Yintoni ukuhamba kweenzwane kwaye kujongwa njani?

Umxholo

• Ushwankathelo
• Ukuhamba kweenzwane
• Umvakalelo yokitazo
• Isihlunu semisipha
• Intambo yomqolo engaqhelekanga
• Ngaba ukuhamba kweenzwane luphawu lwe-autism?
• Ukuhamba kweenzwane kubantu abadala
• Ukuchonga unobangela wokuhamba kweenzwane
• Ungayimisa njani iinzwane xa uhamba
• Unyango olungatyandi
• Unyango lotyando
• Ukuxela kwangaphambili

Ushwankathelo

Ukuhamba kweenzwane yindlela yokuhamba apho umntu ahamba khona kwiibhola zeenyawo zakhe endaweni yokuba nezithende zakhe zichukumisa umhlaba.

Ngelixa le yipateni yokuhamba eqhelekileyo kubantwana abangaphantsi kweminyaka emi-2 ubudala, uninzi lwabantu luza kuthatha indlela yokuhamba ngezithende.

Ukuba umntwana wakho omncinci ubetha amanyathelo okuphuhlisa, ukuhamba ngeenzwane ayisosizathu sokukhathazeka, ngokweKliniki yaseMayo.

Kwiimeko ezininzi, isizathu sokuba umntwana wakho aqhubeke nokuhamba ngonyawo ngaphaya kweminyaka emi-2 asaziwa. Nangona kunjalo, ngamanye amaxesha kunokubangela izihlunu zethole eziqinileyo ezenza ukuba isithende sokuhamba isithende sibe nzima ukufunda njengoko umntwana wakho ekhula.

Ukuhamba kweenzwane

Rhoqo, oogqirha abakwazi ukuchonga isizathu sokuba umntwana angahamba ngeenyawo. Bayibiza le nto.

Aba bantwana bahlala bekwazi ukuhamba ngesithende, kodwa bakhetha ukuhamba ngeenzwane zabo. Nangona kunjalo, oogqirha baye bachonga iimeko ezithile apho umntwana aqhele ukuhamba ngeenzwane.

Umvakalelo yokitazo

Le meko ichaphazela ithoni yemisipha, ukulungelelanisa kunye nokuma komzimba. Abo bane-cerebral palsy banokubonisa ukuhamba okungazinzanga, kubandakanya ukuhamba ngeenzwane. Izihlunu zabo zinokuba lukhuni kakhulu.

Isihlunu semisipha

Imuscular dystrophy yimeko yemfuza ebangela ubuthathaka bemisipha kunye nokonakala. Enye yeziphumo ebezingalindelekanga ezinokubakho kukuhamba ngeenzwane. Ukuba umntwana wayehambe kwimodeli yezithende-to-toe ngaphambili kwaye eqala ukuhamba ngonyawo, i-muscular dystrophy inokuba sisizathu.

Intambo yomqolo engaqhelekanga

Intambo yomgogodla engaqhelekanga, enje ngethambo lomqolo elixineneyo- apho intambo yomqolo inamathela khona kumqolo womqolo - okanye ubukhulu bomqolo, kunokubangela ukuhamba kweenzwane.

Ngaba ukuhamba kweenzwane luphawu lwe-autism?

Oogqirha babone imeko ephezulu yokuhamba kweenzwane kwabo baneengxaki zengqondo ye-autism. Eli liqela leemeko ezichaphazela unxibelelwano lomntu, izakhono zentlalo, kunye nokuziphatha.

Nangona kunjalo, oogqirha abakhange basikhombe ngokuthe ngqo isizathu sokuba abo bane-autism banokubanakho ukuhamba ngeenyawo.

Ukuhamba kweenzwane ngokwakho akungomqondiso we-autism.

Ezinye zezizathu ezicetywayo zokuhamba kweenzwane kubantu abane-autism kubandakanya ukukhathazeka kweemvakalelo, apho umntwana angayithandiyo indlela izithende zabo eziva ngayo xa betha umhlaba. Esinye isizathu esinokubangela ngumbono- kunye ne-vestibular (ibhalansi) -inxulumene neenkxalabo.

Ukuhamba kweenzwane kubantu abadala

Ngelixa oogqirha behlala bedibanisa iinzwane ezihamba nabantwana, kunokwenzeka ukuba imeko inokuchaphazela abantu abadala. Ngamanye amaxesha, umntu omdala usoloko ehamba ngeenyawo kwaye amanyathelo okulungisa ayengasebenzi.

Ngamanye amaxesha, ungaqala ukuhamba ngobhontsi ebudaleni. Oku kunokuba yi-idiopathic okanye ngenxa yeemeko ezahlukeneyo ezinokuchaphazela iinyawo. Imizekelo ibandakanya:

• iifowuni
• umbona
• peripheral neuropathy, okanye ukulahleka kwemvakalelo kwiinyawo

Ukuba uqalile ukuhamba ngeenzwane, kodwa awuzange ube ngumntwana, thetha nogqirha wakho malunga nezizathu ezinokubangela.

Ukuchonga unobangela wokuhamba kweenzwane

Ukuba wena okanye umntwana wakho uyaqhubeka nokuhamba ngenzwane, uya kufuna ukubona ugqirha wakho oza kuvavanya izizathu ezinokubakho. Oku kuhlala kuqala ngokuthatha imbali yezonyango. Imizekelo yemibuzo ugqirha anokuyibuza ibandakanya:

• ingaba umntwana uzalwe ixesha elipheleleyo (iiveki ezingama-37 okanye nangaphezulu) okanye ukuba umama uneengxaki zokukhulelwa
• ingaba umntwana ufikelele kumanqanaba okukhula, njengokuhlala nokuhamba
• ukuba iinzwane zihamba ngeenyawo zombini okanye enye
• ukuba kukho imbali yosapho yokuhamba ngeenzwane
• ukuba banako ukuhamba ngesithende kwiinzwane xa bebuzwa
• ukuba banezinye iimpawu ezinxulumene nomlenze okanye unyawo, ezinjengeentlungu okanye ubuthathaka emilenzeni

Ugqirha wakho uya kwenza uvavanyo lomzimba. Oku kuhlala kubandakanya ukucela ukukubona okanye umntwana wakho ehamba. Baza kujonga iinyawo neenyawo zophuhliso kunye noluhlu lokuhamba.

Ezinye iimviwo zinokubandakanya ezo zomsebenzi we-neurological kunye namandla omsipha. Ukuba akukho nto kwimbali yezonyango yomntwana wakho ebonisa unobangela wokuhamba kweenzwane, ugqirha wakho ngekhe acebise ukujonga imaging okanye uvavanyo lwemithambo-luvo. Kungenxa yokuba kubantu abaninzi, ukuhamba ngeenyawo yi-idiopathic kwaye ayinaso isizathu esaziwayo.

Ungayimisa njani iinzwane xa uhamba

Ukuhamba ngeenzwane kunokuba yinto exhalabisayo kuba ukuba iyaqhubeka idlulileyo iminyaka emi-5, umntu usenokuba nengxaki yokuhamba ngezithende zakhe kamva ebomini, nangona uninzi lukuhamba iinzwane nge-idiopathic.

Ukuba uzwane uhamba ixesha elininzi, unokuba nengxaki yokunxiba izihlangu kamnandi okanye ukuzibandakanya kwimisetyenzana yolonwabo ebandakanya ukunxiba izihlangu ezikhethekileyo, ezinje ngee roller skates. Unokuwa ngokulula.

Unyango olungatyandi

Unyango olungatyandi luhlala lucetyiswa kubantwana abaphakathi kweminyaka emi-2 ukuya kwe-5, ngakumbi ukuba banokuhamba ngeenyawo xa becelwa. Ngamanye amaxesha ukukhumbuza umntwana ukuba ahambe iinyawo ezinyawo kunganceda. Njengoko bekhula, abantwana abaneenzwane ze-idiopathic abahamba phantse bahlala behamba ngenyawo.

Olunye unyango lubandakanya:

• Ukunxiba isamente ekhethekileyo enokunceda ukolula izihlunu kunye neethoni kumathole ukuba kufunyaniswe ukuba ziqinile. Umntwana wakho uhlala efumana ii-cast ezintsha amatyeli aliqela njengokunyuka kokuguquguquka.
• I-brace ekhethekileyo eyaziwa ngokuba yi-ankle-foot orthosis (AFO) inokukunceda ukolula izihlunu kunye neethenda emaqatheni. Olu hlobo lwezihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana luhlala lunxitywa ixesha elide kunelomlenze.
• Inaliti yeBotox emilenzeni inokunceda ekunciphiseni izihlunu zomlenze ezixineneyo nezomeleleyo ukuba zibangela ukuba uzwane uhambe. Ezi zitofu zinokunceda izihlunu zomntwana wakho zolule ngokulula ngakumbi xa zinokuzuza ekubunjweni okanye ekuqineni.

Ugqirha wakho unokucebisa ngokudibanisa unyango kwiziphumo ezilungileyo.

Unyango lotyando

Ukuba umntu uyaqhubeka nokuhamba ngonyawo emva kweminyaka emi-5, kwaye engakwazi ukuhamba ngeenyawo xa ebuzwa, izihlunu kunye neetoni zabo zinokubanamandla okuqina okanye wokuphosa ukuzolula. Ngenxa yoko, ugqirha wakho unokucebisa utyando ukuze andise isahlulo sethenda ye-Achilles.

Ngokwesiqhelo inkqubo yokugula kwabaguli, ayifuni ukuba ulale esibhedlele.

Emva koqhaqho, uhlala unxiba ii-casts zokuhamba iiveki ezine ukuya kwezintandathu. Emva koko unokufumana unyango lomzimba ukuze uqhubeke nokuphuhlisa ipateni yokuhamba ngeenyawo.

Ukuxela kwangaphambili

Uninzi lwabantwana abangenayo imeko yezonyango ebangela ukuba bahambe iinzwane zabo ekugqibeleni baya kuhamba ngendlela yezithende. Xa unobangela uchongiwe, unyango lokuhamba ngeenzwane lungabavumela ukuba bahambe ngonyawo olusicaba.

Nangona kunjalo, abanye abantwana abahamba ngeenyawo ze-idiopathic banokubuyela emva kwiinzwane zokuhamba, kwanasemva konyango, de uninzi lwabo ekugqibeleni luhambe ngeenyawo.