{"id":102518,"date":"2018-10-22T10:44:20","date_gmt":"2018-10-22T08:44:20","guid":{"rendered":"https:\/\/novanews.co.za\/rooirose\/?p=102518"},"modified":"2018-11-08T10:28:32","modified_gmt":"2018-11-08T08:28:32","slug":"klompvoet-ponseti-voetpyn-baba-gestrem","status":"publish","type":"post","link":"https:\/\/novanews.co.za\/rooirose\/klompvoet-ponseti-voetpyn-baba-gestrem\/","title":{"rendered":"Jy vra: Is die Ponseti-tegniek vir klompvoet pynlik vir kleintjies?"},"content":{"rendered":"<p><em>Jy vra: Is die Ponseti-tegniek vir klompvoet pynlik vir kleintjies? Deur Salome Delport. Hooffoto:\u00a0<\/em><em><a href=\"https:\/\/www.istockphoto.com\/za\/portfolio\/GENNADIY_BALOVLENKOV?mediatype=photography\" target=\"_blank\" rel=\"noopener\">GENNADIY BALOVLENKOV<\/a>\/istock images<\/em><\/p>\n<p>Klompvoete by kinders is in ons land baie algemeen. In enige gegewe jaar word daar in suidelike Afrika rondom 11 000 kinders met \u2019n klompvoet gebore word. Dit is soveel kinders as in elf groot stadskole, met ander woorde taamlik baie kinders. Jou kind se klompvoet is dus nie so raar nie &#8211; en gelukkig is daar regtig goeie behandeling vir klompvoet.<\/p>\n<p>Ons gesels met <strong>Karen Moss<\/strong>, self die ma van \u2019n seun wat met klompvoete gebore is. N\u00e1 haar belewenis hiervan is sy passievol oor die<strong> Ponseti-tegniek<\/strong> \u2013 so passievol dat sy STEPS begin het, Haar droom is om elke enkele kind wat met \u2019n klompvoet gebore is die kans te gee om normaal te kan loop.<\/p>\n<p>STEPS werk hard om die Ponseti-tegniek landwyd bekend te stel. Met die skryf van die artikel is dit reeds by 29 sentrums beskikbaar, insluitend al ons opleidingshospitale, beskikbaar, terwyl 512 gesondheidswerkers opgelei is daarin.<\/p>\n<p>Ons vra haar uit. As jy nog vrae het, plaas dit onderaan, en ons vra haar verder.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Eerstens: Is \u2019n klompvoet seer vir jou baba?<\/strong><\/p>\n<p>&#8220;Nee, dit is nie pynlik nie. Maar as dit onbehandel bly gaan jou kind sukkel om te loop en selfs nooit k\u00e1n loop nie, en dan met pyn sit.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Veroorsaak die Ponseti-tegniek &#8220;pyn en lyding&#8221;, soos een van ons lesers vra?<\/strong><\/p>\n<p>&#8220;Nee, regtig nie. Dit is verstommend om te sien hoe vrolik en gemaklik hierdie outjies is, spalkies en al. Hulle huil nie \u2013 wel, nie meer as ander kinders nie. Alle kinders huil as hulle honger of moeg is.&#8221;<\/p>\n<p>&#8220;\u2019n Mens se eerste reaksie op klompvoet en spalkies en gips is emosioneel. Ek verstaan dit &#8211; ek was ook daardeur. Dit lyk erg om jou piepklein babatjie so gespalk te sien. Feit is dat jou kleintjie nie gesny is nie, geen penne het nie, nie onder narkose was nie en eintlik heel gemaklik is.\u00a0Wees gerus, die Ponseti-tegniek is nie pynlik vir jou kind nie, en veroorsaak nie pyn nie.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Wat is die opsies vir behandeling, as jou baba met \u2019n klompvoet gebore is?<\/strong><\/p>\n<p>&#8220;Eintlik het jy maar net twee opsies, want jy kan vir seker nie die voetjie net so los nie:<\/p>\n<ul>\n<li><strong>Voetchirurgie:\u00a0<\/strong>Dit is wel suksesvol, en binne ses weke is die gips af. Maar dit is \u2019n pynlike operasie vir die kind \u2013 en duur vir jou. Di\u00e9 operasie word deur \u2019n pediatriese ortopeed gedoen. Die eintlike kommer is die komplikasies wat die kinders later vanaf hul tienerjare kan ervaar. Baie het as volwassenes erge voetpyn, en\/of ontwikkel jonk artritis in die voetbene.<\/li>\n<li><strong>Die Ponseti-tegniek:\u00a0<\/strong>Die kind ondergaan nie \u2019n operasie nie. Sy been is in gips en hy dra vier jaar lank \u2019n spalk \u2013 meestal darem net snags. Vandag sien dokters dit as die goudstandaard vir klompvoetjies, juis omdat dit minder ingrypend is as \u2019n operasie en selde komplikasies veroorsaak. Basies word sy voetbene en kraakbeen in die regte posisie gedraai en gegips sodat dit set en geleidelik &#8220;reg&#8221; trek. Die gips word elke paar dae afgehaal, die voet word verder geposisioneer en weer gegips. Die kleintjie dra vir die eerste drie maande heeltyd \u2019n voetspalk. Daarna, en tot op vier jaar, dra hy dit twaalf uur per dag, hoofsaaklik snags waarvan hy die grootste gedeelte omslaap.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Op watter ouderdom moet \u2019n mens met die Ponseti-tegniek begin?<\/strong><\/p>\n<p>&#8220;Hoe gouer jou dokter hiermee begin hoe beter is die uitkoms. Die ideaal is om in die eerste week van jou baba se lewe te begin, terwyl sy kraakbeen en been nog sag en buigsaam is.&#8221;<\/p>\n<p>&#8220;Dit pas ook beter in by kinders se natuurlike ontwikkeling, aangesien jou kind op drie, vier maande, wanneer hy begin skop, sit, staan, kruip en stap, oorskakel na die nagspalkie, wat hom nie ernstig inperk nie.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Enige risiko\u2019s aan die Ponseti-tegniek?<\/strong><\/p>\n<p>&#8220;Nee wat, dit is \u2019n &#8220;sagte&#8221; benadering. Die ergste wat kan gebeur is dat jou kind se voetjies nie wil regskuif nie. In hierdie geval is \u2019n operasie die beste opsie. Sowat een uit elke vyf kinders word wel geopereer.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Gaan die Ponseti-tegniek veroorsaak dat jou kind so \u2019n bietjie stadiger as ander kinders leer loop?<\/strong><\/p>\n<p>\u201cDie navorsing wys Ponseti-babas haal hul mylpale soos staan, kruip en loop op dieselfde ouderdom as ander kinders. Mense is altyd verras as hulle dit sien maar hierdie kinders sit, kruip, staan en stap, spalkie en al.\u201d<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Wat van sport n\u00e1 die Ponseti-tegniek?<\/strong><\/p>\n<p>Kan \u2019n kind met \u2019n klompvoet wat herstel is met die Ponseti-tegniek deelneem aan sport wat &#8220;harde&#8221; voetwerk verg, soos rugby, hokkie, atletiek, sokker en tennis? Of moet hulle liewer bly by roei en fietsry?<\/p>\n<p>&#8220;Kinders wie se klompvoet met die Ponseti-tegniek gekorrigeer is, kan deelneem aan enige sportsoort \u2013 rugby, ysskaats, enige iets anders. Hul voetjies is ten volle funksioneel. Sport is inderdaad belangrik vir hulle, omdat dit die spiere en ligamente soepel en sterk hou, wat goed is vir hul voete. Moedig jou kind beslis aan om sport te geniet.<\/p>\n<p>&#8220;Kinders wie se klompvoet geopereer is mag sport moeiliker vind, weens styfheid en pyn. As jou kind voetpyn ervaar, gesels met jul dokter, en kyk watter bewegings is moeilik, sodat julle \u2019n sportsoort kan kies wat by hom pas.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Nog ietsie: word \u2019n klompvoet aan verstandelike gestremdheid gekoppel?<\/strong><\/p>\n<p>Moet ek vorentoe dophou of oplet na kenmerkende agterstande?<\/p>\n<p>&#8220;Daar is geen verband tussen klompvoetjies en enige vorm van gestremdheid nie. Hierdie outjies is normale, doodgewone kinders, met talente en gawes soos enige ander kind.\u00a0Dit kan wel gebeur dat \u2019n kind een of ander uitval het, maar dit is nie weens die klompvoet nie. Hanteer jou kind intellektueel en sosiaal net soos enige ander kind.&#8221;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Waar vind jy \u2019n dokter wat spesialiseer in die Ponseti-tegniek?<\/strong><\/p>\n<p>Kry al die besonderhede oor die tegniek op <a href=\"http:\/\/www.steps.org.za\" target=\"_blank\" rel=\"noopener\">www.steps.org.za<\/a>, saam met praktiese raad, soos oor watter babaklere geskik is vir kleintjies met voetspalke, waar jy die regte skoentjies en spalkies kan kry, en verdere ondersteuning.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ons seuntjie is met \u2019n klompvoet gebore. Is die Ponseti-tegniek die pyn en lyding werd? Is daar \u2018n makliker uitweg? Wat is die beste?<\/p>\n","protected":false},"author":19,"featured_media":103707,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2949,667],"tags":[60259,60260,60261,60262,28,136,5718,23664,60257,60258],"class_list":["post-102518","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-leef-gesond","category-gesondheid","tag-ponsetti","tag-gestrem","tag-behandeling-vir-klompvoet","tag-operasie","tag-baba","tag-gesondheid","tag-chirurgie","tag-health","tag-klompvoet","tag-ponseti"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jy vra: Is die Ponseti-tegniek vir klompvoet pynlik vir kleintjies? | rooi rose<\/title>\n<meta name=\"description\" content=\"OOns seuntjie is met \u2019n klompvoet gebore. Is die Ponseti-tegniek die pyn en lyding werd? 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