Iingxelo zeCase

Malunga neminyaka eyi-6 edlulileyo, abazali besigulane baqaphela ukulibaziseka kophuhliso xa kuthelekiswa noontanga beminyaka efanayo. Emva koko, baye bafuna unyango kwisibhedlele sasekuhlaleni, apho kwafunyaniswa ukuba unengxaki yobuchopho kwaye wafumana unyango lokubuyisela kwimeko yesiqhelo.

Umntwana wafunyanwa engakwazi ukuzimela ngokuzimeleyo kwiinyanga ze-10 kwaye emva koko wafuna unyango kwiSibhedlele se-Jining Annex, apho ukuxilongwa kubonise ukulibaziseka ukukhula kunye nophuhliso. Nangona kunjalo, umntwana akazange afumane unyango oluthile kwaye wafumana unyango oluqhubekayo lokubuyisela kwisimo sangaphambili kwiziko lendawo yokubuyisela.

Ngenxa yokulimala kwengqondo ye-perinatal hypoxic-ischemic kunye nobunzima bokuzalwa obuphantsi, isigulane siye safumana ukukhula okulibazisekayo kunye nophuhliso, okukhokelela kukuphazamiseka kwemoto. Imeko yangoku ibandakanya ubunzima bokuhlala ngokuzimeleyo, ukuxhomekeka kwi-passive positioning, kunye nemingeni ekumeni wedwa. Ukuhamba kufezekiswa nge-gait enqamlezileyo, kwaye kukho ukwanda okukhulu kwithoni ye-muscle kunye nokuqina kwamalungu kuzo zombini izitho eziphantsi.

Malunga neminyaka eyi-8 edlulileyo, isigulane satyelela esibhedlele ngenxa yokungakwazi ukuhamba kwaye safumanisa ukuba sine-cerebral palsy, ebonisa ukuhamba okungaqhelekanga kokuhamba. Isigulana sasifune unyango kwizibhedlele ezininzi kwaye safumana uqeqesho lokubuyisela kwimeko yesiqhelo kwisibhedlele sendawo ngaphezu konyaka. Okwangoku, isigulane sisabonisa ukuhamba okungaqhelekanga kokuhamba kunye nonyawo lwesobunxele-ukuhamba kunye nokuqina kwisigxina esisezantsi esisekhohlo.

Isigulane safumana iingxaki ngexesha lokuzalwa, kubandakanywa intambo ye-umbilical entanyeni kunye ne-amniotic fluid e-murky, efuna ukuvuselela kwiyunithi yokunyamekela kakhulu. Ulibaziseko lokukhula luqhubekile xa kuthelekiswa nabantwana abaqhelekileyo. Ukuza kuthi ga ngoku, isigulane asikwazi ukuhlala, ukuhamba, okanye ukuzimela.

Umntwana, ngenxa yokuzalwa kwangaphambi kwexesha kunye nokusilela kweoksijini okwalandelayo, wayefuna ukuvuselelwa kwaye wafakwa kwindawo yokunyamekela kakhulu ekuzalweni. Oku kwakhokelela ekulibazisekeni ukuhamba, kunye nomntwana emi malunga ne-2 yeminyaka ubudala kwaye ehamba nge-2 kunye nesiqingatha. Okwangoku, zombini izithende azikwazi ukuchukumisa umhlaba, kwaye ukuhamba kubonakaliswa yi-scissor gait. Inkqubo yotyando yokulungisa yenziwa ngo-2018, kodwa iziphumo azizange zanelise.

Umntwana akakwazi ukuhlala ngokuzimeleyo. Emva kokungeniswa, isigulane sibonisa ubuthathaka entanyeni, kwaye xa sincediswa ukuma, i-posture ibonakala ingaqhelekanga. Amalungu angasentla asolulelwe ngasemva ngokuphawulekayo, izandla zibonisa imilo ethi "uzipho" kunye nokujikeleza kwangaphandle, amalungu angaphantsi aqinile, amadolo e-hyperextended, iinzwane ezichukumisa umhlaba, kwaye icala lasekunene lomzimba lichaphazeleka ngakumbi.

Umntwana wafumana i-hypoxia kunye ne-ischemia ekuzalweni. Ngeminyaka eyi-1, kwaphawulwa ukuba umntwana akakwazi ukuhlala okanye ukuhamba ngokuzimeleyo. Emva kokufuna unyango, kwafunyaniswa ukuba i-cerebral palsy, yaye akukho nyango lukhethekileyo lusetyenziswayo. Umntwana ubuyela kwimo yakhe emva kokuba ebuyele ekhaya.

Malunga neminyaka eyi-6 edlulileyo, isigulane sangeniswa kwiSibhedlele saBantwana saseTaian ngenxa yomkhuhlane ophezulu ngokukhawuleza, kunye nobushushu obufikelela kwi-40 ° C kwincopho yayo. Emva kokudamba kwefiva, isigulana sasisoloko sibona iimpawu ezifana nokuphambana kwamehlo, ukukhupha amagwebu emlonyeni, ukuxhuzula kwezihlunu, nokuphelelwa ngamathumbu nesinyi, nto leyo ekhokelela ekubeni kufunyaniswe ukuba unesifo sokuxhuzula.

Isigulane sifumana ubunzima ekuhambeni ngokuzimeleyo ngenxa yokulibaziseka kolwimi kunye nokuphuhliswa kwengqondo. Ngoku, ukukhula kwengqondo nolwimi lwesigulana kusemva koontanga. Intetho yentetho ayicacanga kakhulu kwaye ngokutyibilikayo, kwaye ukuma okuzimeleyo kubonakala kungazinzanga.