Ngaba wakha waqaphela xa uhlamba okanye utshintsha impahla yomntwana wakho ukuba ulusu olugoqekayo komnye umlenze lwahlukile, mhlawumbi lukhulu kancinci kunolunye? Okanye wakha waqaphela ukuba umntwana wakho uyaqhwalela kancinci xa ehamba, okanye ukuba kukho umahluko omncinci kubude bemilenze yakhe? Ezi zinokubonakala ngathi zizinto eziqhelekileyo esingazinaki kangako. Kodwa ezi zinokuba ziimpawu zesifo esibizwa ngokuba yiHip Dysplasia, ingxaki yelungu lesinqe exhaphakileyo kwiintsana. Ungakhathazeki, siza kuthetha ngayo yonke into ngokulula.
Ngamafutshane, yintoni i-Hip Dysplasia?
I-Hip Dysplasia kuxa ilungu lethu lesinqe lingakhekanga kakuhle. Ukuze ukuqonde ngokulula oku, cinga ngelungu lethu lesinqe njengebhola kunye nekomityi ehambelana nalo. Inxalenye efana nebhola ephezu kwethambo lethu lesinqe (i-femur) (intloko yesinqe) kufuneka ilingane kakuhle nenxalenye ejikelezayo efana nekomityi (i-acetabulum) ekwisinqe.
Kwimeko yeHip Dysplasia , nokuba inxalenye efana nekomityi ayinzulu ngokwaneleyo, ngoko ke inxalenye efana nebhola ayifaneleki kakuhle. Okanye, ngenxa yotshintsho kwimo yenxalenye efana nebhola, oku kufaneleka akwenzeki kakuhle. Oku kubangela ukuba ilungu lesinqe lingaqini kwaye likhululeke.
Le meko ixhaphake kakhulu kwiintsana ezisandul’ ukuzalwa kunye nabantwana abancinci. Ngamanye amaxesha ibizwa ngokuba yi-congenital hip dysplasia okanye i-developmental dysplasia of the hip (DDH). Nangona kunjalo, ngamanye amaxesha iimeko ezibuthathaka zale meko zibonakala kuphela xa umntu emdala.
Zithini iimpawu zale meko?
Iimpawu zeHip Dysplasia zinokwahluka ngokweminyaka yomntwana. Masiyichaze ngokucacileyo le nto.
| Iqela leminyaka | Iimpawu eziqhelekileyo |
|---|---|
| Iintsana ezisandul’ ukuzalwa kunye nabantwana abancinci (ngaphambi kokuhamba) |
|
| Abantwana abahambahambayo, ulutsha kunye nabantu abadala |
|
Into ebalulekileyo kukuba ezinye iintsana zisenokungabi nazo naziphi na ezi mpawu. Yiyo loo nto kubalulekile ukusa umntwana wakho ekliniki inyanga nenyanga. Apho, ugqirha okanye umsebenzi wezempilo wosapho uza kujonga amanqe omntwana wakho.
Kutheni oku kusenzeka? Ngubani osengozini enkulu?
Kunzima ukuchonga unobangela omnye weHip Dysplasia, kodwa kukho izinto ezininzi ezinokubangela oku.
- I-genetics: Ukuba kukho umntu kusapho lwakhe oye waba nale meko, umngcipheko wokuba nomntwana naye afumaneke uphezulu.
- Indawo ekuyo umntwana ngexesha lokugqibela lokukhulelwa, ingakumbi indawo yokuma kwesisu, inokubangela uxinzelelo kwilungu lesinqe kwaye ikhokelele kule meko.
- Ukuba nomntwana wokuqala: Ekubeni isibeleko sikamama singanwebeki kangako ngexesha lokukhulelwa kokuqala, kunokubakho impembelelo ethile ngenxa yokungabikho kwendawo yomntwana.
- Isini: Amantombazana anamathuba amaninzi okufumana le meko kunamakhwenkwe. Oku kungenxa yokuba amantombazana aneehomoni ezininzi emizimbeni yawo ezikhulula amalungu.
Le meko idla ngokuchaphazela ngakumbi isinqe sasekhohlo.
Ziziphi iingxaki ezinokwenzeka ukuba oku akunanzwa?
I-Hip Dysplasia, ingakumbi ukuba ayifunyaniswanga kwaye ayinyangwa kwasebuntwaneni, inokubangela iingxaki ezahlukeneyo kwixesha elizayo.
- Ukuqhekeka Kwesinqe: Ngenxa yokuba ilungu alilungiswanga kakuhle, umngcipheko wokuqhekeka kwesinqe uphezulu kunesiqhelo.
- Iinyembezi ze-Hip Labral: I-cartilage, inxalenye efana nomqamelo welungu, inokonakala xa amathambo engahambelani kakuhle.
- I-Osteoarthritis: Le yeyona ngxaki inzima kakhulu eyenzeka ixesha elide. Njengoko ilungu lingasebenzi kakuhle, ekuhambeni kwexesha linokonakala, nto leyo ebangela iintlungu ezinkulu kunye nobunzima bokushukuma.
Uyifumana njani le nto, Gqirha?
Ugqirha wakho uza kulandela amanyathelo aliqela ukuze afumanise esi sifo.
1. Uvavanyo lomzimba: Kukho iindlela ezikhethekileyo zokuhlola amanqe omntwana. Ugqirha uza kuyigoba aze ayijikelezise imilenze yomntwana ukuze ajonge ukuba akukho nto ingaqhelekanga na, izandi "zokunqakraza", okanye ukuyekelela kwesinqe. Kumntu omdala, baza kujonga iindawo ezibuhlungu kunye nomgama wokuhamba.
2. Uvavanyo lweMifanekiso: Ukuba kukho amathandabuzo, kwenziwa iiskeni ukuqinisekisa ukuxilongwa.
- I-Ultrasound: Le yeyona ndlela ilungileyo yokubona ilungu lesinqe kwiintsana ezingaphantsi kweenyanga ezi-6 ubudala, kuba kuloo minyaka amathambo awakakhuli ngokupheleleyo.
- Ii-X-reyi: I-X-reyi yenziwa ukuze kubonakale ngokucacileyo indawo yamathambo kubantwana abangaphezu kweenyanga ezi-6 ubudala nakubantu abadala.
- I-CT Scan: Kwezinye iimeko ezinzima okanye xa kucwangciswa utyando, olu vavanyo lusetyenziselwa ukufumana umfanekiso onemilinganiselo emithathu (3D) welungu.
Zithini iindlela zonyango zoku?
Ukuxilongwa kwangoko kubaluleke kakhulu xa kunyangwa iHip Dysplasia, kuba okukhona ifunyanwa ngokukhawuleza, kokukhona unyango lulula kwaye luphumelela ngakumbi.
Unyango lweentsana
Iintsana ezingaphantsi kweenyanga ezi-6 ubudala azidingi utyando.
- Ukuxhoma/Ukuxhoma: Umntwana ufakwe i-harness eyenzelwe ngokukodwa (umz. i-harness yePavlik). Oku kunceda ukugcina i-hip joint yomntwana ikwindawo eyiyo, kanye njengokuba ibhola yekomityi injalo, kwaye kuyincede ikhule. I-harness inxitywa rhoqo (ubusuku nemini) kangangeenyanga ezininzi. Ngeli xesha, i-hip joint izinza kwaye ikhula kakuhle. Olu lunyango olusebenzayo kakhulu.
Unyango lwabantwana abadala kunye nabantu abadala
- Unyango Lomzimba: Kunikezelwa umthambo kunye nokuzolula ukuze kuqiniswe izihlunu ezijikeleze isinqe kunye nokwandisa intshukumo kunye nokuguquguquka kwelungu.
- Utyando: Ukuba ezinye iindlela zonyango aziphumeleli, okanye ukuba isifo sifunyenwe xa umntu emdala, utyando lunokufuneka.
- Utyando lwe-Hip Osteotomy: Oku kuquka ukusika nokubumba ithambo ngokutsha ukuze kubuyiselwe ilungu lesinqe kwindawo efanelekileyo.
- I-Hip Arthroscopy: Oku kuquka ukufaka ikhamera kunye nezixhobo ngenxeba elincinci ukulungisa umonakalo kwi-cartilage engaphakathi kwelungu.
- Ukutshintshwa Kwesinqe (i-Arthroplasty): Ukuba ilungu ligugile kakhulu kwaye isifo samathambo sinzima, kunokufuneka utyando ukuze kutshintshwe lonke ilungu lesinqe ngelungu elenziweyo.
Ndifanele ndimbone nini ugqirha?
Ukuba unayo nayiphi na kwezi zilandelayo, bonana nogqirha wakho ngokukhawuleza.
- Ukuba umntwana wakho ubonakalisa naziphi na iimpawu esizixubushile ngaphambili (ezifana nokugoba kwemilenze okungalinganiyo, ukuqhwalela).
- Ukuba unentlungu yesinqe engapheliyo emva kweentsuku ezimbalwa.
- Ukuba izinqe zakho azizinzanga kwaye ziyaxhuma xa uhamba.
Ufuna ukuya nini kwi-ETU?
Ukuba unesikrokro sokuba wena okanye umntwana wakho uneqhubu eliphumileyo, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Ungaze uzame ukuphinda ubeke ilungu endaweni yalo ngokwakho. Oku kuya kubangela umonakalo ongakumbi. Kubalulekile ukuba ugqirha akwenze ngendlela efanelekileyo.
Kuqhelekile ukuba woyike xa ufumanisa ukuba umntwana wakho unento efana nale. Kodwa khumbula, iHip Dysplasia yimeko enokunyangeka kakhulu , ingakumbi ukuba ifunyenwe kwangethuba. Emva konyango, umntwana wakho unokuphila ubomi obuqhelekileyo ngaphandle kwemiphumo yexesha elide. Ngoko ke ungoyiki, kwaye ukuba unamathandabuzo, thetha nogqirha wakho.
Umyalezo Wokuya Ekhaya
- I-Hip Dysplasia yimeko eqhelekileyo phakathi kweentsana, kodwa iyanyangeka kwaye iyanyangeka.
- Ukufunyanwa kwangoko kubalulekile. Ukuba imeko ifunyenwe kwiinyanga ezi-6 zokuqala zobomi, i-brace elula idla ngokuyinyanga ngokupheleleyo le meko.
- Ungaphoswa yikliniki yenyanga yomntwana wakho, apho oogqirha kunye nabasebenzi bezempilo beentsapho banikela ingqalelo ekhethekileyo koku.
- Ukuba ubona naziphi na iimpawu ezinje ngokubhitya kolusu okungalinganiyo okanye ukuqhwalela emilenzeni yomntwana wakho, musa ukoyika, kodwa qhagamshelana nogqirha wabantwana okanye ugqirha wamathambo ukuze akunike iingcebiso.
- I-Hip Dysplasia inokuba yimbangela yentlungu yesinqe xa umntu emdala. Ukuba intlungu iyaqhubeka, kubalulekile ukufuna ingcebiso kagqirha.
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