Chii chinonzi Clubfoot? Zviratidzo, Zvinokonzera, & Kurapa

Clubfoot chirwere chinoonekwa pakuumbwa kwemwana apo tsoka imwe kana dzose dzinotambanudzwa mukati uye pasi, zvichiita kuti ive nechimiro chakatsemuka. Ichi chirwere chinotapura vana vanenge 1 pamwana 1000 vanoberekwa pasi rose, zvichiita kuti ive imwe yezvirwere zvakajairika zvekuumbwa kwematumbu.

Mashoko akanaka ndeakuti clubfoot inorapika zvikuru kana yakawanikwa pakutanga. Nekutarisirwa kwakakodzera nekurapa, vana vazhinji vane clubfoot vanogona kufamba, kumhanya, uye kutamba kufanana nevamwe vana. Kunzwisisa ichi chirwere kunogona kukubatsira kunzwa wakavimbika zvakanyanya nezve rwendo ruri mberi.

Chii chinonzi clubfoot?

Clubfoot inoitika apo mitsipa nemasero etsoka yemwana wako madiki uye akasimba kupfuura zvakajairwa. Izvi zvinokwevera tsoka munzvimbo isina kujairika inoita kunge tsoka yakapoteredzwa mukati.

Zita rezvekurapa re clubfoot nderekuti "congenital talipes equinovarus," asi vanachiremba vazhinji nemhuri vanongoidana kuti clubfoot. Tsoka kazhinji inotarisa pasi uye mukati, nechepasi chichitarisa kune imwe tsoka.

Kune marudzi maviri makuru e clubfoot. Rudzi rwakajairika runonzi "idiopathic clubfoot," zvinoreva kuti rinoitika pachawo pasina chero mamiriro ari pasi. Rudzi rusina kujairika rinoitika pamwe chete nemamwe mamiriro ezvechiremba senge spina bifida kana cerebral palsy.

Ndeapi zviratidzo zve clubfoot?

Clubfoot kazhinji inooneka pakuumbwa, uye iwe ungangonzwa chitarisiko chakasiyana pakarepo. Tsoka yakabatwa ichaita kunge yakasiyana zvikuru netsoka yemwana mutsva.

Aya ndiwo maratidzo makuru auchaona:

• Tsoka inotenderera mukati uye pasi
• Chepasi chetsoka chinotarisa kune imwe tsoka
• Tsoka yakabatwa neguyo zvinogona kuva zvidiki
• Tendon yeAchilles inonzwa yakasimba
• Tsoka inonzwa yakaoma uye haifambi zvakajairwa
• Tsvingo yemhasuru pane rumwe rutivi inogona kuoneka iri diki

Zvakakosha kuziva kuti clubfoot pachayo haikonzere kurwadziwa muvana vachangoberekwa. Mwana wako haazonzwi kusagadzikana nekuda kwechimiro chetsoka, kunyange izvi zvingachinja sezvo vakakura kana mamiriro acho asingarapiki.

Ndeapi marudzi e clubfoot?

Vanachiremba vanoronga clubfoot nenzira dzakasiyana kuti vabatsirwe kuona nzira yakanakisa yekurapa. Kunzwisisa marudzi aya kunogona kukubatsira kukurukura mamiriro chaiwo emwana wako nechikwata chavo chehutano.

Nzira yakajairika yekuisa clubfoot ndeyekonzera kwayo:

• Idiopathic clubfoot: Izvi zvinoitika pachazvo pasina mamwe mamiriro (inenge 95% yezviitiko)
• Syndromic clubfoot: Izvi zvinoitika pamwe chete nemamwe mamiriro ezvechiremba senge spina bifida kana zvirwere zvemajini
• Positional clubfoot: Iyi fomu yakapfava inobva panzvimbo iri mudumbu uye inonyanya kunyanya kufamba

Vanachiremba vanorondedzerawo clubfoot nehukuru. Clubfoot inogona kufambiswa zvishoma neruoko, nepo clubfoot yakaoma yakaoma uye yakaoma kufambisa. Chiremba wako achaongorora kuti mwana wako ane rudzii pakuongororwa kwekutanga.

Chii chinokonzera clubfoot?

Chikonzero chaicho chezviitiko zvizhinji zve clubfoot hachizivikanwi, izvo zvinogona kunzwa zvine hutsinye kune vabereki vanotsvaga mhinduro. Zvatinoziva ndechekuti clubfoot inoitika mukati memwedzi mitatu yekutanga yekuzvitakura apo zvikamu zvetsoka neguyo zvemwana wako zviri kuumbwa.

Zvinhu zvakati wandei zvinogona kuita kuti clubfoot ibude:

• Zvinhu zvemajini: Nhoroondo yemhuri inowedzera njodzi, kunyange vana vazhinji vane clubfoot vasina nhoroondo yemhuri
• Zvinhu zvakatipoteredza: Kusvuta panguva yekuzvitakura kunogona kuwedzera njodzi zvishoma
• Nzvimbo shoma mudumbu: Mamiriro senge oligohydramnios (mvura shoma yemwana) inogona kutamba basa
• Mamiriro ari pasi: Spina bifida, muscular dystrophy, kana mamwe mamiriro ezvemajini anogona kukonzera clubfoot

Zvakakosha kunzwisisa kuti hapana chawakaita kana kusaita panguva yekuzvitakura chakakonzera clubfoot yemwana wako. Ichi chirwere hachigone kudzivirirwa, uye vabereki havafaniri kuzvipa mhosva.

Rini unofanira kuona chiremba nekuda kwe clubfoot?

Clubfoot kazhinji inoonekwa mushure mekuberekwa pakuongororwa kwemuviri kwemwana wako. Zvisinei, dzimwe nguva inogona kuonekwa panguva yekuzvitakura kuburikidza ne ultrasound, kazhinji anenge mavhiki 18-20.

Unofanira kutsvaga rubatsiro rwechiremba nekukurumidza kana ukaona chero chimwe chezviratidzo izvi mushure mekunge kurapa kwatanga:

• Tsoka inova yakazvimba, tsvuku, kana kupisa kubata
• Mwana wako anoita kunge ari kurwadziwa kana kusagadzikana
• Mabubbles kana maronda anoonekwa patsoka
• Cast inorova, inopwanya, kana kukuvadzwa
• Mwana wako anowana fivha paakapfeka cast

Kurapa kwekutanga kwakakosha kuti uwane mhinduro dzakanaka. Nyanzvi dzezvekuvhiya dzinokurudzira kutanga kurapa mukati memavhiki mashoma ekutanga ehupenyu apo mapfupa emwana, majoini, nematendon anonyanya kunyanya kufamba.

Ndeapi njodzi dze clubfoot?

Kunyangwe clubfoot ichigona kuitika kumwana chero upi zvawo, zvinhu zvakati wandei zvinogona kuwedzera mukana wechirwere ichi. Kunzwisisa njodzi idzi kunogona kukubatsira kuziva zvaunofanira kutarisira, kunyange kuva ne njodzi hazvirevi kuti mwana wako achava ne clubfoot.

Njodzi huru dzinosanganisira:

• Kuva murume: Vakomana vane mukana wekuve ne clubfoot kupfuura vasikana
• Nhoroondo yemhuri: Kuva nemuenzi kana munun'una ane clubfoot kunowedzera njodzi
• Mamwe maberekero: Vana vane spina bifida kana mamwe mamiriro ane njodzi yakakwirira
• Kusvuta panguva yekuzvitakura: Izvi zvinogona kuwedzera mukana zvishoma
• Mvura isina kukwana yemwana: Mvura shoma (oligohydramnios) panguva yekuzvitakura

Kunyangwe njodzi idzi dziripo, vana vazhinji vanoberekwa vasina clubfoot. Chirwere ichi kazhinji chinoitika pasina chikonzero chinonzwisisika kana njodzi.

Ndeapi matambudziko anogona kuitika e clubfoot?

Kana clubfoot ikarapwa zvakakodzera uye pakutanga, vana vazhinji vanokura vasina matambudziko makuru emangwana. Zvisinei, kunzwisisa matambudziko anogona kuitika kunogona kukubatsira kuramba uchiri kunetseka uye kushanda pedyo nechikwata chako chehutano.

Pasina kurapwa, clubfoot inogona kukonzera matambudziko akakomba akati wandei:

• Matambudziko ekufamba: Mwana anogona kufamba parutivi kana pamusoro petsoka panzvimbo pekutsika
• Maronda anorwadza nemabubbles: Kufamba kwakashata kunogadzira nzvimbo dzinomanikidza dzinogona kuzara
• Arthritis: Nzvimbo isina kujairika yejoini inogona kukonzera kupfeka nekukuvadzwa kwekutanga
• Kuderedzwa kwekufamba: Ankle inogona kuva isinganyanyi kufamba nekufamba kwenguva
• Matambudziko ekutenda: Kusiyana kwechitarisiko kunogona kukanganisa kuvimbika

Kunyangwe ne kurapwa kwakakodzera, vana vamwe vangave nematambudziko maduku senge kusiyana kwakasiyana muhukuru hwetsoka kana kuderedzwa kwekufamba. Matambudziko aya kazhinji anogona kutarisirwa uye haakanganisi zvikuru mabasa ezuva nezuva.

Clubfoot inoziiwa sei?

Kuziva clubfoot kazhinji kunongorongororwa nekuti chirwere ichi chinoonekwa uye chine hunhu hwakasiyana. Chiremba wako anogona kazhinji kuziva clubfoot kuburikidza nekuongororwa kwemuviri chete.

Maitiro ekuongorora kazhinji anosanganisira:

• Kuongorora kwemaziso: Chiremba anoona nzvimbo yetsoka nechimiro
• Kuongorora kwemuviri: Kuongorora kuti tsoka inogona kufambiswa sei uye kuiswa
• Nhoroondo yezvechiremba: Kukurukura nhoroondo yemhuri uye ruzivo rwekuzvitakura
• X-rays: Dzimwe nguva inoshandiswa kuona nzvimbo yepfupa, kunyange zvisiri nguva dzose zvinodikanwa muvana vachangoberekwa

Muimwe nguva, clubfoot inogona kuonekwa usati waberekwa panguva ye ultrasound yekuzvitakura. Zvisinei, kuongororwa kwekupedzisira nekugadzirira kurapa nguva dzose kunoitika mushure mekuberekwa apo vanachiremba vanogona kuongorora tsoka nemuviri.

Kurapa kwe clubfoot ndechii?

Kurapa kwakakosha kwe clubfoot kunonzi nzira yePonseti, iyo yakachinja kurapwa kwe clubfoot mumakumi emakore apfuura. Iri danho rinoruramisa clubfoot mune anenge 95% yezviitiko pasina kuvhiya kukuru.

Nzira yePonseti inosanganisira nhanho dzakati wandei:

1. Nhanho yekuchengeta: Kuwedzera zvishoma nezvishoma uye kuisa cast kwemavhiki 6-8
2. Tenotomy: Maitiro maduku ekusunungura tendon yeAchilles yakasimba
3. Nhanho yekuchengeta: Kupfeka shangu dzakasarudzika dzakabatana nebar, pakutanga maawa 23 pazuva
4. Kuchengeta kwenguva refu: Kuchengeta usiku nezuva kusvika pamakore 4-5

Maitiro ekugadzira cast anoda kushivirira nekutsunga kubva kumhuri. Vhiki rega rega, chiremba wako achawedzera zvishoma nezvishoma tsoka uye aisa cast itsva. Iri danho rinowanzoita kuti zvinhu zvinyoro zvigadzirise zvishoma nezvishoma uye zvakachengeteka.

Muimwe nguva apo nzira yePonseti haishande zvizere, mamwe maitiro anogona kudikanwa. Izvi zvinogona kusanganisira kuendesa tendon kana mamwe maitiro maduku ekugadzirisa nzvimbo yetsoka nebasa.

Maitiro ekutarisira kurapwa kwe clubfoot pamba?

Kutarisira kurapwa kwe clubfoot pamba kunoda hanya nezvinhu zvakawanda uye kuenderera mberi, asi mhuri dzakawanda dzinojairira zvakanaka kune maitiro acho. Chikwata chako chehutano chichapa mirairo chaiyo yemwana wako.

Panguva yekuchengeta, hezvino zvaunogona kuita:

• Chengeta cast yakaoma uye yakachena nguva dzose
• Tarisa zviratidzo zvekutsamwa, kuzvimba, kana matambudziko ekufamba kweropa
• Tarisa minwe yemwana wako nguva dzose kuti uone ruvara uye kupisa
• Usambombove edza kubvisa kana kugadzirisa cast wega
• Taura nachiremba wako nekukurumidza kana ukaona chero matambudziko

Panguva yekuchengeta, kuenderera mberi kunova kwakakosha kudzivirira kudzokera shure. Brace inogona kuita kunge isina kunyaradza pakutanga, asi vana vazhinji vanojairira mukati memavhiki mashoma. Kuchengeta purogiramu yekupfeka yakatarwa kunobatsira kuve nechokwadi chemigumisiro yakanaka kwenguva refu.

Unofanira kugadzirira sei kuenda kuchiremba?

Kugadzirira misangano ye clubfoot kunogona kukubatsira kushandisa nguva yako zvakanyanya nechikwata chehutano uye kuve nechokwadi chekuti mhinduro dzako dzose dzapindurwa. Kuve wakarongeka kunoderedza kushushikana kwauri nemwana wako.

Usati wasvika kumusangano wega wega, funga kugadzirira:

• Rondedzero yemibvunzo kana zvinetso zvaunoda kukurukura
• Ruzivo rwekuti mwana wako ari kupindura sei kurapwa
• Mifananidzo kana manotsi nezve chero matambudziko eganda kana kuchinja kwaona
• Zvinhu zvinonyaradza mwana wako senge zvinhu zvaanofarira kana mablanketi
• Chero ruzivo rweinshurensi kana fomu dzekutumira dzinodikanwa

Kune misangano yekuchengeta, pfekedza mwana wako nguo dzakapfava kubvisa pamaguyo. Uye uunze zvokudya nezvinhu zvekuvaraidza pamesangano marefu, sezvo maitiro acho anogona kutora nguva.

Chii chinonyanya kukosha nezve clubfoot?

Chinhu chakakosha chokurangarira nezve clubfoot ndechekuti inorapika zvikuru kana yakawanikwa pakutanga uye yakatarisirwa zvakakodzera. Nenjira yePonseti, vakawanda vana vane clubfoot vanokura kuti vave nehupenyu hunowanzoita, hunoshanda.

Kubudirira kunonyanya kuenderana nekuita zvakakodzera purogiramu yekurapa, kunyanya panguva yekuchengeta. Kunyange rwendo urwu ruchida kushivirira nekutsunga, migumisiro kazhinji inoshamisa. Vana vazhinji vane clubfoot yakarapwa zvakakodzera vanogona kubatanidzwa mumabasa ose, kusanganisira mitambo yekukwikwidzana.

Rangarira kuti rwendo rwemwana wega wega rine clubfoot rwakasiyana. Vamwe vanogona kuita zvakanyanya nekukurumidza kuburikidza nekurapa, nepo vamwe vachida nguva yakawedzerwa kana maitiro. Kushanda pedyo nechikwata chako chekuvhiya uye kuramba wakazvipira pakurapa kunopa mwana wako mukana wakanaka wekuwana migumisiro yakanaka.

Mibvunzo inobvunzwa kazhinji nezve clubfoot

Mwana wangu achakwanisa kufamba zvakajairwa mushure mekurapwa kwe clubfoot?

Hungu, vakawanda vana vakarapwa nekuda kwe clubfoot vanofamba zvakajairwa. Nekurapwa kwakakodzera uchishandisa nzira yePonseti, vana vazhinji vanogona kumhanya, kudonha, uye kutamba mitambo kufanana nevamwe vana. Kunyange tsoka yakabatwa ichigona kuramba iri diki kana isinganyanyi kufamba, izvi zvisinganyanyi kukanganisa basa kana mabasa ezuva nezuva.

Kurapa kwe clubfoot kunotora nguva yakareba sei?

Kurapa kwekutanga kunonyanya kutora mavhiki 2-3, kusanganisira mavhiki 6-8 ekugadzira cast inoteverwa nemaitiro maduku. Zvisinei, nhanho yekuchengeta inoramba ichifambira mberi kusvika pamakore 4-5 kudzivirira kudzokera shure. Mhuri dzakawanda dzinowana kuti kunyange nguva yacho ichiratidzika kureba, kukanganisa kwezuva nezuva kunoderedzwa zvikuru mushure memavhiki mashoma ekutanga.

Kurapa kwe clubfoot kunorwadza here kumwana wangu?

Maitiro ekugadzira cast nekuwedzera kazhinji haana kurwadza kune vana, kunyange vamwe vangave vakatsamwa panguva yekuchinjanisa cast. Maitiro eAchilles tenotomy anoitwa pasi peanesthesia yemunharaunda, saka vana havazonzwi kurwadziwa panguva yekurapa. Vana vazhinji vanojairira braces mushure mekujairira kwenguva pfupi.

Clubfoot inogona kudzokera here mushure mekurapwa?

Clubfoot inogona kudzokera shure kana purogiramu yekuchengeta isina kuteverwa zvakakodzera, ndosaka nhanho yekuchengeta usiku iri yakakosha. Kana mhuri dzikabatanidzwa pane purogiramu yekuchengeta yakatarwa, mitengo yekudzokera shure iri shoma kwazvo. Kana kudzokera shure kuchitika, kazhinji kunogona kurapwa zvakabudirira nekuwedzera cast kana maitiro maduku.

Mwana wangu achada shangu dzakasarudzika kana michina gare gare muhupenyu?

Vana vazhinji vane clubfoot yakarapwa zvakabudirira havadi shangu dzakasarudzika kana michina sezvo vakakura. Panguva yekuchengeta, vachapfeka shangu dzebrace dzakatarwa, asi mushure mekunge kurapwa kwapera, shangu dzakajairwa kazhinji dzinoshanda zvakanaka. Vamwe vana vangasarudza mamwe marudzi eshangu nekuda kwenyaradzo, asi izvi zvinosiyana nechisarudzo chemunhu panzvimbo penzira yekurapa.