Ese umwana wawe afite ikirenge cy'ikirenge? Reka twige byose kuri ikirenge cy'ikirenge! (Congenital Talipes Equinovarus)

Ese umwana wawe uvutse afite ukuguru kumwe cyangwa yombi agoramye imbere agakururwa? Hari igihe bikunze kubaho ko umubyeyi cyangwa se yumva afite ubwoba bwinshi kandi ababaye iyo abonye ko igice cy'ikirenge cyerekejwe ku ruhande cyangwa hejuru. Iyi ndwara ni yo twita Clubfoot mu buvuzi, cyangwa `(talipes equinovarus)`. Iyi ni indwara igaragara ku bana bato kandi ikabaho igihe bavuka. Rero, ntitugire ubwoba kuri ibi, ahubwo twige amakuru arambuye.

Mu magambo make, Clubfoot ni iki?

Ikirenge cy'urubingo ni indwara ibaho igihe umuntu avuka. Muri make, ni indwara aho ikirenge cyangwa ibirenge by'umwana biba byerekeje imbere. Iyo urebye ikirenge cy'umwana, uzabona ko igice cyo hasi cy'ikirenge cyerekeza ku ruhande, ndetse rimwe na rimwe kikazamuka.

Ibi biterwa nuko imitsi, ingirangingo zihuza imitsi n'amagufwa, mu kuguru no ku kirenge cy'umwana ari ngufi kandi ifunganye kuruta uko bisanzwe. Uku gufungana gutuma ikirenge gisa n'aho cyazungurutse imbere. Kimwe cya kabiri cy'abana bafite ikirenge kibabara bafite iki kibazo mu maguru yombi. Ibi ntabwo biteye ubwoba nkuko wabitekereza. Iki kibazo kigira ingaruka ku bana 1,000 bavutse. Ibi bivuze ko ari indwara ikunze kugaragara.

Mu bihe byashize, ibi byasabaga kubagwa bikomeye. Ariko hamwe n’ubumenyi buhanitse bw’ubuvuzi dufite muri iki gihe, bushobora gukira neza hakoreshejwe uburyo butari ubwo kubaga no kubagwa guto cyane .

Ni ubuhe bwoko bw'ingenzi bw'ikirenge cy'ikibuno?

Ikirenge gishobora kugabanywamo ubwoko bubiri bw'ingenzi. Kubimenya ni ingenzi mu gihe ufata icyemezo cyo kuvura.

Ni ibihe bimenyetso by'indwara yo kubabara ibirenge?

Ikimenyetso nyamukuru ni uko ikirenge kimwe cyangwa byombi by'umwana biba byerekeje imbere, bivuze ko byerekeza ku kuguru ukundi. Byongeye kandi, uzashobora kubona ibi bintu.

• Ikirenge gisa n'impyiko .
• Kugira ikirenge gifite umubyimba munini imbere.
• Uruhande rw'ikirenge ruri hejuru ugereranyije n'ibisanzwe (ubusembwa bw'ikirenge cya cavus).
• Imitsi y'inyana y'ukuguru kwangiritse isa n'aho ari nto ugereranyije n'ukundi kuguru .
• Ukuguru kwangiritse ni kugufi kurusha ukundi .
• Kugorama kw'ikirenge.
• Kudashobora kunama cyangwa kongera ukuguru neza.

Impamvu n'ibintu bishobora gutera indwara y'ikirenge giteye ubwoba

Abashakashatsi ntibarabasha kuvuga neza icyabitera, ariko bizera ko bishobora kuba ari uruvange rw'ibintu byombi bigize imiterere y'umubiri n'ibidukikije .

Ibintu byongera ibyago

• Kuba umuhungu: Abahungu bafite amahirwe abiri yo kurwara ikirenge kigufi kurusha abakobwa.
• Amateka y'umuryango: Niba hari umuntu wo mu muryango (mama, se, umuvandimwe) warwaye ikirenge kibabara, umwana na we aba afite ibyago byinshi byo kugirwara.
• Izindi ndwara zo kuvukana: Ibi bishobora kubaho no mu zindi ndwara nka ``spina bifida`` cyangwa ``cerebral palsy``.
• Ingorane mu gihe cyo gutwita: Indwara nka oligohydramnios, kugabanuka k'amazi yo mu nda akikije umwana mu gihe cyo gutwita.
• Imyitwarire y'umubyeyi mu gihe atwite: Kunywa itabi, kunywa inzoga, cyangwa gukoresha ibindi biyobyabwenge mu gihe atwite nabyo bishobora kongera ibyago byo kurwara.

Ingaruka zizaba izihe ku mwana niba atavuwe?

Ikirenge cy'ikirenge si ikintu kizakira ubwacyo. Kubwibyo, ni ngombwa cyane kugivura mbere yuko umwana atangira kugenda. Iyo kitavuwe, umwana ashobora kugira ibibazo nk'ibi mu gihe kizaza:

• Ingorane zo kugenda: Ubusanzwe, tugenda dukoresheje ibirenge byacu. Ariko, umwana ufite ikirenge gishobora kwiga kugenda ku ruhande cyangwa hejuru y'ikirenge cye.
• Kwandura ibirenge: Kugenda mu buryo budasanzwe bishobora gutera imvune n'indwara z'ibirenge.
• Ibisebe ku ruhu (Cluses): Uruhu rwo ku birenge rushobora gukomera no gukora ibisebe.
• Indwara ya rubagimpande: Indwara nka rubagimpande, itera kubyimba, ububabare, no gukomera mu ngingo, ishobora kugaragara mu gihe kizaza.

Kumenya Ikirenge Gikurura Umubiri no Gutangira Kuvura

Akenshi, muganga wawe ashobora kumenya iki kibazo mu gihe cyo gupima umwana wawe mu gihe utwite. Kubimenya hakiri kare bizagufasha gutegura uburyo bwo kuvura umwana wawe nyuma yo kuvuka.

Hari igihe, nubwo bitagaragara kuri scan, muganga azabibona mu gihe cyo gusuzuma umwana bwa mbere nyuma yo kuvuka. Hari igihe bashobora gusaba gupimwa X-ray kugira ngo bemeze ko ikibazo kirimo.

Igihe cyiza cyo gutangira kuvurwa ni mu cyumweru cya mbere cyangwa bibiri umwana amaze kuvuka. Gutangira kuvurwa vuba bishoboka bishobora gukumira ibibazo byinshi mu gihe kizaza.

Uburyo bwo kuvura ikirenge cy'ikibuno

Itsinda ry'abaganga rikunze guhura kugira ngo rivure ikirenge cy'ikibyimba.

• Umuganga w’amagufwa y’abana: Umuganga w’inzobere mu kuvura ibibazo by’amagufwa n’ingingo ku bana.
• Umuganga uvura ibibazo by'amagufwa n'ingingo binyuze mu kubaga.
• Umuganga w’umubiri: Umuntu ufasha kongera imbaraga mu maguru y’umwana no kumufasha kugenda neza.

Hari uburyo bwinshi bw'ingenzi bwo kuvura.

Uburyo bwa Ponseti

Ubu buryo bwo kuvura bukoreshwa cyane kandi butanga umusaruro ku isi. Ubu buryo bumara amezi abiri kugeza kuri atatu.

1. Kurambura ikirenge no gushyiramo ishinge: Umuganga w’inzobere azarambura ikirenge cy’umwana witonze akagishyira mu mwanya ukwiye. Hanyuma, hashyirwaho ishinge kuva ku mano kugeza hejuru y’ikibero.

2. Guhindura sima buri cyumweru: Rimwe mu cyumweru (hagati y'iminsi 4-7), sima ishaje irakurwaho, ukuguru gukururwa mu mwanya ukwiye gato, hanyuma hagashyirwaho sima nshya. Nyuma yo gusigwa sima zigera kuri 5-7 muri ubu buryo, ukuguru ahanini kuba mu mwanya ukwiye.

3. Kuvura indwara ya Achilles Tenotomy: Mbere yo gushyiramo icyuma cya nyuma, muganga akora operasiyo nto. Muri ibi, umutsi w'agatsinsino ucibwa gato. Ibi ntibisaba no kudoda. Ibi bituma umutsi w'agatsinsino ufunganye kandi mugufi urekurwa kandi ukemererwa gukura kugeza ku burebure bukenewe.

4. Igipande cya nyuma:Nyuma yo kubagwa, plasta ya nyuma irashyirwaho. Isigaraho ibyumweru bigera kuri bitatu hanyuma igakurwaho.

Uburyo bw'Igifaransa

Ibi bisa n'uburyo bwa Ponseti, ariko aho gukoresha sima, hakoreshwa kaseti n'udupira. Ubu buryo bwo kuvura bukorwa n'umuvuzi w'umubiri. Iki ni ikintu gikwiye gukorwa buri munsi. Umuvuzi w'umubiri kandi yigisha ababyeyi uburyo bwo kubikora mu rugo.

Kwambara inkweto zidasanzwe (Bracing)

Nyuma yuko ikirenge gikosowe neza hakoreshejwe uburyo bwa Ponseti cyangwa uburyo bw'Abafaransa, hari amahirwe menshi ko kizasubira inyuma uko cyari kimeze kera. Ibi nibyo izi nkweto zidasanzwe (braces) zikoreshwa mu kwirinda.

Ibi bikunze kuba bigizwe n'icyuma gifatanye n'inkweto ebyiri ("inkweto n'icyuma").

• Ugomba kwambara uyu munsi wose (hafi amasaha 23) mu mezi 3 ya mbere.
• Nyuma y'ibyo, umwana agomba kwambara ibi asinziriye nijoro no mu gihe asinziriye kugeza afite imyaka ine .

Kubaga

Hari igihe ikirenge gishobora kuba kibi cyane. Cyangwa ubundi buryo bushobora kudatanga umusaruro wifuza. Muri ibyo bihe, kubagwa ni byiza. Ni byiza gukora ubu buryo mbere yuko umwana atangira kugenda.

Ese nyuma yo kuvurwa, ahazaza h'umwana hazaba hameze hate?

Iki ni cyo kibazo gikomeye ababyeyi bose bafite. Iyo basanze umwana hakiri kare kandi bakavurwa neza, ibisubizo biraba byiza cyane.

Umwana wawe azabasha kwambara inkweto zisanzwe, kugenda, kwiruka, gusimbuka nta bubabare, no gukina no guhiganwa nk'abandi bana.

Ariko, hashobora kubaho impinduka nto ku kuguru kwari gufite ikirenge gifatanye.

• Ikirenge cyafashwe gishobora kuba gito kurusha ikindi kirenge ku rugero rumwe.
• Agace k'inyana y'uko kuguru gashobora kuba gato .
• Uko kuguru gushobora kuba kugufi gato ugereranije n'ukundi kuguru.

Ariko izi mpinduka akenshi ntabwo zigira ingaruka zikomeye ku bikorwa bya buri munsi by'umwana.

Inama nke zo koroshya ikoreshwa ry'icyuma gikingira

Gukoresha icyuma gikingira umubiri igihe kirekire bishobora kugorana wowe n'umwana wawe. Izi nama zishobora gufasha.

• Bikore nk'umukino: Kina n'umwana wawe mu gihe yambaye ikamba ry'inyuma. Kora ibintu nko gutera imigeri n'amaguru, kunama no kurambura amaguru yawe, n'ibindi.
• Bigire kimwe mu bigize gahunda yawe: Gira akamenyero ko kwambara igitambaro cyo gusinzira igihe uryamye umwana wawe. Ibi bizafasha umwana wawe kumva ko igihe kigeze cyo kwambara igitambaro cyo gusinzira.
• Ntugashyire amavuta yo kwisiga: Ntugashyire amavuta yo kwisiga ahantu hashyirwa icyuma cyo kwisiga. Bishobora gutuma ibibazo by'uruhu birushaho kwiyongera. Ni ibisanzwe ko uruhu ruhinduka umutuku gato. Ariko, niba rusa n'urusenda, bishobora gusobanura ko agatsinsino karimo kunyerera mu nkweto. Bibwire muganga wawe.
• Reka kunyerera: Fata imishumi y'inkweto zawe. Hari igihe kwambara amasogisi bishobora gufasha inkweto zawe kuguma mu mwanya wazo.

Niba ufite impungenge, ntugatinye kubibwira muganga w'umwana wawe cyangwa umuganga w'umubiri ku bijyanye na zo.