I-Pavlik Harness Yokuphathwa Kwe-Hip Dysplasia

Indlela Yokuphatha I-Hip Dysplasia Ezinganeni

I-Pavlik harness isetshenziselwa ukwelashwa kwe- hip dysplasia ezinganeni. I-Hip dysplasia yisimo esenzeka ezinganeni ezisanda kuzalwa futhi sabangela ukwakheka okungavamile kokuhlanganiswa kwe-hip. Ukuphathwa kwe-dysplasia kugxile ekubuyiseleni ukulungiswa okujwayelekile kokuhlanganiswa kwe-hip ukuze ukuthuthukiswa kuqhubeke ngendlela evamile. Izihluthulelo ezimbili zokwelashwa okuphumelelayo kwe-hip dysplasia yizi:

  1. Ibuyisa ukulungiswa okujwayelekile kokujoyina i-hip (ukunciphisa umlenze)
  2. Ukugcina uhlanganiso oluhlangene (ukugcina ibhola esitsheni)

Udokotela wakho uzokwenza okudingekayo ukuze afeze le migomo. Ngokuya ngesilinganiso sokungahlali kahle kwe-hip, iminyaka yengane , nezinye izici, ukwelashwa kungase kuhluke kuye ngokuthi isimo esithile. Kodwa-ke, ukwelashwa okuvamile kakhulu kwe-hip dysplasia, ikakhulukazi ezinsana ezingaphansi kwezinyanga eziyisithupha ubudala, kubizwa ngokuthi i-Pavlik harness.

I-Pavlik Harness

I-harlik ye-Pavlik ihambelana nengane futhi inamathele ezinkalweni ezifanele. Ngokuzivumelanisa imilenze, nokuvumela amadolo awe phansi, izinkalo ziphethwe ngendlela efanele. Ngokwenza kanjalo, ukuhlanganiswa kwe-hip kunciphise kahle, kanti izinyathelo zizokwenza ngokujwayelekile.

Kubalulekile ukuqonda ukusetshenziswa okufanelekile nokufanelekile kwekhanda likaPavlik. I-harlic ye-Pavlik eyinkimbinkimbi kakhulu ingenza umonakalo omkhulu ezingxenyeni zomntwana, kanti i-Pavlik harness ekhululekile kakhulu ngeke ibambe kahle izinkalo.

Amantombazane afaneleka nge-harlic ye-Pavlik kufanele ahlolwe njalo ukuze aqinisekise ukufaneleka kahle kwedivayisi nokuqinisekisa ukuthi izinyathelo ziqhutshwa ngendlela efanele . I-harness igqoke kuze kube yilapho umhlanganiso we-hip uzinzile ngaphandle kokuba ungene. Ukuzinza kokuhlanganiswa kwe-hip kungabuye kuhlolwe ngumhloli oqeqeshiwe noma ngokusebenzisa ukuhlolwa kwe-ultrasound.

Uma i-harness igqoke ingane, futhi iziqhumane azibuyiselanga esimweni esifanele esikhwameni se-hip ngaphakathi kwamasonto ambalwa noma ngenyanga, i-harness kufanele ishiywe futhi kube nokunye ukwelashwa okucutshangwayo. Ezinye izindlela zokwelapha zingase zibandakanye ukusetshenziswa kwe-cast rig, okuthiwa i-hip spica, noma ukwelashwa okuhlinzekwayo.

Izinkinga ze-Pavlik Harness

I-Pavlik harness ngokuvamile iphephile kakhulu, kanti ngokuvamile kaningi ukwelashwa okuphumelelayo kwabantwana abane-hip dysplasia. Inkinga ejwayelekile kunazo zonke iguquguquka (ukugoba) izinyathelo ziphezulu kakhulu, futhi ngezinye izikhathi kubangela ukulimala kwamantombazane ngenxa yokugoba ngokweqile ezinxenyeni ze-hip. Ngenxa yalesi sizathu, kubalulekile ukuthi abazali baqeqeshelwe ukusetshenziswa ngendlela efanele kanye nokulungiswa kwe-harness. Okunye okukhathazayo ukuthi ezinye izingane zine-dysplasia yentuthuko engathathwa ngokwanele nge-harness. Lezi zingane kufanele zithole ezinye izindlela zokwelashwa ezicatshangelwe ukuqinisekisa ukuthuthukiswa okuhlangene kahle kwe-hip.

Imithombo:

UGuille JT, uPizzutillo PD, MacEwen GD "I-Dyplasia Yokuthuthukiswa Ye-Hip Kusuka Ekuzalweni Kuya Kuyizinyanga Eziyisithupha" J. Am. I-Acad. I-Ortho. Ukuhlinzwa, ngoJulayi / Agasti 2000; 8: 232 - 242.