Inyoko yokuhamba ihlobo oluthile lwezinto ezibonakalayo kubantwana abancinane abafunda ukuhamba. Gait eqhelekileyo ibandakanya ukulandelelana ngokuthe ngqo kweziganeko. Ezi ziganeko zihlukaniswe zibe zigaba ezimbini: isigaba sesigaba kunye nesigaba sokuguquka. Isigaba sesigaba siyinxalenye yomjikelezo wecala xa unyawo luthinta umhlaba. Isigaba sesigaba siqala ngesithintelo sesithende, ukuhlawulela isithende sakho emhlabathini, uze uqhube unyawo lwakho phambili, uze ufike kwizandla zakho.
Isigaba sokuguquka siyinxalenye yomjikelezo wecala apho unyawo aluqhagamshelani nomhlaba. Kwizithuthi zezintlu, isiteleka sesithende sithwaxwa, kunye namazwe ngabanye kwizinzwane zabo, kwaye igcina eso sikhundla kwisigaba sesigaba.
Ingaba u-Toe Walking kuyinto eqhelekileyo
Ukufunda ukuhamba kuthatha ixesha, kwaye kufana nokufunda nantoni na, asikusoloko sikufumana ngokufanelekileyo okokuqala. Ukuhamba ngezinyosi kuqhelekileyo kubantwana abancinane abangaphantsi kweminyaka emibini. Uninzi lwa bantwana luqala ukuhamba ngezinyawo, kwaye ngaphezu kwekhosi yabo yesibini, luya kuba neprogram eqhelekileyo ye-gait.
Abantwana abanokuzithengela ngaphaya kweminyaka engama-2 bavavanywa ukuqinisekisa ukuba abanalo nawuphi na umqathango onokubangela ukuba inyawo ihambe. Inyoko ehamba ngaphaya kweli phakade ayibheki njengesiqhelo.
Iimeko ezibangela ukuba uhambe
Kukho iimeko ezininzi ezinokuqala ukufunyaniswa ngunyana oqhubekayo uhamba. Oku akuthethi ukuba abantwana abanokuhamba ngaphaya kweminyaka engama-2 baqiniseke ukuba le miqathango.
Enyanisweni, abaninzi abahambahamba ngezintlu bajongwa njenge-idiopathic, oku kuthetha ukuba akukho mqathango ongenakwenzeka. Kodwa abantwana abaqhubela phambili ukuhamba ngezinyawo kufuneka bahlaziywe kwiingxaki zophuhliso okanye neurologic.
Ezinye iimeko ezinokubangela ukuhamba kwee-toe-walk ziquka ukukhubazeka kwe-cerebral , i- Duchenne muscular dystrophy , kunye ne- autism .
IziNyango ezingabandakanyiyo
Njengoko kuthethwe, inzwane ehamba ngaphantsi kweminyaka emibili ayiqhelekanga. Olona unyango oluqhelekileyo kukugcina umntwana kwaye ubone ukuba inzwane ihamba ngokukhawuleza. Akukho sifundo esake sabonisa ukukhubazeka okusebenzayo kwexesha elide ekukhuleni okanye ekudala njengomphumo wezwane ezihamba njengomntwana. Ngoko ke, kubalulekile ukuba aba bantwana bangaphathwa kakubi.
Abantwana abaqhubekayo behamba behamba, bengenakho olunye uhlolisiso oluchaza imeko, badla ngokuqala ngeendlela ezithile zonyango. Iinkqubo eziqhelekileyo zonyango zibandakanya unyango lwamaziko , ukunweba, ubuqhawuli obusuku, nokuphonsa . Ukuba ukulula okulula akunakunceda, ukubeka ubuqaqawuli okanye ukukhangela ukubonelela rhoqo kunokunceda ukukhulula intambo yesithende.
Ngoku kutshanje, abanye oogqirha baye basebenzisa i- Botulinum toxin , eyaziwa nangokuthi yiBotox, ukukhulula izihlunu zenkomo. Njengoko imibuso yobuso ikhululekile ngala ma-injection, i-Botox inokukhulula i-calf muscle.
Ugqirha njengonyango
Ugqirha usetyenziselwa ukwandisa intambo yesithende. Kukho iindlela ezininzi zokugada ezisetyenzisiweyo, kodwa zininzi ziquka ukuhlukahluka kokwenza i-Achilles itheon edele, ukuvumela isithende sihlale phambi kweenzwane xa zihamba.
Ngokuqhelekileyo, i-casts isetyenziswe emva kokusebenza ukuqinisekisa ukuba izicubu aziyi kuzinzisa xa uphilisa. Ngokugqithisileyo ukugcinwa kwabantwana abaye bahluleka ukunyanga okungekho unyango olukhankanywe ngasentla.
IziCwangciso zokuShonyisa
Ukuba umntwana unyawo lwezandla uhamba ngaphantsi kweminyaka emibini, ukubonwa ngokucacileyo kuyiplani yokwenza ngcono.
Ngaphezulu kweminyaka engama-2, abantwana kufuneka bahlolwe iimeko zokuphuhliswa okanye ze-neurologic ezinokuthi zichaze ukunyamezela kwezandla zonyulu. Ukuba akukho nto ifunyenwe, inzwane ehambayo ichazwa njenge-idiopathic, ithetha ukuba akukho nto ibangela isizathu.
Abahamba nge-Idiopathic abangaphezu kweminyaka emibili bangakwazi ukuqhubeka bejongwa, ingakumbi ukuba kuphuculwe, okanye ukulula okanye ukuphonsa okulula kunokuqwalaselwa.
Ukuba ezi zonyango zilula, utyando lungaqwalaselwa ukuba lunwebe intambo yesithende.
Imithombo:
Oetgen ME kunye noPeden S. "I-Idiopathic Toe Walk" J Am Acad Orthop Surg Meyi 2012; 20: 292-300.