Inenge 2-3% yevana vese pasi pose vanoda rubatsiro rwemapfupa mumwedzi 12 yekutanga yehupenyu. Vamwe vana vanofungidzira kusaderera kwezvikwata zvechiuno, zvinogona kutungamirira mukuvhiringidzwa kwemakumbo. Pasina nguva yakakodzera uye yakakodzera kurapwa, chirwere ichi chinokonzera migumisiro isingagadziriswi.
Dysplasia yezviputi zvechiuno muvana - zvinokonzera
Kunyatsoziva kuti, nei pane kuonekwa kwechirwere, hazvaikwanisika zvakadaro. Maererano nemashoko anonyanya kufungidzirwa, kubatanidza dysplasia kune vana vane zvikonzero zvinotevera:
- kutaurirana kwakasimba kwe fetus ;
- kutadza kwehomoni panguva yekuzvitakura;
- uterine tambo netsambo yombilical;
- hutano;
- kuberekwa kana kushungurudzika kwepashure;
- prematurity;
- mhuri inogara mune imwe nzvimbo isina kunaka kwezvisikwa;
- tight swaddling ("musoja").
Ko dysplasia yekubatanidzwa kwechiuno ichiratidzwa sei mumwana?
Pane zviratidzo zvinogona kuonekwa zvakajeka, kunyatsotarisa mwana, asi kuzvirangarira hakusi yakarurama chaizvo. Nzira yakanakisisa yekuziva kuti dysplasia yezviputi zvechiuno mumwana ndeyechokwadi - taura nechiremba wemapfupa kana pane chikafu chechirwere. Kiriniki yezvitsanangudzo zvehutano inotsamira pakuoma kwayo uye nguva yemakumbo.
Hip dysplasia muvana vari pasi pegore rimwe remakore
Ziva dambudziko mumwedzi gumi nemaviri ekutanga hupenyu hwakaoma, nokuti mwana haayezve uye haafambi. Zviratidzo zvokutanga zveuchipi dysplasia muvana zvinogona kunge zvakadai:
- rutsoka rumwe runopfupika kupfuura rumwe;
- gweta uye inguinal mapanga haatendi;
- Chimiro chakafanana neC chedu;
- kazhinji kazhinji kanoisa ruoko kumakamera;
- kuchengeta musoro kune rumwe rutivi;
- chitsitsinho hachiri pamutsara wakafanana seyhin (rutsoka rutsoka rutsoka);
- Pakati pechidzitiro kana kuwedzera kwechikwata, kubhadharira kunonzwika.
Mumwana akaremara, mapfupa-mapfupa emapfupa ane masimba akawandisa. Kana iwe ukaisa mwana wako shure kwako uye ukaparadzira makumbo ako akadzikamisa, unogona kubata mabvi ako kumusoro usingashandisi chero kuedza. Dysplasia yezvinyorwa zvechiuno muvana zvinodzivisa izvi. Kukura kwemafambiro eimwe kana kumativi maviri ose kwakanyanyisa, uye kushanduka kunopera.
Hip dysplasia muvana mushure megore
Kuongorora chirwere ichi mumwana ari kukura zviri nyore, nokuti zviratidzo zvechinetso zvinowedzera pachena kunyange pamusha unoongorora. Hip dysplasia muvana - zviratidzo:
- achifamba "pamasokisi" ;
- clubfoot;
- kuisa minwe pamakumbo mukati mukati kana kuputika kwavo kumusoro;
- stoop;
- kuputika kwemupaka ;
- kushandura gait ("dashboard");
- Rimwe rutivi runonzwisiswa shoma.
Degrees of hip dysplasia muvana
Kunze kwekuvandudzwa kweiyi-bone-cartilaginous structure yakarongerwa maererano nekushingaira mumapoka matatu:
- Nyore (kusati kwaedza). Musoro weshiri hauna kugadzikana, unofamba zvakasununguka, mitezo yakakomberedza uye misumbu inoshaya. Izvozvi congenital dysplasia yezviputi zvechiuno muvana yakawanda kupfuura vamwe, inenge 2% yematambudziko.
- Avhareji (kugadziriswa). Nyuchi inoputika inogona kuwira kunze uye kuzvigadzirisa kune hutano, izvi zvinowanikwa nechokuita chekuita. Chiitiko chechipatara ichi chinenge 0.8%.
- Heavy (dislocation). Musoro wefupa uri kunze kwekubatana. Izvi zvakasiyana-siyana zvechirwere zvinowanikwa mune zvishoma pane 0.01% yevana. Dysplasia yakasimba yezviputi zvechiuno kune vana inotyisa. Inotungamirira kumatambudziko uye kusagadziriswa kwehutachiona hwemu musculoskeletal system uye mukukura.
Hip dysplasia muvana - kurapwa
Chinokosha chekugadzirisa sarudzo yechinetso chakatsanangurwa ndechekusimbiswa kwemaosteochondral cartilage structure mune imwe nzvimbo iyo inogona kukura-miyendo yakarambana kubva kumativi. Nzira yakakosha uye yakanakisisa yekurapa hip dysplasia muvana ndoshandisa zvigadzirwa zvakakosha:
- the stirrup of Pavlik;
- matairi Vilensky;
- Freik's pillows;
- Gnekovsky's apparatus;
- matairi Volkov nevamwe.
Kurapa kwezvirwere zvishoma uye kuvhara kwayo, swaddling yakazara yakakodzera, akapfekedza diapers zvemaseri maviri makuru, achishandisa slings uye mabhegi akatakura ("kangaroos"). Sekusimbisa kurapa, orthopedists vanokurudzira:
- gymnastics;
- massage;
- physiotherapy.
LFK ye hip dysplasia muvana
Dzidziso inokosha inofanira kuitwa zuva rega rega kwemwedzi 3-24 (zvichienderana nekuoma kwehutachiwana). Izvo zvinodiwa kuti gymnastics ye dysplasia yezviuno zvakanyatsobatana nevana inotanga kuitwa nechiremba. Pamba, iwe unogona kuzviita chete mushure mekudzidziswa. Mukushaikwa kweunyanzvi hunodiwa, kune ngozi yekukuvadza nekurwadziwa kumwana.
Kuita zvekuita hip dysplasia muvana:
- Muchigaro pamushure, kubata chizoro, tambanudza tsoka muchitenderera chinyararire.
- Bhanja gumbo rimwe mumabvi uye urimanikidze kusvika mudumbu, kupfugama rimwe chikwata ("bhasikoro").
- Zvimwe, pfugama makumbo mumabvi mune imwe nyika inonatsa.
- Pamwe chete peta zviuno uye zvinyoro, pasina simba rakasimba, pfugama mabvi kumusoro.
- Isa tsoka dzako necheriri, fambisa mberi uye kumashure, simulating glide.
- Kanda gumbo rimwe kune rimwe kune rimwe (chitsitsinho kusvika pamabvi).
- Tora pajoko chidimbu uye udzorere kunzvimbo yekusimudza (chikamu chepamusoro).
- Dzorera mwana mudumbu rake. Bhenza makumbo mumabvi uye urimanikidze kumativi.
- Kuti zvikotamire zvose zviviri, kugadzirisa ruoko rwetsoka. Nyorofa fanyisa mapepa kumusoro.
- Uyai nesitsitsinho kumupristi nemakumbo pamabvi ake.
Kuchengetedza hip dysplasia muvana
Vashandi veOrthopedist vanokurudzira kuti varege kuita zvinyorwa zvinyorwa zvisingabatsiri, asi nguva dzose bvunza nyanzvi anoziva. Izvi zvinonyanya kukosha kana dysplasia yezviputi zvechiuno mumucheche inowanikwa - kurapwa kunoitwa zvisina kururama kunongowedzera mamiriro ezvinhu. Pakave nyore kurwara kwezvirwere zvinokwanisika kudzidza kushambadza kune unyanzvi, kana achishanyira dzimwe nguva, uye kuti aipedze kana iye dzimba.
Ko hip dysplasia inobatwa sei muvana vachishandisa mazano ekunyora:
- Bvisa tsoka neminwe.
- Kuchengetedza mhemberero dzakatenderera kumhepo.
- Tambanudza misungo yemushure. Kuti uite massage zvechiuno.
- Kunyatsoshanda muhudyu. Kuchengetedza kubva pasi pasi (kusvika kune gluteus folds), zvishoma kudzvinyirira pasi peganda nemuviri wako.
- Zvinyoro tsvina mazai uye zvitsitsinho.
Electrophoresis ye dysplasia yezviputi zvechiuno muvana
Iko inonzi inonzi physiotherapy nzira inobva pakunyura kwe calcium ions kumapfupa-mapfupa emagetsi pasi pekuita kwezvino. Inogara ichinyorwa kana dysplasia yezviputi zvechiuno ichionekwa mucheche - kurapa kwe electrophoresis kunounza zvinotevera:
- kubviswa kwesimba;
- kununurwa kwehutano hwemarwadzo;
- kusimbisa mapfupa uye cartilage;
- kubviswa kweEdema;
- kubviswa kwe hypertonic muscle ;
- kudzorerwa kweropa microcirculation;
- kukurudzirwa kwekugadzirisa zvinhu zvakare.
Parafini yeDysplasia yezviputi zvechiuno mukati mevana
Kuchena kunobatsira zvikuru pamasabolism uye kupararira mumakumbo emaronda, nokukurumidza kunoderedza marwadzo nekuvandudza kufamba. Iyo inotsanangurwa nzira ye physiotherapy inokurudzirwa kuti iite pamwe pamwe ne electrophoresis, gymnastics uye massage. Nekubatsira kweparafini, dysplasia yezviputi zvechiuno yakanyanyisa uye yakakurumidza kubviswa - kurapwa kwevana vane kupisa zvinoshandiswa kunobatsira:
- kuisa chimiro chekugadzirisa kwekugadzikana kwepasi;
- dzokera mutsetse wepafu panzvimbo yakakodzera;
- kuti aponese mwana kubva pakutambudzika;
- kuvandudza kushanduka;
- kusimbisa kubuda kwemuviri.
Migumisiro ye hip dysplasia muvana
Kana chirwere chakakwana chakatangwa nenzira yakakodzera, chirwere ichi chinopera zvachose pasina zvinetso. Apo dysplasia yezviuno zvakasungirirwa muvana vaduku haibatanidzwi, inofambira mberi. Dzimwe nguva uwandu hwekuvhiringidza kune chikamu hwakanyanya kwazvo zvokuti nyanzvi yemapfupa inofanirwa kupa chirongwa chekuvhiya:
- open dislocation;
- degrotation osteotomy;
- Operation Shantsa;
- kururamisa varistating osteotomy;
- osteotomy yemapanga (nenzira yeChiari);
- Operation Koenig.
Pasina chirwere, migumisiro ye dysplasia muvana inogona kunge yakaita seizvi:
- neoarthrosis;
- kupfupisa kwehudyu;
- dysplastic coxarthrosis;
- kusaputika hip dislocation;
- kuremara.