Ponseti daaweynta clubfoot on

Si ay u sharxaan ah qaloocsan ku caan markii cagta la uurkooda ka dhidibka gaadhya ee uu lugta ka, ereyga "clubfoot" ah.

clubfoot Congenital loola jeedaa in curyaanimo addinka koox oo waa isku darka of deformations kala duwan ee cagta, sida caadiga ah supination weheliyay cagta oo la faydi aan caadi ahayn muruqa. Clubfoot laba stop dhacdaa oo ku saabsan boqolkiiba 50 xaaladood. Erayga caafimaad ee caadiga ah ama foomka "classic" ee clubfoot - Talipes ekvinoravus (Talipes equinovarus). Sida caadiga ah cudurada lagu dhasho waxay dhacdaa inta ugu badan ee wiilasha marka loo eego gabdhaha (2: 1 ratio). Sababaha cudurka aan si buuxda u fahamsan yahay.

Oo ay la socdaan iin dhasho, waxaa sidoo kale qaab, sidaa darteed loo yaqaan clubfoot ku neurogenic helay, sababay in ugu innervation xadgudub xaaladaha.

Cilad-cilladaha caadiga ah ee dhakhtarka cagta u damiyaan isla markiiba dhalashada ka dib. Clubfoot dhibin doonaa ilmaha, ilaa uu u barto inuu istaago oo soco. Si kastaba ha ahaatee, daaweynta clubfoot waxaa loo doortay sida ugu dhakhsaha badan ee suurtogalka ah dhalashada ka dib in ay ka faa'iidaystaan barti ee unugyada in ay u sameeyaan kaabsal wadajirka, seedaha iyo seedaha, iyo sii sequentially. Waxaa aad muhiim u tahay in la gaaro natiijada ugu wanaagsan, sida ma joojin daaweyn weli geesba, taas oo saameyn ku dhaqdhaqaaqa oo dhan lugaha, taasoo keentay in xanuun ku xiga arthritic.

Caruurta inta badan isku dayaan in ay ula dhaqmaan qaliin la'aan, hab muxaafid ah, oo loo yaqaan daaweynta Ponseti clubfoot (massage ku daweynta iyo ka eryaa Malaas).

clubfoot intooda badan waxaa lagu daawayn karaa in yaraantaadii in ku dhow lix ilaa siddeed toddobaad dhalashada ka dib. qalliinka lafaha hadlayaa waalidka kala duwan ee fursadaha daaweynta. soo jeedinta uu u saxo cuuryaannimo cagta waa in lagu saleeyaa faham cad oo ah functional anatomy cagta, falcelinta noolaha ee murqaha, seedaha, lafaha.

Ponseti daaweynta clubfoot on - farsamada gacanta ee ay Dr. Ignacio Ponseti ka badan 50 sano ka hor at the University of Iowa (USA), iyo mid aad u si fiican u xaqiijiyay. farsamada Ponseti la soo bandhigay ee UK ee 1990 iyo caan adeegga National Health jimicsiga dalka oo ay Steve Wilde. In 2000 ka, habka uu noqday si weyn loo isticmaalaa in lagu Dr. John Herzenbergu ee Maraykanka iyo Europe mahad, iyo in qalliin u UK National Health Service Steve Mannayonu mahad - in Africa.

Hadda on daaweynta Ponseti ee clubfoot waxaa loo arkaa ah "Heerka dahab ah" ee dalalka ugu horumarsan.

Daaweynta bilaabo toddobaadkii koowaad ama labaad ee nolosha ilmaha, iyadoo wajiga toosinta, marka khalkhalgelinta ee seedaha iyo seedaha cagaha ma keenaan xanuun. Ka dib markii hab kasta khuseysaa kabka si ay u ilaaliyaan heerka uu gaaray oo ah la saxo. Waxaa codsatay by faraha cagtaada gumaarka, toddobaadkii hal mar booska cusub ee shan ilaa toddoba toddobaad (ku xiran tahay heerka uu adkaanta clubfoot ah). Inta lagu jiro habkan, lafaha cagta waxaa si tartiib tartiib ah waafaqsan.

Haddii ka dib markii redressatsii ma u baahan tahay wax ka badan la saxo, ka dibna kiisaska intooda badan ka fuliyeen tenotomy - qeybinta qalitaan seedka, taas oo u baahan dheer, sida ay had iyo jeer keenin in clubfoot ah. Under suuxdinta maxalliga ah, waxaa la wadaago jidka guud ahaan neerif oo dhan by. La gaaray kordhin dhabbar ka buuxa cagta. Markaasuu ku soo rogi on cagta mar kale u yeelay saddex ilaa afar todobaad.

Ka dib markii si qamaar tallaabo dhacdaa natiijada saxo tenotomy la kabo gaar ah ku daweyn (faashad ama "Denisa Brauna taayirrada") saraysa on tareenka biraha, kaas oo fadhiya joogsato boos loo dejiyay by saxo dhaawac ah haraaga ah ee gobolka of canqowga ah. Ka dib markii saddex ama afar bilood xiran labo gool waxaa lagu yarayn karaa ilaa shan iyo toban saacadood maalintii, in mustaqbalka ay la isticmaali karaa oo keliya habeenkii. Gasho ilaa labo labo ilaa afar sano si looga hortago soo noq of clubfoot.

Sanad kasta dunida oo dhan ku dhashay clubfoot ku dhawaad 150 000 oo carruur ah. Ponseti daaweynta clubfoot on - xanuun iyo guul ku dhowaad 100 boqolkiiba dhammaan xaalado kasta oo aan caadi ahayn lagu dhasho, badbaadinta hawlgallada mishiino qaali ah.