Zamkatimu
Kodi hip dysplasia ndi chiyani
Hip dysplasia ndi kusakhwima kobadwa nako kwa mafupa, tendon, ndi ligaments pa mphambano ya mutu wa chikazi ndi acetabulum omwe amapanga mgwirizano. M'mawu osavuta - kukula kosakwanira kwa mgwirizano.
Mu chiopsezo gulu kwa matenda makamaka ana obadwa ndi lalikulu kulemera ndi breech ulaliki.
Kuzindikira sikuyenera kuchita mantha, "mwanayo sangayende" kapena "adzagwedezeka moyo wake wonse" - izi zimatheka ndi mtundu woopsa wa chiuno cha dysplasia. Nthawi zambiri, ana omwe ali ndi dysplasia ya m'chiuno amayenda bwino, koma kuphwanya "docking" ya mutu wa chikazi ndi phokoso la mgwirizano wa chiuno, katunduyo amagawidwa mosagwirizana pamene mwanayo akukula ndipo ntchito yake ikuwonjezeka ndipo ingayambitse mavuto.
Nkofunika kuzindikira matenda mu nthawi ubwana kupewa msanga kuphwanya m`chiuno olowa mu unyamata ndi uchikulire.
Zimayambitsa m'chiuno dysplasia ana
Pali zifukwa zingapo zomwe zingakhudzire maonekedwe a chiuno cha dysplasia mwa mwana:
- chibadwa. Matendawa amapezeka nthawi zambiri mwa ana omwe abambo ndi amayi adadwala matenda obadwa nawo a chiuno;
- kwambiri toxicosis;
- kumwa mankhwala aliwonse pa nthawi ya mimba;
- zipatso zazikulu;
- chiwonetsero cha gluteal;
- kusowa madzi;
- mavuto achikazi.
Zizindikiro za m'chiuno dysplasia ana
- kusakhazikika kwa mgwirizano wa chiuno;
- kusamuka ndi kubwerera ku malo ake oyambirira a mutu wachikazi;
- kuchepa kwapang'onopang'ono kwa ntchafu yomwe yakhudzidwa;
- makutu asymmetrical kumbuyo kwa ntchafu;
- kufupikitsa zoonekeratu za mwendo wakhudzidwa.
Chizindikiro choyamba chomwe chikhoza kuwonedwa mwa mwana wakhanda ndi kusakhazikika kwa chiuno, koma mu 80% yazochitika zonsezi zimachoka zokha.
Chithandizo cha chiuno dysplasia ana
Chithandizo cha dysplasia chimaphatikizapo malo okhazikika mothandizidwa ndi zida zofewa za mafupa zomwe zimafalitsa miyendo (mtsamiro wa Freik, Pavlik's stirrups, Pavlik's panty, Vilensky's kapena Volkov's splints's elastic splints) ndi masewera olimbitsa thupi.
Diagnostics
– Ngati mwana wanu amaganiziridwa chiuno dysplasia, m`pofunika kuchita ultrasound wa m`chiuno olowa ndi / kapena X-ray kufufuza - anati Mikhail Mashkin.
Chovuta kwambiri kuchizindikira ndi hip dysplasia ya digiri yoyamba (pre-luxation). Pachifukwa ichi, asymmetry yokha ya makutu a khungu ndi chizindikiro chabwino cha kudina (chizindikiro chodziwika bwino chimamveka, kusonyeza kuchepa kwa kusokonezeka pamene miyendo ikugwedezeka pa bondo ndi m'chiuno kumbali).
Hip dysplasia of the 2nd degree (subluxation) mwa makanda amapezeka pozindikira makutu a khungu asymmetric, chizindikiro chabwino, ndi chizindikiro cha kugwidwa kochepa kwa chiuno.
Ndi chiuno dysplasia 3 digiri (dislocation), matenda kutchulidwa, kuti makolo a mwanayo akhoza kuona kuphwanya. Maphunziro amafunikira kuti atsimikizire bwino za matendawa.
Ngati pali zizindikiro za chiuno cha dysplasia mwa mwana, kufufuza kwa ultrasound kumaperekedwa mu 100% ya milandu. X-ray ndiyo njira yodziwira matenda, kuyambira mwezi wachisanu ndi chiwiri wa moyo.
Mankhwala
Masiku ano ndiwofatsa chithandizo cha chiuno dysplasia mwa ana zachokera mfundo zotsatirazi: kupatsa nthambi malo abwino kuchepetsa (flexion ndi kubedwa), oyambirira zotheka chiyambi, kukhalabe mayendedwe yogwira, nthawi yaitali mankhwala mosalekeza, kugwiritsa ntchito njira zina. kuwonetseredwa (zolimbitsa thupi, kutikita minofu, physiotherapy).
Chithandizo chodziletsa chimaphatikizapo chithandizo cha nthawi yayitali pansi pa ultrasound ndi X-ray.
Njira yodziwika bwino yochizira dysplasia ya m'chiuno ndi yotambasula mpaka miyezi itatu, pilo ya Freik kapena Pavlik stirrups mpaka kumapeto kwa theka loyamba la chaka, ndipo m'tsogolomu - zingwe zosiyanasiyana zobera pofuna kusamalira zotsalira zotsalira.
Kwa ana omwe ali ndi dysplasia ya m'chiuno, masewera olimbitsa thupi a physiotherapy (zolimbitsa thupi) amasonyezedwa kuyambira masiku oyambirira a moyo. Iwo amaonetsetsa zonse thupi ndi maganizo chitukuko cha mwanayo.
Komanso, kuyambira masiku oyambirira a moyo wa mwana ndi matenda, kutikita minofu kumaperekedwa - kumathandiza kupewa yachiwiri minofu dystrophy, kusintha magazi mu mwendo wakhudzidwa ndipo potero kumathandiza kuthetsa mwamsanga matenda.
Ma opaleshoni amasonyezedwa kokha ndi dongosolo laukali la mgwirizano, pamene chithandizo chodziletsa sichidzakhala chothandiza. Njira zopangira opaleshoni zimagwiritsidwanso ntchito pamene kuchepetsa kusokonezeka popanda opaleshoni sikutheka.
Kupewa m'chiuno dysplasia ana kunyumba
- fufuzani zamoyo ndi ultrasound pa nthawi ya mimba;
- musamangirire mwanayo mwamphamvu, musawongole miyendo pamene mukugwedeza;
- ngati pali phwando ndi phazi, musagwiritse ntchito jumpers;
- mwanayo ayenera kuvala nsapato ndi nsana wolimba;
- kutenga vitamini D3 (poyamba, funsani dokotala wa ana);
- zodzitetezera mayeso a mwana ndi dokotala wa mafupa pa 1, 3, 6 miyezi 1 chaka ataphunzira kuyenda.
Mafunso ndi mayankho otchuka
mayankho Mikhail Mashkin, PhD, certified osteopath, chiropractor, orthopedist.