I-Torticollis

I-Torticollis yisimo lapho imisipha yentamo idala ukuthi ikhanda liphenduke noma lizungeze uhlangothi.

I-Torticollis ingaba:

• Ngenxa yezinguquko zofuzo, ezivame ukudluliselwa emndenini
• Ngenxa yezinkinga ohlelweni lwezinzwa, umgogodla ongaphezulu, noma imisipha

Isimo singenzeka futhi ngaphandle kwesizathu esaziwayo.

Njengoba i-torticollis ikhona lapho izalwa, kungenzeka uma:

• Ikhanda lengane lalisesimeni esingalungile ngenkathi likhula esibelethweni
• Kwalimala imisipha noma ukunikezwa kwegazi entanyeni

Izimpawu ze-torticollis zifaka:

• Ukuhamba okulinganiselwe kwekhanda
• Ubuhlungu bekhanda
• Ukuzamazama kwekhanda
• Ubuhlungu bentamo
• Amahlombe aphakeme kunenye
• Ukuqina kwemisipha yentamo
• Ukuvuvukala kwemisipha yentamo (okungenzeka kube khona lapho kuzalwa)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Ukuhlolwa kungakhombisa:

• Ikhanda liyaphenduka, ligobekile, noma lincike phambili noma emuva. Ezimweni ezinzima, lonke ikhanda liyadonswa bese liphendulwa ohlangothini olulodwa.
• Imisipha yentamo efushane noma emikhulu.

Ukuhlolwa okungenziwa kufaka phakathi:

• I-X-ray entanyeni
• I-CT scan yekhanda nentamo
• I-Electromyogram (EMG) ukubona ukuthi yimiphi imisipha ethinteka kakhulu
• I-MRI yekhanda nentamo
• Ukuhlolwa kwegazi ukubheka izimo zezokwelapha ezixhunyaniswe ne-torticollis

Ukwelapha i-torticollis ekhona ngesikhathi sokuzalwa kuhilela ukwelula imisipha yentamo efushane. Ukwelula okungahambi kahle nokuma kahle kusetshenziswa ezinganeni nasezinganeni ezincane. Ekuzeluleni ngokungenzi lutho, kusetshenziswa into efana nebhande, umuntu, noma enye into ukubamba ingxenye yomzimba endaweni ethile. Lezi zindlela zokwelashwa zivame ukuphumelela, ikakhulukazi uma ziqala zingakapheli izinyanga ezintathu izelwe.

Ukuhlinzwa ukulungisa imisipha yentamo kungenziwa eminyakeni yasenkulisa, uma ezinye izindlela zokwelashwa zehluleka.

I-Torticollis ebangelwa ukulimala kwesistimu yezinzwa, umgogodla, noma imisipha iyelashwa ngokuthola imbangela yesifo bese siyelashwa. Ngokuya ngesizathu, ukwelashwa kungafaka:

• Ukwelashwa ngokomzimba (ukufaka ukushisa, ukudonsa entanyeni, nokuhlikihla ukusiza ukudambisa ubuhlungu bekhanda nentamo).
• Ukuzivocavoca umzimba nokwelula izintambo zokubopha ukusiza ngezinhlungu zemisipha.
• Ukuthatha imithi efana ne-baclofen ukunciphisa ukuncipha kwemisipha yentamo.
• Ukujova i-botulinum.
• Ama-injection point point wokudambisa izinhlungu endaweni ethile.
• Ukuhlinzwa komgogodla kungadingeka lapho i-torticollis ingenxa yama-vertebrae asusiwe. Kwezinye izimo, ukuhlinzwa kuhilela ukucekela phansi ezinye izinzwa ezisemisipheni yentamo, noma ukusebenzisa ukuvuselela ubuchopho.

Isimo singaba lula ukwelashwa ezinganeni nasezinganeni. Uma i-torticollis iba yisifo esingelapheki, ukuba ndikindiki nokushosholoza kungakhula ngenxa yengcindezi yezimpande zemizwa entanyeni.

Izinkinga ezinganeni zingafaka:

• Isifo sekhanda eliphansi
• Ukukhubazeka kobuso ngenxa yokushoda kokunyakaza kwemisipha ye-sternomastoid

Izinkinga kubantu abadala zingafaka:

• Ukuvuvukala kwemisipha ngenxa yengcindezi engapheli
• Izimpawu zesistimu yezinzwa ngenxa yengcindezi ezimpandeni zezinzwa

Shayela i-aphoyintimenti nomhlinzeki wakho uma izimpawu zingathuthuki ngokwelashwa, noma uma kuvela izimpawu ezintsha.

I-Torticollis eyenzeka ngemuva kokulimala noma ngokugula ingaba yimbi kakhulu. Funa usizo lwezokwelapha ngokushesha uma lokhu kwenzeka.

Yize ingekho indlela eyaziwayo yokuvikela lesi simo, ukwelashwa kusenesikhathi kungasivimba ukuthi singabi sibi kakhulu.

I-spasmodic torticollis; Intamo ewry; ULoxia; I-dystonia yomlomo wesibeletho; Ukukhubazeka kweqhude; Intamo esontekile; Isifo seGrisel

• I-Torticollis (intamo ye-wry)

UMarcdante KJ, uKleigman RM. Umqolo. Ku: UMarcdante KJ, uKleigman RM, ama-eds. UNelson Essentials Pediatrics. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 202.

UMhlophe KK, uBouchard M, uGoldberg MJ. Izimo ezivamile zamathambo ezisanda kuzalwa. Ku: Gleason CA, Juul SE, ama-eds. Izifo zika-Avery Zomntwana osanda kuzalwa. Umhlaka 10. IPhiladelphia, PA: Elsevier; 2018: isahluko 101.