Ukuxoshwa kwangasese kwe-hip kuyindlela ejwayelekile kunazo zonke zokukhathazeka kokuzalwa. Uma ingane, ngaphezu kwalokho, i-acetabulum engahlaselwanga, eyakha umgoqo we-hip joint, yi-dysplasia ye-hip joint. Ngokumelene nesizinda se-dysplasia, uma izinyathelo ezifika ngesikhathi zingathathwa, ukuxhunywa kwezinto kuhlanganiswa ngokuhamba kwesikhathi.
Lapho i-dysplasia, ukuphulwa kubonakala kuzo zonke izakhi zethanga: i-acetabulum, ikhanda lezinsikazi nezinsizi ezizungezile, imigamu, i-capsule. Lezi zinguquko kuzo zihlotshaniswa nokuthuthukiswa kwezicubu. Ukuthuthukiswa kwe-dysplasia (okunye okwakhiwa kulokhu kuhlukaniswa) kungenxa yokungeneli okwanele phakathi kwe-acetabulum kanye nenhloko yesifazane endaweni yesimo se-intrauterine yentuthuko yethanga.
Ukuxoshwa kwe-hip congenital kuvame kakhulu emantombazaneni. Kukholelwa ukuthi ukuthuthukiswa kokuhlukaniswa komzimba kuqhutshwa izifo zikamama ngesikhathi sokukhulelwa (toxicosis, nephropathy), kanye nesimo esingalungile se-fetus (isibonelo, inhlanzi).
Izimpawu zalesi sifo zingakwazi futhi ziqaphele ngabazali ngokwabo. Lona yi-asymmetry yamapulangwe esikhumba esikhwameni nasezintweni, umehluko ebude bomilenze. Lapho imilenze ibhalwa ezinhlangothini, endaweni ephezulu, ukuchofoza kuzwakala, ukuvinjelwa kokunwetshwa kwe-hip. Esikhathini esivamile, ezinsaneni ezinyangeni zokuqala zokuphila, amathanga aphethwe kalula kuma-degree angu-80-90. Ukujikeleza kwangaphandle kwonyawo - nalesi sibonakaliso sonyawo, ngakwesokunxele kwe-dislocation, njengoba kuphelile. Lokhu kubonakala ngokukhethekile ngesikhathi sokulala kwengane. Uma i-dysplasia ingatholakali ngokuhamba kwesikhathi, ukubonakaliswa kwesifo kubonakala kuphela lapho ingane imile emilenzeni. Lezi zinsuku zihamba ngokuhamba kwesikhathi kunabanye, futhi ukuhamba nxazonke kuzoba nzima: uma usuka ohlangothini oluthile, ingane i-limps ngomlenze owodwa, futhi uma ama-waddles amabili asohlangothini efana nodada. Ukuze uqinisekise noma ungafaki ukuxilongwa lapho uneminyaka engu-2-3, ama-x-rays ama-hip joints ayenziwa.
Ukwelashwa kufanele kuqalwe ngokushesha ngangokunokwenzeka futhi ngaphansi kokuqondiswa kwezokwelapha njalo. Ekuqaleni kwesifo, ezinyangeni ezintathu zokuqala zokuphila kwengane, kusetshenziswe i-swaddling ebanzi. Phakathi kokubopha emajoyini kanye nokukhishwa kwezinyosi kufaka i-diaper enezinhlangothi ezine eziboshwe. Kuhleliwe phakathi kwamathanga ngama-panties, i-diaper. Ungasebenzisa futhi amathuluzi akhethekile. Kuyinto eyenzeka ukuthi i-swaddling ebanzi ayanele (lokhu kungathathwa kuphela udokotela), bese kusetshenziselwa ukulungisa imilenze, lapho ingane izobe khona kuze kube yilapho ithola ngokugcwele. Lapho kuqala ukungena, ukungenelela kokuhlinzwa kwenziwa.
Ukwelashwa ngesimo .
- Umbhede womntwana kufanele ube flat and semi-rigid.
- Njengoba i-dysplasia engadingekile, phakathi nezinyanga ezintathu zokuqala ingane isebenzisa i-swaddling ebanzi.
- Njengoba esesimweni esifanelekile esiswini, izinyawo zigobile futhi zigobile, kufanele ziqhubekele ngaphesheya kombhede, kungenjalo i-spasm yezinsizwa - i-adductor yezinqamu - iyanda.
- Kusukela ezinyangeni ezingu-6-7, abazali kufanele bahlale phansi ngemilenze, beguqa ubuso nobuso. Ngesikhathi esifanayo, kubalulekile ukusekela umntwana ngemuva.
- Uma umama ehamba noma ehamba nomntwana, khona-ke kufanele abe nesandla esisodwa ngemuva, ebambelele ingane, nangakolunye uhlangothi ngaphansi kwezintambo. Ngokwenza kanjalo, imilenze yengane kufanele ihlanganise umthamo womama. Ungasebenzisa futhi i-"kangaroo", nakuba ukugqoka isikhathi eside kuholela ekuphumeni okuqhubekayo kwe-forefoot ngaphandle.
- Isikhundla sokuqala - ingane ilele ngemuva kwakhe, izinyawo kumaster (umama). Imilenze yengane igobile emadolweni nasezintweni zokuqhaqha kanye ne-soft plastic hip dilatation nge-acupressure ngesikhathi esisodwa ukuze uphumule ama-hamstrings ahamba phambili. Amapulangwe we-nail phalanges weminwe engu-2 no-3 noma iminwe emithathu yesandla, umama uthinta isikhumba endaweni ehambelana nokubonakala komhlangothini ohlangothini ohlangothini, ukuze uzizwe ukucindezeleka uma ucindezelwe, bese ubeka ngokucophelela futhi kancane kancane ukucindezela okucindezelayo nokunethezeka endaweni ); yonke insipho yengane ibamba isundu neminwe yesandla esifanayo, umunwe wokuqala ulele kalula phambi kwendawo yangaphakathi yethanga. Ukuphumula kwemisipha ye-adductor kwenziwa ngephuzu elilodwa ngesikhathi esisodwa, ukuxilonga okuphazamisayo kwephuzu (kungama-2-3 cm ngaphansi kwempungushe engumgogodla) kanye nokuthuthumela okuncane kwethanga lomntwana ngeminwe esele (ithanga lomntwana lisesandleni samasseur). Ngesikhathi esifanayo ne-massage futhi egoqa izintambo zomlenze ogobile, i-hip isuswa kancane kancane ngaphandle.
- Isikhundla sokuqala siyafana. I-masseur ngesandla esisodwa ilungisa ukujoyina kwengane yengane (ngakwesokunxele - ngakwesobunxele, eqinisiwe - okuhlangene kwesokudla), eboshwe ngesandla kwesinye isandla ngokucophelela ihlanganisa amadolo wengane futhi yenza ukujikeleza okuncane kwethanga ku-axis yangaphakathi ngaphakathi kanye nokucindezela kokukhanya kwepulasitiki kwangaphakathi emadolweni, i-shin iqondiswa ngaphandle. Lo msebenzi ufezekisa ukucindezela kancinene kwekhanda lesifazane ku-acetabulum.
- Isikhundla sokuqala - ingane ilele esiswini sakhe. I-masseur ilungisa isikhumba somntwana kancane ngesandla esisodwa, sibeka isandla sesandla sakhe sokunxele ngakwesokunene somntwana, ngakolunye uhlangothi, sithatha i-shin, senza ukugoba kwesilenze esifanele emagcekeni nasemadolweni. Okufanayo - omunye umlenze. Kule ndawo futhi kuleso sikhundla, ukunyakaza kokuhlanganyela kwe-hip kutholakala kalula ngangokunokwenzeka ngangokunokwenzeka.