Kuyini Ukuhamba Kozwane Futhi Kuphathwa Kanjani?

-Delile

• Ukubuka konke
• Ukuhamba kozwane
• Ukukhubazeka kobuchopho
• Ukukhubazeka kwemisipha
• Intambo yomgogodla engavamile
• Ingabe ukuhamba ngezwane kuwuphawu lwe-autism?
• Ukuhamba uzwane kubantu abadala
• Ukuhlonza imbangela yokuhamba ngozwane
• Ungamisa kanjani uzwane ukuhamba
• Ukwelashwa okungahlinzeki
• Ukwelashwa kokuhlinzwa
• Isibikezelo

Ukubuka konke

Ukuhamba ngozwane kuyindlela yokuhamba lapho umuntu ehamba khona ngamabhola ezinyawo zakhe kunokuba izithende zakhe zithinte phansi.

Yize lokhu kuyindlela ejwayelekile yokuhamba ezinganeni ezingaphansi kweminyaka engu-2 ubudala, iningi labantu ligcina lithathe iphethini yokuhamba ngezithende.

Uma ngabe ingane yakho ishaya amatshe okuthuthuka, ukuhamba ngezinzwane akuyona imbangela yokukhathazeka, ngokusho kweMayo Clinic.

Ezimweni eziningi, isizathu sokuthi ingane yakho ingaqhubeka nokuhamba ngezinyawo ngaphezu kweminyaka yobudala engu-2 asaziwa. Kodwa-ke, kwesinye isikhathi kungadala imisipha yenkonyane eqinile eyenza iphethini yokuhamba ngezithende kube nzima ukuyifunda njengoba ingane yakho ikhula.

Ukuhamba kozwane

Imvamisa, odokotela abakwazi ukukhomba isizathu sokuthi kungani ingane ingahamba ngezinyawo. Babiza lokhu.

Lezi zingane ngokuvamile zikwazi ukuhamba ngezithende ezijwayelekile, kodwa zikhetha ukuhamba ngezinzwane zazo. Kodwa-ke, odokotela bathole ezinye zezimo lapho ingane ingajwayela khona ukuhamba ngezwane.

Ukukhubazeka kobuchopho

Lesi simo sithinta ithoni yemisipha, ukuxhumana, nokuma komzimba. Labo abane-cerebral palsy bangabonisa ukuhamba okungazinzile, kufaka phakathi ukuhamba ngezwane. Imisipha yabo nayo ingaqina kakhulu.

Ukukhubazeka kwemisipha

Imisipha dystrophy yisimo sezakhi zofuzo esidala ukubuthakathaka kwemisipha nokumoshakala. Omunye wemiphumela emibi engaba khona ukuhamba ngezinzwane. Ukube ingane ibihamba ngephethini yezithende kuya ezinzwaneni ngaphambili futhi iqala ukuhamba ngozwane, imisipha dystrophy ingaba imbangela engaba khona.

Intambo yomgogodla engavamile

Ukukhubazeka komgogodla, okufana nentambo yomgogodla ehlanganisiwe - lapho umgogodla unamathela kukholamu lomgogodla - noma umgogodla, kungadala ukuhamba ngezwane.

Ingabe ukuhamba ngezwane kuwuphawu lwe-autism?

Odokotela babone izehlakalo eziphakeme zokuhamba kwezinzwane kulabo abanezinkinga ze-autism spectrum. Leli yiqembu lezimo ezithinta ukuxhumana komuntu, amakhono akhe ezenhlalo, kanye nokuziphatha.

Kodwa-ke, odokotela abakhombisanga kahle ukuthi kungani labo abane-autism kungenzeka babe nethuba lokuhamba ngezinzwane.

Ukuhamba ngozwane ngokwakho akulona uphawu lwe-autism.

Ezinye zezimbangela ezihlongozwayo zokuhamba kozwane kubantu abane-autism zifaka ukukhathazeka kwezinzwa, lapho ingane ingahle ingathandi indlela izithende zayo ezizizwa ngayo lapho zishaya phansi. Enye imbangela engaba khona ukukhathazeka okuhlobene nombono ne-vestibular (ibhalansi).

Ukuhamba uzwane kubantu abadala

Yize odokotela bevame ukuhlobanisa ukuhamba ngezwane nezingane, kungenzeka ukuthi isimo singathinta abantu abadala. Kwesinye isikhathi, umuntu omdala kungenzeka ukuthi wayehlala ehamba ngezinyawo futhi izinyathelo zokulungisa zazingasebenzi.

Ngezinye izikhathi, ungaqala ukuhamba ngezwane usumdala. Lokhu kungaba yi-idiopathic noma ngenxa yezimo ezahlukahlukene ezingathinta izinyawo. Izibonelo zifaka:

• izingcingo
• ummbila
• i-peripheral neuropathy, noma ukulahlekelwa umuzwa ezinyaweni

Uma usuqalile ukuhamba ngezwane, kodwa ungakabi ingane, khuluma nodokotela wakho ngezimbangela ezingaba yimbangela.

Ukuhlonza imbangela yokuhamba ngozwane

Uma wena noma ingane yakho niqhubeka nokuhamba ngozwane, uzofuna ukubona udokotela wakho ozohlola izimbangela ezingaba khona. Lokhu kuvame ukuqala ngokuthatha umlando wezokwelapha. Izibonelo zemibuzo udokotela angazibuza zifaka:

• noma ngabe ingane izalwe isikhathi esigcwele (amasonto angama-37 noma ngaphezulu) noma uma umama ebenezinkinga zokukhulelwa
• noma ngabe ingane ifinyelele kumigqa yokukhula, njengokuhlala nokuhamba
• uma izinzwane zabo zihamba ngezinyawo zombili noma eyodwa
• uma kunomlando womndeni wokuhamba ngozwane
• uma bekwazi ukuhamba ngesithende kuzwane uma bebuzwa
• uma banezinye izimpawu ezihlobene nomlenze noma izinyawo, ezinjengezinhlungu noma ubuthakathaka emilenzeni

Udokotela wakho uzokwenza nokuhlolwa komzimba. Lokhu kuvame ukufaka ukucela ukukubona uhamba nengane yakho. Bazobuye bahlole izinyawo nemilenze ngentuthuko nobubanzi bokuhamba.

Ezinye izivivinyo zingafaka lezo zomsebenzi wezinzwa namandla emisipha. Uma kungekho lutho emlandweni wezokwelapha wengane yakho okukhombisa imbangela yokuhamba ngozwane, udokotela wakho ngeke avame ukuncoma ukuhlolwa kwe-imaging noma kwe-nerve function. Lokho kungenxa yokuthi kubantu abaningi, ukuhamba ngezwane kuyi-idiopathic futhi akunayo imbangela eyaziwayo.

Ungamisa kanjani uzwane ukuhamba

Ukuhamba ngozwane kungaba yinto ekhathazayo ngoba uma iqhubeka idlule iminyaka yobudala yesi-5, umuntu angaba nezinkinga zokuhamba ngezithende zakhe kamuva empilweni, noma iningi elinokuhamba ngezinzwane ze-idiopathic.

Uma uhamba ngozwane isikhathi esiningi, ungaba nezinkinga zokugqoka izicathulo ngokunethezeka noma uhlanganyele emisebenzini yokuzilibazisa efaka ukugqoka izicathulo ezikhethekile, njengama-roller skate. Ungawa futhi kalula.

Ukwelashwa okungahlinzeki

Ukwelashwa okungahlinzekwa kuvame ukunconywa ezinganeni eziphakathi kweminyaka engu-2 nengu-5, ikakhulukazi uma zingahamba ngezinyawo lapho zitshelwa. Kwesinye isikhathi ukukhumbuza ingane ukuthi ihambe ngezinyawo kungasiza. Njengoba zikhula, izingane ezinezinzwane ze-idiopathic ezihamba cishe zihlala zithuthukela ekuhambeni ngezinyawo.

Ezinye izindlela zokwelapha zifaka:

• Ukugqoka izigaxa zemilenze ezikhethekile ezingasiza ukwelula imisipha namathende ematholeni uma kutholakala ukuthi aqinile. Ingane yakho ivame ukuthola ukusakazwa okusha kaningana njengoba ukuguquguquka kwanda.
• I-brace ekhethekile eyaziwa njenge-ankle-foot orthosis (AFO) ingasiza ukwelula imisipha namathambo emaqakaleni. Lolu hlobo lwe-brace luvame ukugqokwa isikhathi eside kunabalingisi bomlenze.
• Imijovo ye-Botox emilenzeni ingasiza ekwenzeni buthakathaka imisipha yemilenze engasebenzi ngokweqile uma ibangela ukuba uzwane uhambe. Le mijovo ingasiza imisipha yengane yakho ukuba yeluleke kalula uma ingazuza ekubunjweni noma ekuqiniseni.

Udokotela wakho angancoma inhlanganisela yokwelashwa ukuthola imiphumela emihle.

Ukwelashwa kokuhlinzwa

Uma umuntu eqhubeka nokuhamba ngezinzwane ngemuva kweminyaka yobudala eyi-5, futhi engakwazi ukuhamba ngezinyawo lapho ebuzwa, imisipha yabo kanye nemisipha yabo ingaqina kakhulu ukuze iboshwe noma ukuphonsa ukuyelula. Ngenxa yalokhu, udokotela wakho angancoma ukuhlinzwa ukwelula ingxenye yethenda le-Achilles.

Lokhu ngokuvamile kuyindlela yokwelashwa ngaphandle, engakudingi ukuthi uhlale ubusuku esibhedlela.

Ngemuva kokuhlinzwa, imvamisa uzogqoka okokuhamba ngezinyawo amasonto amane kuya kwayisithupha. Ungahle ube nokwelashwa ngokomzimba ukuze uqhubeke nokuthuthukisa iphethini yokuhamba ngezinyawo.

Isibikezelo

Iningi lezingane ezingenaso isimo sezempilo esiyimbangela ebangela ukuhamba kwazo kuzwane ekugcineni zizohamba ngendlela yezithende. Lapho kutholakala imbangela, ukwelashwa kokuhamba ngezinzwane kungabavumela ukuba bahambe ngendlela enyawo oluyisicaba.

Kodwa-ke, ezinye izingane ezihamba ngezinzwane ze-idiopathic zingabuyela ezinzwaneni, ngisho nangemva kokwelashwa, kuze kube yilapho iningi lazo ligcina lihamba ngezinyawo.