka twogere leero.
Mu ngeri ennyangu, okutambula kw’engalo kye ki?
Erinnya ly'Olungereza erya kino ye toe walking . Mu ngeri ennyangu, kino omwana wo bw’atambula nga tatadde kisinziiro ku ttaka, wabula ku nsonga z’obugere n’emmanju w’ebigere byokka. Nga omuzinyi wa ballet.
Naye kino kijjukire. Kitera nnyo era kyabulijjo abaana abali wansi w’emyaka 2 , kwe kugamba, bwe baba nga baakayiga okutambula, okutambula bwe bati. Tekyetaagisa kweraliikirira n’akatono. Ekiseera bwe kinaagenda kiyitawo, bajja kuyiga mpolampola okutambula ng’ebikonde byabwe biri ku ttaka era mu ngeri eya bulijjo okuva ku kisinziiro okutuuka ku bigere. Kino ebiseera ebisinga tekikwetaagisa bujjanjabi bwonna.
Kyokka, singa omwana wo agenda mu maaso n’okukuba engalo enkovu ne bw’amala emyaka 2 , kiyinza okuba akabonero k’embeera endala ey’obulamu, n’olwekyo kiba kirungi okweraliikirirako katono.
Embeera eno ya bulijjo etya?
Kino mu butuufu kitera okubaawo okusinga bw’oyinza okulowooza. Okusinziira ku biwandiiko, nga 2 ku 100 (2%) ku baana abatera okukula bakyakwata ku bigere nga bawezezza emyaka 5 1/2. Wabula omuwendo guno gusinga nnyo mu baana abalwawo okukula oba obuzibu obulala mu nkula. Abaana nga 41 ku 100 (41%) bazuuliddwa nga bakyalina ebigere ku myaka gino.
Biki ebirala ebikwata ku kutambula ku ntikko y’engalo?
Akabonero akakulu era akasinga okweyoleka kwe kutambula ku bigere. Naye bw'ogamba omwana wo nti, "Mutabani/muwala, tambula mu ngeri eya bulijjo ng'ebigere byo biri ku ttaka," abaana abato abasinga obungi bajja kusobola okutambula mu ngeri eyo. Naye omuze guno bwe gusigala nga gugenda mu maaso, ojja kulaba n’obubonero buno wammanga. Ka tukitunuulire bwe tutyo tukitegeere bulungi.
| Ekintu ekirabika | Ekyo kitegeeza ki? |
|---|---|
| Okukendeera mu bbalansi n’okukwatagana | Omwana alabika talina bbalansi mbi. Tabeera munywevu ng’atambula n’okudduka. |
| Bulijjo okugwa | Agwa n’okwesittala emirundi mingi okusinga omwana owa bulijjo. |
| Okukaluubirirwa okwambala engatto | Ebika by’engatto ebimu bizibu okwambala. Tezikwatagana bulungi na bigere byo. |
| Obuzibu okwetaba mu mizannyo | Bafuna obuzibu okusinga abaana abalala mu mizannyo egyetaagisa okudduka n’okubuuka. |
| Okwemulugunya ku bulumi bw’amagulu | Kitegeeza okulumwa oba okukaluba naddala mu kitundu ky’ekisambi oba mu bigere. |
| Emiguwa gy’ebisinziiro egy’amaanyi | Ebinywa n’emisuwa mu kitundu ky’ekisambi biwulira nga binywezeddwa. Obusobozi bw’okufukamira okugulu waggulu ne wansi bukendeera. |
Lwaki abaana batambula bwe bati? Ka twekenneenye ezimu ku nsonga eziviiriddeko.
Emirundi egisinga, kwe kugamba, mu mbeera ezisinga obungi, tewali nsonga ntongole eyinza kuzuulibwa ku kutambula kw’engalo okutambula obutasalako. Mu ngeri y’obusawo, kino kiyitibwa ‘ idiopathic ’ . Ekyo kitegeeza "tewali nsonga emanyiddwa."
Kyokka, mu mbeera ezimu, wayinza okubaawo ensonga eziwerako eziviirako kino.
1. Omusuwa gwa Achilles Tendon ogufunze
Ebinywa mu kitundu ky’ekisinziiro kyaffe bikwatagana ne biba n’omusuwa ogw’amaanyi ogukwatagana n’eggumba ly’ekisinziiro. Kino kiyitibwa ‘Achilles tendon’.Ekyo kili. Bwe tukozesa ebinywa byaffe eby’ennyana, buno bwe busimu obusika ekisinziiro waggulu. Abaana abamu bayinza okuzaalibwa nga obusimu buno bufunze katono. Oba, ekiseera bwe kigenda kiyitawo, kiyinza n’okufuuka ekimpi olw’okutambula buli kiseera ku bigere. Olwo ne kibazibuwalira okuteeka ebikonde ku ttaka ne batambula mu ngeri eya bulijjo.
2. Ekintu ekikolebwa ng’omuze
Abaana abamu abakulu kino bakikola lwa muze. Oboolyawo olw’okuba ebinywa byabwe eby’okugulu n’emisuwa bibadde binywezeddwa okumala ebbanga ddene, ekibaleetera obulumi nga batambula mu ngeri eya bulijjo.
3. Embeera z’obujjanjabi ezitatera kubaawo
Tekitera nnyo, okutambula kuno kuyinza okuba akabonero k’embeera y’obujjanjabi ey’amaanyi. Mu mbeera ng’ezo, kirabika wamu n’obubonero obulala obuwerako.
- Obulwadde obuva ku bwongo, okugeza , okusannyalala kw’obwongo .
- Obulwadde obuzingiramu ebinywa oba obusimu, okugeza , muscular dystrophy .
- Ebimu ebitali bya bulijjo mu mugongo.
- Obulwadde bwa Autism Spectrum Disorder (ASD) .
Waliwo akakwate wakati w’obulwadde bwa autism n’engeri eno ey’okutambula?
Yee, okutambula mu bigere kisinga kubeera mu baana abalina obulwadde bwa autism spectrum disorder (ASD) okusinga mu baana abatalina mbeera eno. Okunoonyereza okumu okunene kwazuula nti abaana nga 9% abalina autism batambula mu ngeri eno. Naye mu baana abatalina autism, ekitundu kino kiri wansi wa 0.5% .
Ekituufu ekivuddeko kino tekinnategeerekeka bulungi. Kyokka kirowoozebwa nti ensonga eziwerako ziyinza okuvaako kino. Ekimu kiri nti ebanga ly’okutambula kw’ekigere likoma olw’okunywezebwa mu binywa by’omugongo.
Ekirala ekikulu ekivaako kiyinza okuba ensonga eyeekuusa ku bitundu by’omubiri . Abaana bangi abalina autism balina enkyukakyuka ezimu mu nkola y’enkola ya vestibular system , enkola egaba amawulire eri obwongo ku bbalansi y’omubiri gwaffe, entambula, n’okutunula mu kifo. Enkyukakyuka mu nkola eno ey’obusimu nazo zisobola okuvaako omwana okukuba engalo.
Omusawo akizuula atya kino?
Bw’otwala omwana wo ew’omusawo, ajja kusooka kukubuuza ku byafaayo by’obujjanjabi bw’omwana wo. Olwo, ajja kukola okukebera omwana mu bujjuvu. Mu kukebera kuno,
- Yeetegereza engeri omwana gy’atambulamu: Alaba engeri omwana gy’atambulamu n’okudduka.
- Akebera amagulu n’ebigere: Akebera oba tewali buzibu bwonna ku magulu oba ebigere.
- Range of Motion Test: Ekebera okutuuka w’osobola okufukamira enkizi n’ekigere.
- Okukebera enkola y’obusimu:Oluusi okukeberebwa okutonotono kukolebwa okukebera oba waliwo obuzibu bwonna ku nkola y’obusimu. Ng’ekyokulabirako, bayinza okukuba okugulu n’ennyondo entono okukebera reflexes , okukebera engeri amagulu gye gawuliramu, n’okupima amaanyi g’ebinywa.
Bujjanjabi ki obuyinza okukolebwa okukomya engeri eno ey’okutambula?
Obujjanjabi bwa kino businziira ku bintu ebiwerako. Omusawo ajja kulowooza ku bintu gamba ng’emyaka gy’omwana, obuzibu bw’embeera eyo, n’ekivaako okuzuula obujjanjabi obusinga okusaanira. Emirundi egisinga, obujjanjabi obutali bwa kulongoosa busooka kusemba.
| Enkola y’obujjanjabi | Kiki ekituuka ku kyo? |
|---|---|
| Obujjanjabi bw’omubiri | Dduyiro w’okugolola akolebwa ku binywa by’enkizi n’ekigere. Kino kiyamba okusumulula ebinywa n’emisuwa ebinywezeddwa n’okwongera ku bbanga ly’okutambula. Era oyinza okwetaaga okwambala ‘serial casting’ ku kigere okumala wiiki eziwera. |
| Ebintu ebitereeza enkizi n’ebigere/ebisiba ebisiba | Akaveera ak’enjawulo kayambalibwa olunaku lwonna. Ekwata ekigere mu nkoona ya diguli 90 n’egolola ebinywa n’emisuwa ng’otambula. |
| Okwetegereza | Oluusi omusawo ayinza okukwata enkola ya "linda n'olaba". Bajja kulinda emyezi nga 6 balabe oba embeera eno etereera ku bwayo. |
| Empiso z’obutwa bwa Botulinum A (Botox®). | Kino kinafuya ebinywa by’okugulu okumala akaseera, ne kiba kyangu okugolola ebinywa ebyo ng’okozesa dduyiro w’okujjanjaba omubiri. |
Singa omwana aba asussa emyaka 5Era singa obujjanjabi buno tebukola, omusawo ayinza okukuwa amagezi okulongoosebwa . Kino kizingiramu okulongoosa okugolola n’okusumulula ekinywa ky’ennyana ekinywezeddwa oba omusuwa gwa Achilles.
Bizibu ki ebiyinza okuvaamu singa kino kigenda mu maaso?
Singa tajjanjabwa, ebinywa by’ennyana n’omusuwa gwa Achilles bisobola n’okunywezebwa. Kino kiyinza okukaluubiriza ennyo, bwe kiba nga tekisoboka, okutambula mu ngeri eya bulijjo ng’ekisinziiro kiri ku ttaka. Okugatta ku ekyo, okutambula kw’ekigere kuyinza okukendeera, ebika by’engatto ebimu biyinza obutakwatagana, n’ebizibu ebirala mu binywa n’amagumba n’obulumi biyinza okuvaamu ng’omwana akula . N’olwekyo, si kirungi okubuusa amaaso kino.
Ebibuuzo ebikulu by’olina okubuuza omusawo wo
Omwana wo bw’asigala ng’akuba engalo oluvannyuma lw’emyaka 2, kikulu nnyo okulaba omusawo n’okubuuza ebibuuzo bino.
- Omwana wange mukugu ki gwe nsaanidde okusindika ewa obujjanjabi? (e.g., omusawo w’abaana, omukugu mu by’amagumba)
- Omwana wange anaayeetaaga okusiba oba okusiba ebisiba?
- Bikebere ki ebirina okukolebwa okukakasa nti tewali mbeera ndala ya bujjanjabi nga obulwadde bw’okusannyalala kw’obwongo?
- Nsaana okweraliikirira obubonero bw’embeera endala, gamba ng’obuzibu bwa autism spectrum disorder (ASD)?
- Singa embeera eno egenda mu maaso, ejja kukosa etya obulamu bw’omwana wange mu biseera eby’omu maaso?
Obubaka Obutwala Awaka
- Okutambula mu bigere kya bulijjo nnyo era kya bulijjo eri abaana abato naddala abaana abali wansi w’emyaka 2. Kino tekyetaagisa kutya.
- Omwana wo bw’asigala ng’atambula bwati oluvannyuma lw’emyaka 2, kikulu nnyo okunoonya amagezi g’abasawo.
- Emirundi egisinga, tewali nsonga ntongole esobola kuzuulibwa (idiopathic), era esobola okuwona n’obujjanjabi obwangu ng’okujjanjaba omubiri.
- Tekitera kubaawo, kino kiyinza okuba akabonero k’embeera eyaliwo, gamba ng’okusannyalala kw’obwongo oba autism, n’olwekyo kiba kya magezi okwekebejjebwa omusawo.
- Weewale okubuusa amaaso embeera eno, kubanga eyinza okuvaako ebinywa okukaluba, obulumi n’ebizibu ebirala mu biseera eby’omu maaso singa tebijjanjabwa bulungi.
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