Ukulimala kokuzalwa akuzona iingxaki ezingaqhelekanga kwiintsana. Ngenxa yokuba umntwana uyakhululwa kumngcongolo omancinci wesisu, ukulimala kunokuvela kwinkqubo yokuzalwa. Iintsana ezinesisindo esikhulu kunye nobudala obuhamba phambili buhlala zixhatshazwa ngamathambo. Ezinye iimeko ezinxulumene nokulimala kokuzalwa ziquka iingxaki zonyango ezifana ne- osteogenesis imperfecta okanye i- arthrogryposis .
Ezinye zezinto eziqhelekileyo zokulimala kwamathambo zibonwa ngexesha lokubeletha zichazwe apha. Ezi zimele zihluke kwiimeko zokuzalwa zomntwana ezizalwe ngumntwana, ukulimala kokubeletha kwenzeka ngokwenene ngexesha lokuzalwa. Ngokuqhelekileyo ezi zinto ziquka amathambo, adibeneyo kunye neentlungu zentlungu ezenzekayo ngenxa yokuba umntwana ubhekene ngokukhawuleza ngexesha lokunikezelwa. Uninzi lwale nzakala lunokukhutshwa yi-Caesarean delivery, nangona kunjalo, zininzi ezinye iingozi ezinokuthi zenzeke ngenxa yolu hlobo lwenkqubo yokuhlinzwa. Ezinye zezinto ezixhaphakileyo eziqhelekileyo zokubeletha ziquka:
IClavicle Fractures
Iingqungquthela ze-Clavicle ziza kubakho ukulimala kokuzalwa. I-clavicle, ebizwa ngokuba yi-collarbone, idibanisa isifuba ehlombe. Isiqhelo esiqhelekileyo sibuhlungu ngenxa yesayithi ekuqhekekileyo, njengoko kungekho nto eyenzakalisa ukulimala okubonakalayo. Ukwelashwa okulula, ngokuqhelekileyo nje ukubetha ingalo kwisifuba, kuya kuvumela ukuba le nzakala iphilise.
Uphulo luvamekile kuphela kwiiveki ezimbalwa, njengoko ithambo liphilisa ngokukhawuleza kwiintsana ezincinci.
Ukulimala kweBrachial Plexus (Erb's Palsy)
I-plexus ye-brachial yiqela leethambo ezihamba entanyeni phantsi kweengalo. Lifumaneka phantsi kwe-clavicle (i-collarbone) kwaye inokulimala ngexesha lokubeletha.
I-plexus ye-brachial isolula xa ikhanda litsalwa kwelinye icala kunye nengalo echaseneyo. Ngokuqhelekileyo, olu bungozi lubangela ubuthakathaka obonwe kwingalo enye. Unyango ukuvumela iimbilini ukuba ziphilise ixesha elidlulileyo, ngokuqhelekileyo oku kukukhokelela ekuzaleni. Ukuba ukulimala kwentsholongwane kusabonakala emva kweenyanga ezi-3 ukuya kwezi-6, unyango lunokucetyiswa.
Iiflethi zeZityalo zokuKhula
Ukutshatyalaliswa kwetafile ezenzakaliso kukukhuseleka okwenzeka kwiintsana nabantwana. Ummandla wokukhula ngokukhawuleza kwamathambo unobumba obunqabileyo, kwaye ulungele ukulimala. Ngokuqhelekileyo ukuphuka kwesikhala sokukhula okubangelwa yingozi yokuzalwa kubonakala ngokuvuvukala kwelinye icala lesithambo eside (ingalo okanye umlenze). Nangona kungekho nto engaqhelekanga ingabonakalisa kwi-x-ray, iimpawu zokuphulukisa zivame ukubonisa kwi-ray-ray ngeveki okanye emva kokulimala. Unyango luvame ukukhuselwa ngokulula kwendawo kunye nokuvumela iiveki ezimbalwa ukuphilisa ngokupheleleyo.
I-Femur Fractures
I-femur fractures (i-thighbone ephukile) yenzeka njengoko umlenze unganangqa ngexesha lokunikezelwa. Ezi zizingozi ezinqabileyo ezincinci kakhulu kunezihlunu ze-clavicle. Uphawu oluqhelekileyo lubuhlungu xa umntwana eshukunyiswa okanye i-diaper ishintshiwe. Ukunyangwa kwe-femur fracture kwintsana kusebenzisa i- harlik ye- Pavlik .
Ngokuqhelekileyo, intambo yePavlik igugile malunga neveki ezine.
Ngaphantsi: Uninzi lweeNgcingo zeOrpecedic Resolution
Iindaba ezilungileyo, kukuba nangona ukulimala kwamathambo kwenzeka ngexesha lokubeleka, ezi ziza kusombulula rhoqo ngokubona okulula. Umzimba osanda kuzalwa ukhula ngokukhawuleza, kwaye unamandla okuphulukisa. Uninzi lwengane luza kuhlaziywa ngokutsha kwabo kungabikho nonyango olufunekayo.
Imithombo:
I-LT yaseStel, "I-Practice of Orthopedics Orthopedics" uLippincott Williams & Wilkins 2001. Page 218.
"I-Erb's Palsy" (i-Brachial Plexus Birth Injury) "I-American Academy ye-Orthopedic Birthgroup. Oktobha 2007.