Uma ugqoka ingubo yomntwana wakho omncane, wake wazizwa into efana nale? Imigqa yezinkinobho ehembeni ayibonakali ihambisana, noma uhlangothi olulodwa lwebhulukwe lubonakala lude kunolunye. Ekuqaleni, ungase ucabange ukuthi ingubo ayithungwanga kahle. Kodwa, ngezinye izikhathi ingaba yinto engaphezu kwalokho. Yilokho esizokhuluma ngakho namuhla.
Iyini le scoliosis yokuzalwa?
Kalula nje, i-congenital scoliosis yisimo lapho amathambo omgogodla (amathambo axhumanisa umgogodla) emgogodleni wengane engakhuli kahle ngesikhathi esesibelethweni, okubangela ukuba umgogodla ugobe ohlangothini olulodwa. Lesi yisimo esingavamile uma siqhathaniswa nezinye izimo ze-scoliosis, esibalelwa cishe ku-10% kuphela wamacala atholakale.
Cabanga nje, amanye amathambo omgogodla womntwana wakho angase ahlanganiswe ndawonye (ahlanganiswe), noma isimo sawo singashintshwa (njengokuba unxantathu esikhundleni sesikwele). Uma lokhu kwenzeka, lapho ingane yakho izama ukugcina umzimba wayo uqondile, ivame ukugoba ngaphezu noma ngaphansi kwalezi zindawo eziyinkinga zomgogodla.
Lesi simo sikhona lapho umntwana ezalwa futhi singaba sibi kancane kancane njengoba ingane ikhula. Uma kuqhathaniswa nezinye izinhlobo ze-scoliosis, izingane ezinalesi simo (Congenital Scoliosis) zisengozini enkulu yokuthola inani elikhulu le-scoliosis. Lokhu kusho ukuthi ukuhlinzwa kungenzeka kudingeke eminyakeni embalwa yokuqala yokuphila kwengane ukuze kuvinjelwe izinkinga zesikhathi esizayo.
Lesi simo senzeka kanjani? Yiziphi izinhlobo zaso?
Kunezinhlobo eziningana zalesi simo, kuye ngokuthi amathambo omgogodla akheka kanjani ngesikhathi umntwana esakhula esibelethweni:
- I-Hemivertebrae: Lokhu kwenzeka lapho ingxenye yomgogodla owodwa emgogodleni ingakakhiwa ngokugcwele. Cabanga ngayo njengesigamu sesitini. Esikhundleni sokuba iqonde, umgogodla ukhula uye ohlangothini olulodwa. Lokhu kungathinta i-vertebra eyodwa noma eziningana.
- Ukwehluleka Kokuhlukanisa: Ngesikhathi sokukhula kombungu, umgogodla womntwana uyingcezu eyodwa yezicubu. Kamuva, uyahlukana ube ngamathambo ngamanye abizwa ngokuthi ama-vertebrae, njengezingcezu zebha yetshokolethi. Kodwa-ke, kulolu hlobo lokuhlukanisa, ama-vertebrae awahlukani kahle nezicubu zokuqala kodwa kunalokho anamathelane.
- Inhlanganisela - I-Hemivertebrae kanye ne-Bars: Kulesi simo, amathambo angahlukaniswanga, ahlanganisiwe (ama-bar) okukhulunywe ngawo ngaphambili angase abe khona, kanye nokukhubazeka kwamathambo. Lolu hlobo luvame ukuba lubi kakhulu.
Yiziphi izimpawu esizibonayo?
Izimpawu eziyinhloko ezibonakala kulesi simo (i-Congenital Scoliosis) yilezi:
- Amahlombe athambekile.
- Izimbambo ezingalingani.
- Ukuthambekela kwezinqe.
- Ubunzima bokuma uqonde.
Esikhathini esiningi, uma umgogodla usezingeni elijwayelekile , ingane ngeke izwe ubuhlungu.
Kodwa-ke, uma ubuhlungu bomhlane bukhulu , bungalimaza imizwa noma umgogodla. Uma lokhu kwenzeka, izimpawu zezinzwa ezifana nalezi:
- Ubuthakathaka bemisipha.
- Ukuba ndikindiki ezithweni.
- Ukulahlekelwa yibhalansi noma ubunzima bokuhamba (Ukulahlekelwa ukuhambisana).
Ezinye izingane zingase zizwe ubuhlungu noma ukungakhululeki kuye ngokuthi umhlane uqine kangakanani.
Kungani lokhu kwenzeka? Iyini imbangela?
I-scoliosis yokuzalwa ibangelwa ukungajwayelekile ekukhuleni kwamathambo omgogodla . Lokhu kwenzeka ngaphambi kokuba umntwana azalwe, ngokuvamile phakathi namasonto ayisithupha okuqala okukhulelwa. Ochwepheshe abasazi kahle ukuthi yini ebangela lokhu kukhula okungajwayelekile kwamathambo . Kodwa-ke, ucwaningo lubonisa ukuthi izici zemvelo noma zofuzo zingadlala indima. Ngakho-ke, kubalulekile ukuqonda ukuthi lokhu akulona iphutha likamama noma ubaba.
Yiziphi ezinye izinkinga ezingabangelwa yilokhu?
Ngaphezu kobuhlungu bomhlane, izingane ezine-scoliosis yokuzalwa nazo zingaba nezinkinga zenhliziyo, zamaphaphu, noma zezinso . Lokhu ngezinye izikhathi kungaba yingozi empilweni.
Ezinye izinkinga ezingabonakala zifaka:
- Izinkinga zokuphefumula.
- Izinselele zokuhamba, okusho ukuthi kuba nzima ukwenza izinto ezithile.
- Izimo ezinjengokukhubazeka komzimba zingase zenzeke, kodwa lokhu akuvamile kakhulu.
Izingane ezinesifo somgogodla zivame ukuba nezinkinga zokuzethemba nokuzethemba . Ubuhlungu bomhlane bungenza ingane izizwe ihlukile kwabanye. Lokhu kungaba nomthelela omkhulu empilweni yayo yengqondo. Isibonelo, ingane ingase ingafuni ukugqoka i-swimsuit noma izingubo eziqinile. Lokhu kungayenza igweme ngisho nemisebenzi eyithandayo.
Odokotela bakuthola kanjani lokhu?
Ngezinye izikhathi, udokotela angathola izimpawu zalesi simo (i-Congenital Scoliosis) ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi sokukhulelwa . Ukuxilongwa okusemthethweni kuvame ukwenziwa ekuhlolweni kokuqala kwezokwelapha ngemva kokuzalwa komntwana.
Nakuba i-scoliosis yokuzalwa ikhona lapho kuzalwa, ezinye izingane zitholakala zinalesi simo ngaphambi kokuba izimpawu zibonakale, ngokuvamile ngesikhathi sokukhula okusheshayo ngaphambi kokuba ingane ikhule kancane futhi ifinyelele ebusheni. Udokotela uzokwenza ukuhlolwa ngokomzimba kwengane, athathe ama-X-ray, ama-CT scan, ama-MRI scan, noma ama-ultrasound scan ukuze aqonde kangcono amathambo engane futhi ahlole ezinye izinkinga.Ukuhlolwa kwezithombe kwenziwa, njengokuthi: I-scoliometer ingasetshenziswa futhi ukukala inani lokugoba komgogodla.
Ingabe ikhona indlela yokwelapha lesi simo? Ingabe singelapheka?
Ukwelashwa kwe-scoliosis yokuzalwa kusiza ukuqondisa nokuqinisa umgogodla. Udokotela wengane yakho angase asikisele ukwelashwa okufana nalokhu:
- Ukugqoka i-brace eyenzelwe ngokukhethekile noma i-cast eyenziwe ngento efana ne-plaster yaseParis .
- Ukuhlinzwa .
Udokotela wengane yakho uzoqapha njalo futhi ahlole uhlobo lwe-scoliosis yokuzalwa, ubukhali bokugoba, kanye nanoma yiziphi ezinye izinkinga. Bazobe sebephakamisa izinketho zokwelapha ezifanele kakhulu zesimo sengane yakho .
Ake sixoxe kancane ngokuhlinzwa?
Akuzona zonke izingane ezine-scoliosis yokuzalwa ezidinga ukuhlinzwa, kodwa eziningi ziyadinga ukuhlinzwa . Njengoba ingane yakho isakhula, i-curve ingase ibe yimbi njengoba ikhula. Uma i-curve inzima, kungase kudingeke ukuhlinzwa.
Udokotela wengane yakho angase asikisele ukuhlinzwa kulezi zimo:
- Uma ubuhlungu bomhlane buqala ukuba bubi kancane kancane .
- Uma umgogodla usekhoneni elibukhali .
- Uma ubuhlungu bakho emhlane bubangela izimpawu ezihlobene nemizwa, ubuhlungu, noma ukungakhululeki .
- Uma umbhede uthinta ukukhula nokukhula kwengane .
Kunezinhlobo eziningana eziyinhloko zokuhlinzwa okwenziwa nge-Congenital Scoliosis:
- Ukuhlanganiswa komgogodla: Kule nqubo, udokotela ohlinzayo uhlanganisa amathambo omgogodla anesimo esingajwayelekile noma agobile ndawonye ukuze akhe ithambo elilodwa. Le nqubo ilungisa ukukhubazeka komgogodla futhi ivimbele ukuthi kube kubi kakhulu.
- Ukususwa Kwethambo Lomgogodla: Lokhu kuhlinzwa kuhilela ukususa ithambo lomgogodla elingakakhiwa ngokuphelele (i-hemivertebra). Udokotela ohlinzayo ube eseqinisa umgogodla wengane ngamadivayisi akhethekile (izimila) noma ngendlela eshiwo ngaphambilini (ukuhlanganiswa komgogodla).
- Ukuhlinzwa "Kwenduku Ekhulayo": Kule nqubo, udokotela ohlinzayo ufaka "induku ekhulayo" emgogodleni wengane. Njengoba ingane ikhula, induku ingandiswa ngokuhlinzwa okuncane, cishe njalo ezinyangeni ezingu-6-8. Ngemva kokuba ingane isikhulile, udokotela ohlinzayo ususa induku bese ezinzisa umgogodla ngenqubo yokuhlanganisa umgogodla.
Odokotela abahlinzayo bahlala bezama ukukhetha ukuhlinzwa okuphephile nokuphumelelayo kakhulu okuzothuthukisa ikhwalithi yempilo yengane. Iningi lezingane lithola imiphumela emihle ngemva kokuhlinzwa. Izingane zingakhishwa esibhedlela zingakapheli izinsuku ezimbalwa emva kokuhlinzwa. Akuvamile ukuthi kugqokwe i-brace isikhashana esifushane ngemva kokuhlinzwa.
Uma ingane yami inalesi simo, yini okufanele ngiyilindele?
I-scoliosis yokuzalwa iyisimo esiyinselele okufanele siphathwe. Njengoba i-curve yenzeka ekuqaleni kwempilo yengane, amathambo ayo asakhula. Lokhu kusho ukuthi i-curve isengozini enkulu yokuba yimbi njengoba ingane ikhula. Yingakho ukuhlinzwa kuvame ukudingeka. Odokotela abakwazi ukubikezela ngqo ukuthi umgogodla wengane uzokhula kanjani. Ngakho-ke, kudingeka ama-aphoyintimenti avamile nodokotela . Bangalinganisa i-curve, baqaphe izinguquko, futhi bahlole izinkinga.
Into ebaluleke kakhulu ukwazi ukuthi awuwedwa. Ithimba lezokwelapha, okuhlanganisa odokotela, abahlengikazi, kanye nabanye abasebenzi, lihlala likhona ukukusiza wena nomntwana wakho.
Amacala anzima e-scoliosis aphathwa ngokuhlinzwa. Izingane eziye zahlinzwa, njengokuhlanganiswa komgogodla, zingaba zifushane kunezinye izingane ezineminyaka yazo. Lokhu kungenxa yokuthi ukuhlanganiswa komgogodla kungavimba ukukhula kwaleyo ngxenye yomgogodla lapho amathambo omgogodla ehlanganiswa ndawonye. Uma unemibuzo mayelana nokuthi yini ongayilindela ngemva kokuhlinzwa, khuluma nodokotela ohlinzayo wengane yakho.
Uma uzizwa sengathi ingane yakho ibhekene nokungakhululeki kwengqondo, ukudabuka, noma ukukhathazeka, kuwumqondo omuhle ukukhuluma nochwepheshe wezempilo yengqondo .
Ingabe lesi simo sizothinta impilo yengane?
Uma ukugoba okukhulu komgogodla okuhambisana ne-congenital scoliosis kubangela izinkinga ezithinta inhliziyo yengane, amaphaphu, noma izinso, kungathinta isikhathi sokuphila kwengane. Kodwa-ke, akuzona zonke izimo ze-congenital scoliosis ezinzima.
Isimo sengane yakho sihlukile kuye. Isimo sengane ngayinye sihlukile kwesinye. Ngakho-ke, udokotela wengane yakho kuphela ongakunikeza ulwazi lwakamuva mayelana nesimo sengane yakho.
Ingabe ikhona indlela yokuvimbela lokhu?
Ngeshwa, ayikho indlela yokuvimbela lesi simo ukuthi singabi khona (Congenital Scoliosis). Kodwa-ke, udokotela kanye/noma udokotela ohlinzayo angaphakamisa izindlela ezahlukene zokwelapha ukuvimbela i-scoliosis yengane yakho ukuthi ibe yimbi kakhulu.
Kufanele ngimbone nini udokotela?
Uma ukuhlolwa kokuzalwa kwengane yakho kungazange kuthole i-scoliosis yokuzalwa, kodwa kamuva ubona izimpawu ze-scoliosis, bheka udokotela wezingane ngokushesha ukuze ahlole ingane yakho.
Uma usuvele wazi ukuthi ingane yakho ine-Congenital Scoliosis, kuzodingeka ubone udokotela wakho njalo. Phakathi nalokhu kuvakashela, udokotela uzohlola futhi alinganise umgogodla futhi axoxe nganoma yiluphi ukwelashwa ingane yakho engase ikudinge. Uma ingane yakho ibika noma yikuphi ukungakhululeki noma ubuhlungu, yazisa udokotela.
Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?
Kungumqondo omuhle ukubuza udokotela wengane yakho imibuzo efana nale:
- Hlobo luni lwe-Congenital Scoliosis ingane yami enalo?
- Ingabe ingane yami idinga ukuhlinzwa?
- Sizoba njani isikhathi sokululama kwengane yami ngemva kokuhlinzwa? (Ukululama)
- Kufanele ngiyinakekele kanjani ingane yami ngemva kokuhlinzwa?
- Ingabe ingane yami enokulimala emhlane ingadlala imidlalo futhi ihlanganyele emisebenzini yomzimba?
Ingane yakho isenomsebenzi omningi okufanele iwenze, ngakho-ke ungase uzibuze ukuthi lesi simo (Congenital Scoliosis) sizoyithinta kanjani. Njengoba odokotela bengakwazi ukusho ukuthi sizoyithinta kanjani ingane, bazokwenza izivivinyo njalo ukuze baqaphe izinguquko emgogodleni njengoba ingane ikhula.
Kukhona ithuba lokuthi ingane yakho izodinga ukuhlinzwa ukuze kwelashwe lesi simo, ngoba umgogodla usuvele ukhulile futhi ingane isakhula. Qiniseka ukuthi uxoxa nganoma yimiphi imibuzo noma ukukhathazeka onakho nethimba lezokwelapha ngaphambi nangemva kokuhlinzwa. Lokhu kuzokunikeza ukuthula kwengqondo. Ngemva kwesikhathi sokwelashwa nokululama, izingane ezinomgogodla zisengadlala nabangani bazo futhi zijabulele ubuntwana.
Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)
- Awuwedwa: Kuvamile ukuba abazali bazizwe benemibuzo eminingi nokwesaba kulesi simo. Kodwa khumbula, odokotela nabasebenzi bezokwelapha bakhona ukukusiza nokukuqondisa.
- Ukuqapha njalo kubalulekile: Kubaluleke kakhulu ukuthi udokotela ahlole isimo sengane yakho njalo. Lokhu kuzokwenza ukuthi ukwelashwa okudingekayo kunikezwe ngesikhathi.
- Kunezindlela zokwelapha: Kunezindlela zokwelapha lesi simo, ikakhulukazi ukuhlinzwa, okungalawula ubuhlungu bomhlane futhi kusize ingane iphile impilo ejwayelekile.
- Cabanga ngempilo yengqondo yengane: Lesi simo singaba nomthelela engqondweni yengane. Qaphela nalokho, futhi ufune usizo lochwepheshe uma kudingeka.
- Izingane zingadlala futhi zijabule: Ngemva kokuphathwa nokuphathwa okufanele, lezi zingane zingajabula futhi zikhuthele njengezinye izingane.
Ngiyethemba ukuthi lolu lwazi luzokusiza. Uma uneminye imibuzo, sicela ukhululeke ukukhuluma nodokotela wakho.
Ukugoba komgogodla , i-scoliosis yokuzalwa, i-scoliosis, izingane, umgogodla, amathambo











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