Yini i-Congenital Multiple Arthrogryposis (AMC)
-Delile
ICongenital Multiple Arthrogryposis (AMC) yisifo esibi esivezwa ukukhubazeka nokuqina kwamalunga, esivimbela ingane ukuba inyakaze, ikhiqize ubuthakathaka obukhulu bemisipha. Izicubu zemisipha bese zithathelwa indawo izicubu ezinamafutha nezixhumanayo. Lesi sifo sizibonakalisa enqubeni yokukhula kombungu, cishe enganyakazi esiswini sikamama, esibeka engozini ukwakheka kwamalunga ayo nokukhula kwethambo okwejwayelekile.
“Unodoli owenziwe ngokhuni” ngokuvamile kuyigama elisetshenziselwa ukuchaza izingane ezine-arthrogriposis, okuthi noma zikhubazeke kakhulu ngokomzimba, zikhule ngokwengqondo futhi zikwazi ukufunda nokuqonda konke okwenzekayo ezibazungezile. Ukukhubazeka kwezimoto kubi kakhulu, futhi kujwayelekile ukuthi ingane ibe nesisu nesifuba esithuthuke kabi, okungenza ukuphefumula kube nzima kakhulu.
Izimpawu nezimpawu ze-Arthrogryposis
Imvamisa, ukuxilongwa kwenziwa kuphela ngemuva kokuzalwa lapho kubonakala ukuthi ingane ayikwazi ukunyakaza, iveze:
- Okungenani amajoyini ama-2 anganyakazi;
- Imisipha eshubile;
- Ukuhlukaniswa okuhlangene;
- Ubuthakathaka bemisipha;
- Unyawo lokuzalwa oluyisilima;
- I-Scoliosis;
- Amathumbu amafushane noma athuthukisiwe kahle;
- Kunzima ukuphefumula noma ukudla.
Ngemuva kokuzalwa lapho ubheka ingane futhi wenza izivivinyo ezifana ne-radiography yomzimba wonke, nokuhlolwa kwegazi ukusesha izifo zofuzo, ngoba i-Arthrogryposis ingaba khona kuma-syndromes amaningana.
Ingane ene-Arthrogryposis YezalwaUkuxilongwa ngaphambi kokubeletha akulula kakhulu, kepha kungenziwa nge-ultrasound, kwesinye isikhathi kuphela lapho kuphela ukukhulelwa, lapho kutholwa:
- Ukungabikho kokunyakaza kwengane;
- Isimo esingajwayelekile sezingalo nemilenze, esivame ukugoba, yize futhi singalulwa ngokuphelele;
- Ingane incane kunosayizi oyifunayo wobudala bokukhulelwa;
- Uketshezi oluningi lwe-amniotic;
- Umhlathi awuthuthukisiwe kahle;
- Ikhala eliphansi;
- Ukuthuthukiswa kwamaphaphu amancane;
- Intambo emfushane yenkaba.
Lapho ingane inganyakazi ngesikhathi sokuhlolwa kwe-ultrasound, udokotela angacindezela isisu sowesifazane ukukhuthaza ingane ukuba inyakaze, kodwa akwenzeki njalo, futhi udokotela angacabanga ukuthi ingane ilele. Ezinye izimpawu kungenzeka zingacaci kahle noma zingabonakali kangako, ukunaka lesi sifo.
Yini ebangela
Yize kungaziwa ncamashi zonke izimbangela ezingaholela ekwakheni i-arthrogriposis, kuyaziwa ukuthi ezinye izinto zithanda lesi sifo, njengokusebenzisa imithi ngesikhathi sokukhulelwa, ngaphandle kokuthola usizo olufanele lwezokwelapha; ukutheleleka, njengalokho okubangelwa yigciwane leZika, ukuhlukumezeka komzimba, izifo ezingamahlalakhona noma zofuzo, ukusetshenziswa kwezidakamizwa nokuphuza ngokweqile.
Ukwelashwa kwe-Arthrogryposis
Ukwelashwa okuhlinzekwayo yikhona okukhonjiswe kakhulu futhi kuhlose ukuvumela ukunyakaza okuthile kwamalunga. Lapho nje ukuhlinzwa kwenziwa ngokushesha, kuzoba ngcono futhi ngakho-ke okulungile ukuthi kwenziwe ukuhlinzwa kwamadolo nezinyawo ngaphambi kwezinyanga eziyi-12, okungukuthi, ngaphambi kokuba ingane iqale ukuhamba, okungavumela ingane ukuthi ikwazi ukuhamba yodwa.
Ukwelashwa kwe-arthrogriposis kufaka futhi nokuholwa ngabazali kanye nohlelo lokungenelela oluhlose ukuthuthukisa ukuzimela kwengane, okukhonjiselwa kona i-physiotherapy nokwelashwa komsebenzi. I-Physiotherapy kufanele ihlale ihlukile, ihlonipha izidingo ezilethwa yingane ngayinye, futhi kufanele iqale ngokushesha okukhulu, ukuze ivuseleleke kangcono ngokwengqondo kanye nokukhula kwengane.
Kepha kuya ngobunzima bokukhubazeka, imishini yokusekela, enjengezihlalo zabakhubazekile, okokusebenza okushintshiwe noma izinduku, kungadingeka ukuze uthole ukusekelwa okungcono nenkululeko enkulu. Funda kabanzi mayelana nokwelashwa kwe-Arthrogryposis.