Nakuba zicindezela, iningi lingelashwa ngaphandle kokuhlinzwa
Nakuba izinkinga zamathambo ezinsana zingabangela ukucindezeleka kubazali, iningi lingelashwa ngaphandle kokuhlinzwa uma libonwa kusenesikhathi. Ezinye zenzeka ngesikhathi sokukhulelwa komntwana kanti ezinye zenzeka ngesikhathi sokubeletha ngokwazo.
Ngokusho kocwaningo, cishe amaphesenti ayisishiyagalolunye wezingane ezelwe eNingizimu Afrika izoba nenkinga ye-orthopedic ngesikhathi sokuzalwa. Ukulimala kokubeletha kubuye kube ne-quarter-quarters okwenzeka ngesikhathi sokubeletha kwe-vaginal breech (lapho ikhanda lomntwana livuliwe khona ekuvuleni kwesibeletho). Njengeziphambeko zamathambo, ukulimala okuningi kokubeletha kungelashwa ngaphandle kokuhlinzwa ngenxa yokungasebenzi kwamathambo omntwana asathuthuka.
Hip Dysplasia
I-Hip dysplasia yiyona nkulumo yezokwelapha yesikhwama se-hip esingagcini ngokugcwele ingxenye yebhola yethambo lezintambo (femur). Uma ibhola-ne-socket yokuhlanganiswa kwe-hip kungekho ukulungiswa okufanele, ukujoyina ngeke kuthuthuke ngokujwayelekile.
Ngaphandle kokuphathwa ngendlela esifike ngesikhathi, i-hip dysplasia ingaphazamisa ukuhamba kwengane eminyakeni edlule futhi iholele ekuthuthukiseni isikhathi eside ngaphambi kwe- hip osteoarthritis .
Ngenhlanhla, ngoba amathambo omntwana asathuthuka ngesikhathi sokuzalwa, ukuxilongwa kwangaphambili kuvumela ukwelashwa okuphumelelayo. Ukuxilongwa kuvame ukwenza ngokuhlola okulula okuchofoza ku-hip okubandakanya ukuhamba nokujikeleza umlenze wengane.
I-dysplasia yama-Hip insana ngokuvamile ilapha ngokuthola isikhwama esimweni esifanele nge-brace ebizwa ngokuthi i- Pavlik harness .
Uma i-hip dysplasia ibonakala ekuthuthukiseni kamuva, kungase kudingeke ukwelashwa okwengeziwe okungavamile. Ukuhlinzwa kuvame ukuboniswa ezinganeni ezingaphezu kweminyaka yobudala.
I-Clubfoot
I-Clubfoot iyi-defect yokuzalwa eyenza izinyawo ziholele ngaphakathi nangaphakathi. Uma ingane izalwa nale nkinga, izintambo ngaphakathi nangemuva kwezinyawo zifushane kakhulu futhi ngokuyisisekelo ziphoqa izinyawo zibe isimo esingokwemvelo.
Ngenxa yokuthi izinsana zinamathemba amakhulu futhi ahlangene, izidakamizwa zivame ukuphatha lesi simo ngaphandle kokuhlinzwa ngokusebenzisa inqubo yokuxhaphaza okuthiwa i-Ponseti Method.
Ukwethulwa ngawo-1990, i-Ponseti Method ihilela ukunciphisa kancane kancane kwamagundane, ama-tendon, nama-capsules. Ngemuva kokwelashwa ngalunye, izinyawo zigcinwe endaweni ene-plaster kuze kube yilapho amathambo namalunga ekugcineni ehambisana kahle (ngokuvamile ezinyangeni ezimbili). Njenge-hip dysplasia, ukwelashwa kokuqala kuhlotshaniswa nemiphumela engcono.
I-Metatarsus Adductus
I-metatarsus adductus iyinyawo elivamile lokukhubazeka okubangela ingxenye engaphambili yonyawo (i-frontfoot) ukubuyela ngaphakathi. Ezinganeni, lesi simo sibonakala ukubonakala kobuso bezinyosi ezinyaweni.
Ngenhlanhla, iningi lezingane ezizalwa ngamatatusus adductus azidingi ukwelashwa ngamaphesenti angaphezu kwangu-90 ekuxazululeni eyedwa.
Nokho, ezinye zezingane zingase zibe yingozi enkulu yokuthuthukiswa kwe-hip dysplasia uma isimo singazilungiseleli ngokugcwele. Ezimweni ezinjengalezi, isikhundla sezinyawo ezingavamile sibeka ukucindezeleka okungapheli ekuhlanganyeleni kwe-hip. Lokhu kungabangela ukuba phezulu kwethambo lethanga lingene ngaphakathi nangaphandle kwesikhwama se-hip, okuholela ezinkingeni zokuhamba kanye ne-arthritis ngaphambi kwesikhathi.
Uma utholakala kusenesikhathi, udokotela wakho uzokwazi ukukhombisa ukuthi ungakwenza kanjani ukuvivinya umzimba okungalungile ukuze ulungise ukungalungi kahle. Ezimweni ezimbi, kungase kudingeke ukuthi kuhlinzwe ukuhlinzwa ukuze kukhululwe ama-forefoot joints, kulandelwa ukukhishwa ukugcina unyawo endaweni efanele.
> Imithombo:
> Fishco, W .; Ellis, M .; kanye ne-Cornwall, M. "Impembelelo ye-Metatarsus I-Adductus Uhlobo Lwezinyawo Emiphakathini Ye-Plantar Ngesikhathi Ukuhamba Kubantu Abadala Kusebenzisa i-Pedobarograph." J Foot Ank Surg. 2015; 54 (3): 449-453. I-DOI: 10.1053 / j.jfas.2014.11.007.
> Loder, R. kanye noSkopelja, A. "I-Epidemiology kanye Nezibalo Ze-Hip Dysplasia." I-SRN i-Orthop . 2011; 2011: 238607. DOI: 10.5402 / 2011/238607.
> U-Ponsetti, I. no-Smoley, E. "I-Classic: I-Soccer Club Foot: Imiphumela Yezokwelapha." I-Clin Orthop Relat Res. 2009; 467 (5): 1133-1145. I-DOI: 10.1007 / s11999-099-0720-2.