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

I-Cerebral Palsy Ezinganeni

I-Cerebral palsy ezinganeni, eyaziwa nangokuthi i-infantile cerebral palsy noma i-CP, ibhekisela ku-syndrome ebonakala ngokuyinhloko ukukhubazeka kokusebenza kwemisipha ekumeni nasekunyakazeni, okubangelwa ukulimala kobuchopho okungaqhubeki okwenzeka phakathi nenyanga eyodwa ngemva kokuzalwa lapho ingqondo ingakafiki ngokugcwele. ithuthukisiwe. Kuyisifo esivamile sesimiso sezinzwa ebuntwaneni, esinezilonda ezitholakala ngokuyinhloko ebuchosheni futhi ezithinta izitho zomzimba. Ngokuvamile kuhambisana nokukhubazeka kwengqondo, isithuthwane, ukungahambi kahle kokuziphatha, ukuphazamiseka kwengqondo, kanye nezimpawu ezihlobene nokubona, ukuzwa, nokukhubazeka kolimi.

Izinto Eziyinhloko Eziholela Ku-Cerebral Palsy

Izimbangela eziyinhloko eziyisithupha ze-cerebral palsy: i-hypoxia ne-asphyxia, ukulimala kobuchopho, ukuphazamiseka kokukhula, izici zofuzo, izici zomama, izinguquko zokukhulelwa.

Ukungenelela

Uphawu oluyinhloko lweziguli ezikhubazeke ebuchosheni ukuhamba okulinganiselwe. Okukhathaza kakhulu abazali bezingane ezithintekile ukuthi bangasiza kanjani ekuhlumelelweni kwabo ngokomzimba, okubenza bakwazi ukubuyela esikoleni futhi baphinde bahlanganyele emphakathini ngokushesha ngangokunokwenzeka. Ngakho-ke, singawathuthukisa kanjani amakhono ezimoto zezingane ezine-cerebral palsy?

Ukuqeqeshwa Kokuvuselela

Ukwelashwa kokuvuselelwa kwe-cerebral palsy kuyinqubo yesikhathi eside. Ngokuvamile, izingane kufanele ziqale ukwelashwa kokubuyisela esimweni lapho zisenezinyanga ezi-3 ubudala, futhi ukuqhubeka njalo isikhathi esingangonyaka ngokuvamile kuveza imiphumela ebonakalayo. Uma ingane ithola ukwelashwa kokuhlunyeleliswa unyaka wonke futhi izwa ukukhululeka ekuqineni kwemisipha, ngokuma kokuhamba kanye namakhono okunyakaza okuzimele afana nalawo kontanga yabo, kubonisa ukuthi ukwelapha ukubuyisela kuye kwaba ngempumelelo ngokuqhathaniswa.

Ukwelapha i-cerebral palsy kudinga izindlela ezahlukahlukene. Ngokuvamile, izingane ezingaphansi kweminyaka emi-2 zelashwa kuphela ngokuhlunyeleliswa. Uma ngemva konyaka imiphumela iba yisilinganiso noma izimpawu ziba zimbi kakhulu, njengokukhubazeka kwezitho, ithoni yemisipha ekhulayo, ukugogeka kwemisipha, noma ukungasebenzi kahle kwezimoto, ukucatshangelwa kokuhlinzwa kusenesikhathi kuyadingeka.

Ukwelashwa Kokuhlinzwa

I-stereotactic neurosurgery ingabhekana nezinkinga zokukhubazeka kwemilenze engakwazi ukuthuthukiswa kuphela ngokuqeqeshwa kokubuyisela esimweni. Izingane eziningi ezine-spastic cerebral palsy zivame ukuba nezikhathi ezinde zokungezwani kwemisipha, okuholela ekufinyezweni kwe-tendon kanye nokukhubazeka kokuvumelana ngokuhlanganyela. Bangase bahambe njalo ngamathiphu, futhi ezimweni ezimbi kakhulu, babe nokukhubazeka kwemilenze engezansi noma i-hemiplegia. Ezimweni ezinjalo, ukugxila kokwelashwa kufanele kubandakanye indlela ebanzi ehlanganisa i-stereotactic neurosurgery kanye nokubuyisela esimweni. Ukwelashwa ngokuhlinzwa akugcini nje ngokuthuthukisa izimpawu zokukhubazeka kwezimoto kodwa futhi kwakha isisekelo esiqinile sokuqeqeshwa kokubuyisela esimweni esivamile. Ukuvuselelwa kwangemva kokuhlinzwa kuhlanganisa futhi imiphumela yokuhlinzwa, kukhuthaze ukubuyiswa kwemisebenzi ehlukahlukene yezimoto, futhi ekugcineni kufinyelele umgomo wesikhathi eside wokuthuthukisa izinga lokuphila.

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Ngaphambi kokuhlinzwa

Ithoni yemisipha ephakeme kuzo zombili izitho ezingezansi, ayikwazi ukuma ngokuzimela, ayikwazi ukuhamba ngokuzimela, amandla aphansi aphansi abuthakathaka, ukuma okungazinzile kokuhlala, ukuhamba ngesikwele ngosizo, ukugoba kwamadolo, ukuhamba kwe-tiptoe.

Ngemuva kokuhlinzwa

Ithoni yemisipha yemilenze ephansi yehla, yandisa amandla aphansi emuva uma kuqhathaniswa nangaphambili, ukuzinza okuthuthukisiwe ngenkathi uhlezi ngokuzimela, ukuthuthukiswa okuthile ekuhambeni kwe-tiptoe.

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Ngaphambi kokuhlinzwa

Ingane inokukhubazeka kwengqondo, iqolo eliphansi elibuthakathaka, ayikwazi ukuma noma ukuhamba ngokuzimela, ithoni yemisipha ephakeme emilenzeni engezansi, kanye nemisipha eqinile ye-adductor, okuholela ekunyakazeni okuyisikelo lapho isizwa ukuhamba.

Ngemuva kokuhlinzwa

Ubuhlakani buye bathuthuka uma kuqhathaniswa nangaphambili, ithoni yemisipha yehlile, futhi amandla aphansi akhuphuka, manje angakwazi ukuma ngokuzimela imizuzu emihlanu kuya kweyisithupha.

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Ngaphambi kokuhlinzwa

Isiguli asikwazi ukuzihambela ngokuzimela, sihamba ngama-tiptoes ngezinyawo zombili, sikwazi ukubamba izinto ezilula ngezandla zombili, futhi sinamandla aphansi emisipha.

Ngemuva kokuhlinzwa

Amandla okubamba izandla zombili anamandla kunakuqala. Isiguli manje sesingakwazi ukuphenduka ngokuzimela futhi sibeke izinyawo zombili zibheke phansi, sihlale sodwa, futhi sime ngokuzimela.

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Ngaphambi kokuhlinzwa

Amandla aphansi aphansi, imisipha ephezulu kuzo zombili izitho ezingezansi, futhi lapho isizwa ukuma, izitho zangaphansi ziyaphambana futhi izinyawo ziyaphambana.

Ngemuva kokuhlinzwa

Amandla aphansi emuva athuthuke kancane, ithoni yemisipha emilenzeni engezansi iye yehla ngandlela-thile, futhi kukhona ukuthuthuka kokuhamba kwe-tiptoe.