Ngamanye amazwi, lezi zingxenye eziningana zesimo esibi sezinyawo ezivela ngesikhathi sokuthuthukiswa kwe-intrauterine futhi zikhona kusukela ekubelethweni. Izizathu ze-clubfoot azikaze zifundwe kuze kube sekupheleni, kodwa iningi lezimvo zengcweti liguqukela kwelinye elilodwa: isizathu esiyinkimbinkimbi kunazo zonke kungenzeka ukuthi i-intrauterine iziphazamiso zokwakheka kwezicubu ezithambile zomlenze nezinyawo ezincane. Zingabangelwa izici ezihlukahlukene, ezivela ekugcizekeni kwemishini kanye neurosi ekuzalweni kwemvelo kanye nemvelo. I-Clubfoot yinkinga ejwayelekile kakhulu futhi, ngokusho kwezibalo, abafana bavelele kakhulu kunamantombazane. I-Hypospadias kanye neqembu eliphakathi kwamanye amazwe ezinganeni - isihloko sendaba.
Izimpawu eziyinhloko ze-clubfoot eyodwa-moya ziyabonakala futhi zibonakala ngokushesha ngemva kokuzalwa kwengane: unyawo luphendulelwa ngaphakathi, uhlangothi lwangaphakathi luvuke phezulu futhi sengathi luhanjisiwe phambili. Endabeni yokwenyuka kwezindiza eziningana, isithende sibonakala sithunjisiwe phezulu, unyawo lugwetshiwe futhi luphinde lubekwe eceleni. Kuzo zombili izimo, akunakwenzeka ukuletha unyawo endaweni yakhe evamile. Leli qiniso liyisici esiqakathekileko se-congenital clubfoot kusukela ezinyaweni zezinkinga ze-neuromuscular (lapho unyawo luvame khona endaweni efanele). I-clubfoot ivame ukuhambisana nezinguquko emisipha, imigudu, amalunga namathambo ezinyawo, ngakho-ke izibonakaliso zesibini zokuzalwa kwezinyawo zokuzalwa ziyizi: ukuphikisana kwamathambo ama-shin kuya emgodini we-lateral (torsion), ukuguqulwa okukodwa kwe-sole (inflection) ne-varus deformity yezinzwani. Imiphumela yalesi simo esingenakulungiswa sezinyawo siyadumaza: ngenkathi ukuma nokuhamba kwengcindezi yesisindo somzimba ezinyaweni kusatshalaliswa ngendlela engafanele, ngenxa yalokho uhlangothi olulodwa olufakwe ngokweqile (olufinyeziwe), okwesibili luhlala lungaphenduliwe (olweluliwe). Ikhono layo lokukhululeka ukuhamba lilahlekile, ukuhamba emhlangeni wezinyosi kuphelelwe amandla, futhi ikhono lonyawo lokunciphisa ukuqhuma nokweqa amagagasi kunciphisa. Uma uvumela izinto ukuba zihambe ngokwazo, umphumela wengane uzobe ungalungile, amasokisi angaphakathi, ngenxa yalokhu, nokuhlanganiswa kwezinyathelo zihamba kahle. Kunzima ukuthi ingane enjalo ikwazi ukuncintisana nezingane ezinempilo emidlalweni esebenzayo, iqhaza ekuqalisweni kwama-gay kanye neminye imidlalo yezingane. Ekugcineni, ngaphezu kwezinkinga zempilo, i-clubfoot ingaholela ezinkingeni ezingokwengqondo ezinganeni.
Qiniseka ukuphatha!
Ukwelashwa kwe-clubfoot engavamile kuqhutshwa ngaphansi kokuqondiswa okuqinile komdokotela wezinzwa. Uma kutholakala ukutholakala kokuqala, umzimba wokuzivocavoca umzimba wokugcoba nokwelapha, kanye nezinqubo zokuphefumula eziphuthumayo, zisetshenziselwa ukulungisa isikhundla sezinyawo. Odokotela bavame ukubeka ama-bandages akhethekile kanye nabafundisi abaqinile, balungise unyawo futhi basuke endaweni efinyelelwe yilashwa. Ekhaya, ungaphinda usebenzise izakhi ze-physiotherapy, ukuvivinya umzimba kanye nokubhucisa, ukubhukuda. Kwezinye izimo, ngezindlela ezinzima zokukhubazeka kwezinyawo, ukwelashwa okuhlinzekwayo, ikakhulukazi ezimweni ze-clubfoot egijima ezinganeni ezindala, ngoba ngenkathi inkinga ivame ukuqhutshwa. Njengomthetho, ukwelashwa kuqala ngemuva kokukhishwa esibhedlela. Njengokuvikela okulandelwayo, izingane zinconywa ukuba zigqoke izicathulo ezikhethekile zomzimba kanye nokuzivocavoca kwezempilo kanye nokwelashwa ngokuhambisana nobudala bomntwana namakhono omzimba.
Massage yokwelapha
Ngenxa yesimo esingalingani sezintambo ze-muscle ngemuva nangaphambili kwendawo ye-shin, kanye nohlangothi lwe-back and plantar onyaweni, kusetshenzwa imithi yokwelapha ekhethekile kanye nokwelashwa kwezempilo. Inhloso yale massage izokwelula nokunciphisa izinhlanzi ezinzima futhi ezinenkontileka - ikhanda elingaphakathi lomzimba we-gastrocnemius, ithononi yama-Achille kanye nomdwebo ophakathi. Ngesikhathi esifanayo nale nqubo, njengoba umthetho, i-massic ye-tonic yezinhlanzi ezelulekile zenziwa: ikhanda langaphandle le-muscle ye-gastrocnemius kanye ne-lateral arch of foot.
Isigaba sokulungiselela ukulungiselela
• Izingane zilele esiswini sakhe
1. Ukushisa kwesifunda se-lumbar se-back-stroking, ukuxubha nokubheka.
2. Ukuhlanza izintambo - esebenzayo, ngokucindezela, ukuxubha, ukuxubha okukhulu, ukugcoba, ukugubha kanye nokugcoba.
Ukusikhipha emuva kwamathanga - ukushaywa phansi (kusuka phansi phansi, kusukela ku-popliteal fossa kuze kube emadodeni), ukuxubha ngamandla, ukugwedla kalula nokuthuthumela.
• Izingane zilele ngemuva kwakhe
4. Ukuphumula kwesisu - kwenziwa ngendlela yewashi, ngaphandle kokuthinta indawo ye-hypochondrium efanele.
5. Ukuhlambalaza phambi kwamathanga - ukushayeka (kusukela phansi kuya phezulu, ukusuka emgodini wamadolo kuya endaweni yokuhluma), ukuxubha ngamandla, ukugwedla kalula nokuthuthumela. Isifunda se-patellar ngokwayo kanye nendawo yokugaya ayifuni.
Isigaba sokunakekela impilo
I-mass mass.
• Izingane zilele esiswini sakhe
Qala ukusikhipha nge-stroking evamile, ukwenza ukunyakaza okuncane kuqondana nesithende kuya ku-popliteal fossa. Bese ubuyela emuva emlenzeni ophansi (ikakhulukazi umsila wethole). Kusukela ngaphakathi kwe-shin, okungukuthi, kusukela ohlangothini lwesigubhu, ngesikhathi sokusikhipha, amasu okuphumuza alandelayo asetshenziswa: ukusheshisa kalula nokuxubha ngamaphethini eminwe, ukuthuthumela ngobumnene nokuxoxela, ukuwelula nokudlidliza. Ngaphandle ngesikhathi massage esetshenziswa amasu ikakhulukazi toning - ukubhoboza okukhulu, sawing encane, ukugwedla ngamandla, pokolachivanie lula.
• Izingane zilele ngemuva kwakhe
Uma ukuhlunga ububanzi be-shin zonke izindlela zokuxilisa umzimba kusetshenziselwa - ukuxubha ngamandla, ukugcoba, umunwe olula ukucindezela.
2. Ukushisa kwe-Ankle.
Iqukethe ukugaya indawo yokuhlanganiswa nokuxubha okuyisigxobo kwezingqimba. I-massage nayo isetshenziselwa ukuhlanganisa ukucubungula kwe-acupressure yehlanganiso ye-ankle kanye nengemuva yonyawo kanye nokugoba ngesikhathi esisodwa ngasemuva. Kulesi simo, kubalulekile ukubamba unyawo endaweni efanele, kancane kancane uvula umphethelo wangaphandle ohlangothini oluphambene nesikhumba.
I-Achilles i-masson massage.
Ukwelula nokunciphisa imigqa, ukugubha, ukuxoka, ukubona, ukusula nokudlidliza, ukucindezela ngesithupha nesithupha kuqala kuvame ukusetshenziswa. Ingane ene clubfoot nezicathulo zokuqala ziyadingeka nge-insteps
9. Ukuphuza umzimba.
• Ingane ilele ngokuthula ngesisu sayo
Thatha i-shin ngesandla esisodwa, ugobe umlenze wengane emadolweni. Khona-ke, ngenkathi ubamba unyawo, qhubeka uqhuba massage yocala layo. Ngesikhathi sokusikhipha, kuyadingeka ukwelula umthamo wangaphakathi (imisipha ehlanjululwayo) bese ubhala intambo yangaphandle yonyawo (imisipha enwetshiwe). Khumbula ukuthi phakathi nalesi massage kubalulekile ukunikeza unyawo isikhundla esilungile, okungukuthi, ukulungisa umlenze kusuka ngakwesokunxele, phakamisa umphetho wangaphandle.
• Izingane zilele ngemuva kwakhe
Uma wenza massage ngasemuva onyawo, ikakhulukazi emaphethelweni angaphandle, amasu we tonic asetshenziselwa - ukugwedla ngamandla, ukubona, ukubopha, ukugubha, ukumbumbana. Ngesikhathi esifanayo, ubeke unyawo ngobumnene endaweni efanele futhi uyibophe engxenyeni efanele ngokuqondene ne-shin.
Futhi futhi imfundo engokwenyama
Ukuqeqeshwa komzimba okwelashwa akuhlukaniswanga nokuzivocavoca okulungiswayo futhi kwenziwa ngokuhlanganiswa ne-massage nezinqubo ezishisayo. Ukwenza lezi zivivinyo kusiza ukwelula isithononi se-calcaneal nokuqeda ukuhamba kwezinyawo, futhi kusiza ukunciphisa imiphumela yokuvuthwa - ukuphakamisa nokwehlisa uhlangothi lwangaphakathi lonyawo. Ngonyaka wokuqala wokuphila kwengane, ukuvivinya umzimba ngokuvamile kuvame ukwenza kuphela ukuzivocavoca okungahambi kahle nokuzivocavoca.
Ukuvivinya umzimba
1. Izingane zilele esiswini sakhe. Ngesandla esisodwa, bamba u-shin wengane bese ugoba umlenze wakhe emhlangeni. Khona-ke, ngenkathi ubambe iqhwa, ngesandla esinqondile ngakolunye uhlangothi, yenza izinyathelo ezicindezelayo ezinyaweni ezinyaweni, uzibophezele phansi, onozwane ngemuva.
2. Izingane zilele esiswini sakhe. Ukuqhubeka nokubamba i-shin yengane endaweni egobile, ngesandla samahhala, ukwenza izinyathelo ezincane zokujikeleza ezinyaweni, ngobumnene nangobumnene ukwehlisa ngaphakathi nokuphakamisa onqenqemeni wonyawo.
3. Izingane zilele ngemuva noma zihlala nemilenze eqondile. Ngesandla esisodwa, thatha, bese ucindezela i-shin yengane ebusweni betafula, uyilungise ngeminwe ngokuma kwendandatho emagqeni. Ngakolunye uhlangothi, faka unyawo ukuze uhlangothi oluhle lube phezu kwesandla sakho. Yenza kahle uhlangothi lwezinyawo ngaphesheya ngakwesokunxele, ngenkathi ucindezela emaphethelweni angaphandle, uvula kancane ngaphakathi.
4. Ingane ilele ngemuva noma ihlala imilenze eqondile. Yamukela umlenze ophansi wengane yonke yesandla, uyilungise futhi unyawo emagqabeni. Ngakolunye uhlangothi, uqondise unyawo lomntwana ukuze uhlangothi lwalo lube luhlangene nesandla sakho. Bese ukwenza ukunyakaza okuhambayo ngokucophelela futhi ngokucophelela, uzama ukuhambisa unyawo ngaphandle, esiqondeni esingaphambene nesivunguvungu.
5. Ukuqhubeka nokulungisa isisu somntwana, ukuphinda ukunyakaza okuhambayo komlenze ohlangothini lwangaphandle, ukunciphisa ngaphakathi ngaphakathi nokuphakamisa onqenqemeni wangaphandle.
6. Izingane zilale noma zihlala. Ngesandla esisodwa, uqondise umlenze ongezantsi wengane ovela ngezansi uphinde uzilungiselele endaweni yesigcawu nesithende. Ngesinye isandla sakho, yenza ukunyakaza, ukucindezela ukunyakaza, ukuphumula ngokumelene nomuntu onyawo lomntwana ngesinxele esinqunyiwe. Ngeminwe yakho, ugobe ngonyawo unyawo lwakho eceleni kwakho bese uvula ingqimba yayo yangaphandle kusihlokwana esingaphambene nesikhumba.