Ukulungiswa kwe-Clubfoot

Ukulungiswa kwe-Clubfoot ukuhlinzwa ukuze kulungiswe ukukhubazeka konyawo neqakala.

Uhlobo lokuhlinzwa olwenziwe luxhomeke ku:

• Ibucayi kangakanani unyawo olusisilima
• Iminyaka yengane yakho
• Yikuphi okunye ukwelashwa ingane yakho eye yaba nakho

Ingane yakho izoba ne-anesthesia ejwayelekile (ilele futhi ayinazinhlungu) ngesikhathi sokuhlinzwa.

Imigqa yizicubu ezisiza ukubamba amathambo ndawonye emzimbeni. Ama-tendon yizicubu ezisiza ukunamathisela imisipha emathanjeni. Unyawo lwezinyawo lwenzeka lapho imisipha eqinile nemisipha kuvimbela unyawo ekululekeni luye endaweni efanele.

Ukulungisa i-clubfoot, kusikwa okungu-1 noma okungu-2 esikhunjeni, imvamisa kakhulu ngemuva konyawo nangaphakathi kwengxenye yonyawo.

• Udokotela ohlinzayo wengane yakho angenza imisipha ezungeze unyawo ibe yinde noma ibe mfushane. Ithenda ye-Achilles engemuva konyawo ivame ukusikwa noma yinde.
• Izingane ezindala noma amacala abucayi angadinga ukusikeka kwamathambo. Kwesinye isikhathi, izikhonkwane, izikulufo noma amapuleti kubekwa onyaweni.
• Isamente lifakwa onyaweni ngemuva kokuhlinzwa ukuze likugcine lisesimweni ngenkathi lisaphila. Kwesinye isikhathi kufakwa isihlwathi kuqala, bese kufakwa ukhonkolo ezinsukwini ezimbalwa kamuva.

Izingane ezindala ezisakhubazeke unyawo ngemuva kokuhlinzwa zingadinga ukuhlinzwa okwengeziwe. Futhi, izingane ezingakahlinzwa okwamanje zingadinga ukuhlinzwa njengoba zikhula. Izinhlobo zokuhlinzwa abangazidinga zifaka:

• I-osteotomy: Ukususa ingxenye yethambo.
• Ukuhlanganiswa noma i-arthrodesis: Amathambo amabili noma ngaphezulu ahlanganiswe ndawonye. Udokotela ohlinzayo angasebenzisa ithambo elivela kwenye indawo emzimbeni.
• Izikhonkwane zensimbi, izikulufo noma amapuleti kungasetshenziswa ukubamba amathambo ndawonye isikhashana.

Ingane ezalwa inonyawo lwezinyawo ilashwa kuqala ngosamente ukuze yelule unyawo lube sesimweni esijwayelekile.

• Abalingisi abasha bazobekwa masonto onke ukuze unyawo lwelulelwe endaweni.
• Izinguquko zokusakaza ziyaqhubeka cishe izinyanga ezimbili. Ngemuva kokuphonsa, ingane ifaka umkaki iminyaka eminingana.

I-Clubfoot etholakala ezinganeni imvamisa iphathwa ngempumelelo ngokujikijela nokubopha izinsimbi, ngaleyo ndlela igweme ukuhlinzwa.

Kodwa-ke, ukuhlinzeka ngokulungiswa kwe-clubfoot kungadingeka uma:

• Abalingisi noma ezinye izindlela zokwelapha aziyilungisi ngokuphelele inkinga.
• Inkinga iyabuya.
• Unyawo lwezinyawo aluzange lulashwe.

Izingozi ezivela kunoma iyiphi i-anesthesia nokuhlinzwa yilezi:

• Izinkinga zokuphefumula
• Ukusabela emithini
• Ukopha
• Ukutheleleka

Izinkinga ezingaba khona ezivela ekuhlinzeni izinyawo yilezi:

• Ukulimala kwezinzwa ezinyaweni
• Ukuvuvuka konyawo
• Izinkinga ngokugeleza kwegazi kuya onyaweni
• Izinkinga zokupholisa amanxeba
• Ukuqina
• Isifo samathambo
• Ubuthakathaka

Umhlinzeki wezokunakekelwa kwempilo yengane yakho anga:

• Thatha umlando wezokwelapha wengane yakho
• Yenza ukuhlolwa okuphelele kwengane yakho ngokomzimba
• Yenza ama-x-ray we-clubfoot
• Hlola igazi lengane yakho (yenza inani eliphelele legazi bese uhlola ama-electrolyte noma izinto ezijiyisayo)

Hlala utshela umhlinzeki wengane yakho:

• Iziphi izidakamizwa ingane yakho ezidlayo
• Faka amakhambi, namavithamini owathengile ngaphandle kwemithi kadokotela

Phakathi nezinsuku ngaphambi kokuhlinzwa:

• Cishe izinsuku eziyi-10 ngaphambi kokuhlinzwa, ungacelwa ukuthi uyeke ukunika ingane yakho i-aspirin, ibuprofen (Advil, Motrin), noma enye imishanguzo eyenza kube nzima ukuba igazi lengane yakho ligodle.
• Buza ukuthi imiphi imithi ingane yakho okufanele isayiphuza ngosuku lokuhlinzwa.

Ngosuku lokuhlinzwa:

• Ezimweni eziningi, ingane yakho ngeke ikwazi ukuphuza noma ukudla noma yini amahora amane kuya kwayisithupha ngaphambi kokuhlinzwa.
• Nikeza ingane yakho isiphuzo esincane samanzi nganoma yimuphi umuthi udokotela akutshele wona ukuthi umnike ingane yakho.
• Uzotshelwa ukuthi uzofika nini ezohlinzwa.

Ngokuya ngokuhlinzwa okwenziwe, ingane yakho ingaya ekhaya ngosuku olufanayo noma ihlale esibhedlela izinsuku ezi-1 ukuya kwezi-3 ngemuva nje kokuhlinzwa. Ukuhlala esibhedlela kungaba isikhathi eside uma ukuhlinzwa nakho kwenziwa emathanjeni.

Unyawo lwengane kufanele lubekwe endaweni ephakanyisiwe. Imithi ingasiza ekulawuleni ubuhlungu.

Isikhumba esizungeze ukhonkolo wengane yakho sizobhekwa kaningi ukuqinisekisa ukuthi sihlala sibomvana futhi siphilile. Izinzwani zengane yakho nazo zizohlolwa ukuqinisekisa ukuthi zipinki futhi ingane yakho iyakwazi ukuhambisa futhi izizwe. Lezi yizimpawu zokuhamba kwegazi okufanele.

Ingane yakho izoba nabalingisi amasonto ayisithupha kuya kwayi-12. Kungashintshwa kaningana. Ngaphambi kokuba ingane yakho iphume esibhedlela, uzofundiswa ukuthi ungabanakekela kanjani abalingisi.

Lapho kukhishwa abalingisi bokugcina, ingane yakho mhlawumbe izonikezwa isibopho, futhi ingathunyelwa ekwelashweni ngokomzimba. Umelaphi uzokufundisa izivivinyo ozenzayo nengane yakho ukuqinisa unyawo futhi uqiniseke ukuthi ihlala iguquguquka.

Ngemuva kokululama ekuhlinzweni, unyawo lwengane yakho luzoba sesimweni esingcono kakhulu. Ingane yakho kufanele ikwazi ukuba nempilo ejwayelekile, esebenzayo, kubandakanya ukudlala imidlalo. Kepha unyawo lungaqina kunonyawo olungazange lelashwa ngokuhlinzwa.

Ezimweni eziningi ze-clubfoot, uma kuthinteka uhlangothi olulodwa kuphela, unyawo nethole lengane kuzoba kuncane kunokujwayelekile impilo yonke yengane.

Izingane ezihlinzwe ngezinyawo zingadinga okunye ukuhlinzwa kamuva empilweni.

Ukulungiswa konyawo lwezinyawo; Ukukhululwa kwe-posteromedial; Ukukhishwa kwethenda le-Achilles; Ukukhululwa kweClubfoot; Ama-Talipes equinovarus - ukukhanda; Ukudluliswa kwethenda yangaphakathi kweTibialis

• Ukuvimbela ukuwa
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile

• Ukulungiswa kwe-Clubfoot - uchungechunge

UKelly DM. Okuzenzakalelayo kokuzalwa komkhawulo ongezansi. Ku: Azar FM, Beaty JH, Kanale ST, ama-eds. I-Operational Orthopedics yaseCampbell. Umhlaka 13. IPhiladelphia, PA: Elsevier; 2017: isahluko 29.

URicco AI, uRichards BS, uHering JA. Ukuphazamiseka konyawo. Ku: Hering JA, ed. Tachdjian’s Pediatric Orthopedics. Umhlaka 5. IPhiladelphia, PA: Elsevier Saunders; 2014: isahluko 23.