Congenital dislocation ye hip ndiyo inowanzovhiringidza yekusangana kwepabonde. Kana mwana wacho, kuwedzera, acetabulum isingasvikiki, iyo inoumba rutivi rwekubatanidzwa kwechiuno, iyo dysplasia yekubatanidzwa kwechiuno. Kurwisana nemamiriro ezvinhu e dysplasia, kana zviyero zvakakodzera panguva isati zvatorwa, kuparadzaniswa kunoumbwa kwenguva yakareba.
Apo dysplasia, kukanganisa kunoonekwa muzvinhu zvose zvehudyu: acetabulum, musoro wechikadzi nemisungo yakakomberedza, ligaments, capsule. Iko kuchinja mavari kunobatanidza nehuwandu hwekugadzirisa mavara. Kubudirira kweDysplasia (mamwe ayo anoumbwa mukudengenyeka) inokonzerwa nokusabatana kwakakwana pakati peAcetabulum uye musoro wechikadzi mumutambo we intrauterine wekukura kwehudyu.
Congenital hip dislocation inonyanya kuwaniswa musikana. Inofungidzirwa kuti kukurudzirwa kwekuparadzanisa kunotungamirirwa nehosha dzeamai munguva yekuzvitakura (toxicosis, nephropathy), uyewo nzvimbo isina kunaka ye fetus (somuenzaniso, pelvic).
Zviratidzo zvechirwere ichi zvinogona uye zvinofanira kuonekwa nevabereki pachavo. Iyi ndiyo yakasvibiswa yemapango echando pamaguno nemakumbo, musiyano muhurefu hwemakumbo. Apo mamakumbo akabatwa kumativi, munzvimbo yepamusoro, pakanzwika kunonzwika, kuregererwa kwekunyanya kunya. Munharaunda, mumucheche emwedzi yekutanga yehupenyu, mahudyu anotsvaga kubhadhara pa 80-90 digiri. Kurongeka kwekunze kwetsoka - nechiratidzo ichi chetsoka, parutivi rwekudzima, sezvakaitwa kunze. Izvi zvinonyanya kuonekwa panguva yokurara kwevana. Kana dysplasia isingawanikwi nenguva, zviratidzo zvechirwere zvinongowoneka apo mwana akamira pamakumbo. Ava vana vanofamba vachifamba mberi kune vamwe, uye kufamba-svetuka kune kwakanyanyisa: paunenge uchibva kune rumwe rutivi, mwana wechimedu pane rimwe gumbo, uye apo maviri-sided - waddles sehadha. Kuti asimbise kana kusabvisa kuongororwa pazera remwedzi mitatu, x-ray dzezviputi zvechiuno dzinoitwa.
Mishonga inofanira kutanga nekukurumidza sezvinobvira uye pasi pekutariswa kwechiremba nguva dzose. Muchikamu chekutanga chechirwere, mumwedzi mitatu yekutanga yehupenyu hwemwana, kushandiswa kwakakura kunoshandiswa. Pakati pekakotamiswa pamasangano uye kubuda kwechiuno kunoisa chidimbu chinenge chakanyorwa. Iyo yakagadzikana pakati pehudyu nemapanga, chidimbu. Iwe unogonawo kushandisa zvishandiso zvinokosha. Zvinowanzoitika kuti swaddling yakawanda haikwani (izvi zvinogona kungogadziriswa nachiremba), saka mapurisa anoshandiswa kugadzirisa makumbo, umo mwana achavapo kusvikira apora zvachose. Nekutanga kwekuregererwa, kupindira kwekuvhiya kunoitwa.
Kurapa nechinzvimbo .
- Mubhedha wemwana unofanira kuva wakadzika uye wakasimba.
- Nechirwere chisina basa dysplasia, mumwedzi mitatu yekutanga yehupenyu mwana ari kushandisa swaddling yakawanda.
- Sezvo uri munzvimbo yakatarisa pamadziro, tsoka dzakakotama uye dzakagadzika, dzinofanira kupfuurira mberi kwepamucheto wemubhedha, zvisinei kuti kuputika kwemisungo - iyo dhigiridzi wehudyu - inowedzera.
- Kutanga kubva pamwedzi 6-7, vabereki vanofanira kugara pamwana nemakumbo zvakaparadzana, vachifugama chiso nechiso. Panguva imwecheteyo, zvakakosha kutsigira mwana ari kumashure.
- Apo amai vanofamba kana kuti vakamira nemwana, ipapo noruoko rumwe iye anofanira kumutsigira iye kumashure, achibata mwana wacho kwaari, uye rumwe rutivi pasi pemagaro. Mukuita kudaro, makumbo emwana anofanirwa kuvhara rutsva rweamai. Iwe unogona kushandisa zvakare "kangaroo", kunyange zvazvo nguva refu yakapfeka mairi inotungamirira kukurumidza kudzoka kwepamberi panze.
- Nzvimbo yekutanga - mwana akarara pamusana wake, tsoka kune masseur (amai). Makumbo omwana anonamatira pamabvi uye majoka ekuputika uye mapurasitiki anononoka kuputika pamwe chete panguva imwechete acupressure kuti udzose hutungamiri hamstrings. Pads of nail phalanges yeminwe 2 neminwe 3 kana imwe yeminwe 3 yesimba, amai vanobata ganda munzvimbo inofanana nekuratidzwa kwekubatanidzwa kwechiuno kune rumwe rutivi, kuitira kuti vanzwe kuora mwoyo kana vakamanikidzwa, uye zvino zvinyoro uye zvishoma nezvishoma zvinoshandisa zvinotenderera uye zvishoma nezvishoma zvinomanikidzira ); iyo yose yenyuchi yomwana inobata chikwande neminwe yeruoko rumwe chete, muto wekutanga inorara zviri nyore pamberi pekati mukati memhudyu. Kurasikirwa kwemuviri wemudumbu kunogadziriswa nepfungwa imwechete imwechete, inoshandisa masheji ekutenderera (iri 2-3 cm pasi pegumbo rinoputika) uye kudengenyeka kwechidzitiro checheche neminwe yakasara (chidya checheche chiri pachigadziko chemasteur). Panguva imwe chete pamwe chete nekushambadza uye kuzunungusa muhudyu wegumbo rakakotama, chiuno chinobva zvabviswa kubva kunze.
- Nzvimbo yekutanga ndiyo yakafanana. Iyo masseur iri neruoko rumwe inogadzirisa huni yehuputi yemwana (neruoko rworuboshwe - kuruboshwe, iyo yakarurama - yakanamatira yakarurama), yakabatwa noruoko rwemwe rutivi runovhara zvinyoronyoro gumbo romwana uye inoita kushanduka kuduku kwehudyu pamwe chete nechomukati nechomukati pamwe chete plastiki chiedza chemhepo pamabvi, shin pane imwe kunze inotungamirirwa. Ichi chiitiko chinobudirira kumanikidzwa kwakanyanyisa kwemusoro wemudzimai pane acetabulum.
- Nzvimbo yekutanga - mwana akarara mudumbu rake. Iyo masseur inogadzirisa mapepa emwana zvishoma neruoko rumwe, achiisa muchanza chekuruboshwe rwake kuruboshwe rwemwana wacho, nerumwe ruvoko, achibata shin, achiita rutsoka rworudyi bendamabvi pamabvi uye muchiuno. Izvo-imwe mheto. Munzvimbo iyi uye panzvimbo ino, kufamba kwechikwata chekuputika kunowanikwa nyore nyore sezvinobvira munzvimbo yakakwana.