Clubfoot mu mwana: mankhwala, zimayambitsa, matenda ndi kapewedwe

Mmodzi ziwonongeke kwambiri kobadwa nako kapena kugula ndi clubfoot ana. Chithandizo ndi kuvomerezedwa. Apo ayi, sungataye luso kuyenda paokha ndi ndendende yomwe ankatha kuyambitsa nyamakazi opaleshoni mosalephera. Zikomo kupita patsogolo kwa sayansi ya zamankhwala, pali njira zina odwala chifukwa chakuti matendawa. Ndi mankhwalawa ambiri odwala clubfoot angachire 100% phazi, kuyenda bwinobwino ndipo ngakhale zamijaha.

Popeza mavuto pa siteji koyamba

Kobadwa nako minofu ndi mafupa kupsyinjika kugunda chaka chilichonse pafupifupi 200 000 ana. Chifukwa chilema izi akadali osadziwika. Akatswiri akukhulupirira kuti matenda ndi minimizes maonekedwe chifukwa malo pachithunzichi wa mwana wosabadwayo mkati mwa chiberekero. Komabe, matenda awa amagwirizana ndi kuvutika chigoba, kuphatikizapo wolumala msana. Kodi ngati pali vuto monga clubfoot, mwana? Kuchitira kapena pochitika yokha? Nkofunika kukumbukira kuti matenda sayambitsa ululu kapena kusamva kuti mwanayo siteji koyamba, akupitiriza bwinobwino mpaka ndiye, mpaka kuyamba kuyenda.

Clubfoot ana: zimayambitsa, zizindikiro ndi mankhwala

Clubfoot kumachitika pamene phazi ndi mawondo anapotoza zonse. Mu nkhani iyi, Mitsemphayi ndi tendons kugwira minofu mafupa kwambiri mwamphamvu. Izi amachititsa kumwendo kusuntha ndi sizimera mu malo nthenda. Kodi clubfoot ana? The zifukwa (chithandizo n'kofunika Mulimonsemo) yatsoka bwinobwino. Ena chiopsezo alipo pamaso pa zifukwa zotsatirazi:

1. Male jenda. Inafotokoza kuti matendawa amakhudza zambiri anyamata kuposa atsikana.
2. Kusuta pa mimba (onse udakali chabe).
3. Chibadwa. Mwina ndi mwana ndi ukuwonjezeka ndi kudwala ngati banja wakhala milandu ofanana.
4. Kuvulala kwa chingwe msana. Matenda kugwirizana ndi msana zina chifukwa clubfoot.

zizindikiro Common

Zizindikiro ambiri matenda ali motere:

• Mabasi pang'ono kapena kwathunthu anatembenuka mkati.
• Pa nthawi imene mwendo mmodzi yekha olumala, ndi zambiri wamfupi kusiyana ndi ena.
• Ng'ombe pa phazi si kwathunthu otukuka.
• Nthawi zina kwambiri, phazi kwathunthu kukalowa ku Nineve.

State anatsimikiza madokotala pobadwa, kapena kale. matenda ndi pamaso kapena nthawi yobereka.

Ndi zovuta kuti muzindikire

Ngati clubfoot adapeza mwana, mankhwala n'kofunika? Ndithudi, inde. matendawa akhoza amadziwikanso yomweyo akangobadwa.

Ngati inu anapezeka ndi clubfoot ana, mankhwala nkhani malingana ndi digiri ya zotupa nthambi. Pankhani ya kupindika ka madokotala mafupa ntchito zoyezera kusintha pang'onopang'ono mu mawonekedwe phazi (kutikita, kupaka pulasitala, ntchito nsapato zapadera ndi kukonza zida). More nkhani zikuluzikulu, kawirikawiri opaleshoni.

Chithandizo chosiyanasiyana: Ponseti njira

Ngati kumene zinawululidwa clubfoot ana, makamaka mankhwala kudzadalira zovuta matenda. Pali Zosankha alipo mankhwala pambuyo matenda. Nkofunika kanthu mwamsanga kuti agwiritse ntchito kusinthasintha zimfundo ndi mafupa a ana. Iwo adzalola akatswiri bwino agwire mwai kutero. Njira kwambiri ogwira ya chithandizo cha clubfoot ndi kutali njira Ponseti.

Kusintha mawonekedwe osasamba phazi, mlungu woyikidwa pulasitala wapadera chimataya pa zala kuti groin lapansi. njira zimenezi zikhoza kuchitidwa kwa nthawi yaitali n'kofunika kukwaniritsa yachibadwa udindo fupa. Patangotha masabata sikisi eyiti clubfoot tiyenera tikonze popanda opaleshoni. Njira imeneyi ndi bwino kwambiri kwa anthu amene ankachitira mu masabata awiri oyambirira a moyo, ndipo odwala ndi kupindika neznachitelnyi.

Kufunika kwa kuzindikira mwamsanga

Monga tanena kudziwika matenda pa kubadwa si yovuta, madokotala mungaone kuti zinangochitika kuyang'ana pa miyendo mwanayo. Malinga ndi kukula kwa matenda izo anaganiza ndondomeko ya ntchito zina, kuphatikizapo X-ray bwino. Ngati inu anapezeka ndi clubfoot ana, mankhwala ayenera kuyamba pa siteji m'banda. Apo ayi, kungachititse kuti kulumala zinchito, umene pafupifupi tiyenera alowererepo opaleshoni pa nthawi. The mwayi wa chithandizo mwamsanga kuti, nthawi zambiri n'zotheka iyende chidwi, mpaka mofulumira wathunthu wa clubfoot lapansi.

alowererepo opaleshoni

chithandizo chimene ena, ndipo momwe kukonza clubfoot mwa mwana ndi kupindika aakulu? Apa likhoza kuthandiza opaleshoni. Pa opaleshoni lengthens ndi tendon Achilles pafupi chidendene ndi minofu akumasulidwa kwina mu phazi. Lusoli kupanga ngati chofunika kulanda tendon lapansi.

Mothandizidwa ndi mabala mwapadera wofooka Mitsemphayi ndi tendons ndi zolimba, ndi dokotala mwina kusuntha mwendo mu malo yachibadwa. Mafupa ndi mfundo za ana okulirapo komanso akuluakulu nthawi zambiri zochepa kusintha kuposa ana akhanda, kotero kuti kukonza clubfoot kungafune maopaleshoni angapo. Nthawi zina ntchito zitsulo mbale ndi zomangira kugwira phazi mu malo olondola. malo chili, ndipo ndiye anaponyedwa pa opaleshoni amaika mwendo lonse. opaleshoni imagwiridwa pogonekedwa ndi mankhwala ambiri. Kulimbana ndi ululu pambuyo opaleshoni zingathandize mankhwala.

mankhwala thupi: ayambe minofu kamvekedwe

Physiotherapy imathandiza kwambiri mu bwino ndiyotani pakuchotsa zodabwitsazi zosasangalatsa monga clubfoot ana. Chithandizo thupi pambuyo opaleshoni zili zofunikira kwambiri chifukwa chakuti kubwezeretsa kusinthasintha kukuza osiyanasiyana poyenda ndi kusintha minofu kamvekedwe.

odwala ambiri bwino anayamba ng'ombe minofu mwendo akhudzidwa. Ngakhale pambuyo opaleshoni, sangathe adzabwereranso ku dziko wathanzi. Nthawi zina m'pofunika kuvala bandeji chikukonzekera kuti azithandizira kugwira phazi mu malo zachilendo ndipo atsogolere gulu yachibadwa.

ziyembekezo

Ana amene ongoyendayenda ntchito wotero yogwira ndi mafoni moyo, koma nzeru zinthu mosamala kwambiri. Angathe mavuto kugwirizana ndi opaleshoni monga kuwonongeka kwa mitsempha phazi, kutupa kwambiri mapazi, ndi kusokoneza wa magazi kwa nthambi, mapangidwe zilonda.

Amadandaula ambiri anthu mankhwala - stiffness wa phazi ndi mawondo. Popeza amatha ku nyamakazi pa nthawi. Iwo kumaonjezera ngozi kuti Pakufunika reoperation ndi zaka. Njira yopambana kwambiri kuchotsa chilema cha phazi monga clubfoot mwana - chithandizo mwamsanga.

Monga clubfoot matenda?

dokotala amapangitsa matenda pobadwa mwa kuyendera masomphenya. Pankhani mwana wamkulu, likukhalira, ndi mbiri ya chitukuko, monga zikhoza kugwirizana ndi matenda ena neuromuscular. Nthawi zina muyenera zina kuonerera zachipatala ingatithandize kuzindikira mavuto zofunika. Matenda njira ingakhale monga iyi:

• X-ray, amene amagwiritsa wosaoneka mu atomu matabwa chopezera zithunzi za ziwalo, mafupa, ndi ziwalo;
• kompyuta tomography - matenda kulingalira ndondomeko imene amagwiritsa osakaniza X-ray ndi zida kompyuta kupanga mafano mtanda yachigawo ya thupi horizontally ndi vertically (CT limasonyeza zithunzi mwatsatanetsatane mbali iliyonse ya thupi kuphatikizapo mafupa, minofu, mafuta ndi viscera).

Phazi anakhudzidwa mwina kusintha, zimene zinachitikira ndi Pamalo clubfoot. Mtundu wa vuto chifukwa cha udindo pachithunzichi wa mwanayo m'chiberekero. Kawirikawiri, vutoli kuthetsedwa popanda opaleshoni. clubfoot woona ndi woopsa pamene kugwira mpheto iliyonse phazi ndi mabvuto ndithu. Zizindikiro amakhala ngati matenda ena phazi. Nthawi zonse ofunika dotolo wa matenda enieni.

zodzitetezera

Kuti zingabweretse zotsatira zabwino pambuyo opaleshoni, kukonza clubfoot ana (chithandizo)? Kutikita ndi wabwino njira muyeso, izo kukhala zothandiza pambuyo njira zonse achire. Iyi ndi ndondomeko kwambiri kuti amalola kusintha malo a phazi. Analimbikitsa rotational ndi kuwongola phazi, mokoma kutambasula Achilles tendon. Kutikita angachite dokotala, nthawi yomweyo izo tikulimbikitsidwa kuti kuphatikiza ndi zimandilimbikitsa thupi kutikita ndi mankhwala thupi.

Pakuti kupewa clubfoot ndi flatfoot angachichite Zochita monga kuyenda pa zala ndi zidendene, kuyenda wosavala nsapato pa PAD mafupa kutchire kukakumba ndikafuna kudzithandiza, kukwera masitepe popanda nsapato. Pa kuphunzitsa n'kofunika kuonetsetsa kuti masokosi mwanayo sanali imatsogoleredwa mu phazi. ntchito iliyonse thupi ayenera limodzi ndi nthabwala zabwino komanso kusowa ululu.