Ukwelashwa kwe-Arthrogryposis Yezalwa Yokubeletha

-Delile

• 1. Ukusetshenziswa kwezingcezu
• 2. Ukuhlinzwa Kokuzalwa Kwama-Arthrogryposis Multiple
• 3. I-Physiotherapy ye-Congenital Multiple Arthrogryposis
• Isikhathi sokuphila

Ukwelashwa kwe-Congenital Multiple Arthrogryposis kubandakanya ukuhlinzwa kwamathambo kanye nezikhathi ze-physiotherapy, nokusetshenziswa kwezingubo zokulala, kepha ngaphezu kwalokho, abazali bengane noma abanakekeli kufanele basebenzise ngokucophelela amalunga aqinile ukuze bathuthukise ukunyakaza kwabo.

I-Congenital Multiple Arthrogryposis yisifo esibonakala ngokuhlangana kwelungu elilodwa noma amaningi, okungavumeli ingane ukuba igobe izindololwane zayo, iminwe noma amadolo, isibonelo. Uphawu lwesici nolubalulekile ukulahleka komugqa ojwayelekile wezitho, ezibonakala njenge-tubular. Isikhumba ngokuvamile siyacwebezela futhi ukungabikho kwamafolda kuvamile. Kwesinye isikhathi, lesi sifo sihambisana nokususwa kwezinqulu, amadolo, noma izindololwane. Funda izimbangela nokuxilongwa kwalesi sifo lapha.

Ngakho-ke, ekwelashweni kunganconywa:

1. Ukusetshenziswa kwezingcezu

Udokotela wezingane angancoma ukusetshenziswa kwezintambo ukulala, okungavimbela ukwanda kwezinkontileka, kuthuthukise ukuma kwamalunga athintekile, angenza kube lula ukunyakaza nokugqugquzela i-physiotherapy ngosuku olulandelayo.

2. Ukuhlinzwa Kokuzalwa Kwama-Arthrogryposis Multiple

Ukuhlinza ngamathambo kungakhonjiswa ukulungisa amacala azelwe ngonyawo lwezinyawo, ukuqina kwamadolo okunzima, ihlombe, ukuvuvukala okhalweni noma ezinye izimo lapho kungenzeka khona ukwenza ngcono ukuguquguquka kokuhlangana, njengamaphilisi, imisipha nemisipha ene-fibrosis. Ngaphezu kwalokho, esimweni se-scoliosis, kungakhonjiswa ukubeka idivaysi yokulungisa umgogodla ku-sacrum, lapho i-scoliosis angle ingaphezu kuka-40º.

Ingane ene-arthrogryposis ingahlinzwa kaningi ngesikhathi sokuphila kwayo, futhi ngaso sonke isikhathi kunconywa ukwenza amasethingi e-physiotherapy ngaphambi nangemva kokuhlinzwa, okungenani izikhathi ezingama-30 zangaphambi nangemva kokuhlinzwa.

3. I-Physiotherapy ye-Congenital Multiple Arthrogryposis

I-Physiotherapy kufanele yenziwe ikakhulukazi ngaphambi nangemva kokuhlinzwa, kepha kuyakhonjiswa nakwezinye izikhathi zokuphila, futhi ingenziwa kusukela ekuzalweni kuze kufike lapho umuntu efisa khona.

Okuncanyelwayo ukuthi i-physiotherapy kufanele yenziwe kabili ngesonto, ngezikhathi ezithile zehora eli-1, kepha futhi, ngaphezu kwalokho, kuyadingeka ukuthi abazali noma abanakekeli benze izivivinyo zokuzivocavoca nokukhuthaza ekhaya, eziqondiswe yi-physiotherapist ngesikhathi sokubonisana. Ingane ngayinye noma ingane ngayinye kufanele ihlolwe mathupha, ngoba ayikho inqubo elandelwayo ezolungela wonke amacala e-arthrogriposis, kepha kukhona ezinye izindlela zokwelapha ezihlale zikhonjiswa, njenge:

• Ukugqugquzela okungahambi kahle kwamalunga ahlanganisiwe;
• Ukwelulwa kwemisipha kwezicubu ezithintekile;
• Ukuzivocavoca kokuqina nokwenziwa kwemisipha;
• Amasu wokuvimbela izinkontileka ezintsha ezingabandakanya ukusetshenziswa kwamathambo, izihlakala noma ukubhandishwa kwamalunga athile;
• Ukusetshenziswa kwe-laser ngemuva kokugqugquzela ukuphulukisa izicubu endaweni efanele ngokushesha;
• Ukusetshenziswa kwamathuluzi kanye ne-electrostimulation ukuqinisa imisipha ebuthakathaka;
• Amanzi e-lymphatic ukunciphisa ukuvuvukala kwezingalo nemilenze ethintekile;
• Ukuzivocavoca amandla, ngokuncipha kwe-isometric kanye nokuphefumula ukwandisa umthamo wamaphaphu;
• I-Hydrokinesiotherapy, enokuzivocavoca emanzini, nayo iyindlela enhle ngoba iyasiza ukunciphisa izinhlungu nokwenza lula ukunyakaza.

Ukwenza lezi zinyathelo, i-physiotherapist kufanele ibe nobuciko obukhulu, isungule imidlalo eminingi engagcwalisa lezi zinhloso, ukuze inikeze ukuzimela okukhulu ekunakekelweni komuntu siqu, njengokufundisa ukuxubha amazinyo nokukama izinwele, nokwenza ngcono ubudlelwano bengane nabanye. izingane, zithuthukisa ukuzethemba kwazo kanye nekhwalithi yempilo.

I-Physiotherapy inganciphisa isidingo sokuhlinzwa kwamathambo okuthiwa i-arthrodesis, equkethe ukujoyina unomphela ilunga, ukuvimbela ukunyakaza kwayo impilo yonke.

Isikhathi sokuphila

Ngaphandle kokulinganiselwa kokunyakaza okungenzeka ukuthi ingane inakho, iningi linempilo ebonakalayo ebonakalayo. Izingane ezingama-75% ezithintekayo ziyakwazi ukuhamba, ngisho nangezinduku noma ngesihlalo esinamasondo, futhi ziphethwe yizifo ezifanayo nezabantu abaningi. Kodwa-ke, njengoba benokulinganiselwa kokuhamba, kumele babe nokudla okunama-kilojoule amancane, ushukela namafutha ukugwema ukukhuluphala ngokweqile, okungenza ukuhamba kwabo kube nzima kakhulu.

I-arthrogryposis ayinalo ikhambi, kodwa futhi ayithuthuki, ngakho-ke amalunga athintekile anikezwa ingane ngesikhathi sokuzalwa angamalungu afanayo azodinga ukwelashwa impilo yonke. Kodwa-ke, amalunga omzimba aphilile nawo angahlupheka ngenxa yesinxephezelo semvelo esenziwa ingane lapho igcina ilunga elinamaphutha, futhi ngenxa yalesi sizathu, kungahle kube nezimo zobuhlungu kanye ne-tendonitis emajoyinini angathinteki yi-arthrogriposis, isibonelo.