Dysplasia ezinganeni

Isici kumiswa joint hip noma dysplasia ezinganeni - ingenye angahlangani ezivamile phakathi kwabantu bomdabu abamhlophe. Lokhu zokugula kwenzeka kusukela 5 kuya ku-6 angu zonke izinsana. Ngeshwa, isizathu esiseduze ingane ethile akukwazi ukusungulwa isifo. Kumiswa anomaly ezinjalo isikhathi esiningi siye sitholakale utero, futhi ekhona ushintsho ukwanda kwesikhathi perinatal. Nokho, ngaphambi ukulethwa alinakusho yebo, ngabe dysplasia ingane. Kufanele kuqashelwe ukuthi dysplasia e izinsana ungelashwa onyakeni wokuqala wokuphila lapho kungenzeka ukuqeda yokutakula futhi evamile ukuthuthukiswa amalunga esikhathini esizayo.

Lokhu zokugula kungavuka izingxenye ezihlukahlukene zomzimba. dysplasia Hip libhekisela ngokuyinhloko acetabulum. Asixilongwa futhi aselashwa ngokuhamba kwesikhathi dysplasia eside ezinganeni ingase ilinganisele ukuhamba emalunga kuholele izinyonga, ngenkathi abadala imiphumela osteartrozu ethangeni. Dysplasia lingasho eyodwa noma amalunga omzimba ezimbili.

izici Kutholwe i indawo okuvela kuyo amazwi anomaly yizinto ezifana oligohydramnios ngesikhathi sokukhulelwa (ubuncani we amniotic esiswini uketshezi encane ikhuthaza eduze kwengane esiswini), mass enkulu ingane, isikhundla okungalungile umbungu, fetus breech isethulo noma asymmetry nemilenze kwakhiwa esibelethweni. Mayelana 80% ukukhulelwa has a okuthiwa endaweni yokuqala fetus. Kulesi sikhundla, ingane kuziwa kwesokunxele hip sacrum umama emgogodleni, kuyilapho umpristi umlenze wesokunene ithangazi ahloselwe esiswini ezithambile kanina. Ngenxa yalesi sizathu, umlenze kwesokunxele has ukuhamba kancane nokucindezeleka engaphansi asethuthukile. Ngakho-ke, ngokuvamile dysplasia sitholakale Izingane ngokuhlanganyela ngakwesokunxele.

Ngaphezu izici kwamakhemikhali nomthelela ekuthuthukiseni dysplasia kanye ufuzo. Uma ingane abazali bakhe kutholakala lokhu zokugula, kukhona awokuthi kuyoba nezinkinga, futhi ingane yabo. Enye imbangela yalokhu ukuthi ubulili umntwana. Phela, it is wafakazela ukuthi amantombazane wadalula izikhathi dysplasia ezinhlanu kaningi ngaphezu abafana. Lokhu kungenxa theory hormone. Esigabeni okugcina enkathi yokukhulelwa iqala ukukhula ukukhiqizwa amanani yama-hormone kwesibeletho (relaxin), isithako kabani asebenzayo ephumula ulwelwesi lesizalo belungiselela ebeletha. La ma-hormone futhi isinyathelo ukuze enze buthakathaka kwezicubu zezinzwa umbungu, kuhlanganise hip amalunga omzimba. fetus yesifazane iyona bazwelane kakhudlwana isinyathelo-hormone, okuyinto alichaza iphesenti abalulekile kutholakala ukuthi uphethwe yini dysplasia amantombazane.

Kufanele kuqashelwe ukuthi dysplasia e izingane ezingaphansi konyaka uxilongwe kuphela emva izifundo ezikhethekile. osanda kuzalwa ngayinye kumele ukuhlolwa udokotela wezifo zamathambo futhi neonatologist noma izinsolo kancane zokugula, kubalulekile ukuze baqhube izifundo ezengeziwe wamathambo futhi sonographic, ezifana-X-ray noma ultrasound. Okuhle kunakho konke ukuthi, uma ukuhlola ukuba kwenziwe ngenyanga yokuqala yokuphila. Ngeshwa, ngezinye izikhathi wokuhlola ezivamile ngesikhathi wezifo zamathambo enganele ukuxilonga dysplasia. Udinga ube nesikhathi esimnandi ukuba esolwa ngu palpation anomaly ukuhlolwa okubonakalayo dysplasia Kwenziwa diluting ingane izinyawo nhlangothi zombili. Uma phakathi naleyo nqubo ukuchofoza wezwa, kukhona izinsolo khona egunjini lokuhlolwa kwezifo. Ukufana kanye nenani emphethweni nazo izinkomba kumiswa evamile ngokuhlanganyela.

Imodeli ekahle luhlolo wamathambo wengane kuhlanganisa ukuhlolwa udokotela ohlinzayo olungisa amathambo futhi ultrasonography ngenyanga yokuqala yokuphila. Uma lesi sifo lutholwa, lezi zifundo kudingeka kathathu nje onyakeni wokuqala - 3, 7 futhi ezingu-12. Uma luhlolo kwaqale kwembulwa dysplasia, tigameko kutivivinyo kunqunywa udokotela okungenani kanye emasontweni 4-6.

Kufanele sikhumbule ukuthi dysplasia e abanezingane okwatholakala ukuthi emva kweminyaka emibili wokuphila, ayikwazi ukulungiswa ngosizo izinqubo zokwelapha. Kulokhu, ukuhlinzwa kungenzeka.