Ngaba ukhathazekile ngamaqakala omntwana wakho omncinci? Masithethe nge-hip dysplasia!

Njengovuyo oluza engqondweni yakho xa ujonge usana olusandul’ ukuzalwa, ngamanye amaxesha kuyinto eqhelekileyo ukuziva usoyika nokuba ubona into encinci, akunjalo? Ingakumbi xa ugqirha esithi kukho umahluko omncinci okanye ingxaki kwithambo lesinqe lomntwana, yenza intliziyo yakho ishukume. Yiloo nto le ngxaki yokukhubazeka kwamalungu esinqe, okanye njengoko oogqirha beyibiza njalo (Hip Dysplasia) . Cinga nje, nangona eli gama liyoyikisa kancinci xa uliva, masithethe ngalo ngokulula, ngendlela onokuyiqonda.

Yintoni le ngxaki yesinqe (iHip Dysplasia)? Ngamafutshane...

Ngamafutshane, (iHip Dysplasia) yimeko apho amathambo esinqeni sethu engahambelani kakuhle. Ubusazi, isinqe sethu sisinxephezelo esibaluleke kakhulu. Kulapho ithambo lethu lesinqe (oko kukuthi, iFemur) lidibana khona nethambo lethu lesinqe (oko kukuthi, iPelvis) ). Eli lungu lenziwe njengebhola ebanjwe kwikomityi. Inxalenye efana nebhola ephezu kwethambo lesinqe ( (iFemoral Head) ) kufuneka ilingane ngokugqibeleleyo kwisokethi efana nekomityi ethanjeni lesinqe ( (iAcetabulum) ).

Ngoko ke, kumntu oneHip Dysplasia, ibhola kunye nesokhethi azihambelani kakuhle. Mhlawumbi isokhethi ayinzulu ngokwaneleyo, okanye imilo yebhola yahlukile. Kulapho kuvela khona iingxaki. Xa oku kungahambelani kakuhle, i-cartilage ejikeleze ilungu (umqamelo okhusela ilungu xa amalungu amabini ebethana) inokonakala kwaye iguge. Kulapho izinto ezifana nentlungu yesinqe kunye nokuqina zingena khona. Kwakhona, ithambo lesinqe linokuqhekeka.

Le meko idla ngokuchaphazela iintsana nabantwana abancinci . Ngamanye amaxesha oogqirha bayibiza ngokuba yiCongenital Hip Dysplasia okanye iDevelopmental Dysplasia of the Hip (DDH) . La magama onke achaza imeko efanayo. Nangona kunjalo, ngamanye amaxesha iimpawu zale meko zisenokungabonakali ebuntwaneni kwaye zinokubonakala kamva ebomini.

Ukuba unentlungu yesinqe engapheli kwiintsuku ezimbalwa, okanye ukuba umntwana wakho ubonakala ebuhlungu, okanye ukuba omnye umlenze ubonakala wahlukile komnye, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Ngubani ochaphazeleka kakhulu yile meko? Ixhaphake kangakanani?

Njengoko kusaziwa, kumazwe afana neMelika, malunga nosana olunye kwi-1000 olusandul’ ukuzalwa lunesi sifo (iHip Dysplasia) . Esi simo sikwabonakala naseSri Lanka. Yiyo loo nto oogqirha bejonga ngokukodwa amalungu esinqe eentsana kwangoko nje ukuba zizalwe, nakwiikliniki abazinikayo emva koko.

Zithini iimpawu? Uzibona njani?

Iimpawu ze- hip dysplasia zinokutshintsha kancinci xa ukhula.

Iimpawu eziqhelekileyo (kubantu abadala kunye nabantwana abancinci):

• Intlungu yesinqe (ihlala ikwindawo yesinqe ).
• Isinqe sivakala sikhululekile kwaye singanamandla ngokwaneleyo.
• Ibonakala ngathi yimpumlo xa ihamba okanye ishukuma.
• Umahluko wobude bemilenze (umlenze omnye ubonakala umfutshane okanye umde kunomnye).

Ezi mpawu zinokwahluka kwiintsana ezincinci ezingekaqali ukuhamba:

• Umlenze omnye ubonakala ngathi ujike kakhulu ngaphandle kunomnye.
• Ukuziva ngathi omnye umlenze awushukumi kakhulu kunomnye.
• Ulusu olungalinganiyo lugoba emathangeni nasezimpundu. Khawuthelekelele ukuba xa umama ehlamba umntwana wakhe, omnye umlenze ubonakala ubhityile kancinci kunomnye, okanye omnye umlenze ubonakala ujijekile kancinci kunomnye. Ezi ziimpawu ezincinci ezinokubakho.

Ziqala nini ukubonakalisa ezi mpawu iintsana?

Oogqirha badla ngokuxilonga esi sifo kwiintsana ezingaphantsi kweenyanga ezi-6 ubudala . Ngamanye amaxesha, sinokuxilonga emva kokuba umntwana ezelwe. Nokuba awuboni mahluko mkhulu ekhaya, ugqirha uya kujonga ilungu lesinqe lomntwana rhoqo xa etyelele ekliniki. Ngoko ke akukho nto ibalulekileyo.

Abantwana abadala, abantu abaselula, kwaye ngamanye amaxesha abantu abadala nabo banokuba nale meko, kodwa ayiqhelekanga kangako.

Kutheni le ngxaki yesinqe (iHip Dysplasia) isenzeka? Zithini izizathu?

I-Hip Dysplasia yenzeka xa i-femur ( ithambo lethanga ) ingangeni kakuhle kwi- socket (acetabulum) yethambo le-hip. Oku kunokubangelwa zizinto ezininzi:

• Isokisi yesinqe ayinzulu kunesinqe .
• Intloko yethambo lethanga ( iFemoral Head ) inesimo esahlukileyo kunesesiqhelo.

Kwabaninzi abantu, le meko ibangelwa kukuzalwa .

• Oku kungenzeka ngenxa yoxinzelelo kumalungu esinqe ngenxa yendawo umntwana ahlala kuyo ngexesha lokukhulelwa .
• Kwakhona, le inokuba yimeko yemfuza , oko kuthetha ukuba inokuzuzwa kubazali ukuya ebantwaneni.

Zithini izinto ezibangela umngcipheko?

Nabani na unokuba nale meko, kwaye naliphi na umntwana angazalwa enayo. Nangona kunjalo, abanye abantu basengozini enkulu kancinci:

• Le meko ixhaphake kakhulu kumantombazana kunamakhwenkwe.
• Lo mngcipheko uphezulu kakhulu kwiintsana ezingamazibulo .
• Nangona oku kunokuchaphazela zombini izinqe, isinqe sasekhohlo sichaphazeleka kakhulu.

Zeziphi ezinye iingxaki ezinokubangela oku?

Abantu abadala kunye neentsana ezine- hip dysplasia basengozini enkulu yokukhubeka kwesinqe . Ngokwesiqhelo, ukukhubeka kwesinqe kwenzeka ngenxa yengozi enkulu, njengengozi yemoto okanye ukuwa ukusuka kwindawo ephakamileyo. Nangona kunjalo, xa i-hip dysplasia ikhubeka, i-hip joint ibuthathaka ngokwendalo, ngoko ke kunokwenzeka ukuba ikwenzeke. Ukongeza, izihlunu kunye nemisipha ejikeleze isinqe inokukhululeka.

Ezinye iingxaki ezinokubonwa ziquka:

• Iinyembezi ze-Hip Labral: Oku kukonakalisa i-cartilage kwi-hip joint.
• I-Osteoarthritis: Imeko ye-arthritis ebangela ukuba amalungu aguge ngokuhamba kwexesha.
• Amalungu Esinqe Angazinzanga: Intlungu engapheliyo ebangelwa kukungalungelelani kakuhle kwamalungu esinqe.

Ngoko ke, ugqirha uza kukunika iingcebiso malunga nendlela yokuphepha iingozi kunye nokunciphisa umngcipheko wokukhubeka kwesinqe.

Uyixilonga njani le nto kanye kanye?

Ugqirha uza kuxilonga i-hip dysplasia ngovavanyo lomzimba kunye novavanyo oluthile lwemifanekiso . Kuya kufuneka uxelele ugqirha wakho ukuba waqala nini ukuva iintlungu esinqeni sakho kwaye nokuba iintlungu ziba mandundu na xa wenza nantoni na.

Umntwana wakho uza kuhlolwa iimpawu ze- hip dysplasia ngugqirha wakho emva kokuzalwa kwaye rhoqo emva kokutyelela ekliniki.

Zeziphi iimvavanyo ezisetyenziswa ngoogqirha ukuze baxilonge oku?

Olu vavanyo lungasetyenziselwa ukuthatha imifanekiso yezinqe zakho (okanye zomntwana wakho):

• I-ultrasound scan: Le yinto yokuqala eyenziwa kumntwana.
• Ii-X-ray zesinqe: Kubantwana abadala kunye nabantu abadala.
• I-CT Scan (i-Computed Tomography - i-CT scan): Kwezinye iimeko ezikhethekileyo.

Zithini iindlela zonyango?

Ugqirha angacebisa unyango lwe -hip dysplasia ukunciphisa iintlungu nokukhusela ilungu lesinqe. Unyango olusetyenziswa kakhulu zezi:

• Ukunxiba i-brace/harness: Iintsana ezincinci zinokufuna ukunxiba i-brace ekhethekileyo okanye i-harness ukunceda ukugcina i-hip joint yazo ikwindawo efanelekileyo. Cinga ngayo njenge -Pavlik Harness . Oku kunceda i-hip joint ukuba yakheke kakuhle njengoko umntwana ekhula. Ingakumbi ukuba olu nyango luqalwe kwiintsana ezingaphantsi kweenyanga ezi-6 ubudala , imeko idla ngokuba ngcono ngokwayo. Kuya kufuneka unxibe le brace kangangeenyanga eziliqela.
• Unyango Lomzimba: Ingcali yonyango lomzimba iya kukufundisa ukolula okukhethekileyo kunye nokuzilolonga ukuqinisa izihlunu ezijikeleze isinqe sakho kunye nokwandisa ukuguquguquka kwelungu.
• Utyando lweHip Dysplasia: Ukuba ezinye iindlela zonyango azisebenzi, ugqirha wakho unokucebisa utyando. Utyando oluphambili lokulungisa i-hip dysplasia yiHip Osteotomy (equka ukulungisa amathambo nokutshintsha imo yawo) kunye neHip Arthroscopy (equka ukufaka ikhamera ngesithuba esincinci ukuze kuhlolwe umonakalo ongaphakathi kwelungu). Kwezinye iimeko ezinzima, ingakumbi kwi- osteoarthritis , kunokufuneka ukutshintshwa kwe-hip (i-Arthroplasty) .Ugqirha uza kukuchazela ukuba loluphi uhlobo lotyando oluza kudingwa nguwe (okanye umntwana wakho) kunye nento onokuyilindela kulo.

Ngaba ikho indlela yokuthintela oku?

Enyanisweni, akukho nto unokuyenza ukuthintela umntwana wakho ukuba azalwe eneHip Dysplasia . Kwaye awunakuyithintela ukuba ikhule. Kwenzeka xa ilungu lesinqe lingakheki kakuhle. Oko kuthetha ukuba asiyonto ibangelwa kukungakhathali komzali. Ngoko ke ungakhathazeki ngayo.

Nangona kunjalo, ungacela ugqirha wakho akunike icebiso malunga nendlela yokukhusela amalungu esinqe somntwana wakho njengoko ekhula. Umzekelo, qaphela izinto ezifana nokumsonga umntwana wakho ukuze kungabikho xinzelelo emanqeni kwaye imilenze ibekwe ngokukhululekileyo.

Injani imeko yokuchacha emva kwale meko? (Imbono)

Le yeyona nto ibalulekileyo. Kwiintsana ezininzi, ukuba le meko (iHip Dysplasia) iqatshelwa kwaye inyangwa kwangethuba, akuyi kubakho miphumo yexesha elide. Kwiimeko ezininzi, kuya kufuneka banxibe i-brace iinyanga ezimbalwa ukuze amanqe alungelelaniswe kakuhle. Emva koko, banokuphila ngaphandle kweengxaki okanye iingxaki. Ukuba bafumana unyango loku besebancinci, basenokungalukhumbuli kwanaxa sele bekhulile!

Kwanabantu abadala banokubuyela kwimisebenzi yabo yesiqhelo emva konyango, xa ugqirha evumile.

Ufanele uye nini kugqirha?

• Ukuba unentlungu yesinqe engapheliyo , loo nto ayipheli nokuba emva kweentsuku ezimbalwa zokuphumla.
• Ukuba umntwana wakho ubonakala eneempawu zeHip Dysplasia (njengoko bekutshiwo ngaphambili, umahluko kwimilo yemilenze, umahluko kwimibimbi, njl.njl.).

Ngaba kufuneka uye kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ewe, ukuba ucinga ukuba wena okanye umntwana wakho uneqhubu eliphumileyo , yiya kwigumbi likaxakeka ngoko nangoko . Ungaze uzame ukubuyisela ilungu endaweni yalo. Gcina ilungu lingashukumi kwaye uye esibhedlele ngokukhawuleza.

Yeyiphi imibuzo ebalulekileyo ekufuneka uyibuze ugqirha?

Xa ubona ugqirha, kubalulekile ukubuza yonke imibuzo yakho. Nazi ezinye zemizekelo:

• Ngaba umntwana wam une -Hip Dysplasia okanye enye ingxaki ye-hip yokuzalwa?
• Ndifanele ndihlole izinqe zomntwana wam kangaphi?
• Luhlobo luni lonyango endiludingayo/umntwana wam ngeHip Dysplasia ?
• Ngaba mna/umntwana wam kuya kufuneka ndityandwe?

Ngaba kulungile ukuhamba xa uneHip Dysplasia?

Abantu abadala abane- hip dysplasia banokuhamba kwaye bashukume ngokuqhelekileyo. Nangona kunjalo, ugqirha wakho okanye ingcali yezonyango ingakuxelela ukuba kufuneka uhambe ixesha elingakanani okanye eminye imithambo ukuze ugcine isinqe sakho somelele kwaye siguquguquka. Nangona kunjalo, musa ukuyigqithisa .Musa ukuzinyanzela ukuba ushukume okanye wenze umthambo ngelixa usentlungwini. Buza ugqirha wakho ukuba ungakanani kwaye loluphi uhlobo lomthambo olukhuselekileyo kuwe.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuqhelekile ukuba uzive usoyika xa ufumanisa ukuba umntwana wakho unesifo sempilo ongenakukwazi ukusithintela. Nangona kunjalo, iHip Dysplasia yimeko enyangekayo. Ingakumbi kwiintsana ezincinci. Abantwana abaninzi kuya kufuneka banxibe i-brace kangangeenyanga ezimbalwa, kodwa xa i-hip joint ilungelelaniswe kakuhle, iya kuphiliswa ngaphandle kwemiphumo yexesha elide.

Ngoko ke, ngaphandle kokukhathazeka, landela imiyalelo kagqirha ngononophelo. Ungaphoswa ziikliniki zomntwana wakho. Emva koko, nokuba kukho imeko efana nale, ungayibona ngokukhawuleza kwaye uqale unyango olufunekayo.

Buza ugqirha wakho ngeempawu ze- hip dysplasia oza kuzijonga ekhaya. Baza kujonga ii-hips zomntwana wakho kuzo zonke iikliniki ukuqinisekisa ukuba le meko iyachongwa kwaye inyangwa ngokukhawuleza.

I- Hip Dysplasia, ithambo lesinqe, isifo sesinqe sosana, iintlungu zamalungu, ukukhubazeka kwesinqe sokuzalwa, i-DDH, iingxaki zesinqe