Ingabe ingane yakho esanda kuzalwa inomlenze owodwa noma yomibili egobile ngaphakathi futhi idonseleke ngaphakathi? Ngezinye izikhathi kuvamile kakhulu ukuthi umama noma ubaba azizwe esaba kakhulu futhi edabukile lapho ebona ukuthi iphansi lonyawo liphendukele ohlangothini noma phezulu. Lesi simo yilokho esikubiza ngokwezokwelapha ngokuthi i-Clubfoot, noma `(talipes equinovarus)`. Lesi yisimo esibonakala ezinganeni futhi sikhona lapho zizalwa. Ngakho-ke, masingakwesabi lokhu, kodwa funda imininingwane eqondile.
Kalula nje, iyini i-Clubfoot?
I-Clubfoot yisimo esiba khona lapho kuzalwa. Kalula nje, yisimo lapho unyawo noma izinyawo zomntwana ziphendukela ngaphakathi. Uma ubheka unyawo lomntwana, uzobona ukuthi iphansi lonyawo liphendukele ohlangothini, futhi ngezinye izikhathi ngisho naphezulu.
Lokhu kungenxa yokuthi imisipha, izicubu ezixhumanisa imisipha namathambo, emlenzeni nasezinyaweni zomntwana zimfushane futhi ziqinile kunokujwayelekile. Lokhu kuqina kubangela ukuthi unyawo lubukeke sengathi lugobile ngaphakathi. Cishe ingxenye yezingane ezinezinyawo ezigobile inalesi simo emilenzeni yomibili. Lokhu akwesabisi njengoba ungase ucabange. Lesi simo sithinta cishe ingane eyodwa kweziyi-1,000 ezisanda kuzalwa. Lokhu kusho ukuthi kuyisimo esivamile.
Esikhathini esidlule, lokhu kwakudinga ukuhlinzwa okukhulu. Kodwa ngesayensi yezokwelapha ethuthukisiwe esinayo namuhla, ingelapheka cishe ngokuphelele ngezindlela ezingezona ezokuhlinzwa kanye nokuhlinzwa okuncane kakhulu .
Yiziphi izinhlobo eziyinhloko zezinyawo ezigoqekayo?
I-Clubfoot ingahlukaniswa ngezinhlobo ezimbili eziyinhloko. Ukwazi lokhu kubalulekile lapho unquma ukwelashwa.
| Uhlobo lwezinyawo ze-Clubfoot | Incazelo elula |
|---|---|
| I-Clubfoot Ehlukanisiwe (noma Engaqondakali) | Lolu uhlobo oluvame kakhulu. Kusho ukuthi ingane ayinazo ezinye izinkinga zempilo ngaphandle kwe-Clubfoot. Igama elithi 'idiopathic' lisho ukuthi imbangela eqondile ayaziwa. |
| Izinyawo ze-Clab ezingahlukaniswanga | Lolu hlobo lwenzeka nakwezinye izimo zempilo. Isibonelo, lungabonakala ngezimo ezifana nenkinga yamalunga (arthrogryposis) noma inkinga yesimiso sezinzwa (i-spina bifida) . |
Ziyini izimpawu ze-clubfoot?
Uphawu oluyinhloko ukuthi inyawo elilodwa noma zombili zengane ziphendukele ngaphakathi, okusho ukuthi zibheke komunye umlenze. Ngaphezu kwalokho, uzokwazi ukubona lezi zinto.
- Unyawo lufana nenso .
- Ukuba nomphetho ojulile ngaphakathi konyawo.
- I-arch yonyawo iphakeme kunejwayelekile (ukukhubazeka kwezinyawo ze-cavus).
- Umsipha wethole womlenze othintekile ubonakala umncane kunomunye umlenze .
- Umlenze othintekile umfushane kunomunye .
- Ukuqina kweqakala.
- Ukungakwazi ukugoba noma ukwelula umlenze ngokuphelele.
Into ebaluleke kakhulu ukuthi lesi simo asibangeli ubuhlungu enganeni. Ngakho-ke, ingane ingase ingakhali noma ingabonisi ukungakhululeki.
Izimbangela kanye nezici eziyingozi zezinyawo ezigoqekayo
Abacwaningi abakakwazi ukusho ukuthi yini ngempela ebangela lokhu, kodwa bakholelwa ukuthi kungaba yinhlanganisela yezici zofuzo kanye nezemvelo .
Izinto ezandisa ingozi
- Ukuba ngumfana: Abafana banamathuba aphindwe kabili okukhula kwezinyawo ezigoqekile kunamantombazane.
- Umlando womndeni: Uma othile emndenini (umama, ubaba, umfowabo noma udadewabo) eke waba ne-clubfoot, umntwana usengozini enkulu yokuba nayo.
- Ezinye izinkinga zokuzalwa: Lokhu kungenzeka ngezinye izimo ezifana ne-"Spina bifida" noma "cerebral palsy".
- Izinkinga ngesikhathi sokukhulelwa: Izimo ezifana ne-oligohydramnios, ukwehla kwenani le-amniotic fluid elizungeze ingane ngesikhathi sokukhulelwa.
- Ukuziphatha kukamama ngesikhathi sokukhulelwa: Ukubhema, ukuphuza utshwala, noma ukusebenzisa ezinye izidakamizwa ngesikhathi sokukhulelwa nakho kungandisa ingozi.
Kuzoba yini umthelela enganeni uma ingelashwa?
I-Clubfoot akuyona into ezophola ngokwayo. Ngakho-ke, kubaluleke kakhulu ukuyiphatha ngaphambi kokuba umntwana aqale ukuhamba. Uma ingelashwa, ingane ingase ibe nezinkinga ezinjengalezi esikhathini esizayo:
- Ubunzima bokuhamba: Ngokuvamile, sihamba sisebenzisa amathe ezinyawo zethu. Kodwa-ke, ingane enezinyawo ezigobile ingase ifunde ukuhamba eceleni noma phezulu konyawo lwayo.
- Ukutheleleka ezinyaweni: Ukuhamba ngokungajwayelekile kungaholela ekulimaleni ezinyaweni kanye nokutheleleka.
- Izilonda zesikhumba (Ama-Calluses): Isikhumba ezinyaweni singaba lukhuni futhi sakhe ama-calluses.
- I-Arthritis: Izimo ezifana ne-arthritis, ezibangela ukuvuvukala, ubuhlungu, nokuqina kwamalunga, zingase zivele esikhathini esizayo.
Ngakho-ke, ukuqala ukwelashwa ngokushesha nje lapho kutholakala ukuthi une-clubfoot kuyinto engcono kakhulu ongayenza ngekusasa lomntwana wakho.
Ukuhlonza i-Clubfoot Nokuqala Ukwelashwa
Ezimweni eziningi, udokotela wakho angasibona lesi simo ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa kwakho. Ukwazi lokhu kusenesikhathi kuzokusiza ukuthi uhlele ukwelashwa okudingayo ngemva kokuzalwa kwengane yakho.
Ngezinye izikhathi, noma ngabe ayibonakali ku-scan, udokotela uzoyibona ngesikhathi sokuhlolwa kokuqala ngokomzimba ngemva kokuzalwa komntwana. Ngezinye izikhathi, i-X-ray inganconywa ukuqinisekisa isimo.
Isikhathi esingcono kakhulu sokuqala ukwelashwa singaphakathi kwesonto lokuqala noma amabili ngemva kokuzalwa komntwana. Ukuqala ukwelashwa ngokushesha ngangokunokwenzeka kungavimbela izinkinga eziningi zesikhathi esizayo.
Izindlela zokwelapha izinyawo ezigoqekile
Ithimba lodokotela livame ukuhlangana ukuze lelaphe izinyawo ezigogekile.
- Udokotela Wamathambo Wezingane: Udokotela ogxile ezinkingeni zamathambo namalunga ezinganeni.
- Udokotela Ohlinza Amathambo: Udokotela owelapha izinkinga zamathambo namalunga ngokuhlinzwa.
- Udokotela Wezokwelapha: Umuntu osiza ekwakheni amandla emilenzeni yengane futhi ayisize inyakaze kahle.
Kunezindlela eziningana zokwelapha eziyinhloko.
Indlela yePonseti
Lena yindlela yokwelapha esetshenziswa kabanzi futhi ephumelela kakhulu emhlabeni. Lena inqubo ethatha cishe izinyanga ezimbili kuya kwezintathu.
1. Ukwelula unyawo nokufaka i-cast: Udokotela onguchwepheshe welula unyawo lomntwana ngobumnene ukuze alubuyisele endaweni efanele. Bese kufakwa i-cast kusukela ezinzwaneni kuya phezulu kwethanga.
2. Ukushintsha iplasta masonto onke: Kanye ngesonto (phakathi kwezinsuku ezingu-4-7), iplasta endala iyasuswa, umlenze udonswa endaweni efanele kancane, bese kufakwa iplasta entsha. Ngemva kokufakwa kwamaplasta angaba ngu-5-7 ngale ndlela, umlenze usuke usendaweni efanele kakhulu.
3. I-Achilles Tenotomy: Ngaphambi kokufaka i-cast yokugcina, udokotela wenza ukuhlinzwa okuncane. Kulokhu, i-Achilles tendon esithendeni iyasikwa kancane. Lokhu akudingi ngisho nokuthungwa. Lokhu kuvumela i-tendon eqinile, emfushane ukuthi ikhululwe futhi ivunyelwe ukukhula ibe ubude obufunayo.
4. Iplasta yokugcina:Ngemva kokuhlinzwa, iplasta yokugcina iyafakwa. Iyashiywa cishe amasonto amathathu bese isuswa.
Indlela yesiFulentshi
Lokhu kufana nendlela yePonseti, kodwa esikhundleni seplasta, kusetshenziswa i-tape kanye ne-splint. Lokhu kwelashwa kwenziwa ngumelaphi womzimba. Lokhu kuyinto okudingeka yenziwe nsuku zonke. Umelaphi womzimba uphinde afundise abazali ukuthi bangakwenza kanjani lokhu ekhaya.
Ukugqoka izicathulo ezikhethekile (i-Bracing)
Ngemva kokuba unyawo selulungisiwe ngokuphelele kusetshenziswa indlela yePonseti noma indlela yesiFulentshi, kunethuba elikhulu lokuthi luzobuyela esimweni salo sakudala. Yilokhu okusetshenziswa yilezi zicathulo ezikhethekile (ama-brace) ukuvimbela.
Lokhu kuvame ukuba nebha yensimbi exhunywe ezicathulweni ezimbili ("amabhuzu nebha").
- Udinga ukugqoka lokhu usuku lonke (cishe amahora angama-23) ezinyangeni ezintathu zokuqala.
- Ngemva kwalokho, umntwana kufanele agqoke lokhu ngesikhathi elele ebusuku nangesikhathi sokulala aze abe neminyaka engaba ngu-4 ubudala .
Kubaluleke kakhulu ukugqoka lezi zicathulo njengoba nje udokotela ekutshela, ngaphandle kwalokho amathuba okuba unyawo luphinde lukhubeke aphezulu kakhulu.
Ukuhlinzwa
Ngezinye izikhathi, i-clubfoot ingaba nzima kakhulu. Noma, ezinye izindlela zingase zinganikezi imiphumela oyifunayo. Ezimweni ezinjalo, kunconywa ukuhlinzwa. Kungcono ukwenza lokhu kuhlinzwa ngaphambi kokuba umntwana aqale ukuhamba.
Lizoba njani ikusasa lomntwana ngemva kokwelashwa?
Lena yinkinga enkulu kunazo zonke abazali abanayo. Uma itholakale kusenesikhathi futhi yelashwa ngendlela efanele, imiphumela iba yimpumelelo enkulu.
Ingane yakho izokwazi ukugqoka izicathulo ezivamile, ukuhamba, ukugijima, ukugxuma ngaphandle kobuhlungu, nokudlala nokuncintisana njengabanye abantwana.
Kodwa-ke, kungase kube nezinguquko ezincane emlenzeni obenezinyawo ezigobile.
- Unyawo oluthintekile lungaba luncane ngosayizi wezicathulo kunolunye unyawo.
- Indawo yethole yalowo mlenze ingase ibe mncane kancane.
- Lowo mlenze ungase ube mfushane kancane kunomunye umlenze.
Kodwa lezi zinguquko ngokuvamile azinawo umthelela omkhulu emisebenzini yansuku zonke yengane.
Amathiphu ambalwa okwenza kube lula ukusebenzisa i-brace
Ukusebenzisa i-brace isikhathi eside kungaba yinselele kuwe nakumntwana wakho. Lawa macebiso angasiza.
- Kwenze kube umdlalo: Dlala nomntwana wakho ngesikhathi egqoke i-brace. Yenza izinto ezifana nokukhahlela ngemilenze yakho, ukugoba nokwelula imilenze yakho, njll.
- Kwenze kube yingxenye yesimiso sakho: Kwenze umkhuba ukugqoka i-brace uma ulalisa ingane yakho. Lokhu kuzosiza ingane yakho iqonde ukuthi sekuyisikhathi sokugqoka i-brace uma sekuyisikhathi sokulala.
- Ungayifaki i-lotion: Ungayifaki ama-cream noma ama-lotion ezindaweni lapho kufakwa khona i-brace. Kungenza izinkinga zesikhumba zibe zimbi kakhulu. Kujwayelekile ukuthi isikhumba sibe bomvu kancane. Kodwa-ke, uma sibukeka njenge-blister, kungasho ukuthi isithende siyashelela ngaphakathi kwesicathulo. Tshela udokotela wakho ngakho.
- Yeka ukushelela: Qinisa izintambo zakho zezicathulo. Ngezinye izikhathi ukugqoka amasokisi kungasiza ekugcineni izicathulo zakho zisendaweni yazo.
Uma unenkinga ethile, ungesabi ukukhuluma nodokotela wengane yakho noma uchwepheshe wezokwelapha umzimba ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Clubfoot yisimo esivamile esiba khona lapho uzalwa. Akulona iphutha lakho.
- Lesi simo asibangeli ubuhlungu enganeni, kodwa kumele selashwe.
- Imiphumela ephumelela kakhulu ingatholakala ngokuqala ukwelashwa ngokushesha okukhulu, phakathi namasonto ambalwa okuqala ngemva kokuzalwa komntwana.
- Indlela yePonseti iyindlela yokwelapha ephumelela kakhulu, engadingi ukuhlinzwa esetshenziswa emhlabeni wonke.
- Uma unyawo selulungisiwe, kubaluleke kakhulu ukugqoka i-brace ekhethekile isikhathi esinqunyiwe ukuze uvimbele ukuphinde ucindezeleke.
- Ngokwelashwa okufanele, ingane yakho ingaphila impilo ejabulisayo, enempilo, nesebenzayo njengazo zonke ezinye izingane.
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