Congenital dislocation ntawm lub duav yog ib qho pathology ntawm lub duav sib koom ua ke deformity txuam nrog lawv cov kev tsim kho tsis zoo, piv txwv li dysplasia. Nws tshwm sim ntau zaus hauv cov ntxhais ntau dua li cov tub. suav tias yog kev loj hlob loj heev.
Yog vim li cas
Yog vim li cas:
- malformations ntawm thawj bookmark thaum lub sij hawm kev loj hlob ntawm fetal;
- caj ces tsis xws luag;
- nyuaj cev xeeb tub: toxicosis, nephropathy, metabolic ntshawv siab, plawv pathologies;
- breech presentation;
- tight swaddling.
Diagnosis
Cov txiaj ntsig ntawm kev kho mob yog nyob ntawm lub sijhawm kuaj pom ntawm dysplasia, txij li thaum nws pib sai dua, qhov txiaj ntsig yuav zoo dua. Txhua lub hlis ntawm kev ncua hem nrog irreversible txim. Kev kuaj mob ntawm congenital dislocation ntawm lub duav yuav tsum tau nqa tawm hauv tsev kho mob. Txhua tus menyuam mos yuav tsum tau mus ntsib kws kho menyuam yaus, yog tias tsim nyog - tus kws kho mob orthopedist. Kev sib tham tom qab yog muaj nyob rau hauv ib lub hlis, tom qab ntawd hauv ob. Hauv qee lub tebchaws, thiaj li tsis ncopathology, txhua tus menyuam yug los thaij duab, ultrasound ntawm lub duav pob qij txha.
Tus yuam sij rau kev kuaj mob kom tiav, kev tshawb pom ntxov ntawm dysplasia yog kev sib raug zoo ntawm obstetricians, orthopedists thiab kws kho menyuam yaus hauv tsev kho mob maternity. Txhua tus menyuam yaus xav tau kev kuaj mob. Thaum lub sij hawm no, nws yog ib qho nyuaj rau txiav txim siab congenital dislocation ntawm lub duav nyob rau hauv ib tug me nyuam, yuav luag tsis muaj tsos mob. Tsuas yog qee qhov kev txawj ntawm kws kho mob, lawv txoj haujlwm sib koom ua ke yuav ua rau nws muaj peev xwm xav tias muaj kab mob hauv lub sijhawm.
Cov tsos mob tseem ceeb ntawm tus kab mob thaum kuaj xyuas tus menyuam yog:
-
Congenital hip dislocation kho txwv tsis pub rub lub duav;
- click, swb;
- Asymmetric folds ntawm lub pob tw, ncej puab;
- sib txawv ntev, luv ceg;
- tig ntawm ko taw: zoo li tig sab nraud;
- pib taug kev lig (14-15 lub hlis);
- yam ntxwv gait: tsis khov, ceg tawv, nqus zoo li os;
- Trendelenburg's syndrome: thaum so ntawm ib txhais ceg, qhov ntxeev ntawm ib nrab ntawm lub pob tw yog qis, ib txwm nws yuav tsum sawv;
- femoral taub hau tsis palpable ntawm qhov chaw ntawm pulsation ntawm cov hlab ntsha femoral;
- xav.
Tag nrho cov tsos mob tuaj yeem ua ke lossis tej zaum yuav muaj ib lossis lwm qhov. Yog tias koj xav tias muaj kev tsis sib haum xeeb ntawm lub duav, nws yog qhov zoo dua los siv x-ray tam sim ntawd. Tus kab mob uas kuaj tau hem tus menyuam uas xiam oob qhab yav tom ntej.
Kev kho mob
Kev kuaj mob ntawm tag nrho cov dysplasias yuav tsum tau nqa tawm ntawm lub txaj txaj, suav nrog kev tsis sib haum xeeb ntawm lub duav. Kev kho mob nyuaj dualwm lub hlis ntawm tus me nyuam lub neej. Nws yog ntshaw tias ib tug me nyuam mos nrog xws li ib tug pathology, ua ntej tau txais ib tug tshwj xeeb abduction splint, dag xwb nyob rau hauv nws nraub qaum, kis nws ob txhais ceg mus rau sab. Splints yog txoj hauv kev zoo tshaj los kho.
Vim tias cov khoom siv no, tsis zoo li gypsum spacers, yog lub teeb yuag, tuaj yeem ua kom huv, ua kom nws tuaj yeem hloov lub kaum sab xis ntawm kev sib kis ntawm ob txhais ceg, thiab tso cai rau kev txav mus los. Lub sijhawm ntawm lawv hnav yog mus txog rau lub hlis, tom qab ntawd muaj qhov tob ntawm acetabulum. Ntxiv rau cov log tsheb, rau cov menyuam yug tshiab thiab cov menyuam mos, tsuas yog cov txheej txheem swaddling dav yuav tsum tau siv. Ob txhais ceg yuav tsum pub dawb, thiab txhais caj npab tuaj yeem qhwv nruj nreem rau hauv daim pam.
Rau cov menyuam yaus (los ntawm ib xyoos), qhov mob ntawm lub hauv siab ntawm lub hauv caug yog txo qis ntawm tus kheej, siv tshuaj loog thiab tom qab plastering, splinting. Duration ntawm kev kho mob - los ntawm yim lub hlis mus rau ib xyoos. Tam sim no txoj kev no yuav luag tsis siv, vim nws ua rau muaj ntau yam teeb meem. Tsawg dua kev raug mob - tshuaj loog-dawb gradual traction.
Cov txheej txheem koom nrog - kev kho lub cev, zaws, qoj ib ce tshwj xeeb. Kev sim ua tsis tiav los kho dysplasia hauv txoj kev khaws cia yuav xaus nrog kev ua haujlwm. Nws cov ntsiab lus yog kev kho kom zoo ntawm cov qauv ntawm lub duav pob qij txha. Kev phais sai dua yog ua tiav, qhov muaj feem ntau dua ntawm kev kho kom tiav.
Txhais tau
Kev kuaj mob ntxov tso cai rau koj los kho lub duav pob qij txha los ntawm 100%. Nyob rau theem tom qab, kev kho mob tsis zoo, tab sispab txhim kho lub neej zoo. Yog tias koj tsis xyuam xim rau qhov teeb meem, ces tus me nyuam yuav lameness, qhov mob tas li, tsim ntawm contractures, thiab thaum kawg kev tsis taus. Kev puas tsuaj, kev loj hlob ntawm tus kab mob yog pom thaum lub sij hawm hormonal surges: 7, 12-15 xyoo, thaum cev xeeb tub thiab lactation.
