Ngaba umntwana wakho osandul’ ukuzalwa unomlenze omnye okanye yomibini egobile ngaphakathi kwaye itsalwa ngaphakathi? Ngamanye amaxesha kuqhelekile ukuba umama okanye utata azive esoyika kakhulu kwaye ebuhlungu xa ebona ukuba intende yonyawo ijikelwe ecaleni okanye phezulu. Le meko yinto esiyibiza ngokwezonyango ngokuba yiClubfoot, okanye `(talipes equinovarus)`. Le yimeko ebonwa kwiintsana kwaye ikhona xa zizalwa. Ngoko ke, masingoyiki oku, kodwa funda iinkcukacha ezichanekileyo.
Ngamafutshane, yintoni iClubfoot?
I-Clubfoot yimeko ekhoyo xa umntwana ezalwa. Ngamafutshane, yimeko apho unyawo okanye iinyawo zomntwana zijongiswe ngaphakathi. Ukuba ujonga unyawo lomntwana, uya kubona ukuba intende yonyawo ijikelwe ecaleni, kwaye ngamanye amaxesha ide inyuke.
Oku kungenxa yokuba imisipha, izicubu ezidibanisa izihlunu namathambo, emlenzeni nasenyaweni lomntwana zimfutshane kwaye ziqinile kunesiqhelo. Oku kuqina kubangela ukuba unyawo lubonakale ngathi lujijekile ngaphakathi. Malunga nesiqingatha seentsana ezineenyawo ezidibeneyo zinale meko kwimilenze yomibini. Oku akoyiki njengoko unokucinga. Le meko ichaphazela malunga ne- 1 kwi-1000 yeentsana ezisandula ukuzalwa. Oku kuthetha ukuba yimeko eqhelekileyo.
Ngaphambili, oku kwakufuna utyando olukhulu. Kodwa ngesayensi yezonyango ephucukileyo esinayo namhlanje, inokunyangeka phantse ngokupheleleyo ngeendlela ezingezizo zotyando kunye notyando oluncinci kakhulu .
Ziziphi iintlobo eziphambili zeenyawo ezigobileyo?
I-Clubfoot inokwahlulwa ibe ziintlobo ezimbini eziphambili. Ukwazi oku kubalulekile xa usenza isigqibo malunga nonyango.
| Uhlobo lweClubfoot | Ingcaciso elula |
|---|---|
| I-Clubfoot ezimeleyo (okanye engaqondakaliyo) | Olu lolona hlobo luxhaphakileyo. Oku kuthetha ukuba umntwana akanazo ezinye iingxaki zempilo ngaphandle kweClubfoot. Igama elithi 'idiopathic' lithetha ukuba unobangela ochanekileyo awaziwa. |
| Unyawo olunezikrweqe olungahlali lodwa | Olu hlobo lwenzeka nakwezinye iimeko zempilo. Umzekelo, lunokubonwa kwiimeko ezifana nengxaki yamalungu (arthrogryposis) okanye ingxaki yenkqubo yemithambo-luvo (i-spina bifida) . |
Zithini iimpawu ze-clubfoot?
Uphawu oluphambili kukuba unyawo olunye okanye zombini zomntwana zijikelwe ngaphakathi, oko kuthetha ukuba zijongise komnye umlenze. Ukongeza, uya kukwazi ukubona ezi zinto.
- Unyawo lufana nezintso .
- Ukuba nomkrwelo onzulu ngaphakathi kwenyawo.
- Igophe lonyawo liphezulu kunesiqhelo (ukukhubazeka kweenyawo ze-cavus).
- Umsipha wethole womlenze ochaphazelekileyo ubonakala umncinci kunomnye umlenze .
- Umlenze ochaphazelekileyo mfutshane kunomnye .
- Ukuqina kweqatha.
- Ukungakwazi ukugoba okanye ukwandisa umlenze ngokupheleleyo.
Eyona nto ibalulekileyo kukuba le meko ayibangeli ntlungu kumntwana. Ngenxa yoko, umntwana usenokungakhali okanye angabonakalisi ntlungu.
Izizathu kunye nemingcipheko yeenyawo ezikhubazekileyo
Abaphandi abakakwazi ukusho ngqo ukuba yintoni ebangela oku, kodwa bakholelwa ukuba kusenokuba yindibaniselwano yezinto zemfuza kunye nezokusingqongileyo .
Izinto ezonyusa umngcipheko
- Ukuba yinkwenkwe: Amakhwenkwe anamathuba aphindwe kabini okuba neenyawo ezigobileyo kunamantombazana.
- Imbali yosapho: Ukuba kukho umntu kusapho (umama, utata, umntakwenu) okhe waba nonyawo olukhubazekileyo, umntwana naye usemngciphekweni omkhulu wokuba nalo.
- Ezinye iziphene zokuzalwa: Oku kunokwenzeka nakwezinye iimeko ezifana ne-"Spina bifida" okanye "cerebral palsy".
- Iingxaki ngexesha lokukhulelwa: Iimeko ezifana ne-oligohydramnios, ukwehla kobuninzi be-amniotic fluid ejikeleze umntwana ngexesha lokukhulelwa.
- Ukuziphatha komama ngexesha lokukhulelwa: Ukutshaya, ukusela utywala, okanye ukusebenzisa ezinye iziyobisi ngexesha lokukhulelwa nako kunokunyusa umngcipheko.
Iza kuba yintoni impembelelo kumntwana ukuba akanyangwa?
I-Clubfoot ayisiyonto eza kuphola yodwa. Ngoko ke, kubaluleke kakhulu ukuyinyanga ngaphambi kokuba umntwana aqale ukuhamba. Ukuba ayinyangwa, umntwana unokufumana iingxaki ezifana nezi kwixesha elizayo:
- Ubunzima bokuhamba: Ngokwesiqhelo, sihamba sisebenzisa iinyawo zethu. Nangona kunjalo, umntwana oneenyawo ezigobileyo unokufunda ukuhamba ecaleni okanye phezulu kweenyawo zakhe.
- Usulelo lweenyawo: Ukuhamba ngendlela engaqhelekanga kunokubangela ukwenzakala kweenyawo kunye nosulelo.
- Izilonda zesikhumba (iiCalluses): Ulusu olusezinyaweni lunokuqina kwaye lwenze iicalluses.
- I-Arthritis: Iimeko ezifana ne-arthritis, ebangela ukudumba, iintlungu, kunye nokuqina kwamalungu, zinokuvela kwixesha elizayo.
Ngoko ke, ukuqala unyango kwangoko nje ukuba unyawo olune-clubfoot yeyona nto ilungileyo onokuyenza kwikamva lomntwana wakho.
Ukuchonga iClubfoot kunye nokuqala unyango
Rhoqo, ugqirha wakho unokuyibona le meko ngexesha lokuhlolwa kwe-ultrasound ngexesha lokukhulelwa kwakho. Ukukwazi oku kwangethuba kuya kukunceda ucwangcise unyango olufunayo emva kokuba umntwana wakho ezelwe.
Ngamanye amaxesha, nokuba ayibonakali kwiskeni, ugqirha uya kuyifumanisa ngexesha lovavanyo lokuqala lomzimba emva kokuba umntwana ezelwe. Ngamanye amaxesha, i-X-ray inokucetyiswa ukuqinisekisa imeko.
Ixesha elifanelekileyo lokuqala unyango likwiveki yokuqala okanye ezimbini emva kokuba umntwana ezelwe. Ukuqala unyango ngokukhawuleza kunokuthintela iingxaki ezininzi kwixesha elizayo.
Iindlela zonyango lweenyawo ezikhubazekileyo
Iqela loogqirha lidla ngokudibana ukuze linyange unyawo olukhubazekileyo.
- Ugqirha wamathambo wabantwana: Ugqirha ogxile kwiingxaki zamathambo namalungu ebantwaneni.
- Ugqirha weMithambo: Ugqirha onyanga iingxaki zamathambo namalungu ngotyando.
- Ingcali yoNyango lomzimba: Umntu onceda ekwakheni amandla emilenzeni yomntwana aze amncede ashukume kakuhle.
Kukho iindlela ezininzi eziphambili zonyango.
Indlela yePonseti
Le yindlela yonyango esetyenziswa kakhulu nephumelelayo ehlabathini. Le yinkqubo ethatha malunga neenyanga ezimbini ukuya kwezintathu.
1. Ukolula unyawo kunye nokufaka isamente: Ugqirha oyingcali uya kolula unyawo lomntwana ngobunono kwindawo efanelekileyo. Emva koko, kuya kufakwa isamente ukusuka ezinzwaneni ukuya phezulu ethangeni.
2. Ukutshintshwa kweplasta ngeveki: Kanye ngeveki (phakathi kweentsuku ezi-4-7), iplasta endala iyasuswa, umlenze utsalwa kwindawo efanelekileyo kancinci, kwaye kufakwa iplasta entsha. Emva kokuba kufakwe iiplasta ezimalunga nezi-5-7 ngale ndlela, umlenze uhlala kwindawo efanelekileyo.
3. I-Achilles Tenotomy: Ngaphambi kokufaka isamente yokugqibela, ugqirha wenza utyando oluncinci. Kule meko, i-Achilles tendon esithendeni iyanqunyulwa kancinci. Oku akudingi nokuthungwa. Oku kuvumela i-tendon eqinileyo, emfutshane ukuba ikhululwe kwaye ivunyelwe ukuba ikhule ibe nobude obufunekayo.
4. Iplasta yokugqibela:Emva kotyando, iplasta yokugqibela iyafakwa. Iyashiywa malunga neeveki ezi-3 ize isuswe.
Indlela yesiFrentshi
Oku kufana nendlela yePonseti, kodwa endaweni yeplasta, kusetyenziswa iteyiphu kunye nee-splint. Olu nyango lwenziwa yingcali yezonyango zomzimba. Le yinto ekufuneka yenziwe imihla ngemihla. Ingcali yezonyango zomzimba ikwafundisa abazali indlela yokwenza oku ekhaya.
Ukunxiba izihlangu ezikhethekileyo (iBracing)
Emva kokuba unyawo lulungiswe ngokupheleleyo kusetyenziswa indlela yePonseti okanye indlela yesiFrentshi, kukho ithuba elikhulu lokuba lubuyele kwimo yalo yakudala. Oku kusetyenziselwa ukuthintela ezi zihlangu zikhethekileyo (iibrace).
Oku kudla ngokuba nentsimbi eqhagamshelwe kwizihlangu ezibini ("izihlangu kunye nebha").
- Ufanele uyinxibe imini yonke (malunga neeyure ezingama-23) kwiinyanga ezi-3 zokuqala.
- Emva koko, umntwana ufanele ayinxibe le nto xa elele ebusuku nangexesha lokulala ade abe neminyaka emi-4 ubudala .
Kubaluleke kakhulu ukunxiba ezi zihlangu kanye njengoko ugqirha ekuxelela, kungenjalo amathuba okuba unyawo luphinde lukruneke aphezulu kakhulu.
Utyando
Ngamanye amaxesha, unyawo oluneziphene lunokuba nzima kakhulu. Okanye, ezinye iindlela zisenokunganiki ziphumo ezifunekayo. Kwimeko ezinjalo, kuyacetyiswa utyando. Kungcono ukwenza olu tyando ngaphambi kokuba umntwana aqale ukuhamba.
Liza kuba njani ikamva lomntwana emva konyango?
Le yeyona ngxaki inkulu abanayo abazali bonke. Ukuba ifunyenwe kwangethuba kwaye yanyangwa ngokuchanekileyo, iziphumo ziyaphumelela kakhulu.
Umntwana wakho uya kukwazi ukunxiba izihlangu eziqhelekileyo, ukuhamba, ukubaleka, ukutsiba ngaphandle kwentlungu, nokudlala nokukhuphisana njengabanye abantwana.
Nangona kunjalo, kusenokubakho utshintsho oluncinci emlenzeni obene-clubfoot.
- Unyawo oluchaphazelekileyo lusenokuba ncinane ngobukhulu besihlangu esinye kunolunye unyawo.
- Indawo yethole yaloo mlenze isenokuba ncinci kancinci.
- Loo mlenze usenokuba mfutshane kancinci kunomnye umlenze.
Kodwa olu tshintsho aludli ngokuba nefuthe elikhulu kwimisebenzi yemihla ngemihla yomntwana.
Iingcebiso ezimbalwa zokwenza kube lula ukusebenzisa i-brace
Ukusebenzisa i-brace ixesha elide kunokuba ngumceli mngeni kuwe nakumntwana wakho. Ezi ngcebiso zinokukunceda.
- Yenza umdlalo: Dlala nomntwana wakho ngelixa enxibe i-brace. Yenza izinto ezifana nokukhaba ngemilenze yakho, ukugoba kunye nokolula imilenze yakho, njl.
- Yenza kube yinxalenye yesiqhelo sakho: Yenza umkhwa wokunxiba izihlangu zenkxaso xa ulalisa umntwana wakho. Oku kuya kunceda umntwana wakho aqonde ukuba lixesha lokunxiba izihlangu zenkxaso xa kufika ixesha lokulala.
- Musa ukufaka iloshini: Musa ukufaka iikhrimu okanye iiloshini kwiindawo apho kufakwa khona i-brace. Zinokwenza iingxaki zolusu zibe mandundu ngakumbi. Kuqhelekile ukuba ulusu lube bomvu kancinci. Nangona kunjalo, ukuba lubonakala ngathi lunamadyungudyungu, oko kunokuthetha ukuba isithende sityibilika ngaphakathi kwesihlangu. Xelela ugqirha wakho ngayo loo nto.
- Yeka ukutyibilika: Qinisa imitya yezihlangu zakho. Ngamanye amaxesha ukunxiba iikawusi kunokunceda ukugcina izihlangu zakho zisendaweni yazo.
Ukuba unenkxalabo, ungaze woyike ukuthetha nogqirha womntwana wakho okanye ingcali yezonyango ngayo loo nto.
Umyalezo Wokuya Ekhaya
- I-Clubfoot yimeko eqhelekileyo ebakho xa uzalwa. Asikuko ukuba unetyala.
- Le meko ayibangeli ntlungu kumntwana, kodwa kufuneka inyangwe.
- Iziphumo eziphumeleleyo kakhulu zinokufumaneka ngokuqala unyango ngokukhawuleza, kwiiveki ezimbalwa zokuqala emva kokuba umntwana ezelwe.
- Indlela yePonseti yindlela yonyango ephumelela kakhulu, engeyotyando esetyenziswa kwihlabathi liphela.
- Nje ukuba unyawo lulungiswe, kubaluleke kakhulu ukunxiba i-brace ekhethekileyo kangangexesha elimiselweyo ukuze kuthintelwe ukuphinda kutsale unyawo.
- Ngonyango olufanelekileyo, umntwana wakho angaphila ubomi obonwabisayo, obusempilweni, nobusebenzayo njengaye wonke umntwana.
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