I-hip dysplasia: kuyini, kanjani ukukhomba nokwelashwa

-Delile

• Ungayibona kanjani i-dysplasia
• Udokotela uyikhomba kanjani i-dysplasia
• Yelashwa kanjani
• 1. Kuze kube izinyanga eziyisithupha zokuphila
• 2. Phakathi kwezinyanga eziyi-6 nonyaka owodwa
• 3. Ngemuva kokuqala ukuhamba
• Izinkinga ezingenzeka ze-dysplasia
• Ungayivimbela kanjani i-hip dysplasia

I-Hip dysplasia enganeni, eyaziwa nangokuthi i-congenital dysplasia noma i-dysplasia yentuthuko yenyonga, inguquko lapho ingane izalwa inokulingana okungaphelele phakathi kwe-femur nethambo le-hip, elenza ukuthi i-looser ihlangane futhi ibangele ukwehla kokuhamba kwe-hip futhi kuguqulwe ubude besitho.

Lolu hlobo lwe-dysplasia luvame kakhulu uma kunamazinga aphansi e-amniotic fluid ngesikhathi sokukhulelwa noma lapho ingane isesimweni sokuhlala kokukhulelwa okuningi. Ngaphezu kwalokho, ukuma kokuthi ingane izelwe nakho kungaphazamisa ukukhula kwejoyinti, ukwenzeka kaningi lapho ingxenye yokuqala yengane ephuma ngesikhathi sokubeletha izinqa bese kuba ngumzimba wonke.

Njengoba kungathinta ukukhula kwengane futhi kudale ubunzima ekuhambeni, ukuxilongwa ngudokotela wezingane kufanele kwenziwe ngokushesha okukhulu, ukuze ukwelashwa kungaqalwa futhi kungenzeka ukuyelapha ngokuphelele i-dysplasia.

Ungayibona kanjani i-dysplasia

Ezimweni eziningi, i-hip dysplasia ayibangeli zimpawu ezibonakalayo, ngakho-ke, into ebaluleke kakhulu ukugcina ukuvakashelwa njalo kudokotela wezingane ngemuva kokuzalwa, njengoba udokotela ezohlola ngokuhamba kwesikhathi ukuthi ingane ikhula kanjani,. vuka.

Kodwa-ke, kukhona nezingane ezingakhombisa izimpawu ze-hip dysplasia, njenge:

• Imilenze enobude obuhlukile noma ebheke ngaphandle;
• Ukuhamba okuncane nokuguquguquka komunye wemilenze, okungabonakala ngesikhathi sokushintsha kwe-diaper;
• Isikhumba sigoqeka ethangeni nasethangeni ngosayizi abahluke kakhulu;
• Ukubambezeleka ekukhuleni kwengane, okuthinta indlela yokuhlala, ukukhasa noma ukuhamba.

Uma kusolwa i-dysplasia, kufanele idluliselwe kudokotela wezingane ukuze kwenziwe ukuhlolwa nokuxilongwa.

Udokotela uyikhomba kanjani i-dysplasia

Kunezivivinyo ezithile zamathambo okufanele zenziwe ngudokotela wezingane ezinsukwini ezintathu zokuqala ngemuva kokuzalwa, kepha lezi zivivinyo kufanele ziphindwe ezinsukwini ezi-8 nezingu-15 zokubonisana kokuzalwa futhi zifake:

• Ukuhlolwa kwe-Barlow, lapho udokotela abamba khona imilenze yengane ndawonye ayisonge bese ecindezela ohlangothini ukusuka phezulu kuye phansi;
• Ukuhlolwa kuka-Ortolani, lapho udokotela ephethe khona imilenze yengane futhi ehlola ukuphakama kokunyakaza kokuvula kwesinqe. Udokotela angafika esiphethweni sokuthi ukulingana kwesinqe akuphelele uma uzwa ukuqhekeka ngesikhathi sokuhlolwa noma uzizwa uqhuma ejoyintini;
• Ukuhlolwa kweGaleazzi, lapho udokotela ebeka khona ingane phansi imilenze igobile izinyawo zakhe zihleli etafuleni lokuhlola, okukhombisa umehluko ekuphakameni kwamadolo.

Lezi zivivinyo zenziwa kuze kube yilapho ingane inezinyanga ezintathu ubudala, ngemuva kwaleyo minyaka izimpawu ezibonwe ngudokotela ezingakhombisa ukuthi i-hip dysplasia ibambezelekile ukukhula kwengane ukuhlala, ukukhasa noma ukuhamba, ubunzima bengane ukuhamba, kuncane ukuguquguquka umlenze othintekile noma umehluko kubude bomlenze uma kuthinteka uhlangothi olulodwa kuphela lwenyonga.

Ukuqinisekisa ukutholakala kwe-hip dysplasia, udokotela anga-oda ukuhlolwa kwe-imaging okufana ne-ultrasound yezingane ezingaphansi kwezinyanga eziyisithupha ubudala kanye nama-X-ray ezingane nezingane ezindala.

Yelashwa kanjani

Ukwelashwa kwe-hip dysplasia esibelethweni kungenziwa kusetshenziswa uhlobo olukhethekile lwe-brace, kusetshenziswa isamente kusuka esifubeni kuya ezinyaweni noma ukuhlinzwa, futhi kufanele kuholwe njalo ngudokotela wezingane.

Imvamisa ukwelashwa kukhethwa ngokweminyaka yengane:

1. Kuze kube izinyanga eziyisithupha zokuphila

Lapho i-dysplasia itholakala ngemuva nje kokuzalwa, ukhetho lokuqala lokwelashwa yi-Pavlik brace enamathela emilenzeni nasesifubeni sengane futhi ingasetshenziswa amasonto ayisithupha kuye kwayi-12, kuya ngeminyaka yengane nobukhulu besifo. Ngalesi brace umlenze wengane uhlale ugoqiwe futhi uvulekile, njengoba lesi sikhundla silungele ukuthi ilunga le-hip likhule ngokujwayelekile.

Ngemuva kwamasonto amabili kuya kwamathathu abeke le brace, ingane kufanele ihlolwe kabusha ukuze udokotela abone ukuthi ijoyini limi kahle yini. Uma kungenjalo, ubakaki uyasuswa kufakwe ukhonkolo, kepha uma ijoyini limi kahle, izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane kufanele zigcinwe kuze kube yilapho ingane ingasenalo ushintsho esinqeni, okungenzeka ngenyanga eyodwa noma izinyanga ezine.

Laba abamisa okwesikhashana kumele banakekelwe imini yonke nobusuku bonke, bakwazi ukususwa kuphela ukugeza ingane futhi kumele bafakwe futhi ngokushesha ngemuva kwalokho. Ukusetshenziswa kwezinsimbi zePavlik akubangeli noma yibuphi ubuhlungu futhi ingane iyakujwayela ezinsukwini ezimbalwa, ngakho-ke akudingekile ukususa izicathulo ezihlanganiswe ngensimbi noma ngeplangwe zokuqondisa izinyawo ezibhekene zezingane uma ucabanga ukuthi ingane icasukile noma iyakhala.

2. Phakathi kwezinyanga eziyi-6 nonyaka owodwa

Lapho i-dysplasia itholakala kuphela lapho ingane isinezinyanga ezingaphezu kwezingu-6 ubudala, ukwelashwa kungenziwa ngokubeka ngesandla ijoyini endaweni yodokotela wamathambo bese kusetshenziswa ukhonkolo ngokushesha ngemuva kwalokho ukugcina ukubekwa kahle kwejoyini.

Upulasta kufanele ugcinwe izinyanga ezi-2 kuye kwezi-3 bese kuyadingeka ukusebenzisa omunye umshini, onjengeMilgram, ezinye izinyanga ezi-2 kuye kwezi-3. Ngemuva kwalesi sikhathi, ingane kufanele ihlolwe kabusha ukuqinisekisa ukuthi intuthuko yenzeka kahle. Uma kungenjalo, udokotela angancoma ukuhlinzwa.

3. Ngemuva kokuqala ukuhamba

Lapho ukuxilongwa kwenziwa kamuva, ngemuva kokuthi ingane isiqalile ukuhamba, ukwelashwa kuvame ukwenziwa ngokuhlinzwa. Lokhu kungenxa yokuthi ukusetshenziswa kokhonkolo lwe-plaster nePavlik akusebenzi ngemuva konyaka wokuqala weminyaka.

Ukuxilongwa ngemuva kwalesi sikhathi sekwephuzile futhi okudonsela ukunaka kwabazali ukuthi ingane ihamba nokuxhuga, ihamba kuphela kuzeluleko zezinzwane noma ayithandi ukusebenzisa omunye wemilenze. Isiqinisekiso senziwa yi-X-ray, magnetic resonance noma i-ultrasound ekhombisa ushintsho ekubekeni kwe-femur esinqeni.

Izinkinga ezingenzeka ze-dysplasia

Lapho i-dysplasia itholakala sekwedlule isikhathi, izinyanga noma iminyaka ngemuva kokuzalwa, kunengozi yokuba nezinkinga futhi okuvame kakhulu ukuthi umlenze owodwa uba mfushane kunomunye, okwenza ingane ihlale idlikiza, okwenza kudingeke ukugqoka izicathulo ezenziwe zenzelwe ukuzama ukulungisa ukuphakama kwemilenze yomibili.

Ngaphezu kwalokho, ingane ingahle ihlaselwe i-osteoarthritis ye-hip isencane, i-scoliosis emgogodleni futhi ihlushwa izinhlungu emilenzeni, esinqeni nasemhlane, ngaphezu kokuhamba ngosizo lwezinduku, ezidinga i-physiotherapy isikhathi eside.

Ungayivimbela kanjani i-hip dysplasia

Izimo eziningi ze-hip dysplasia azinakugwenywa, kepha, ukunciphisa ubungozi ngemuva kokuzalwa, umuntu kufanele agweme ukugqoka izingubo eziningi zezingane ezivimbela ukunyakaza kwakhe, ungamshiyi esongeke isikhathi eside kakhulu, imilenze yakhe yeluliwe noma icindezelwe , njengoba ingathinta ukukhula kwesinqe.

Ngaphezu kwalokho, ukubuka ukunyakaza nokubheka ukuthi ingane iyakwazi yini ukunyakazisa izinkalo namadolo kungasiza ekutholeni izinguquko okufanele zithunyelwe kudokotela wezingane ukuze zihlolwe futhi ziqale ukwelashwa okufanele kakhulu ukugwema izinkinga.