Kuqhelekile ukuziva usoyika kwaye ukhathazekile xa ujonge umntwana wakho osandul’ ukuzalwa enomlenze omnye okanye yomibini egobile ngaphakathi kwaye itsaliwe. Abazali abaninzi abatsha bayakhathazeka ngale nto. Kodwa ungakhathazeki, le yimeko enokunyangeka kwaye iphantse inyangeke ngokupheleleyo. Ngokwezonyango, le meko siyibiza ngokuba yi-'Clubfoot'. Ngoko ke namhlanje, masithethe ngayo yonke into ngendlela elula kakhulu.
Yintoni kanye kanye iClubfoot?
Ngamafutshane, unyawo olugobileyo yimeko apho umntwana ezalwa enenyawo elinye okanye zombini ezigobileyo, okanye ezigobileyo. Oku kuthetha ukuba unyawo lujikelwe ngaphakathi okanye ezantsi, kwaye lubekwe kwikona engaqhelekanga. Ngamanye amaxesha unyawo lusenokubonakala ngathi lujikelwe phezulu.
Cinga nje, izicubu ezidibanisa izihlunu namathambo ezinyaweni zethu zibizwa ngokuba yi-tendon . Kwi-clubfoot, le tendon kunye nemisipha iba mfutshane kunesiqhelo. Emva koko, loo misipha imfutshane itsala unyawo ngaphakathi. Yiyo loo nto ibangela le meko.
Oku akuyonto imbi okanye yoyikekayo njengoko unokucinga. Kuphela ngumntwana omnye kwi-1,000 ezizalwa kwihlabathi liphela ochaphazeleka yile meko. Oko kuthetha ukuba yimeko eqhelekileyo kakhulu. Uninzi lweentsana ezizalwa zineenyawo ezidibeneyo ziphilile kwaye azinazo ezinye iingxaki zempilo.
Umahluko phakathi kweMetatarsus adductus kunye neClubfoot
Ngamanye amaxesha kukho enye imeko efana nale ibizwa ngokuba yiMetatarsus adductus . Kodwa ayinzima njengeClubfoot. Okwenzekayo kule meko kukuba ngamathambo angaphambili kwenyawo kuphela ajika angene ngaphakathi. Iqatha nomqolo wenyawo ziqhelekile. Nangona kunjalo, kwiClubfoot, ayisiyiyo kuphela amathambo angaphambili kwenyawo, kodwa nonyawo lonke luyawa kwaye neqatha nalo lijika lingene ngaphakathi. IMetatarsus adductus ayisoloko ifuna unyango olukhethekileyo. Ihlala iziphelela yodwa xa umntwana eqala ukuhamba.
Ingaba le meko ibuhlungu kumntwana?
Hayi. Le yeyona nto ibalulekileyo. I-Clubfoot ayibangeli ntlungu kusana olusandula ukuzalwa. Ngoko ke akufuneki ukhathazeke ngayo.
Nangona kunjalo, ukuba asiyinyangi le nto ngexesha elifanelekileyo, inokukhokelela kwiingxaki ezinkulu njengoko umntwana ekhula. Umzekelo:
- Usana alukwazi ukuhamba kakuhle. Kufuneka luhambe luqhwalela.
- Iinyawo zinokuba neengqumbo ezibuhlungu.
- Andinakunxiba izihlangu eziqhelekileyo .
- Kwenzeka xa uhambaIintlungu eziqatha zithintela amathuba okubaleka, ukutsiba, nokudlala.
Yiyo loo nto sithi nokuba umntwana akasezintlungwini ngoku, kubalulekile ukuqala unyango ngokukhawuleza ukuze kuthintelwe ezi ngxaki kwixesha elizayo.
Zithini izizathu kunye nezinto ezibangela unyawo olukhubazekileyo?
Oogqirha abakayazi eyona nto ibangela unyawo olunamaqhuqhuva. Ngoko ke akukho ndlela yokuthintela umntwana wakho ukuba angabi naso esi sifo. Nangona kunjalo, kukho izinto ezithile ezinokunyusa umngcipheko wokuba naso.
| Into Engumngcipheko | Inkcazo |
|---|---|
| Usana luyinkwenkwe. | I-Clubfoot ixhaphake kabini kubafana kunakwiintombazana. |
| Imbali yosapho | Ukuba umzali okanye omnye umntakwenu wayenonyawo olukhubazekileyo, umntwana usemngciphekweni omkhulu wokuba nalo. |
| Imikhwa kamama ngexesha lokukhulelwa | Umngcipheko uyanda ukuba umama utshaya okanye usebenzisa iziyobisi ezingekho mthethweni ngexesha lokukhulelwa. |
| Ezinye iziphene zokuzalwa | Kwezinye iimeko, unyawo olugobileyo lunokubakho njengenxalenye yesinye isifo, esifana ne -spina bifida , isifo somnqonqo. |
| Ukunqongophala kolwelo lwe-amniotic kwisibeleko | Ukuba olu lwelo alukho ngokwaneleyo kumntwana njengoko ekhula esibelekweni, kukho amathuba amakhulu okuba neenyawo ezigobileyo. |
Ifunyanwa njani kwaye inyangwa njani i-clubfoot?
Amaxesha amaninzi, ugqirha unokuyibona le meko kwangoko emva kokuba umntwana ezelwe. Kwakhona, ngamanye amaxesha ugqirha unokubona oku kushukuma kwemilenze yomntwana ngexesha le -ultrasound scan oyenzayo ekupheleni kokukhulelwa kwakho.
Eyona nto ibalulekileyo kunyango. Oogqirha baqala unyango ngokukhawuleza, ngaphambi kokuba umntwana azalwe. Ekubeni abantwana bengayisebenzisi imilenze yabo de baqale ukuhamba, injongo kukulungisa imeko ngaphambi koko. Kukho iindlela ezimbini eziphambili zonyango.
1. Ukuplasta (Indlela yePonseti)
Le yindlela yonyango olungenatyando esetyenziswa kakhulu nephumeleleyo ehlabathini. Imisipha kunye nemisipha yeentsana ezincinci ziguquguquka kakhulu kwaye zinokululwa lula. Ugqirha usebenzisa eli thuba.
- Inyathelo Lokuqala: Ugqirha uza kuyijika kancinci inyawo lomntwana de libe kufutshane nendawo amele ukuba unyawo lwakhe lubekwe kuyo.
- Inyathelo lesiBini: Emva koko, umlenze ukwindawo efanayo, kufakwa isamente ukusuka kwithambo lesinqe ukuya ezinzwaneni.
- Inyathelo lesithathu: Emva kweveki, iplasta iyasuswa, umlenze ujikwa kancinci uye kwicala lasekunene, kwaye kufakwa iplasta entsha.
Ngale ndlela, umlenze ufakwa kwindawo efanelekileyo ngokutshintsha isamente kube kanye ngeveki kangangeeveki ezininzi, mhlawumbi iinyanga ezininzi. Le ndlela ibizwa ngokuba yindlela yePonseti .
Usana aluva ntlungu xa lufakwa olu plasta. Nangona kunjalo, umntwana usenokuziva engonwabanga kancinci. Kodwa bakhawuleza baqhele.
Emva kokuba umlenze ulungisiwe ngokupheleleyo ngesamente, umntwana unikwa i-brace eqhotyoshelwe kwizihlangu ezikhethekileyo ukuze ahlale endaweni yawo. Ugqirha ucebisa ukuba unxibe i-brace malunga neeyure ezingama-23 ngosuku ekuqaleni, uze emva koko unxibe ebusuku kuphela xa ulele. Oku kuya kufuneka kwenziwe iminyaka eliqela. Oku kubaluleke kakhulu ukuthintela umlenze ukuba ungabuyeli kwindawo yawo yokuqala.
2. Utyando
Uninzi lwexesha, oogqirha bazama ukunyanga oku ngaphandle kotyando ngokusebenzisa nje i-plaster cast. Oku kungenxa yokuba emva kotyando, ukuqina konyawo kunokuncipha kancinci njengoko umntwana ekhula.
Nangona kunjalo, kwezinye iintsana, imisipha kunye nemisipha ezinyaweni zabo zimfutshane kangangokuba azinakulungiswa ngokuzolula nje nge-plaster cast. Kulapho kufuneka khona utyando.
Rhoqo utyandoKwenziwa xa umntwana ephakathi kweenyanga ezi-6 nonyaka ubudala. Apha, ugqirha wenza izinto ezifana nokolula imisipha enqunyulweyo aze abuyisele unyawo kwindawo efanelekileyo ngaxeshanye. Emva kotyando, kufakwa iplasta ukugcina unyawo lukwindawo enjalo. Emva koko, njengoko kukhankanyiwe ngasentla, kufuneka unxibe i-brace ekhethekileyo okanye isihlangu malunga nonyaka ukuze ungatyibiliki umva.
Umyalezo Wokuya Ekhaya
- I-Clubfoot sisifo esiqhelekileyo sonyawo esenzeka xa umntwana ezalwa. Asikuko ukuba unetyala.
- Le meko ayibuhlungu konke konke kumntwana osandul’ ukuzalwa, ngoko ke ungakhathazeki ngayo.
- I-Clubfoot ayiziphili yodwa kwaye ifuna unyango.
- Oku kunokunyangeka ngempumelelo kangange-95% yexesha, rhoqo ngaphandle kotyando, kusetyenziswa indlela yePonseti, equka ukufaka isamente.
- Kwanasemva konyango, kubalulekile ukulandela imiyalelo kagqirha ngokuchanekileyo (ingakumbi ukunxiba izihlangu zenkxaso-mali) ukuze kuthintelwe ukukhubazeka kwixesha elizayo kwaye umntwana aphile ubomi obuqhelekileyo.
- Ukuba umntwana wakho unale meko okanye ukuba uyayikrokrela, bonana nogqirha wabantwana okanye ugqirha wamathambo ngokukhawuleza.
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