Unabo iinyawo ezicaba Akunjalo imeko ye-pathological, kodwa ibangela intlungu kunye nokungazinzi kwaye iphazamise ukuhamba komntwana. Yiyo loo nto kubalulekile ukungenelela ngokuchanekileyo. Apha sikushiya zonke iindlela zokungenelela ezicetyiswayo kwiinyawo ezinqabileyo zomntwana
El unyawo olusicaba Akunjalo i-pathology, kodwa ingaba yinto enye xa iindlela zokuhlawulela zingekho, ezibangela iimpawu (ezifana nentlungu kwi-tibial malleolus, isithende valgus, i-hallux valgus, kunye neenzipho) ezibangela intlungu kunye nokungazinzi, ukuphazamisa ukuhamba kunye nomgangatho we umgangatho wobomi bomntwana.
Yintoni ebangela ukuba iinyawo ezicaba ebantwaneni?
Bonke abantwana baneenyawo ezithe tyaba ekuzalweni kwabo. Le "inzuzo yendaleko" esebenza ukubonelela a Isiseko esibanzi senkxaso kwisigaba sokufunda ukuqala ukuhamba. Kodwa esi siphumo siyancipha ngokwemvelo phakathi kweminyaka eyi-8 kunye ne-12, xa iinyawo ziqala ukuthatha isimo esifana nomntu omdala. Ngoko ke, ngokungabikho kokukhubazeka kweenyawo okubonakalayo ekuzalweni, ukusilela kwe-neurological, okanye i-pathologies ethile efuna ukuhlolwa kwangaphambili, ubudala obufanelekileyo bohlalutyo lokuqala lwamathambo eenyawo zomntwana luphakathi kwe-6 kunye ne-8 ubudala.
Zeziphi iingxaki ezinokubangelwa ziinyawo ezicaba?
Naxa ithatha iprofayili ye-pathological, iinyawo ezithe tyaba ebantwaneni zihlala zingabonakali kwaye zifunyanwa kuphela ukuba umntwana ubonwa ngugqirha wamathambo ngezizathu ezahlukeneyo. i-pathologies ehambelanayo. Kwezinye iimeko kunokwenzeka ukuba umntwana ukukhalaza ngokudinwa okanye i-cramps, ukuqhwala okanye, ngokungaqhelekanga, intlungu ngaphakathi kwe-arch yonyawo. Ezi zibonakaliso zokuba, nangona zingahambelani ngokuthe ngqo kunye neenyawo ezithe tyaba, zinokubonisa iimpawu ezilumkisayo zemeko enokuthi iguquke ibe kwezinye iziphene ezifana nebizwa ngokuba yi-"juvenile hallux valgus".
Ungazi njani ukuba umntwana wakho uneenyawo ezithe tyaba?
Ebudeni beminyaka eyi-6-8 ubudala, ukuvavanywa kweenyawo zomntwana ngugqirha wamathambo kuqhutyelwa kuqala kuzo zonke izinto ngokusekelwe kumabali omntwana, ubungqina babazali, ukuhlolwa kokugqoka izicathulo kunye nokuHlolwa kwendlela. yokuhamba. Xa kukho ukuxilongwa kwe-syndrome ye-pronatory, ingcali iya kuvavanya ukusebenza kwe-X-ray yeenyawo ezinobunzima, oko kukuthi, xa umntwana emile, ukufunda ukuguquka kokukhubazeka.
Zilungiswa njani iinyawo ezisicaba?
unyango oluthambileyo
Olona nyango lusebenzayo kumntwana oneenyawo ezisicaba lumelwe yi- ukutya okunesondlo kunye nokuziqhelanisa nomdlalo evumela uphuhliso oluhambelanayo. Enyanisweni, kuye kwaqinisekiswa ngokwesayensi ukuba i-insoles yokulungisa inokuhlawulela ukukhubazeka, kodwa ungayilungisi. Ngakolunye uhlangothi, kubalulekile ukufikelela ekuxilongweni kwe-flatfoot ye-pathological ngaphakathi kwe-8-9 yeminyaka yobomi, ukuze ungathinteli amathuba onyango anikezelwa ngotyando oluncinci, olunokuphunyezwa kuphela kwisigaba sokukhula komntwana. .
Utyando
Unyango lotyando olukhethwa kuqala kwi-pathological flat feet ebuntwaneni (ukuya kuthi ga kwi-15 leminyaka ubudala) i-sinotarsal endorthesis. I-endorthesis yi-prosthesis enobubanzi obunokwahluka ukusuka kwi-8 ukuya kwi-10 millimeters, ebekwe phakathi kwe-calcaneus kunye ne-talus, ekwazi ukukhupha i-proprioceptive stimuli ekhokela ukukhula konyawo, ukuphumeza ukulungiswa okuqhubekayo kokukhubazeka.
Lumsebenzi ongenelelayo omncinci, onokuthi kuphela malunga nemizuzu elishumi kwaye ifuna ukulaliswa esibhedlele ubusuku obunye kuphela. Ebantwaneni kunokufuna i-peripheral anesthesia kunye okanye ngaphandle kwe-sedation. Utyando lwamacala omabini luyacetyiswa ngokubanzi ukunika i-anesthesia enye kwaye ufumane ulungiso olusebenzayo kuzo zombini iziphelo. Iiprostheses ezisetyenziswa kakhulu namhlanje zenziwe nge-titanium (i-inert material engabangeli ukuphendula) kwaye ngokungafaniyo nexesha elidlulileyo, ayisasuswa kwi-90% yamatyala.
Kwiintsuku ezi-3 emva kokuhlinzwa, abantwana banokuhamba kwaye banokubuyela esikolweni, ngaloo ndlela bagweme ukungabikho ixesha elide. Emva kweentsuku ezili-15, ezi zimbini zisusiwe kwaye kunokwenzeka ukuba abancinci banokubuyela kwimidlalo yamanzi.
Nangona kunjalo, kuya kufuneka ulinde iintsuku ezingama-45 ukuba uphinde ubaleke kunye neenyanga ezi-4-6 ukuziqhelanisa nemidlalo ebandakanya ubuncinci bomngcipheko obuhlungu. Kwiimeko ezinqabileyo apho isigulane esincinci siziva sikhululekile (umzekelo ngexesha lezemidlalo) kunokwenzeka ukususa i-prosthesis ngonyaka omnye emva kokufakelwa ngaphandle kokuphazamisa ukulungiswa okufunyenweyo.
Ngamafutshane
Indlela yokuphucula iinyawo ezithe tye kubantwana?
Ngaphambi kokuba kuqhutyekwe nolungiso lotyando, ezinye iindlela ezingangeneleli kangako zinokuzanywa, umzekelo ngokuziqhelanisa nemidlalo efanelekileyo (eyona ifanelekileyo ngumdaniso, ibhola ekhatywayo, ibhola yomnyazi, ukuqubha kwaye, ngaphezu kwako konke, ubugcisa bokulwa obuqhutywa ngaphandle kwezihlangu) kunye / okanye ukubhenela kwizihlangu. kunye ne-insoles ezikhethekileyo.