Ingaba intloko yomntwana wakho ibukeka ithe tyaba ngasemva? Masithethe ngale nto (iBrachycephaly)!

Ngaba wakha waziva ngathi intloko yomntwana wakho ithambile ngasemva? Okanye ibukeka ibanzi kancinci kunesiqhelo? Kuqhelekile ukuba umama okanye utata azive esoyika xa ebona into efana nale. Kodwa ungakhathazeki. Namhlanje siza kuthetha ngale meko (Brachycephaly).

Yintoni i-brachycephaly? Ingaba iyingozi?

Ngamafutshane, i-brachycephaly kuxa umva wentloko yomntwana wakho ubonakala uthe tyaba. Oku kuthetha ukuba umva wentloko ungabonakala umfutshane kwaye ubanzi kunesiqhelo. Ngamanye amaxesha unokucinga, "Owu, intloko yomntwana wam ibukeka ingaqhelekanga."

Olu luhlobo lwemeko ebizwa ngokuba yi (Positional Plagiocephaly), okanye "i-flat head syndrome." Yinto eqhelekileyo. Into ebalulekileyo kukuba ayibangeli iingxaki zempilo zexesha elide okanye iingxaki ekukhuleni komntwana. Kwiimeko ezininzi, le meko iba ngcono ngokwayo, okanye inokulungiswa ngeendlela ezilula zokulawula. Ngoko ke, ungakhathazeki ngokungeyomfuneko, kulungile?

Kukho iintlobo ezimbini eziphambili ze-brachycephaly:

Kukho iintlobo ezimbini zale meko kuxhomekeke kwisizathu. Masibone ukuba zithini.

1. I-Positional Brachycephaly: Olu lolona hlobo luxhaphakileyo. Le meko inokwenzeka xa umntwana wakho elele ngomqolo ixesha elide, kwaye ihlala injalo ixesha elide xa evukile. Siyazi ukuba iintsana kufuneka zihlale zilaliswe ngomqolo ukuze kuthintelwe i-Sudden Infant Death Syndrome (SIDS). Yinto efunekayo. Nangona kunjalo, ukuba iintsana zigcina iintloko zazo kwicala elinye ngelixa zivukile, zinokuba zithambile ngenxa yoxinzelelo olungasemva kwentloko yazo.

2. I-Synostotic Brachycephaly: Le meko yahlukile kancinci. Le meko ibangelwa yimeko ebizwa ngokuba yi-"Craniosynostosis." Ngamafutshane, amathambo ekhakayi lomntwana ayadibana ngaphambi kokuba adibane. Le yimeko yokuzalwa, oko kuthetha ukuba inokubakho xa ezalwa. Le yimeko efuna ingqalelo ethile.

Uyazi njani ukuba umntwana uneBrachycephaly? Zithini iimpawu?

Eyona nto iphambili kukuba umva wentloko yomntwana uthe tyaba. Ngamanye amaxesha intloko inokubonakala ibanzi kunokuba ide ukusuka ngaphambili ukuya ngasemva. Ungajonga umntwana wakho uze ucinge, "Owu, ayibonakali ibanzi kakhulu loo nto?"

Enye into kukuba malunga neentsana ezilithoba kwezilishumi ezinesi sifo nazo ziya kuba nesifo esibizwa ngokuba yi-"Torticollis". Oku kuchaphazela izihlunu zentamo yomntwana. Ngenxa yoko, intloko yomntwana inokujijeka ize ithambekele kwelinye icala. Kusenokuba nzima kancinci kumntwana ukujika aye kwelinye icala.

Kutheni oku kusenzeka (iBrachycephaly)? Zithini izizathu?

Isizathu esiphambili soku kuxinzelelo oluqhubekayo ngasemva kwentloko yomntwana.Intloko yomntwana ithambile kakhulu, akunjalo? Kwaye yenzelwe ukuba iguquguquke kancinci. Isizathu soko kukuba ingqondo yomntwana ifuna indawo yokukhula. Nangona kunjalo, ngenxa yolu hlobo lokuthamba, ukuba uxinzelelo luhlala lufakwa kwindawo enye yentloko, imo yentloko inokutshintsha.

Izizathu zeBrachycephaly yePositional

Olu hlobo (i-Positional Brachycephaly) ludla ngokuvela kwiinyanga ezintathu zokuqala zobomi bomntwana. Kukho izizathu ezininzi eziqhelekileyo ezibangela oku:

• Ukulala ixesha elide ujonge phezulu: Njengoko bekutshiwo ngaphambili, ukuba umntwana wakho uhlala ejonge phezulu ngelixa elele kwaye/okanye evukile, umva wentloko yakhe unokuba tyaba. Kodwa khumbula, ukukhusela umntwana wakho kwi-SIDS , ngokuqinisekileyo kufuneka umlalise ejonge phezulu.
• Iingxaki ngaphambi kokuzalwa okanye ngexesha lokubeleka: Ngamanye amaxesha, ukuba akukho ndawo yaneleyo yomntwana ngaphakathi kwesibeleko sikamama, okanye ukuba akukho fluid yaneleyo yokukhusela intloko yomntwana, le meko (i-Positional Brachycephaly) inokwenzeka ngaphambi kokuzalwa. Kwakhona, ukuba ukuzalwa komntwana kuthatha ixesha elide, inokuba yimbangela.

Cinga ngoku: Iintsana ezizelwe ngaphambi kwexesha, oko kukuthi iintsana ezizelwe ngaphambi komhla wokuzalwa, zisengozini enkulu yokuhlaselwa yile meko (i-Positional Brachycephaly). Oku kungenxa yokuba iintloko zazo zithambile kunezo zomntwana oqhelekileyo. Kwakhona, kuthatha ixesha ukuba izihlunu zentamo yazo zibe namandla ngokwaneleyo ukujika iintloko zazo ukusuka kwelinye icala ukuya kwelinye.

Izizathu zeSynostotic Brachycephaly (ukudibana ngokukhawuleza kwamathambo ekhanda)

Olu hlobo lwe (Synostotic Brachycephaly) lubangelwa yimeko ebizwa ngokuba yi "Bicoronal Synostosis", uhlobo oluthile lwe "Craniosynostosis." I-Craniosynostosis kukudibana kwamathambo ekhanda lomntwana ngaphambi kwexesha. I- "Bicoronal Synostosis" ichaphazela amathambo kumacala omabini ekhanda lomntwana.

Kunzima ukufumana unobangela othile kwiintsana ezininzi ezine-craniosynostosis. Ngamanye amaxesha, inokubangelwa lutshintsho olungaqhelekanga lwezakhi zofuzo (ukwahluka kwezakhi zofuzo), okanye umntu kusapho unokuba nale meko aze ayidlulisele kwabanye.

Kwezinye iimeko, izinto ezithile ngexesha lokukhulelwa zinokunyusa umngcipheko wokuba umntwana abe ne-craniosynostosis. Eminye imizekelo yile:

• Amanye amayeza okuzala, umzekelo `(Clomiphene (Clomid®))`.
• Isifo se-thyroid kumama ngexesha lokukhulelwa.
• Ukuzalwa ngaphambi kwexesha.

Zeziphi iingxaki ezinokubakho ukuba i-brachycephaly ayinyangwanga kakuhle?

Ingxaki ephambili enokwenzeka ukuba i-positional brachycephaly ayinyangwa yinkxalabo yobuhle. Oko kukuthi, imilo yentloko ibonakala yahlukile kancinci. Nangona kunjalo, olu hlobo lwe-brachycephaly alunakuchaphazela kangako uphuhliso lwengqondo yomntwana. Ngoko ke akukho nto inokubangela ixhala ngayo.

Nangona kunjalo, ukuba imeko ebangelwa kukudibana ngokukhawuleza kwamathambo ekhanda (iSynostotic Brachycephaly) ayinyangwa, okanye ukuba uxinzelelo olungaphakathi kwekhanda (`(uxinzelelo lwe-Intracranial)`) luyanda, oku kulandelayo kunokwenzeka:

• Ukulibaziseka kokukhula komntwana
• Ukuxhuzula, okufana nokuxhuzula
• Ukukhubazeka okungapheliyo kwentloko okanye kobuso

Ngoko ke, ukuba une-Synostotic Brachycephaly, ngokuqinisekileyo kufuneka ufune uncedo lwezonyango ngokukhawuleza.

Ugqirha uxilonga njani i-brachycephaly?

Into yokuqala eya kwenziwa ngugqirha wabantwana bomntwana wakho kukuhlolisisa umntwana wakho ngononophelo. Baza kufuna ukwazi ukuba le yimeko yokuma okanye yimeko ye-synostotic ebangelwa kukudibana kwamathambo ekhakayi ngokukhawuleza.

Ugqirha uza kuyiva intloko yomntwana ngononophelo, ekhangela naziphi na iindawo eziqinileyo apho amathambo entloko adibana khona, kunye nazo naziphi na iindawo ezithambileyo ngokungaqhelekanga.

Ngokubanzi, ukuba intloko inemiphetho eqinileyo, kusenokwenzeka ukuba ibe luhlobo lwe (Synostotic). Ukuba akukho miphetho eqinileyo, kwaye intloko ithe tyaba nje, kusenokwenzeka ukuba ibe luhlobo lwe (Positional).

Uninzi lwexesha, uvavanyo lomzimba olufana nolu lunokuxilonga imeko (i-Positional Brachycephaly). Nangona kunjalo, ukuba ugqirha wakho unamathandabuzo, unokuyalela uvavanyo lomfanekiso.

Ukuba umntwana wakho uneempawu zale meko (iSynostotic Brachycephaly), ngokuqinisekileyo kuya kufuneka uvavanyo lwemifanekiso ukuqinisekisa oko. Oku kungabandakanya enye okanye ezingaphezulu kwezi zilandelayo:

• I-X-reyi yoKhakhayi
• I-CT scan yentloko
• I-ultrasound okanye i-MRI (ingakumbi ukuba kukho ukurhanelwa kwemeko efana ne-hydrocephalus, oko kukuthi, ukuqokelelana kolwelo engqondweni)

Iphathwa njani iBrachycephaly?

Unyango lwe-brachycephaly luxhomekeke kuhlobo kwaye lunokuqala ekutshintsheni indawo yomntwana ukuya kutyando.

Unyango lweBrachycephaly yePositional

Kwiintsana ezininzi ezinale meko (i-Positional Brachycephaly), imeko iyaphucuka ngokungacwangciswanga ngokuhamba kwexesha, njengoko ukhakhayi lomntwana lukhula kwaye luqala ukujikajika nokushukuma.

Okwangoku, ugqirha wakho wabantwana uza kukufundisa indlela yokutshintsha intloko yomntwana wakho. Oku kunokunceda ukunciphisa uxinzelelo ngasemva kwentloko yomntwana wakho ngelixa elele nasemini yonke. Umzekelo, ugqirha wakho angakuxelela ukuba wenze izinto ezifana nezi:

• Ixesha lesisu: Oku kuqinisa izihlunu zentamo yomntwana kwaye kunciphisa uxinzelelo ngasemva kwentloko. Yenza oku ixesha elifutshane, amaxesha amaninzi ngemini.
• Ukubeka umntwana kwiindawo ezahlukeneyo:Ngamanye amaxesha kwisitulo esithe nkqo, okanye kwisilingi, kwaye ngamanye amaxesha kwindawo ethe tyaba.
• Ukutshintsha amacala xa uncancisa kwaye ubamba umntwana wakho: Musa ukusoloko ubamba umntwana wakho kwicala elinye, tshintsha amacala.
• Nciphisa ixesha umntwana wakho alichitha kwiindawo eziqinileyo nezithe tyaba, njengakwisihlalo semoto okanye kwistroli: Ukuba kunokwenzeka, sebenzisa isling okanye isithuthi esijongene ngaphambili.

Khumbula into enye ebaluleke kakhulu: Eyona ndlela ikhuselekileyo yokulala komntwana wakho, emini nasebusuku, kukulala emqolo. Musa ukuyitshintsha loo nto.

Kukho ezinye iindlela zonyango:

• Unyango lokuphulula: Ugqirha wakho wezingane angakufundisa indlela yokuphulula intloko yomntwana wakho kancinci.
• Unyango lomzimba lwe-torticollis: Ukuba umntwana wakho unengxaki yokujika intloko yakhe, ungenza izinto ezifana nokuzilolonga ezinceda ekuphumleni nasekuqiniseni izihlunu zentamo.
• Unyango lwentloko: Kule meko, umntwana unikwa isigcina-ntloko esenzelwe ngokukodwa ukuba asinxibe kangangeeveki eziliqela. Esi sigcina-ntloko sinceda ekubumbeni ukhakhayi lomntwana ngokutsha. Nangona kunjalo, oogqirha babantwana bacebisa olu nyango lwentloko kuphela kwiimeko ezinzima kakhulu.

Unyango lwe-Synostotic Brachycephaly (imeko ebangelwa kukudibana ngokukhawuleza kwamathambo ekhanda)

Utyando lunyango olubalulekileyo kwimeko (Synostotic Brachycephaly). Ayizukuba bhetele ngaphandle kotyando. Olu tyando ludla ngokwenziwa ngaphambi kokuba umntwana abe nonyaka omnye ubudala.

Olu tyando lwentloko (`(utyando lwentloko)`) lwenza oku kulandelayo:

• Ukhakhayi losana luyakhiwa ngokutsha.
• Inciphisa uxinzelelo oluphezulu ngaphakathi kwekhakayi (uxinzelelo lwangaphakathi kwentloko).
• Ivumela ingqondo yomntwana ukuba ikhule kakuhle.

Kukho iintlobo ezahlukeneyo zotyando lwentloko. Ugqirha wakho uza kugqiba ukuba loluphi utyando olulungele imeko ethile yomntwana wakho. Baza kukuchazela izinto ezilungileyo nezingalunganga. Ngoko ke musa ukuzibamba ubuze imibuzo.

Emva kotyando, umntwana usenokufuna unyango lwe-helmet. Usenokufuna ukunxiba i-helmet eyenzelwe ngokukodwa malunga nonyaka emva kotyando.

Ndifanele ndimbone nini ugqirha womntwana wam?

Ukuba unenkxalabo malunga nokuma kwentloko yomntwana wakho, okanye ukuba umntwana wakho unengxaki yokujika intloko yakhe, qiniseka ukuba ubonana nogqirha wabantwana. Kwakhona, ukuba umntwana wakho unesithuthwane okokuqala, mse esibhedlele ngoko nangoko.

Akuphelelanga apho, kodwa qiniseka ukuba umsa umntwana wakho kwiindawo zokunyamekela umntwana rhoqo. Ngale ndlela, ugqirha unokujonga rhoqo ukuma kwentloko yomntwana wakho kunye nophuhliso lwakhe luphela.

Ngaba abantu abadala banokuba ne-brachycephaly?

Ewe, abantu abadala banokuba ne-brachycephaly. Ukuba imeko ayiphucuki yodwa ebuntwaneni, okanye ukuba ayinyangeki ngokupheleleyo ngonyango, intloko ethe tyaba inokuhlala ide ibe mdala. Oku kunokubangela iingxaki zokuzihlonipha kwabanye abantu abadala. Ukuba umva wentloko uthe tyaba, kunokuba yintloni.

Ukuba ungumntu omdala kwaye uziva uxinezelekile ngenxa yesi simo, bona ugqirha wakho okanye umcebisi wezempilo yengqondo . Zikhona nezinye iindlela zonyango zoku.

Okokugqibela, into ekufuneka iqwalaselwe.

Xa ucinga ukuba umntwana wakho unengxaki, ingakumbi ukuba yinto ecacileyo njengentloko ethe tyaba, kuyinto eqhelekileyo ukuba uzive ukhathazekile kancinci. Phefumla nzulu uze uzole. Into ebalulekileyo ekufuneka uyazi kukuba i-brachycephaly ixhaphakile kwaye idla ngokuba yeyokwexeshana. Nangona kunjalo, ukuba unenkxalabo malunga nokuma kwentloko yomntwana wakho okanye nayiphi na enye ingxaki, kungcono ukubona ugqirha. Ugqirha angenza uvavanyo olulula lwentloko yomntwana wakho aze akunike iingcebiso ngeendlela zonyango.

I- Brachycephaly, Intloko ethe tyaba, Intloko yosana, Intloko yentloko, I-Craniosynostosis, I-Positional Plagiocephaly, i-SIDS