Ukwelashwa kwe-clubfoot yezinso

-Delile

• Ukwelashwa okulondolozayo kwe-clubfoot
• Ukwelashwa ngenyawo yonyawo

Ukwelashwa kwe-clubfoot, okuyilapho ingane izalwa inyawo elingu-1 noma 2 liphendukele ngaphakathi, kufanele kwenziwe ngokushesha okukhulu, emasontweni okuqala emva kokuzalwa, ukugwema ukukhubazeka unomphela onyaweni lwengane. Uma kwenziwa kahle, kunethuba lokuthi ingane izohamba ngokujwayelekile.

Ukwelashwa kwezinyawo ezihlukaniswe ngamabili kungalondolozwa uma kwenziwa nge Indlela yePonseti, oqukethe ukuphathwa nokubekwa kosimende masonto onke ezinyaweni zengane nokusetshenziswa kwamabhuzu emathambo.

Enye indlela yokwelashwa kwe-clubfoot yileukuhlinzwa ukulungisa ukukhubazeka ezinyaweni, kuhlanganiswe nokwelashwa ngokomzimba, okungahlala izinyanga noma iminyaka.

Ukwelashwa okulondolozayo kwe-clubfoot

Ukwelashwa okulondolozwa konyawo lwe-club kufanele kwenziwe ngudokotela wamathambo futhi kubandakanya:

1. Ukukhohliswa kwezinyawo nokubekwa kosimende isonto ngalinye ukuthola izinguquko ezinhlanu ku-plaster. Kanye ngesonto udokotela uyanyakaza futhi azungezise unyawo lwengane ngokwendlela yePonseti, ngaphandle kobuhlungu enganeni, bese ebeka ukhonkolo, njengoba kukhonjisiwe esithombeni sokuqala;
2. Ngaphambi kokubeka isamente lokugcina, udokotela wenza i-tenotomy yethenda yesithende, equkethe inqubo enesilonda ne-anesthesia onyaweni lwengane ukulungisa ithenda;
3. Ingane kufanele ibe nabalingisi bokugcina izinyanga ezintathu;
4. Ngemuva kokukhipha ukhonkolo wokugcina, ingane kufanele ifake i-orthosis kaDenis Browne, okuyizicathulo zamathambo ezinebha phakathi, njengoba kukhonjisiwe esithombeni sesibili, amahora angama-23 ngosuku, izinyanga ezintathu;
5. Ngemuva kwezinyanga ezintathu, i-orthosis kufanele isetshenziswe amahora ayi-12 ebusuku kanye namahora ama-2 kuya kwangu-4 ngosuku, kuze kube yilapho ingane ineminyaka emi-3 noma emi-4 ubudala ukuqedela ukulungiswa kwe-clubfoot ngokukhwabanisa nokusimende nokuvimbela ukuphindeka.

Ekuqaleni kokusetshenziswa kwamabhuzu, ingane ingahle ingakhululeki, kepha kungekudala iqala ukufunda ukuhambisa imilenze yayo futhi ijwayele.

Imithi yokwelashwa ngezinyawo ngokusebenzisa indlela yePonseti, uma yenziwe kahle, ithola imiphumela emihle futhi ingane ikwazi ukuhamba ngokujwayelekile.

Ukwelashwa ngenyawo yonyawo

Ukwelashwa kokuhlinzwa kwe-clubfoot yokuzalwa kufanele kwenziwe lapho ukwelashwa okulondolozayo kungasebenzi, okungukuthi, lapho ngemuva ko-plaster 5 kuya ku-7 kungekho miphumela ebonwayo.

Ukuhlinzwa kufanele kwenziwe phakathi kwezinyanga ezintathu nonyaka owodwa futhi ngemuva kokuhlinzwa ingane kufanele isebenzise isamente izinyanga ezintathu. Kodwa-ke, ukuhlinzwa akuyelaphi i-clubfoot. Kuthuthukisa ukubukeka konyawo futhi ingane ikwazi ukuhamba, noma kunjalo, kunciphisa amandla emisipha yezinyawo nezinyawo zomntwana, okungadala ukuqina nobuhlungu kusukela eminyakeni engama-20.

IClubfoot physiotherapy ingasiza ekuqiniseni imisipha yemilenze futhi isize ingane ukweseka izinyawo ngokufanele. O ukwelashwa komzimba ngezinyawo kufaka phakathi ukukhohlisa, ukunweba namabhandeshi ukusiza ukubeka izinyawo zakho.