Kokukhubazeka kwi umntwana: unyango, izizathu, isifo kunye nokuthintela

Enye iziphene ezinkulu iziphene okanye ababeyizuzile kokukhubazeka ebantwaneni. Unyango inyanzelekile. Kungenjalo, ulahlekelwa ukukwazi ukuhamba ngokuzimeleyo ngqo, nto leyo ke ekhokelela samathambo kunye notyando engaphephekiyo. Ngenxa inkqubela kwezonyango, kukho iinkqubo ezithile izigulane nokubandezeleka kulo disorder. Ngonyango olufanelekileyo, uninzi izigulane kokukhubazeka uthole 100% ye yonyawo, ukuba nihambe ngokwesiqhelo nkqu imidlalo yeembaleki.

Ukungabikho kabi kwi isanda

uhlobo azalwa musculoskeletal ukubetha qho ngonyaka malunga nama-200 000 abantwana. Isizathu soku isiphako ayaziwa. Iingcali zikholelwa ukuba sigulo kunciphisa imbonakalo ngenxa yokuba isikhundla olungachanekanga olungekazalwa ngaphakathi isibeleko. Noko ke, esi sifo lu dityanisiwe makhwiniba skeletal, kuquka ndinespina bifida. Kuthekani ukuba kukho ingxaki ezifana kokukhubazeka, umntwana? Phatha okanye kudlule ngokwayo? Kubalulekile ukuba ihlale engqondweni into yokuba esi sifo okanye ukuvise intlungu okanye ukungakhululeki umntwana isanda, siyaqhubeka ukuphuhlisa ngesiqhelo de kube ngoko, de ube uqalise ukuhamba.

Kokukhubazeka kubantwana: oonobangela, iimpawu kunye nonyango

Kokukhubazeka kwenzeka xa unyawo kunye namaqatha ejijekileyo rhoqo. Kulo mzekelo, nemisipha kunye nemisipha ubambe izihlunu emathanjeni lanamathela kakhulu. Oku kubangela amaqatha ukuwusa kwaye khono kwindawo engaqhelekanga. Phi kokukhubazeka ebantwaneni? Izizathu (unyango kuyimfuneko kuyo nayiphi na imeko) ukwenzeka azicacacanga. Engatsho olukhoyo phambi zinto zilandelayo:

1. isini Male. Kuye kwaphawulwa ukuba esi sifo sihlasela rhoqo amakhwenkwe ngaphezu namantombazana.
2. Ukutshaya ngexesha lokukhulelwa (zombini esebenzayo kunye passive).
3. Yofuzo. Amathuba ukuba umntwana kwandisa ngezifo, ukuba intsapho iye iimeko ezifanayo.
4. Ukwenzakala umnqonqo. Izifo ezinxulumene emqolo nako kunokubangela kokukhubazeka.

iimpawu Common

Ezi mpawu zixhaphakileyo esi sifo ngolu hlobo lulandelayo:

• Kumisa ngokungaphelelanga okanye wajika ngokupheleleyo ngaphakathi.
• Kwiimeko apho omnye kuphela umlenze umntu gqitha, nto idla elifutshane omnye.
• Amankonyana unyawo nje kuphuhliswa ngokupheleleyo.
• Kwezinye iimeko ezimbi, unyawo zocaphulo ngokupheleleyo kwicala elahlukileyo.

State kuxhomekeke amagqirha ekuzalweni, okanye phambi kwawo. Uxilongo senziwa phambi okanye ngethuba lokubeleka.

Kunzima ukuba uqaphele

Ukuba kokukhubazeka wafumana umntwana, unyango kuyimfuneko? Ngokuqinisekileyo, kunjalo. Le disorder kungaba lula ezichongiweyo nangoko ekuzalweni.

Ukuba unesifo kokukhubazeka ebantwaneni, unyango luza kunikwa kuxhomekeke iqondo izilonda lomzimba. Kwimeko apho ugobile encinane oogqirha wezamathambo asebenzise amanyathelo zotshintsho kancinane kwi imilo wonyawo (yokuthanjiswa, balutyabeka, ukusetyenziswa weembadada ezikhethekileyo zokulungisa kwezixhobo). iimeko ezinzima ngakumbi, ngokuqhelekileyo kufuneka uqhaqho.

ongakhetha Treatment: Ponseti indlela

Kwimeko apho Wayehlatyelwe kokukhubazeka ebantwaneni, ingakumbi unyango iya kuxhomekeka nobungozi besi sifo. Kukho inani olukhoyo lomyalelo weenketho unyango emva kokuxilongwa. Kubalulekile ukuthatha amanyathelo kwangethuba kangangoko kunokwenzeka ukuba zilisebenzise eli thuba zilinikiweyo nezimo we amalungu kunye namathambo zabantwana. Oku kuya kuvumela iingcali ukuba ngempumelelo ngakumbi enze zazo eziyimfuneko. Enye indlela ephumelelayo kakhulu zonyango lwe kokukhubazeka yeyona ndlela Ponseti.

Ukutshintsha imilo mgaqweni yonyawo, veki udaka ekhethekileyo ebekwe luhamba ukusuka Iinzwane ukuya ubudoda. Iinkqubo ezinjalo mazenziwe kangangoko kuyimfuneko ukuze ubume ithambo eqhelekileyo. Kwisithuba seeveki ezintandathu ukuya kwezisibhozo kokukhubazeka unako mazilungiswe ngaphandle uqhaqho. Le ndlela yeyona yimpumelelo kakhulu abo baphathwa kwiiveki zokuqala ezimbini yobomi, kwaye izigulana esime neznachitelnyi.

Ukubaluleka ukubhaqwa

Njengoko kukhankanyiwe ngasentla, ekufumanekeni esi sifo ekuzalweni ayikho inzima, oogqirha ungaqaphela nje ngokujonga imilenze umntwana. Kuxhomekeka nobungozi besi sifo ugqiba kwi inkqubo amanyathelo anokuthathwa, kuquka uviwo X-ray. Ukuba unesifo kokukhubazeka ebantwaneni, unyango kufuneka uqale kwi a kusekwangoko kakhulu. Kungenjalo, oko kunokukhokelela yokukhubazeka functional, nto leyo eya phantse ngokuqinisekileyo kufuna ungenelelo zoqhaqho kamva. Uncedo olukhulu unyango kwangoko kukuba, kwiimeko ezininzi kunokwenzeka ukuba kuzuzwe iziphumo emangalisayo, kude yokuduka ngokupheleleyo kokukhubazeka.

ukungenelela kuhlinzwa

Ziziphi ezinye zonyango, ukuba nendlela ulungise kokukhubazeka kwi umntwana ugobile kakhulu? Apha oko kunceda ugqirha kuphela. Ngexesha surgery alongezi imicu Achilles kufuphi isithende kunye zomzimba azikhutshwa kwenye indawo kwi unyawo. Kusenokwenzeka kwakhona kuveliswa xa kufuneka ukutshintshwa imicu.

Ngoncedo ezicentile ngokukhethekileyo buthathaka nemisipha kunye imisipha ke tight, kwaye ugqirha kusenokufuneka ukususa umlenze kwindawo eqhelekileyo. Amathambo kunye namalungu abantwana abadala kunye nabantu abadala zidla ngaphantsi bhetyebhetye kunezo ezisanda kuzalwa, ngoko ukulungisa kokukhubazeka kungafuna imisebenzi emininzi. Maxa wambi kusetyenziswa iipleyiti zesinyithi kunye izikrufu ukubamba unyawo kwindawo echanekileyo. Indawo esisigxina, uze uphoswe kwi kugqirha ibeka yonke umlenze. Olu tyando lwenziwa phantsi Ukubulawa jikelele. Ukufuna ukuphelisa intlungu emva kotyando kunokunceda unyango ngamachiza.

unyango Physical: kwakhona kwezihlunu

Ukuyifundisa idlala indima ebaluleke kakhulu kwimpumelelo ndahlukane lo mhlola krakra njengoko kokukhubazeka ebantwaneni. Unyango, umzimba emva kotyando zibalulekile kakhulu nazo kuba kunceda ukubuyisela bhetyebhetye ukuze bandise sentshukumo nokuphucula kwezihlunu.

Izigulane ezininzi ziye kakuhle iphuhlise izihlunu ithole emlenzeni ochaphazelekayo. Kwanasemva kokuba ukusebenza, abakwazi ukuba lokubuyiselwa ababephile qete. Kwezinye iimeko kuyimfuneko ukunxiba umhlabelo, ukulungisa ukunceda abambe unyawo kwindawo oluqhelekileyo kwaye uya kube lula ukuhamba eqhelekileyo.

amathuba

Abantwana abasethubeni lokufumana imisebenzi enjalo ingaba yokuphila asebenzayo kunye mobile, kodwa kubalulekile ukuba aziphathe ngakumbi ngokuqaphela. iingozi ezinokubakho ezinxulumene utyando ziquka ukonakala luvo kwi unyawo, ukufukuka ngokugqithisileyo iinyawo, ukuphazamiseka kwemali igazi imilenze, ukwakheka izilonda.

Isikhalazo oqhelekileyo abantu emva unyango - ukuqina kwenyawo neqatha. Ekubeni angakhula abe samathambo ngokuhamba kwexesha. Oku kwandisa amathuba eza kufuna reoperation kunye nobudala. Eyona ndlela eziphumelelayo lokuyigxotha le isiphene unyawo njengoko kokukhubazeka kwi umntwana - unyango kwangoko.

Njengoko kokukhubazeka unesifo?

Ugqirha yenza uxilongo ekuzalweni yi uhlolo olubonakalayo. Xa kufikwa apho umntwana omdala, kuvela, kunye nembali wophuhliso lwawo, njengoko na enxulumene nezinye izifo neuromuscular. Ngamanye amaxesha ufuna sempilo ngakumbi xa uphonononga iingxaki ezisisiseko. inkqubo yoxilongo lwezilwanya kungabandakanya:

• X-reyi yesifuba, esebenzisa imiqadi ezingabonakaliyo kagesi ukuze bafumane imifanekiso izicwili zangaphakathi, amathambo, amaqumrhu;
• computer Itomography - diagnostic inkqubo umfanekiso kwi esebenzisa indibanisela X-reyi kunye nezixhobo zekhompyutha wemveliso imifanekiso cross-wecandelo komzimba ngokuthe nkqo (CT ibonisa imifanekiso oluneenkcukacha naliphi na ilungu lomzimba kuquka amathambo, izihlunu, amafutha kunye kwanangezibilini).

Unyawo abachaphazelekayo babe bhetyebhetye, apho kunokwenzeka oko kokukhubazeka ngokokuma. Olu hlobo ngxaki ibangwa yi kwindawo olungachanekanga umntwana isibeleko. Ngokwesiqhelo, le ngxaki iya kusonjululwa ngaphandle uqhaqho. kokukhubazeka bokwenene komsindo xa ukwenza nayiphi na manipulation unyawo kakhulu yingxaki. Iimpawu ukuze sifane nezinye izifo ngeenyawo. Wawungenakuzisola ukuba adibane nogqirha moshilongo efanelekileyo.

amanyathelo othintelo

Oko ukuvelisa nempembelelo entle emva kotyando, elungisa kokukhubazeka ebantwaneni (unyango)? Massage sisikali obalaseleyo zothintelo, oku kuya kuba luncedo emva zonke iinkqubo zonyango. Le nkqubo isebenza kakhulu ukuba ikuvumela ukunyenyisa indawo yonyawo. Ekucetyiswa ukuba ukujikeleza nokolula unyawo, ngobunono olule i umsipha. Massage angenza ngugqirha, kwangaxeshanye kucetyiswa ukuba edibana ngayo umyalezo umzimba tonic kunye nonyango ngokwasemzimbeni.

Kuthintelo kokukhubazeka kunye flatfoot unokwenza imisebenzi efana ehamba phezu ngeenzwane kunye izithende, ehamba ngeenyawo phezu pad wezamathambo, ndichopha, benyuka ngezinyuko ngaphandle izihlangu. Ngexesha lokuziqeqesha kubalulekile ukuqinisekisa ukuba iikawusi bomntwana ukuba bangene unyawo. Nawuphi na umsebenzi umzimba kufuneka ikhatshwe uburharha elungileyo kunye nokunqongophala iintlungu.