Mukati
Chii chinonzi hip dysplasia
Hip dysplasia ndiyo yekuzvarwa immaturity yemapfupa, tendon, uye ligaments panosangana musoro wechikadzi uye acetabulum inoumba mubatanidzwa. Mumashoko akajeka - kukura kusina kukwana kwekubatana.
Muboka rengozi yechirwere ichi kunyanya vana vanozvarwa vane uremu hukuru uye mukuratidza breech.
Kuongororwa hakudi kutya, "mwana haazofambi" kana kuti "acharamba achikamhina hupenyu hwake hwose" - izvi zvinogoneka chete nemhando yakanyanyisa yehudyu dysplasia. Muzviitiko zvakawanda, vana vane hip dysplasia vanofamba zvakanaka, asi mukuputsa "docking" yemusoro wemukadzi uye mhango yejojo rehudyu, mutoro unogoverwa zvisina kufanana sezvo mwana anokura uye basa rake rinowedzera uye rinogona kutungamirira kumatambudziko.
Zvakakosha kuziva chirwere munguva muhuduku kudzivirira kukanganisa kusati kwasvika kwekubatana kwehudyu mukuyaruka uye kukura.
Zvikonzero zvehudyu dysplasia muvana
Pane zvinhu zvakawanda zvinogona kukanganisa kuonekwa kwehudyu dysplasia mumwana:
- nhaka. Iyi pathology inowanzoonekwa muvana vana baba naamai vakatambura nekuberekwa kwekukura kwehutano hwehutano hwehudyu;
- zvakanyanya toxicosis;
- kutora chero mishonga panguva yekuzvitakura;
- muchero mukuru;
- gluteal presentation;
- kushaya mvura;
- gynecological matambudziko.
Zviratidzo zvehudyu dysplasia muvana
- kusagadzikana kwekubatana kwehudyu;
- kutama uye kudzokera kunzvimbo yayo yepakutanga yemusoro wechikadzi;
- kubviswa zvishoma kwekubatanidzwa kwehudyu yakakanganiswa;
- asymmetrical folds kumashure kwehudyu;
- kupfupisa kuri pachena kwegumbo rakabatwa.
Chiratidzo chekutanga chekutanga chinogona kuonekwa mumwana achangoberekwa kusagadzikana kwehudyu, asi mu80% yezviitiko zvose izvi zvinoenda pachazvo.
Kurapa kwehudyu dysplasia muvana
Kurapa kwe dysplasia kunosanganisira nzvimbo yakagadziriswa nerubatsiro rwezvinyoro zvinyoro zvemapfupa zvinoparadzira makumbo (Freik's pillow, Pavlik's stirrups, Becker's panties, Vilensky's kana Volkov's elastic splints) uye maitiro ekurapa.
Diagnostics
- Kana mwana wako achifungidzirwa kuti ane hip dysplasia, zvakakosha kuti uite ultrasound yemajoini ehudyu uye / kana X-ray kuongorora, - anodaro Mikhail Mashkin.
Chinhu chakanyanya kuoma kuongororwa ndeye hip dysplasia ye1st degree (pre-luxation). Muchiitiko ichi, chete asymmetry yeganda rakapetwa uye chiratidzo chakanaka chekudzvanya chinogona kuonekwa (kudzvanya kwehunhu kunonzwika, zvichiratidza kuderedzwa kweiyo dislocation kana makumbo akakotama pamabvi uye majoini ehudyu kumativi).
Hip dysplasia ye2nd degree (subluxation) muvacheche inotaridzirwa nekuziva asymmetric skin folds, chiratidzo chakanaka chekudzvanya, uye chiratidzo chekushomeka kwehudyu.
Nehudyu dysplasia ye 3rd degree (dislocation), chirwere chacho chinotaurwa, kuti vabereki vemwana vanogona kuona kukanganisa. Zvidzidzo zvinodiwa kuti usimbise zvizere kuongororwa.
Kana pane zviratidzo zvehudyu dysplasia mumwana, kuongororwa kwe ultrasound kunorayirwa mu100% yematambudziko. X-ray ndiyo inonyanya kudzidzisa nzira yekuongorora, kutanga kubva pamwedzi wechinomwe wehupenyu.
Mishonga
Mazuva ano Conservative kurapwa kwehudyu dysplasia muvana kunobva pane anotevera misimboti: kupa nhengo nzvimbo yakanaka yekudzikisa (kuchinjika uye kupambwa), kutanga kwekutanga kunobvira, kuchengetedza mafambiro anoshanda, kwenguva refu inoenderera kurapwa, kushandiswa kwedzimwe nzira. kuratidzwa (kurapa maekisesaizi, masaja, physiotherapy).
Conservative kurapwa kunosanganisira kurapa kwenguva refu pasi pekutonga kwe ultrasound uye X-ray kuongororwa.
Nzira yakajairika yekurapa hip dysplasia ndeyekuputira yakafara kusvika kumwedzi mitatu, Freik pillow kana Pavlik stirrups kusvika pakupera kwehafu yekutanga yegore, uye mune ramangwana - akasiyana-siyana abduction splints for after care of reridual defects.
Kune vana vane hip dysplasia, physiotherapy maitiro (exercise therapy) inoratidzwa kubva pamazuva ekutanga ehupenyu. Inovimbisa kukura kwakakwana kwemuviri uye kwepfungwa kwemwana.
Zvakare, kubva pamazuva ekutanga ehupenyu hwemwana ane pathology, masaja inorongerwa - inobatsira kudzivirira yechipiri tsandanyama dystrophy, inovandudza kutenderera kweropa munhengo inobatwa uye nekudaro inobatsira kukurumidza kubviswa kwechirwere.
Mashandiro anoratidzwa chete neyakaomarara chimiro chejoinhi, apo kurapa kwekuchengetedza kunenge kusingabatsiri. Nzira dzekuvhiya dzinoshandiswawo apo kuderedzwa kwekuparara pasina kuvhiyiwa hazvibviri.
Kudzivirira hip dysplasia muvana kumba
- ita biochemical uye ultrasound kuongorora panguva yekuzvitakura panguva;
- usaputira mwana zvakasimba, usaruramisa makumbo kana swaddling;
- kana pane kugamuchirwa netsoka, usashandise jumpers;
- mwana anofanira kupfeka shangu dzine musana wakasimba;
- kutora vitamini D3 (kutanga, bvunza chiremba wevana);
- kuongororwa kwekudzivirira kwemwana neothopedist pa1, 3, 6 mwedzi uye 1 gore mushure mokunge adzidza kufamba.
Mibvunzo nemhinduro dzakakurumbira
mhinduro Mikhail Mashkin, PhD, certified osteopath, chiropractor, orthopedist.