Ukulungiswa kweenyawo

Ukulungiswa kweClubfootot kukuhlinzwa ukuze kulungiswe unyawo kunye namaqatha.

Uhlobo lotyando olwenziwa luxhomekeke:

• Inobuzaza kangakanani unyawo olusisilima
• Iminyaka yomntwana wakho
• Loluphi olunye unyango analo umntwana wakho

Umntwana wakho uya kuba ne-anesthesia jikelele (elele kwaye engenazo iintlungu) ngexesha lotyando.

Imigca zizicubu ezinceda ukubamba amathambo kunye emzimbeni. Iitendon zizicubu ezinceda ukunamathisela izihlunu emathanjeni. Unyawo olusisilima lwenzeka xa imisipha exineneyo kunye nemisipha ithintela unyawo ekunwebeni kwindawo elungileyo.

Ukulungisa unyawo olusisilima, kusikwa 1 okanye 2 kulusu, rhoqo ngasemva konyawo kwaye ngaphakathi kwinqanaba lonyawo.

• Ugqirha womntwana wakho angenza imisipha ejikeleze unyawo ixesha elide okanye elifutshane. Ithenda ye-Achilles ngasemva konyawo iphantse yasikwa okanye yandiswa.
• Abantwana abadala okanye iimeko ezinzima kakhulu banokufuna ukusikwa kwethambo. Ngamanye amaxesha, izikhonkwane, izikrufu okanye iipleyiti zibekwa elunyaweni.
• Isamente ibekwa ezinyaweni emva kotyando ukuyigcina ikwindawo ephilayo. Ngamanye amaxesha intambo ibekwa kuqala, kwaye isamente ibekwa kwiintsuku ezimbalwa kamva.

Abantwana abadala abanesiphene seenyawo emva kotyando banokudinga olunye utyando. Kwakhona, abantwana abangakhange benze utyando kodwa banokufuna utyando njengoko bekhula. Iindidi zotyando abanokuzifuna zibandakanya:

• Osteotomy: Ukususa inxalenye yethambo.
• Fusion okanye arthrodesis: Amathambo amabini okanye nangaphezulu adityanisiwe. Ugqirha unokusebenzisa ithambo ukusuka kwenye indawo emzimbeni.
• Izikhonkwane zentsimbi, izikrufu okanye iipleyiti zinokusetyenziselwa ukubamba amathambo ngokudibeneyo okwethutyana.

Usana oluzelwe lunyawo olusisilima luqala lunyangwe ngesamente ukolula unyawo kwindawo yesiqhelo.

• Ukufakwa kwesamente entsha kuya kubekwa veki nganye ukuze unyawo lukwazi ukubekwa endaweni.
• Utshintsho lwabalingisi luyaqhubeka malunga neenyanga ezimbini. Emva kokuphosa, umntwana unxiba izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana iminyaka eliqela.

I-Clubfoot efumaneka kwiintsana ihlala ilawulwa ngempumelelo ngokujula kunye nokuqinisa, oko kuthintela utyando.

Nangona kunjalo, utyando lokulungisa unyawo olusisilima lungafuneka xa:

• Isamente okanye ezinye iindlela zonyango azilungisi ngokupheleleyo ingxaki.
• Ingxaki iyabuya.
• Umlenze onyawo awuzange unyangwe.

Iingozi ezivela kuyo nayiphi na i-anesthesia kunye nokuhlinzwa:

• Iingxaki zokuphefumla
• Impendulo kumayeza
• Ukopha
• Usulelo

Iingxaki ezinokubakho zotyando lweenyawo:

• Ukonakaliswa kwemithambo yenyawo
• Ukudumba kweenyawo
• Iingxaki ngokuhamba kwegazi ukuya elunyaweni
• Iingxaki zokuphilisa amanxeba
• Ukuqina
• Isifo samathambo
• Ubuthathaka

Umboneleli wezempilo womntwana wakho unoku:

• Thatha imbali yezonyango yomntwana wakho
• Yenza uvavanyo olupheleleyo lomntwana wakho
• Yenza i-x-reyi yonyawo olusisilima
• Vavanya igazi lomntwana wakho (yenza ubalo lwegazi olupheleleyo kwaye ujonge ii-electrolyte okanye izinto ezijiyileyo)

Soloko uxelela umboneleli womntwana wakho:

• Zeziphi iziyobisi ezithathwa ngumntwana wakho
• Faka amayeza kunye neevithamini ozithengileyo ngaphandle kommiselo

Ngexesha leentsuku ngaphambi kotyando:

• Malunga neentsuku ezili-10 ngaphambi kotyando, unokucelwa ukuba uyeke ukunika umntwana wakho iasprini, ibuprofen (Advil, Motrin), okanye naziphi na ezinye iziyobisi ezenza kube nzima kwigazi lomntwana wakho ukuba lijiye.
• Buza ukuba zeziphi iziyobisi umntwana wakho afanele ukuzithatha ngosuku lotyando.

Ngomhla wotyando:

• Kwiimeko ezininzi, umntwana wakho akazokwazi ukusela okanye atye nantoni na iiyure ezi-4 ukuya kwezi-6 ngaphambi kotyando.
• Nika umntwana wakho intwana yamanzi kunye nalo naliphi na iyeza akuxelele ugqirha wakho ukuba umnike lona.
• Uya kuxelelwa ukuba uza kufika nini kotyando.

Ngokuxhomekeka kotyando olwenziweyo, umntwana wakho angaya ekhaya kwangolo suku okanye ahlale esibhedlele kangangeentsuku ezi-1 ukuya kwezi-3 kanye emva kotyando. Ukuhlala esibhedlele kunokuba lide ukuba kwenziwe utyando emathanjeni.

Unyawo lomntwana kufuneka lugcinwe kwindawo ephakanyisiweyo. Amayeza anokunceda ukulawula iintlungu.

Ulusu olujikeleze isamente yomntwana wakho luya kujongwa rhoqo ukuqinisekisa ukuba luhlala lupinki kwaye lusempilweni. Iinzwane zomntwana wakho nazo ziya kujongwa ukuze ziqiniseke ukuba zipinki kwaye umntwana wakho angazihambisa kwaye azive. Le yimiqondiso yokuhamba kwegazi okufanelekileyo.

Umntwana wakho uya kuphoswa iiveki ezi-6 ukuya kwezi-12. Inokutshintsha kaninzi. Ngaphambi kokuba aphume esibhedlele umntwana wakho, uya kufundiswa indlela yokunyamekela isamente.

Xa kukhutshwa isamente yokugqibela, umntwana wakho uya kuthi amiselwe izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana kwaye angathunyelwa kunyango lomzimba. Ingcali yezonyango iya kukufundisa imithambo oza kuyenza nomntwana wakho ukomeleza unyawo kwaye uqiniseke ukuba ihlala iguquguqukayo.

Emva kokuchacha kotyando, unyawo lomntwana wakho luya kuba kwindawo engcono kakhulu. Umntwana wakho kufuneka akwazi ukuba nobomi obuqhelekileyo, obusebenzayo, kubandakanya nokudlala imidlalo. Kodwa unyawo lunokuba lukhuni kunonyawo olungakhange lunyangwe ngotyando.

Kwiimeko ezininzi zonyawo olusisilima, ukuba licala elinye kuphela elichaphazelekayo, unyawo nethole lomntwana liya kuba lincinci kunesiqhelo kubo bonke ubomi bomntwana.

Abantwana abaye batyandwa iinyawo kwaye bangadinga olunye utyando kamva ebomini.

Ukulungiswa kweenyawo; Ukukhutshwa kwemifanekiso; Ukukhululwa kwetonilles; Ukukhululwa kweClubfoot; I-Talipes equinovarus - ukulungiswa; Ukutshintshwa kwethoni yetibialis yangaphambili

• Ukuthintela ukuwa
• Unonophelo lwenxeba lotyando - luvulekile

• Ukulungiswa kweClubfoot - uthotho

UKelly DM. Ukungaqheleki kokubeleka komda osezantsi. Ku: Azar FM, Beaty JH, Kanale ST, ii-eds. Umsebenzi weCampbell's Orthopedics. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 29.

URicco AI, uRichards BS, uHering JA. Ukuphazamiseka unyawo. Ku: Hering JA, ed. I-Tachdjian's Pediatric Orthopedics. Umhla we-5. IPhiladelphia, PA: Elsevier Saunders; I-2014: isahluko 23.