Ivangeli yezigulana ze-cerebral palsy: i-robotic stereotactic neurosurgery

I-Cerebral Palsy kubantwana

I-Cerebral palsy ebantwaneni, eyaziwa ngokuba yi-infantile cerebral palsy okanye ngokulula i-CP, ibhekisa kwi-syndrome ebonakaliswa ikakhulu kukungasebenzi kakuhle kwemoto kwindlela yokuma kunye nokushukuma, okubangelwa kukwenzakala kwengqondo okungaqhubekiyo okwenzeka kwinyanga enye emva kokuzalwa xa ingqondo ingekabikho ngokupheleleyo. iphuhlisiwe. Luphazamiso oluxhaphakileyo lwenkqubo yemithambo-luvo ebuntwaneni, enezilonda ezibekwe ikakhulu kwingqondo kwaye zichaphazela amalungu. Idla ngokukhatshwa kukukhubazeka kwengqondo, ukuxhuzula, ukungahambi kakuhle kwendlela yokuziphatha, ukuphazamiseka kwengqondo, kunye neempawu ezinxulumene nokubona, ukungeva nokuphazamiseka kolwimi.

Ezona zinto ziKhokelele kwiCerebral Palsy

Oonobangela abathandathu abakhulu be-cerebral palsy: i-hypoxia kunye ne-asphyxia, ukwenzakala kwengqondo, ukuphazamiseka kokukhula, imiba yemfuza, izinto zomama, utshintsho lokukhulelwa.

Ungenelelo

Uninzi lwezigulane ezine-cerebral palsy iimpawu ezingundoqo kukuhamba okulinganiselweyo. Inkxalabo enzima kakhulu kubazali babantwana abachaphazelekayo yindlela yokuncedisa ekubuyiselweni kwabo ngokomzimba, okubenza bakwazi ukubuyela esikolweni baze baphinde badibanise kuluntu ngokukhawuleza. Ke, sinokuphucula njani izakhono zemoto zabantwana abane-cerebral palsy?

Uqeqesho lokubuyisela kwisimo sangaphambili

Unyango lokubuyisela kwisimo sesiqhelo se-cerebral palsy yinkqubo yexesha elide. Ngokuqhelekileyo, abantwana kufuneka baqale unyango lokubuyisela kwisimo sangaphambili malunga neenyanga ezi-3 ubudala, kwaye ngokuqhubekayo ngokuqhubekayo malunga nonyaka ngokuqhelekileyo kuvelisa iziphumo ezibonakalayo. Ukuba umntwana ufumana unyango lokuvuselela unyaka kwaye ufumana ukukhululeka kokuqina kwemisipha, kunye nokuhamba kwe-posture kunye nezakhono zokuhamba ezizimeleyo ezifana nezoontanga zabo, kubonisa ukuba unyango lokubuyisela luye lwasebenza ngokufanelekileyo.

Ukunyanga i-cerebral palsy kufuna iindlela ezahlukeneyo. Ngokuqhelekileyo, abantwana abangaphantsi kweminyaka emi-2 bafumana unyango lokubuyisela kuphela. Ukuba emva konyaka iziphumo ziyi-avareji okanye iimpawu ziba nzima ngakumbi, ezifana nokukhubazeka kwemilenze, ukunyuka kwe-muscle tone, i-muscle spasms, okanye ukungasebenzi kwemoto, ukuqwalaselwa kwangaphambili kokuhlinzwa kuyimfuneko.

Unyango lotyando

I-stereotactic neurosurgery inokujongana nemiba yokukhubazeka kwemilenze engenakuphuculwa kuphela ngoqeqesho lokubuyisela kwisimo sangaphambili. Abantwana abaninzi abane-spastic cerebral palsy bahlala befumana ixesha elide lokuxinezeleka kwemisipha, okukhokelela ekunciphiseni kwethenda kunye nokukhubazeka kwekontraka edibeneyo. Bahlala behamba ngeetiptoe, kwaye kwiimeko ezinzima, bafumana ukukhubazeka kwamalungu amabini angaphantsi okanye i-hemiplegia. Kwiimeko ezinjalo, ugxininiso lonyango kufuneka lubandakanye indlela ebanzi yokudibanisa i-stereotactic neurosurgery kunye nokubuyisela kwisimo sangaphambili. Unyango lotyando aluphuculi nje kuphela iimpawu zokuphazamiseka kwemoto kodwa lukwabeka isiseko esiluqilima soqeqesho lokubuyisela kwisimo sangaphambili. Ukuvuselelwa kwe-post-operative idibanisa ngakumbi imiphumo yotyando, ikhuthaza ukubuyiswa kwemisebenzi eyahlukeneyo yeemoto, kwaye ekugqibeleni ifezekise injongo yexesha elide lokuphucula umgangatho wobomi.

Ityala loku-1

Utyando lwangaphambili

Ithoni ye-muscle ephezulu kumalungu omabini angaphantsi, ayikwazi ukuzimela ngokuzimeleyo, ayikwazi ukuhamba ngokuzimeleyo, amandla angaphantsi abuthathaka, i-posture engazinzile, i-scissoring gait ngoncedo, ukuguqa kwamadolo, ukuhamba nge-tiptoe.

Emva koqhaqho

Ithoni ye-muscle ye-Lower iyancipha, yanda amandla angaphantsi komva xa kuthelekiswa nangaphambili, ukuphucula ukuzinza ngelixa uhleli ngokuzimeleyo, uphuculo oluthile lokuhamba kwe-tiptoe.

Ityala lesi-2

Utyando lwangaphambili

Umntwana unokukhubazeka kwengqondo, ubuthathaka osezantsi, akakwazi ukuma okanye ukuhamba ngokuzimeleyo, ithoni ye-muscle ephezulu kumalungu angaphantsi, kunye nezihlunu eziqinileyo ze-adductor, okubangelwa i-scissoring gait xa uncediswa ukuhamba.

Emva koqhaqho

Ubukrelekrele buye baphucuka xa kuthelekiswa nangaphambili, ithoni ye-muscle iyancipha, kwaye amandla angaphantsi anyukile, ngoku akwazi ukuzimela ngokuzimeleyo imizuzu emihlanu ukuya kwemithandathu.

Ityala lesi-3

Utyando lwangaphambili

Isigulana asikwazi ukuhamba ngokuzimeleyo, sihamba nge-tiptoes ngeenyawo zombini, siyakwazi ukubamba izinto ezilula ngezandla zombini, kwaye sinamandla aphantsi kwemisipha.

Emva koqhaqho

Ukomelela kwezandla zozibini kunamandla kunangaphambili. Isigulana ngoku sinokujika ngokuzimeleyo kwaye sibeke iinyawo zombini zicaba, sihlale sodwa, kwaye sime ngokuzimeleyo.

Ityala lesi-4

Utyando lwangaphambili

Amandla asezantsi omqolo, ithoni yemisipha ephezulu kumalungu omabini angezantsi, kwaye xa uncediswa ukuma, amalungu angezantsi awela kwaye iinyawo ziwelana.

Emva koqhaqho

Amandla asezantsi omva aphuculwe kancinci, ithoni yemisipha kumalungu asezantsi anciphile ngandlel’ ithile, kwaye kukho ukuphucuka kwindlela yokuhamba kwetiptoe.