Ingabe intamo yengane yakho ithambekele ohlangothini olulodwa? Ake sixoxe nge-torticollis!

Wake waphawula ukuthi ikhanda lengane yakho lithambekele kolunye uhlangothi, noma isilevu sayo siphendukele kolunye uhlangothi? Ngezinye izikhathi, abazali bayakhathazeka kancane lapho ingane yabo injalo. Iyini imbangela yalokhu, ingabe lokhu kuyinto engathi sína? Yileso simo esizokhuluma ngaso namuhla, esibizwa ngokuthi i-torticollis. Lokhu kuyinto omama abaningi abangabhekana nayo. Ngakho-ke, ake sifunde kabanzi ngakho ngaphandle kokwesaba.

Iyini i-Torticollis?

Kalula nje, i-torticollis yisimo lapho imisipha entanyeni yengane yakho ibangela ukuba ikhanda layo lijike futhi lithambekele ohlangothini olulodwa. Kungase kubonakale sengathi intamo yayo ijikekile ngendlela engavamile. Ingxenye ephezulu yekhanda layo ingase ithambekele kolunye uhlangothi, kanti isilevu sayo singase sithambekele kolunye. Lokhu kubizwa nangokuthi 'i-wryneck'. Igama elithi 'torticollis' livela egameni lesiLatini elithi 'tortus', elisho 'ukujikeka', kanye nelithi 'collum', elisho 'intamo'. Ngakho-ke lisho 'intamo ejikekile' .

Empeleni lesi yisimo esivamile phakathi kwezinsana nezingane ezincane. Ngokuvamile akukho okufanele ukhathazeke ngakho. Kunezinhlobo ezimbili eziyinhloko ze-torticollis:

1. I-Congenital Torticollis: Lokhu kusho ukuthi lesi simo sikhona lapho umuntu ezalwa.

2. I-Acquired Torticollis: Lokhu kungenzeka ngemva kokuzalwa, ngezinye izikhathi zingakapheli izinyanga ezimbalwa ingane izelwe noma kamuva.

Okuningi mayelana ne-Congenital Torticollis

Lolu hlobo lwe-torticollis, olubizwa ngokuthi i-congenital torticollis, luwuhlobo oluvame kakhulu lwe-torticollis ezinganeni. Ingxenye engcono kakhulu ukuthi ngokuvamile ayibangeli ubuhlungu enganeni. Ungase ungakuboni kuze kube amasonto ambalwa ngemva kokuzalwa kwengane yakho. Ungase uqaphele lesi simo kuphela lapho ingane yakho ithola ukulawula ikhanda layo kancane kancane, okusho ukuthi intamo yayo iba namandla.

Ake sifunde futhi nge-Acquired Torticollis.

Olunye uhlobo, i-acquired torticollis, luvame ukwenzeka ezinyangeni zokuqala ezine kuya kweziyisithupha zokuphila komntwana noma kamuva. Lungavela ngokuzumayo noma lukhule kancane kancane. Ngezinye izikhathi i-acquired torticollis ayinangozi futhi izophela yodwa. Kodwa-ke, ngezinye izikhathi ingaba uphawu lwenkinga yezempilo engathi sína. Yingakho kubalulekile ukuqaphela.

Ziyini izimpawu ze-torticollis?

Manje ake sibone ukuthi yiziphi izimpawu ingane engase izibonise uma ine-torticollis. Lezi zimpawu zivame kakhulu ohlotsheni lokuzalwa, kodwa ohlotsheni olutholakele, kungase kube nezinye izimpawu.

• Ikhanda lengane yakho lithambekele kolunye uhlangothi kanti isilevu siphendukele kolunye. Lolu uphawu oluyinhloko.
• Ingane inenkinga yokujika ikhanda nentamo.Ukubona. Kufana nokuthi ibanga lokunyakaza kwentamo lilinganiselwe. Isibonelo, uma ukhomba ithoyizi, lingase liphendule intamo yalo kalula liye ohlangothini olulodwa, kodwa lingabaza ukuliphendulela kolunye uhlangothi.
• Amahlombe engane eyodwa abonakala ephakeme kunenye .
• Imisipha yentamo izwakala iqinile noma iqinile .
• Ngezinye izikhathi imisipha yentamo ibonakala ivuvukele.
• Isigaxa esincane, esingangephizi komunye wemisipha entanyeni yomntwana. Lokhu akwenzeki kubo bonke abantwana, kodwa abanye bangase bakwenze.
• Izici zobuso ezingalingani .

Ku-torticollis etholakele, lezi zimpawu zingase zihambisane nezinye izimpawu, isibonelo:

• Njengoba kushiwo ngenhla, kunzima ukutshekisa ikhanda nokujika intamo.
• Ngezinye izikhathi lokhu kungahambisana nobuhlungu obukhulu entanyeni . Ingane ingase ikhale njalo futhi ingaphumuli.
• Ukuthuthumela kwekhanda.
• Ikhanda elibuhlungu (nakuba lokhu kungaba nzima ukukuchazela izingane ezincane, ungakubona ngokuziphatha kwazo).

Kungani kwenzeka le torticollis? Ziyini izimbangela?

Kulungile, manje cishe uyazibuza ukuthi kungani lokhu kwenzeka kulaba abancane. Ake sibheke izizathu zako. Izizathu zalokhu ziyahlukahluka kuye ngohlobo.

Izimbangela ze-Congenital Torticollis

I-Congenital torticollis ivame ukubangelwa ukufinyezwa kwemisipha entanyeni yengane yakho ebizwa ngokuthi i-sternocleidomastoid muscle (SCM) . I-SCM iyimisipha emibili emikhulu, ebalulekile kuzo zombili izinhlangothi zentamo yethu. Ixhuma ku-sternum kanye ne-clavicle ngemuva kwekhanda. Cabanga ngakho, le misipha isisiza ukuthi siphendule intamo zethu, sigobe intamo zethu, futhi sitshekise amakhanda ethu ohlangothini olulodwa. Ngakho-ke uma omunye wale misipha emibili ufinyezwa ngesizathu esithile, intamo izodonswa kuleyo ndlela, futhi ikhanda lizophendukela kolunye uhlangothi.

Abacwaningi abakaqiniseki ukuthi kungani lo msipha ufinyela kwezinye izingane. Kodwa nazi ezinye zezizathu abacabanga ukuthi kungaba yizo:

• Indawo yengane yakho esibelethweni ingathinta lokhu. Ingase inamathele ohlangothini olulodwa ngenxa yokuntuleka kwesikhala esibelethweni.
• Lokhu kungaba ukukhula okungavamile kwemisipha ye-SCM.
• Imisipha yentamo yengane ingaba neqoqo legazi (i-hematoma) , elifana nokuphuka okuncane, futhi imisipha ingase ifinyele njengoba iphola.
• Kungase kube ngenxa yokuqina okungavamile kwezicubu zemisipha yengane (i-fibrosis) .
• Kungaba ngenxa yesifo sokuzalwa esingavamile esibizwa ngokuthi i-Klippel-Feil syndrome , lapho amathambo omntwana entanyeni ehlangana khona.

Izimbangela ze-Torticollis Etholakale

I-torticollis etholakale ivame ukubangelwa yi-Uma umphimbo wengane uvuvukile . Lokhu kuvuvukala kubangela ukuthi izicubu ezizungeze umgogodla ongaphezulu wengane zikhululeke. Lokhu kungabangela ukuthi amathambo omgogodla asuke kancane endaweni yawo evamile. Lokhu kungabangela ukuthi imisipha yentamo iqine futhi ikhanda lithambekele ohlangothini olulodwa.

Lokhu kuvuvukala kungabangelwa yilokhu okulandelayo:

• Ukutheleleka , isibonelo, ukutheleleka komphimbo noma i-tonsillitis.
• Ngisho nokulimala , ngisho nengozi encane entanyeni.
• Ngezinye izikhathi kungase kungenzeki ukuthola isizathu .

Kungase kube nezinye izizathu:

• Isifo se-gastroesophageal reflux (GERD) yisimo lapho i-asidi yesisu ikhuphukela khona emhubheni. Lokhu kungabonakala nasezinganeni ezincane.
• Izinkinga zokubona . Uma uneso elilodwa elingaboni kahle, kungadingeka uphendule ikhanda lakho ulibhekise eceleni ukuze ubone ngeso elingcono.
• Njengokusabela kwemithi ethile .
• Ngenxa yezicubu zesilonda.
• Isimo samathambo entanyeni, esibizwa ngokuthi i-cervical spondylosis (lokhu kuvamile kubantu abadala, akuvamile ezinganeni).
• I-Sandifer syndrome yisimo esingavamile lapho kuvela khona ukuqaqamba kwemisipha yentamo kanye ne-GERD.
• I-Grisel's syndrome ingenye inkinga engavamile. Lena inkinga eyenzeka ngemva kokutheleleka kwekhanda nentamo noma ngemva kokuhlinzwa kwendlebe, impumulo nomphimbo (ENT).

Udokotela uyixilonga kanjani i-torticollis?

Uma unokungabaza ngentamo yengane yakho, ungesabi bese uqala ngokubona udokotela wezingane noma udokotela ojwayelekile. Udokotela uzoqala ngokumhlola ngokomzimba umntwana . Uzohlola ukuthi ikhanda lengane lijike kangakanani noma litsheke kangakanani. Uzophinde azizwele intamo ngokucophelela, ebheka noma yimiphi imisipha evuvukele noma eqinile, noma leso sigaxa esinomumo wephizi engikhulume ngaso ekuqaleni. Uzophinde ahlole ububanzi bokunyakaza kwentamo yengane.

Kuye ngokuthi isimo sibucayi kangakanani, noma uma kukhona ukusolakala kwesinye isizathu, udokotela wakho angase acele ukuhlolwa okwengeziwe. Isibonelo:

• I- X-ray yentamo. Lokhu kungahlola izinkinga ngamathambo entanyeni.
• I -CT scan (i-Computed Tomography - i-CT scan) yekhanda nentamo.
• Ukuskena kwe-MRI (Magnetic Resonance Imaging - MRI scan) kwekhanda nentamo. Lezi zinhlobo zokuskena zinganikeza isithombe esicacile semisipha nezicubu ezithambile.

Iphathwa kanjani i-Torticollis?

Izindaba ezinhle ukuthi ezimweni eziningi, lesi simo, esibizwa ngokuthi i-congenital torticollis, singelashwa.Kungelashwa ngokuzilolonga ukuzelula nokushintsha isikhundla. Uzozizwa ukhululekile uma uzwa lokhu, akunjalo?

Udokotela wakho noma isazi sokusebenza komzimba uzokufundisa indlela yokwelula imisipha yentamo yengane yakho. Okudingeka ukwenze nje ukujika ikhanda lengane yakho liye kolunye uhlangothi ngokuphindaphindiwe bese uligobisa liye ehlombe elibhekene nohlangothi olugobile. Kufanele wenze lo msebenzi we-torticollis izikhathi eziningana ngosuku. Ngokuhamba kwesikhathi, ungayandisa kancane kancane le minyakazo. Cabanga ngakho njengokumnene nothando, njengokuphatha imbali. Ungalokothi ucindezele kuze kube yilapho kubuhlungu.

Uma sikhuluma ngokushintsha kwendlela yokuma:

• Uma ulalisa ingane yakho (ubuthongo kanye nesikhathi sokulala), phendula ikhanda lengane yakho ulibhekise kolunye uhlangothi, okungukuthi, ohlangothini olugobile. Kodwa-ke, akufanele neze ulalise ingane yakho ngesisu sayo, njengoba lokhu kwandisa ingozi yokufa kwezinsana okuzumayo (SIDS). Njalo lalalisa ingane yakho ibheke phezulu.
• Uma ingane yakho ivukile, uma udlala nayo, beka amathoyizi ngendlela yokuthi ingaphendula ikhanda layo kolunye uhlangothi. Isibonelo, uma ingane yakho ingathandi ukuphendulela ikhanda layo ngakwesokudla, ungakhuluma nayo ohlangothini lwesobunxele uyibonise amathoyizi.
• "Isikhathi sesisu" yilapho ingane yakho iphendukela esiswini sayo ngenkathi ivukile. Lokhu kusiza ukuqinisa imisipha yentamo. Lokhu kubalulekile nakwabantwana abane-torticollis.

Uma lezi zindlela zingasebenzi, udokotela wakho uzokudlulisela kuchwepheshe .

Ukwelashwa ngokomzimba kunganconywa kuqala. Abanye ochwepheshe bahlanganisa:

• Udokotela Wezifo Zomzimba: Laba odokotela abangochwepheshe kwezokwelapha ngokomzimba kanye nokuvuselelwa (PM&R).
• Udokotela Wezinzwa Wezingane: Laba odokotela abangochwepheshe ezinkingeni zobuchopho bezingane, umgogodla kanye nezinzwa.
• Udokotela Wamathambo: Laba odokotela abangochwepheshe emathanjeni, emalungeni, kanye nasesimisweni semisipha. Ngezinye izikhathi, uma kungekho ukuthuthuka ngemva kwezinyanga ezingu-6-12 zokuzivocavoca, kungase kudingeke ukuhlinzwa ukuze kwandiswe imisipha ye-SCM yengane. Kodwa-ke, lokhu akuvamile kakhulu.

I-Acquired torticollis yelashwa ngokusekelwe esimweni esiyisisekelo kanye nokunciphisa izimpawu. Ukwelashwa kungafaka:

• Ama-antibiotic uma kukhona ukutheleleka.
• Imijovo ye-botulinum toxin ukuze kuphumule imisipha yentamo eqinile (lokhu nakho akuvamile).
• Ukwelashwa ngokushisa .
• Ukuhlikihla .
• Ama-braces noma ama-collar entanyeni.
• Ukwelashwa ngokomzimba .

Ingabe i-Torticollis ingavinjelwa?

Okwamanje ayikho indlela eyaziwayo yokuvimbela i-torticollis yokuzalwa. Ibangelwa yizinto ezenzeka ngesikhathi umntwana esesibelethweni. Kodwa-ke, ukwelashwa kusenesikhathi kungavimbela isimo somntwana ukuba sibe sibi kakhulu. Kungavimbela nesidingo sokuhlinzwa kamuva.

"Qala ukuvivinya umzimba nge-torticollis ngokushesha okukhulu, okusho ukuthi zingakapheli izinyanga ezimbalwa ingane izelwe (ngokuvamile zingakapheli izinyanga ezingu-2-3). Ukwenza kanjalo kungavimbela namathuba okuba nezinkinga zesikhathi eside."

Ukugwema izinto ezifana nezifo ezibangela i-torticollis etholakale kunganciphisa ingozi yokuthola lolo hlobo lwe-torticollis.

Yini okufanele ngiyilindele uma ingane yami ine-torticollis?

I-Torticollis yisimo esivamile ezinganeni nasezinganeni ezincane. Ingalashwa ngokumane welule intamo yengane bese ushintsha indawo yayo. Kufanele ubone ukuthuthuka okukhulu esimweni sengane yakho zingakapheli izinyanga ezimbalwa. Uma ukwelashwa kuqalwe kusenesikhathi, okungukuthi, zingakapheli izinyanga eziyisithupha zokuqala, izingane ezingaphezu kuka-90% ziyalulama ngokuphelele futhi azibi nezinkinga zesikhathi eside.

Yiziphi izinkinga ezingaba khona ze-torticollis?

Uma umntwana ene-torticollis, futhi ingelashwa kahle, imisipha ingase ingahambi kahle, okungaholela ekukhubazekeni/ekungabonakali kahle kobuso . Lokhu kusho ukuthi uhlangothi olulodwa lungase lube yisicaba kancane, noma amehlo nezindlebe kungase kungahambelani kahle.

Enye inkinga enkulu engaba khona yi- flat head syndrome, eyaziwa nangokuthi i-plagiocephaly. Njengoba wazi, ukhakhayi lomntwana luthambile kakhulu futhi luguquguquka kalula. Ngakho-ke, lapho uhlangothi olulodwa lwekhanda lucindezelwa endaweni isikhathi eside kakhulu (isibonelo, embhedeni, embhedeni), lokho kucindezela kungabangela ukuthi lolo hlangothi lwekhanda lube buthuntu. Yilokhu okwenzekayo lapho izingane ezine-torticollis zibamba amakhanda azo ohlangothini olulodwa.

Futhi, uma kungelashwa, kungaba nomthelela omncane ekukhuleni kwemisipha yengane.

Kufanele ngimbone nini udokotela?

Uma isimo sengane yakho singathuthuki ngemva kwenyanga eyodwa nokuzivocavoca kwentamo nokushintsha kwendlela oziphatha ngayo ekhaya, qiniseka ukuthi ubona udokotela wakho futhi. Angabe esenquma ukuthi kudingeka yini ukwelashwa okwengeziwe ukulungisa inkinga noma ukuthi kufanele umthumele kuchwepheshe.

Futhi okunye,

• Uma ubuhlungu bentamo yengane bubonakala bukhula kakhulu.
• Uma ingane inomkhuhlane.
• Uma umntwana enqaba ukudla noma ukuphuza.
• Uma kuvela ezinye izimpawu ezintsha.

Ezimweni ezinjengalezi, kungcono ukubona udokotela ngokushesha okukhulu.

Ake sifunde kancane ngezinye izinhlobo ze-torticollis.

Sekuyisikhathi eside sikhuluma nge-torticollis ezinganeni, kodwa kukhona nezinhlobo zayo ezithinta abantu abadala futhi ngezinye izikhathi ngisho nezingane ezindala.

• I-Spasmodic Torticollis: Lolu uhlobo lwe-torticollis oluvela kubantu abadala. Lubizwa nangokuthi i-cervical dystonia . Lubangelwa ukuqina okungazelelwe (ukuqaqamba) kwemisipha yentamo. Lokhu kubangela ikhanda ukuba liphenduke kabuhlungu liye ohlangothini olulodwa. Ikhanda lingase lithambekele phambili noma emuva ngokungalawuleki. Akukho ukwelashwa okuhlala njalo kwalokhu. Ngezinye izikhathi kwelashwa ngemijovo ye-botulinum toxin.

• I-Acute Torticollis: Lokhu kuyinto efika ngokuzumayo. Uma uvuka ekuseni unentamo eqinile nobuhlungu ohlangothini olulodwa, yilokho okuyikho. Lokhu kuqina kubangela ukuthi intamo iphendukele ohlangothini olulodwa. Kungabangelwa ukuklwebheka okuncane kwentamo noma ukucasuka okuncane kwemisipha. Lesi simo ngokuvamile asidingi ukwelashwa. Imithi yokunciphisa ubuhlungu nokuphumula ingasiza ekunciphiseni izimpawu.

Izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kungaba yinto edidayo kancane ukubona ikhanda lomntwana wakho lithambekele ohlangothini olulodwa. Kodwa khumbula, i-torticollis, isimo esibhekana nezingane eziningi, ayibuhlungu. Futhi, ngokuvamile ingelashwa ngokuzivocavoca kwentamo nokushintsha ukuma.

Into ebaluleke kakhulu ukubona udokotela ngokushesha nje lapho uqaphela lesi simo bese uqala ukwelashwa ngokushesha okukhulu. Uma wenza kanjalo, ingane yakho ingalulama ngokushesha ngaphandle kwezinkinga zesikhathi eside. Uma ungaboni intuthuko elindelekile ngokuzivocavoca kanye nokunye ukwelashwa okwenzayo ekhaya, ungakhohlwa ukuvakashela udokotela futhi. Khona-ke angabona ukuthi ingane yakho idinga ukwelashwa okwengeziwe. Ukukhathazeka kwakho kanye nesinyathelo esisheshayo kuyimithi engcono kakhulu yokululama kwengane yakho!

I- Torticollis, i-wryneck, i-wryneck, i-torticollis yokuzalwa, i-torticollis etholakale, imisipha ye-SCM, impilo yengane, ukuzivocavoca kwentamo