He raruraru hope tō pēpi? Me kōrero tātou mō te Hip Dysplasia!

I a koe e kaukau ana, e whakawhiti ana rānei i ngā kākahu o tāu tamaiti, kua kite koe he rerekē te kiri o te waewae kotahi, he nui ake pea, i te waewae o tētahi? Kua kite rānei koe he paku piko te pēpi ina hikoi ia, he iti rānei te rerekētanga o te roa o ōna waewae? He mea noa pea ēnei kāore e aro nuitia ana e tātou. Engari he tohu pea ēnei mō tētahi mate e kiia nei ko te Hip Dysplasia, he raruraru ki te hononga hope e tino kitea ana i roto i ngā pēpi. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i ngā kupu māmā.

He aha te Hip Dysplasia?

Ko te Hip Dysplasia te wā kāore i te tika te hanganga o te hononga hope. Hei mārama ake i tēnei, whakaarohia te hononga hope he pōro me te kapu e uru ana ki roto. Ko te wāhanga rite ki te pōro i te tihi o te wheua huha (femur) (upoko femoral) me uru pai ki roto i te wāhanga porowhita, rite ki te kapu (acetabulum) i roto i te pelvis.

Mō te Hip Dysplasia , kāore pea te wāhanga rite-kapu i te hohonu rawa, nō reira kāore te wāhanga rite-pōro e uru tika. Nā te panoni rānei o te āhua o te wāhanga rite-pōro, kāore tēnei uru tika e tutuki. Nā tēnei ka kore e pumau, ka wetekina te hononga hope.

Ko tēnei mate te mea tino kitea i roto i ngā pēpi hou me ngā tamariki nohinohi. I ētahi wā ka kiia ko te congenital hip dysplasia, ko te developmental dysplasia of the hip (DDH) rānei. Heoi, i ētahi wā ka puta noa ngā mate ngāwari o tēnei mate i te pakeketanga.

He aha ngā tohu o tēnei mate?

Ka rerekē pea ngā tohu o te Hip Dysplasia i runga i te tau o te tamaiti. Me whakamārama tātou i tēnei.

He aha tēnei e tupu nei? Ko wai te hunga tino mōrearea?

He uaua ki te tautuhi i tētahi take kotahi mō te hip dysplasia, engari he maha ngā āhuatanga ka whai wāhi atu.

• Ira: Mena kua pāngia tētahi o te whānau e tēnei mate, ka nui ake te tūponotanga ka pāngia anō hoki te tamaiti.
• Te tūranga o te kōpū: Ko te tūranga o te pēpi i ngā wāhanga whakamutunga o te hapūtanga, inā koa te tūranga whakamuri, ka taea te pēhi i te hononga hope, ā, ka arahi atu hoki ki tēnei mate.
• Te whānautanga o te tamaiti tuatahi: Nā te mea kāore i tino totoro te kōpū o te whaea i te wā o te hapūtanga tuatahi, tera pea ka pāngia e te korenga o te wāhi mō te pēpi.
• Ira Tangata: He nui ake te tūponotanga ka pāngia ngā kōtiro e tēnei mate i ngā tama. Nā te mea he nui ake ngā homoni i roto i te tinana o ngā kōtiro e wetewete ana i ngā hononga.

He maha ngā wā ka pā nui ake te hope maui ki tēnei āhuatanga.

He aha ngā raruraru ka pā mai mēnā ka kore e arohia tēnei?

Ka pā mai pea ngā raruraru maha i te heke mai i te mate pukupuku hope, ina koa mēnā kāore i te tautuhia, i te rongoātia hoki i te wā taitamariki.

• Te Hekenga o te Hope: Nā te mea kāore te hononga i te mau tika, he nui ake te mōrearea o te hekenga o te hope i te mea noa.
• Ngā Roimata o te Hope Labral: Ka taea te pakaru o te kiriuhi, he wāhanga rite ki te urunga o te hononga, ina kore e taurite pai ngā wheua tetahi ki tetahi.
• Osteoarthritis: Koinei te raruraru roa tino kino. Nā te kore e mahi tika te hononga, ka roa pea ka pakaru, ka puta te mamae nui me te uaua ki te neke.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ka whai tō tākuta i ētahi mahi hei tātaritanga i tēnei mate.

1. Whakamātautau tinana: He huarahi motuhake hei tirotiro i ngā hope o te pēpi. Ka piko mārire te tākuta, ka huri i ngā waewae o te pēpi hei tirotiro mēnā he rerekētanga, he oro "pāwhiri", he wetekina rānei o te hononga hope. Mō te pakeke, ka tirohia e rātou mēnā he wāhi mamae me te whānuitanga o te nekehanga.

2. Ngā Whakamātautau Whakaahua: Mēnā he ruarua, ka mahia he matawai hei whakaū i te tautuhi mate.

• Ultrasound: Koinei te huarahi pai ki te kite i te hononga hope o ngā pēpi kei raro iho i te 6 marama te pakeke, nā te mea i taua tau kāore anō kia tino whanake ngā wheua.
• Ngā hihi-X: Ka mahia he hihi-X hei tiro mārama i te tūranga o ngā wheua i roto i ngā tamariki neke atu i te 6 marama te pakeke me ngā pakeke.
• Matawai CT: I ētahi wā uaua, i te wā rānei e whakamahere ana i te pokanga, ka whakamahia tēnei whakamātautau hei tiki i tētahi whakaahua toru-ahu (3D) o te hononga.

He aha ngā maimoatanga mō tēnei?

He mea tino nui te tautuhi wawe i te mate pukupuku o te hope (Hip Dysplasia), nā te mea ka tere te tautuhi, ka māmā ake, ka angitu ake hoki te maimoatanga.

Te maimoatanga mō ngā pēpi

Ko ngā pēpi kei raro iho i te ono marama te pakeke, kāore e hiahiatia he pokanga.

• Te Whakapūmau/Te Here: Ka whakakakahuria te pēpi ki tētahi here i hangaia mō te tinana (hei tauira, te here Pavlik). Mā tēnei ka noho tika te hononga hope o te pēpi, kia rite ki te tūnga o te pōro o te kapu, ā, ka āwhina hoki i tōna whanaketanga. Ka mau tonu te here (i te ao katoa) mō ētahi marama. I tēnei wā, ka pumau te hononga hope, ka whanake tika. He maimoatanga tino whai hua tēnei.

Te maimoatanga mō ngā tamariki pakeke me ngā pakeke

• Whakaora Tinana: Ka whakaratohia ngā mahi whakakori tinana me ngā totoro tinana hei whakapakari i ngā uaua huri noa i te hope, hei whakanui ake hoki i te nekehanga me te ngāwari o te hononga.
• Pokanga: Mena kāore ētahi atu maimoatanga e angitu, ki te kitea rānei te mate i te pakeketanga, me pokanga pea.
• Osteotomy Hope: Ko te tapahi me te hanga anō i te wheua kia tika ai te tūnga o te hononga hope.
• Te Whakapūtanga o te Hope: Ko te whakaurunga o tētahi kāmera me ngā taputapu mā roto i tētahi tapahi iti hei whakatika i ngā kino o ngā wāhanga o te hononga, pērā i te kiriuhi.
• Whakakapinga Hope (Arthroplasty): Mena kua tino tawhito te hononga, ā, he kino te rumatiki, me pokanga pea hei whakakapi i te hononga hope katoa ki tētahi hononga horihori.

Āhea ahau me toro atu ki te tākuta?

Mena kei a koe tētahi o ngā āhuatanga e whai ake nei, me toro atu ki tō tākuta tonu atu.

• Mena kei te whakaatuhia e tō pēpi tētahi o ngā tohu i kōrerotia i mua ake nei (pēnei i te piko o ngā waewae kāore i te ōrite, te totitoti).
• Mena he mamae tō hope, kāore e memeha i muri i ētahi rā.
• Mena kei te ahua koretake, kei te pekepeke hoki ō hope ina hikoi koe.

Āhea koe e hiahia ana ki te haere ki te ETU?

He mea noa te mataku ina kitea e koe he mate pēnei kei tō pēpi. Engari kia maumahara, he mate tino ngāwari te rongoā i te Hip Dysplasia, inā koa mēnā ka kitea wawe. Whai muri i te maimoatanga, ka taea e tō pēpi te noho noa me te kore he pānga roa. Nō reira kaua e mataku, ā, ki te mea he ruarua āu, kōrero ki tō tākuta.