Unyawo olusizalayo: luyini, ungaluhlonza kanjani futhi uluphathe kanjani

-Delile

• Ungayibona kanjani
• Izimbangela ezingaba khona
• Ukwelashwa kwe-clubfoot yezinso

I-Congenital clubfoot, eyaziwa nangokuthi i-echinovaro clubfoot noma, edume ngokuthi, "i-clubfoot inward", ingukuzalwa okungazalwanga lapho ingane izalwa inyawo olulodwa luphendukele ngaphakathi, futhi ushintsho lungabonakala ezinyaweni eyodwa noma zombili.

Unyawo olumbelekanayo luyelapheka inqobo nje uma ukwelashwa kwenziwa ngokuyalelwa ngudokotela wezingane nodokotela wamathambo, futhi nendlela yePonseti, equkethe ukusetshenziswa kukakhonkolo namabhuzu wamathambo, noma ukuhlinzwa ukulungisa isikhundla, kungakhonjiswa. yezinyawo, kepha ukuhlinzwa kukhonjiswa kuphela lapho ezinye izindlela zokwelashwa zingenamthelela.

Ungayibona kanjani

Ukuhlonza i-clubfoot kungenziwa futhi ngesikhathi sokukhulelwa nge-ultrasound, futhi ukuma kwezinyawo kungabonakala ngalokhu kuhlola. Kodwa-ke, ukuqinisekiswa konyawo lwezinyawo kwenzeka kuphela emva kokuzalwa ngokwenza ukuhlolwa komzimba, futhi akudingekile ukwenza noma yikuphi ukuhlolwa kwe-imaging.

Izimbangela ezingaba khona

Izimbangela zonyawo lwezinyawo azikaziwa futhi kuxoxiswana ngazo kabanzi, kepha abanye abacwaningi bakholelwa ukuthi lesi simo empeleni singesofuzo nokuthi kukho konke ukukhula kwengane bekukhona ukwenziwa kofuzo olubhekele lokhu kukhubazeka.

Enye inkolelo futhi eyamukele futhi yaxoxwa ukuthi amangqamuzana anamandla okusayina nokukhuthaza ukukhula angaba khona engxenyeni engaphakathi yomlenze nonyawo nokuthi, lapho kwenziwa isivumelwano, aqondise ukukhula nokuthuthuka kwezinyawo ngaphakathi.

Yize kunemibono eminingana ngemibono yezinyawo, kubalulekile ukuthi ukwelashwa kuqalwe kusenesikhathi ukuqinisekisa ikhwalithi yempilo yengane.

Ukwelashwa kwe-clubfoot yezinso

Kungenzeka ukulungisa izinyawo ezinezinyawo inqobo nje uma ukwelashwa kuqala ngokushesha. Iminyaka efanelekile yokuqala ukwelashwa inempikiswano, kanti abanye odokotela bamathambo bancoma ukuthi ukwelashwa kuqalwe ngemuva nje kokuzalwa, nakwabanye ukuthi kuqalwa kuphela lapho ingane inezinyanga eziyi-9 noma lapho icishe ibe ngu-80 cm ubude.

Ukwelashwa kungenziwa ngokukhohlisa noma ngokuhlinzwa, okuboniswa kuphela lapho indlela yokuqala ingasebenzi. Indlela eyinhloko yokukhohlisa ukwelashwa kwe-clubfoot yaziwa ngokuthi indlela yePonseti, okubandakanya ukuphatha imilenze yengane ngudokotela wamathambo nokubekwa kosimende isonto ngalinye cishe izinyanga ezi-5 ukuze kuqondaniswe kahle amathambo onyawo namathende. .

Ngemuva kwalesi sikhathi, ingane kufanele ifake amabhuzu wamathambo amahora angama-23 ngosuku, izinyanga ezintathu, nasebusuku ize ibe neminyaka emi-3 noma emi-4 ubudala, ukuvimbela unyawo ekugoqeni futhi. Lapho indlela yePonseti yenziwa kahle, ingane iyakwazi ukuhamba futhi ikhule ngokujwayelekile.

Kodwa-ke, ezimweni lapho indlela yePonseti ingasebenzi, kungahlinzekwa ukuhlinzwa, okumele kwenziwe ngaphambi kokuba ingane ibe nonyaka owodwa. Kulokhu kuhlinzwa, izinyawo zibekwa endaweni efanele futhi ithenda le-Achilles seluliwe, elibizwa nge-tenotomy. Yize futhi kuyasebenza futhi kuthuthukisa ukubukeka konyawo lwengane, kungenzeka ukuthi ngokuhamba kwesikhathi ingane izolahlekelwa amandla emisipheni yemilenze nezinyawo, okungathi ngokuhamba kwesikhathi kubangele ubuhlungu futhi kuqine.

Ngaphezu kwalokho, i-clubfoot physiotherapy ingasiza ngokwenza ngcono ukuma okufanele kwezinyawo nokuqinisa imisipha yemilenze nezinyawo zomntwana.