Izimpawu, izinhlobo kanye nezimbangela ze-torticollis ezinganeni
Odokotela bahlukanisa ukukhubazeka kokubeletha futhi bathola. Ku-anamnesis omama, okutholakala ukuthi izingane ziphethe lesi sifo, kuphawuliwe lokhu okulandelayo:
- i-toxicosis eqinile, ukuntuleka kwamanzi, isongo sokukhulelwa kwesisu;
- ukukhulelwa okuningi;
- isikhundla esingalungile se-fetus;
- ukubeletha okunzima, ukuhlukunyezwa kokubeletha.
Kunezinhlobo eziningana ze-pathology.
- I-torticollis yama-congenital muscular kubantwana ihlotshaniswa nesici ekuthuthukiseni imisipha ye-nodal noma ye-trapezius. Kwezinye izimo lokhu kuqiniswa ukuhlukunyezwa kokuzalwa okubangelwa ukuzalwa. Noma kunjalo, i-torticollis yemisipha ingabonakala kunanoma yisiphi ubudala. Ngokuvamile kuhambisana nezinye izifo ezimbi.
- Ifomu le-neurogenic iqala ngenxa ye-intrauterine hypoxia nokutheleleka. Kungaphinda kuvele ngenxa yokukhubazeka kwengqondo, izifo ezidlulisiwe, isibonelo, i-encephalitis, i-poliomyelitis.
- I-bone ne-articular torticollis ezinsaneni zivela ngenxa yokuthuthuka okungekho emthonjeni wesibeletho. Ukukhubazeka okunjalo kungabonakala njengesifo sofuba, i-osteomyelitis, izicubu.
- Ifomu le-dermo-desmogenous liyakwazi ukuthuthukisa ngenxa yezibazi ezijulile zesikhumba, ukushisa, ukuvuvukala kwama-lymph nodes.
- I-torticollis yesibili , ebizwa nangokuthi inxephezelo, ingabangela ukuhlolwa kweso noma indlebe. Kungathuthuka ngisho nasezintwaneni ezinempilo ezinokunakekelwa okungafanele, isibonelo, uma umntwana elele ukulala njalo ngakolunye uhlangothi.
Indlela yokunquma i-torticle emntwaneni iyakwazi udokotela wezingane. Ngokuvamile, ifomu le-muscular lesi sifo litholakala. Uma uhlolwa, udokotela angase anake izimpawu ezilandelayo:
- umntwana ubopha ikhanda lakhe ehlombe, kuyilapho isikhukhula sibheka ngapha nangapha;
- uma ezama ukuguqula ikhanda lomntwana endaweni efanele, umntwana uyakhalaza futhi ubonise ukukhathazeka;
- kune-asymmetry ebusweni;
- i-foreleg iphakanyiswe kancane;
- wanciphisa igebe leso;
- uma i-crumb iphonsa ikhanda noma impela iphinde icindezele kakhulu esifubeni, udokotela angase asolise i-torticollis enezinhlangothi ezimbili.