Ke pilikia nei kāu pēpē i ka ʻūhā? E kamaʻilio kākou e pili ana i ka Hip Dysplasia!

Ua ʻike anei ʻoe i ka wā e ʻauʻau ana a hoʻololi paha i nā lole o kāu keiki liʻiliʻi he ʻokoʻa ka pelu ʻana o ka ʻili ma kekahi wāwae, ʻoi aku paha ka nui, ma mua o kekahi? A i ʻole ua ʻike anei ʻoe e ʻōʻō iki ana kāu pēpē i kona hele ʻana, a i ʻole he ʻokoʻa iki ka lōʻihi o kona mau wāwae? Me he mea lā he mau mea maʻamau kēia a mākou e nānā ʻole ai. Akā, he mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo Hip Dysplasia, kahi pilikia me ka hui ʻūhā i maʻamau i nā pēpē. Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.

I ka ʻōlelo maʻalahi, he aha ka Hip Dysplasia?

ʻO ka Hip Dysplasia ka wā i hoʻokumu pono ʻole ʻia ai ko kākou hui ʻūhā. No ka hoʻomaopopo maʻalahi ʻana i kēia, e noʻonoʻo i ko kākou hui ʻūhā e like me ka pōpō a me ke kīʻaha e kūpono i loko. Pono ka ʻāpana e like me ka pōpō ma ka piko o ko kākou iwi ʻūhā (femur) (poʻo femoral) e kūpono pono i loko o ka ʻāpana poepoe, e like me ke kīʻaha (acetabulum) i loko o ka pelvis.

I ke ʻano o ka Hip Dysplasia , ʻaʻole paha i lawa ka hohonu o ka ʻāpana e like me ke kīʻaha, no laila ʻaʻole kūpono ka ʻāpana e like me ka pōpō. A i ʻole, ma muli o ka loli ʻana o ke ʻano o ka ʻāpana e like me ka pōpō, ʻaʻole kūpono kēia kūpono. ʻO kēia ke kumu o ka lilo ʻana o ka hui ʻūhā i mea paʻa ʻole a palupalu.

ʻO kēia ʻano maʻamau ka mea maʻamau i nā pēpē hānau hou a me nā kamaliʻi ʻōpio. I kekahi manawa ua kapa ʻia ʻo ia he congenital hip dysplasia a i ʻole developmental dysplasia of the hip (DDH). Eia nō naʻe, i kekahi manawa ʻoi aku ka liʻiliʻi o kēia ʻano i ka wā makua.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa nā hōʻailona o ka Hip Dysplasia me ka makahiki o ke keiki. E wehewehe pono kākou i kēia.

No ke aha e hana nei kēia? ʻO wai ka mea i pilikia nui?

He paʻakikī ke hoʻoholo i hoʻokahi kumu no ka hip dysplasia, akā aia kekahi mau kumu e hiki ke kōkua.

• ʻIke Hoʻoilina: Inā loaʻa kekahi o ka ʻohana i kēia maʻi, ʻoi aku ka nui o ka pilikia o ke keiki e loaʻa pū iā ia.
• Ke kūlana o ka ʻōpū: ʻO ke kūlana o ka pēpē i nā pae hope o ka hāpai ʻana, ʻoiai ke kūlana breech, hiki ke kau i ke kaomi ma ka hui ʻūhā a alakaʻi i kēia maʻi.
• Ka loaʻa ʻana o kahi keiki mua: ʻOiai ʻaʻole i hohola nui ʻia ka ʻōpū o ka makuahine i ka wā hāpai mua, aia paha kekahi hopena ma muli o ka nele o kahi no ka pēpē.
• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kaikamahine ma mua o nā keikikāne. ʻO kēia no ka mea he nui nā hormones i loko o ke kino o nā kaikamahine e hoʻonāwaliwali ai i nā hono.

Hoʻopilikia pinepine kēia maʻi i ka ʻūhā hema.

He aha nā pilikia e hiki mai ana inā hoʻowahāwahā ʻia kēia?

ʻO ka Hip Dysplasia, ʻoiai inā ʻaʻole i ʻike ʻia a mālama ʻia i ka wā ʻōpiopio, hiki ke hana i nā pilikia like ʻole i ka wā e hiki mai ana.

• Kahe ʻana o ka Hip: Ma muli o ke hoʻopaʻa pono ʻole ʻia o ke hono, ʻoi aku ke kiʻekiʻe o ka pilikia o ka kahe ʻana o ka hip ma mua o ka maʻamau.
• Nā Waimaka Hip Labral: Hiki ke hōʻino ʻia ke cartilage, kahi ʻāpana like me ka uluna o ka hui, ke kūpono ʻole nā ​​​​iwi.
• Osteoarthritis: ʻO kēia ka pilikia koʻikoʻi loa no ka wā lōʻihi. No ka mea, ʻaʻole hana pono ke ami, hiki ke palupalu i ka hala ʻana o ka manawa, e hōʻeha nui ai a me ka paʻakikī i ka neʻe ʻana.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

E hahai ana kāu kauka i kekahi mau ʻanuʻu e ʻike ai i kēia maʻi.

1. Hoʻokolokolo kino: Aia kekahi mau ala kūikawā e nānā ai i nā ʻūhā o ka pēpē. E kūlou mālie ke kauka a hoʻohuli i nā wāwae o ka pēpē e nānā i nā mea ʻē aʻe, nā leo "kāomi", a i ʻole ka palupalu o ka hui ʻūhā. I kahi pākeke, e nānā lākou i nā wahi ʻeha a me ka laulā o ka neʻe ʻana.

2. Nā Hoʻāʻo Kiʻi: Inā he kānalua, hana ʻia nā scan e hōʻoia i ka hōʻailona.

• Ultrasound: ʻO kēia ke ala maikaʻi loa e ʻike ai i ka hui ʻūhā i nā pēpē ma lalo o 6 mahina, no ka mea, i kēlā makahiki ʻaʻole i ulu piha nā iwi.
• Nā kukuna X-ray: Hana ʻia kahi kukuna X-ray e ʻike maopopo i ke kūlana o nā iwi i nā keiki ma luna o 6 mahina a me nā pākeke.
• CT Scan: I kekahi mau hihia paʻakikī a i ʻole i ka wā e hoʻolālā ai i ke ʻoki kino, hoʻohana ʻia kēia hoʻāʻo e loaʻa ai kahi kiʻi ʻekolu-dimensional (3D) o ka hui.

He aha nā lāʻau lapaʻau no kēia?

He mea nui loa ka ʻike mua ʻana i ka wā e mālama ai i ka Hip Dysplasia, no ka mea, ʻo ka wikiwiki o ka ʻike ʻia ʻana, ʻo ka maʻalahi a me ka holomua o ka mālama ʻana.

Lapaʻau no nā pēpē

ʻAʻole pono nā pēpē ma lalo o 6 mahina i ke ʻoki ʻana.

• Kāʻei/Hale: Ua hoʻokomo ʻia ka pēpē me kahi kāʻei i hoʻolālā kūikawā ʻia (e like me ke kāʻei Pavlik). Kōkua kēia i ka mālama ʻana i ka hui ʻūhā o ka pēpē ma ke kūlana kūpono, e like me ka pōpō o ke kīʻaha, a e kōkua iā ia e ulu. Hoʻokomo mau ʻia ke kāʻei (a puni ka uaki) no kekahi mau mahina. I loko o kēia manawa, paʻa ka hui ʻūhā a ulu pono. He lāʻau lapaʻau maikaʻi loa kēia.

Ka mālama ʻana no nā keiki makua a me nā mākua

• Hoʻōla Kino: Hāʻawi ʻia nā hoʻomaʻamaʻa a me nā kīkoʻo e hoʻoikaika i nā ʻiʻo a puni ka ʻūhā a hoʻonui i ka neʻe ʻana a me ka maʻalahi o ke hui.
• ʻOki kino: Inā ʻaʻole holomua nā lāʻau ʻē aʻe, a inā ʻike ʻia ka maʻi i ka wā makua, pono paha ke ʻoki kino.
• Hip Osteotomy: ʻO kēia ka ʻoki ʻana a me ke hoʻoponopono hou ʻana i ka iwi e lawe mai i ka hui ʻūhā i ke kūlana kūpono.
• Hip Arthroscopy: ʻO kēia ke komo ʻana i kahi kāmela a me nā mea kani ma o kahi ʻoki liʻiliʻi e hoʻoponopono ai i ka hōʻino ʻia o ke cartilage i loko o ka hui.
• Hoʻololi ʻŪhā (Arthroplasty): Inā ua pau loa ke ami a ua koʻikoʻi ka ʻāʻī, pono paha ke ʻoki kino e pani i ka ami ʻūhā holoʻokoʻa me kahi ami hana.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau mea, e ʻike koke i kāu kauka.

• Inā hōʻike kāu pēpē i kekahi o nā hōʻailona a mākou i kūkākūkā ai ma mua (e like me ke ʻano ʻūlū wāwae like ʻole, ka ʻopaʻa ʻana).
• Inā loaʻa iā ʻoe ka ʻeha ma ka ʻūhā, ʻaʻole ia e nalowale ma hope o kekahi mau lā.
• Inā paʻa ʻole kou mau pūhaka a lele paha i kou wā e hele ai.

Āhea ʻoe e makemake ai e hele i ka ETU?

He mea maʻamau ka makaʻu ke ʻike ʻoe ua loaʻa i kāu pēpē kekahi mea e like me kēia. Akā e hoʻomanaʻo, he maʻi hiki ke mālama ʻia ka Hip Dysplasia, ʻoiai inā ʻike mua ʻia. Ma hope o ka mālama ʻana, hiki i kāu pēpē ke ola i kahi ola maʻamau me ka ʻole o nā hopena lōʻihi. No laila, mai makaʻu, a inā he kānalua kāu, e kamaʻilio me kāu kauka.