Injabulo yengane yakho encane iqala ukuhamba! Kodwa ngezinye izikhathi kungenzeka ukuthi uke wabona ingane ihamba ingahambi ngonyawo lwayo lonke phansi, kodwa ngezinzwane zayo sengathi iyadansa. Kujwayelekile kakhulu ukuthi umama noma ubaba azizwe esaba futhi ekhathazekile uma ebona lokhu. "O, kukhona okungahambi kahle ngomntanami?" Ungase ucabange. Ingabe lokhu kuyinto okufanele uyesabe ngempela? Ake sixoxe ngakho konke lokhu namuhla.
Kalula nje, kuyini ukuhamba ngezinyawo?
Igama lesiNgisi lalokhu yi- toe walking . Kalula nje, lokhu kwenzeka lapho ingane yakho ihamba ngaphandle kokubeka isithende phansi, kodwa kuphela ezinyaweni zezinzwane zayo nangaphambili kwezinyawo zayo. Njengomdansi we-ballet.
Kodwa khumbula lokhu. Kuvamile kakhulu futhi kuvamile ukuthi izingane ezingaphansi kweminyaka emi-2 ubudala , okungukuthi, lapho zifunda ukuhamba, zihambe kanje. Asikho isidingo sokukhathazeka ngakho nhlobo. Ngokuhamba kwesikhathi, zizofunda kancane kancane ukuhamba izithende zazo phansi futhi ngendlela evamile kusukela esithendeni kuya ozwaneni. Lokhu ngokuvamile akudingi ukwelashwa.
Kodwa-ke, uma ingane yakho iqhubeka nokukhothama ngisho nangemva kweminyaka emi-2 , kungaba uphawu lwesinye isimo sempilo esiyisisekelo, ngakho-ke kuwumqondo omuhle ukukhathazeka kancane.
Sivame kangakanani lesi simo?
Lokhu empeleni kuvame kakhulu kunalokho ongakucabanga. Ngokusho kwedatha, cishe izingane ezimbili kweziyi-100 (2%) ezikhula ngokushesha zisaqhubeka nokuzwa izinzipho ziseneminyaka engu-5 1/2. Kodwa-ke, leli nani liphezulu kakhulu phakathi kwezingane ezinezinkinga zokukhula noma ezinye izinkinga zokukhula. Cishe izingane ezingu -41 kweziyi-100 (41%) ezinjalo zitholakale zilokhu zizwa izinzipho zisese kule minyaka.
Yiziphi ezinye izici zokuhamba ngezinyawo?
Uphawu oluyinhloko nolusobala kakhulu ukuhamba ngezinyawo. Kodwa uma utshela ingane yakho ukuthi, "Ndodana/ndodakazi, hamba ngendlela evamile izinyawo zakho phansi," iningi lezingane ezincane lizokwazi ukuhamba ngaleyo ndlela. Kodwa uma lo mkhuba uqhubeka, uzobona nezimpawu ezilandelayo. Ake sibheke ngale ndlela ukuze sikuqonde kahle.
| Isici esibonakalayo | Kusho ukuthini lokho? |
|---|---|
| Ukwehla kwebhalansi nokuxhumana | Ingane ibonakala ingakwazi ukulinganisela kahle. Ayizinzile lapho ihamba futhi igijima. |
| Ukuwa njalo | Uwela futhi akhubeke kaningi kunengane evamile. |
| Ubunzima bokugqoka izicathulo | Ezinye izinhlobo zezicathulo kunzima ukuzigqoka. Azilingani kahle nezinyawo zakho. |
| Ubunzima bokuhlanganyela kwezemidlalo | Banobunzima obukhulu kunabanye abantwana emidlalweni edinga ukuthi bagijime futhi bagxume. |
| Ukukhononda ngobuhlungu bomlenze | Kubhekisela ebuhlungwini noma ekuqineni, ikakhulukazi endaweni yembobo noma ezithendeni zezinyawo. |
| Izintambo zesithende eziqinile | Imisipha nemithambo endaweni yesinqe izwakala iqinile. Amandla okugoba umlenze phezulu naphansi ayancipha. |
Kungani izingane zihamba kanje? Ake sihlole ezinye zezizathu.
Ezimweni eziningi, okungukuthi, ezimweni eziningi kakhulu, akukho sizathu esithile esingatholakala sokuqhubeka nokuthatha izinzwane. Ngokwezokwelapha, lokhu kubizwa ngokuthi ' idiopathic ' . Lokho kusho ukuthi "akukho sizathu esaziwayo."
Nokho, kwezinye izimo, kungase kube nezizathu eziningana zalokhu.
1. I-Achilles Tendon emfushane
Imisipha endaweni yethu yesithende iyahlangana futhi ibe nomsipha oqinile oxhumanisa nethambo lesithende. Lokhu kubizwa ngokuthi 'umsipha ka-Achilles'.Okusho ukuthi. Uma sisebenzisa imisipha yethu yethole, lena yi-nerve edonsa isithende phezulu. Abanye abantwana bangazalwa nale nerve ifushane kancane. Noma, ngokuhamba kwesikhathi, ingaba mfushane nakakhulu ngenxa yokuhamba njalo ngezinzwane. Bese kuba nzima ngabo ukubeka izithende zabo phansi futhi bahambe ngendlela evamile.
2. Into eyenziwa njengomkhuba
Ezinye izingane ezindala zenza lokhu ngenxa yomkhuba. Mhlawumbe kungenxa yokuthi imisipha yamadolo abo kanye nemisipha ibilokhu iqinile isikhathi eside, okubangela ubuhlungu lapho behamba ngendlela evamile.
3. Izimo zezokwelapha ezingavamile eziyisisekelo
Akuvamile kakhulu, lokhu kuhamba kungaba uphawu lwesifo esibucayi. Ezimweni ezinjalo, kuvela kanye nezinye izimpawu eziningi.
- Isifo esihlobene nobuchopho, isibonelo , i-cerebral palsy .
- Isifo esithinta imisipha noma imizwa, isibonelo , i-muscular dystrophy .
- Ukungajwayelekile okuthile emgogodleni.
- Isifo Sokuphazamiseka Kwe-Autism (ASD) .
Ingabe kukhona ukuxhumana phakathi kwe-autism nale ndlela yokuhamba?
Yebo, ukuhamba ngezinyawo kuvame kakhulu ezinganeni ezine-autism spectrum disorder (ASD) kunabantwana abangenayo le nkinga. Ucwaningo olukhulu luthole ukuthi cishe u- 9% wezingane ezine-autism zihamba ngale ndlela. Kodwa phakathi kwezingane ezingenayo i-autism, leli phesenti lingaphansi kuka- 0.5% .
Imbangela eqondile yalokhu ayikacaci okwamanje. Kodwa-ke, kukholelwa ukuthi kunezici eziningana ezingase zibe nomthelela kulokhu. Esinye ukuthi ububanzi bokunyakaza komlenze bulinganiselwe ngenxa yokuqina kwemisipha ye-hamstring.
Esinye isizathu esikhulu kungaba yinkinga ehlobene nezinzwa . Izingane eziningi ezine-autism zinezinguquko ezithile ekusebenzeni kwesistimu ye-vestibular , uhlelo oluhlinzeka ngolwazi ebuchosheni mayelana nokulinganisela komzimba wethu, ukunyakaza, kanye nokuma kwendawo. Izinguquko kulesi simiso sezinzwa nazo zingabangela ingane ukuba ishaye izinyawo.
Udokotela uhlonza kanjani lokhu?
Uma uyisa ingane yakho kudokotela, izoqala ikubuze ngomlando wezokwelapha wengane yakho. Ngemuva kwalokho, izohlola ingane ngokuphelele. Phakathi nalokhu kuhlolwa,
- Uqaphela indlela ingane ehamba ngayo: Ubona indlela ingane ehamba futhi egijima ngayo.
- Uhlola imilenze nezinyawo: Uhlola noma yiziphi izinkinga ngemilenze noma izinyawo.
- Ukuhlolwa Kokuhamba Okubanzi: Kuhlola ukuthi ungagoba kangakanani iqakala lakho nonyawo.
- Ukuhlolwa kwesistimu yezinzwa:Ngezinye izikhathi kwenziwa izivivinyo ezimbalwa ezincane ukuhlola noma yiziphi izinkinga ohlelweni lwezinzwa. Isibonelo, bangase bashaye idolo ngesando esincane ukuhlola ukusabela komzimba , bahlole ukuthi imilenze izizwa kanjani, futhi balinganise amandla emisipha.
Yiziphi izindlela zokwelapha ezingenziwa ukuze kumiswe le ndlela yokuhamba?
Ukwelashwa kwalokhu kuncike ezintweni eziningana. Udokotela uzocabangela izici ezifana nobudala bengane, ubucayi besimo, kanye nembangela eyisisekelo ukuze anqume ukwelashwa okufanele kakhulu. Ezimweni eziningi, ukwelashwa okungewona ukuhlinzwa kuyanconywa kuqala.
| Indlela yokwelapha | Kwenzekani kuyo? |
|---|---|
| Ukwelashwa Komzimba | Ukuzivocavoca kokwelula kwenziwa emisipheni yeqakala kanye nonyawo. Lokhu kusiza ukukhulula imisipha eqinile kanye nemisipha futhi kwandise ububanzi bokunyakaza. Kungase kudingeke futhi ukuthi ugqoke i-cast serial emlenzeni wakho amasonto amaningana. |
| Ama-orthotics/ama-braces ezinyawo zeqakala | Kugqokwa i-plastic brace ekhethekile usuku lonke. Ibamba umlenze nge-engeli engama-degree angu-90 futhi yelula imisipha nemisipha njengoba uhamba. |
| Ukuqaphela | Ngezinye izikhathi udokotela angase athathe indlela "yokulinda ubone". Bazolinda cishe izinyanga eziyisithupha ukuze babone ukuthi isimo siyathuthuka yini ngokwaso. |
| Imijovo ye-Botulinum A toxin (Botox®) | Lokhu kwenza imisipha yedolo ibe buthaka okwesikhashana, okwenza kube lula ukwelula leyo misipha ngokuzivocavoca umzimba. |
Uma ingane ineminyaka engaphezu kwemi-5 ubudalaFuthi uma lokhu kwelashwa kungasebenzi, udokotela wakho angase akuncome ukuhlinzwa . Lokhu kuhilela ukwelula ngokuhlinzwa nokukhulula imisipha yethole eqinile noma i-Achilles tendon.
Yiziphi izinkinga ezingavela uma lokhu kuqhubeka?
Uma kungelashwa, imisipha yethole yengane kanye ne-Achilles tendon kungaba nzima kakhulu. Lokhu kungenza kube nzima kakhulu, noma kungenzeki nhlobo, ukuhamba ngendlela evamile isithende siphansi. Ngaphezu kwalokho, ububanzi bokunyakaza komlenze bungase bunciphe, ezinye izinhlobo zezicathulo zingase zingalingani, kanti ezinye izinkinga zemisipha namathambo kanye nobuhlungu kungase kukhule njengoba ingane ikhula . Ngakho-ke, akuwona umqondo omuhle ukungakunaki lokhu.
Imibuzo ebalulekile okufanele uyibuze udokotela wakho
Uma ingane yakho iqhubeka nokukhothama ngemva kweminyaka emibili, kubaluleke kakhulu ukubona udokotela bese ubuza le mibuzo.
- Yimuphi uchwepheshe okufanele ngimthumelele kuye ukuze athole ukwelashwa? (isib., udokotela wezingane, uchwepheshe wamathambo)
- Ingabe ingane yami izodinga ama-cast noma ama-braces?
- Yiziphi izivivinyo okufanele zenziwe ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha ezifana ne-cerebral palsy?
- Ingabe kufanele ngikhathazeke ngezimpawu zesinye isimo, njenge-autism spectrum disorder (ASD)?
- Uma lesi simo siqhubeka, sizoyithinta kanjani impilo yengane yami yesikhathi esizayo?
Umlayezo Wokuya Nawe Ekhaya
- Ukuhamba ngezinyawo kuyinto evamile kakhulu futhi evamile ezinganeni ezisakhula, ikakhulukazi izingane ezingaphansi kweminyaka emi-2 ubudala. Asikho isidingo sokwesaba lokhu.
- Uma ingane yakho iqhubeka nokuhamba kanje ngemva kweminyaka emibili, kubaluleke kakhulu ukufuna iseluleko sezokwelapha.
- Ezimweni eziningi, akukho mbangela ethile engatholakala (idiopathic), futhi ingelashwa ngokwelashwa okulula njengokwelashwa ngokomzimba.
- Akuvamile, lokhu kungaba uphawu lwesimo esiyimfihlo, njenge-cerebral palsy noma i-autism, ngakho-ke kuwukuhlakanipha ukuyohlolwa udokotela.
- Gwema ukungasinaki lesi simo, ngoba singaholela ekuqineni kwemisipha, ebuhlungwini, nakwezinye izinkinga esikhathini esizayo uma singelashwa kahle.
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