Okuqukethwe
Iyini i-hip dysplasia
I-Hip dysplasia ukungavuthwa kokuzalwa kwamathambo, imisipha, nemigqa lapho kuhlangana khona ikhanda lesifazane kanye ne-acetabulum eyakha ilunga. Ngamagama alula - ukuthuthukiswa okungaphelele kwelunga.
Eqenjini labasengozini yokuthola lesi sifo ikakhulukazi izingane ezizalwa zinesisindo esikhulu kanye nesethulo sombeleko.
Ukuxilongwa akudingi ukwesaba, "ingane ngeke ihambe" noma "izoxhuga impilo yayo yonke" - lokhu kungenzeka kuphela ngefomu elidlulele le-hip dysplasia. Ezimweni eziningi, izingane ezine-hip dysplasia zihamba ngokujwayelekile, kodwa ngokuphulwa "kwe-docking" yekhanda lesifazane kanye nomgodi wokuhlangana kwe-hip, umthwalo usatshalaliswa ngokungalingani njengoba ingane ikhula futhi umsebenzi wayo uyanda futhi ungaholela ezinkingeni.
Kubalulekile ukukhomba lesi sifo ngesikhathi ebuntwaneni ukuvimbela ukwephulwa kwangaphambi kwesikhathi kwe-hip joint ebusheni nasebudaleni.
Izimbangela ze-hip dysplasia ezinganeni
Kunezici eziningana ezingathinta ukubonakala kwe-hip dysplasia enganeni:
- ufuzo. Le pathology ivame ukubonwa ezinganeni ezinoyise nomama abahlushwa ukuphazamiseka kokuthuthukiswa kokuhlanganiswa kwe-hip;
- i-toxicosis enzima;
- ukuthatha noma yimiphi imithi ngesikhathi sokukhulelwa;
- izithelo ezinkulu;
- isethulo se-gluteal;
- ukungabi namanzi;
- izinkinga zabesifazane.
Izimpawu ze-hip dysplasia ezinganeni
- ukungazinzi kwe-hip joint;
- ukususwa nokubuyela endaweni yayo yokuqala yekhanda lesifazane;
- ukuthunjwa okulinganiselwe kwe-hip joint ethintekile;
- ama-asymmetrical folds ngemuva kwamathanga;
- ukufinyeza okusobala komlenze othintekile.
Isibonakaliso sokuqala esingabonakala kumntwana osanda kuzalwa ukungazinzi kwe-hip, kodwa ku-80% yazo zonke izimo lokhu kuhamba ngokwakho.
Ukwelashwa kwe-hip dysplasia ezinganeni
Ukwelashwa kwe-dysplasia kuhlanganisa indawo ehleliwe ngosizo lwemishini ethambile yamathambo esakaza imilenze (umcamelo kaFreik, ama-stirrps ka-Pavlik, ama-panties ka-Becker, ama-elastic splints ka-Vilensky noma i-Volkov) kanye nokuzivocavoca kokwelapha.
Diagnostics
- Uma ingane yakho isolwa nge-hip dysplasia, kuyadingeka ukwenza i-ultrasound yamalunga e-hip kanye / noma ukuhlolwa kwe-X-ray, - kusho uMikhail Mashkin.
Into enzima kakhulu ukuxilonga i-hip dysplasia ye-1st degree (pre-luxation). Kulesi simo, i-asymmetry kuphela yesikhumba sesikhumba kanye nesibonakaliso esihle sokuchofoza singatholakala (ukuchofoza isici kuzwakala, okubonisa ukuncishiswa kokukhishwa lapho imilenze igobile emadolweni nasezinkalweni ezihlangene emaceleni).
I-Hip dysplasia ye-2nd degree (subluxation) ezinganeni zitholwa ngokukhomba ukugoqa kwesikhumba okungafani, uphawu lokuchofoza okuhle, kanye nophawu lokuthunjwa kwe-hip okulinganiselwe.
Nge-hip dysplasia ye-3rd degree (i-dislocation), lesi sifo sishiwo, ukuthi abazali bengane bangabona ukwephulwa. Kudingeka ucwaningo ukuze kuqinisekiswe ukuxilongwa ngokugcwele.
Uma kunezibonakaliso ze-hip dysplasia enganeni, ukuhlolwa kwe-ultrasound kunqunywe ku-100% yamacala. I-X-ray iyindlela yokuxilonga efundisa kakhulu, kusukela enyangeni yesikhombisa yokuphila.
Izokwelapha
Ukwelashwa kwesimanje kwe-hip dysplasia ezinganeni kusekelwe ezimisweni eziyisisekelo ezilandelayo: ukunikeza isitho indawo ekahle yokunciphisa (ukuguquguquka nokuthunjwa), isiqalo sokuqala, ukulondoloza ukunyakaza okusebenzayo, ukwelashwa okuqhubekayo kwesikhathi eside, ukusetshenziswa kwezindlela ezengeziwe. ukuchayeka (ukuzivocavoca umzimba, i-massage, i-physiotherapy).
Ukwelashwa okulondolozayo kuhilela ukwelashwa kwesikhathi eside ngaphansi kokulawulwa kwe-ultrasound kanye nokuhlolwa kwe-X-ray.
Indlela ejwayeleke kakhulu yokwelapha i-hip dysplasia wukugoqa okubanzi kuze kufike ezinyangeni ezi-3, umcamelo we-Freik noma i-Pavlik stirrups kuze kube sekupheleni kwengxenye yokuqala yonyaka, futhi esikhathini esizayo - izintambo ezihlukahlukene zokuthunjwa zokunakekelwa ngemva kokukhubazeka okusele.
Ezinganeni ezine-hip dysplasia, ukuzivocavoca kwe-physiotherapy (ukwelashwa kokuzivocavoca) kuboniswa kusukela ezinsukwini zokuqala zokuphila. Iqinisekisa ukukhula okugcwele ngokomzimba nangokwengqondo kwengane.
Futhi, kusukela ezinsukwini zokuqala zokuphila kwengane nge-pathology, i-massage inqunyelwe - isiza ukuvimbela i-dystrophy yemisipha yesibili, ithuthukise ukujikeleza kwegazi esithweni esithintekile futhi ngaleyo ndlela ibangele ukuqedwa ngokushesha kwe-pathology.
Ukusebenza kuboniswa kuphela ngesakhiwo esinzima sokuhlangana, lapho ukwelashwa okulondolozayo kungeke kuphumelele. Izindlela zokuhlinza nazo zisetshenziswa lapho ukunciphisa ukuchithwa ngaphandle kokuhlinzwa kungenakwenzeka.
Ukuvimbela i-hip dysplasia ezinganeni ekhaya
- yenza ukuhlolwa kwe-biochemical kanye ne-ultrasound ngesikhathi sokukhulelwa ngesikhathi;
- ungafaki ingane ngokuqinile, ungaqondi imilenze lapho ugoqa;
- uma kukhona ukwamukela ngonyawo, ungasebenzisi ama-jumpers;
- ingane kufanele igqoke izicathulo ezinomhlane oqinile;
- ukuthatha i-vitamin D3 (ukuqala, thintana nodokotela wezingane);
- ukuhlolwa kokuvimbela kwengane ngudokotela wamathambo ku-1, 3, 6 izinyanga kanye nonyaka ongu-1 ngemva kokufunda ukuhamba.
Imibuzo nezimpendulo ezidumile
Izimpendulo Mikhail Mashkin, PhD, i-osteopath eqinisekisiwe, i-chiropractor, udokotela wamathambo.