Clubfoot muvana: chimiro kana kusakanganisika?

Kazhinji kacho, vamwe vabereki vanoyemura kuipa kwechecheche wavo, vachimudana vachimuita chikwata chetsoka. Asi kwete pane izvo vanoteerera, mushure mezwi rose rinokosha munyaya iyi: "chikwata-tsoka". Uye iyi inotova chiratidzo chinovhundutsa kumubereki wese kuti zvakakosha kushanyira nyanzvi yemapfupa nokukurumidza.

Chokutanga pane zvose, zvakakosha kuziva kuti clubfoot muvana chirwere chechirwere chetsoka, yakarongedzwa nekutsauka kwayo mukati kubva kumativi ekureba kwenguva refu, uyewo kuti kune imwe yenhema uye inowanikwa yehupenyu husina kunaka.

Congenital clubfoot muvana inowedzera mudumbu reamai uye inogona kuva imwe yenjodzi yezviratidzo, unhu hwe dysplasia we skeleton uye kusagadzikana. Kukanganiswa kwakadaro ndiko kukanganisa, kunonzi kunonzi kuberekwa, uye zvishoma nezvishoma kunotanga kufambira mberi zvakasimba. Ndeipi simba rekuputsa kwakadaro? Rutsoka rwemucheche runoratidzwa nekarutivi rwechimwe chiri muchikwata chekubatanidza mazhe, kutaridzika kwekuona kwekunze kwegumbo nekukwirira kwerutivi rwechipiri chetsoka. Panewo chirevo chinonzi clubfoot muvana, umo rutsoka rwakatenderedzwa mukati, uye rutivi rwaro rwekunze runotarisa kumusoro uye zvichikwira, uye mukati meccave margin iri chete kumusoro, nechemberi kwetsoka inotarisa mberi uye mberi, uye sarudzo yakatarisana uye mberi.

Zvichienderana nekugadziriswa kwemakumbo etsoka mumatope, zvikamu zvitatu zvezvipembenene izvi zvinoratidzika: zvinyoro (kuora kunogona kunge kusina kubviswa), kureruka (kunyanya kusaruramisa kugadziriswa kwetsoka) uye kurema (kurasikirwa kwechirongwa hakubvumirwi) kwechikwata chechikwata. Zvisinei, pasinei nehupenyu hwechirwere, zvipatara zvinoratidzika kwete kwete chete nemafambiro uye maitiro etsoka pachako, asiwo nehuse pasi rose, sekuderera kwekusimbiswa kwetsoka, kazhinji kuumbwa kwehutachiona hunoita, kunowanzoonekwa.

Sechirwere chechikwata chinopfuurira muvana, kurapwa kunofanira kutanga nguva isati yasvika kuitira kuti usadzivisa kutanga kwezvirwere, izvo munguva yemberi zvinogona kusanganisa kwete chete kunaka kwehutano, asiwo zvinotungamirira kune zvirwere zvakawanda. Saka, kubudirira kwekurapa kwechikwata chechikwata chinoshandiswa pasi pechirongwa chakajeka chechiremba mumagariro ekunze, asi mukurapa kunewo mhemberero dzakanyorwa apo mwana wechikwereti aifanira kuendeswa kuchipatara mune zvipatara kana zvipatara.

Muchidimbu, chirongwa chekurapa chichifananidzirwa mumakirini ose emakiriniki, asi mairiances ayo anogoneka. Nheyo iyi ndiyo yakagadzirirwa nzira dzekuchengetedza, kusanganisira kururamisa kushanduka nekugadzirisa kwezvikamu zvakagadziriswa. Kubudirira kwehutano hwakadaro kunoenderana zvachose nekudengenyeka kwekuvhiringidzwa kwerutsoka, chirongwa chakarurama chinosarudzwa uye kuonekwa kwakakodzera kwedambudziko. Kutsungirira uye kutsungirira kunewo basa rinokosha pakugadzirisa.

Nhasi, nzira yekuvandudza kushanda kwepakutanga inonyanya kudiwa, kusanganisira kubviswa kwakakwana kwechirema nekubatsirwa kwekugadziriswa kwepasita bandage, kurapa kwemazuva ano, gymnastics uye nzira dzemvura, uyewo kushandiswa kwevatadzi vanogadzirisa zvigadziriswa zvakagadzirwa nemapurita emhando. Kurapa clubfoot muvana kunokosha kubva pakuberekwa nekutevera mirayiridzo yese muzvikamu, zvakanyatsotevera zvinongororwa zvakajeka nemirairo yeanyanzvi ane ruzivo.

Kana chirwere ichi chisina kubudirira kana kuti chichikurumidza kuongororwa, clubfoot muvana inobviswa nekuvhiyiwa nekubatsirwa kwetambo-ligament vifaa, asi zvakakosha kuita nenzira yakadaro achiri muduku.

Zvakakosha kuyeuka chinhu chikuru kuti dambudziko ringangodaro rinofanira kuonekwa sezvichibvira kuitira kuti kurapwa kwemwana kurege kuchidzivirira kubva pakukura.