Ke hopohopo nei ʻoe no nā ʻūhā o kāu keiki liʻiliʻi? E kamaʻilio kākou e pili ana i ka hip dysplasia!

E like me ka hauʻoli e hiki mai ana i kou manaʻo ke nānā ʻoe i kahi pēpē hānau hou, i kekahi manawa he mea maʻamau ka makaʻu ʻoiai ke ʻike ʻoe i kahi mea liʻiliʻi, ʻeā? ʻOiai ke ʻōlelo mai ke kauka he ʻokoʻa iki a he pilikia paha i ka iwi ʻūhā o ka pēpē, e hoʻoluliluli ia i kou puʻuwai. ʻO ia ke ʻano o kēia deformity hui ʻūhā, a i ʻole e like me ke kapa ʻana o nā kauka (Hip Dysplasia) . E noʻonoʻo wale, ʻoiai he mea weliweli iki kēia huaʻōlelo ke lohe ʻoe, e kamaʻilio maʻalahi kākou e pili ana iā ia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha kēia pilikia ʻūhā (Hip Dysplasia)? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo (Hip Dysplasia) kahi kūlana kahi i kūpono ʻole ai nā iwi o ko kākou hui ʻūhā. Ua ʻike anei ʻoe, he hui koʻikoʻi loa ko kākou hui ʻūhā. ʻO ia kahi e pili ai ko kākou iwi ʻūhā (ʻo ia hoʻi, ka (Femur) ) i ko kākou iwi ʻūhā (ʻo ia hoʻi, ka (Pelvis) ). Hoʻokumu ʻia kēia hui e like me ka pōpō e hoʻopaʻa ʻia ana i loko o ke kīʻaha. Pono e kūpono ka ʻāpana pōpō ma luna o ka iwi ʻūhā ( (Femoral Head) ) i loko o kahi lua e like me ke kīʻaha ma ka iwi ʻūhā ( (Acetabulum) ).

No laila, i loko o kekahi kanaka me Hip Dysplasia, ʻaʻole kūpono ka pōpō a me ke kua. Malia paha ʻaʻole hohonu ka kua, a ʻokoʻa paha ke ʻano o ka pōpō. Maanei e kū mai ai nā pilikia. Ke kūpono ʻole kēia, hiki ke hōʻino ʻia a ʻeha ke cartilage a puni ke hono (ka uluna e pale ana i ke hono ke kuʻi ʻia nā hono ʻelua). ʻO ia ka manawa e komo mai ai nā mea e like me ka ʻeha o ka ʻūhā a me ka ʻoʻoleʻa. Eia kekahi, ʻoi aku ka nui o ka iwi ʻūhā e hemo.

Hoʻopilikia pinepine kēia maʻi i nā pēpē a me nā keiki liʻiliʻi . I kekahi manawa kapa ʻia e nā kauka he Congenital Hip Dysplasia a i ʻole Developmental Dysplasia of the Hip (DDH) . He mau inoa kēia no ke ʻano like. Eia nō naʻe, i kekahi manawa ʻaʻole ʻike ʻia nā hōʻailona o kēia ʻano i ka wā kamaliʻi a hiki ke ʻike ʻia ma hope o ke ola.

Inā loaʻa iā ʻoe ka ʻeha o ka ʻūhā ʻaʻole e nalowale i loko o kekahi mau lā, a inā paha e ʻeha ana kāu pēpē, a inā ʻokoʻa ke ʻano o kekahi wāwae mai kekahi, pono ʻoe e ʻike i ke kauka.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia maʻi? Pehea ka maʻamau o ia mea?

E like me ka mea i ʻike ʻia, ma nā ʻāina e like me ʻAmelika, ma kahi o hoʻokahi i loko o 1000 mau pēpē hānau hou i loaʻa i kēia maʻi (Hip Dysplasia) . ʻIke ʻia kēia maʻi ma Sri Lanka. ʻO ia ke kumu e nānā pono ai nā kauka i ka hui ʻūhā o nā pēpē i ka wā e hānau ai lākou, a ma nā keʻena lapaʻau a lākou e hāʻawi ai ma hope.

He aha nā hōʻailona? Pehea ʻoe e ʻike ai?

Hiki ke loli iki nā hōʻailona o ka dysplasia hip me ka makahiki.

Nā hōʻailona maʻamau (i nā pākeke a me nā kamaliʻi):

• ʻEha ʻūhā (pinepine ma ka ʻāpana ʻūhā ).
• Ua palahalaha ka ʻūhā a ʻaʻole lawa ka ikaika.
• Me he ʻoʻopa lā ke hele a neʻe paha.
• ʻOkoʻa ka lōʻihi o ka wāwae (ʻoi aku ka pōkole a ʻoi aku paha o kekahi wāwae ma mua o kekahi).

Hiki ke ʻokoʻa kēia mau hōʻailona no nā pēpē ʻōpio i hoʻomaka ʻole e hele:

• Me he mea lā ua hoʻohuli nui ʻia kekahi wāwae i waho ma mua o kekahi.
• Manaʻo e like me ka haʻalulu ʻana o kekahi wāwae ma mua o kekahi.
• Nā pelu ʻili like ʻole ma nā ʻūhā a me nā puʻupuʻu. E noʻonoʻo i ka wā e ʻauʻau ai ka makuahine i kāna pēpē, ʻoi aku ka ʻōniʻoniʻo o kekahi wāwae ma mua o kekahi, a i ʻole kekahi wāwae i ʻoi aku ka ʻōniʻoniʻo ma mua o kekahi. ʻO kēia nā hōʻailona liʻiliʻi e hiki ke ʻike ʻia.

I ka makahiki hea e hoʻomaka ai nā pēpē e hōʻike i kēia mau hōʻailona?

Hoʻomaopopo pinepine nā kauka i kēia maʻi i nā pēpē ma lalo o 6 mahina . I kekahi manawa, hiki ke ʻike ʻia ma hope koke o ka hānau ʻana o ka pēpē. ʻOiai inā ʻaʻole ʻoe e ʻike i ka ʻokoʻa nui ma ka home, e nānā ke kauka i ka hui ʻūhā o ka pēpē i kēlā me kēia kipa ʻana i ke keʻena lapaʻau. No laila, ʻaʻohe mea e hopohopo ai.

Hiki i nā keiki ʻōpio, nā ʻōpio, a i kekahi manawa nā pākeke ke loaʻa i kēia maʻi, akā ʻaʻole ia he mea maʻamau.

No ke aha e kū mai ai kēia pilikia ʻūhā (Hip Dysplasia)? He aha nā kumu?

ʻO ka Hip Dysplasia ke kū ʻole ka femur ( iwi ʻūhā ) i loko o ka lua (acetabulum) o ka iwi ʻūhā. Hiki ke hana ʻia kēia e kekahi mau kumu:

• ʻOi aku ka pāpaʻu o ke kīpē ma mua o ka pelvis .
• He ʻokoʻa ke ʻano o ke poʻo o ka iwi ʻūhā ( Femoral Head ) ma mua o ka maʻamau.

No nā kānaka he nui, he maʻi hānau kēia.

• Hiki ke hana i kēia ke kau ke kūlana o ke pēpē i ke kaomi ma nā hono o ka ʻūhā i ka wā hāpai .
• Eia kekahi, hiki i kēia ke lilo i maʻi genetic , ʻo ia hoʻi, hiki ke hoʻoilina ʻia mai nā mākua a i nā keiki.

He aha nā kumu pilikia?

Hiki i kekahi ke loaʻa i kēia maʻi, a hiki i kekahi pēpē ke hānau ʻia me ia. Eia nō naʻe, aia kekahi poʻe i kahi pilikia kiʻekiʻe iki aʻe:

• ʻOi aku ka maʻamau o kēia ʻano i nā kaikamahine ma mua o nā keikikāne.
• ʻOi aku ke kiʻekiʻe o kēia pilikia no nā pēpē hānau mua .
• ʻOiai hiki i kēia ke hoʻopilikia i nā pūhaka ʻelua, ʻo ka ʻūhā hema ka mea i hoʻopilikia pinepine ʻia.

He aha nā pilikia ʻē aʻe e hiki ai i kēia ke hana?

ʻOi aku ka nui o ka pilikia o ka dislocation o ka ʻūhā i nā pākeke a me nā pēpē me ka hip dysplasia . ʻO ka maʻamau, hiki mai ka dislocation o ka ʻūhā ma muli o kahi ulia nui, e like me kahi ulia kaʻa a i ʻole ka hāʻule ʻana mai kahi kiʻekiʻe. Eia nō naʻe, me ka hip dysplasia, nāwaliwali maoli ka hui ʻūhā, no laila ʻoi aku ka nui o ka hiki ke hana. Eia kekahi, hiki i nā ʻiʻo a me nā ligaments a puni ka ʻūhā ke palupalu.

ʻO nā pilikia ʻē aʻe e hiki ke ʻike ʻia:

• Nā Waimaka Hip Labral: He hōʻino kēia i ke kāʻei i loko o ka hui ʻūhā.
• Osteoarthritis: ʻO ia ke ʻano o ka maʻi ʻaʻai e hoʻopau ai i nā hono i ka hala ʻana o ka manawa.
• Nā hono ʻūhā paʻa ʻole: ʻEha mau i hoʻokumu ʻia e ka hoʻonohonoho pono ʻole ʻia o ka hono ʻūhā.

No laila, e aʻo aku ke kauka iā ʻoe pehea e pale aku ai i nā pōpilikia a hōʻemi i kou pilikia o ka dislocation o ka ʻūhā.

Pehea ʻoe e ʻike pono ai i kēia?

E ʻike ke kauka i ka dysplasia hip ma o ka hoʻokolokolo kino a me kekahi mau hoʻokolohua kiʻi . Pono ʻoe e haʻi i kāu kauka i ka wā i hoʻomaka mua ai ʻoe e ʻeha i kou ʻūhā a inā e ʻoi aku ka ʻino o ka ʻeha ke hana ʻoe i kekahi mea.

E nānā ʻia kāu pēpē e kāu kauka no nā hōʻailona o ka hip dysplasia ma hope koke iho o ka hānau ʻana a ma kēlā me kēia kipa ʻana i ke keʻena lapaʻau ma hope.

He aha nā hoʻokolohua a nā kauka e hoʻohana ai e ʻike i kēia?

Hiki ke hoʻohana ʻia kēia mau hoʻāʻo e kiʻi i nā kiʻi o kou mau ʻūhā (a i ʻole kāu keiki):

• ʻO ke nānā ʻana i ka ultrasound: ʻO kēia ka mea mua e hana ʻia no kahi pēpē.
• Nā kiʻi X-ray o ka ʻūhā: No nā keiki makua a me nā mākua.
• CT Scan (Computed Tomography - CT scan): I kekahi mau hihia kūikawā.

He aha nā lāʻau lapaʻau?

Hiki i ke kauka ke ʻōlelo i nā lāʻau lapaʻau no ka dysplasia hip e hōʻemi i ka ʻeha a pale i ka hui hip. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Ke komo ʻana i kahi mea pale/kāʻei: Pono paha nā pēpē ʻōpio e komo i kahi mea pale kūikawā a i ʻole ke kāʻei e kōkua i ka mālama ʻana i ko lākou hui ʻūhā ma ke kūlana kūpono. E noʻonoʻo iā ia e like me kahi Pavlik Harness . Kōkua kēia i ka hui ʻūhā e hana pono i ka wā e ulu ana ka pēpē. ʻOi loa inā hoʻomaka ʻia kēia lāʻau lapaʻau ma nā pēpē ma lalo o 6 mahina , hoʻomaikaʻi pinepine ke kūlana iā ia iho. Pono ʻoe e komo i kēia mea pale no kekahi mau mahina.
• Hoʻōla Kino: E aʻo aku ke kauka kino iā ʻoe i nā kikola kūikawā a me nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo a puni kou ʻūhā a hoʻonui i ka maʻalahi o ka hui.
• ʻO ke ʻoki ʻana i ka Hip Dysplasia: Inā ʻaʻole holo pono nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki ʻana. ʻO nā ʻoki nui e hoʻoponopono ai i ka hip dysplasia ʻo Hip Osteotomy (e pili ana i ka hoʻoponopono hou ʻana i nā iwi a me ka hoʻololi ʻana i ko lākou ʻano) a me Hip Arthroscopy (e pili ana i ke komo ʻana i kahi kāmela ma o kahi ʻoki liʻiliʻi e nānā i ka pōʻino i loko o ka hui). I kekahi mau hihia koʻikoʻi, ʻoi aku hoʻi me ka osteoarthritis , pono paha kahi pani hip (Arthroplasty) .E wehewehe ke kauka ʻoki iā ʻoe i ke ʻano o ke ʻoki kino āu (a i ʻole kāu keiki) e pono ai a me ka mea e manaʻo ai mai ia mea.

Aia kekahi ala e pale aku ai i kēia?

ʻOiaʻiʻo, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku i kāu keiki mai ka hānau ʻana me ka Hip Dysplasia . A ʻaʻole hiki iā ʻoe ke pale aku iā ia mai ka ulu ʻana. Hana ʻia ia ke hana ʻole ʻia ka hui ʻūhā. ʻO ia hoʻi , ʻaʻole ia he mea i hana ʻia e ka mālama ʻole o ka makua. No laila, mai hopohopo no ia mea.

Eia nō naʻe, hiki iā ʻoe ke noi i kāu kauka no ka ʻōlelo aʻoaʻo no ka pale ʻana i nā hono ʻūhā o kāu pēpē i ko lākou ulu ʻana. Eia kekahi laʻana, e makaʻala i nā mea e like me ke kāʻei ʻana i kāu pēpē i ʻole e kaomi ʻia nā ʻūhā a hiki ke hoʻonoho manuahi ʻia nā wāwae.

Pehea ka ho'ōla ʻana ma hope o kēia kūlana? (Outlook)

ʻO kēia ka mea nui loa. No ka hapa nui o nā pēpē, inā ʻike ʻia kēia maʻi (Hip Dysplasia) a mālama ʻia i ka wā mua, ʻaʻohe hopena lōʻihi. I ka hapa nui o nā hihia, pono lākou e komo i ke kākoʻo no kekahi mau mahina e ʻae i nā ʻūhā e hoʻoponopono pono. Ma hope o kēlā, hiki iā lākou ke ola me ka ʻole o nā pilikia a i ʻole nā ​​​​pilikia. Inā loaʻa iā lākou ka lāʻau no kēia i ko lākou wā ʻōpiopio, ʻaʻole paha lākou e hoʻomanaʻo iā ia i ko lākou wā ʻelemakule!

Hiki i nā pākeke ke hoʻi i kā lākou hana maʻamau ma hope o ka lāʻau lapaʻau, ke ʻae ʻia e ke kauka.

Āhea ʻoe e ʻike ai i ke kauka?

• Inā loaʻa iā ʻoe ka ʻeha o ka ʻūhā , ʻaʻole ia e nalowale ma hope o kekahi mau lā o ka hoʻomaha ʻana.
• Inā ʻike ʻia kāu keiki i kekahi mau hōʻailona o ka Hip Dysplasia (e like me ka mea i ʻōlelo ʻia ma mua, nā ʻokoʻa o ke ʻano o nā wāwae, nā ʻokoʻa o nā wrinkles, a pēlā aku).

Pono ʻoe e hele i ka Emergency Treatment Unit (ETU) ?

ʻAe, inā manaʻo ʻoe ua hemo kou ʻūhā a i ʻole kāu keiki, e hele koke i ka lumi pilikia . Mai ho'āʻo e hoʻihoʻi i kahi hui i kona wahi ponoʻī. E mālama i ke hui me ka mālie e like me ka hiki a e hele i ka haukapila i ka hikiwawe loa.

He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?

Ke ʻike ʻoe i ke kauka, he mea nui e nīnau i kāu mau nīnau a pau. Eia kekahi mau laʻana:

• Loaʻa i kaʻu keiki ka Hip Dysplasia a i ʻole kekahi pilikia ʻē aʻe o ka ʻūhā hānau?
• ʻEhia pinepine e pono ai iaʻu e nānā i nā ʻūhā o kaʻu keiki?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu/kaʻu keiki no ka Hip Dysplasia ?
• E pono anei iaʻu/kaʻu keiki i ke ʻoki kino?

He mea maikaʻi anei ke hele wāwae i ka wā e loaʻa ai iā ʻoe ka Hip Dysplasia?

Hiki i nā pākeke me ka hip dysplasia ke hele a neʻe maʻamau. Eia nō naʻe, hiki i kāu kauka a mea hoʻoponopono kino paha ke haʻi iā ʻoe i ka nui o ka hele wāwae āu e pono ai e hana a i ʻole nā ​​​​hoʻomaʻamaʻa ʻē aʻe e hoʻomau i kou mau pūhaka i ikaika a palupalu. Eia naʻe, mai hana nui .Mai koi iā ʻoe iho e neʻe a hoʻoikaika kino paha i kou wā e ʻeha ana. E nīnau i kāu kauka i ka nui a me ke ʻano o ka hoʻoikaika kino palekana nou.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

He mea maʻamau ka makaʻu ke ʻike ʻoe he maʻi hānau ʻole kāu pēpē hiki ʻole ke pale aku. Eia nō naʻe, he maʻi hiki ke mālama ʻia ka Hip Dysplasia. ʻOi loa aku hoʻi no nā pēpē ʻōpio. Pono nā keiki he nui e komo i kahi pale no kekahi mau mahina, akā i ka manawa e hoʻonohonoho pono ʻia ai ka hui ʻūhā, e hoʻōla ia me ka ʻole o nā hopena lōʻihi.

No laila, me ka hopohopo ʻole, e hahai pono i nā ʻōlelo a ke kauka. Mai poina i nā keʻena lapaʻau o kāu pēpē. A laila, inā paha he kūlana e like me kēia, hiki iā ʻoe ke ʻike koke iā ia a hoʻomaka i ka lāʻau lapaʻau e pono ai.

E nīnau i kāu kauka e pili ana i nā hōʻailona o ka hip dysplasia e nānā ai ma ka home. E nānā lākou i nā ʻūhā o kāu pēpē ma kēlā me kēia keʻena lapaʻau e hōʻoia i ka ʻike ʻia ʻana o kēia maʻi a mālama ʻia i ka wā hikiwawe loa.

ʻO ka Dysplasia Hip, iwi hip, maʻi hip pēpē, ʻeha hono, nā kīnā hip hānau ʻia, DDH, nā maʻi hip