Unyango kokukhubazeka Ponseti ku

Ukuchaza ukukhubazeka iimpawu xa unyawo ngaphakathi ukusuka axis longitudinal le lesiquluba, ibinzana elithi "kokukhubazeka".

kokukhubazeka azalwa libhekisela kwiqela lomzimba malformations kwaye indibanisela deformations ezahlukeneyo yonyawo, ngokuqhelekileyo supination sikhatshwe kwenyawo sombala kwezihlunu angahlangani. stop kokukhubazeka amabini livela nowama-50 ekhulwini amatyala. Igama lezonyango ukuba eqhelekileyo okanye "Classic" uhlobo kokukhubazeka - Talipes ekvinoravus (Talipes equinovarus). Ngokuqhelekileyo zoxilongo azalwa kwenzeka qho kakhulu amakhwenkwe kunokuba amantombazana (2: 1 ratio). Ubangelwa esi sifo ayiqondwa ngokupheleleyo.

Kunye onesiphene awazalwa enaso, kukho kwakhona ufumene ifomu, le nto kuthiwa kokukhubazeka neurogenic, zibangelwa ikakhulu kumatyala ukuhlukunyezwa innervation.

Uxilongo lwe iziphene imifuziselo ugqirha unyawo ubeka ngoko nangoko emva kokuzalwa. Kokukhubazeka akayi imkhathaza mntwana, ade ufunda ukuma nokuhamba. Noko ke, unyango kokukhubazeka ubekwa ngokukhawuleza kangangoko kunokwenzeka emva kokuba ezelwe ukuba zilisebenzise eli thuba zilinikiweyo okubuyela kwimo yazo ancedisana eyenza philisi joint, nemisipha kunye imisipha, kwaye siyaqhubeka ngokulandelelana. Kubaluleke kakhulu ukufumana ezingcono iziphumo, njengoko akayeki waphilisa ahlale kujikwa, nto leyo echaphazela yonke intshukumo kule milenze, ekhokelela intlungu samathambo ezilandelayo.

Abantwana idla ukunyanga ngaphandle utyando, indlela elondoloza, eyaziwa ngokuba Ponseti unyango kokukhubazeka (yokuthanjiswa zonyango abumbe udaka).

Uninzi kokukhubazeka sinokunyangeka ebuntwaneni kwiiveki malunga ezintandathu ukuya kwezisibhozo emva kokuzalwa. Ugqirha wamathambo axoxe kunye nabazali ezahlukeneyo zonyango. izindululo Bakhe nasekubalungiseni sengozini unyawo kufuneka lusekelwe ukuqonda ngokucacileyo ukusebenza komzimba yonyawo, abasabela ngokobugcisa izihlunu, nemisipha, amathambo.

unyango kokukhubazeka Ponseti on - ubuchule ilawulwa ngu Dr. Ignacio Ponseti kwiminyaka engaphezu kwama-50 eyadlulayo kwiYunivesithi yase Iowa (USA), kwaye kakhulu kakuhle aqinisekisiweyo. Ponseti buchule yaziswa kwi-UK kwi 1990 yaye yathandwa umzimba lonke Inkonzo yeMpilo yeSizwe yi-Steve Wilde. Ngo 2000, le ndlela iye wabulela esisetyenziswa ngokubanzi kwi Dr. John Herzenbergu kwi US naseYurophu, kwaye kubulelwe ugqirha kwi-UK National Health Service Steve Mannayonu - e-Afrika.

Ke kaloku kunyango Ponseti of kokukhubazeka ithathwa i "umgangatho igolide" kumazwe ahambele phambili.

Unyango iqala kwi kwiveki yokuqala okanye yesibini ebomini bomntwana, kunye kwisigaba ukuphotha, xa manipulation imisipha kunye nemisipha iinyawo musani ukuba buhlungu. Emva nkqubo ngalinye kusebenza maka ukugcina isidanga ephunyelelweyo wokulungiswa. Lisetyenziswa yi iminwe ngeenyawo ukuya nasemiphakathweni, kanye ngeveki kwindawo entsha iiveki ezintlanu ukuya ezisixhenxe (kuxhomekeke iqondo ubungqongqo kokukhubazeka). Ngethuba lale nkqubo, amathambo unyawo kancane ezihambelana.

Ukuba emva redressatsii Awudingi na ukulungiswa kakhulu, ngoko kwiimeko ezininzi wenziwe tenotomy - hlula intsumpa umsipha, efuna yokwandisa, njengoko kusoloko thumbanails kwi kokukhubazeka. Phantsi zomzimba lendawo, sabiwe yi yonke indawo ngapha kuphungula. Ziphunyeziwe ulwandiso amaphiko ngokupheleleyo unyawo. Emva koko kubeka phezu unyawo kanye kwakhona amaqashiso iiveki ezintathu ukuya kwisine.

Emva ukulungisa inyathelo kwenzeka tenotomy Iziphumo ulungiso ngezihlangu ezikhethekileyo kwezonyango (isibiyeli okanye "suki Brauna udinwa") sliding phezu kaloliwe metal, nto leyo Iqinisekile zokumisa kwindawo igqitywa ekulungiseni uhlobo intsalela kummandla amaqatha. Emva kweenyanga ezintathu okanye ezine unxibe isibiyeli kungancitshiswa iiyure ezilishumi ngosuku, kwixesha elizayo ukuze zisetyenziswe kuphela ebusuku. Nxiba i isibiyeli esiphindwe kabini ukuya kwiminyaka emibini ukuya kwemine ukuthintela ukwenzeka kokukhubazeka.

Ngonyaka kwihlabathi ozalwa kokukhubazeka phantse 150 000 abantwana. unyango Ponseti kokukhubazeka kwi - i elula kunye nempumelelo phantse 100 ekhulwini zonke iimeko ezingaqhelekanga iziphene, ukonga kwimisebenzi oomatshini bexabiso.