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He aha ka hip dysplasia
ʻO ka hip dysplasia ka hānau ʻole ʻana o nā iwi, nā tendons, a me nā ligaments ma ka hui ʻana o ke poʻo femoral a me ka acetabulum e hana i ka hui. Ma nā'ōlelo maʻalahi - ka hoʻomohalaʻole o ka hui.
I loko o ka pūʻulu pilikia no ka maʻi he nui nā keiki i hānau ʻia me ke kaumaha nui a ma ka hōʻike breech.
ʻAʻole pono e makaʻu ka maʻi, "ʻaʻole e hele ke keiki" a i ʻole "e liʻiliʻi i kona ola a pau" - hiki wale kēia me kahi ʻano koʻikoʻi o ka hip dysplasia. I ka hapanui o nā hihia, hele maʻamau nā keiki me ka hip dysplasia, akā i ka uhai ʻana i ka "docking" o ke poʻo femoral a me ka lua o ka hui pūhaka, ua puʻunaue ʻia ka ukana i ka wā e ulu ana ke keiki a piʻi kāna hana a hiki ke alakaʻi i nā pilikia.
He mea nui ka ʻike ʻana i ka maʻi i ka wā kamaliʻi e pale ai i ka uhaki mua ʻana o ka hui pūhaka i ka wā ʻōpio a me ke kanaka makua.
Nā kumu o ka hip dysplasia i nā keiki
Aia kekahi mau mea e hiki ke hoʻopili i ke ʻano o ka hip dysplasia i kahi keiki:
- heredity. ʻIke pinepine ʻia kēia pathology i nā keiki i loaʻa i ka makua kāne a me ka makuahine i nā maʻi hoʻomohala congenital o ka hui pūhaka;
- ʻawahia kūpilikiʻi;
- lawe i kekahi lāʻau i ka wā hāpai;
- hua nui;
- hōʻike gluteal;
- nele i ka wai;
- pilikia gynecological.
Nā hōʻailona o ka hip dysplasia i nā keiki
- ka paʻaʻole o ka hui pūhaka;
- ka neʻe ʻana a hoʻi i kona kūlana mua o ke poʻo femoral;
- ka hoʻopaʻa ʻia ʻana o ka hui pūhaka i hoʻopilikia ʻia;
- nā ʻāpana asymmetrical ma ke kua o nā ʻūhā;
- ka pōkole maopopo o ka wāwae i hoʻopilikia ʻia.
ʻO ka hōʻailona mua loa i hiki ke ʻike ʻia i kahi keiki hānau hou, ʻo ia ka paʻa ʻole o ka ʻūhā, akā ma ka 80% o nā hihia āpau e hele wale ana kēia.
Ka mālama ʻana i ka dysplasia hip i nā keiki
ʻO ka mālama ʻana i ka dysplasia e pili ana i kahi kūlana paʻa me ke kōkua o nā mea orthopedic palupalu e hohola i nā wāwae (Freik's pillow, Pavlik's stirrups, Becker's panties, Vilensky's or Volkov's elastic splints) a me nā hoʻomaʻamaʻa therapeutic.
lapaʻau '
- Inā kānalua kāu keiki i ka hip dysplasia, pono ia e hana i kahi ultrasound o nā ʻūhā a me / a i ʻole X-ray, wahi a Mikhail Mashkin.
ʻO ka mea paʻakikī loa e ʻike i ka hip dysplasia o ka 1st degere (pre-luxation). I kēia hihia, hiki ke ʻike ʻia ka asymmetry o ka ʻili a me kahi hōʻailona maikaʻi o kahi kaomi (ua lohe ʻia kahi kaomi hiʻohiʻona, e hōʻike ana i ka emi ʻana o ka dislocation i ka wā e kulou ai nā wāwae ma ke kuli a me nā ʻūhā i nā ʻaoʻao).
Hōʻike ʻia ʻo Hip dysplasia o ka 2nd degere (subluxation) i nā kamaliʻi ma ka ʻike ʻana i nā ʻili asymmetric ʻili, kahi hōʻailona kaomi maikaʻi, a me kahi hōʻailona o ka lawe ʻia ʻana o ka ʻūhā.
Me ka hip dysplasia o ka 3rd degere (dislocation), ua haʻi ʻia ka maʻi, hiki i nā mākua o ke keiki ke ʻike i nā hewa. Pono nā haʻawina e hōʻoia piha i ka ʻike.
Inā loaʻa nā hōʻailona o ka hip dysplasia i kahi keiki, ua kuhikuhi ʻia kahi hoʻokolokolo ultrasound ma 100% o nā hihia. ʻO ka X-ray ke ala diagnostic ʻike nui loa, e hoʻomaka ana mai ka mahina ʻehiku o ke ola.
Nā hoʻoponopono
Hoʻokumu ʻia ka mālama conservative hou o ka hip dysplasia i nā keiki i kēia mau kumu kumu: hāʻawi i ka lālā i kahi kūlana kūpono no ka hōʻemi ʻana (flexion a abduction), ka hoʻomaka mua loa, ka mālama ʻana i nā neʻe ikaika, ka hoʻomau mau ʻana i ka wā lōʻihi, ka hoʻohana ʻana i nā ʻano hana hou. o ka hoʻolaha ʻana (nā hoʻomaʻamaʻa therapeutic, massage, physiotherapy).
ʻO ka mālama ʻana i ka conservative e pili ana i ka lāʻau lōʻihi ma lalo o ka mana o ka ultrasound a me ka hoʻokolokolo X-ray.
ʻO ke ʻano maʻamau o ka mālama ʻana i ka hip dysplasia ʻo ia ka swaddling ākea a hiki i 3 mau mahina, Freik pillow a i ʻole Pavlik stirrups a hiki i ka hopena o ka hapa mua o ka makahiki, a i ka wā e hiki mai ana - nā ʻāpana hoʻopiʻi ʻokoʻa no ka mālama ʻana i nā hemahema.
No nā keiki me ka hip dysplasia, hōʻike ʻia nā hoʻomaʻamaʻa physiotherapy (hana hoʻomaʻamaʻa) mai nā lā mua o ke ola. Mālama ia i ka hoʻomohala piha o ke kino a me ka noʻonoʻo o ke keiki.
Eia kekahi, mai nā lā mua o ke ola o kahi keiki me kahi pathology, ua kuhikuhi ʻia ka massage - kōkua ia i ka pale ʻana i ka dystrophy muscle lua, hoʻomaikaʻi i ke kahe koko i loko o ka lālā i hoʻopilikia ʻia a no laila e kōkua i ka hoʻopau wikiwiki ʻana i ka pathology.
Hōʻike ʻia nā hana me kahi ʻano ʻino o ka hui, i ka wā ʻaʻole pono ka mālama conservative. Hoʻohana pū ʻia nā ʻano hana ʻoki i ka wā hiki ʻole ke hōʻemi ʻia o ka dislocation me ka ʻole o ka ʻoki.
Ka pale ʻana i ka dysplasia hip i nā keiki ma ka home
- e hana i nā hōʻike biochemical a me nā ultrasound i ka wā hāpai i ka manawa;
- mai kāʻei paʻa i ke keiki, mai hoʻopololei i nā wāwae i ke kāʻei;
- inā loaʻa kahi hoʻokipa me kahi wāwae, mai hoʻohana i nā mea lele;
- pono ke keiki e komo i na kamaa me ke kua paa;
- ka lawe ʻana i ka vitamina D3 (e hoʻomaka, e nīnau i kahi pediatrician);
- nā hoʻokolohua pale ʻana o ke keiki e kahi orthopedic ma 1, 3, 6 mahina a me 1 makahiki ma hope o kona aʻo ʻana e hele.
Nā nīnau a me nā pane kaulana
pane ʻO Mikhail Mashkin, PhD, osteopath i hōʻoia ʻia, chiropractor, orthopedist.