Ingaba intamo yomntwana wakho ityekele ecaleni? Masithethe nge-torticollis!

Ngaba wakha waphawula ukuba intloko yomntwana wakho ityekele kwelinye icala, okanye isilevu sakhe sijikelwe kwelinye icala? Ngamanye amaxesha, abazali bayakhathazeka kancinci xa umntwana wabo enje. Yintoni isizathu soku, ingaba le yinto enzulu? Le yimeko esiza kuthetha ngayo namhlanje, ebizwa ngokuba yi-torticollis. Le yinto enokufunyanwa ngoomama abaninzi. Ngoko ke, masifunde ngakumbi ngayo ngaphandle koloyiko.

Yintoni iTorticollis?

Ngamafutshane, i-torticollis yimeko apho izihlunu entanyeni yomntwana wakho zibangela ukuba intloko yakhe ijijeke kwaye ithambekele kwelinye icala. Isenokubonakala ngathi intamo yakhe ijijeke ngendlela engaqhelekanga. Umphezulu wentloko yakhe unokujijeka kwelinye icala, kwaye isilevu sakhe sinokujijeka kwelinye. Oku kukwabizwa ngokuba yi-'wryneck'. Igama elithi 'torticollis' livela kwigama lesiLatini elithi 'tortus', elithetha 'ukujijeka', kunye nelithi 'collum', elithetha 'intamo'. Ngoko ke lithetha 'intamo ejijekileyo' .

Esi sisifo esixhaphakileyo kwiintsana nabantwana abancinci. Ngokuqhelekileyo akukho nto ixhalabisayo. Kukho iintlobo ezimbini eziphambili ze-torticollis:

1. I-Congenital Torticollis: Oku kuthetha ukuba le meko ikhona xa umntwana ezalwa.

2. I-Acquired Torticollis: Oku kungenzeka emva kokuzalwa, ngamanye amaxesha kwiinyanga ezimbalwa emva kokuzalwa komntwana okanye kamva.

Okungakumbi malunga neCongenital Torticollis

Olu hlobo lwe-torticollis, olubizwa ngokuba yi-congenital torticollis, lolona hlobo luqhelekileyo lwe-torticollis kwiintsana. Eyona nto ingcono kukuba ayibangeli ntlungu kumntwana. Usenokungayiboni de kube ziiveki ezimbalwa emva kokuba umntwana wakho ezelwe. Usenokuyibona le meko kuphela xa umntwana wakho efumana ulawulo lwentloko yakhe kancinci kancinci, nto leyo ethetha ukuba intamo yakhe iba namandla.

Masifunde nange-Acquired Torticollis.

Olunye uhlobo, i-acquired torticollis, ludla ngokuvela kwiinyanga zokuqala ezine ukuya kwezintandathu zobomi bomntwana okanye kamva. Ingavela ngequbuliso okanye ikhule kancinci kancinci. Ngamanye amaxesha i-acquired torticollis ayinabungozi kwaye iyaphela yodwa. Nangona kunjalo, ngamanye amaxesha inokuba luphawu lwengxaki enkulu yempilo. Yiyo loo nto kubalulekile ukuba uyiqaphele.

Zithini iimpawu ze-torticollis?

Ngoku makhe sibone ukuba zeziphi iimpawu umntwana anokubonisa ukuba une-torticollis. Ezi mpawu zixhaphake kakhulu kuhlobo lokuzalwa, kodwa kuhlobo olufunyenweyo, ezinye iimpawu zinokubakho.

• Intloko yomntwana wakho ityekele kwelinye icala kwaye isilevu sijikelwe kwelinye. Olu luphawu oluphambili.
• Usana lunobunzima bokujika intloko nentamo.Ukubona. Kufana nokuba intamo ayihambi kakhulu. Umzekelo, xa ukhomba into yokudlala, isenokujika intamo yayo ibe kwicala elinye, kodwa ibe mathidala ukuyijika ibe kwelinye icala.
• Elinye lamagxa omntwana libonakala liphezulu kunelinye .
• Izihlunu zentamo zivakala ziqinile okanye ziqinile .
• Ngamanye amaxesha izihlunu zentamo zibonakala zidumbile.
• Iqhubu elincinci, elingangee-pea kwenye yezihlunu entanyeni yomntwana. Oku akwenzeki kubo bonke abantwana, kodwa abanye banokwenzeka.
• Iimpawu zobuso ezingalinganiyo .

Kwi-torticollis efunyenweyo, ezi mpawu zinokuhamba nezinye iimpawu, umzekelo:

• Njengoko kukhankanyiwe apha ngasentla, kunzima ukuthambekisa intloko nokujika intamo.
• Ngamanye amaxesha oku kusenokuhamba nentlungu eqatha entanyeni . Umntwana usenokukhala rhoqo aze angaphumli.
• Ukungcangcazela kwentloko.
• Intloko ebuhlungu (nangona oku kunokuba nzima ukukuchazela abantwana abancinci, ungakubona ngokuziphatha kwabo).

Kutheni le nto isenzeka le torticollis? Zithini izizathu?

Kulungile, ngoku mhlawumbi uyazibuza ukuba kutheni oku kusenzeka kwaba bantwana bancinci. Makhe sijonge izizathu zako. Izizathu zoku ziyahluka ngokuxhomekeke kuhlobo lwako.

Izizathu zeCongenital Torticollis

I-Congenital torticollis idla ngokubangelwa kukufinyezwa kwemisipha entanyeni yomntwana wakho ebizwa ngokuba yi-sternocleidomastoid muscle (SCM) . I-SCM zimisipha emibini emikhulu nebalulekileyo kumacala omabini entanyeni yethu. Ziqhagamshela kwi-sternum kunye ne-clavicle ngasemva kwentloko. Cinga ngayo, le misipha isinceda sijike iintamo zethu, sigobe iintamo zethu, kwaye sijike iintloko zethu kwelinye icala. Ngoko ke ukuba enye yezi misipha mibini ifinyeziwe ngesizathu esithile, intamo iya kutsalwa kuloo ndlela, kwaye intloko iya kujika iye kwelinye icala.

Abaphandi abakaqiniseki ukuba kutheni le misipha ifinyela kwezinye iintsana. Kodwa nazi ezinye zezizathu abacinga ukuba isenokuba yiyo:

• Indawo umntwana wakho ahlala kuyo esibelekweni ingakuchaphazela oku. Usenokubambeka ecaleni ngenxa yokungabikho kwesithuba esibelekweni.
• Oku kusenokuba kukukhula okungaqhelekanga kwemisipha ye-SCM.
• Umsipha wentamo yomntwana unokuba neqoqo legazi (i-hematoma) , elifana nomkrwelo omncinci, kwaye umsipha usenokuba mfutshane njengoko uphola.
• Isenokuba ngenxa yokutyeba okungaqhelekanga kwezicubu zemisipha yomntwana (i-fibrosis) .
• Isenokuba yingxaki engaqhelekanga yokuzalwa ebizwa ngokuba yi -Klippel-Feil syndrome , apho amathambo omntwana entanyeni adityaniswe khona.

Izizathu zeTorticollis efunyenweyo

I-Acquired torticollis idla ngokubangelwa yi-Ngokudumba emqaleni womntwana . Oku kudumba kubangela ukuba izicubu ezijikeleze umqolo ongaphezulu womntwana zikhululeke. Oku kunokubangela ukuba amathambo omqolo asuke kancinci kwindawo yawo eqhelekileyo. Oku kunokubangela ukuba izihlunu zentamo ziqine kwaye intloko ithambekele kwelinye icala.

Oku kudumba kunokubangelwa zezi zinto zilandelayo:

• Usulelo , umzekelo, usulelo lomphimbo okanye i-tonsillitis.
• Nokuba kukwenzakala , nokuba kukwenzakala okuncinci entanyeni.
• Ngamanye amaxesha kusenokungabi lula ukufumana isizathu .

Kunokubakho ezinye izizathu:

• Isifo se-gastroesophageal reflux (GERD) sisifo apho i-asidi yesisu inyuka iye kwi-esophagus. Oku kunokubonwa nakwiintsana ezincinci.
• Iingxaki zokubona . Ukuba ungaboni kakuhle kwelinye iliso, kungafuneka ujike intloko yakho uye kwelinye icala ukuze ubone ngeliso elingcono.
• Njengempendulo kumayeza athile .
• Ngenxa yesilonda esibuhlungu.
• Imeko yesifo samathambo entanyeni, ebizwa ngokuba yi -cervical spondylosis (oku kuqhelekile kubantu abadala, kunqabile ebantwaneni).
• I-Sandifer syndrome yimeko engaqhelekanga apho imisipha yentamo ikhula khona kunye ne-GERD.
• Isifo sikaGrisel sesinye isifo esingaqhelekanga. Esi sisifo esibangwa kukwasulelwa yintloko nentamo okanye emva kotyando lwendlebe, impumlo nomqala (ENT).

Ugqirha uyixilonga njani i-torticollis?

Ukuba unamathandabuzo ngentamo yomntwana wakho, ungoyiki kwaye uqale ubonane nogqirha wabantwana okanye ugqirha oqhelekileyo. Ugqirha uza kuqala enze uvavanyo lomzimba lomntwana . Uza kujonga ukuba intloko yomntwana ijijekile okanye ithambeke kangakanani na. Uza kuyiva nentamo ngononophelo, ekhangela naziphi na izihlunu ezidumbileyo okanye eziqinileyo, okanye loo ngqukuva imile okwepitsi endikhankanyileyo ngaphambili. Uza kujonga nomgama wokunyakaza kwentamo yomntwana.

Ngokuxhomekeke ekubeni imeko imbi kangakanani na, okanye ukuba kukho esinye isizathu esirhanelekayo, ugqirha wakho unokuyalela uvavanyo olongezelelweyo. Umzekelo:

• I -X-reyi yentamo. Oku kunokujonga iingxaki ngamathambo entanyeni.
• I -CT scan (i-Computed Tomography - i-CT scan) yentloko nentamo.
• I-MRI scan (Magnetic Resonance Imaging - MRI scan) yentloko nentamo. Olu hlobo lwe-scan lunokubonelela ngomfanekiso ocacileyo wemisipha kunye nezicubu ezithambileyo.

Iphathwa njani iTorticollis?

Iindaba ezimnandi zezokuba kwiimeko ezininzi, le meko, ebizwa ngokuba yi-congenital torticollis, inokunyangeka.Inganyangwa ngokuzilolonga kunye nokutshintsha indawo. Uza kuziva ukhululekile xa usiva oku, akunjalo?

Ugqirha wakho okanye ingcali ye-physiotherapist iza kukufundisa indlela yokwelula izihlunu zentamo yomntwana wakho. Okufuneka ukwenze kukujika intloko yomntwana wakho uye kwelinye icala kancinci, uyijike intloko yakhe uye kwelinye icala uze uyijike uye egxalabeni elichasene necala elijikekileyo. Kufuneka wenze lo mthambo we-torticollis izihlandlo ezininzi ngemini. Ekuhambeni kwexesha, ungayandisa kancinci le ntshukumo. Cinga ngayo njengobumnene nothando, njengokuphatha intyatyambo. Ungaze uyicinezele ide ibe buhlungu.

Ukuthetha ngotshintsho kwindlela omi ngayo:

• Xa ulalisa umntwana wakho (xa elele okanye elele), jika intloko yomntwana wakho uye kwelinye icala, oko kukuthi, kwicala elithambekileyo. Nangona kunjalo, akufuneki ulalise umntwana wakho ngesisu sakhe, kuba oku kwandisa umngcipheko we-sudden infant death syndrome (SIDS). Soloko ulalisa umntwana wakho ejonge phezulu.
• Xa umntwana wakho evukile, xa udlala naye, beka izinto zokudlala ngendlela yokuba ajike intloko yakhe aye kwelinye icala. Umzekelo, ukuba umntwana wakho akathandi ukujike intloko yakhe iye ngasekunene, ungathetha naye kwicala lasekhohlo uze umbonise izinto zokudlala.
• "Ixesha lesisu" kuxa umntwana wakho ejikiswa esiswini sakhe ngelixa evukile. Oku kunceda ukuqinisa izihlunu zentamo. Oku kubalulekile nakwiintsana ezine-torticollis.

Ukuba ezi ndlela azisebenzi, ugqirha wakho uza kukuthumela kwingcali .

Unyango lomzimba lunokucetyiswa kuqala. Ezinye iingcali ziquka:

• Ingcali yeFizi: Aba ngoogqirha abaziingcali kwiFizical Medicine and Rehabilitation (PM&R).
• Ingcali yezifo zengqondo zabantwana: Aba ngoogqirha abagxile kwizifo zengqondo zabantwana, umqolo, kunye nemithambo-luvo.
• Ugqirha wamathambo: Aba ngoogqirha abaziingcali emathanjeni, emalungwini, nakwinkqubo yemisipha. Ngamanye amaxesha, ukuba akukho phuculo emva kweenyanga ezi-6-12 zokuzilolonga, kunokufuneka utyando ukuze kwandiswe izihlunu ze-SCM zomntwana. Nangona kunjalo, oku kunqabile kakhulu.

I-Acquired torticollis inyangwa ngokusekelwe kwimeko engundoqo kunye nokunciphisa iimpawu. Unyango lungabandakanya:

• Ii-antibiotics ukuba kukho usulelo.
• Iinaliti zetyhefu ye-botulinum ukuze kuphumzwe izihlunu zentamo eziqinileyo (oku nako kunqabile).
• Unyango lobushushu .
• Ukuphulula umzimba .
• Iibraces okanye iikhola zentamo.
• Ulungiso lwenyama .

Ngaba iTorticollis ingathintelwa?

Okwangoku akukho ndlela eyaziwayo yokuthintela i-torticollis yokuzalwa. Ibangelwa zizinto ezenzekayo ngelixa umntwana esesibelekweni. Nangona kunjalo, unyango lwasekuqaleni lunokuthintela imeko yomntwana ukuba ibe mandundu. Lunokuthintela nesidingo sotyando kamva.

"Qalisa ukuzilolonga nge-torticollis ngokukhawuleza, oko kuthetha ukuba kwiinyanga ezimbalwa emva kokuzalwa komntwana (ngesiqhelo kwiinyanga ezi-2-3). Ukwenza njalo kunokuthintela amathuba okuba kubekho iingxaki ezihlala ixesha elide."

Ukuphepha izinto ezifana nosulelo olubangela i-acquired torticollis kunokunciphisa umngcipheko wokufumana olo hlobo lwe-torticollis.

Yintoni endimele ndiyilindele ukuba umntwana wam une-torticollis?

I-Torticollis yimeko eqhelekileyo kwiintsana nakubantwana abancinci. Inganyangwa ngokulula nje intamo yomntwana nokutshintsha indawo ahlala kuyo. Kuya kufuneka ubone ukuphucuka okukhulu kwimeko yomntwana wakho kwiinyanga ezimbalwa. Ukuba unyango luqalwe kwangethuba, oko kukuthi, kwiinyanga ezi-6 zokuqala, ngaphezulu kwama-90% eentsana ziyaphila ngokupheleleyo kwaye azibi nangxaki yexesha elide.

Ziziphi iingxaki ezinokubakho ze-torticollis?

Ukuba umntwana une-torticollis, kwaye ayinyangwa kakuhle, izihlunu zisenokungashukumi kakuhle, nto leyo enokubangela ukuba ubuso bube bubuthathaka/bungabi nazimbo . Oku kuthetha ukuba elinye icala lisenokuba tyaba kancinci, okanye amehlo neendlebe zingabi nandawo ifanelekileyo.

Enye ingxaki enkulu enokubakho yi- flat head syndrome, eyaziwa ngokuba yi-plagiocephaly. Njengoko usazi, ukhakhayi lomntwana luthambile kakhulu kwaye kulula ukulumala. Ngoko ke, xa elinye icala lentloko licinezelwa kumphezulu ixesha elide (umzekelo, ebhedini, kwibhedi yosana), olo xinzelelo lunokubangela ukuba elo cala lentloko lithambe. Oku kwenzeka xa iintsana ezine-torticollis zibamba iintloko zazo kwelinye icala.

Kwakhona, ukuba ayinyangwa, inokuba nefuthe elincinci ekuphuhlisweni kwemisipha yomntwana.

Ndifanele ndimbone nini ugqirha?

Ukuba imeko yomntwana wakho ayiphucuki emva kwenyanga enye usebenzisa umthambo wokuzolula intamo kunye notshintsho kwindlela oma ngayo ekhaya, qiniseka ukuba ubona ugqirha wakho kwakhona. Yena unokugqiba ukuba ngaba kufuneka unyango olongezelelweyo ukulungisa ingxaki okanye ukuba ufanele umthumele kwingcali.

Kwaye kwakhona,

• Ukuba intlungu yentamo yomntwana ibonakala ngathi iya isiba mandundu.
• Ukuba umntwana unomkhuhlane.
• Ukuba umntwana akafuni ukutya okanye ukusela.
• Ukuba kuvela ezinye iimpawu ezintsha.

Kwiimeko ezinje, kungcono ukubona ugqirha ngokukhawuleza.

Masifunde kancinci ngezinye iintlobo ze-torticollis.

Sele sithetha nge-torticollis kwiintsana okwethutyana ngoku, kodwa kukwakho neentlobo zayo ezichaphazela abantu abadala kwaye maxa wambi kwanabantwana abadala.

• I-Spasmodic Torticollis: Olu luhlobo lwe-torticollis oluvela kubantu abadala. Ikwabizwa ngokuba yi -cervical dystonia . Ibangelwa kukuqina ngequbuliso (ukuqaqamba) kwemisipha yentamo. Oku kubangela ukuba intloko ijijeke kabuhlungu iye kwicala elinye. Intloko inokuthambekela phambili okanye ngasemva ngokungalawulekiyo. Akukho nyango luhlala luhleli loku. Ngamanye amaxesha inyangwa ngenaliti ye-botulinum toxin.

• I-Acute Torticollis: Le yinto efika ngequbuliso. Ukuba uvuka kusasa unentamo eqinileyo kwaye unentlungu kwelinye icala, yiyo loo nto. Oku kuqina kubangela ukuba intamo ijijeke kwelinye icala. Inokubangelwa kukukruquka okuncinci kwentamo okanye ukurhawuzelelwa okuncinci kwemisipha. Le meko ayisoloko ifuna unyango. Izinto zokunciphisa iintlungu kunye nokuphumla zinokunceda ekunciphiseni iimpawu.

Izinto ezibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kunokuba yinto ephazamisayo ukubona intloko yomntwana wakho ityekele ecaleni. Kodwa khumbula, i-torticollis, imeko efunyanwa ziintsana ezininzi, ayibuhlungu. Kwaye, idla ngokuphathwa ngokuzilolonga ukolula intamo kunye nokutshintsha indlela ezime ngayo.

Eyona nto ibalulekileyo kukubona ugqirha kwangoko nje ukuba uyibonile le meko uze uqale unyango ngokukhawuleza. Ukuba wenza njalo, umntwana wakho angaphila ngokukhawuleza ngaphandle kweengxaki zexesha elide. Ukuba awuboni phuculo olulindelekileyo ngemithambo kunye nolunye unyango olulwenzayo ekhaya, ungalibali ukutyelela ugqirha kwakhona. Emva koko angabona ukuba umntwana wakho udinga olunye unyango. Inkxalabo yakho kunye nesenzo sakho esikhawulezileyo zezona ndlela zilungileyo zokuphilisa umntwana wakho!

I- Torticollis, i-wryneck, i-wryneck, i-torticollis yokuzalwa, i-torticollis efunyenweyo, izihlunu ze-SCM, impilo yomntwana, umthambo wentamo