I-Clubfoot ingabangela izinkinga zokuhamba kepha iphathwa kahle.
I-Clubfoot yinto engavamile yokuzalwa eyenza izinyawo zezingane zizalwe phansi zingene ngaphakathi. Ngenkathi i-clubfoot ingabangeli ubuhlungu, ingabangela izinkinga zesikhathi eside uma ingashiywa ingaphathwa, ikhubaza ikhono lomntwana lokuhamba ngokujwayelekile. Kodwa-ke, uma i-clubfoot isiphathwa ngendlela efanele, ukukhubazeka kungase kuphuluke ebuntwaneni.
Izimbangela
Isizathu se-clubfoot asiqondakali kahle.
Ngenkathi ingahlotshaniswa nezinye izinkinga zokubeletha (njenge- spina bifida ne- arthrogryposis ), kungenzeka futhi zenzeke ngokuzimela. Isizathu se-clubfoot asikho ngenxa yento eyenziwa ngumama ngesikhathi sokukhulelwa. Ukukhubazeka kwenzeka ngo-1-2 kuzo zonke ukuzalwa kuka-1000.
Uma ingane izalwa ne-clubfoot, izintambo ngaphakathi nangemuva kwezinyawo zifushane kakhulu. Unyawo ludonswa ukuze izinzwani zibheke futhi zingene, futhi zigcinwe kulesi sikhundla ngamathonta afushane. I-Clubfoot ingachazwa ngokuthi i-supple (eguquguqukayo) noma eqinile. Ukukhubazeka okunamandla kuvame ukuhlobaniswa nezinye izinkinga zokubeletha futhi kungaba nzima kakhulu ukuphatha.
Ukwelapha
Ukwelashwa kwe-clubfoot kuvame ukuqala ngokushesha ngemuva kokuzalwa kwengane. Ezinye odokotela bamazinyo bakhetha ukwelashwa ngokushesha uma ingane isesibhedlela. Inzuzo ukuthi ngokuvamile abazali bakhathazekile ngokuthi noma yikuphi ukubambezeleka kungabangela ukulimala, futhi ukwelashwa ngokushesha kungenza abantu bajabule ngokuthi kukhona okwenziwe okuthile.
Amanye ama-orthopedists akhetha ukuqala ukwelashwa amasonto ambalwa ngemva kokuzalwa kwengane. Inzuzo ukuthi lokhu kunikeza abazali ithuba lokuzibopha nezingane zabo ezisanda kuzalwa ngaphandle kokuhamba endleleni. Iqiniso liwukuthi ukwelashwa akuyona into ephuthumayo. Nakuba kufanele kuqale emavikini okuqala okuphila, isikhathi esifanele sokwelashwa kufanele sisekelwe ekuthandweni kwabazali kanye nodokotela ohlinzayo wamazinyo.
Ukwelashwa okuvamile kwe-clubfoot kuqukethe udokotela ohlinzayo wamazinyo wezingane ezenza unyawo bese ephonsa endaweni eqondisiwe. Phakathi nesikhathi esiyizinyanga ezimbalwa, ukuxhaphazwa kwanda kancane kancane ukubuyisela indawo evamile yonyawo. Le ndlela yokwenza ukukhwabanisa ibizwa ngokuthi "I-Ponseti Method," ebizwa ngokuthi udokotela oye waba nomkhankaso wokwelashwa.
Isikhundla kanye nesikhathi se-casts kukhona ngamabomu futhi kuhloswe ukwelula nokushintshanisa unyawo endaweni efanele. Cishe ngesonto, ama-casts ashintshwa endaweni ebizwa nge-serial casting. Ibamba kancane kancane ukulungisa isikhundla se-clubfoot.
Cishe ingxenye yesigamu yamacala, lokhu kukhwabanisa kwanele ukulungisa ukukhubazeka kwe-clubfoot. Kwezinye izimo, inqubo yokuhlinzwa ingadingeka. Ngesikhathi sokuhlinzwa, udokotela ohlinzayo uyokhulula, noma akhulule, i-tendon eqinile yama-Achilles ukuze uvumele unyawo ukuthi lube nesimo sakhe esivamile. Uma ama-casts esekhishiwe, ingane izovame ukugqoka ubusuku besikhathi sokulala kuze kube seminyaka emibili.
Izinyathelo Ezilandelayo Ukwelashwa
Kwezinye izimo, ukuhlinzwa okwengeziwe kuyadingeka ukulungisa isikhundla se-clubfoot. Ngokuvamile lokhu kuyadingeka ezimweni lapho umntwana enenkinga yokuthuthukisa (njenge-arthrogryposis) noma uma ingane iqala ukwelashwa ngaphezu kwezinyanga ezimbalwa emva kokuzalwa.
Uma ukukhubazeka kwe-clubfoot kungalungiswanga, ingane izohlakulela i-gait engavamile futhi ingase ibe nezinkinga ezinkulu zesikhumba. Ngenxa yokuthi ingane izohamba ngaphandle kwezinyawo, ingxenye yonyawo engaklanyelwe ukuhamba, isikhumba singakwazi ukwehla futhi ingane ingase ihlakulele izifo ezingathí sina. Ngaphezu kwalokho, i-hait engavamile ingabangela ukugqoka okuhlangene nezibonakaliso ezingapheli.
Imithombo:
UNoonan KJ noRichards BS "Ukuphathwa Kwezingqalasizinda ze-Idiopathic Clubfoot" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, Novemba / Disemba 2003; 11: 392 - 402.