Kurapa kwechikwata chechikwata muPonseti

Kuti urondedzere ruzivo rwechimiro chetsoka, apo rutsoka runotenderera mukati kubva kumativi ekureba kwenguva refu, izwi rokuti "gumbo rechikwata" rinoshandiswa.

Congenital clubfoot inoreva boka rezvikwata zvinokurudzira uye inosanganiswa nemakumbo akasiyana-siyana, kazhinji anowirirana netsoka kukusimudza uye kusagadzikana kwemajaya emakumbo ezasi. Iyo clubfoot yemagetsi maviri inoitika inenge 50 muzana yematambudziko. Izwi rezvokurapa rejeri kana "classical" clubfoot fomu ndiTalipes equinovarus. Sezvo mutemo, kuberekwa kwepabonde kunowanikwa kune vakomana kakawanda kupfuura kuvasikana (chiyero 2: 1). Zvinokonzera chirwere hazvinyatsonzwisisike.

Pamwe chete nekuremara kwekuzvarwa, kunewo fomu yakawanikwa, iyo inonzi neurogenic clubfoot, yakakonzerwa mumatambudziko mazhinji nekuputsa kusachengetwa.

Chiremba anoisa kuongororwa kwechimiro chetsika dzisina kukwana mushure mokuberekwa kwomwana. Iyo clubfoot haizovhiringidzi mwana kusvikira adzidza kumira nekufamba. Zvisinei, chirwere chechikwata chinokonzerwa nokukurumidza kana zvichibvira mushure mokuberekwa, kuitira kuti tibatsire kuwedzera kwezvimedu zvinoumba zvikwama zvekushandisa, ligaments uye tendons, uye zvinoramba zvichienderera mberi. Izvi zvakakosha zvikuru kuitira kuti zvive nemigumisiro yakanakisisa, sezvo rutsoka rusingateereri rucharamba rwakavhiringidzika, runoita kukwira kwose kwegumbo, rinotungamirira shure kwekutambudzika kweArthritic.

Vana, semitemo, edza kurapa pasina kuvhiyiwa, nzira yakachengetedza inozivikanwa sekurapwa kweklubfoot muPonseti (kurapa masheji uye mabheji).

Mazhinji clubfoot anogona kuporesa mucheche anenge masvondo matanhatu kusvika masere mushure mokuberekwa. Chiremba wechiremba anoongorora maitiro anosarudza nzira dzakasiyana-siyana dzokurapwa nevabereki. Zvirongwa zvake zvekugadzirisa kushandiswa kwetsoka kunofanira kubva pakunzwisisa zvakajeka kwehutachiona hwehutsika hwetsoka, maitiro ezvinyorwa zvemisumbu, ligaments, mapfupa.

Ponseti clubfoot mushonga inzira inodzorwa yakagadzirwa naDkt. Ignacio Ponseti makore anodarika makumi mashanu adarika paYunivhesiti yeAhio (USA) uye zvakanyatsoratidzwa. Nzira yePonseti yakatangwa mu UK muna 1990 uye yakapararira munyika yose ne physiotherapist we National Health Service Steve Wild. Muma2000, nzira yacho yakashandiswa zvikuru nokuda kwaDkt. John Herzenberg muU.S. uye kuEurope, uye kuvonga chiremba wevhiya weNational Health Service yeUnited States, Steve Mannayon, muAfrica.

Iye zvino kurapwa kweklubfoot muPonseti kunofungidzirwa kuti ndiyo "yegoridhe yepamusoro" munyika dzakawanda dzakabudirira.

Utachiona hunotanga muvhiki yechipiri-yechipiri yehupenyu hwomwana, nechinangwa chekugadzirisa, apo kushandiswa kwematokoni nemakumbo emakumbo hazvisi kukonzera marwadzo. Mushure mekuita imwe neimwe nzira, bhenji bhenji inoshandiswa kuchengetedza chiyero chekugadziriswa kunowanikwa. Inogadziriswa kubva kumakumbo echigunun'una kusvika kumunda, kamwechete pavhiki mune imwe nzvimbo mutsva kwevhiki shanu kusvika kuchinomwe (zvichienderana nekuoma kwe clubfoot). Panguva iyi, mapfupa etsoka zvishoma nezvishoma anowirirana.

Kana pasina kururamisa kunodiwa mushure mokurapa, kazhinji kacho tenotomy inoshandiswa - kupatsanurwa nenzira yekushanda yemhando yekanyoro, iyo inoda kuburitsa, sezvo clubfoot iri nguva shoma. Pasi peanesthesia yemunharaunda, inoparadzaniswa zvakakwana kune scalpel. Kunyatsorongedza kukwira kwetsoka kunowanikwa. Uyezve, zvakare, isa bhanhire pamakumbo kwemavhiki matatu kana mana.

Mushure mokunge gumiotomy, danho rekugadziriswa kwekugadzirisa zvinowanikwa nekubatsirwa kwezvimwe zvipfeko zvekurapa (mabhesi kana kuti "Matairi aDenis Brown") pamutanda unofambisa simbi unogadzirisa tsoka mune imwe nzvimbo, kururamisa kushanduka kwemafuro mumakumbo. Pashure pemwedzi mitatu kana mina, kupfeka mabhesi kunogona kuderedzwa kusvika maawa gumi neshanu pazuva, gare gare inogona kushandiswa chete panguva yehope dzousiku. Kupfeka mabhesi kusvika kumakore maviri kusvika mana kuitira kuti usapinda zvakare kweklubfoot.

Vanenge vanenge 150 000 vana vanoberekerwa munyika gore negore ne clubfoot. Kurapa kweklubfoot muPonseti hakunzwisisiki, kubudirira munenge 100 muzana yezvose zvinokonzerwa nehutano hwepabonde, kuchengetedza pamabasa ekudhura muitiro.