Isifo Sonyawo Lweqembu

I-club foot yisimo sokuzalwa esivamile, esithinta cishe ingane eyodwa kweziyi-1,000 emhlabeni jikelele. Lesi simo sidala ukuthi unyawo lwengane lujike lubheke ngaphakathi naphansi, okulwenze kube ukukhubazeka kokuzalwa okujwayeleke kakhulu. imisipha uhlelo. Ukuqonda nokuphatha unyawo lweKlabhu kubalulekile ukuze kuqinisekiswe ukukhula nokuthuthuka okufanele kwezinsana ezithintekile. 

Iyini i-Club Foot? 

I-club foot, noma i-congenital talipes equinovarus, ukukhubazeka okuyinkimbinkimbi okukhona ngesikhathi sokuzalwa. Ibangela unyawo losana ukuba luphendukele phansi nangaphakathi, ngokuvamile kakhulu kangangokuthi ingaphansi lonyawo lomntwana liphendukela emaceleni noma ngisho phezulu. Onyaweni lweClub, imisipha ehlanganisa imisipha yomlenze namathambo onyawo mifishane futhi iqinile kunokujwayelekile, okuholela ekubonakaleni okusontekile. 

Club foot Izinhlobo 

I-club foot, ukukhubazeka kokuzalwa okuthinta izinsana, kunezinhlobo ezahlukene: 

• I-Idiopathic Club Foot: Ifomu elivame kakhulu i-idiopathic club foot, eyenzeka ngaphandle kwesizathu esaziwayo. Lolu hlobo luthinta ingane eyodwa kweziyi-1 000, kanti abafana banamathuba aphindwe kabili okuba nawo kunamantombazane. 
• I-Neurogenic Club Foot: Lesi simo sonyawo lweklabhu sibangelwa okungaphansi izimo zemizwa njenge-spina bifida noma i-cerebral palsy. 
• I-Syndromic Club Foot: Lolu hlobo lonyawo lweklabhu luhlotshaniswa nezinye izimo zomtholampilo ezihlobene ne-syndromes njenge-arthrogryposis noma i-diastrophic dwarfism. 

Izimpawu ze-Club foot 

Isifo sonyawo lwekilabhu sinezimpawu ezigqamayo lapho sizalwa, njenge: 

• Unyawo oluthintekile luphendukela phakathi, lubheke kolunye umlenze, futhi lunomumo ofana nezinso one-crease ejulile ngaphakathi. 
• I-arch ephakeme kunesilinganiso, eyaziwa ngokuthi i-cavus foot deformity, nayo ikhona. Unyawo luvela eceleni noma lubheke phansi, izinzwane zibheke phansi nangemuva. 
• I-Achilles tendon engemuva kweqakala iqinile, ikhawulela unyawo lokunyakaza. 
• Ezimweni ezihlangene, unyawo oluthintekile luvame ukuba luncane, futhi umsipha wethole ungase ungathuthuki kahle. 

Club foot Izimbangela 

• Imbangela yangempela yesifo sonyawo lwekilabhu isalokhu ingacacile, kodwa abacwaningi bakholelwa ukuthi ibangelwa izici zofuzo kanye nemvelo. 
• Imithelela yofuzo idlala indima ebalulekile, njengoba kufakazelwa izinga lekhonkodensi elingama-33% kumawele afanayo kanye neqiniso lokuthi cishe amaphesenti angama-25 amacala awomndeni. 
• Izici zemvelo (ukubhema komama ngesikhathi ukukhulelwa & ukuchayeka kumagciwane athile) kungase kube nomthelela ekuthuthukisweni kweClub foot. 

Izingozi Zezingozi 

Ziningi izici ezandisa amathuba okuba nesifo sonyawo lwekilabhu ezinsaneni. 

• Abafana banethuba eliphindwe kabili lokuthuthukisa unyawo lweClub uma kuqhathaniswa namantombazane. 
• Umlando womndeni walesi simo nawo uphakamisa ingozi. 
• Izingane ezinokukhubazeka kokuzalwa ezizalwa nazo, njenge-spina bifida noma i-cerebral palsy, zisengozini kakhulu. 
• Izimo zofuzo ezifana ne-Trisomy 18 (i-Edward syndrome) zingaba nomthelela ekuthuthukisweni kwezinyawo ze-Club. 
• Izici zomama ngesikhathi sokukhulelwa zidlala indima, futhi. Ukuntuleka kwe-amniotic fluid (oligohydramnios) kanye nokutheleleka ngegciwane leZika kungandisa ingozi. 

Izinkinga 

Isifo sonyawo lwekilabhu singaholela ezinkingeni ezahlukahlukene uma singelashwa, njenge: 

• Izingane zingase zibe nezinkinga zokuhamba, ngokuvamile zinyathela emaceleni noma eziqongweni zezinyawo zazo esikhundleni samathe. Lokhu kuhamba okungajwayelekile kungabangela izifo ezinyaweni, ama-callus, kanye sokuqaqamba kwamalunga. 
• Unyawo Lweklabhu Olungalashwa lungabangela unyawo olulodwa ukuba lube luncane futhi lungahambi kancane kunolunye, lube nemisipha yethole engathuthukile emlenzeni othintekile. 
• Iziguli zingase zikhathale ngokushesha noma zikhononde ngemilenze ebuhlungu. 
• Ngisho nokwelashwa kwezinyawo zekilabhu, abanye abantu bangabhekana nokukhubazeka okusalayo, ubuhlungu, kanye nokusebenza okulinganiselwe ebusheni nasebudaleni obusha. Lezi zinkinga zingabandakanya i-varus yesithende, i-forefoot adduction, nokufaka iqakala. 

Ukuxilongwa kwe-Club foot 

Odokotela baxilonga isifo sonyawo lweqembu ngezindlela ezahlukene. 

• I-Ultrasonography yangaphambi kokubeletha ingathola unyawo lweClub ekuqaleni kwamasonto ayi-13 okukhulelwa kusetshenziswa amasu okukhipha isisu noma emavikini angu-16 ngezikena ze-transabdominal. Ngokuvamile, ukuxilongwa kwenzeka ngesikhathi se-ultrasounds evamile emavikini angu-20. 
• Ngemva kokuzalwa, ukuhlolwa okuphelele komzimba kubalulekile. Odokotela bahlola ukuma konyawo, ukuma, nokuvumelana nezimo. Bahambisa unyawo emuva naphambili ukuze bahlole ukuma kwethambo kanye nokuqina kwezicubu ezixhumeneyo. 
• Ukuhlola okuphelele futhi kusiza ekukhipheni izimo ezihambisanayo ezifana ne-spina bifida noma i-arthrogryposis. 
• Kwezinye izimo, i-X-ray ingase isetshenziselwe ukuhlola ukwakheka kwamathambo eduze. 

Ukwelashwa kwe-Club foot 

• I-Ponseti Technique: Indlela ye-Ponseti isiphenduke enye yezindlela zokwelashwa ezikhethwa kakhulu zesifo sonyawo lwekilabhu. Le nqubo ibandakanya uchungechunge lokukhohlisa nokulingisa, ngokuvamile oluqala phakathi namaviki ambalwa okuqala okuphila. Inqubo iqala ngezinguquko zamasonto onke, kancane kancane ilungisa indawo yonyawo. Izingane eziningi ezisanda kuzalwa zidinga ama-casts angu-5 kuya kwangu-7 emasontweni ambalwa noma izinyanga ezimbalwa. Ngokusetshenziswa okufanele, indlela ye-Ponseti inezinga lempumelelo elicishe libe ngu-90%, elivumela izingane ukuba zihambe, zigijime, futhi zidlale ngaphandle kobuhlungu. 
• I-Achilles Tenotomy: Ezimweni ezingaba ngu-90%, inqubo encane ebizwa ngokuthi i-Achilles tenotomy iyadingeka ukuze kunwetshwe intambo yesithende. Ngemuva kokukhishwa, ingane igqoka i-orthosis yokuthumba unyawo ukuze igcine ukulungiswa. Lezi zibopho zokuqondisa izinyawo ezihlanganiswe nensimbi zigqokwa ngokugcwele isikhathi esingangezinyanga ezintathu, bese kuthi ngesikhathi sokulala kuze kube yiminyaka emihlanu. Ukunamathela kuhlelo lokubracing kubalulekile ukuvimbela ukuphindeka. 

Uzoyibona Nini Udokotela 

Abazali kufanele baxhumane nodokotela wengane yabo uma bebona noma yiziphi izinkinga ngokhonkolo, njengokungcola, ukumanzi, noma ukubola. Kubalulekile futhi ukuthola usizo lwezokwelapha uma izinzwane zomntwana zingabomvana futhi zifudumele noma uma usana lukhala ngaphezu kokujwayelekile noma lubonakala lusezinhlungwini. Umkhuhlane ongaphezu kuka-101°F ngemva kokuhlinzwa udinga ukunakekelwa kwezokwelapha ngokushesha. 

Prevention 

Nakuba ukuvimbela zonke izimo ze-club foot disease kungase kungenzeki, ezinye izinyathelo zokuphepha zingasiza ekunciphiseni ubungozi, njenge: 

• Omama abakhulelwe banendima ebalulekile ekuvimbeleni. Ukugwema ukubhema, utshwala nezidakamizwa ezingagunyaziwe ngesikhathi sokukhulelwa kubalulekile, njengoba lezi zinto zingathinta ukukhula nokukhula komntwana. 
• Ngaphambi kokukhulelwa, ukuhlolwa kwangaphambilini kanye nokwelulekwa ngofuzo kungaba yinzuzo. 
• Ngesikhathi sokukhulelwa, ukuya kuzo zonke izikhathi zokunakekelwa kokubeletha kubalulekile. Ukuvikela ekuthelelekeni ngegciwane leZika nakho kubalulekile. 
• Ngokuthatha lezi zinyathelo, abazali banganikeza izingane zabo ithuba elingcono kakhulu lesiqalo esinempilo empilweni futhi okungenzeka banciphise ubungozi bonyawo Lweqembu. 

Isiphetho 

Isifo sonyawo lwe-club silethe izinselele ezibalulekile ezinganeni ezithintekile kanye nemindeni yazo, kodwa izindlela zokwelapha zesimanje zinikeza ithemba ngemiphumela emihle. Indlela ye-Ponseti ikhethwa ekulawuleni lesi simo, ngezinga lempumelelo elilinganiselwa ku-90%. Ukuhlanganisa ukukhohlisa okumnene, ukulingisa, nokuqinisa izinyawo kuvumela izingane eziningi ukuba zihambe, zigijime, futhi zidlale ngaphandle kobuhlungu. Ukuxilongwa kusenesikhathi nokwelashwa ngokushesha kubalulekile ekuzuzeni imiphumela engcono kakhulu, okugqamisa ukubaluleka kokuhlolwa njalo kokubeletha kanye nokuhlolwa kwezinsana. 

FAQ sika 

1. Iyini imbangela ehamba phambili yonyawo lweClub? 

Imbangela yangempela yesifo sonyawo lwekilabhu ayaziwa. Kukholakala ukuthi iwumphumela wenhlanganisela yezinto zofuzo nezemvelo. Ukubhema komama, sikashukela, futhi ukuphuza utshwala ngesikhathi sokukhulelwa kungase kube nomthelela. 

2. Ingabe unyawo lweklabhu lungakwazi ukuphinde lube khona ngemva kokwelashwa? 

Yebo, i-Club foot ingaphinda ivele ngemva kokwelashwa. Ukuphinda kuyinkinga evame kakhulu, ngokuyinhloko ngenxa yokungathobeli i-orthosis yokuthunjwa kwezinyawo ngesikhathi sokulungiswa. 

3. Ingabe ikhona imiphumela yesikhathi eside yokuba ne-Club foot? 

Imiphumela yesikhathi eside yesifo sonyawo lwekilabhu ingase ihlanganise: 

• Unyawo olunwebeka kancane 
• Umlenze othintekile omfushane 
• Usayizi wezicathulo ezincane zonyawo oluthintekile 
• Imisipha yethole emincane ohlangothini oluthintekile 
• Amathuba okuba ne-arthritis 
• Ukukhathazeka kwesithombe somzimba okungenzeka phakathi neminyaka yobusha 

4. Ingabe unyawo lwenduku lungalungiswa? 

Yebo, isifo sonyawo lwekilabhu singalungiswa. Indlela ye-Ponseti isiphenduke indlela esetshenziswa kabanzi yokwelapha izinsana kusenesikhathi nge-Club foot. 

5. Ingabe unyawo lweklabhu lubucayi? 

I-club foot yisimo esinzima esidinga ukwelashwa ngokushesha. Uma ingelashwa, ingaholela ebunzimeni obukhulu bokuhamba kanye nezinkinga zesikhathi eside. 

6. Zihamba nini izingane ze-Club foot? 

Izingane ezinesifo se-club foot zingase zibe nokubambezeleka kancane ekuhambeni uma ziqhathaniswa nalabo abangenaso isimo. Ngokwesilinganiso, izingane ezilashelwa i-Club foot ziqala ukuzihambela ngokuzimela cishe ezinyangeni eziyi-14.5, cishe ezinyangeni ezimbili kamuva kunezingane ezingenazo i-Club foot. Ezinyangeni ezingu-18, u-90% weziguli ezelashwayo ngokuvamile zihamba ngaphandle kosizo. 

7. Ukuhlinzwa kwe-Club foot kungokweminyaka engakanani? 

Ukuhlinzwa kwesifo sonyawo lwekilabhu kuvame ukucatshangelwa lapho ukwelapha okuvamile, okufana nendlela ye-Ponseti, kungaphumelelanga. Iminyaka yokuhlinzwa ingahluka kuye ngokuthi isimo sinzima kangakanani kanye nezidingo eziqondile zengane. 

8. Ingabe i-club foot ijwayelekile ezinganeni ezisanda kuzalwa? 

I-club foot ayibhekwa njengejwayelekile ezinganeni ezisanda kuzalwa kodwa yisimo esivamile sokuzalwa. Kwenzeka cishe ku-1 kuzo zonke izingane ezizalwa eziphilayo eziyi-1,000, okwenza kube okunye ukukhubazeka okuvamile kwezinyawo zokuzalwa. 

9. Ingabe unyawo lweklabhu luyelapheka unomphela? 

Nakuba isifo se-club foot singelashwa ngempumelelo, kubalulekile ukuqaphela ukuthi kuhlale kunengozi yokuphinda, ikakhulukazi eminyakeni embalwa yokuqala yokuphila. 

CARE Medical Team

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