Xa umntwana evela kwintsapho, abazali bayayikhathalela kakhulu impilo yakhe kwaye bajonge ngenyameko imeko yakhe. Ngokukhawuleza xa inkwenkwe iphendulela unyaka owodwa ubudala, bayabona ukuba isithupha isesandleni sayo sithobele ngaphakathi. Le yinto ebizwa ngokuba yi-Nott isifo, okanye njengoko kubizwa nangokuthi "umlenze wokunyuba".
Nangona umntwana esincinci, i-tendon yakhe ekhulayo idlula ukuphuhliswa kwe-ligament. Ngenxa yoko, i-tendon iyancipha kwinqanaba le-canal kwaye i-ligament iqala ukuyikhupha. Njengoko umntwana ekhula, loo ngxube iyancipha kwaye iphinde ikhuphe i-tendon. Xa uguqa ngomunwe, iqabane lakhe liqala ukucofa . Xa ithenda ayinayo indawo eyaneleyo yokunyakaza, umnwe unasoloko uhlala kwindawo egobileyo. Lesi sifo sikaNott (stenosing ligament) - ukuphulwa komlenze omeleleyo womnwe wokuqala.
Isiqhelo sesifo sikaTtott sichaphazela abantwana phakathi kweminyaka emithathu ukuya kwimithathu.
Isifo sikaNotott kubantwana: izizathu
Kukho iingongoma ezintathu zokujonga i-etiology yesifo:
- i-malformation yokuzalwa yesoxhobo yeligament;
- ubukho benkqubo yokuvuvukala kwindawo yesithintela, njengokuba ngenxa yeso sithintelo;
- ngenxa yempembelelo yomngcipheko, kukho ukuphulwa komsebenzi ngamnye wezitho kunye neenkqubo.
Isifo sikaNotott kubantwana: iimpawu
Esi sifo kumntwana kulula ukuyixilonga, kuba zonke iimpawu zayo, njengoko zithethayo, zicacile:
- Isalathiso sesandla sisesimweni esifanelekileyo (ingaphantsi kaninzi - kwi-unbent);
- xa uzama ukulungisa umnwe, umntwana usemvandeni kwaye uqala ukumemeza;
- Kwisiseko somnwe ungaziva ngayo itywina encinci.
Unyango lwezifo zeNott kwaBantwana
Ukunyangwa kwesi sifo kwenziwa ngeendlela ezilondolozayo:
- ukufudumeza;
- ukusilisa;
- iiparafini;
- electrophoresis;
- ii-hydrocortisone.
Ukuba umntwana ufunyaniswa "nesifo sika-Nott", ngoko kwiimeko ezinzima kakhulu usebenzo luboniswa ukuba luza kusombulula ngonaphakade ingxaki yomnwe wokubamba.
Ngaphambi kokuhlinzwa, ii-X-ray kufuneka zenziwe ukuze zingabandakanyi izifo zesistim.
Umsebenzi ngokwawo ulula kwaye awudingi ukulaliswa esibhedlele komntwana esibhedlele.
Umntwana unokuziva intlungu kwi-postoperative cicatrix ezimbini kwiinyanga emva kokusebenza, kodwa, ngokomthetho, ezi ziimeko ezizimeleyo. Kwaye emva kweenyanga ezintandathu emva kokusebenza, umntwana sele sele engakhumbuli ukuba umunwe wakhe awuzange uphazamise. Ukuba abazali bakrokrela umntwana wesifo sikaNott, ngoko unyango olwenziwe ngamanyathelo omntu alukwenziwanga. Kuphela unyango olulondolozayo okanye olusebenzayo luboniswayo.
Ekubonweni kokuqala, isifo esinjalo sinokubethusa abazali xa bebona ukuba umona wesana uhlala egobile. Nangona kunjalo, unyango oluqaliswe ngexesha lukhokelela ekubuyiseni ukubuyisela kwi-100% yamatyala.