Ingaba umntwana wakho omncinci uhamba ngeenzwane zakhe? Masithethe ngokuhamba ngeenzwane!

Xa umntwana wakho eqala ukuhamba, unika ingqalelo kuyo yonke into encinci ngaye, akunjalo? Ngamanye amaxesha uqaphela ukuba umntwana wakho uhamba ngeenzwane zakhe endaweni yokuba izithende zakhe zichukumise umhlaba. Oku sikubiza ngokuba yi-"Toe Walking". Abanye abazali bayoyika kancinci xa bebona oku. Kodwa ngaba oku kuhlala kuyinto yokoyika? Makhe sithethe ngako ngokweenkcukacha.

Kuthetha ukuthini kanye kanye ukuhamba ngeenyawo? (Ukuhamba ngeenyawo) Ingaba kuqhelekile?

Ngamafutshane, "UkuHamba ngeenzwane" kuthetha ukuba umntwana wakho uhamba ngeebhola zeenyawo zakhe neenzwane zakhe, ngaphandle kokuba izithende zeenyawo zakhe zichukumise umhlaba. Kufana nomdanisi, kodwa sithetha ngokuhamba ngale ndlela ngalo lonke ixesha.

Ngoku, khangela, kuyinto eqhelekileyo ukuba abantwana abangaphantsi kweminyaka emibini bahambe ngeenzwane zabo ngolu hlobo xa befunda ukuhamba. Akukho nto inokubangela ukukhathazeka ngayo. Njengoko bekhula, baza kuqala ukuhamba kakuhle izithende zabo ziphantsi. Uninzi lwexesha, oku akudingi nonyango olukhethekileyo.

Nangona kunjalo, ukuba umntwana wakho uyaqhubeka nokunyathela iinzwane zakhe emva kweminyaka emibini ubudala , ngamanye amaxesha oko kunokuba luphawu lwengxaki yempilo, ngoko ke kulungile ukuba nexhala kancinci.

Oku kuqheleke kakhulu kangangokuba, phakathi kwabantwana abasakhulayo, malunga naba-2 kwabayi-100 (2%) basahamba ngeenyawo xa beneminyaka emi-5 1/2. Nangona kunjalo, phakathi kwabantwana abaneengxaki ezithile zokukhula okanye ukulibaziseka, malunga nama-41% bafumaneka behamba ngeenyawo kule minyaka.

Ziziphi ezinye iimpawu zokuhamba ngeenyawo?

Uphawu oluphambili kukuba umntwana uhamba ngeenzwane zakhe. Yinto ebonwa ngumntu wonke. Ukuba uthi kwabanye abantwana abancinci, 'Nyana/ntombi, hamba iinyawo zakho zithe tyaba emhlabeni,' banokukwenza oko. Kodwa ukuba bayaqhubeka nokuhamba ngeenzwane zabo, uza kubona ezinye izinto ezifana nale:

• Ukungabikho kolungelelwano nokulungelelana: Kubonakala ngathi kunzima ukugcina ulungelelwano lwakho.
• Ukuwa rhoqo: Basenokuwa ngaphezu kwabanye abantwana.
• Ubunzima bokunxiba izihlangu: Ezinye izihlangu zisenokungalingani kakuhle okanye kube nzima ukuzinxiba.
• Ubunzima bokuthatha inxaxheba kwimidlalo okanye kwezinye izinto zokuzonwabisa: Kunokuba nzima ukuthatha inxaxheba kwimidlalo efuna ukubaleka nokutsiba nabanye abantwana.
• Ukuthetha ngentlungu emilenzeni: Ngamanye amaxesha ungatsho nokuba imilenze yakho ibuhlungu.
• Ubunzima bokuhamba ngezithende: Oku kuthetha ukuba ukuba uceliwe ukuba uhambe uphakamise iinzwane zakho nezithende zakho phantsi, kunzima ukwenza njalo.
• Iintambo zesithende/iiAchilles Ukuqina kwemisipha: Imisipha engasemva komlenze, ngaphezulu kwesithende, isenokuvakala ngathi iqinile.

Kutheni abantwana abancinci behamba ngeenzwane zabo? Zithini izizathu?

Uninzi lwexesha, akukho sizathu sicacileyo sokuba umntu ahlale ethetha.Oogqirha bakubiza oku ngokuthi "Idiopathic Toe Walking." Oko kuthetha "ngenxa yesizathu esingaziwayo." Ngamanye amaxesha kunokuba ngumkhwa.

Nangona kunjalo, kusenokubakho ezinye izizathu.

I-Achilles Tendon efutshane

Ngasemva komlenze wakho, apho izihlunu zakho zethole zidibana khona, kukho i-tendon eqinileyo ebizwa ngokuba yi-Achilles Tendon. Le yiyo edibanisa nethambo lakho lesithende. Xa usebenzisa izihlunu zakho zethole, le-Achilles Tendon itsala isithende sakho phezulu.

Kwabanye abantu abahamba ngeenyawo, le tendon isenokuba mfutshane kancinci xa izalwa. (Nangona kunjalo, oku akuqhelekanga ukuba njalo ngaphandle kokuba umntwana unokukhubazeka kweenyawo okufana ne-"Club Foot". Le meko ngamanye amaxesha ibizwa ngokuba yi-"Equinus Deformity".) Okanye, ngokuhamba kwexesha, le tendon inokuba mfutshane. Oku kwenza kube nzima kumntwana ukuhamba ngokuqhelekileyo izithende zakhe ziphantsi. Le yingxaki kwaye yimeko engaqhelekanga.

Abanye abantwana abadala abatyhafa iinzwane banokwenza njalo ngenxa yesiqhelo. Okanye, kusenokwenzeka ukuba imisipha kunye nemisipha yabo iye yaqina ngokuhamba kwexesha kwaye kubuhlungu ukuhamba ngokuqhelekileyo izithende zabo ziphantsi.

Ezinye izizathu ezingaqhelekanga kakhulu

Nangona uninzi lwexesha kungekho nto ixhalabisayo, kwiimeko ezingaqhelekanga , ukuhamba ngeenyawo kunokuba luphawu lwesifo esithile esingabonakaliyo. Umzekelo:

• Ingxaki yobuchopho: Imeko efana `(Cerebral Palsy)`.
• Ingxaki yemisipha okanye yemithambo-luvo: Imeko efana ne-"Muscular Dystrophy".
• Ukungaqheleki komqolo.
• Ingxaki ye-Autism Spectrum (ASD)

Ngaba kukho unxibelelwano phakathi kwe-autism kunye ne-tiptoeing?

Ewe, ukuhamba ngeenyawo kuxhaphake kakhulu kubantwana abane-Autism Spectrum Disorder (ASD). Olunye uphando olukhulu lufumanise ukuba malunga ne-9% yabantwana abane-ASD bahamba ngeenyawo zabo. Olu phando lufumanise ukuba ngaphantsi kwe-0.5% yabantwana abangenayo i-ASD bahamba ngale ndlela.

Isizathu esichanekileyo soku asikacaci , kuba akukho nxibelelwano luthe ngqo olufunyenweyo phakathi kwe-autism kunye nokuqhwalela ngeenyawo. Kusenokwenzeka ukuba ukucutheka kwemithambo eqatheni kuyayithintela intshukumo.

Okanye, isenokuba yinto enxulumene nenkqubo yeemvakalelo . Abantwana abaninzi abane-autism banokukhubazeka okuthile kwinkqubo yabo ye-vestibular. Le nkqubo ye-vestibular yiyo enika ubuchopho bethu ulwazi malunga nokuhamba, ukuma, kunye nokujonga indawo. Oku kungaba sisizathu sokuhamba ngeenyawo. Izazinzulu kufuneka zenze uphando oluthe kratya ngale nto ukuze ziqonde kakuhle indlela ukucubungula iimvakalelo okuchaphazela ngayo ukuhamba ngeenyawo.

Ngaba singabona abantu abadala bedlala ngeenzwane?

Ewe, abanye abantu basahamba ngeenzwane zabo xa bebadala. Mhlawumbi bazama ukuyilungisa besebancinci, kodwa ayizange iphele ngokupheleleyo, okanye mhlawumbi unyango aluzange luphumelele.

Ngamanye amaxesha, nokuba sele umdala, ungaqala ukuhamba ngeenzwane zakho ngaphandle kwesizathu esicacileyo. Ezinye iimeko zempilo ezichaphazela iinyawo, ezinje ngeenkozo, ii-calluses, kunye ne-peripheral neuropathy, zinokubangela ukuhamba kweenzwane.

Oogqirha bafumanisa njani ngokuchanekileyo ukuhamba kweenzwane?

Xa usisa umntwana wakho kugqirha, uza kuqala akubuze ngembali yakhe epheleleyo yezonyango . Emva koko, uza kwenza uvavanyo lomzimba . Njengenxalenye yolu vavanyo, ugqirha uza kujonga ngononophelo indlela umntwana wakho ahamba ngayo. Uza kujonga naziphi na iingxaki emilenzeni nasezinyaweni zomntwana wakho. Uza kujonga nomgama womntwana wokuhamba kunye nokuba kukho imida na.

Ukongeza, kunokwenziwa uvavanyo oluninzi lwe-neurological ukuze kubonwe ukuba kukho naziphi na iingxaki kwinkqubo ye-nervous yomntwana. Ezi ziquka:

• Ukujonga indlela umntwana asabela ngayo engqondweni.
• Ukulinganisa ubungakanani bemvakalelo eviwayo ezingalweni nasemilenzeni.
• Ukuvavanya amandla emisipha.

Zeziphi iindlela zonyango ezinokwenziwa ukuze kuthintelwe ukuhamba kweenyawo?

Unyango lokuthintela ukuhamba kweenyawo luxhomekeke kwizinto ezininzi. Ezi ziquka:

• Ubudala bomntwana wakho.
• Hayi indlela umntwana atyhafa ngayo.
• Yintoni ebangela le meko?

Kusenokwenzeka ukuba ugqirha wakho uza kuqala akucebise unyango olungelulo utyando . Olu luquka:

• Unyango Lomzimba: Umntwana usebenzisana nogqirha wengqondo ukwenza umthambo wokuzolula izihlunu eziseqatheni nasenyaweni. Oku kunokunceda ukunciphisa ukuqina nokwandisa uluhlu lokushukuma. Unyango lwendalo lomzimba ngamanye amaxesha lusebenzisa indlela ebizwa ngokuba yi-serial casting. Kule meko, umntwana unxiba i-walking cast iiveki ezininzi. Oku kunceda izihlunu kunye nemisipha eseqatheni ukuba zoluleke kwaye zande.
• Ii-Ankle-Foot Orthotics (AFOs): Umntwana wakho unokunxiba i-plastic brace. Oku kunceda ukugcina unyawo lukwi-engile engama-90 degrees ngelixa umntwana ehamba imini yonke, esolula izihlunu kunye nemisipha eqatheni. Oku kwenziwa ngokubambisana nogqirha wezonyango kunye nogqirha we-orthotist (ingcali yezonyango egxile kwi-splint kunye ne-braces).
• Ukuqwalaselwa:Ngamanye amaxesha ugqirha uya kukuxelela ukuba uthathe indlela ethi "linda ubone". Oko kukuthi, ukuze ubone ukuba imeko iyaphucuka ngokwayo na. Kodwa le ndlela ayisetyenziswa ngaphezu kweenyanga ezintandathu.
• Iinaliti zeBotulinum A Toxin (Botox®): Iinaliti zeBotox® zinokunikwa ukuze zenze buthathaka izihlunu zomntwana kwaye zenze kube lula ukuzifinyeza.

Khawucinge nje, kusenokubonakala kunzima ukunxiba i-brace efana nale xa umntwana wakho edlala imini yonke. Kodwa ekugqibeleni, iingenelo ziya kuba zilungile.

Ukuba umntwana wakho uneminyaka engaphezu kwemi-5 ubudala , ugqirha wakho unokucebisa utyando lokukhulula nokwandisa imisipha ye-Achilles kunye ne-calf. Olu tyando lunokunceda ukuphucula indlela umntwana wakho ahamba ngayo kunye nokusebenza kwakhe ezinyaweni nasemaqakaleni.

Kwakhona, unyango olubizwa ngokuba yi-"Vestibular-Sensory Therapy" lunokunceda umntwana. Kule meko, umntwana udibana nogqirha wezonyango okanye ingcali yezonyango aze afumane unyango oluvuselela "iNkqubo yakhe yeVestibular".

Ngaba ungakuthintela ukuhamba kweenyawo?

Ewe, ngandlela ithile kunokwenzeka. Nangona kunjalo, kubaluleke kakhulu ukuba wazise ugqirha wezingane womntwana wakho ngale nto. Emva koko unokuphanda imeko ngokufanelekileyo aze enze oko kuyimfuneko.

Njengoko umntwana wakho ekhula, ungamnceda ukuba olule imisipha yakhe ye-Achilles kwaye unciphise amathuba okuhamba ngeenyawo. Kwakhona kunceda ukukhetha izihlangu ezimlingana kakuhle nezinenkxaso efanelekileyo.

Ithini ingqikelelo yabantwana abathatha iinzwane?

Ikamva lomntwana lixhomekeke kwisizathu sokuhamba kwakhe ezinzwaneni. Kwiimeko zokuhamba ezinzwaneni ngendlela engaqhelekanga, apho kungekho sizathu sifumanekayo, uninzi lwabantwana luyaphola ngokupheleleyo ngonyango kwaye bafunda ukuhamba ngokuqhelekileyo izithende zabo ziphantsi. Badla ngokukwazi ukuthatha inxaxheba kwimidlalo nakwezinye izinto.

Nangona kunjalo, abanye abantwana banokuqhubeka behamba ngeenyawo zabo emva konyango okanye utyando . Kulapho ke kufuneka khona izixhobo zokuxhasa imilenze kwaye zinokuba luncedo.

Ziziphi iingxaki ezinokubakho ukuba uqhubeka uhamba ngeenzwane zakho?

Ukuhambahamba rhoqo ngeenzwane kunokubangela ukuba imisipha ye-Achilles kunye nemisipha yethole yomntwana wakho iqine. Oku kunokwenza kube nzima, ukuba akunakwenzeka , ukuba umntwana wakho ahambe ngendlela eqhelekileyo enezithende zakhe phantsi.

Ukongeza, umntwana usenokuba neenyawo ezimfutshane nezithende ezimfutshane, okanye usenokuba nobunzima bokunxiba izihlangu ezithile, ingakumbi ezo zisetyenziselwa ukutyibiliza eqhweni. Ukuba umntwana akakulawuleli ukuhamba kwezinzwane njengoko ekhula, ezinye iingxaki zemisipha kunye nentlungu zinokuvela.

Ndingambuza ntoni ugqirha ngale nto?

Ukuba umntwana wakho uyaqhubeka nokushukuma emva kweminyaka emibini ubudala, kungcono ukubuza ugqirha wakhe ngale nto ilandelayo:

• Ngowuphi umntwana wam ingcali ekufuneka ayibone ukuze ayinyange le nto?
• Ngaba umntwana wam uya kufuna iintsimbi okanye iibraces zomlenze ?
• Zeziphi iimvavanyo ekufuneka zenziwe ukuqinisekisa ukuba azikho ezinye iimeko zempilo ezifana neCerebral Palsy?
• Ngaba kufuneka ndikhathazeke ngeempawu zesinye isifo, njenge-Autism Spectrum Disorder?
• Ukuba le meko iyaqhubeka, iza kuyichaphazela njani yonke impilo yomntwana wam?

Okokugqibela, izinto ekufuneka uzikhumbule

Ngoko ke, ukuhamba ngeenyawo yindlela eqhelekileyo ebonwa kubantwana abancinci, ingakumbi xa befunda ukuhamba. Uninzi lwabantwana luyakhula emva kwexesha elithile baze baqale ukuhamba ngokuqhelekileyo izithende zabo ziphantsi.

Nangona kunjalo, kunqabile kakhulu, ukuhamba ngeenyawo kunokuba luphawu lwengxaki ethile yezempilo. Ngoko ke, ukuba unenkxalabo okanye uxhalabile malunga nokuhamba ngeenyawo komntwana wakho, qiniseka ukuba uthetha nogqirha. Ugqirha wakho unokufumanisa ukuba yingxaki ngokwenene na, kwaye ukuba kunjalo, loluphi unyango olufanelekileyo kuyo.

Khumbula, ayikuko konke ukuhamba ngeenyawo okubalulekileyo. Nangona kunjalo, kubalulekile ukukwazi oku kwaye ufumane ingcebiso kagqirha ukuba kuyimfuneko. Ngamana umntwana wakho angaphila ubomi obusempilweni nobuyonwabisayo!

Ukuhamba ngeenzwane , ukuhamba ngeenzwane, abantwana, iingxaki zeenyawo, unyango lomzimba, i-autism, unyango lwezonyango