Ngamanye amazwi, ezi ziinkalo ezininzi zendawo engabonakaliyo yonyawo ephakama ngexesha lokuphuhliswa kwe-intrauterine kwaye zivela ekuzalweni. Izizathu ze-clubfoot azikaze zifundwe ekupheleni, kodwa ezininzi iingcamango zeengcali ziguqulela enye: isizathu esona sinokwenzeka sinobuchule obubangelwa yi-intrauterine yokubunjwa kweethambo ezinotsholongwane zomlenze ongaphantsi neenyawo. Ziyakubangelwa yimimandla eyahlukeneyo, ukususela kumatshini kunye ne-neuro-impulse yokufa kunye nokuphila kwendalo. I-Clubfoot yinkathazo eqhelekileyo kwaye, ngokwemibare, abafana bavelele ngakumbi kunamantombazana. I-Hypospadias kunye ne-clubfoot yamazwe angamaqabane kubantwana - isihloko sendaba.
Impawu eziphambili ze-clubfoot yendiza enye iyacaca kwaye iyabonakala ngokukhawuleza emva kokuzalwa komntwana: unyawo lujikelelwe ngaphakathi, kunye necala langaphakathi liye linyuka phezulu kwaye ngokungathi liqhubele phambili. Kwimeko ye-plane deformation yeenyawo, isithende sibonakala sinyuswe phezulu, unyawo lugqityiwe kwaye luphinde lubekwe kwicala elingaphakathi phezulu. Kuzo zombini imeko, akunakwenzeka ukuzisa unyawo kwindawo eqhelekileyo. Le nyaniso yinto ebonakalayo eyona nto yokuhlukanisa i-clubfoot yokuzalwa yintlungu ukusuka kwiintsholongwane ezisezintweni ze-neuromuscular (apho unyawo luninzi luhlala kwindawo efanelekileyo). I-clubfoot ivame ukuhamba kunye neenguqu kwiimisipha, iigaments, amajoyina kunye namathambo enyawo, ngoko iimpawu zesibini zebhola lezintana zokubeletha zi: ukuguquka kwamathambo ama-shin kumgama ongaphantsi (torsion), ukuchithwa okutshintshiweyo kwedwa. Imiphumo yale ndawo engafanelekileyo yenyawo ididekile: ngexesha lokuma nokuhamba noxinzelelo lwesisindo somzimba kwinqanaba lihanjiswe ngokungalingani, ngenxa yecala elinye lithwele kakhulu (elifutshane), okwesibini lugqityiwe. Ukukwazi ukukhulula ukunyakaza kuyalahleka, ukuhamba kwi-joint jointshi kuphazamisekile, kwaye amandla okunyathela ukunyusa nokunyuka kwamagxuma ayancipha. Ukuba uvumela izinto zihambe ngokwazo, umvuzo wengane uya kuphutha, iisokisi zingaphakathi, ngenxa yoko, kunye nokulungelelaniswa kwezinto ezihambayo. Kunzima kumntwana onjalo ukukhuphisana nabantwana abasempilweni kwimidlalo esebenzayo, ukuthatha inxaxheba kwimisindo ye-gay kunye neminye imidlalo yezingane. Ekugqibeleni, ngaphezu kweengxaki zomzimba, i-clubfoot ingakhokelela kwiingxaki zengqondo kwintsana.
Qiniseka ukuphatha!
Utyando lwe-clubfoot yobuncinane lwenziwa phantsi kolawulo olusisigxina lomgqirha wamazinyo. Kwimeko yokuxilonga kwangaphambili, izixhobo zokulungisa i-gymnastics kunye ne-massage yokwelapha, kunye neenkqubo zonyango lwe-physiotherapy, zisetyenziselwa ukulungisa indawo yonyawo. Oogqirha bavame ukunika amabhande amabhande ekhethekileyo kunye nabaqeqeshi abaqinileyo, ukulungisa unyawo kunye nesimo kwindawo efikelele kunyango. Ekhaya, unokwenza izinto eziphathekayo ze-physiotherapy, i-gymnastics yokwelapha kunye nokuhlambalaza, ukubhukuda. Kwezinye iimeko, ngeendlela ezinzima zokukhubazeka kweenyawo, unyango olusetyenziswayo, ngokukodwa kwiimeko ze-clubfoot eziqhuba kubantwana abadala, kuba ngexesha ixesha le ngxaki iyancipha. Njengomthetho, unyango luqala ngokukhawuleza emva kokukhutshwa esibhedlele. Njengokuthintela ulandelelwano, abantwana banconywa ukuba banxibe izicathulo ezikhethekileyo zomzimba kunye nempilo yezempilo kunye ne-gymnastics yokwelapha ngokuhambelana nobudala bomntwana kunye namakhono omzimba.
Ukucoca umzimba
Ngenxa yokungalingani kwimizi ye-muscle kumqolo nangaphambili kwendawo ye-shin, kunye nesalathisi sangasemva kunye nesityalo, unyulo olukhethekileyo kunye ne-massage yezempilo lwenziwa. Injongo yale massage iya kubalwa kwaye iyancwitshwa kwezihlunu ezincinci kunye nezivumelwano-intloko yangaphakathi ye-gastrocnemius muscle, i-tendon ye-Achilles kunye nomgca weenyawo. Ngokufanayo kunye nale nkqubo, njengomthetho, i-tonic massage yezihlunu ezitwebileyo zenziwa: intloko yangaphandle ye-gastrocnemius muscle kunye nesigxina se-footal of foot.
Isigaba sokuphucula ukulungiselela
• Iintsana zilele kwisisu
1. Ukuhlambalaza kwendawo eselungelelaniswayo, ukuxubha kunye nokukhangela.
2. Ukucoca amatye - usebenza, uxinzelelo, ukuxubha, ukuxubha ngamandla, ukuxolela, ukubetha nokukhangela.
3. Ukubuyisela umlenze wamathanga - ukuxubha (ukusuka phezulu, ukusuka kwi-popliteal fossa ukuya emathangeni), ukuxubha ngamandla, ukuxolela ngokulula nokugubha.
• Ingane ilale emhlane
4. Ukuzihlamba kwesisu - kwenziwa ngeenyawo, ngaphandle kokuchaphazela indawo ye-hypochondrium.
5. Ukucoca ubuso obusentla bamathanga - ukususa (ukusuka kwi-bottom up, ukusuka kwinqwelo elidolo ukuya kwindawo yokuhluma), ukuxubha ngamandla, ukugcoba lula nokugubha. Ummandla we patellar ngokwawo kunye nendawo yokulima ayifuni.
Indawo yokunyamekela impilo
1. I-Shin massage.
• Iintsana zilele kwisisu
Qalisa ukusilalisa nge-stroking eqhelekileyo, ukwenza ukunyakaza okunyamekileyo kwindlela esusela kwisithende ukuya kwi-popliteal fossa. Emva koko uhlaziye umva emlenzeni ongezantsi (ngokukodwa umsila wethole). Ukusuka ngaphakathi ngaphakathi kwe-shin, oko kukuthi, ukusuka kwicala lokhalo, ngexesha lokubutha, ukusetyenziswa kwezixhobo eziphuculayo ezilandelayo: ukukhwabanisa lula kunye nokuxubha ngemiguqo yeminwe, ukugubha ngobumnene nokuxolela, ukulula kunye nokuzula. Ngaphandle ngexesha lokuxilisa esetyenziselwa ubuchule bokubamba i-toning - ukuxubha okukhulu, ukukhangela okuncinci, ukuxolela ngamandla, i-pokolachivanie elula.
• Ingane ilale emhlane
Xa ukuhlambala phambili kwendawo ye-shin zonke iindlela zokuxilisa i-massage zisetyenzisiweyo - ukuxubha ngamandla, ukuxolela, ukunyusa umunwe lula.
2. Ukuhlalisa i-Ankle.
Iqukethe ukugawula indawo yokudibanisa kunye ne-circular rubbing of the ankles. I-massage isetyenziselwa ukudibanisa ubuchule be-acupressure ehlangene kunye neenyawo zangasemva kwenyawo kunye nokugoba ngokukhawuleza kweenyawo ukuya phezulu. Kule meko, kuyimfuneko ukubamba inyawo kwindawo echanekileyo, ngokugqithiseleyo umgca wayo wangaphandle kwicala elingaphambene nololuko.
I-Achilles ithonage massage.
Ukwelula kunye nokunciphisa iilaments, ukuxubha, ukuxoka, ukugaya, ukulula kunye nokugubha, ukucubungula ngesigwiliso kunye nesandulela esetyenziswa rhoqo. Umntwana ophethe i-clubfoot kunye nezihlangu zokuqala ezifunekayo nge-insteps
9. Ukunyumba kweenyawo.
• Intsana ilala ngokuzinzileyo esiswini sayo
Bamba i-shin ngesandla esinye, ugobe umlenze wengane emxolweni. Emva koko, ngelixa unamathe inyawo, qhubeka uqhube umsila wecala layo. Ngexesha lokuxilisa, kuyimfuneko ukunweba umda wangaphakathi (imisipha ehlanjululwayo) kunye nefuthe elingaphandle lwalunyawo (imisipha edibeneyo). Khumbula ukuba ngeli thuba lokubaluleka kuyimfuneko ukunika unyawo isithuba esifanelekileyo, oko kukuthi, ukulungisa umlenze ukusuka ngasemva, phakamisa umda wayo ongaphandle.
• Ingane ilale emhlane
Xa wenza ukusikwa kwinqanaba elingasemva kweenyawo, ngokukodwa kwiphepha laso langaphandle, iindlela zetonic zisetyenziselwa - ukuxolela ngamandla, ukugaya, ukukrazula, ukubetha, ukuququzela. Ngelo xesha, ubeke ngenyameko unyawo kwindawo echanekileyo kwaye uyibophe kwiqondo elifanelekileyo ngokubhekiselele kwi-shin.
Kwaye kwakhona imfundo yempilo
Uqeqesho lwezonyango olwenziwe ngonyango aluhambelani kwi-gymnastics yokulungisa kwaye luqhutywa ngokudibanisa kunye neenkqubo zokusasaza. Ukwenza le mizobo kunceda ukunweba i-tendon calcaneal kunye nokuphelisa ukuhamba kweenyawo zentlanzi, kwaye kunceda ukunciphisa imiphumo yokukhawuleka-ukuphakamisa nokubuyisela umgangatho wangaphakathi wonyawo. Ngomnyaka wokuqala wobomi bomntwana, usebenziso lwamayeza luvame ukubandakanya ukuzivocavoca nje kunye ne-reflex gymnastics.
Ukuzilolonga
1. Iintsana zilele kwisisu. Ngesandla esinye, qhawula umntwana womntwana uze ugobe umlenze wayo emadolweni. Emva koko, ngoxa ubambe i-shin, ngesandla esilungileyo kwesinye isandla, yenza ukunyakaza okunyanzelayo kwinqanaba elincinci, ukuguqula phantsi, kunye nezwane emhlane.
2. Iintsana zilele kwisisu. Ukuqhubela phambili ukubamba i-shin yomntwana kwindawo egobileyo, ngesandla samahhala, ukwenza intshukumo encinci yokujikeleza inyawo, ngokuthobeka nangokuthobeka ngokunyanisekileyo ngaphakathi kunye nokuphakamisa umda wangaphandle unyawo.
3. Ingane ilala emhlane okanye ihlala nemilenze eqondileyo. Ngesandla esinye, bamba, uze ucinezele umntwana we-shin kwi-table on surface, ulungise ngeminwe ekwakhekeni kwendandatho ebusweni. Ngakolunye uhlangothi, qondanisa unyawo ukuze uhlangothi lwezityalo lube phezu kwesandla sakho. Yenza ngenyameko ukuhamba kweenyawo ekubhekise phambili ukuya ngasemva, ngelixa ucinezela emaphethelweni alo angaphandle, uvula kancane ngaphakathi.
4. Ingane ilele emhlane okanye ihleli nemilenze eqondileyo. Yamukela umlenze omncinane ngomlenze, ulungise kunye neenyawo kwi-ankle. Ngakolunye uhlangothi, qondanisa unyawo lomntwana ukuze uhlangothi lwalo lube phezu kwesandla sakho. Emva koko wenze ngokunyanisekileyo kwaye uyenze ngokunyanisekileyo ukuhamba okuhambayo, uzama ukuhambisa unyawo ngaphandle, kwicala elingaphambene nelokuvumba.
5. Ukuqhubeka nokulungisa i-baby's shin, ukuphinda ukunyuka kweenyawo kwicala elingaphandle, ukunciphisa ngaphakathi kunye nokuphakamisa umda wangaphandle.
6. Ingane ilala okanye ihleli. Ngesandla esinye, qonda umlenze ongezantsi ovela kumntwana uze uyilungise kwindawo yesigxina nesithende. Ngesinye isandla, yenza ukukhanya, ukunyanzelisa, ukuphumla kwedwa lonyawo lomntwana ngesandla esilungileyo. Ngeeminwe yakho, ugoba ngenyameko unyawo lwakho ukusuka kwicala elingasemva uze ujikeleze umda walo ongaphandle kwicala elingaphambene nolobuqu.