Ukhathazekile ngezinqe zomntwana wakho? Ake sixoxe nge-hip dysplasia!

Njengenjabulo efika engqondweni yakho uma ubheka umntwana osanda kuzalwa, ngezinye izikhathi kuyinto evamile ukuzizwa wesaba ngisho noma ubona into encane, akunjalo? Ikakhulukazi uma udokotela ethi kukhona umehluko omncane noma inkinga ethanjeni lenqulu lomntwana, kwenza inhliziyo yakho inyakaze. Yilokho okushiwo yilokhu kukhubazeka kwamalunga enqulu, noma njengoba odokotela bekubiza kanjalo (i-Hip Dysplasia) . Cabanga nje, yize leli gama liyesabeka kancane uma ulizwa, ake sixoxe ngalo kalula, ngendlela ongayiqonda.

Iyini le nkinga ye-hip (i-Hip Dysplasia)? Kalula nje...

Kalula nje, i-(Hip Dysplasia) yisimo lapho amathambo esitho sethu se-hip engahlangani kahle. Ubuwazi, isitho sethu se-hip siyilungu elibaluleke kakhulu. Yilapho ithambo lethu lethanga (okungukuthi, i- (Femur) ) lixhumana khona nethambo lethu le-hip (okungukuthi, i- (Pelvis) ). Leli lunga lakhiwa njengebhola elibhajwe endebeni. Ingxenye efana nebhola ephezu kwethambo lethanga ( (Femoral Head) ) kumele ilingane kahle nesokhethi efana nendebe ethanjeni le-hip ( (Acetabulum) ).

Ngakho-ke, kumuntu one- Hip Dysplasia, ibhola kanye nesokhethi akuhlangani kahle. Mhlawumbe isokhethi alijulile ngokwanele, noma ukuma kwebhola kuhlukile. Yilapho kuvela khona izinkinga. Uma lokhu kungahlangani kahle, i-cartilage ezungeze ijoyinti (umcamelo ovikela ijoyinti lapho amalunga amabili eshayana) ingalimala futhi iguge. Yilapho izinto ezifana nobuhlungu be-hip kanye nokuqina zingena khona. Futhi, ithambo le-hip linamathuba amaningi okuhlukana.

Lesi simo sivame ukuthinta izinsana nezingane ezincane . Ngezinye izikhathi odokotela basibiza ngokuthi i-Congenital Hip Dysplasia noma i-Developmental Dysplasia of the Hip (DDH) . Lawa wonke amagama esimo esifanayo. Kodwa-ke, ngezinye izikhathi izimpawu zalesi simo zingase zingabonakali ebuntwaneni futhi zingase zivele kamuva ekuphileni.

Uma ubuhlungu benqulu obungapheli ezinsukwini ezimbalwa, noma uma ingane yakho ibonakala ibuhlungu, noma uma umlenze owodwa ubukeka uhlukile komunye, kufanele nakanjani ubone udokotela.

Ubani othinteka kakhulu yilesi simo? Sivame kangakanani?

Njengoba kwaziwa, emazweni afana neMelika, cishe ingane eyodwa kweziyi-1000 ezisanda kuzalwa inalesi simo (i-Hip Dysplasia) . Lesi simo siyabonakala naseSri Lanka. Yingakho odokotela behlola ngqo i-hip joint yezingane ngokushesha nje lapho zizalwa, kanye nasemitholampilo abayinikezayo ngemva kwalokho.

Ziyini izimpawu? Uzibona kanjani?

Izimpawu ze- hip dysplasia zingashintsha kancane ngokukhula.

Izimpawu ezivamile (kwabantu abadala kanye nezingane ezincane):

• Ubuhlungu benqulu (ngokuvamile endaweni yesisu ).
• Isinqe sizwakala sikhululekile futhi singaqinile ngokwanele.
• Kubukeka sengathi kubuthakathaka uma uhamba noma uhamba.
• Ukungafani kobude bomlenze (umlenze owodwa ubonakala umfishane noma umude kunomunye).

Lezi zimpawu zingase zihluke ezinganeni ezincane ezingakaqali ukuhamba:

• Umlenze owodwa ubonakala sengathi uphendukezelwe ngaphandle kakhulu kunomunye.
• Ukuzizwa sengathi umlenze owodwa awunyakaziswa kakhulu kunomunye.
• Isikhumba esingalingani siyagoqeka emathangeni nasezinqeni. Cabanga ukuthi lapho umama egeza ingane yakhe, umlenze owodwa ubonakala ugobile kancane kunomunye, noma umlenze owodwa ubonakala ugobile kancane kunomunye. Lezi yizimpawu ezincane ezingaba khona.

Izingane ziqala nini ukukhombisa lezi zimpawu?

Odokotela bavame ukuxilonga lesi simo ezinganeni ezingaphansi kwezinyanga eziyisithupha ubudala . Ngezinye izikhathi, singaxilongwa ngokushesha nje ngemva kokuzalwa kwengane. Ngisho noma ungawuboni umehluko omkhulu ekhaya, udokotela uzohlola i-hip joint yengane kukho konke ukuvakashela emtholampilo. Ngakho-ke akukho okufanele ukhathazeke ngakho.

Izingane ezindala, intsha, futhi ngezinye izikhathi abantu abadala nabo bangabhekana nalesi simo, kodwa asivamile kangako.

Kungani le nkinga ye-hip (i-Hip Dysplasia) ivele? Ziyini izimbangela?

I-Hip Dysplasia yenzeka lapho i-femur ( ithambo lethanga ) ingangeni kahle ethangeni (i-acetabulum) lethambo le-hip. Lokhu kungabangelwa yizici eziningana:

• Isokhethi lesinqe liphansi kune-pelvis .
• Ikhanda lethambo lethanga ( i-Femoral Head ) linesimo esihlukile kunesijwayelekile.

Kwabaningi, lesi simo sizalwa naso .

• Lokhu kungenzeka ngenxa yokucindezeleka kwamalunga esinqe ngenxa yesimo somntwana ngesikhathi sokukhulelwa .
• Futhi, lokhu kungaba yisimo sofuzo , okusho ukuthi singazuzwa njengefa kubazali kubantwana.

Yiziphi izinto ezibangela ingozi?

Noma ubani angaba nalesi simo, futhi noma yimuphi umntwana angazalwa naso. Kodwa-ke, abanye abantu basengozini enkulu kancane:

• Lesi simo sivame kakhulu emantombazaneni kunabafana.
• Le ngozi iphakeme kakhulu ezinganeni ezizalwa ngamazibulo .
• Nakuba lokhu kungathinta zombili izinqe, isinqe sesobunxele yisona esivame ukuthinteka.

Yiziphi ezinye izinkinga ezingabangelwa yilokhu?

Abantu abadala kanye nezinsana abane -hip dysplasia basengozini enkulu yokukhumuka kwe-hip . Ngokuvamile, ukukhumuka kwe-hip kwenzeka ngenxa yengozi enkulu, njengengozi yemoto noma ukuwa kusuka ekuphakameni. Kodwa-ke, nge -hip dysplasia, i-hip joint ibuthakathaka ngokwemvelo, ngakho-ke kungenzeka kakhulu ukuthi yenzeke. Ngaphezu kwalokho, imisipha kanye nemisipha ezungeze i-hip ingase ikhululeke.

Ezinye izinkinga ezingabonakala zifaka:

• Izinyembezi Ze-Hip Labral: Lokhu kuwumonakalo we-cartilage esihlanganisini se-hip.
• I-Osteoarthritis: Isimo samathambo esibangela ukuba amalunga aguge ngokuhamba kwesikhathi.
• Amalunga Enqulu Angazinzile: Ubuhlungu obuqhubekayo obubangelwa ukungahleleki kahle kwelungu lenqulu.

Ngakho-ke, udokotela uzokweluleka ngendlela yokugwema izingozi nokunciphisa ingozi yokukhumuka kwenqulu.

Ukuthola kanjani lokhu ngqo?

Udokotela uzoxilonga i-hip dysplasia ngokuhlolwa ngokomzimba kanye nokuhlolwa kwezithombe . Kuzodingeka utshele udokotela wakho ukuthi waqala nini ukuzwa ubuhlungu enqulwini yakho nokuthi ubuhlungu buba bubi nakakhulu uma wenza noma yini.

Umntwana wakho uzohlolwa udokotela wakho ukuze athole izimpawu ze- hip dysplasia ngokushesha ngemva kokuzalwa kanye nakuzo zonke izinkambo zomtholampilo ngemva kwalokho.

Yiziphi izivivinyo ezisetshenziswa odokotela ukuze baxilonge lokhu?

Lezi zivivinyo zingasetshenziswa ukuthatha izithombe zezinqe zakho (noma zengane yakho):

• Ukuskena nge-ultrasound: Lena yinto yokuqala eyenziwa ingane.
• Ama-X-ray e-Hip: Ezinganeni ezindala kanye nabantu abadala.
• I-CT Scan (I-Computed Tomography - I-CT scan): Kwezinye izimo ezikhethekile.

Yiziphi izindlela zokwelapha?

Udokotela angase ancome ukwelashwa kwe -hip dysplasia ukunciphisa ubuhlungu nokuvikela i-hip joint. Izindlela zokwelapha ezivame ukusetshenziswa yilezi:

• Ukugqoka i-brace/harness: Izingane ezincane zingase zidinge ukugqoka i-brace ekhethekile noma i-harness ukuze zigcine i-hip joint yazo isendaweni efanele. Cabanga ngayo njenge- Pavlik Harness . Lokhu kusiza i-hip joint ukuthi yakheke kahle njengoba ingane ikhula. Ikakhulukazi uma lokhu kwelashwa kuqalwa ezinganeni ezingaphansi kwezinyanga eziyisithupha ubudala , isimo sivame ukuba ngcono ngokwaso. Kuzodingeka ugqoke le-brace izinyanga eziningana.
• Ukwelashwa Komzimba: Uchwepheshe wezokwelapha ngokomzimba uzokufundisa ukwelula okukhethekile kanye nokuzivocavoca ukuze uqinise imisipha ezungeze isinqe sakho futhi wandise ukuguquguquka kwamalunga.
• Ukuhlinzwa Kwe-Hip Dysplasia: Uma ezinye izindlela zokwelapha zingasebenzi, udokotela wakho angase akuncome ukuhlinzwa. Ukuhlinzwa okuyinhloko ukulungisa i-hip dysplasia yi -Hip Osteotomy (ehilela ukulungisa amathambo nokushintsha ukuma kwawo) kanye ne -Hip Arthroscopy (ehilela ukufaka ikhamera nge-incision encane ukuhlola umonakalo ongaphakathi kwejoyinti). Kwezinye izimo ezimbi kakhulu, ikakhulukazi nge -osteoarthritis , kungadingeka ukushintshwa kwe-hip (i-Arthroplasty) .Udokotela ohlinzayo uzokuchazela ukuthi hlobo luni lokuhlinzwa oluzodingwa wena (noma ingane yakho) nokuthi yini ongayilindela kukho.

Ingabe ikhona indlela yokuvimbela lokhu?

Empeleni, akukho ongakwenza ukuvimbela ingane yakho ukuthi izalwe ine -Hip Dysplasia . Futhi awukwazi ukuyivimbela ukuthi ikhule. Kwenzeka lapho i-hip joint ingakheki kahle. Lokho kusho ukuthi akuyona into ebangelwa ukunganaki komzali. Ngakho ungakhathazeki ngakho.

Kodwa-ke, ungacela udokotela wakho iseluleko sokuthi ungawavikela kanjani amalunga enqulu yengane yakho njengoba ekhula. Isibonelo, qaphela izinto ezifana nokusonga ingane yakho ukuze kungabikho ukucindezela ezinqulwini nokuthi imilenze ibekwe ngokukhululekile.

Kunjani ukululama ngemva kwalesi simo? (I-Outlook)

Lokhu kuyinto ebaluleke kakhulu. Kwabaningi bezingane, uma lesi simo (i-Hip Dysplasia) siqashelwa futhi selashwa kusenesikhathi, ngeke kube nemiphumela yesikhathi eside. Ezimweni eziningi, kuzodingeka bagqoke i-brace izinyanga ezimbalwa ukuze izinqe zikwazi ukuzivumelanisa kahle. Ngemva kwalokho, bangaphila ngaphandle kwezinkinga noma izinkinga. Uma bethola ukwelashwa kwalokhu besebancane, bangase bangakhumbuli ngisho nalapho sebekhulile!

Ngisho nabantu abadala bangabuyela emisebenzini yabo evamile ngemva kokwelashwa, uma udokotela esevumile.

Kufanele ubonane nini nodokotela?

• Uma ubuhlungu benqulu abupheli ngisho nangemva kwezinsuku ezimbalwa zokuphumula.
• Uma ingane yakho ibonakala inezimpawu ze-Hip Dysplasia (njengoba kushiwo ngaphambili, umehluko ngesimo semilenze, umehluko emibimbi, njll.).

Ingabe udinga ukuya e-Emergency Treatment Unit (ETU) ?

Yebo, uma ucabanga ukuthi wena noma ingane yakho inesinqe esiphumile , iya ekamelweni lezimo eziphuthumayo ngokushesha . Ungalokothi uzame ukubuyisela ilunga endaweni yalo. Gcina ilunga linganyakazi ngangokunokwenzeka bese ufika esibhedlela ngokushesha okukhulu.

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Uma ubona udokotela, kubalulekile ukubuza yonke imibuzo yakho. Nazi ezinye izibonelo:

• Ingabe ingane yami ine -Hip Dysplasia noma enye inkinga yesinqe yokuzalwa?
• Kufanele ngihlole izinqe zengane yami kangaki?
• Uhlobo luni lokwelashwa engiludingayo/ingane yami nge -Hip Dysplasia ?
• Ingabe mina/ingane yami izodinga ukuhlinzwa?

Ingabe kuhle ukuhamba uma une-Hip Dysplasia?

Abantu abadala abane- hip dysplasia bangahamba futhi banyakaze ngendlela evamile. Kodwa-ke, udokotela wakho noma uchwepheshe wezokwelapha angakutshela ukuthi kudingeka uhambe kangakanani noma ezinye izivivinyo ukuze ugcine izinqe zakho ziqinile futhi ziguquguquka. Kodwa-ke, ungenzi ngokweqile .Ungaziphoqeleli ukuthi unyakaze noma uvocavoce ngenkathi usezinhlungwini. Buza udokotela wakho ukuthi uvocavoce kangakanani futhi hlobo luni lokuzivocavoca oluphephile kuwe.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa wesaba uma uthola ukuthi ingane yakho inesifo sempilo sokuzalwa ongakwazi ukusivimbela. Kodwa-ke, i-Hip Dysplasia iyisimo esingelapheka kakhulu. Ikakhulukazi ezinganeni ezincane. Izingane eziningi kuzodingeka zigqoke i-brace izinyanga ezimbalwa, kodwa uma i-hip joint isibekwe kahle, izophola ngaphandle kwemiphumela yesikhathi eside.

Ngakho-ke, ngaphandle kokukhathazeka, landela imiyalelo kadokotela ngokucophelela. Ungaphuthelwa imitholampilo yengane yakho. Khona-ke, noma ngabe kukhona isimo esinjengalesi, ungasibona ngokushesha bese uqala ukwelashwa okudingekayo.

Buza udokotela wakho ngezimpawu ze- hip dysplasia okufanele uziqaphele ekhaya. Bazohlola izinqe zengane yakho kuyo yonke imitholampilo ukuqinisekisa ukuthi lesi simo siyatholakala futhi selashwa ngokushesha okukhulu.

I - Dysplasia ye-Hip, ithambo le-hip, isifo se-hip sosana, ubuhlungu bamalunga, ukukhubazeka kwe-hip okuzalwa nakho, i-DDH, izinkinga ze-hip