Unyawo olusizelweyo: yintoni, ungayibona njani kwaye uyiphatha njani
Umxholo
Unyawo olusizelweyo, olwaziwa nangokuthi yi-echinovaro clubfoot okanye, ngokuxhaphakileyo, njenge- "clubfoot inward", sisiphene esibeleko apho umntwana azalwa khona inyawo elinye lijikile ngaphakathi, kwaye olo tshintsho lubonakala nje kwinyawo enye okanye zombini.
Unyawo olusisilima olusisilima luyanyangeka ukuba nje unyango lwenziwa ngokungqinelana nokukhokelwa ngugqirha wabantwana kunye nogqirha wamathambo, kunye nendlela yePonseti, equlathe ukusetyenziswa komdaka kunye neebhutsi zamathambo, okanye utyando ukulungisa indawo, kungabonakaliswa. yeenyawo, nangona kunjalo utyando luboniswa kuphela xa ezinye iindlela zonyango zingenampembelelo.
Indlela yokuchonga
Ukuchongwa konyawo olusisilima kungenziwa ngexa lokukhulelwa kusetyenziswa i-ultrasound, kwaye ukuma kweenyawo kunokuboniswa ngolu vavanyo. Nangona kunjalo, ubungqina benyawo olusisilima lunokwenzeka kuphela emva kokuzalwa ngokwenza uvavanyo lomzimba, kwaye akuyomfuneko ukwenza olunye uvavanyo lokucinga.
Izizathu ezinokubangela
Izizathu zonyawo olusisilima azikaziwa kwaye ziyaxoxwa ngokubanzi, nangona kunjalo abanye abaphandi bakholelwa ukuba le meko ibalulekile kwimfuza kwaye lonke ixesha lokukhula kosana kukho ukwenziwa kwemfuza ejongene noku kukhubazeka.
Enye ithiyori ikwamkele kwaye kwaxoxwa ngayo kukuba iiseli ezinesivumelwano sokukhuthaza kunye nokukhuthaza ukukhula zinokubakho kwinxalenye engaphakathi yomlenze nonyawo kwaye, xa besenza isivumelwano, bajolise ekukhuleni nasekukhuleni kweenyawo ngaphakathi.
Nangona kukho iithiyori ezininzi malunga nonyawo olusisilima, kubalulekile ukuba unyango luqaliswe kwangethuba ukuqinisekisa umgangatho wobomi bomntwana.
Unyango lweenyawo olusisiqalo
Kuyenzeka ukuba ulungiswe unyawo olusisilima ukuba unyango luqaliswe ngokukhawuleza. Ubudala obulungele ukuqala unyango bunokuphikiswa, abanye oogqirha bamathambo bancomela ukuba unyango luqaliswe kwakamsinya emva kokuzalwa, kwaye kwabanye luqala kuphela xa umntwana eneenyanga ezili-9 ubudala okanye xa emalunga nama-80 cm ubude.
Unyango lunokwenziwa ngokuphathwa okanye ngokuhlinzwa, okuboniswa kuphela xa indlela yokuqala ingasebenzi. Eyona ndlela iphambili yokunyanga unyawo olusisilwayo yaziwa ngokuba yindlela yePonseti, ebandakanya ukuphathwa kwemilenze yomntwana ngugqirha wamathambo nokubekwa komdaka ngeveki nganye kangangeenyanga ezintlanu kulungelelwaniso oluchanekileyo lwamathambo enyawo kunye neetoni. .
Emva kweli xesha, umntwana kufuneka anxibe izihlangu zamathambo iiyure ezingama-23 ngosuku, iinyanga ezi-3, nasebusuku ade abe neminyaka emi-3 okanye emi-4 ubudala, ukuthintela unyawo ekugoqweni kwakhona. Xa indlela yePonseti yenziwa ngokuchanekileyo, umntwana uyakwazi ukuhamba kwaye akhule ngendlela yesiqhelo.
Nangona kunjalo, kwimeko apho indlela yePonseti ingasebenzi, kunokuboniswa utyando, ekufuneka lwenziwe ngaphambi kokuba umntwana abe nonyaka omnye. Kolu tyando, iinyawo zibekwa kwindawo efanelekileyo kwaye i-Achilles tendon yoluliwe, ibizwa ngokuba yi-tenotomy. Nangona ikwasebenza kwaye iphucula inkangeleko yonyawo lomntwana, kunokwenzeka ukuba ekuhambeni kwexesha umntwana aphulukane namandla kwimisipha yemilenze neenyawo, ekuhambeni kwexesha kunokubangela iintlungu kwaye kuqine.
Ukongeza, i-clubfoot physiotherapy inokunceda ngokuphucula indawo echanekileyo yeenyawo kunye nokomeleza izihlunu zemilenze neenyawo zomntwana.
Kucetyiswa Kuwe
I-visceral larva migrans
