txheem
Dab tsi yog hip dysplasia
Hip dysplasia yog qhov tsis zoo ntawm cov pob txha, cov leeg, thiab ligaments ntawm qhov sib txuas ntawm lub taub hau femoral thiab acetabulum uas tsim kev sib koom ua ke. Hauv cov lus yooj yooj yim - kev txhim kho tsis tiav ntawm kev sib koom ua ke.
Nyob rau hauv pab pawg neeg muaj kev pheej hmoo rau tus kab mob no mas cov me nyuam yug los nrog ib tug loj luj thiab nyob rau hauv lub breech kev nthuav qhia.
Kev kuaj mob tsis tas yuav ntshai, "tus me nyuam yuav tsis taug kev" lossis "yuav limp tag nrho nws lub neej" - qhov no tsuas yog ua tau nrog daim ntawv loj ntawm lub duav dysplasia. Feem ntau, cov menyuam yaus uas muaj lub duav dysplasia taug kev ib txwm, tab sis ua txhaum ntawm "docking" ntawm lub taub hau femoral thiab kab noj hniav ntawm lub duav sib koom, cov khoom faib tawm tsis sib xws thaum tus menyuam loj hlob thiab nws cov haujlwm nce ntxiv thiab tuaj yeem ua rau muaj teeb meem.
Nws yog ib qho tseem ceeb los txheeb xyuas tus kab mob nyob rau hauv lub sij hawm nyob rau hauv thaum yau los tiv thaiv ntxov ntxov ua txhaum ntawm lub duav sib koom nyob rau hauv cov hluas thiab cov neeg laus.
Ua rau hip dysplasia hauv menyuam yaus
Muaj ntau ntau yam uas tuaj yeem cuam tshuam qhov tshwm sim ntawm hip dysplasia hauv tus menyuam:
- caj ces. Qhov no pathology feem ntau pom nyob rau hauv cov me nyuam uas nws leej txiv thiab leej niam raug kev txom nyem los ntawm congenital txoj kev loj hlob ntawm lub duav ob leeg;
- hnyav toxicosis;
- noj ib yam tshuaj thaum cev xeeb tub;
- txiv hmab txiv ntoo loj;
- gluteal nthuav qhia;
- tsis muaj dej;
- teeb meem gynecological.
Cov tsos mob ntawm hip dysplasia hauv cov menyuam yaus
- instability ntawm lub duav pob qij txha;
- tshem tawm thiab rov qab mus rau nws txoj haujlwm qub ntawm lub taub hau femoral;
- txwv abduction ntawm lub hip sib koom tes;
- asymmetrical folds nyob rau sab nraum qab ntawm tus ncej puab;
- pom tseeb shortening ntawm cov ceg cuam tshuam.
Thawj qhov cim uas tuaj yeem pom hauv tus menyuam yug tshiab yog lub hauv siab tsis ruaj khov, tab sis hauv 80% ntawm tag nrho cov xwm txheej no ploj mus ntawm nws tus kheej.
Kev kho mob hip dysplasia hauv cov menyuam yaus
Kev kho mob ntawm dysplasia suav nrog txoj haujlwm ruaj khov nrog kev pab los ntawm cov khoom siv orthopedic uas nthuav tawm ob txhais ceg (Freik lub hauv ncoo, Pavlik's stirrups, Becker's panties, Vilensky's lossis Volkov's elastic splints) thiab kev kho mob.
diagnostics
- Yog tias koj tus menyuam xav tias mob plab dysplasia, nws yuav tsum tau ua ultrasound ntawm lub duav pob qij txha thiab / lossis X-ray, - hais tias Mikhail Mashkin.
Qhov nyuaj tshaj plaws rau kev kuaj mob yog hip dysplasia ntawm 1st degree (pre-luxation). Nyob rau hauv cov ntaub ntawv no, tsuas yog asymmetry ntawm daim tawv nqaij folds thiab ib tug zoo cov tsos mob ntawm ib tug nias (ib tug yam ntxwv nias yog hnov, qhia tau hais tias yuav txo tau ntawm dislocation thaum ob txhais ceg yog khoov ntawm lub hauv caug thiab lub duav pob qij txha rau ob sab).
Hip dysplasia ntawm 2nd degree (subluxation) hauv cov menyuam mos yog kuaj pom los ntawm kev txheeb xyuas cov tawv nqaij asymmetric folds, cov tsos mob zoo nyem, thiab cov tsos mob ntawm kev txwv lub duav abduction.
Nrog hip dysplasia ntawm 3rd degree (dislocation), tus kab mob tau hais, uas cov niam txiv ntawm tus menyuam tuaj yeem pom qhov ua txhaum cai. Cov kev tshawb fawb yuav tsum tau ua kom paub meej tias qhov kev kuaj mob.
Yog tias muaj cov tsos mob ntawm lub duav dysplasia hauv tus menyuam, kev kuaj mob ultrasound yog muab rau hauv 100% ntawm cov neeg mob. X-ray yog txoj kev kuaj mob tshaj plaws, pib txij lub hli xya ntawm lub neej.
Kev Kho Mob
Niaj hnub nimno kev kho mob ntawm lub duav dysplasia nyob rau hauv cov menyuam yaus yog raws li cov hauv paus ntsiab lus hauv qab no: muab cov ceg taw ib qho zoo tagnrho rau kev txo qis (flexion thiab abduction), qhov pib ua tau ntxov tshaj plaws, tswj kev txav mus los, kev kho mob mus sij hawm ntev, kev siv cov txheej txheem ntxiv. kev raug mob (kev kho mob, massage, physiotherapy).
Conservative kev kho mob muaj xws li kev kho mob mus sij hawm ntev nyob rau hauv kev tswj ntawm ultrasound thiab X-ray kuaj.
Feem ntau txoj kev kho mob hip dysplasia yog dav swaddling mus txog 3 lub hlis, Freik hauv ncoo los yog Pavlik stirrups kom txog rau thaum kawg ntawm thawj ib nrab ntawm lub xyoo, thiab yav tom ntej - ntau yam abduction splints rau tom qab ntawm residual defects.
Rau cov menyuam yaus uas muaj hip dysplasia, physiotherapy ce (kev kho mob) yog qhia los ntawm thawj hnub ntawm lub neej. Nws ua kom tag nrho lub cev thiab lub hlwb kev loj hlob ntawm tus me nyuam.
Tsis tas li ntawd, los ntawm thawj hnub ntawm tus me nyuam lub neej nrog ib tug pathology, massage yog sau - nws yuav pab tiv thaiv ob leeg nqaij dystrophy, txhim kho cov ntshav ncig nyob rau hauv cov ceg uas cuam tshuam thiab yog li pab txhawb kom ceev tshem tawm ntawm pathology.
Kev ua haujlwm tsuas yog qhia nrog cov qauv ntxhib ntawm kev sib koom ua ke, thaum kev kho kom zoo yuav tsis ua haujlwm. Txoj kev phais kuj tseem siv tau thaum qhov txo qis ntawm qhov tsis muaj kev phais yog tsis yooj yim sua.
Tiv thaiv hip dysplasia hauv cov menyuam yaus hauv tsev
- ua biochemical thiab ultrasound kuaj thaum cev xeeb tub raws sijhawm;
- tsis txhob swaddle tus me nyuam kom nruj, tsis txhob ncaj ob txhais ceg thaum swaddling;
- yog tias muaj kev txais tos nrog ko taw, tsis txhob siv jumpers;
- tus menyuam yuav tsum hnav khau nrog lub nraub qaum;
- noj cov vitamin D3 (pib nrog, sab laj nrog kws kho menyuam yaus);
- Kev tiv thaiv kev kuaj mob ntawm tus menyuam los ntawm tus kws kho mob orthopedist ntawm 1, 3, 6 lub hlis thiab 1 xyoos tom qab nws kawm taug kev.
Nrov lus nug thiab lus teb
Cov lus teb Mikhail Mashkin, PhD, ntawv pov thawj osteopath, chiropractor, orthopedist.