Clubfoot ikhoza kuyambitsa mavuto oyendayenda koma imathandizidwa bwino.
Clubfoot ndizobadwa zosabadwa zomwe zimayambitsa mapazi a mwana wakhanda kuti alowe pansi ndi mkati. Ngakhale clubfoot siimachititsa ululu, ingayambitse mavuto a nthawi yaitali ngati sinachitidwe, ndipo imakhudza mphamvu ya mwanayo kuyenda bwinobwino. Komabe, ngati clubfoot imachiritsidwa bwino, kupunduka kumatha kuchiritsidwa kuyambira ali mwana.
Zimayambitsa
Chifukwa cha clubfoot sichimveka bwino.
Ngakhale zikhoza kugwirizanitsidwa ndi ziwalo zina zoberekera m'mimba (monga spina bifida ndi arthrogryposis ), zikhoza kuchitika mwadzidzidzi. Chifukwa cha clubfoot si chifukwa cha zomwe amayi anachita panthawi ya mimba. Kufooka kumachitika mu 1-2 pa kubadwa kwa 1000.
Pamene mwana wabadwa ndi clubfoot, tendon mkati ndi kumbuyo kwa phazi ndi lalifupi kwambiri. Phazi limatulutsidwa kuti zala zakutsogolo zilowe pansi ndi mkatimo, ndipo zimagwiritsidwa ntchitoyi ndi mafupipafupi. Clubfoot ikhoza kufotokozedwa ngati yowonjezera (yosinthika) kapena yolimba. Mavuto owopsawa amakhala okhudzana ndi ziwalo zina zoberekera ndipo zingakhale zovuta kuchiza.
Chithandizo
Chithandizo cha clubfoot chimayamba pomwe mwana atangobadwa. Madokotala ena opaleshoni amatha kusankha mankhwala mwamsanga pamene mwana akadali m'chipatala. Ubwino ndi kuti nthawi zambiri makolo amada nkhaŵa kuti chilichonse chochedwa chingakhale chovulaza, ndipo chithandizo chamankhwala chikhoza kuchititsa anthu kukhala omasuka kuti chinachake chikuchitika.
Mankhwala ena amamakonda kuyamba mankhwala patangotha masabata angapo mwanayo atabadwa. Ubwino ndikuti izi zimapatsa makolo mwayi woyanjana ndi mwana wawo wakhanda popanda kuperewera. Chowonadi nchakuti, chithandizochi sichiri chodzidzimutsa. Ngakhale ziyenera kuyamba m'masabata oyambirira a moyo, nthawi yeniyeni ya chithandizo iyenera kukhala yochokera kwa makolo komanso kuchipatala.
Chizoloŵezi chochiritsira cha clubfoot chimakhala ndi ana opaleshoni ya mafupa omwe amachititsa phazi ndi kuponyera mu malo okonzedwa. Pakupita kwa miyezi ingapo, kuponderezedwa kumakula pang'onopang'ono kuti kubwezeretsa malo oyenera a phazi. Njira imeneyi imatchedwa "Njira ya Ponseti," yomwe idatchulidwa ndi dokotala yemwe wasonyeza chithandizochi.
Mmene nthawi ndi nthawi zimakhalira ndizochita mwachindunji ndipo cholinga chake ndikutambasula ndikuyendetsa phazi molondola. Pafupifupi kamodzi pa sabata, malowa amalowetsedwa mu ndondomeko yotchedwa serial casting. Amachoka pang'onopang'ono kukonza malo a clubfoot.
Pafupifupi hafu ya milandu, kugwiritsidwa ntchito uku ndikokwanira kukonza chiphuphu cha clubfoot. Nthaŵi zina, njira yopaleshoni ingakhale yofunika. Panthawi ya opaleshoni, dokotalayo amamasula, kapena kumasula, mphamvu yotchedwa Achilles tendon kuti alole phazi kuti lidziwe malo ake abwino. Kamodzi akachotsedwa akachotsedwa, nthawi zambiri mwanayo amavala zovala za usiku mpaka pafupi zaka ziwiri.
Njira Zotsatira Zochiritsira
Nthawi zina, opaleshoni yowonjezera amafunika kuwongolera malo a clubfoot. Kawirikawiri izi zimafunikira nthawi yomwe mwanayo ali ndi vuto linalake lachitukuko (monga arthrogryposis) kapena ngati mwana ayamba kumwa mankhwala oposa miyezi ingapo atabadwa.
Ngati chigoba chafofoot sichikonzedwe, mwanayo adzakhala ndi vuto losawonongeka ndipo akhoza kukhala ndi vuto lalikulu la khungu. Chifukwa chakuti mwanayo akuyenda kunja kwa phazi, mbali ya phazi yomwe siikonzedwe kuyendayenda, khungu limatha kugwa ndipo mwanayo akhoza kukhala ndi matenda akuluakulu. Kuwonjezera apo, vuto losawonongeka lingapangitse kuti azigwirizanitsa ndi matenda aakulu a nyamakazi.
Zotsatira:
Noonan KJ ndi Richards BS "Nonsurgical Management ya Idiopathic Clubfoot" J. Am. Acad. Ortho. Opaleshoni., November / December 2003; 11: 392 - 402.