Ukungcola kwe-joint hip kubantwana abatsha: izibangela, iimpawu, i-gymnastics

Injabulo enkulu kubo bonke abatshatileyo kukuzalwa komntwana. Kodwa iimeko ezivuyisayo zokuqala iintsuku zobomi bentsana ziyakutyalwa emva kokutyelela kumathambo. Kungokungenwa kweengcali abazali abaqala ukuzifunda malunga nokugula njengokungagcini kwe- joint hip kwiintsana ezisanda kuzalwa. Ngokuqhelekileyo, ugqirha uchaza i-dysplasia. Isigwebo esinjalo sinokuthusa wonke umntu ngaphandle kokungafani. Ngaba kufuneka abe noloyiko?

Ukungcoliseka kwamathambo e-pelvic kunye ne-dysplasia: yintoni umehluko

Ngaphantsi kokungakhangeli kwamathambo e-pelvic kuqondwa ukukhula kancinci, kwaye i-dysplasia ekuqaleni isakhiwo esingafanelekanga sokubambisana. Ezi zimbini zihlala zididekile. Kuze kube kutshanje, zombini iintsholongwane zahlanganiswa phantsi kwekota elinye elithi "dysplasia". Namhlanje kukho ukuthambekela kokuhlukanisa iingcamango, oko ngokwayo sele kulungile. Ukuxilongwa ngokuchanekileyo kukuvumela ukuba ukhethe unyango olufanelekileyo kakhulu, ukuba lufunwa.

Xa kuziwa kwiintsana, igama elithi "dysplasia" kufuneka liqondwe njengokungabonakali kokuhlanganiswa kwe-hip.

Kwiintsana, le ntsholongwane ithathwa njengokwenyama, ngoko ayifuni unyango olunzulu. Nangona kunjalo, akufanele unyibale ngokupheleleyo le ngxaki. Ukufumanisa ngokukhawuleza ukuphulwa nokulungiswa okuchanekileyo kukuvumela ukuphepha iingxaki kwixesha elizayo.

Iimbangela eziphambili ze-pathology

Kukho imiba emininzi, ubukho bokuba kubeka iqela elijongene nobungozi ekuphuhlisweni kwesi sifo. Ngaphambi kokuba uthethe ngabo, kubalulekile ukucacisa ukuba kwaye kutheni ukungahlanjululwa kwe-joint hip kuvela kwiintsana. Okwangoku, inzululwazi inikeza iikhosi ezininzi malunga ne-etiology yesi sifo. Omnye wabo kufuneka acingwe ngongcaciso.

Kwexesha elithile ngaphambi kokuzalwa okuza kuvela, umzimba wesibini uqala ukuvelisa ngokugqithiseleyo i-hormone i-relaxin. Injongo yaso ephambili iyancwina ama-femoral-sacral joints of mother's future. Kwakhona wenza ukuba amathambo angama-pelvic angaphezu kweselula. Nangona kunjalo, ukuphumla kungasebenzi ngokukhetha-ngokuchaphazela amathambo omama, kubenza banciphise kwi-fetus.

Ukuba ibhinqa inemigqomo eyenziwe kakuhle, ayiyikubeka ingozi ekufumaneni ukutshatyalaliswa ngexesha okanye emva kokubeleka. Ngokuphathelele umntwana ozelweyo, imeko iyahluke. Intloko ethandekayo yentambo ingakwazi ukukhupha ngaphandle kwesigxina ngaphandle kokufumana ithuba lokubuya. Ngokwezibalo zedatha, kwi-25% yabantwana abasanda kuzalwa, oogqirha baxilonga ukungabonakali kwamathambo e-pelvic.

Njengomthetho, amajoyina abuyiselwa ngokwabo. Kodwa ukuba abafikanga kumlinganiselo we-anatomical, ukulungiswa okuyingxaki encinci kuyadingeka.

Phakathi kwezinto ezifaka isandla ekuveleni kokungagcini kwamajoyini okunyuka kwiintsana, kusenokwenzeka ukuba ubonise:

• Ukuzalwa kokuqala;
• Isiqhamo esikhulu kakhulu;
• Ukuzalwa kwentombazana;
• Ukunikezelwa kwepelvic;
• Ulungelelaniso lwamaxabiso.

UGrudnichkov, ilungu leqela elijongene nobungozi, emva kokuzalwa emva kokuzalwa, ubhalisiwe kunye nomzimba wamazinyo kwaye uqala ukulungiswa kwesifo.

Iimpawu zokungagcini kweengxube zenyakatho zintsana

Zonke iimpawu zenkqubo ye-pathological zingahlukaniswa zibe ngamaqela amabini anemiqathango. Eyokuqala yimiqondiso yokuba udokotela owaziyo kuphela onokuyifumanisa, kwaye okwesibini iyafumaneka kubazali. Ukufumana izigqibo malunga nobukho bentsholongwane kuphela kwiziphene zangaphandle ziphosakeleyo. Nangona kunjalo, abazali kufuneka batyelele oogqirha bamazinyo ukuba baneempawu ezilandelayo:

1. I-Asymmetry ye-inguinal, i-femoral ne-gluteal folds.
2. Amadolo aphakamileyo. Ukuba ubeka umntwana emhlane wakhe, ulungise imilenze kwaye uguqe ngamadolo, okokugqibela makube malunga nezinga elifanayo. Ngaphandle koko, kufuneka ucinge malunga nobukho bentsholongwane.
3. Amaplitude ahlukeneyo. Umntwana kufuneka abekwe emqolo wakhe aze agobe imilenze yakhe. Ngokuqhelekileyo, kwiintsana ezisandul 'ukuzalwa, izitho zinezimo eziphezulu, ngoko ke akudingeki ukuba uzame. Ukuba ukuphakama kwethanga elinye kuhluke kakhulu kolunye, kukukhawuleza ukubonisa umntwana ugqirha.

Ukungaqiniseki ngokukhawuleza kweengxenyana ze-hip zentsana ezandulweyo kukhulisa amathuba okubuyisela ngokukhawuleza umntwana.

Yiyiphi ugqirha ekujongene nayo?

Ukufumana enye okanye yonke imiqondiso yesifo akuthethi ukuba umntwana unengxaki zezempilo. Ngakolunye uhlangothi, iimpawu ezityholisiweyo azikho isiqinisekiso sokungabikho kokuvuthwa kwamathambo e-pelvic. Emva koko, ukukhubazeka kunokubambisana. Kule meko, i-asymmetry ye-inguinal okanye i-gluteal folds ayifanele ibe.

Kuye konke oku ngasentla, kunokugqitywa ukuba nangaluphi na ukusola, kuyimfuneko ukuqhagamshelana ne-orthopedist yabantwana abaya kuhlola:

1. Iqala ngokubuza umama. Ugqirha kufuneka azi ukuba ukhulelwe njani, ingaba kukho iingxaki, ingaba kukho imfuyo ebangela ukugula.
2. I-ultrasound yemida. Le ndlela ikhuselekile ngokupheleleyo kwimpilo, kodwa ngexesha elifanayo libonakaliswe ngokuziqonda ngokuphezulu. Ngoncedo lwakhe, ugqirha unokukwazi ukuthetha ngokuchanekileyo, ukuba umntwana unako ukuvuthwa kwe-joint hip.

Kwiintsana ezisandul 'ukuzalwa, ubukhulu be-nucleus ye-ossification bubalwa ngexesha le-ultrasound. Esi sibonakaliso sifanele sihambelane neminyaka yesigulane. Nokuba ukuphambukiswa okuncinane kwimeko eqhelekileyo kungabonisa inkqubo yentsholongwane.

Ukulungiswa kohlengahlengiso

Ukungahlambuluki komzimba kwezihlanganisi zomlenze kwiintsana ezisandul 'ukuzalwa akusisona sizathu sokuhlaselwa yithemba. Ukuxilongwa okunjalo akuyikufa, kodwa akuyimfuneko ukuyihoxisa. Ekuqaleni kwamanyathelo, ukukhubazeka kunokulungiswa ngokupheleleyo. Ukukhuthaza uphuhliso olufanelekileyo lwamalungu usebenzisa iinqwelo ezizodwa. Nangona kunjalo, le ndlela yokwelapha ayifanelekanga kubantwana abasele bezinyanga ezi-6 ubudala.

Ngokuqinisekileyo, izigulane ezincinci zichazwe iivithamini. Ubude bekhosi, ikhambi elithile kunye nomyinge walo lugqirha ugqirha. Unyango lwe-pathology alinakwenzeka ukuba ucinge ngaphandle kwemistim ekhethekileyo kunye ne-physiotherapy. Ukuba kwimeko yokuqala, iingcali azikwazi ukwenza ngaphandle kokuncedisa, ngoko ke izicelo zeparafini zingenziwa ekhaya. Indlela yokwenza ngokufanelekileyo nangenomonakalo kwimpilo yomntwana ukwenza inkqubo, ugqirha kufuneka axelele.

Gymnastics

Ziziphi ezinye iindlela zokonyango ezisetyenziselwa ukuxilongwa "kokungabonakali kokuhlanganiswa kwe-hip kwiintsana"? I-Gymnastics yinxalenye ebalulekileyo yokulungiswa kwentlungu. Inkqubo yokwelapha ikhethwe ngabanye, kodwa ngokuqhelekileyo iqukethe oku kulandelayo:

• "Ibhayisikili";
• Ukunyakaza okujikelezayo kwemilenze;
• Ukuxiliswa kunye nokunciphisa imilenze kwi-joint hip.

Ukuzivocavoca okunjalo kunconywa ukuba kuphindwe rhoqo emva kokuba utshintshe i-diaper. Kule meko, umntwana kufuneka abekwe phezu komhlaba. Ibhedi okanye i-sofa ethambileyo kule njongo ayifanelekanga.

I-Gymnastics ekungagcini kwamajoyini omlenze kwintsana ayifuni idinga izakhono ezizodwa. Nangona kunjalo, kuya kuba bhetele xa ugqirha wezokwelapha uza kubonisa indlela yokwenza ukuqeqeshwa ngokuchanekileyo.

Wide swaddling

Abazali abaninzi baye bakuva malunga nendlela yokwenza i-swaddling. Enyanisweni, kuphela abanye babo bayazi ukuba yintoni. I-swaddling ephezulu isetyenziselwa ukunyanga nokukhusela ukungasuki kwamathambo e-pelvic, kodwa yenziwa ngale ndlela:

1. Kuyimfuneko ukutyalela i-diaper yelinen eqhelekileyo enexantathu, ekhomba isiseko sayo phantsi.
2. Ingane inokugqoka i-diaper.
3. Umntwana kufuneka abekwe kwi-diaper elungiselelwe, ukuguqa imilenze malunga nama-80 degrees.
4. Emva koko, iziphelo zeethambo zimele zifakwe emaphethelweni kwintsana, kwaye isiseko sentxantathu sisigxile kwisisu.

Esi sikhundla se "frog", nangona ubunzima be-swaddling, kulungele kakhulu kwaye luncedo kumntwana.

Amanyathelo okukhusela

Sinokuyithintela njani ukungahlanjululwa kwezihlanganisi zomlenze kwiintsana? Unyango kunye nokulungiswa kwesi sifo sifuna ixesha elide. Ukuba awuqapheli ingxaki kwiiveki zokuqala zobomi bakho, unokuhlangabezana nemiphumo emibi. Yingakho abazali abaninzi banomdla kumbandela wokuthintela ukungahlali kwamathambo e-pelvic.

Ukunciphisa umngcipheko wokuphuhliswa kwezilwanyana kunceda indlela efanelekileyo yokukhulelwa. Okokuqala, kuyimfuneko ukukhuphela umphumo wezinto ezimbi kwi-fetus. Ukutya okunokulinganisela komama kudlala indima ebalulekileyo ekuthintekeni kwesi sifo. Kwaye ukuba unokwanda kwithenda yesisu, kubalulekile ukuthatha amanyathelo okukuphelisa. Amachiza ayalelwe kule njongo.

Liliphi uhlobo lwesilwanyana esisetyenziselwa ukuyisebenzisa, ugqirha wezifo zesifo somzimba esenza isigqibo. Ukuzinyonga akunakwenziwa. Ukongezelela, kucetyiswa ukuba uhlolisise ukuphuhliswa kwengxube ye-hip isana esesibhedlele. Ukuba ukufunyanwa kwintsholongwane, kufuneka uqale ukuwuphatha ngokukhawuleza, kwaye umntwana uya kuba nempilo.