Hip dysplasia: qhov xwm ntawm pathology thiab raug rau lub neej yav tom ntej

Hip dysplasia - ib tug congenital anomaly yam ntxwv lub cev pob txha ntawm cov qauv, uas yog yus muaj los ntawm underdevelopment ntawm lub duav ob leeg lub Cheebtsam, nrog los ntawm kev ua txhaum cai ntawm cov spatial proportions ntawm lub acetabular kab noj hniav thiab lub femoral lub taub hau. Nws yog ib qho tseem ceeb yuav tau nco ntsoov hais tias qhov no pathology yog yeej los ntawm cov menyuam ntxhais ntau dua cov tub hluas, nyob rau hauv tas li ntawd, nws yuav tsub kev pheej hmoo ntawm kev vam meej ntawm tus kab mob breech fetus thaum xub thawj yug tus me nyuam. Nyob rau hauv thiaj li yuav to taub lub seriousness ntawm xws li ib anomaly raws li hip dysplasia, nws yog tsim nyog rau lw lub zog ntawm lub predominant pathological txheej txheem. Ua ntej ntawm tag nrho cov, nws yog tseeb hais tias cov hip ob leeg yog muaj cob qhia los ntawm txoj kev ligaments, cov pob txha thiab pob txha mos, raws li zoo raws li ib tug xov tooj ntawm cov leeg uas ua tau tus txha. Daim ntawv qhia txog layout tsawg kawg yog ib tug ntawm cov ntaub ntawv hais thiab ua kom vam meej ntawm lub saum toj no pathologies.

Nyob rau hauv niaj hnub orthopedics cais subluxation, predvyvih thiab hip dislocation. Nyob rau hauv rooj plaub thawj muaj ib co zoo ntawm cov tsos mob ntawm "ris hauv qab" nyob rau hauv uas elementary txo ib tug dislocation nyob rau hauv cov kab noj hniav. Rau subluxation yog yus muaj los ntawm upward xaav ntawm lub femoral lub taub hau thiab mus rau sab, tab sis tsis pub dhau lub cheeb tsam ntawm lub pob txha mos ntawm lub acetabulum. Nyob rau hauv dislocation ntawm lub femoral lub taub hau yog nyob sab nraum ntawm no lub tais, thiab cov pob txha mos phaj yog txav mus rau hauv tus txha. Nws yog ib qho tseem ceeb kom nco ntsoov tias kev kho mob ntawm dysplasia ntawm lub duav yog kiag li nyob rau lub hom dysplasia, thiab tus hluas uas muaj hnub nyoog ntawm tus neeg mob.

Hip dysplasia muaj ib tug xov tooj ntawm cov yam ntxwv cov tsos mob, nyob rau hauv lub hauv paus uas lub tsev niam txiv yuav nrhiav tau lub sij hawm nyob rau hauv koj tus me nyuam txoj kev xav tias tsam ob leeg pathology. Qhov no yuav ua tau ib tug ntshiab txwv ntawm yug me nyuam ntawm sab nqua, khoov duav ntawm txoj cai lub ntawm lub hauv caug, raws li zoo raws li qhov muag pom asymmetry ntawm daim tawv nqaij folds rau ob txhais ceg. Nyob rau hauv tas li ntawd, koj muaj peev xwm feem ntau hnov ib tug "nias" thaum rotating ob txhais ceg tus me nyuam, lub nrig txog kev pom sib txawv nruab nrab ntawm tus qis extremities yog heev tsawg, tab sis nws kuj yog ib tug yam ntxwv feature ntawm tej kab mob raws li hip dysplasia.

Tsim dysplasia kev kho mob yuav siv sij hawm qhov chaw nyob rau ib tug raws sij hawm kom paub tias ntawm lub pathological phenomena, raws li zoo raws li tag nrho cov uas yuav tsum tau ua orthopedist. Peb tham txog kev siv tshwj xeeb orthopedic pab kiag li lawm, raws li tau zoo raws li intensive zaws kho. Muaj conservative thiab phais kho mob, txhua tus uas muaj ib tug "lub tsev kho mob".

Conservative txoj kev yuav siv cov pawm no ntau npau, stirrups, log tsheb thiab panties. Lub hom phiaj tseem ceeb ntawm qhov kev kho no - mus txhim kho txoj hauj lwm ntawm tus me nyuam tus taw nyob rau hauv ib tug diluted lub xeev. Cov feem ntau orthopedic pab kiag li lawm tswv tog hauv ncoo Frejka stirrups Pavlik tsheb npav Vilna thiab Volkov. Raws li tsim raws li tus kws kho prophylaxis dav swaddling, tab sis txoj kev no yog tsim nyog rau cov muaj hnub nyoog ntawm peb lub hlis cov tub ntxhais tus neeg mob. Tsis yuav amiss thiab physiotherapy, uas muab ncig thiab tawm manipulation ntawm lub duav cov pob qij txha thiab zaws lub gluteal nqaij thiab lub lumbar cheeb tsam.

Phais kho mob yog xav paub ntau tshaj dhau, raws li hip dysplasia yuav tsum tau operable kev cuam tshuam. Raug indications muaj xws li tus neeg mob lub hnub nyoog thiab lub loj heev ntawm tus yam ntxwv ntawm dislocation ntawm lub duav (dysplasia, congenital los yog teratogenicity). Muaj explanatory specialist xaiv lub feem ntau haum txoj kev, uas entails ib tug tsawg kawg nkaus ntawm undesirable los nyob rau hauv lub neej yav tom ntej.

Yog hais tias lub sij hawm twb tsis tau kho los ntawm hip dysplasia, cov teebmeem yuav ua tau irreversible, vim hais tias yog tias tsis kho, mob tej pob qij txha tau txais tej kev hloov nqua kev pab txhawb nqa zog thiab muaj, raws li zoo raws li rau txoj hauj lwm ntawm lub plab mog deformation, curvature ntawm cov nqaj qaum thiab muaj mob ntawm hip arthrosis thiab osteochondrosis.

Nrog rau txoj cai mus kom ze thiab raws sij hawm kev kho mob yuav tsis tau kiag li los lub ntuj kev kawm ntawm cov pathological ob leeg.