Ponseti ukwelashwa kokukhubazeka ku

Ukuchaza deformity isici lapho unyawo ivuliwe owangaphakathi kusukela eksisi longitudinal we tibia, igama elithi "kokukhubazeka".

kokukhubazeka azalwa naso libhekisela eqenjini esitho kombungu futhi inhlanganisela deformations ezahlukene ngezinyawo, ngokuvamile supination ephelezelwa senyawo futhi shin imisipha okungavamile. Kokukhubazeka ezimbili stop kwenzeka cishe ngo-50 amaphesenti amacala. Igama lezokwelapha ngenxa ezivamile noma ifomu "zakudala 'ka kokukhubazeka - Talipes ekvinoravus (Talipes equinovarus). Ngokuvamile zokugula azalwa naso kwenzeka kaningi kubafana kuka e amantombazane (2: 1 isilinganiso). Izimbangela zesifo bengayiqondi ngokugcwele.

Kanye isici azalwa naso, kukhona futhi atholwe ifomu, ngakho esibizwa kokukhubazeka neurogenic, kubangelwe kakhulu izimo ukwephulwa innervation.

Ukuxilongwa ukukhubazeka evamile udokotela unyawo ubeka ngokushesha emva kokuzalwa. Kokukhubazeka ngeke uhlupho ingane, aze ifunda ukuma ukuhamba. Nokho, ekwelapheni kokukhubazeka umiselwa ngokushesha ngangokunokwenzeka ngemva kokuzalwa ukusizakala kuyaqina of kwezicubu ukuthi yakha egobolondweni lelunga, nemisipha futhi imisipha, futhi uyaqhubeka ngokulandelana. Kubalulekile kakhulu athole imiphumela emihle, njengoba akusho ayeke belashwa izohlala agobile esithinta lonke ukunyakaza emilenzeni, okuholela okwalandela ubuhlungu arthritic.

Izingane ngokuvamile bazama ukwelapha ngaphandle kokuhlinzwa, indlela ngoludala, eyaziwa ngokuthi i-Ponseti ukwelashwa kokukhubazeka (massage zokwelapha kanye usimende ukhonkolo).

kokukhubazeka Iningi ingelapheka isakhasa cishe ngo nelesithupha amaviki emva kokuzalwa. udokotela ohlinzayo olungisa amathambo acoce nabazali ezihlukahlukene zokwelapha. iziphakamiso lakhe ekulungiseni unyawo sengozini kufanele esekelwe nokuqonda okucacile ukusebenza komzimba womuntu senyawo, ukusabela begazi imisipha, nemisipha, amathambo.

Ponseti ukwelashwa kokukhubazeka ku - amasu elawulwa akhiwa Dr. Ignacio Ponseti iminyaka engaphezu kwengu-50 edlule e-University of Iowa (USA), futhi kakhulu kahle kungase kutholakale. Ponseti amasu yethulwa e-UK e-1990 ngasekupheleni futhi yawenza physiotherapist lonke iNational Health Service ngo-Steve Wilde. Kowezi-2000, indlela isibe sibonga asetshenziswa kabanzi uDkt John Herzenbergu e-US naseYurophu, kodwa ngenxa udokotela ohlinzayo UK National Health Service Steve Mannayonu - e-Afrika.

Manje on ekwelapheni Ponseti ka kokukhubazeka kubhekwa "izinga legolide" emazweni asethuthukile kakhulu.

Ukwelashwa iqala ngo ngesonto lokuqala noma lesibili of impilo yengane, nge esigabeni Ehlala, lapho manipulation imisipha kanye nemisipha izinyawo musa ubuhlungu. Ngemva inqubo ngamunye osebenza ukhonkolo ukuze silondoloze degree izuzwe yokuyala. It sisetshenziswa ngu iminwe ngezinyawo imbilapho, kanye ngesonto kulesi sikhundla amasonto eziyisihlanu kuya kweziyisikhombisa (kuncike degree of kobukhulu kokukhubazeka). Kule nqubo, kanye namathambo alowo unyawo kancane siqondile.

Uma emva redressatsii akudingeki ukulungisa, bese ezimweni eziningi eyenziwa tenotomy - division surgically Achilles umsipha edinga ukunwebeka, njengoba ngaso sonke isikhathi incishisiwe ku kokukhubazeka. Ngaphansi izinzwa wendawo, sabelwe yonke le ndlela sawela nommese. Uthole amaphiko umnyuziki ukwandiswa unyawo. Khona-ke ukuphoqelela unyawo waphinda waphonsa for ezintathu kuya amane amasonto.

Ngemva ukulungisa isinyathelo kwenzeka tenotomy ukulungiswa imiphumela izicathulo ekhethekile zokwelapha (umkaki noma "Denisa Brauna isondo") ngokuhambisa phezu wesitimela sensimbi, okuyinto eqondiswa izitobhi esimweni predetermined Oqondisa uhlobo asalile esifundeni iqakala. Ngemva kwezinyanga ezintathu noma ezine egqoke umkaki zingancishiswa amahora ayishumi nanhlanu ngosuku, esikhathini esizayo bangase ingasetshenziswa kuphela ebusuku. Gqoka le umkaki kuze kube neminyaka emibili kuya kwemine ukuvimbela yokuphindela kokukhubazeka.

Minyaka yonke emhlabeni ozalwa kokukhubazeka engaba ngu-150 000 izingane. Ponseti ukwelashwa kokukhubazeka ku - a kobuhlungu futhi siphumelele cishe ngamaphesenti angu-100 kuzo zonke amacala kwezinso azalwa naso, ukonga on abizayo imishini imisebenzi.