Plagiocephaly kuremara kwe dehenya remucheche kuchiita kuti riite semasikisi, inowanzo kunzi "flat head syndrome". Muzviitiko zvakakura kwazvo, chinhu chisina kujairika chinogadzirisa usati wasvitsa makore maviri uye zvinobva pakurara kumusana kwemwana. Asi, zvakanyanya kushomeka, iyi asymmetry mhedzisiro yekumhanyisa nguva isati yasvika yeimwe kana yakawanda cranial sutures, craniosynostosis, iyo ingangoda kuvhiyiwa.

Iyo inonzi positional pioioiophaly inoratidzirwa nekupfava kweiyo occiput (kumashure kwedehenya) parutivi rwunoenderana nekutarisisa kwemusoro panguva yekurara, nekudaro kutaura kwe flat flat syndrome. Musoro wemucheche unobva watora chimiro cheparallelogram. Chidzidzo chine mhedzisiro inotumirwa neCanada Pediatric Society inoratidza kuti 19,7% yevacheche vane possoipiocephaly pazera remwedzi mina, uyezve 3,3% chete pamwedzi makumi maviri nemana. (24) Kana craniosynostosis ichibatanidzwa, hurema hwedehenya hunosiyana zvichienderana nerudzi rwecraniosynostosis uye masuture ayo ainoita.

Nechakanyanya chikonzero chinowanzoitika chethipiocephaly ndeye positional pioiocephaly. Kuitika kwaro kwakawanda kwakaputika muUnited States neEurope kubvira makore makumi mapfumbamwe, kusvika padanho rekuti mupepanhau, savanachiremba, vataure nezve "denda remadehenya emusoro". Zvino zvava pachena kuti kwakatangira denda iri mushandirapamwe ” Back to Nehope Yakatangwa mukutanga kwema90s neAmerican Academy yePediatrics kurwisa kamwe kamwe kacheche kufa syndrome, iyo yakaraira vabereki kuti vaise vacheche vavo kumisana yavo chete mukati megore rekutanga rehupenyu. Izvo zvakakosha kuti usimbise kuti denda iri rinotapira haringaite nenzira ipi neipi kupokana "kurara kumusana" izvo zvinoita kuti zvikwanise kudzora njodzi yekufa kamwe kamwe.

Craniosynostosis inonyanya kukonzeresa kukonzeresa asymmetry pane positional pioiocephaly. Izvo zvinokonzeresa kukurumidza kumisikidza kwemapfupa ehenya remwana, izvo zvinogona kukanganisa kukura kwakakodzera kwehuropi hwake. Uku kuberekwa kwekuremara kwekuremara chinhu chisina kujairika chakasarudzika mune dzakawanda kesi, asi craniosynostosis inogona kusangana necranial syndrome, inokonzerwa neiyo genetic anomaly (iyo shanduko yeiyo FGFR gene), seCrouzon uye kubva kuApert.

Kunze kwekurara kumusana (supine) kwekurara uye kurara nemusoro wako kudivi rimwe chete, zvimwe zvinenjodzi zvetipiocephaly zvinonyatso kuzivikanwa. Vakomana vakanyanya kukanganisika kupfuura vasikana, vangangoita 3/4 yevacheche vane positional pioiocephaly vari vakomana. (2) Izvi zvinotsanangurwa nezviitiko zvavo zvakaderera mumwedzi yekutanga yehupenyu, nenguva dzekumuka padumbu dzisingagari zvakakwana (isingasviki katatu pazuva). Vatsvaguriri vakaratidzawo senzvimbo yekuisa njodzi nzvimbo yevakuru mumhuri, mutsipa wakaomarara unogumira kutenderera kwemutsipa, pamwe nekudyiswa kwehombodo chete.

Njodzi yekukudziridza hurema hwakakomba inogona kudzikiswa nekuwedzera nzvimbo dzemwana uye mafambiro emusoro wake. Munguva yezvikamu zvekurara, wakarara pa doc (supine), kana mwana achiratidza zvakasarudzika kudivi rimwe chete, maitiro ekumukurudzira kutendeuka musoro ndewe kuchinja maitiro emwana mumubhedha zuva rega rega, akananga musoro kana tsoka yemubhedha. Ngatirangarirei zvakare kuti iyo dorsal decubitus inoita kuti zvikwanise kudzikamisa njodzi yekufa kamwe kamwe uye haifanire kupokana nekuda kwerudo rwebenign iyo inowanzo gadzirisa kubva pazera ramakore maviri!

Munguva yezvikamu zvake zvekumuka, mwana anofanirwa kuiswa munzvimbo dzakasiyana siyana uye kuiswa padumbu rake (munzvimbo yakajairika) kweinenge kota yeawa kakawanda pazuva. Iyi chinzvimbo chinobatsira mukukudziridza kwecervical musculature.

Physiotherapy kurapwa kusanganisira kusimudzira kwekusimudzira kurovedza muviri kunogona kutsigira matanho aya. Inonyanya kukurudzirwa kana mutsipa wakaoma unodzivirira mucheche kutendeuka musoro.

Mumamiriro ezvinhu apo musoro asymmetry wakakomba, mushonga weorethosis unoshandiswa, uyo unosanganisira kupfeka ngowani yeforoma yemucheche, anosvika pazera remwedzi misere. Nekudaro, zvinogona kukonzera kusagadzikana senge kutsamwa kweganda.

Kuvhiya kunongodiwa chete muzviitiko zve craniosynostosis.