Ingabe ingane yakho encane ihamba ngezinzwane zayo? Ake sixoxe ngokuhamba ngezinzwane!

Uma ingane yakho iqala ukuhamba, unaka kakhulu yonke into encane ngaye, akunjalo? Ngezinye izikhathi uyaqaphela ukuthi ingane yakho ihamba ngezinzwane zayo esikhundleni sezithende zayo zithinta phansi. Yilokhu esikubiza ngokuthi "Ukuhamba Ngezinzwane". Abanye abazali bayesaba kancane uma bebona lokhu. Kodwa ingabe lokhu kuyinto okufanele uyesabe njalo? Ake sixoxe ngakho ngokuningiliziwe.

Kuyini ngempela ukuhamba ngezinzwane? (Ukuhamba ngezinzwane) Ingabe kuyinto evamile?

Kalula nje, "Ukuhamba Ngezinzwane" kusho ukuthi ingane yakho ihamba ngezinyawo zayo nasezinzwaneni, ngaphandle kokuthi izithende zezinyawo zayo zithinte phansi. Kufana nomdansi, kodwa sikhuluma ngokuhamba ngale ndlela ngaso sonke isikhathi.

Manje, bheka, kuyinto evamile kakhulu ukuthi izingane ezingaphansi kweminyaka emibili zihambe ngezinzwane zazo kanje uma zifunda ukuhamba. Akukho okufanele zikhathazeke ngakho. Njengoba zikhula, zizoqala ukuhamba kahle izithende zazo ziphansi. Esikhathini esiningi, lokhu akudingi ngisho nokuphathwa okukhethekile.

Kodwa-ke, uma ingane yakho iqhubeka nokukhothama ngisho nangemva kweminyaka emibili ubudala , ngezinye izikhathi kungaba uphawu lwenkinga yempilo, ngakho-ke kuwumqondo omuhle ukukhathazeka kancane.

Lokhu kuvame kakhulu kangangokuthi, phakathi kwezingane ezisakhula, cishe ezimbili kweziyi-100 (2%) zisahamba ngezinyawo lapho zineminyaka engu-5 1/2. Kodwa-ke, phakathi kwezingane ezinezinkinga ezithile zokukhula noma ukubambezeleka, cishe ezingama-41% zitholakala zihamba ngezinyawo kule minyaka.

Yiziphi ezinye izici zokuhamba ngezinyawo?

Uphawu oluyinhloko ukuthi ingane ihamba ngezinzwane zayo. Kuyinto ebonwa yiwo wonke umuntu. Uma uthi kwabanye abantwana abancane, 'Ndodana/ndodakazi, hamba phansi izinyawo zakho,' bangakwenza lokho. Kodwa uma beqhubeka nokuhamba ngezinzwane zabo, uzobona ezinye izinto ezinjengalezi:

• Ukuntuleka kokulinganisela nokuxhumana: Kubonakala sengathi kunzima ukugcina ibhalansi yakho.
• Ukuwa njalo: Kungase kuwa kakhulu kunezinye izingane.
• Ubunzima bokufaka izicathulo: Ezinye izicathulo zingase zingalingani kahle noma zingase zibe nzima ukuzigqoka.
• Ubunzima bokuhlanganyela kwezemidlalo noma kwezinye izinto zokuzilibazisa: Kungaba nzima ukuhlanganyela emidlalweni edinga ukugijima nokugxuma nezinye izingane.
• Ukukhuluma ngobuhlungu emilenzeni: Ngezinye izikhathi ungasho nokuthi imilenze yakho ibuhlungu.
• Ubunzima bokuhamba ngezithende: Lokhu kusho ukuthi uma ucelwa ukuba uhambe izinzwane zakho ziphakanyisiwe nezithende zakho phansi, kunzima ukwenza kanjalo.
• Izintambo Zesithende/Achilles Ukuqina Kwemisipha: Imisipha engemuva komlenze, ngaphezu kwesithende, ingase izwakale iqinile.

Kungani izingane ezincane zihamba ngezinzwane zazo? Yiziphi izizathu?

Esikhathini esiningi, asikho isizathu esiqondile sokulokhu ushaya izinzwane.Odokotela bakubiza lokhu ngokuthi “Idiopathic Toe Walking.” Lokho kusho ukuthi “kungenxa yesizathu esingaziwa.” Ngezinye izikhathi kungaba umkhuba.

Nokho, kungase kube nezinye izizathu.

I-Achilles Tendon emfushane

Ngemuva komlenze wakho, lapho imisipha yakho yethole ihlangana khona, kukhona i-tendon eqinile ebizwa ngokuthi i-Achilles Tendon. Yilokhu okuxhumanisa nethambo lakho lesithende. Uma usebenzisa imisipha yakho yethole, le-Achilles Tendon idonsa isithende sakho phezulu.

Kwabanye abantu abahamba ngezinyawo, lo msipha ungase ufinyezwe kancane lapho uzalwa. (Kodwa-ke, lokhu akuvamile ukuba njalo ngaphandle kokuthi ingane inokukhubazeka kwezinyawo okufana nokuthi ``Club Foot''. Lesi simo ngezinye izikhathi sibizwa ngokuthi ``Equinus Deformity''.) Noma, ngokuhamba kwesikhathi, lo msipha ungase ufinyezwe. Lokhu kwenza kube nzima ngengane ukuhamba ngendlela evamile izithende zayo ziphansi. Lokhu kuyinkinga futhi kuyisimo esingavamile.

Ezinye izingane ezindala ezishaya izinzwane zingase zenze kanjalo ngenxa yomkhuba. Noma, kungenzeka ukuthi imisipha yazo kanye nemisipha yazo sekuye kwaba lukhuni ngokuhamba kwesikhathi futhi kubuhlungu ukuhamba ngendlela evamile izithende zazo ziphansi.

Ezinye izimbangela ezingavamile kakhulu

Nakuba isikhathi esiningi kungekho okufanele ukhathazeke ngakho, ezimweni ezingavamile , ukuhamba ngezinyawo kungaba uphawu lwesimo sempilo esiyimfihlo. Isibonelo:

• Isifo sobuchopho: Isimo esifana `(Cerebral Palsy)`.
• Isifo semisipha noma sezinzwa: Isimo esifana ne-"Muscular Dystrophy".
• Ukungajwayelekile komgogodla.
• Isifo Sokuphazamiseka Kwe-Autism (ASD)

Ingabe kukhona ukuxhumana phakathi kwe-autism kanye ne-tiptoe?

Yebo, ukuhamba ngezinyawo kuvame kakhulu ezinganeni ezine-Autism Spectrum Disorder (ASD). Ucwaningo olukhulu olulodwa luthole ukuthi cishe u-9% wezingane ezine-ASD zahamba ngezinzwane zazo. Ucwaningo olufanayo luthole ukuthi ngaphansi kuka-0.5% wezingane ezingenayo i-ASD zahamba ngale ndlela.

Imbangela eqondile yalokhu ayikacaci okwamanje , njengoba kungekho ukuxhumana okuqondile okutholiwe phakathi kwe-autism kanye nokuzwa uzwane. Kungenzeka ukuthi ukuncipha kwemithambo eqakaleni kuvimbela ukunyakaza.

Noma, kungaba yinto ehlobene nesimiso sezinzwa . Izingane eziningi ezine-autism zinokukhubazeka okuthile ohlelweni lwazo lwe-vestibular. Lolu hlelo lwe-vestibular yilona olunikeza ubuchopho bethu ulwazi mayelana nokunyakaza, ukuma, kanye nokuqondiswa kwendawo. Lokhu kungaba futhi isizathu sokuhamba ngezinzwane. Ososayensi badinga ukwenza ucwaningo olwengeziwe ngalokhu ukuze baqonde kahle ukuthi ukucubungula izinzwa kuthinta kanjani ukuhamba ngezinzwane.

Singakubona yini ukuzulazula kwezinzwane kubantu abadala?

Yebo, abanye abantu basahamba ngezinzwane zabo njengoba sebekhulile. Mhlawumbe bazama ukukulungisa besebancane, kodwa akuzange kuphele ngokuphelele, noma mhlawumbe ukwelashwa akuphumelelanga.

Ngezinye izikhathi, ngisho noma usukhulile, ungase uqale ukuhamba ngezinzwane zakho ngaphandle kwesizathu esibonakalayo. Ezinye izimo zempilo ezithinta izinyawo, njengezinkumbi, ama-callus, kanye ne-peripheral neuropathy, zingabangela nokuhamba kwezinzwane.

Odokotela bakuthola kanjani ngokunembile ukuhamba kwezinzwane?

Uma uyisa ingane yakho kudokotela, izoqala ikubuze ngomlando wezokwelapha wengane yakho ophelele . Ngemuva kwalokho, izohlola umzimba . Njengengxenye yalolu hlolo, udokotela uzobheka ngokucophelela indlela ingane yakho ehamba ngayo. Uzohlola noma yiziphi izinkinga emilenzeni nasezinyaweni zengane yakho. Uzohlola futhi ububanzi bokunyakaza kwengane nokuthi ikhona yini imingcele.

Ngaphezu kwalokho, kungenziwa izivivinyo eziningana zezinzwa ukuze kubonakale ukuthi kukhona yini izinkinga ohlelweni lwezinzwa lwengane. Lokhu kufaka phakathi:

• Ukuhlola ukusabela kwengane.
• Ukulinganisa inani lemizwa ezwakala ezingalweni nasemilenzeni.
• Ukuhlola amandla emisipha.

Yiziphi izindlela zokwelapha ezingenziwa ukuze kumiswe ukuhamba kwezinzwane?

Ukwelashwa kokumisa ukuhamba kwezinzwane kuncike ezintweni eziningana. Lokhu kufaka phakathi:

• Ubudala bengane yakho.
• Yeka ukuthi ingane ishaya izinzwane kangakanani.
• Iyini imbangela eyisisekelo yalesi simo?

Cishe udokotela wakho uzoqala ngokuncoma ukwelashwa okungekona ukuhlinzwa . Lokhu kufaka phakathi:

• Ukwelashwa Komzimba: Ingane isebenza nochwepheshe wezokwelapha ngokomzimba ukuze yenze izivivinyo zokwelula imisipha eqakaleni nasezinyaweni. Lokhu kungasiza ekunciphiseni ukuqina nokwandisa ububanzi bokunyakaza. Ukwelashwa ngokomzimba kwendabuko ngezinye izikhathi kusebenzisa indlela ebizwa ngokuthi i-serial casting. Kulokhu, ingane igqoka i-walking cast amasonto amaningana. Lokhu kusiza imisipha nemisipha eqakaleni ukuthi yelule futhi inwebe.
• Ama-Ankle-Foot Orthotics (AFOs): Ingane yakho ingagqoka i-plastic brace. Lokhu kusiza ukugcina unyawo luse-engeli engama-90 degrees ngenkathi ingane ihamba usuku lonke, yelula imisipha nemisipha eqakaleni. Lokhu kwenziwa ngokubambisana nodokotela wezokwelapha ngokomzimba kanye nodokotela we-orthotist (uchwepheshe wezokwelapha ochwepheshe be-splint kanye ne-braces).
• Ukuqaphela:Ngezinye izikhathi udokotela uzokutshela ukuthi uthathe indlela ethi "linda ubone". Okusho ukuthi, ukuze ubone ukuthi isimo siyathuthuka yini ngokwaso. Kodwa le ndlela ayisetshenziswa isikhathi esingaphezu kwezinyanga eziyisithupha.
• Imijovo ye-Botulinum A Toxin (Botox®): Imijovo ye-Botox® inganikezwa ukuze yenze imisipha yengane ibe buthaka futhi kube lula ukuyifinyeza.

Cabanga nje, kungase kubonakale kuyinkinga ukugqoka i-brace efana nalena uma ingane yakho idlala usuku lonke. Kodwa ekugcineni, izinzuzo ziyakufanelekela lokho.

Uma ingane yakho ineminyaka engaphezu kwemi-5 ubudala , udokotela wakho angase ancome ukuhlinzwa ukuze kukhululwe futhi kwandiswe imisipha ye-Achilles kanye ne-calf. Lokhu kuhlinzwa kungasiza ekuthuthukiseni ukunyakaza nokusebenza kwengane yakho onyaweni nasemaqakaleni.

Futhi, ukwelashwa okubizwa ngokuthi "Ukwelashwa Ngezinzwa Ze-Vestibular" kungasiza ingane. Kulokhu, ingane ihlangana nochwepheshe wezokwelapha noma uchwepheshe wezokwelapha ngokomzimba bese ithola ukwelashwa okuvuselela "Uhlelo lwayo lwe-Vestibular".

Ungakwazi yini ukuvimbela ukuhamba kwezinzwane?

Yebo, ngezinga elithile kungenzeka. Kodwa-ke, kubaluleke kakhulu ukuthi wazise udokotela wezingane wengane yakho ngalokhu. Ngemuva kwalokho angahlola kahle isimo futhi enze okudingekayo.

Njengoba ingane yakho ikhula, ungayisiza yelule imisipha yayo ye-Achilles futhi unciphise amathuba okuhamba ngezinyawo. Kuphinde kusize ukukhetha izicathulo ezilingana kahle futhi ezinesisekelo esihle.

Iyini iphrojekthi kubantwana abakhahlela izinzwane?

Ikusasa lengane lincike embangela yokuhamba kwezinzwane zayo. Ezimweni zokuhamba kwezinzwane ngendlela engavamile, lapho kungatholakali khona imbangela, izingane eziningi ziyalulama ngokuphelele ngokwelashwa futhi zifunde ukuhamba ngendlela evamile izithende zazo phansi. Ngokuvamile ziyakwazi ukuhlanganyela kwezemidlalo nakweminye imisebenzi.

Kodwa-ke, ezinye izingane zingase ziqhubeke nokukhothama ngisho nangemva kokwelashwa noma ukuhlinzwa . Yilapho-ke kudingeka khona izinsimbi zokubopha imilenze futhi zingaba usizo.

Yiziphi izinkinga ezingaba khona uma uqhubeka nokuhamba ngezinzwane zakho?

Ukuhamba ngezinyawo njalo kungabangela ukuthi imisipha ye-Achilles kanye nemisipha yethole yengane yakho iqine. Lokhu kungenza kube nzima, noma kungenzeki nhlobo , ukuthi ingane yakho ihambe ngendlela evamile izithende zayo phansi.

Ngaphezu kwalokho, ingane ingase ibe nokunyakaza okunciphile ezinyaweni nasemaqakaleni, noma ingaba nobunzima bokugqoka izicathulo ezithile, ikakhulukazi lezo ezisetshenziselwa ukuslayida eqhweni. Uma ingane ingalawuli lokhu kuhamba kwezinzwane njengoba ikhula, kungase kuvele ezinye izinkinga zemisipha kanye nobuhlungu .

Yini okufanele ngiyibuze udokotela ngalokhu?

Uma ingane yakho iqhubeka nokukhothama ngemva kweminyaka emibili ubudala, kuwumqondo omuhle ukubuza udokotela wayo ngalokhu okulandelayo:

• Yimuphi uchwepheshe okufanele ingane yami imbone ukuze aphathe lokhu?
• Ingabe ingane yami izodinga ukhonkolo noma izinsimbi zokubopha imilenze ?
• Yiziphi izivivinyo okufanele zenziwe ukuqinisekisa ukuthi azikho ezinye izimo zezokwelapha ezifana ne-Cerebral Palsy?
• Ingabe kufanele ngikhathazeke ngezimpawu zesinye isimo, njenge-Autism Spectrum Disorder?
• Uma lesi simo siqhubeka, sizothinta kanjani impilo yengane yami esele?

Okokugcina, izinto okufanele uzikhumbule

Ngakho-ke, ukuhamba ngezinyawo kuyindlela evamile ebonakala ezinganeni ezincane, ikakhulukazi lapho zifunda ukuhamba. Iningi lezingane likhula ngemva kwesikhathi esithile bese liqala ukuhamba ngendlela evamile izithende zazo ziphansi.

Kodwa-ke, akuvamile kakhulu, ukuhamba ngezinzwane kungaba uphawu lwesimo sezempilo esiyimfihlo. Ngakho-ke, uma unenkinga noma ukukhathazeka ngokuhamba kwezinzwane kwengane yakho, qiniseka ukuthi ukhuluma nodokotela. Udokotela wakho anganquma ukuthi kuyinkinga ngempela yini nokuthi, uma kunjalo, yikuphi ukwelashwa okufanele.

Khumbula, akuwona wonke ama-toe walk ayinto engathi sína. Kodwa-ke, kubalulekile ukuqaphela lokhu futhi ufune iseluleko sezokwelapha uma kudingeka. Kwangathi ingane yakho ingaba nekusasa elinempilo nelijabulisayo!

Ukuhamba ngezinyawo , ukuhamba ngezinyawo, izingane, izinkinga zezinyawo, ukwelashwa ngokomzimba, i-autism, ukwelashwa kwezokwelapha