I-Hip dysplasia: yintoni, indlela yokuchonga kunye nonyango

Umxholo

• Uyichonga njani i-dysplasia
• Uyichonga njani ugqirha iDysplasia
• Unyango lwenziwa njani
• 1. Ukuya kwiinyanga ezi-6 zobomi
• 2. Phakathi kweenyanga ezi-6 nonyaka omnye
• 3. Emva kokuqala ukuhamba
• Iingxaki ezinokwenzeka zedysplasia
• Ungayikhusela njani i-hip dysplasia

I-Hip dysplasia emntwaneni, ekwabizwa ngokuba yi-dysplasia yokuzalwa okanye ukukhula kwe-dysplasia ye-hip, lutshintsho apho umntwana azalwa engafezekanga phakathi kwe-femur kunye nethambo le-hip, elenza ukuba amalungu adibanise kwaye abangele ukunciphisa ukuhamba kwe-hip kunye nokutshintsha ubude bomlenze.

Olu hlobo lwe-dysplasia luxhaphake kakhulu xa kukho amanqanaba asezantsi e-amniotic fluid ngexesha lokukhulelwa okanye xa umntwana ehleli kwindawo yokuhlala uninzi lokukhulelwa. Ukongeza, isikhundla sokuba umntwana azalwe sinokuphazamisa ukukhula kwelungu, ukuba rhoqo rhoqo xa inxalenye yokuqala yosana ukuphuma ngexesha lokuhanjiswa ziimpundu kwaye wonke umzimba.

Kuba inokuchaphazela ukukhula komntwana kwaye ibangele ubunzima ekuhambeni, ukuxilongwa ngugqirha wabantwana kufuneka kwenziwe ngokukhawuleza, ukuze unyango luqaliswe kwaye kuyinyangeke ngokupheleleyo iDysplasia.

Uyichonga njani i-dysplasia

Kwiimeko ezininzi, i-hip dysplasia ayibangeli zimpawu zibonakalayo kwaye, ke, eyona nto ibalulekileyo kukugcina utyelelo rhoqo kugqirha wabantwana emva kokuzalwa, njengoko ugqirha eza kuvavanya ngokuhamba kwexesha ukuba umntwana ukhula njani, echonga naziphi na iingxaki ezinokuthi Vuka.

Nangona kunjalo, kukwakho neentsana ezinokubonisa iimpawu ze-hip dysplasia, ezinje:

• Imilenze enobude obahlukeneyo okanye ejonge ngaphandle;
• Ukuhamba okuncinci kunye nokuguquguquka komnye wemilenze, onokuqwalaselwa ngexesha lotshintsho lwe-diaper;
• Ulusu ulusonge ethangeni kunye neempundu ezinobungakanani obahluke kakhulu;
• Ukulibaziseka ekukhuleni kosana, okuchaphazela indlela yokuhlala, ukukhasa okanye ukuhamba.

Ukuba kukrokrelwa i-dysplasia, kufuneka inikwe ingxelo ngoogqirha babantwana ukuze kwenziwe uvavanyo kunye noxilongo.

Uyichonga njani ugqirha iDysplasia

Kukho iimvavanyo zamathambo ekufuneka ugqirha wabantwana azenze kwiintsuku zokuqala ezi-3 emva kokuzalwa, kodwa ezi mvavanyo kufuneka ziphindwe kwiintsuku ezili-8 ukuya kwezili-15 zokubonisana ngokuzalwa kwaye zibandakanya:

• Uvavanyo lweBarlow, apho ugqirha ebambe imilenze yosana ngokudibeneyo kwaye isongelwe kwaye icinezela kwicala ukusuka phezulu kuye ezantsi;
• Uvavanyo luka-Ortolani, apho ugqirha abambe khona imilenze yosana kwaye ajonge ukuphakama kwentshukumo yokuvula inyonga. Ugqirha unokufikelela kwisigqibo sokuba i-hip fit ayifezekanga ukuba uva ukuqhekeka ngexesha lovavanyo okanye uzive ungxola kwilungu;
• Uvavanyo lweGaleazzi, apho ugqirha abeka khona usana phantsi imilenze igobile iinyawo zakhe ziphumle phezu kwetafile yoviwo, ebonisa umahluko kubude bamadolo.

Olu vavanyo lwenziwa de umntwana abe neenyanga ezi-3 ubudala, emva kweminyaka yobudala iimpawu eziqwalaselwe ngugqirha ezinokuthi zibonise ukuba i-hip dysplasia ilibazisekile ukukhula komntwana ukuhlala, ukukhasa okanye ukuhamba, ubunzima bomntwana ukuba ahambe, ukungabi bhetyebhetye umlenze ochaphazelekayo okanye umahluko kubude bomlenze ukuba kuphela icala elinye lesinqe lichaphazelekile.

Ukuqinisekisa ukuxilongwa kwe-hip dysplasia, ugqirha unokuyalela iimvavanyo zokucinga ezifana ne-ultrasound yeentsana ezingaphantsi kweenyanga ezili-6 ubudala kunye ne-X-ray yabantwana kunye nabantwana abadala.

Unyango lwenziwa njani

Unyango lwentsholongwane ye-hip dysplasia lunokwenziwa kusetyenziswa uhlobo olukhethekileyo lwe-brace, kusetyenziswa isamente ukusuka esifubeni ukuya ezinyaweni okanye kuqhaqho, kwaye kufuneka ihlale ikhokelwa ngugqirha wabantwana.

Ngokwesiqhelo, unyango lukhethwa ngokobudala bomntwana:

1. Ukuya kwiinyanga ezi-6 zobomi

Xa i-dysplasia ifunyenwe kungekudala emva kokuzalwa, ukhetho lokuqala lonyango yiPavlik brace ebambelela emilenzeni nasesifubeni somntwana kwaye inokusetyenziselwa iiveki ezi-6 ukuya kwezi-12, kuxhomekeke kubudala bomntwana kunye nobukrakra besifo. Ngale brace umlenze wosana uhlala usongelwe kwaye uvulekile, njengoko esi sikhundla silungele ukuba ilunga le-hip likhule ngokwesiqhelo.

Emva kweeveki ezi-2 ukuya kwezi-3 zokubeka le brace, umntwana kufuneka aphinde aqwalaselwe ukuze ugqirha abone ukuba indibaniselwano ibekwe ngokufanelekileyo na. Ukuba akunjalo, izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ziyasuswa kuze kubekwe udaka, kodwa ukuba ilunga libekwe kakuhle, izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana kufuneka zigcinwe de umntwana angabinalo utshintsho esinqeni, olunokwenzeka kwinyanga e-1 okanye kwinyanga ezi-4.

Aba banqunyanyiswayo kufuneka bagcinwe imini yonke nobusuku bonke, bakwazi ukususwa kuphela ukuhlamba umntwana kwaye kufuneka banxitywe kwakhona kwangoko emva koko. Ukusetyenziswa kweebhanti zePavlik akubangeli zintlungu kwaye umntwana uyayiqhela ngeentsuku ezimbalwa, ke akukho mfuneko yokuba ususe izihlangu zezilima ezidityaniswe ngentsinjana / ngeplangana ukuba ucinga ukuba umntwana ucatshukisiwe okanye uyalila.

2. Phakathi kweenyanga ezi-6 nonyaka omnye

Xa iDysplasia ifunyanwa kuphela xa umntwana engaphezulu kweenyanga ezi-6 ubudala, unyango lunokwenziwa ngokubeka ngokudibeneyo indibaniselwano ngugqirha wamathambo kwaye usebenzise udaka ngokukhawuleza emva koko ukugcina ukubekwa ngokuchanekileyo kwendibaniselwano.

Udaka malugcinwe iinyanga ezi-2 ukuya kwezi-3 emva koko kuyimfuneko ukusebenzisa esinye isixhobo, esinjengeMilgram, ezinye iinyanga ezimbini ukuya kwezi-3. Emva kweli xesha, umntwana kufuneka avavanywe kwakhona ukuze aqinisekise ukuba ukukhula kwenzeka ngokuchanekileyo. Ukuba akunjalo, ugqirha unokucebisa utyando.

3. Emva kokuqala ukuhamba

Xa ukuxilongwa kwenziwa kamva, emva kokuba umntwana eqale ukuhamba, unyango luhlala lwenziwa ngophando. Kungenxa yokuba ukusetyenziswa kweplasta kunye nePavlik brace ayisebenzi emva konyaka wokuqala wobudala.

Ukuxilongwa emva kweli xesha lihambile kwaye into etsala ingqalelo yabazali kukuba umntwana uhamba nokuqhwalela, uhamba kuphela kwiingcebiso zeenzwane okanye akathandi ukusebenzisa omnye wemilenze. Uqinisekiso lwenziwa yi-X-ray, ngemagneti evakalayo okanye kwi-ultrasound ebonisa utshintsho ekubekweni kwe-femur esinqeni.

Iingxaki ezinokwenzeka zedysplasia

Xa i-dysplasia ifunyenwe kade, iinyanga okanye iminyaka emva kokuzalwa, kukho umngcipheko weengxaki kwaye eyona nto ixhaphakileyo kukuba umlenze omnye ube mfutshane kunomnye, obangela ukuba umntwana asoloko ehlekisa, esenza ukuba kufuneke ukuba anxibe izihlangu ezenziwe zenzelwe ukuzama ukulungelelanisa ukuphakama kwemilenze yomibini.

Ukongeza, umntwana angakhula yi-osteoarthritis ye-hip ngelixa esemncinci, i-scoliosis emqolo kwaye aphethwe ziintlungu emilenzeni, esinqeni nasemqolo, ukongeza ekuhambeni ngoncedo lweentonga, ezifuna i-physiotherapy ixesha elide.

Ungayikhusela njani i-hip dysplasia

Uninzi lweemeko ze-hip dysplasia azinakuthintelwa, nangona kunjalo, ukunciphisa umngcipheko emva kokuzalwa, umntu kufuneka aphephe ukunxiba iimpahla ezininzi zosana ezithintela intshukumo yakhe, ungamshiyi ixesha elide egobile, imilenze yakhe yoluliwe okanye icinezelwe. , njengoko inokuchaphazela ukukhula kwenyonga.

Ukongeza, ukujonga iintshukumo kunye nokujonga ukuba ngaba umntwana uyakwazi ukuhambisa isinqe kunye namadolo kunokunceda ekufumaneni utshintsho ekufuneka luzisiwe kugqirha wabantwana ukuze afumane isifo kwaye aqale olona nyango lufanelekileyo ukunqanda iingxaki.