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KAJGARDANi

kachgardaniKAJGARDANi (Tortucollis), gardankaji, vazi nodurusti sarro guyand, ki dar natijai yaktarafa tarang shudani mushakho va boftahoi narmi badan ba vujud meoyad. Illati qismi gardani sutunmuhra niz metavonad boisi K. shavad. K. beshtar modarzodi (az inkishofi nodurusti janin) ast. On inchunin hangomi tavalludi dushvor binobar oseb didani boftahoi narmi gardani kudak yo dar har sinnu sol az osori sukhtagi, zakhm, gazaki boftahoi gardan ba vujud meoyad.
Alomati asoii K.-i modarzodi ba tarafi mushaki osebdida kham gashtani sar va ba kitfi hamon jonib nazdik budani pushti on ast; dar in mavrid manah andak ba bolo mayl doshta ba tarafi muqobil tob mekhurad. Harakati sari kudaki kajgardan mahdud boshad ham, dardovar nest. Pusti tarafi osebdidai gardanro palmosida, dungichai sakhti mushaki kashishkhurdaro pay burdan mumkin ast. Dar surati K.-i modarzod ba in yo on taraf khamidani sari kudak az ruzhoi avvali hayot malum meshavad. Agar chunin K. sari vaqt tabobat karda nashavad, pas kaj shudani qismi gardanii sutunmuhra niz az ehtimol dur nest.
Sari aksar tifli navzod daroz buda, guyo pahluhoyash fishorkhurda boshand. Vale on minbad tagyir meyobad. Bo vujudi in chunin kudak doimo sarashro ba tarafe gardonda khob meravad. In holat boisi paydoishi K. shudanash mumkin ast. Baroi kaj nashudani gardan ba tagi sari kudak halqabolishti pakhtagin guzoshtan lozim. Muolijai durust va barvaqti natijai dilkhoh meorad. Modar barobari dar kudak nomutanosibii khurdero pay burdan, boyad favran ba dukhtur murojiat namoyad. Tabobati K.-ro az dumohagii kudak sar mekunand (agar illatro sari vaqt oshkor namoyand). Ba modar qoidahoi iloji K. (varzishi shifoi va mashi gardan)-ro meomuzand.
Varzishi shifoiro chunin meguzaronand. Hangomi K.-i tarafi rost ba manahi kudak dasti rost va ba pushti sar dasti chapro (dar asnoi K.-i tarafi chap, baraks) guzoshta, manahro ba jonibi mushaki tarangshuda moil va sarro ba tarafi digar (muqobili deformatsiya) kham mekunand. In mashqhoro nafis va sabuk ijro karda, sari kudakro dar holati dastdoda chand soniya (hattalimkon dertar) nigoh medorand. Kudak boyad dard his nakunad. CHunin mashqro ruze 4 – 5 marotiba (dar muddati 10 daq.) guzaronidan lozim. Badi har yak seans sari kudakro ba holati dastdodai peshina meorand. Avvalin mashqhoro modar dar huzuri dukhtur ijro mekunad. Badi ba okhir rasidani seansi varzishi shifoi tarafi illatyoftai gardanro bo angushti kalon narm – narm va tarafi muqobilro sakhttar mash boyad kard. In amaliyotro to purra bartaraf shudani deformatsiya va hatto badi shifo yoftani kudak ham chand moh davom medihand.
Dar in davra sari kudakro vaqti khob ba tarafi beillat gardondan lozim. uro boyad tavre khobonid, ki badi gardanashro tob dodan, odamoni dar khona budaro dida tavonad; ba muqobili tarafi illatnok bozichahoi nazarfireb meovezand. Baze kudakoni kajgardanro jarrohi kardan zarur ast. Badi jarrohi padaru modar zeri nazorati dukhtur mash va varzishi shifoiro davom medihand.

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