Congenital dislocation la letheka la: bakang, matšoao, kalafo

Congenital dislocation la letheka la - boemo bo tloaelehileng la deformation ea manonyello a liqholo, amanang le ntshetsopele e fokolang bona, ke hore,, dysplasia ... Ka banana, e hlaha ka makhetlo a 'maloa hangata ho feta bashanyana. Ho nkoa haholo likoli ntshetsopele.

mabaka a

Mabaka a ka 'na:

• lintho tse mpe le di-bookmark mathomo nakong ntshetsopeleng fetal;
• likoli liphatsa tsa lefutso;
• Boimana mathata: toxicosis, nephropathy, lefu tshilong ya dijo, lefu la pelo;
• fetal breech;
• thata swaddling.

tlhathoba

Ho tloha nakong ea phumano ea dysplasia itšetlehile ka phello ea kalafo, hobane pele ho moo e qala, ho molemo phello e tla ba. Khoeli le khoeli ho tšenyo ea nako ho ka etsa hore liphello tse etsolloa. Phumano ya congenital dislocation ea noka lokela ho phethahatsoa a ntse a le sepetlele. masea tsohle tse hlokahalang ho hlahloba ngaka ea bana, ha ho hlokahala - orthopedist. Pheta rerisana etsoa khoeli, ka nako eo - tse peli. Linaheng tse ling, e le hore a se ke a hopotse ho pathological, bana bohle ba tsoaloa ho nka litšoantšo, oa ultrasound manonyello a liqholo.

Senotlolo sa ho fumanoe atleha, mathoasong a lekholo ba bonoa ba dysplasia - ka kgokahanyo matla pakeng tsa obstetricians, lingaka tsa bana le lingaka tse buoang masapo lipetlele. bana bohle ba lokela hore a hlahlobe hlophisitsoeng. Nakong ena, ho ke ho le thata ho fumana hore na dislocation congenital tsa letheka la ngoana eo, matšoao a ke hoo e ka bang teng. Feela tsebo e itseng ea lingaka, tshebedisano bona le tla ho dumella nako e loketseng belaela malwetse.

Matšoao se ka sehloohong sa lefu lena ka ho hlahloba ka ea tleleniki ea ngoana e ke:

• moedi ka abduction ea noka e kopanetsoeng;
• tobetsa ba thellisoe ke makaka;
• asymmetry tsa lemenong ka maraong e, serope;
• bolelele e fapaneng, khutsufatsa ea maoto ea;
• e potolohang ba leoto: ho bonahala ho fetoha ka hare ho tsoa;
• morao ba qale ho tsamaea (14-15 khoa.);
• bath gait tsitse, lameness, pompa joaloka letata la;
• Trendelenburg lefu: ke ho itšetleha ka leoto le robehile etsahala theola tsa dihalofo fapaneng maraong e, OK - e lokela ho tsoha;
• hlooho femoral ha lemohuoa ka sebaka sa pulsation tsa mothapo ho femoral ;
• rickets.

matšoao tsohle ka ho kopantswe kapa joale ntho e 'ngoe le' ngoe. Haeba u belaella e dislocation congenital ea letheka e molemo ka ho fetisisa entseng hang-hang radiography. Bone lefu lena le sokela ho ka matla haholo, ea nang le bokooa ngoana nakong e tlang.

kalafo

Phumano ya dysplasia lokela ho etsoa ka maleiri, ho akarelletsa le congenital dislocation ea noka. Phekolo e rarahaneng le khoeli le khoeli tse latellanang tsa bophelo ba ngoana. Ho e lakatsehang eo le sa tsoa tsoaloa le bolwetse joalo ho fumana khethehileng phonyohang lebili leshano feela ka morao, ka maoto arolang. Ho sebelisoa ha mabili - mokhoa loketseng ka ho fetisisa ea phekolo. Kaha disebediswsa tsena, ho fapana le braces samente, leseli le, amenable ho sanitize, etsa hore ho be bonolo ho fetola angle ya ho ikatisa maoto, lumella sisinya tshisinyo. Nako ea ho roala bona - ho fihlela ho likhoeli tse tšeletseng, 'me joale keteka tebisa tsa acetabulum ena. Ho phaella ho lithaere tsa masea le masea a lokela feela ho sebelisoa mokhoa oa swaddling bophara. Meomo e lokela ho ba mahala, 'me mohele ea ka ka thata-thata phuthetsoe ka kobo.

Bakeng sa bana ba baholoanyane (ho selemo) congenital dislocation la letheka la fokotsa ka letsoho sebelisa thethebatso le kopo morago ga moo e ba gypsum, u behela mabili. Nako ea phekolo - ho tloha likhoeli tse robeli ho selemo. Joale mokhoa ona ke hoo e ka bang mohla o ile a sebelisa, e le hore etsa hore e ngata mathata. Tlase sithabetsang - beznarkoznoe katoloso butle-butle.

Mekhoa ea amanang kalafo - phekolo 'meleng, sililoa, lintlheng tsa boitlhakiso khethehileng. Atleha leka ho lokisa dysplasia mekhoa e tloaetsoeng tsela e fella ka tshebetso ya. mozindo lona - ho tsosolosoa ha tokelo noka sebopeho kopanetsoeng. The pele ho moo ba ile ba leka ho buuoa, a phahameng kgonego ya pheko ka ho feletseng.

litla

tepelletse maikutlong Early lumella u ho tsosolosa noka e kopanetsoeng ke 100%. Ka mekhahlelo hamorao tsa phekolo ha e le ka tsela e atlehang, empa o thusa ho ntlafatsa boleng ba bophelo. Haeba u sa ele hloko bothata, ngoana emetse lameness, bohloko bo phehellang, sebopeho sa contractures, qetellong - bokooa. Senyeha tsa letotong lefu o ile a re nakong ea lelemela hormonal: 7, 12-15, nakong ea bokhachane le ho diabolololo.