Ese ibirenge by'umwana wawe byahindukiye imbere? Reka tuvuge ku bijyanye n'ikirenge gikubye!

Nk'umubyeyi, ushobora kugira impungenge nkeya iyo ubonye ko amaguru y'uruhinja rwawe rumwe cyangwa yombi agoramye imbere kandi agoramye. Hari igihe ushobora no kubona ko igice cy'ikirenge cyazamutse cyangwa kiri ku ruhande. Ibi ni byo mu buvuzi twita 'clubfoot'. Hari n'abantu babyita 'talipes equinovarus'. Ntugahangayike, iki ni ikibazo cyo kuvukana kigaragara ku bana bavutse, ariko gishobora kuvurwa no kunozwa. Mu buryo burambuye, hafi umwana umwe mu 1.000 avuka azagira iki kibazo cy'club foot.

None se, ikirenge cy'ikirenge ni iki? Mu magambo make...

Ikirenge cy'umwana ni ubumuga bw'ikirenge cy'umwana wawe cyangwa ibirenge byombi. Ikintu cy'ingenzi ni uko ikirenge gihindukira imbere. Tekereza, igice cy'uruhinja gisa n'aho cyahindukiye yerekeza ku kindi kirenge. Hari igihe igice cy'uruhinja gishobora kuzamuka burundu cyangwa ku ruhande.

Ibi biterwa nuko imitsi yo ku kuguru no ku kirenge cy'umwana, ari byo bice bihuza imitsi n'amagufwa, iba migufi kandi ikomeye kuruta uko bisanzwe. Ibi bituma ikirenge kizunguruka kigahindukira imbere. Kimwe cya kabiri cy'abana bafite ikirenge kibabara bafite iyi ndwara mu maguru yombi.

Mu bihe byashize, kubagwa bikomeye ni byo byari uburyo bw'ingenzi bwo kuvura iyi ndwara. Ariko ubu, abaganga barimo kuyivura neza bakoresheje uburyo butandukanye bwo kubaga no kubaga mu buryo budakoresha ubuvuzi bwinshi .

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

Hari ubwoko bubiri bw'ingenzi bw'ikirenge cy'ikibuno:

1. Ikirenge cy’ikirenge cyashyizwe ukwacyo cyangwa kidafite idiopathic: Ubu ni bwo bwoko bukunze kugaragara cyane. Niba umwana wawe afite ikirenge cy’ikirenge gusa nta kindi kibazo cy’ubuzima afite, cyitwa 'ikirenge cy’ikirenge cyashyizwe ukwacyo'. Ijambo ' idiopathic ' risobanura ko impamvu nyayo itazwi .

2. Ikirenge cy’uruti kidashyizwe ukwacyo: Muri ubu bwoko, ikirenge cy’uruti kigaragara hamwe n’izindi ngorane z’ubuzima. Urugero, gishobora kugaragara ku ndwara nka ``Arthrogryposis``, ikaba ari ikibazo mu ngingo, cyangwa ``Spine Bifida```, ikaba ari inenge mu miyoboro y’ubwonko. Ubusembwa bw’imiyoboro y’ubwonko ni ibibazo mu bwonko bw’umwana, uruti rw’umugongo, n’umugongo.

Ni ibihe bimenyetso by'umwana ufite ikirenge gifatanye?

Kenshi na kenshi, ikintu nyamukuru kiranga ikirenge cy’ikirenge ni uko amaguru amwe cyangwa yombi ahindukiye imbere. Ibi bivuze ko ikirenge cy’umwana gihindukiye yerekeza ku kindi kirenge.

Byongeye kandi, ushobora kubona ibintu nk'ibi ku birenge by'umwana wawe:

• Ikirenge gishobora kumera nk'impyiko .
• Hashobora kuba hari umurongo muremure cyangwa umubyimba imbere mu kirenge.
• Ikirenge kiri hejuru kuruta ibisanzwe(Abaganga banabyita "Cavus Foot Deformity").

Ibindi bintu ni ibi bikurikira:

• Imitsi y'inyana iri ku kuguru kwafashwe ni mito ugereranyije n'ukundi kuguru.
• Ukuguru kwangiritse ni kugufi kurusha ukundi.
• Kumva ufite ubukana mu gice cy'akaguru.
• Kugorwa no kwimura ukuguru kose.

Kuki ikirenge gikura? Ni izihe mpamvu?

Abashakashatsi ntibarabona impamvu nyayo itera ikirenge giteye, ariko bikekwa ko giterwa n'uruvange rw'ibintu byombi bigize imiterere y'umubiri n'ibidukikije.

• Genetike: Genetike niyo igena uko imibiri yacu iteye, ikura, n'imikorere. Iyo hari ikibazo kuri imwe cyangwa nyinshi muri izi gene, zihererekanywa ku babyeyi zigahabwa abana, indwara nk'ikirenge gishobora kubaho.
• Ibintu bifitanye isano n'ibidukikije: Gukoresha ibiyobyabwenge no kunywa itabi k'umubyeyi mu gihe atwite bishobora kongera ibyago byo kuvukana ubumuga nk'ububabare bw'ikirenge.

Ni nde uri mu kaga gakomeye ko kurwara ikirenge kidafite aho kibondoye?

Imibare igaragaza ko abahungu bafite amahirwe abiri yo kurwara ikirenge cy’ikibuno kurusha abakobwa. Nanone, niba hari umuntu wo mu muryango warwaye ikirenge cy’ikibuno, umwana ashobora kuba ari mu kaga gakomeye.

Izindi mpamvu zishobora gutera ibyago ni izi:

• Umwana afite ubundi busembwa yavukanye, urugero nka Spina Bifida cyangwa Cerebral Palsy.
• Kugira indwara y’uturemangingo nka 'Trisomy 18' (izwi kandi nka 'Edward Syndrome').

Ku bijyanye n'umubyeyi, ibyago byo kubyara umwana ufite ikirenge gishobora kwiyongera mu bihe bikurikira:

• Iyo habayeho igabanuka ry'ingano y'amazi yo mu nda akikije umwana uri mu nda mu gihe cyo gutwita, indwara yitwa "Oligohydramnios".
• Kwandura indwara nka virusi ya Zika mu gihe utwite bishobora gutera ubusembwa mu gihe uvuka.
• Kunywa itabi, kunywa inzoga, cyangwa gukoresha ibindi biyobyabwenge mu gihe utwite.

Ni gute ikirenge bigira ingaruka ku mwana?

Kimwe mu bintu ababyeyi benshi bahangayikishwa nacyo ni ukumenya niba bizababaza umwana. Ikirenge cy'umwana ntikibabaza umwana . Mu by'ukuri, abana benshi ntibakibona mu mezi make ya mbere y'ubuzima bwe.

Ariko, iyi ndwara ishobora guteza ibibazo iyo umuntu ahagaze cyangwa agenda . Nanone, ntabwo ikira ubwayo . Bityo rero, ni ngombwa kuvura iki kibazo mbere yuko abana bagera ku myaka yo kugenda.

Iyo itavuwe, ikirenge gishobora gutera ibibazo bikurikira:

• Kugorwa no kugenda:Abana bafite ikirenge gikubye bakunze kugenda mu buryo budasanzwe. Ubusanzwe, tugenda dukoresheje ibirenge byacu. Ariko, umwana ufite ikirenge gikubye ashobora kugenda ku mpande cyangwa hejuru y'ibirenge bye.
• Indwara zishobora kugaragara mu birenge .
• Ibibazo by'ibirenge nk'ibibyimba, ari byo uruhu rubyimbye ku birenge.
• Indwara z'ingingo nka rubagimpande zishobora gutera ububabare, gukomera no kubyimba.

Ni ryari indwara y'ikirenge ipimwa? Ni gute?

Akenshi, muganga wawe ashobora kumenya ikirenge cy’ikibuno mu gihe cyo gupima ultrasound mu gihe utwite. Iyi scan ishobora gufata amafoto y’uruhinja ruri mu nda, bityo rero iyo igaragaye ako kanya, ushobora gutegura uburyo bwose bukenewe bwo kuvurwa nyuma yo kuvuka k’umwana.

Hari igihe muganga ashobora kubibona mu gihe cyo gusuzuma umubiri w’umwana bwa mbere nyuma yo kuvuka. Ibi bibaye, muganga ashobora no gusaba ko akorerwa X-ray kugira ngo yemeze ko arwaye.

Ni ryari ubuvuzi bw'ikirenge giteye ikibazo bugomba gutangira?

Abaganga basaba gutangira kuvura ikirenge gikubye vuba bishoboka . Gutangira kuvura hakiri kare bishobora gufasha gukumira ibibazo umwana ashobora kugira nyuma. Ni byiza gutangira kuvura mu byumweru bibiri bya mbere umwana avutse.

Ni nde uvura ikirenge cy'ikibuno?

Kuvura ikirenge cy'umwana wawe akenshi bisaba ubufasha bw'itsinda ry'abaganga. Iri tsinda risanzwe rigizwe na:

• Umuganga w’amagufwa y’abana: Umuganga w’inzobere mu bibazo bijyanye n’amagufwa n’ingingo by’abana .
• Umuganga w'amagufwa: Inzobere mu kubaga amagufwa n'ingingo.
• Umuganga w’umubiri: Umuntu ufasha umwana kugira imbaraga zo gukomera kw'amaguru no kugenda neza.

Ikirenge cy'ikibuno kivurwa gute?

Hari uburyo bwinshi bwo kuvura ikirenge cy'ikibuno. Itsinda ry'abaganga bawe rizaganira nawe kuri ubu buryo kandi rigufashe guhitamo uburyo bwiza ku mwana wawe. Uburyo bw'ingenzi bwo kuvura ni ubu:

• Uburyo bwa Ponseti: Uburyo bukosora imiterere y'ikirenge binyuze mu gushyira plaster ku kuguru k'umwana.
• Uburyo bw'Igifaransa: Uburyo bwo gukosora imiterere y'ikirenge cy'umwana hakoreshejwe udupira n'ikaseti.
• Gutera inkweto: Uburyo bwo gukoresha inkweto zidasanzwe (brace) kugira ngo bifashe ikirenge kuguma ku mfuruka ikwiye.
• Kubagwa: Iyo ubundi buryo budafashije cyangwa ikibazo gikomeye, kubagwa bishobora gukorwa.

Noneho reka turebe buri buryo muri ubu buryo mu buryo burambuye.

Uburyo bwa Ponseti

Ubu buryo bwo kuvura buzwi cyane kandi butanga umusaruro ku isi yose. Muri ubu buryo , hakorwa ubugororangingo buri cyumweru . Ubu buryo busanzwe bufata amezi abiri cyangwa atatu. Itsinda ry'abaganga rizagerageza gutangira ubu buryo mu byumweru bibiri bya mbere umwana avutse.

Ubu buvuzi bukorwa n'umuganga w'amagufwa. Dore uko abikora:

1. Ikirenge cy'umwana gikururwa buhoro buhoro mu mwanya ukwiye .

2. Hanyuma, hashyirwa plasta ku kirenge. Iyi plasta iva ku mitwe y'amano ikagera hejuru y'itako.

3. Muri ubu buryo , sima nshya ishyirwa buri minsi ine kugeza kuri irindwi . Buri gihe, umuganga ubaga ashyira ikirenge mu mwanya wacyo ukwiye.

Mbere yo gushyiramo icyuma cya nyuma, umuganga ubaga ubusanzwe akora incision nto (Achilles tenotomy) mu mutsi w’ikibuno wa Achilles . Ibi bikubiyemo:

• Umutsi w'agatsinsino k'umwana witwa Achilles - igice gihuza agatsinsino n'imitsi yo mu gace k'agatsinsino - ucibwa mu buryo bwihuse cyane kandi bworoshye . Agatsinsino ni gato cyane ku buryo nta no kudoda bikenewe.
• Hanyuma hashyirwaho plaster nshya. Bifata ibyumweru bitatu kugira ngo iyi mitsi ikire.

Intego y'ubu buvuzi ni ukugira ngo uyu mutsi ukure ugere ku burebure busanzwe. Nyuma yuko imashini ya nyuma ikuweho, umutsi wongeye kumera nk'uko bisanzwe.

Mu gihe umwana wawe arimo gukira, ushobora no gukenera gukora ibi bikurikira:

• Gukora imyitozo yo kunanura ibirenge kugira ngo bikomeze kuguma mu mwanya ukwiye.
• Ambara inkweto zidasanzwe cyangwa agakoresho ko gukingira amaguru mu gihe cy'imyaka myinshi.

Uburyo bw'Igifaransa

Ubu buryo busa n'uburyo bwa Ponseti, ariko aho gukoresha plaster , hakoreshwa udupira n'ikaseti . Agapira ni igikoresho gishyigikira kandi gikingira amagufwa.

Ubu buvuzi bukorwa n'umuganga w'imitsi. Ashobora gutangira ubu buvuzi umwana akivuka. Ariko, ubu buvuzi ntibukorwa rimwe mu cyumweru, bugomba gukorwa buri munsi . Ariko si ngombwa kujya kwa muganga w'imitsi buri munsi. Umuganga w'imitsi azasura umwana inshuro nyinshi mu cyumweru akakwigisha uburyo bwo gushyira iki gitambaro n'ikaseti mu rugo.

Uburyo bwo gukora Igifaransa:

1. Ikirenge cy'umwana gikururwa buhoro buhoro mu mwanya ukwiye .

2. Hanyuma, ikirenge gifatwa mu mwanya wacyo hakoreshejwe kaseti n'agapira.

3. Kora ubu buryo buri munsi mu gihe cy'amezi abiri .

4. Nyuma y'ibyo, ibi bikorwa gake gake (nk'uko umuganga w'umubiri abivuga) kugeza umwana agize amezi 3.

Abana bavurwa hakoreshejwe uburyo bw'Abafaransa akenshi nabo bagomba kubagwa indwara yo mu nda ya Achilles twavuze haruguru.

Nyuma y'amezi atatu, uzabona iterambere ryiza mu kirenge cy'umwana wawe. Kugira ngo ikirenge gikomeze kuguma mu mwanya wacyo no kwirinda ko ikibazo cy'ikirenge kigaruka, ababyeyi bagomba gukomeza ubu buryo kugeza umwana afite imyaka 2 cyangwa 3 .

Inkweto zidasanzwe zo guteka

Nyuma yuko umwana wawe arangije uburyo bwa Ponseti cyangwa uburyo bwa French Method, itsinda ry’abaganga rishobora kukugira inama yo gukoresha icyuma gikingira ikirenge . Nubwo ubuvuzi bwaba bwiza, ikirenge cy’umwana gishobora gusubira mu mwanya utari wo. Igikoresho gikingira ikirenge gifasha kugumana icyerekezo gikwiye no kukirinda guhindukira mu ruhande rutari rwo.

Ubusanzwe iyi brace isa n'inkweto zihujwe n'icyuma . Nanone yitwa "boots and bar". Ikintu cy'ingenzi hano ni:

• Igitsima cyo gupfuka kigomba kwambarwa buri munsi mu mezi atatu ya mbere. Nyuma y'ibyo, kigomba kwambarwa gusa mu gihe cyo gusinzira no mu gihe cyo gusinzira, akenshi kugeza ku myaka ine.
• Ni ngombwa gukurikiza amabwiriza ya muganga neza . Iyo igitambaro cyo gupfuka umwana kidafashwe igihe umwana avuka, ikirenge gishobora gusubira mu mwanya wacyo.

Hari ubwoko butandukanye bw'udupira two gupfuka amaguru. Muganga wawe ashobora kuganira nawe kuri ubu buryo akagufasha guhitamo udupira two gupfuka amaguru dukwiriye umwana wawe.

Kubaga

Hari igihe umwana ashobora kugira ikibazo gikomeye cyo kubabara ibirenge . Cyangwa se, ushobora kuba waragerageje uburyo butari ubwo kubaga ariko ntibugire icyo bugeraho. Muri ibyo bihe, kubagwa bishobora gukosora ikibazo. Ni byiza kubagwa mbere yuko umwana atangira kugenda.

Mu gihe cyo kubaga, umuganga ubaga:

1. Agorora umutsi w'agatsinsino k'umwana kandi agakosora ibindi bibazo by'ikirenge.

2. Udupira twinjizwa mu kirenge kugira ngo gishyirwe mu mwanya wacyo.

3. Nyuma yo kubagwa, hashyirwa plaster ku kaguru.

Nyuma y'ibyumweru bike nyuma yo kubagwa, umuganga ubaga:

1. Kuraho plaster n'inkoni.

2. Hashyirwa plaster nshya ku kirenge cy'umwana. Ibi bizakenera kuguma aho hantu mu gihe cy'ibyumweru bine.

3. Igipande cya nyuma cya plaster kirakurwaho .

Nubwo nyuma y’ubu buvuzi, hari amahirwe make ko ikirenge kizasubira ku mwanya wacyo. Kubwibyo, muganga wawe ashobora kukugira inama yo gukoresha agakoresho ko gukingira ikirenge cyangwa inkweto zidasanzwe kugira ngo ikirenge gikomeze ku mwanya wacyo.

Ni izihe ngaruka mbi zo kubagwa ikirenge cy'ikibuno?

Nk’uko bigenda mu kubaga ikirenge cyose, kubaga ikirenge bishobora kugira ingaruka zimwe na zimwe. Muri zo harimo:

• Gukomereka k'imitsi
• Kwandura
• Kuva amaraso
• Kugorama/Kugorama kw'amaguru

Muganga wawe azakubwira iby'izi ngaruka.

Ese hari uburyo bwo kwirinda indwara yo kubabara ibirenge?

Nta buryo bwo kwirinda burundu ikirenge kidafite aho gihuriye n’indwara yo kubabara, kuko twabonye ko gifite ingaruka ku miterere y’umubiri. Ariko, ukurikije imico myiza mbere yo gutwita no mu gihe cyo gutwita, ushobora guha umwana wawe intangiriro nziza.

• Tekereza kwisuzumisha mbere yo gusama. Aha niho muganga agufasha kumenya neza ko ufite ubuzima bwiza bushoboka igihe utwite.
• Niba ufite ibyago byinshi byo kubyara umwana ufite ikirenge kibyimba cyangwa izindi ndwara zo kuvukana, vugana n'umujyanama mu by'imiterere y'umubiri , wibanda ku myitwarire y'abana bafite ibibazo byo kuvukana n'indwara zo mu mubiri.
• Suzuma ubwandu nka virusi ya Zika. Kuvura ubwo bwandu mbere yo gutwita byongera amahirwe yo gutwita no kubyara umwana muzima.

Iyo utwite:

• Jya mu nama zose zo kwita ku babyeyi batwite ku gihe.
• Koresha umuti wica imibu kugira ngo wirinde wowe n'umwana wawe uri mu nda indwara nka Zika.
• Irinde kunywa itabi no kunywa inzoga. Koresha imiti yemewe na muganga gusa.

Ni iki kizere cy’abana bafite ubumuga bwo kubabara ibirenge? (Outlook)

Ikirenge si indwara izakira ubwayo . Kubwibyo, ni ngombwa gutangira kuvurwa hakiri kare kugira ngo ubone umusaruro mwiza. Abana batangira kuvurwa hakiri kare bagira umusaruro mwiza cyane. Bashobora kwambara inkweto zisanzwe, kugenda, kwiruka no gukina nta bubabare. Hari n'abana bakina siporo!

Ariko, niba ufite ikirenge cyo kuguru kimwe gusa, ushobora kubona ibintu nk'ibi:

• Ukuguru kwangiritse gushobora kuba kugufi gato ugereranije n'ukundi kandi kukaba guke cyane .
• Imitsi yo mu gice cy'ikirenge cy'inyana yari ifite ikirenge gishobora kuba gito gato .
• Umwana wawe ashobora kunanirwa vuba kandi akinubira ko amaguru ye ababara kurusha abana badafite ikirenge gikomeretse.
• Ukuguru kwangiritse gushobora kuba kugufi gato ugereranyije n'ukundi kuguru , ariko ibi akenshi ntibitera ibibazo bikomeye.

Niba umwana wawe afite indi ndwara hamwe n'ikirenge gikomeretse, uko bizagenda bishobora guterwa n'uburyo azavurwa n'iyo ndwara.

Ese ikirenge gishobora kugaruka?

Yego, ikirenge gishobora kugaruka . Ibi bishobora kugaragara cyane cyane iyo gahunda yo kuvura idakurikijwe neza. Niba bigaragara ko ikirenge gisubiye mu mwanya wacyo, reba muganga w'umwana wawe ako kanya. Azakugira inama y'icyo wakora nyuma yaho. Ushobora gukenera gusubiramo zimwe mu ntambwe zo muri gahunda yo kuvura.

Ni gute ababyeyi bashobora gufasha umwana wabo gukoresha icyuma gikingira igituza?

Gukoresha neza icyuma gikingira umwana ni bwo buryo bwiza bwo kubona umusaruro mwiza ku mwana wawe. Ariko, kwambara icyuma gikingira umwana amasaha menshi ku munsi bishobora kugora abana. Dore inama zimwe na zimwe zafasha ababyeyi koroshya icyuma gikingira umwana:

• Bikore nk'umukino: Kina n'umwana wawe mu gihe yambaye ikariso yo gutera amaguru. Kora ibintu nk'imyitozo ngororamubiri igenda buhoro, imikino yo gutera imigeri, nibindi. Ushobora kandi gukoresha agace kari ku kirango cyo gutera amaguru kugira ngo ukore imyitozo yo guhindukira mu ivi no kongera imbaraga.
• Bishyire mu bikorwa byawe: Nyuma y'amezi atatu ya mbere, umwana wawe azakenera gusa icyuma gikingira igikomere iyo asinziriye nijoro no mu gihe aryamye ku manywa. Gira icyuma gikingira igikomere mu gihe cyo kuryama. Hanyuma azasobanukirwa ko kujya gusinzira bivuze kwambara icyuma gikingira igikomere.
• Shyiramo agapapuro ku rubaho: Kongeramo agapapuro koroshye ku rubaho rw'icyuma bizatuma igipfundikizo cyoroha kuri wowe no ku mwana wawe. Binafasha mu kurinda ibikoresho byo mu nzu n'ibikoresho byo mu rugo rwawe.
• Ntugashyire amavuta yo kwisiga: Gushyira amavuta yo kwisiga bishobora gutuma ibibazo by'uruhu birushaho kwiyongera. Ni ibisanzwe ko ibirenge by'umwana wawe biba bitukura gato. Ariko, niba bitangiye kugira udusebe, bishobora kuba ikimenyetso cy'uko agatsinsino karimo gucika mu gitereko. Fata inkweto neza kugira ngo wirinde kunyerera. Nanone, genzura buri gihe ibirenge by'umwana wawe niba nta dusebe dufite.
• Irinde kunyerera: Hari igihe ikirenge gikomeza kunyerera kiva mu gitereko. Genzura ko umushumi ufashe neza. Kwambara amasogisi nabyo bishobora gufasha kugumisha inkweto mu mwanya wazo. Umuganga w’inzobere mu by’umubiri ashobora kukugira inama ku bundi buryo bwo kugumisha inkweto mu mwanya wazo.

Ni iki kindi wagombye kubaza muganga ku bijyanye n'ikirenge kigufi?

Saba muganga w'umwana wawe kohereza umwana wawe kwa muganga w'amagufwa wizewe muri Ponseti Method. Ubu buvuzi busaba ubuhanga n'uburambe bwo ku rwego rwo hejuru. Niba itsinda ry'abaganga bawe rigusaba uburyo bw'Abafaransa, saba kohereza umwana wawe kwa muganga w'amagufwa wizewe muri ubwo buryo.

Dore ibindi bibazo ushobora kubaza muganga w'umwana wawe:

• Ni ryari umwana wanjye agomba gutangira kuvurwa?
• Ni ubuhe buryo bwiza bwo kuvura ikirenge cy'umwana wanjye?
• Ubuvuzi buzamara igihe kingana iki?
• Ese umwana wanjye azagenda nk'uko bisanzwe?
• Nakora iki kugira ngo wirinde ko ikirenge cy'ikibuno kigaruka?

Nk'umubyeyi, iyo ubonye ikintu kidasanzwe kiba ku mwana wawe uri mu nda cyangwa ku mwana ukiri mu nda, ushobora kwibaza icyo wakora nyuma yaho. Mu gihe cyose utwite, watekereje ku myenda myiza umwana wawe azambara, atari ku myenda ya plaster, imigozi, cyangwa imishumi azakenera kwambara.

Amaherezo, ibuka ibi...

Nubwo ikirenge gikunze kugaragara mu gihe umuntu avukana,Ubuvuzi burakora neza cyane. Icy'ingenzi ni ugukurikiza gahunda y'ubuvuzi neza . Kubikora byongera cyane amahirwe yo gutsinda. Iyo ubuvuzi bukwiye, abana benshi bafite ikirenge bashobora kugenda, kwiruka, gukina, ndetse no guhatana nta bubabare. Vugana na muganga wawe ku bijyanye n'ubuvuzi bwiza ku kibazo cy'ikirenge cy'umwana wawe. Ntugatinye, kandi ubihangane n'ubutwari. Umwana wawe azakira vuba!

` Ikirenge cy'ikibyimba, Ubusembwa bw'ivuka, Ubusembwa bw'ibirenge, Uburyo bwa Ponseti, Ubuzima bw'umwana, Amagufwa, Uburyo bwa Ponseti, Talipes Equinovarus