Ntau qhov kev tshawb fawb tau mob siab rau qhov teeb meem ntawm dysplasia. Orthopedists ntseeg hais tias kev kho mob yuav tsum pib tam sim ntawd txij li thaum yug me nyuam. Tsuas yog nyob rau hauv cov ntaub ntawv no yuav ua kom tiav rov qab. Txo qhov tsis sib xws thiab khaws cia ua haujlwm sib koom ua ke - qhov ntawd yog qhov kws kho mob tau ua tiav.
Muaj cov cim qhia sab nraud uas tuaj yeem siv los xav tias dysplasia hauv tus menyuam yug tshiab, tab sis qhov kev kuaj mob zaum kawg tsuas yog tom qab kuaj ultrasound. Cov tsos mob dab tsi yuav tsum tau saib yog tias muaj cov kev xav tsis zoo no? Kev tshuaj xyuas tus menyuam, pom muaj cov tsos mob ntawm lub duav slippage thiab abduction. Asymmetry ntawm gluteal folds, shortening ntawm txhais ceg kuj qhia tau hais tias kev hloov nyob rau hauv lub duav sib koom.
Raws li tau hais lawm, kev kho mob yuav tsum pib tam sim ntawd. Tus me nyuam yog swaddled nrog dawb ob txhais ceg, thiab spacers kuj siv. Nrog pre-dislocation ntawm lub duav, Vilensky lub log tsheb tau sau tseg. Lub telescopic strut yog ua los ntawm txhuas, thiab cov khoom ntawm lub cuffs yog ua los ntawm cov tawv tiag. Cov cuab yeej yog npaj rau hnav mus tas li. Tus kws kho mob orthopedist pom zoo rau cov pob txha rau cov lus qhia hauv qab no:
- dysplasia;
- hip dislocation;
- deformation ntawm nws caj dab;
- pauvtxoj hauj lwm ntawm lub taub hau femoral.
Vilensky lub log tsheb tuaj hauv peb qhov ntau thiab tsawg:
- me - rau cov menyuam mos txog peb lossis plaub hlis;
- lub log tsheb nruab nrab - tsim rau cov menyuam yaus plaub hlis txog ib xyoos;
- loj hnav los ntawm cov menyuam yaus tshaj ib xyoos.
Tus spacer hnav tau ib nrab xyoo, tom qab txo qis ntawm qhov dislocation
. Vilensky cov log tsheb raug tshem tawm tsuas yog tom qab ua tiav kev txhim kho ntawm lub duav sib koom ua ke. Thaum kho, qhov tseeb piv ntawm lub taub hau femoral thiab kab noj hniav tau tiav. Nws yog ib qho tsim nyog los tswj kev txav mus los hauv kev sib koom ua ke hauv tus menyuam mos uas hnav cov hlua kho mob.
Nrog dysplasia, Pavlik's stirrups lossis Vilensky's splint raug tshuaj, cov duab tom kawg tau nthuav tawm hauv tsab xov xwm. Tus neeg mob yuav tsum tau tshuaj xyuas ib zaug ib lub lim tiam kom txog thaum txo qhov dislocation. Qhov no yog kuaj raws li hauv qab no: lub folds ntawm tus ncej puab thiab pob tw yuav tsum yog symmetrical. Tom qab repositioning qhov dislocation, ib daim duab tswj yog coj. Tus kws kho mob kuj tseem siv txoj hauv kev ntawm kev kuaj phau ntawv ntawm dysplasia.
Tus kws kho mob orthopedist qhia cov niam txiv yuav ua li cas muab Vilensky cov pob txha. Ua li no, koj yuav tsum muab tus menyuam tso rau ntawm qhov chaw tawv. Tom qab ntawd kis nws ob txhais ceg thiab xov los ntawm cov hlua, kho thiab lace up. Tus kws kho mob yuav qhia rau koj tias qib twg rau lub spacer yog qhov zoo dua. Cov niam txiv yuav tsum tau saib xyuas qhov no tas li. Splints tso cai rau tus menyuam txav, thiab yog li ntawd tsis muaj kev phiv. Tus me nyuam loj hlob tau ib txwm.
Tsis tas li ntawd, cov kev kho mob tau ua tiav,electrostimulation ntawm cov leeg, massage; Nyob rau tib lub sij hawm, ib tug deflector splint yog muab tso rau ntawm tus me nyuam. Yog hais tias nyob rau hauv ob lub hlis nws tsis tuaj yeem txo qhov dislocation ntawm lub duav, nws yog ib qho tsim nyog los muab cov txheej txheem nrog lwm txoj kev. Piv txwv li, ib tug haumxeeb plaster cam khwb cia yog siv. Qee zaum, Ilizarov apparatus yog siv. Nrog rau kev puas tsuaj loj rau lub taub hau femoral, cov txheej txheem dystrophic tuaj yeem tshwm sim. Hauv qhov no, tom qab kuaj X-ray, dysplasia raug tshem tawm sai.
