Kuvandudza dysplasia yehudyu

Yekuvandudza dysplasia yehudyu (DDH) ndiko kupatsanurwa kwejoini yehudyu iyo iripo pakuzvarwa. Mamiriro acho anowanikwa mune vacheche kana vana vadiki.

Muhudyu ibhora nesoketi yakabatana. Bhora rinonzi musoro wechikadzi. Iyo inoumba chikamu chepamusoro chechidya chefupa (femur). Iyo socket (acetabulum) inoumba mumapfupa epelvic.

Mune vamwe vacheche, socket haina kudzika uye bhora (chidya chepfupa) rinogona kutsvedza kunze kwesocket, ingave nzira yenzira kana zvizere. Chiuno chimwe kana zvese zviri zviviri zvinogona kuve zvinobatanidzwa.

Chikonzero hachizivikanwe. Kuderera kweamniotic fluid mudumbu panguva yekuzvitakura kunogona kuwedzera njodzi yemwana yeDDH. Zvimwe zvinhu zvine njodzi zvinosanganisira:

• Kuva mwana wekutanga
• Kuva mukadzi
• Breech chinzvimbo panguva yekuzvitakura, umo pasi pemwana pasi
• Nhoroondo yemhuri yechirwere
• Huremu hwakakura hwekuzvarwa

DDH inoitika mune angangoita 1 kusvika ku1,5 ekuzvarwa chiuru.

Panogona kunge pasina zviratidzo. Zviratidzo zvinogona kuitika mumwana achangozvarwa zvinogona kusanganisira:

• Gumbo rine dambudziko rehudyu rinogona kuoneka kubuda zvakanyanya
• Yakaderedzwa mafambiro kune rumwe rutivi rwemuviri pamwe neiyo dislocation
• Pfupi gumbo parutivi nehudyu dislocation
• Makanda eganda asina kukwana ehudyu kana magaro

Mushure memwedzi mitatu yekuzvarwa, gumbo rakabatwa rinogona kubuda nekunze kana kupfupika pane rimwe gumbo.

Kana mwana angotanga kufamba, zviratidzo zvinogona kusanganisira:

• Kudzungaira kana kukamhina paunenge uchifamba
• Rimwe gumbo ipfupi, saka mwana anofamba nezvigunwe zvavo kune rimwe divi kwete rimwe divi
• Musana wezasi wemwana wakapoteredzwa mukati

Vanachiremba vehutano vanopa vanowanzo tarisa vese vacheche uye vacheche vehudyu dysplasia. Pane nzira dzinoverengeka dzekuona hudyu yakadamburwa kana hudyu iyo inokwanisa kubviswa.

Nzira yakajairika yekuziva mamiriro acho ndeye kuongorora muviri kwechiuno, izvo zvinosanganisira kuisa kumanikidza uchifambisa chiuno. Iye mupi anoteerera chero kudzvanya, clunks, kana pops.

Ultrasound yehudyu inoshandiswa muvacheche vadiki kuratidza dambudziko. X-ray yemubatanidzwa wehudyu inogona kubatsira kuongorora mamiriro acho mune vacheche vakura nevana.

Chiuno chakanyatsobviswa mumucheche chinofanirwa kuonekwa pakuzvarwa, asi zvimwe zviitiko zvinyoro uye zviratidzo zvinogona kusakura kusvika mushure mekuzvarwa, ndosaka bvunzo dzakawanda dzichikurudzirwa Dzimwe nyaya nyoro dzakanyarara uye hadziwanikwe panguva yekuyedzwa kwemuviri.

Kana dambudziko rikawanikwa mukati memwedzi mitanhatu yehupenyu, chishandiso kana chishandiso chinoshandiswa kuchengetedza makumbo akapatsanuka uye kutendeuka kuenda kunze (frog-gumbo chinzvimbo). Chigadzirwa ichi chinowanzo bata mubatanidzwa wechiuno munzvimbo mwana achikura.

Iyi tambo inoshanda kune vazhinji vacheche kana ikatanga isati yasvika mwedzi mitanhatu, asi kashoma kushandira vana vakura.

Vana vasina kuvandudza kana vanoonekwa mushure memwedzi mitanhatu vanowanzoda kuvhiyiwa. Mushure mekuvhiyiwa, cast ichaiswa pagumbo remwana kwenguva yakati.

Kana hudyu dysplasia inowanikwa mumwedzi mishoma yekutanga yehupenyu, inogona kugara ichirapwa zvinobudirira nechinzvimbo chekumisikidza (bracing). Muzviitiko zvishomanana, kuvhiyiwa kunodiwa kuti chiuno chidzoke zvakare mubatanidzwa.

Hip dysplasia iyo inowanikwa mushure mekutanga kwehucheche inogona kutungamira kune yakaipa mhedzisiro uye ingangoda kuvhiyiwa kwakaomarara kugadzirisa dambudziko.

Zvishandiso zvekusunga zvinogona kukonzera kutsamwa kweganda. Misiyano muhurefu hwemakumbo inogona kuenderera zvisinei nekurapwa kwakakodzera.

Asina kurapwa, hudyu dysplasia inotungamira kuArthritis uye kuora kwehudyu, izvo zvinogona kukuvadza zvakanyanya.

Fonera mupiki wako kana iwe uchifungidzira kuti hudyu yemwana wako haina kumira zvakanaka.

Kubudirira kwekuparadzaniswa kwejojo ​​yehudyu; Kukura hudyu dysplasia; DDH; Kuberekwa dysplasia yehudyu; Kuberekwa kubviswa kwehudyu; CDH; Pavlik harness

• Kuberekwa hip hudyu

Kelly DM. Kuberekwa uye kukura kwakashata kwechiuno uye chiuno. Mu: Azar FM, Beaty JH, Kanale ST, eds. Kushanda kwaCampbell Orthopedics. 13 ed. Philadelphia, PA: Elsevier; 2017: chits.

Sankar WN, Nyanga BD, Wells L, Dormans JP. Muhudyu. Mune: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Chinyorwa chePediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 678.

Mwanakomana-Hing JP, Thompson GH. Congenital kusagadzikana kwekumusoro uye kwakadzika magumo uye musana. Mune: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 10th ed. Philadelphia, PA: Elsevier Saunders; 2015: chits. 107.