Apo mwana anoonekwa mumhuri, vabereki vanoteerera zvikuru hutano hwake uye vanonyatsocherechedza mamiriro ake. Pakarepo kana mwana akatendeuka gore rimwe chete, vanogona kuona kuti chigunwe paruoko rwake chinopinda mukati. Ichi ndicho chinonzi chirwere cheNott, kana kuti chinonziwo - "kubvisa muto".
Kunyange mwana achiri muduku, tendon yake inokura inodarika kukura kweiyo ligament. Somugumisiro, tambo inowedzera kuderera mumugwagwa uye gorosi inotanga kuikwevera. Sezvo mwana achikura, bhomba rakadaro rinongowedzera uye rinowedzerazve tete. Paanenge achigunzva munwe, mhemberero yake inotanga kuvhara . Apo tendon haina nzvimbo yakakwana yokufamba, munwe nguva dzose inoramba yakamira. Ichi ndicho chirwere cheNott (stenosing ligament) - kutyora kwekugadzirwa kwemutiro wakagadzirwa neminwe yemunwe wokutanga.
Kazhinji kacho chirwere che Knott chinokanganisa vana pakati pemakore emakore kusvika matatu.
Chirwere cha Knott muvana: zvinokonzera
Pane hutatu hunoona maonero etiology yechirwere ichi:
- congenital malformation ye the ligament apparatus;
- kuvapo kwekuvhiringidza kunzvimbo munharaunda ye tendon sheath, semugumisiro wekuti tendons thicken;
- semugumisiro wemagadzirirwo emagetsi, kune kukanganisa kwebasa rimwe nerimwe rezvikamu nenheyo.
Chirwere cha Knott muvana: zviratidzo
Ichi chirwere mumwana chiri nyore kuziva, nokuti zviratidzo zvese, sezvavanotaura, zviri pachena:
- Chigunwe chakanga chiri paruoko chiri munzvimbo yakamira (kashoma kazhinji - mu-unbent);
- apo achiedza kururamisa mumwe, mwana mudiki ari mukutambudzika kukuru uye anotanga kuchema;
- Pasi pemunwe iwe unogona kunzwa nechisimbiso chiduku.
Kurapwa kwezvirwere zveNott muvana
Kurapa kwechirwere kunoitwa nemaitiro anochengetedza:
- heat;
- massage;
- kushandiswa neparafini;
- electrophoresis;
- hydrocortisone injections.
Kana mwana wacho akaonekwa kuti ane "chirwere cheNott", saka mumatambudziko akaoma kushanda kunoratidzwa kuti ichagadzirisa zvachose dambudziko rekunyorova.
Musati mavhiyiwa, X-rays inofanira kuitwa kuti isabvisa zvirwere zvepafu system.
Basa racho pacharo rakanyanyisa uye harifaniri kuti chipatara chive muchipatara.
Mwana anogona kunzwa kurwadziwa mumakumbo maviri apera mushure mekushanda, asi, sekutonga, izvi ndezviitiko zvakasara. Uye mwedzi mitanhatu chete mushure mokuvhiyiwa, mwana wacho haatomboyeuki kuti munwe wake hauna kukanganisa. Kana vabereki vachifungidzira kuti mwana weAtt's disease, ipapo kurapwa nemishonga yevanhu hakuiti. Kurapa chete kwokuchengetedza kana kushanda kunoratidzwa.
Pakutanga, chirwere chakadaro chinogona kuvhundutsa vabereki pavanoona kuti munwe wemwana unogara uchigadzika. Zvisinei, kurapwa kwakatanga munguva kunotungamirira kukwana kugadzirisa mu 100% yematambudziko.