I-Plagiocephaly iwukukhubazeka kogebhezi lwekhanda losana olulwenza lube nokwakheka okungafani, okuvame ukubizwa ngokuthi “isifo sekhanda eliyisicaba”. Ezimweni eziningi kakhulu, ukujwayela okubi okuxazululwa ngaphambi kweminyaka emibili futhi kubangelwa ukulala ngomhlane wengane. Kodwa, okungavamile kakhulu, le-asymmetry iwumphumela wokushisela ngaphambi kwesikhathi kwe-cranial sutures eyodwa noma ngaphezulu, i-craniosynostosis, engadinga ukuhlinzwa kokuhlinzwa.

I-plagiocephaly ebizwa ngokuthi i-positional plagiocephaly ibonakala ngokuguqa kwe-occiput (ingemuva le-skull) ohlangothini oluhambisana nokuma kwekhanda ngesikhathi sokulala, ngakho-ke ukubonakaliswa kwe-flathead syndrome. Ikhanda losana libe selithatha isimo sepharalelogram. Ucwaningo olunemiphumela edluliswa yiCanada Pediatric Society lukhombisa ukuthi izingane ezingama-19,7% zinezifo ezinesifo ezinesifo sezinyanga ezine, bese kuba ngu-3,3% kuphela ezinyangeni ezingama-24. (1) Lapho kuhileleka i-craniosynostosis, ukukhubazeka kogebhezi kuyahlukahluka kuye ngohlobo lwe-craniosynostosis kanye nemisipha ethinta yona.

Imbangela ejwayelekile kunazo zonke ye-pioiocephaly yi-positional pioiocephaly. Imvamisa yokwenzeka kwayo iqhume e-United States nase-Europe kusukela ngama-90s, kangangoba abezindaba, njengodokotela, bakhuluma "ngesifo sezigebhezi ezicabalele". Kuyacaca manje ukuthi umsuka walolu bhubhane umkhankaso ” Buyela emuva Ukulala Yethulwe ekuqaleni kweminyaka yama-90 yi-American Academy of Pediatrics ukulwa nesifo sokufa kwezinsana ngokuzumayo, eseluleka abazali ukuthi babeke izingane zabo emhlane wazo kuphela ngonyaka wokuqala wokuphila. Kubalulekile ukugcizelela ukuthi lesi sifo esiwumqedazwe asibizi nganoma iyiphi indlela umbuzo "ukulala ngemuva" okwenza kube nokwenzeka ukunciphisa ingozi yokufa okungazelelwe.

I-Craniosynostosis iyimbangela eyivelakancane kakhulu ye-asymmetry ye-cranial kune-positional pioiocephaly. Kubanga ukuzishisela ngaphambi kwesikhathi kwamathambo ogebhezi lwengane, okungaphazamisa ukukhula okufanele kobuchopho bakhe. Lokhu kushiyeka kokuzalwa kwe-ossification kuwukudida okulula okuhlukanisiwe kuzimo eziningi kakhulu, kodwa i-craniosynostosis ingahlotshaniswa nesifo se-cranial, esibangelwa ukuphazamiseka kofuzo (ukuguqulwa kofuzo lwe-FGFR), njenge-Crouzon kanye ne-Apert.

Ngaphezu kokulala ngomhlane (supine) ukuze ulale futhi ulale nekhanda lakho ohlangothini olufanayo, ezinye izici eziyingozi ze-plagiocephaly zibonakala ngokucacile. Abafana bathinteka kakhulu kunamantombazane, cishe u-3/4 wezinsana ezinesimo se-pioiocephaly ngabafana. (2) Lokhu kuchazwa ngomsebenzi wabo ophansi ezinyangeni zokuqala zokuphila, ngezikhathi zokuvuka esiswini ezingavamile ngokwanele (ngaphansi kwezikhathi ezintathu ngosuku). Abaphenyi baphinde babona njengengcuphe indawo yendawo endala emndenini, intamo eqinile evimbela ukujikeleza kwentamo, kanye nokuncelisa ibhodlela okukhethekile.

Ingozi yokuthuthukisa ukukhubazeka kwe-cranial ingancishiswa ngokukhulisa izikhundla zosana kanye nokuma kwekhanda lakhe. Ngesikhathi sezigaba zokulala, ngenkathi ilele ku-doc (supine), lapho ingane ikhombisa ukuthanda okusobala ohlangothini olufanayo, inqubo yokuyikhuthaza ukuthi ivule ikhanda ukuguqula ukuma kwengane embhedeni ngokushintshana usuku ngalunye, ikhanda noma unyawo lombhede. Masikhumbule futhi ukuthi i-dorsal decubitus yenza kube nokwenzeka ukunciphisa ubungozi bokufa okungazelelwe futhi akufanele kubatshazwe ngenxa yothando olubi oluvame ukuxazulula kusukela eminyakeni emibili!

Phakathi nezigaba zakhe zokuvuka, umntwana kufanele abekwe ezindaweni ezihlukahlukene futhi abekwe esiswini sakhe (esimeni esivamile) cishe ingxenye yesine yehora izikhathi eziningana ngosuku. Lesi sikhundla sisiza ekuthuthukiseni imisipha yomlomo wesibeletho.

Ukwelashwa nge-Physiotherapy kufaka phakathi ukuzivocavoca okuthuthukayo kungasekela lezi zinyathelo. Kunconywa ikakhulukazi lapho intamo elukhuni ivimbela usana ekuphendukiseni ikhanda lalo.

Ezimweni lapho i-asymmetry yekhanda inzima, kusetshenziswa ukwelashwa kwe-orthosis, okuhlanganisa ukugqoka isigqoko sesikhunta sosana, kuze kufike ezinyangeni eziyisishiyagalombili. Noma kunjalo, kungadala ukuphazamiseka njengokucasulwa isikhumba.

Ukuhlinzwa kuyadingeka kuphela ezimweni ze-craniosynostosis.