ʻO ka dysplasia ulu o ka hip

ʻO ka displasia Developmental o ka hip (DDH) kahi dislocation o ka ami ami i loaʻa i ka wā hānau. Loaʻa ke ʻano i nā pēpē a i nā keiki liʻiliʻi paha.

ʻO ka uha he pōpō a me kahi hui pū. Kapa ʻia ka pōpō i ke poʻo femoral. Hana ia i ka ʻāpana luna o ka iwi ʻūhā (femur). Hoʻokumu ke kumu (acetabulum) i ka iwi pelvic.

I kekahi mau keiki hānau hou, pāpaʻu loa ke kumu a paheʻe paha ke kinipōpō (iwi ʻūhā i waho o ke kumu, kahi ʻāpana o ke ala a i ʻole holoʻokoʻa. Pili paha kekahi a i ʻole nā ​​hope ʻelua.

ʻAʻole ʻike ʻia ke kumu. ʻO nā haʻahaʻa haʻahaʻa o ka wai amniotic i loko o ka ʻōpū i ka wā o ka hāpai ʻana hiki ke hoʻonui i ka pilikia o ka pēpē no DDH. ʻO nā kumu ʻē aʻe e pili pū me:

• ʻO ke keiki mua
• ʻO ka wahine
• ʻO ke kūlana Breech i ka wā hāpai, kahi o lalo o ka pēpē i lalo
• ʻO ka moʻolelo ʻohana o ka maʻi
• Kaumaha hānau nui

Hana ʻo DDH ma kahi o 1 a 1.5 o 1,000 hānau.

ʻAʻohe paha ʻōuli. Hiki i nā ʻōuli ke kū i loko o kahi keiki hānau ke hoʻopili pū me:

• ʻO ka wāwae me ka pilikia o ka uha e ʻike ʻia e huli hou aʻe
• Hoʻoemi i ka neʻe ʻana ma ka ʻaoʻao o ke kino me ka dislocation
• ʻO ka wāwae wāwae pōkole ma ka ʻaoʻao me ka dislocation o ka hip
• Nā pelu ʻili kaulike o nā ʻūhā a i ʻole nā ​​kuhū

Ma hope o 3 mau makahiki o ka makahiki, e huli paha ka wāwae i hoʻopili ʻia a pōkole paha ma mua o ka wāwae ʻē aʻe.

Ke hoʻomaka nei ke keiki e hele wāwae, hiki i nā ʻōuli ke komo pū me:

• Waddling a i ʻole ʻūlū ʻana i ka wā e hele wāwae ana
• Hoʻokahi wāwae pōkole, no laila hele ke keiki ma ko lākou manamana wāwae ma kekahi ʻaoʻao a ʻaʻole ma kēlā ʻaoʻao
• Poepoe i lalo ke keiki i lalo

Hoʻomaʻamaʻa pinepine nā mea lawelawe olakino Pediatric i nā keiki hānau hou a me nā pēpē āpau no ka pīpī displasia. Nui a hewahewa nā ʻano hana e ʻike ai i kahi hakahaka i huki ʻia a i ʻole kahi uha e hiki ai ke hemo.

ʻO ke ala maʻamau o ka ʻike ʻana i ke ʻano he hōʻike kino o nā hihaka, e pili ana i ka hoʻopili ʻana i ke kaomi i ka neʻe ʻana o nā pūhaka. Hoʻolohe ka mea hāʻawi i nā kaomi, clunks, a i ʻole pops.

Hoʻohana ʻia ʻo Ultrasound o ka ʻū i nā pēpē ʻōpio e hōʻoia i ka pilikia. Hiki i kahi x-ray o ka hui pūhaka ke kōkua i ke kuhi ʻana i ke ʻano o nā pēpē a me nā keiki.

ʻO kahi uha i huki maoli ʻia i loko o kahi pēpē e ʻike ʻia ma ka wā hānau, akā akahai kekahi mau hihia a ulu ʻole paha nā ʻōuli a ma hope o ka hānau ʻana, no laila e paipai ʻia nā hōʻike he nui. Hāmau kekahi mau hihia ʻoluʻolu a ʻaʻole hiki ke loaʻa i ka wā o kahi hoʻokolohua kino.

Ke loaʻa ka pilikia i loko o nā mahina 6 mua o ke ola, hoʻohanaʻia kahi mea hana a mea hana paha e mālama i nā wāwae a heʻe i waho (kūlana frog-leg). E paʻa pinepine kēia mea i ka hui pūhaka i ka wā e ulu ana ke keiki.

Hana kēia pale kaua no ka hapanui o nā pēpē ke hoʻomaka ʻia ma mua o 6 mau makahiki, akā ʻoi aku ka liʻiliʻi o ka hana no nā keiki nui.

ʻO nā keiki hoʻomaikaʻi ʻole a ʻike ʻia paha ma hope o 6 mau mahina e pono ai ke kahakaha. Ma hope o ke kāpili, e hoʻokau ʻia kahi mea hoʻolei ma ka wāwae o ke keiki no kekahi manawa.

Inā loaʻa ka displasia hip i nā mahina mua o ke ola, hiki ke mālama maikaʻi ʻia me nā mea hoʻonohonoho (bracing). I kekahi mau hihia, pono ke ʻoki e hoʻihoʻi i ka pūhaka i ka hui.

Hip dysplasia i loaʻa ma hope o ke kakahiaka nui e alakaʻi i kahi hopena ʻoi aku ka maikaʻi a pono paha i kahi ʻoki paʻakikī e hoʻoponopono i ka pilikia.

Hiki i nā mea hoʻomalu ke hoʻonāukiuki i ka ʻili. Hiki i nā ʻokoʻa i ka loa o nā wāwae ke hoʻomau ʻoiai ke kūpono o ka mālama ʻana.

ʻO ka hoʻomaʻamaʻa ʻole ʻia, ka hipplplasia ma ke kīhā e alakaʻi ai i ka maʻi kōpaʻa a me ka hōʻino ʻana o ka pūhaka, kahi e hoʻonāwaliwali loa ai.

Kāhea i kāu mea hāʻawi inā manaʻo ʻoe ʻaʻole i hoʻonohonoho pono ʻia ka ʻūlū o kāu keiki.

Hoʻokiʻoki hoʻolālā o ka hui pūhaka; Displasia pūhaka hoʻolālā; DDH; ʻO ka dysplasia hānau o ka'ūhā; Holo ka hakahaka o ka ʻūhā; CDH; Hana pale Pavlik

• Holo ka hakahaka Congenital

ʻO Kelly DM. ʻO nā mea maʻamau a me nā hoʻomohala hoʻomohala o ka ʻūhā a me ke pelvis I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 30.

Sankar WN, Horn BD, Wells L, Dormans JP. ʻO ka'ūhā. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 678.

ʻO Son-Hing JP, Thompson GH. ʻO nā mea kūpono ʻole o ka ʻaoʻao kiʻekiʻe a me lalo a me ka iwi kuamoʻo. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2015: chap 107.