I-Clubfoot inokubangela iingxaki zokuhamba kodwa ziphathwa kakuhle.
I-Clubfoot yinto engaqhelekanga yokuzalwa eyenza iintsana ezisandul 'ukuzalwa zingene ngaphakathi nangaphakathi. Nangona i-clubfoot ingabangeli intlungu, inokubangela iingxaki zexesha elide ukuba zishiywa zingakhange ziphendululwe, zichaphazela ukuba umntwana akwazi ukuhamba ngokuqhelekileyo. Nangona kunjalo, ukuba i-clubfoot iphathwa kakuhle, i-deformity iyakwazi ukuphiliswa kwasebuncinaneni.
Izizathu
Isizathu se-clubfoot asiqondwa kakuhle.
Nangona idibaniswa nezinye iimeko ezingenabantwana (njenge- spina bifida kunye ne- arthrogryposis ), inokuthi ivele ngokuzimela. Isizathu se-clubsfoot asikho ngenxa yento eyenziwa ngumama ngexesha lokukhulelwa. Ukukhubazeka kwenzeka ngo-1-2 kwimihla yokuzalwa eyi-1000.
Xa umntwana ezalwe nge-clubfoot, i-tendon ngaphakathi nangemva kweenyawo zifutshane kakhulu. Unyawo ludityaniswe ukwenzela ukuba iinzwane zibheke phantsi kwaye zigcinwe kule ndawo ngeetoni ezifutshane. I-Clubfoot inokuthi ichazwe njenge-supple (iguquguquke) okanye iqine. Ukukhubazeka okunzima kunxulumene nokunye ukungazalanga komntwana kwaye kunokuba kunzima ukunyanga.
Unyango
Unyango lwe-clubfoot luqala ngokukhawuleza emva kokuba umntwana ezalwe. Abanye abagqirha bamathambo bakhetha unyango olukhawuleza xa umntwana esesibhedlele. Inzuzo kukuba ngokuqhelekileyo abazali banenkxalabo yokuba nayiphi na ukulibaziseka kunokulimaza, kwaye unyango olukhawuleza lunokubeka abantu ithuba lokuba kukho into eyenziwa.
Amanye ama-orthopedists akhetha ukuqala unyango emva kweeveki ezimbalwa emva kokuba umntwana azalwe. Inzuzo kukuba le nto inika abazali ithuba lokudibanisa kunye nosana lwabo oluzalwayo ngaphandle kokunyuka endleleni. Inyaniso kukuba, unyango aluyingozi. Nangona kufuneka kuqalwe kwiiveki zokuqala zobomi, ixesha elifanelekileyo lokonyango kufuneka lusekelwe ekukhethweni kwabazali kunye nokunyanga kwezilwanyana zamathambo.
Ukunyango okuqhelekileyo kwe-clubfoot liqukethe isifo sobugqirha besifo sezilwanyana esilungisa unyawo kwaye siphosa kwindawo echanekileyo. Ngaphezulu kweenyanga eziliqela, ukunyanzeliswa kwandiswe ngokukhawuleza ukubuyisela indawo eqhelekileyo yonyawo. Le ndlela yokwenza izinto ibizwa ngokuba yi "Indlela yePonseti," egqityiwe emva kogqirha oye walongeza le nonyango.
Isikhundla kunye nexesha le-casts zenzelwe ngamabomu kwaye zenzelwe ukunweba nokujikeleza unyawo kwindawo efanelekileyo. Phantse kanye ngeveki, i-casts ifakwe endaweni ebizwa ngokuba yi-serial casting. Iyakhupha ngokukhawuleza indawo ye-clubfoot.
Kwingxenye yesigamu seemeko, ukunyanzelisa oku kunokwanela ukulungisa ukukhubazeka kwe-clubfoot. Kwezinye iimeko, inkqubo yokuhlinzwa ingadinga. Ngethuba lokuhlinzwa, ugqirha uya kukhulula, okanye ukukhulula, i-tendon esebenzayo yama-Achilles ukuvumela inyawo ukuba ithathe isikhundla sayo esifanelekileyo. Emva kokuba isuswe sisuswe, umntwana uya kuhlala egqoke ubhonkco bokulala ebusuku ukuya kwimizuzu emibini.
Amanyathelo alandelayo kunyango
Kwezinye iimeko, ukuhlinzwa okongeziweyo kuyadingeka ukulungisa indawo ye-clubfoot. Ngokuqhelekileyo oku kuyadingeka kwiimeko apho umntwana enezinye iingxaki zokuphuhlisa (njenge-arthrogryposis) okanye ukuba umntwana uqala unyango ngaphezu kweenyanga ezimbalwa emva kokuzalwa.
Ukuba i-clubfoot deformity ayilungiswanga, umntwana uya kuhlakulela ingxaki engavamile kwaye unokuba neengxaki ezinzulu zesikhumba. Ngenxa yokuba umntwana uya kuhamba ngaphandle kweenyawo, inxalenye yonyawo ayilungiselelwe ukuhambahamba, isikhumba sinokuphuka kwaye umntwana unokuhlakulela izifo ezinzulu. Ukongezelela, umthwalo ongaqhelekanga unokukhokelela ekubeni unxibe kunye kunye neempawu zesifo se-arthritic.
Imithombo:
I-Noonan KJ kunye noRichards BS "Ulawulo lwezonyango lwe-Idiopathic Clubfoot" J. Am. Acad. IOrn. Ugqirha, Novemba / Disemba 2003; 11: 392 - 402.