Congenital hip dislocation: raws sij hawm kom paub tias cov teeb meem

Ib tug heev lub sij hawm ntev nyob rau hauv niaj hnub cov tshuaj, lub prevailing misconception hais tias cov congenital hip dislocation vim lub tu siab tshwm sim ntawm careless kev ua midwives thaum lub sij hawm yog tau me nyuam. Ntawm cov hoob kawm, peb yuav tsum tsis txhob cais cov imprudence thiab inexperience ntawm cov kws kho mob, tab sis xws li mob yog thawm, tab sis nyob rau hauv feem ntau ntawm cov kev soj ntsuam cov duab, qhov no anomaly yog me nyuam hauv plab nyob rau hauv cov xwm, uas yog tsim nyob rau hauv lub fetus nyob rau hauv lub plab nyob rau hauv tus ntawm ib tug xov tooj ntawm pathological yam.

Ua ntej peb yuav hais tias cov congenital hip dislocation yog sawv cev los ntawm ib tug ntawm cov loj tshaj plaws kab mob nyob rau hauv cov me nyuam nyob rau hauv lub teb ntawm orthopedics. Ib tug presumptive mob yog tseem nyob rau hauv lub tsev kho mob nyob rau hauv lub xub ntiag ntawm cov yam ntxwv cov tsos mob, tiam sis nws yog ib qho tseem ceeb hais tias tsuas yog tshawb fawb soj ntsuam yuav paub meej tias nws los yog tsis muab cov hauv paus hniav. Niaj hnub no, koj yuav cuag tag nrho rov qab nrog raws sij hawm kev kho mob ntawm heev thiab pheej hais tias nws yog advisable mus pib nrog rau hauv thawj hnub ntawm lub neej. Tus neeg mob yog pom tias yuav yuav zoo kawg nkaus noj qab nyob zoo, Yog hais tias ib tug X-ray cai ua tiav rov qab muaj nuj nqi thiab cov qauv ntawm cov hip ob leeg.

Judging rau cov ua ntawm tus kab mob tus txheej txheem, nws yuav tsum tau muab sau tseg uas qhia ob peb lwm yam tseem ceeb uas pab rau nws aggravation. Ib tug ntawm cov pathogenic ua yog qhov thiaj li hu ua thawj defect bookmark uas yog txawv txav kev loj hlob ntawm lub duav txha thiab surrounding nqaij, lwm yam - me nyuam hauv plab kev loj hlob kev txwv lub sij hawm me nyuam hauv plab lub neej, vim rau kev ua txhaum ntawm lub hormonal thiab vitamin metabolism. Nws kuj tsis cais caj tau, i.e. muaj yog ib tug kev tshuaj ntsuam genetic predisposition rau tus kab mob.

Congenital dislocation ntawm lub duav ob leeg nws muaj nws tus kheej cov yam ntxwv cov tsos mob, cov manifestation ntawm uas yuav tsum muaj tsev rau lub tswb niam txiv, uas, nyob rau hauv lem, yuav tsum tam sim ntawd nrhiav lub tswv yim ntawm ib tug tshwj xeeb.

1. Seb mob perceptible nias.

2. Ib tug limited hip abduction.

3. Cov asymmetry ntawm lub gluteal folds.

4. shortening ntawm ib qho ntawm lub nqua.

5. Sab nraud sib hloov ceg.

Xijpeem, qhov no yog ib tug ceeb toom tej yam tshwm sim rau cov niam txiv, qhov kawg mob yuav ua tus kws thiaj tau tuaj rau ultrasound tau (nyob rau hauv lub hnub nyoog ntawm 3 lub hlis) thiab X-ray (hnub nyoog 3 lub hlis), thiab nws yuav tsum tau clarified tias ib tug X-ray muab ib tug ntau yog cov sawv cev nyob rau tam sim soj ntsuam daim duab.

Congenital dislocation ntawm lub duav rau cov me nyuam, nyob rau hauv txawm daim ntawv nws pom, yuav tsum tau tam sim ntawd kev kho mob. Nyob rau hauv niaj hnub orthopedics, muaj ob lub ntsiab rau qhov teeb meem no: lub phais thiab conservative, tab sis ib txhia ntawm lawv yuav tsum dua li yuav tswm heev dua lwm yam los ntawm ib tug ua orthopedic kws phais neeg, raws li cov neeg kawm ntawv ntawm complexity thiab daim ntawv ntawm tus kab mob, raws li tau zoo raws li nyob rau hauv lub hauv paus ntawm cov yam ntxwv ntawm tus me nyuam lub cev.

Yog hais tias tus kab mob no thiaj paub tias yog nyob rau hauv lub sij hawm, lub conservative mus kom ze yog heev. Little cov neeg mob tus kws kho ntau yam ntawm massages, paraffin ntaub yas, physiotherapy, thiab nws ib lub zuj zus xaiv orthopedic txheem uas tso cai rau kom tuav ob txhais ceg ntawm ib tug me nyuam nyob rau hauv txoj hauj lwm, khoov ntawm lub hauv caug thiab hip pob qij txha ntawm lub kaum sab xis ntawm cuaj caum degrees (txoj cai lub) thiab abduction nyob rau hauv lub hip pob qij txha, uas nws yeej txhawb txoj cai ntawm lawv tsim thiab kev loj hlob.

Yog hais tias peb tham txog operable txoj kev, nws yog tsim nyog xwb nyob rau hauv lub rooj plaub uas ib tug congenital dislocation ntawm lub duav rau ib ntev lub sij hawm tsis tau muab kev kho mob thiab prevails nyob rau hauv daim ntawv ntawm kev tsis saib xyuas. Nws tseem yog tsim nyog thaum conservative kev kho mob yog tsis muaj avail.

Twv yuav raug hu ib yam yog tseeb: congenital dislocation ntawm lub duav yuav tsum tau tseeb paub thiab npaum kev kho mob uas yuav restore tag nrho cov lag luam ib zaug tus neeg mob lub ob leeg.