Clubfoot inogona kukonzera matambudziko ekufamba asi inobatwa zvakanaka.
Clubfoot isingaenzaniswi yekuzvarwa inokonzera tsoka dzechechecheche kuti dzive nechepamusoro uye mukati. Kunyange zvazvo clubfoot haina kukonzera kurwadziwa, inogona kukonzera matambudziko emakore mazhinji kana isina kusiyiwa, ichikanganisa kukwanisa kwomwana kufamba zvakanaka. Zvisinei, kana clubfoot inorapwa zvakanaka, kuora mwoyo kunogona kuporeswa muhuduku.
Zvinokonzera
Chikonzero che clubfoot hachina kunzwisiswa.
Kunyange zvazvo inogona kuwirirana nedzimwe hutano husina kunaka (zvakadai sepininaida uye arthrogryposis ), zvinogonawo kuitika zvakasununguka. Chinokonzera clubfoot hachisi chechimwe chinhu chakaitwa namai panguva yekuzvitakura. Izvo zvinokonzera zvinowanikwa muna 1-2 yezvese zvakaberekwa 1000.
Apo mwana akaberekerwa ne clubfoot, tendon mukati uye shure kwetsoka zvakapfupika. Rutsoka rwakakonzerwa zvokuti zvigunwe zvinotarisa pasi uye mukati, uye zvinoitwa munzvimbo ino ne shottened tendons. Clubfoot inogona kurondedzerwa sechirwere (kushanduka) kana kugadzikana. Maitiro akaoma aya anowanzobatanidzwa nehumwe hutano husina kunaka uye hunogona kuva hwakaoma kurapa.
Kurapa
Mushonga weklubfoot unowanzotanga nguva pfupi mushure mokunge mwana aberekwa. Vamwe vanachiremba vezvemapfupa vanoda kushandiswa nokukurumidza apo mwana achiri muchipatara. Zvakakosha ndezvokuti kazhinji vabereki vanonetseka kuti chero kunonoka kunogona kukuvadza, uye kukurumidza kurapwa kunogona kuisa vanhu nyore nyore kuti chimwe chinhu chiri kuitwa.
Mimwe nyanzvi yekurapa inosarudza kutanga kurapwa kwemavhiki mashomanana mushure mekuberekwa kwomwana. Zvakakosha ndezvokuti izvi zvinopa vabereki mukana wekubatana nevana vavo vacheche vasingatauri munzira. Ichokwadi ndechokuti, kurapwa hakusi ngozi. Kunyange zvazvo inofanira kutanga mumavhiki ekutanga ehupenyu, nguva chaiyo yekurapwa inofanira kunge yakavakirwa pane zvinodiwa nevabereki uye kurapa chiremba chiremba.
Iyo inowanzogadziriswa yekikifoot inosanganisira chirwere chechipatara chechirwere chechiremba chinotungamirira rutsoka nekukandira munzvimbo yakarongeka. Pamusoro pepakati pemwedzi inoverengeka, kushandiswa kunoitwa zvishoma nezvishoma kunodzosera nzvimbo yakagadzikana yegumbo. Iyi nzira yekunyengedza inonzi "Ponseti Method," inonzi zita rechiremba uyo akawedzera kurapa uku.
Nzvimbo uye nguva yezvikwereti ndezvokufunga uye zvakagadzirirwa kutambanudza nekudzora rutsoka rwuri munzvimbo yakakodzera. Anenge kamwe kamwe pavhiki, iyo inoshandiswa inoshandiswa mune imwe nzira inonzi serial casting. Iyo inobata zvishoma nezvishoma kugadzirisa nzvimbo ye clubfoot.
Munenge imwe hafu yematambudziko, kushandiswa uku kunokwana kururamisa clubfoot deformity. Mune zvimwe zviitiko, chirongwa chokuvhiya chinogona kudiwa. Panguva yekuvhiyiwa, chiremba anovhiya achasunungura, kana kusunungura, iyo yakasimba yeAchilles tendon kubvumira rutsoka kutora nzvimbo yaro yakakwana. Kana imwechete iyo inodzingwa yabviswa, mwana wacho anowanzopfeka mbambo yeusiku kusvikira anenge makore maviri.
Mitezo Inotevera Mukurapwa
Mune zvimwe zviitiko, kuvhiyiwa kwakawedzerwa kunodiwa kururamisa nzvimbo ye clubfoot. Kazhinji kazhinji izvi zvinodiwa mumamiriro ezvinhu apo mwana ane zvimwe zvinetso zvekuvandudza (zvakadai seArthrogryposis) kana kuti mwana anotanga kurapwa kupfuura mwedzi mishomanana mushure mokuberekwa.
Kana clubfoot deformity isingaruramiswi, mwana wacho achakudziridza gait isina kukodzera uye angave ane zvinetso zveganda zvakakomba. Nemhaka yokuti mwana wacho ari kufamba ari kunze kwetsoka, chikamu chetsoka chisati chagadzirirwa kufamba, ganda rinogona kuputsa uye mwana anogona kukura zvirwere zvakakomba. Uyezve, mararamiro asina kukanganisa anogona kutungamirira kujoka kupfeka uye zvisingaperi zvirwere zveArthritic.
Sources:
Noonan KJ uye Richards BS "Nonsurgical Management yeIdiopathic Clubfoot" J. Am. Acad. Ortho. Surgery., November / December 2003; 11: 392 - 402.