Ingabe ingane yakho inenkinga yesinqe? Ake sixoxe nge-Hip Dysplasia!

Wake waphawula yini lapho ugeza noma ushintsha izingubo zomntwana wakho ukuthi isikhumba esigoqekayo komunye umlenze sihlukile, mhlawumbe sikhudlwana kancane, kunomunye? Noma wake waphawula ukuthi ingane yakho iyaxhuga kancane lapho ihamba, noma ukuthi kunomehluko omncane ebude bemilenze yayo? Lezi zingabonakala njengezinto ezivamile esingazinaki kakhulu. Kodwa lezi zingaba futhi izimpawu zesimo esibizwa ngokuthi i-Hip Dysplasia, inkinga ye-hip joint evame kakhulu ezinganeni. Ungakhathazeki, sizoxoxa ngakho konke ngamagama alula.

Kalula nje, iyini i-Hip Dysplasia?

I-Hip Dysplasia yilapho i-hip joint yethu ingakheki kahle. Ukuze uqonde lokhu kalula, cabanga nge-hip joint yethu njengebhola kanye nendebe efanelana nalo. Ingxenye efana nebhola engenhla kwethambo lethu lethanga (i-femur) (ikhanda le-femoral) kumele ilingane kahle nengxenye eyindilinga efana nendebe (i-acetabulum) e-pelvis.

Uma kwenzeka i-Hip Dysplasia , ingxenye efana nendebe ayijulile ngokwanele, ngakho-ke ingxenye efana nebhola ayilingani kahle. Noma, ngenxa yokushintsha kwesimo sengxenye efana nebhola, lokhu kulingana akwenzeki kahle. Lokhu kubangela ukuthi i-hip joint ingazinzile futhi ikhululeke.

Lesi simo sivame kakhulu ezinsaneni ezisanda kuzalwa nasezinganeni ezincane. Ngezinye izikhathi sibizwa ngokuthi i-congenital hip dysplasia noma i-developmental dysplasia of the hip (DDH). Kodwa-ke, ngezinye izikhathi izimo ezincane zalesi simo zivela kuphela lapho umuntu esekhulile.

Ziyini izimpawu zalesi simo?

Izimpawu ze-Hip Dysplasia zingahluka ngokuya ngeminyaka yengane. Ake sikuchaze lokhu ngokucacile.

Kungani lokhu kwenzeka? Ubani osengozini enkulu?

Kunzima ukukhomba imbangela eyodwa ye-Hip Dysplasia, kodwa kunezici eziningana ezingaba nomthelela.

• Izakhi zofuzo: Uma othile emndenini eke waba nalesi simo, ingozi yokuthi nengane ithole lesi sifo iphakeme.
• Indawo yesisu: Indawo ingane ekuyo ngesikhathi sokugcina sokukhulelwa, ikakhulukazi indawo yokubeletha, ingafaka ingcindezi esithweni senqulu futhi iholele kulesi simo.
• Ukuba nomntwana wokuqala: Njengoba isibeletho sikamama singanwebeki kangako ngesikhathi sokukhulelwa kokuqala, kungase kube nomthelela ngenxa yokuntuleka kwesikhala somntwana.
• Ubulili: Amantombazane anamathuba amaningi okuthola lesi simo kunabafana. Lokhu kungenxa yokuthi amantombazane anama-hormone amaningi emizimbeni yawo akhulula amalunga.

Lesi simo sivame ukuthinta kakhulu isinqe sesobunxele.

Yiziphi izinkinga ezingaba khona uma lokhu kunganakwa?

I-Hip Dysplasia, ikakhulukazi uma ingatholakalanga futhi ingelashwa isencane, ingabangela izinkinga ezahlukahlukene esikhathini esizayo.

• Ukuhlukana Kwesinqe: Ngenxa yokuthi ilunga alilungiswanga kahle, ingozi yokuhlukana kwesinqe iphakeme kunejwayelekile.
• Izinyembezi Ze-Hip Labral: I-cartilage, ingxenye efana nomcamelo yelunga, ingonakala uma amathambo engahlangani kahle.
• I-Osteoarthritis: Lena inkinga enkulu kakhulu yesikhathi eside. Njengoba ilunga lingasebenzi kahle, ngokuhamba kwesikhathi lingaguga, okubangela ubuhlungu obukhulu nobunzima bokunyakaza.

Ukuthola kanjani lokhu, Dokotela?

Udokotela wakho uzolandela izinyathelo eziningana ukuze axilonge lesi simo.

1. Ukuhlolwa komzimba: Kunezindlela ezikhethekile zokuhlola izinqe zomntwana. Udokotela uzogoba kancane futhi aphendule imilenze yomntwana ukuze ahlole noma yikuphi ukukhubazeka, imisindo "yokuchofoza", noma ukuxega esilungwini sesinqe. Kumuntu omdala, uzohlola izindawo ezinobuhlungu kanye nobubanzi bokunyakaza.

2. Ukuhlolwa Kwezithombe: Uma kukhona ukungabaza, kwenziwa amaskeni ukuqinisekisa ukuxilongwa.

• I-Ultrasound: Lena yindlela engcono kakhulu yokubona i-hip joint ezinganeni ezingaphansi kwezinyanga eziyisithupha ubudala, ngoba kuleyo minyaka amathambo asuke engakakhuli ngokugcwele.
• Ama-X-ray: Kwenziwa i-X-ray ukuze kubonakale kahle indawo yamathambo ezinganeni ezingaphezu kwezinyanga eziyisithupha ubudala nakubantu abadala.
• I-CT Scan: Kwezinye izimo eziyinkimbinkimbi noma lapho uhlela ukuhlinzwa, lokhu kuhlolwa kusetshenziselwa ukuthola isithombe se-three-dimensional (3D) sejoyinti.

Yiziphi izindlela zokwelapha lokhu?

Ukuxilongwa kusenesikhathi kubaluleke kakhulu lapho welapha i-Hip Dysplasia, ngoba uma isheshe itholakale, ukwelashwa kulula futhi kuphumelele.

Ukwelashwa kwezinsana

Izingane ezingaphansi kwezinyanga eziyisithupha ubudala ngokuvamile azidingi ukuhlinzwa.

• Ukubopha/i-Harness: Ingane ifakwe i-harness eklanywe ngokukhethekile (isb. i-harness ye-Pavlik). Lokhu kusiza ukugcina i-hip joint yengane isendaweni efanele, njengoba nje ibhola lendebe linjalo, futhi kuyisize ikhule. I-harness igqokwa njalo (ubusuku nemini) izinyanga eziningana. Phakathi nalesi sikhathi, i-hip joint iyazinza futhi ikhule kahle. Lokhu kuyindlela yokwelapha ephumelela kakhulu.

Ukwelashwa kwezingane ezindala kanye nabantu abadala

• Ukwelashwa Komzimba: Ukuzivocavoca kanye nokwelula kunikezwa ukuqinisa imisipha ezungeze isinqe nokwandisa ukunyakaza kanye nokuguquguquka kwamalunga.
• Ukuhlinzwa: Uma ezinye izindlela zokwelapha zingaphumeleli, noma uma lesi sifo sitholakala lapho umuntu esemdala, kungase kudingeke ukuhlinzwa.
• Ukuhlinzwa Kwe-Hip Osteotomy: Lokhu kuhilela ukusika nokubumba kabusha ithambo ukuze kubuyiselwe i-hip joint endaweni efanele.
• I-Hip Arthroscopy: Lokhu kuhilela ukufaka ikhamera namathuluzi ngokusebenzisa i-incision encane ukulungisa umonakalo ku-cartilage ngaphakathi kwejoyinti.
• Ukufakwa Kwesinqe (i-Arthroplasty): Uma ilunga ligugile kakhulu futhi isifo samathambo sibi kakhulu, kungase kudingeke ukuhlinzwa ukuze kufakwe ilunga lokwenziwa esikhundleni salo lonke ilunga lesinqe.

Kufanele ngimbone nini udokotela?

Uma unezinye zalezi ezilandelayo, bona udokotela wakho ngokushesha.

• Uma ingane yakho ikhombisa noma yiziphi izimpawu esixoxe ngazo ekuqaleni (njengokugoba kwemilenze okungalingani, ukuxhuga).
• Uma ubuhlungu benqulu abupheli ngemva kwezinsuku ezimbalwa.
• Uma izinqe zakho zizizwa zingazinzile futhi zigxumagxuma uma uhamba.

Ufuna ukuya nini e-ETU?

Kujwayelekile ukwesaba uma uthola ukuthi ingane yakho inesifo esifana nalesi. Kodwa khumbula, i-Hip Dysplasia iyisimo esingelapheka kakhulu , ikakhulukazi uma sitholakale kusenesikhathi. Ngemva kokwelashwa, ingane yakho ingaphila impilo evamile ngaphandle kwemiphumela yesikhathi eside. Ngakho-ke ungesabi, futhi uma unokungabaza, khuluma nodokotela wakho.