He aha ka Hip Dysplasia? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka hip dysplasia kahi kūlana kahi ʻaʻole i kūkulu pono ʻia kou hui hip, e hoʻopilikia ana i ka hoʻokūkū ʻana o ka pōpō a me ke kīʻaha. Hiki i kēia kūlana kūpono ʻole ke hana i ka wā e ulu ana i loko o ka ʻōpū, i ka wā kamaliʻi, a i ʻole ke ulu hou ma hope i ke ola.

E noʻonoʻo i kou hui hip e like me ka pōpō e noho ana i loko o ke kīʻaha. I ka hip dysplasia, ʻo ke kīʻaha paha ka hohonu loa, ʻaʻole paha e noho pono ka pōpō, a i ʻole ʻaʻole kūpono nā ʻāpana ʻelua. Hiki i kēia ke alakaʻi i ka maʻalahi ʻole, ʻeha, a me ka ʻaʻahu ʻana i ka hui ma hope o ka manawa.

He aha ka Hip Dysplasia?

Hana ʻia ka hip dysplasia i ka wā e hohonu loa ai ka ipu hip (acetabulum) a i ʻole ʻaʻole kūpono ka poʻo o ka ʻūhā (femoral head) i loko o ka ipu. Hana kēia i kahi hui maʻalahi ʻole e hiki ke heʻe, hemo, a i ʻole ʻaʻahu wikiwiki ma mua o ka maʻamau.

Aia ke kūlana ma kahi spectrum mai ka māmā a i ka nui. Loaʻa i kekahi poʻe nā loli liʻiliʻi loa e hiki ʻole ke hoʻoulu i nā pilikia a hiki i ka hope o ke ola, ʻoiai he nui nā poʻe ʻē aʻe i ka hoʻoneʻe ʻana e pono ai ka nānā koke.

Hiki i ka hip dysplasia ke hoʻopili i hoʻokahi a ʻelua paha mau hip. I ka wā e loaʻa ai i ka hānau ʻana, kapa nā kauka ia he developmental dysplasia of the hip (DDH). Eia naʻe, ulu kekahi poʻe i ka hip dysplasia ma hope ma muli o nā kumu ʻē aʻe.

He aha nā Hōʻailona o ka Hip Dysplasia?

He ʻano like ʻole nā ​​hōʻailona o ka hip dysplasia ma muli o kou makahiki a me ka nui o ke kūlana. I nā pēpē a me nā keiki ʻōpio, ʻokoʻa paha nā hōʻailona mai nā mea i ʻike ʻia e nā mākua.

Eia nā hōʻailona maʻamau āu e ʻike ai i nā pēpē a me nā kamaliʻi:

• ʻOi aku ka pōkole o kekahi wāwae ma mua o kekahi
• ʻIke ʻia nā ʻili ma nā ʻūhā he ʻano like ʻole a i ʻole asymmetrical
• Hana ka hip i kahi leo pā a i ʻole ka pā ʻana i ka wā e hoʻololi ai i ka diaper
• Palena ʻia ka neʻe ʻana i ka wā e hoʻoneʻe ai i ka hip
• Hoʻomaka ka keiki e hele ma hope o ka manaʻo
• He limp maopopo i ka wā e hoʻomaka ai ke hele

No nā keiki ʻōpio a me nā mākua, ʻoi aku ka nui o nā hōʻailona ma ka ʻeha a me nā pilikia o ka neʻe ʻana. Hiki iā ʻoe ke ʻike i ka ʻeha hohonu i kou ʻūhā, ka ʻaoʻao o waho o ka hip, a i ʻole ka wahi o ka puʻupuʻu e ʻoi aku ka ʻino me ka hana.

ʻO nā hōʻailona o nā mākua maʻamau e komo pū ana:

• ʻEha hip e ʻoi aku ka ʻino me ka hele ʻana, ka holo ʻana, a i ʻole ka piʻi ʻana i nā alapiʻi
• Kūpaʻa i ka hui hip, ʻoi aku hoʻi i ke kakahiaka
• Manaʻo e hiki paha i kou hip ke "hāʻule" a i ʻole ke kūpaʻa ʻole
• Paʻakikī me nā hana e like me ke kau ʻana i nā kāmaʻa a i ʻole ke komo ʻana a me ka puka ʻana mai nā kaʻa
• Ka helehelena maopopo a i ʻole ka hoʻololi ʻana i ke ʻano o ka hele ʻana
• Nā kani pā a i ʻole nā ​​kani wiliwili i ka hip

ʻAʻole paha e ʻike kekahi poʻe me ka dysplasia hip māmā i kekahi hōʻailona a hiki i ko lākou mau makahiki 20, 30, a i ʻole ma hope aku. Hiki i ke kūlana ke hoʻonui mālie i ka manawa, e alakaʻi ana i ka maʻi ʻāʻī a me ka ʻoluʻolu ʻoi aku ka maopopo.

He aha nā ʻAno o ka Hip Dysplasia?

Loaʻa ka dysplasia hip i kekahi mau ʻano, a ʻo ka hoʻomaopopo ʻana i ke ʻano e kōkua i ka hoʻoholo ʻana i ke ala lapaʻau maikaʻi loa. ʻO ka ʻokoʻa nui ma waena o ka dysplasia hoʻomohala (aia mai ka hānau ʻana) a me ka dysplasia i loaʻa (e ulu ma hope).

ʻO ka dysplasia hoʻomohala o ka hip (DDH) ka ʻano maʻamau loa. Hoʻopili kēia i nā kūlana kahi i hohonu loa ai ka ipu hip, noho ka pōpō o ka iwi ʻūhā ma waho o ka ipu hapa a piha paha, a i ʻole ka hui wale nō ka palupalu a kūpaʻa ʻole.

I loko o ka DDH, hoʻokae nā kauka i ka nui i nā māhele like ʻole. ʻO ka hip i hoʻoneʻe ʻia, ʻo ia hoʻi ua puka loa ka pōpō mai ka ipu. ʻO ka hip subluxated, ʻo ia hoʻi ua hapa ka pōpō ma waho o ka wahi akā e pā ana nō i ka ipu. ʻO ka hip dysplastic, ʻo ia hoʻi he hohonu ka ipu akā noho ka pōpō ma kahi.

Hoʻomohala ʻia ka dysplasia hip i loaʻa ma hope i ke ola ma muli o nā kūlana a i ʻole nā ​​ʻeha ʻē aʻe. Hiki kēia ke hana ma hope o nā maʻi i loko o ka hui hip, nā kūlana e like me ka cerebral palsy e hoʻopilikia i ka mana o nā ʻiʻo, a i ʻole nā ​​ʻeha e hōʻino i nā papa ulu o ka hip i ka wā kamaliʻi.

He aha ka mea e kumu ai i ka Hip Dysplasia?

Hoʻomohala ka dysplasia hip no nā kumu like ʻole, a pinepine he hui pū ʻana o nā kumu ma mua o hoʻokahi kumu wale nō. ʻO ke ʻano maʻamau loa ka mea i hana ʻia i ka wā o ka hoʻomohala ʻana o ka pēpē i ka wā e pilikia ai kekahi mea i ke ʻano o ka hui hip.

Hiki i kekahi mau mea ke hoʻopili i ka dysplasia hip hoʻomohala:

• Nā kumu genetic - pinepine ia e holo ana i nā ʻohana
• Ke kūlana i loko o ka ʻōpū, ʻoi aku hoʻi ka hānau ʻana o ka wāwae
• ʻO ke keiki mua (ʻoi aku ka paʻa o ka ʻōpū)
• Haʻahaʻa ka wai amniotic i ka wā hāpai
• Ka hoʻopili paʻa e mālama i nā hip pololei
• Nā kumu hormonal, ʻoi aku hoʻi nā hormones e hoʻoluhi i nā ligaments ma mua o ka hānau ʻana

ʻOi aku ka maʻamau o ke kūlana i nā kaikamāhine ma mua o nā keikikāne, ma muli o ka ʻoi aku ka maikaʻi o nā kaikamāhine i ka hormone relaxin, kahi e kōkua ai i ka hoʻoluhi ʻana i nā hui i ka wā hānau. Hiki i kēia hormone like ke hana i ka hui hip i ka palalulu loa.

ʻAʻole pinepine, hiki i ka dysplasia hip ke hoʻomohala ma hope mai ma muli o nā kūlana lapaʻau a i ʻole nā ​​ʻeha. Hiki i nā kūlana neuromuscular e like me ka cerebral palsy ke hoʻokumu i nā kūlike ʻole o nā ʻiʻo e hoʻololi mālie i ke ʻano o ka hui hip.

I kekahi mau hihia kakaikahi, hiki i nā maʻi i loko o ka hui hip i ka wā kamaliʻi ke hōʻino i ka iwi a me ka cartilage e ulu ana, e alakaʻi ana i ka dysplasia. Hiki i nā ʻeha o ka papa ulu i ka wā kamaliʻi ke hoʻopilikia i ka hoʻomohala maʻamau o ka hip.

I ka wā e ʻike ai i ke Kauka no ka Hip Dysplasia?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā ʻike ʻoe i kekahi hōʻailona o nā pilikia hip i kāu keiki a iā ʻoe iho. Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke pale aku i nā pilikia he nui a alakaʻi i nā hopena maikaʻi aʻe.

No nā pēpē a me nā keiki ʻōpio, e hoʻonohonoho i kahi hālāwai inā ʻike ʻoe i nā ʻili ʻili ʻole ma nā ʻūhā, hoʻokahi wāwae e ʻike ʻia ana he pōkole, nā leo pāʻani mai ka hip, a i ʻole ka pilikia i ka hoʻolaha ʻana i nā wāwae i ka wā hoʻololi diaper. Pono kēia mau hōʻailona i ka loiloi koke.

Inā hele kāu keiki akā he ʻōlelo maopopo ʻole kona, me he mea lā e pale aku ana i ka kau ʻana i ke kaumaha ma kahi wāwae hoʻokahi, a i ʻole e hoʻopiʻi ana i ka ʻeha o ka ʻūhā a i ʻole ka wāwae, he mau hōʻailona koʻikoʻi kēia e pono ai ka mālama lapaʻau.

Pono nā mākua ke hele i ke kauka no ka ʻeha mau o ka ʻūhā, ʻoi aku hoʻi inā pili ia i nā hana o kēlā me kēia lā a i ʻole ka hiamoe. Mai kali inā loaʻa iā ʻoe ka ʻeha o ka ʻūhā me ka maʻi wela, kahi e hōʻike ai i ka maʻi.

Pono nō hoʻi ʻoe e ʻimi i ka mālama lapaʻau inā hele koke mai kāu ʻeha ʻūhā ma hope o ka hōʻeha, inā ʻaʻole hiki iā ʻoe ke hāpai i ke kaumaha ma ka wāwae i pilikia, a i ʻike ʻoe i nā loli nui i ke ʻano o kou hele ʻana.

He aha nā kumu pilikia no ka Hip Dysplasia?

Hiki i kekahi mau mea ke hoʻonui i ka nui o ka loaʻa ʻana o ka hip dysplasia, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o nā kumu pilikia e loaʻa iā ʻoe ke kūlana. Ke kōkua nei ka hoʻomaopopo ʻana i kēia mau mea i ka ʻike mua a me nā hana pale.

ʻO nā kumu pilikia nui loa no ka hip dysplasia hoʻomohala ʻia:

• Mōʻaukala ʻohana o ka hip dysplasia a i ʻole nā ​​pilikia hip
• ʻO ka wahine (ʻoi aku ka nui o nā kaikamahine e pilikia ana i 4-6 manawa)
• Hāʻawi ʻana i ka breech i ka wā hāpai
• ʻO ka keiki mua
• Kaumaha hānau haʻahaʻa a i ʻole hānau ma mua o ka manawa
• Nā kūlana e kaupalena ana i ka hakahaka i loko o ka ʻōpū, e like me nā māhoe a i ʻole ka wai amniotic haʻahaʻa

Hiki i nā hana moʻomeheu e pili ana i ka mālama ʻana i nā pēpē ke pāʻani i kahi kuleana. Hiki i nā ʻano hoʻopili maʻamau e mālama i nā ʻūhā a me nā kuli pololei ke hoʻonui i ka pilikia, ʻoiai nā moʻomeheu e hāpai ana i nā pēpē me nā ʻūhā i hoʻolaha ʻia e loaʻa ana nā kiʻekiʻe haʻahaʻa.

No ka hip dysplasia i loaʻa ma hope i ke ola, ʻo nā kumu pilikia e komo pū ana nā kūlana neuromuscular, nā hōʻeha hip ma mua, kekahi mau maʻi, a me nā kūlana e hoʻopilikia ana i ka ulu ʻana o ka iwi i ka wā kamaliʻi.

Hiki i kekahi mau kūlana genetic maʻamau ke hoʻonui i ka pilikia, ʻoiai ʻo kēia mau mea wale nō kahi hapa liʻiliʻi o nā hihia. Hiki i kāu kauka ke kōkua i ka loiloi ʻana i kāu mau kumu pilikia pilikino i ka wā o nā nānā maʻamau.

He aha nā pilikia e hiki ke loaʻa mai i ka Hip Dysplasia?

Ke waiho ʻole ʻia ka hip dysplasia, hiki ke alakaʻi i kekahi mau pilikia koʻikoʻi i ka wā lōʻihi. ʻO ka hopena mua loa o ka ʻike ʻana a me ka mālama ʻana i ke kūlana, ʻoi aku ka maikaʻi o ka pale ʻana i kēia mau pilikia.

ʻO ka pilikia lōʻihi loa ka maʻi ʻoihana mua. Ma muli o ka hana ʻole maikaʻi o ka hui hip, ua pau koke ka cartilage ma mua o ka maʻamau, e alakaʻi ana i ka ʻeha, ka paʻakikī, a me ka emi ʻana o ka neʻe ʻana pinepine ma nā makahiki 20 a 30.

Eia nā pilikia nui e hiki ke ulu:

• Hip osteoarthritis, i kekahi manawa e pono ai ka pani ʻana o ka hui i ka wā ʻōpio
• ʻEha mau loa e hoʻopilikia ana i nā hana o kēlā me kēia lā
• Ka palena ʻana o ka neʻe ʻana a me ka paʻakikī
• Ka nāwaliwali o nā ʻiʻo a me nā kaulike ʻole a puni ka hip
• Nā pilikia me ka hele ʻana a me ke kaulike
• Hoʻonui ʻia ka pilikia o ka haki ʻana o ka hip

I nā hihia koʻikoʻi, hiki i ka hip dysplasia i mālama ʻole ʻia ke alakaʻi i ka hōʻino nui a me ka pono no ka ʻoki nui e like me ka pani ʻana o ka hip. Hoʻomohala kekahi poʻe i ka limp i ʻike ʻia a i ʻole ka pilikia me nā hana e like me ke piʻi ʻana i nā alapiʻi a i ʻole ke ala ʻana mai nā noho.

Hiki i nā pilikia maʻamau ke komo pū me ka hōʻino ʻana i ka lako koko o ka iwi hip, hiki ke hana i ka make ʻana o ka iwi (avascular necrosis). ʻOi aku ka nui o kēia e hana me kekahi mau lāʻau lapaʻau, ʻo ia ke kumu e kaupaona pono ai nā kauka i nā koho mālama.

ʻO ka ʻoiaʻiʻo maikaʻi, me ka mālama kūpono, hiki i ka hapa nui o nā kānaka me ka hip dysplasia ke mālama i ka hana maikaʻi o ka hip a pale aku i kēia mau pilikia. ʻO ka hoʻomaka mua ʻana ka mea nui i nā hopena maikaʻi loa.

Pehea e hiki ai ke pale ʻia ka Hip Dysplasia?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā kumu genetic e hoʻopili ana i ka hip dysplasia, aia kekahi mau ʻanuʻu hiki iā ʻoe ke hana e hoʻemi i ka pilikia, ʻoi aku no nā pēpē a me nā keiki ʻōpio.

ʻO ka hana palekana nui loa no nā pēpē ʻo ia ka hoʻonoho pono ʻana a me nā ʻano hāpai. I ka wā e kāʻei ai i kāu pēpē, e hōʻoia i ka hiki ke kūlou a pālahalaha nā ʻūhā me ka ʻole o ka hoʻopaʻa pololei ʻia a me ka hoʻopili ʻia.

Eia nā hana palekana nui:

• E hoʻohana i nā ʻano kāʻei kūpono e ʻae ai i ka neʻe ʻana o ka ʻūhā
• E hāpai i nā pēpē ma nā kūlana e mālama ai i ka pālahalaha ʻana o nā ʻūhā
• E koho i nā mea hāpai pēpē e kākoʻo i nā ʻūhā a ʻae i ka pālahalaha ʻana o nā ʻūhā
• E pale i ka hoʻoikaika ʻana i nā wāwae pololei i ka wā e hoʻololi ai i nā diapers
• E hele i nā nānā maʻamau o nā keiki no ka nānā mua ʻana

Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka dysplasia hip, e hōʻoia e kūkākūkā me kāu kauka pediatrics. Hiki iā lākou ke ʻōlelo aku i nā nānā ʻūhā pinepine a i ʻole nā haʻawina kiʻi mua.

No nā keiki a me nā mākua kahiko, ʻo ka mālama ʻana i ka hoʻoluhi maikaʻi o ka ʻūhā ma o ka hoʻonui mālie ʻana a me ka noho ʻana i ka hana e kōkua i ke kākoʻo ʻana i ke olakino o ka ʻūhā. Eia naʻe, pono nā pilikia kūkulu o ka dysplasia hip i ka mālama lapaʻau ma mua o nā hana palekana wale nō.

Pehea e ʻike ʻia ai ka Hip Dysplasia?

ʻO ka ʻike ʻana i ka dysplasia hip e pili ana i ka hui ʻana o ka nānā kino a me nā haʻawina kiʻi. ʻO ke ala e pili ana i ka makahiki o ka mea maʻi a me ka nui o nā hōʻailona.

No nā pēpē, hoʻomaka nā kauka me ka nānā kino akahele i nā nānā maʻamau. E nānā lākou i nā hōʻailona e like me ka lōʻihi ʻole o ka wāwae, nā ʻili ʻili ʻokoʻa, a me ka neʻe palena ʻia o ka ʻūhā. ʻO nā hoʻokolohua kūikawā e like me nā hana Ortolani a me Barlow e kōkua i ka ʻike ʻana i ka hilinaʻi ʻole o ka ʻūhā.

Inā hāpai ka nānā kino i nā hopohopo, e kauoha kāu kauka i nā haʻawina kiʻi. No nā pēpē ma lalo o 4-6 mau mahina, ʻo ka ultrasound ka ʻano i makemake ʻia no ka mea hiki ke hōʻike i nā cartilage a me nā pūnaewele palupalu ʻaʻole i ʻike ʻia ma nā X-rays.

No nā keiki a me nā mākua kahiko, ʻo nā X-rays ka haʻawina kiʻi mua. Hiki i kēia mau mea ke hōʻike maopopo i ke kūkulu iwi a kōkua i nā kauka e ana i nā kihi a me nā pilina ma waena o nā iwi ʻūhā.

I kekahi manawa, pono nā kiʻi hou aku. Hiki i nā CT scan ke hāʻawi i nā hiʻohiʻona 3D kikoʻī o ke ʻano o ka hip, ʻoiai hiki i nā MRI scan ke hōʻike maopopo aku i nā ʻiʻo palupalu e like me ka cartilage a me ka labrum.

Hoʻokomo pū ka hana hoʻoponopono i ka kūkākūkā ʻana i kou mau hōʻailona, mōʻaukala ʻohana, a me ke ʻano o ka maʻi i kāu mau hana i kēlā me kēia lā. Kūleʻa kēia ʻike i nā kauka e hoʻomaopopo i ke kiʻi holoʻokoʻa a hoʻolālā i ke ala lapaʻau maikaʻi loa.

He aha ka Lapaʻau no ka Hip Dysplasia?

Aia ka lapaʻau no ka hip dysplasia ma nā mea he nui, e like me ka makahiki, ka nui o ka maʻi, a me nā hōʻailona. ʻO ka pahuhopu mau loa ka hana ʻana i ka hui hip paʻa a hana maikaʻi, ʻoiai e hoʻemi ana i nā pilikia.

No nā pēpē i ʻike mua ʻia, hoʻokomo pinepine ʻia ka lapaʻau i nā mea hana e hoʻopaʻa i nā hip i ke kūlana kūpono ʻoiai e ulu ana ka hui. Hoʻohana pinepine ʻia ka Pavlik harness no nā pēpē ma lalo o 6 mau mahina, e mālama ana i nā hip i kūlou a hoʻolaha ʻia.

Hoʻololi nā ʻano lapaʻau ma muli o ka hui makahiki:

• Nā pēpē hou a hiki i 6 mau mahina: Pavlik harness a i ʻole nā ​​mea hana bracing like
• 6 mau mahina a hiki i 2 mau makahiki: ʻO ka hana hoʻoponopono pani a wehe paha, pinepine me ka hoʻokomo ʻana
• 2-8 mau makahiki: Nā hana ʻoki e hoʻoponopono hou i ka lua hip a i ʻole ka iwi ʻūhā
• Nā keiki kahiko a me nā mākua: Nā koho ʻoki like ʻole ma muli o ka nui

No nā keiki kahiko a me nā mākua, hiki i nā koho ʻoki ke hoʻokomo i nā hana e hoʻonui i ka lua hip (acetabuloplasty), e hoʻoponopono hou i ka iwi ʻūhā (femoral osteotomy), a i nā hihia koʻikoʻi, ka hana hoʻololi hip.

Hiki i nā lapaʻau ʻole e like me ka lapaʻau kino ke kōkua i ka hoʻokele ʻana i nā hōʻailona a hoʻomaikaʻi i ka hana, ʻoi aku no nā hihia māmā. Hoʻokani pinepine nā hana hoʻokele ʻeha, hoʻololi hana, a me nā hoʻoikaika i nā hana koʻikoʻi i nā hoʻolālā lapaʻau.

E hana pū kāu kauka orthopedic me ʻoe e hoʻomohala i kahi hoʻolālā lapaʻau e noʻonoʻo ana i kou makahiki, pae hana, nā hōʻailona, ​​a me nā pahuhopu pilikino. ʻO ka pahuhopu ka mālama ʻana i kou hip kūlohelohe i ka manawa lōʻihi e hiki ai ʻoiai e mālama ana i ka hana maikaʻi.

Pehea e mālama ai i ka home i ka wā o ka Hip Dysplasia?

He kuleana nui ka mālama home i ka mālama ʻana i ka hip dysplasia, ʻoi aku hoʻi ke hui pū ʻia me ka mālama lapaʻau. Aia nā ʻano mālama home kūikawā ma kāu mau makahiki, ke ʻano o ka mālama ʻana, a me nā ʻōlelo a ke kauka.

No nā pēpē e komo ana i nā kāʻei a i ʻole nā ​​harness, he mea nui ka mālama pono ʻana i ka mea hana. E mālama i ka ʻili i maʻemaʻe a maloʻo, e nānā i kekahi ʻulaʻula a i ʻole ka huhū, a e hahai i nā ʻōlelo a ke kauka e pili ana i ka manawa e hiki ai ke wehe i ka mea hana no ka ʻauʻau.

Hoʻopili pinepine ka mālama ʻeha ma ka home i ka hui pū ʻana o nā ala:

• E kau i nā ʻeke hau no 15-20 mau minuke e hoʻemi ai i ka mumū
• E hoʻohana i ka hoʻomehana wela ma mua o nā hana e hoʻomaikaʻi ai i ka palupalu
• E lawe i nā lāʻau ʻeha ma luna o ka counter e like me ke kauoha a ke kauka
• Nā hana hoʻolōʻihi mālie e mālama i ka palupalu o ka hip
• Nā hana haʻahaʻa e like me ka ʻauʻau a i ʻole ka holo paikikala

Pono pinepine ka hoʻololi ʻana i ka hana e pale aku ai i kou hui hip. ʻO kēia paha ke ʻano o ka pale ʻana i nā hana kiʻekiʻe, ka hoʻohana ʻana i nā mea kōkua no ka hele ʻana, a i ʻole ka hoʻololi ʻana i kāu hana ʻana i nā hana o kēlā me kēia lā.

Hiki ke hoʻomau ʻia nā hana hoʻoponopono kino i kuhikuhi ʻia e kāu therapist ma ka home. ʻO ka mea maʻamau, e kau nui ana kēia ma ka hoʻoikaika ʻana i nā ʻiʻo a puni ka hip, ka hoʻomaikaʻi ʻana i ka palupalu, a me ka mālama ʻana i nā ʻano neʻe kūpono.

He mea nui e hahai mau i kāu hui olakino a hōʻike i kekahi mau loli i nā hōʻailona a i ʻole nā ​​hopohopo e pili ana i kāu mālama ʻana. Pono ka mālama home e hoʻohui, ʻaʻole e pani, i ka mālama lapaʻau ʻoihana.

Pehea ʻoe e hoʻomākaukau ai no kāu ʻaha kūkā kauka?

Hiki i ka hoʻomākaukau ʻana no kāu ʻaha kūkā hip dysplasia ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu kipa a hāʻawi i kāu kauka i ka ʻike e pono ai e kōkua pono iā ʻoe.

Ma mua o kāu kūkā, e kākau i kāu mau hōʻailona a pau, me ka hoʻomaka ʻana, ka mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi, a pehea ka hopena i kāu mau hana o kēlā me kēia lā. E kikoʻī e pili ana i nā pae ʻeha, ka paʻakikī, a me nā palena āu i ʻike ai.

E hōʻiliʻili i ka ʻike nui e lawe pū me ʻoe:

• Papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui i kēia manawa
• Mōʻaukala ʻohana o nā pilikia hip a i ʻole nā kūlana genetic
• Nā X-ray ma mua, MRIs, a i ʻole nā haʻawina kiʻi ʻē aʻe
• Nā moʻolelo mai nā kauka ʻē aʻe i mālama i kou hip
• Papa inoa o nā nīnau āu e makemake ai e nīnau

E noʻonoʻo e pili ana i kou mau pahuhopu a me nā hopohopo ma mua o ka manawa. He aha nā hana nui loa iā ʻoe? He aha kāu mau hopohopo nui loa e pili ana i ke kūlana? Kūleʻa kēia i kāu kauka e hoʻomaopopo i kāu mau mea nui a hoʻoponopono i nā ʻōlelo aʻo lapaʻau.

Inā ʻoe e lawe mai ana i ke keiki no ka loiloi, e mākaukau e kūkākūkā i kā lākou mau hōʻailona hoʻomohala, kekahi mōʻaukala ʻohana o nā pilikia hip, a me nā hopohopo kikoʻī āu i ʻike ai e pili ana i kā lākou neʻe ʻana a i ʻole ka ʻoluʻolu.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui i kūkākūkā ʻia i ka wā o ke kūkā. Hiki i nā kipa lapaʻau ke nui loa, a hiki ke kōkua ka loaʻa ʻana o ke kākoʻo.

He aha ka lawe nui e pili ana i ka Hip Dysplasia?

ʻO ka hip dysplasia kahi kūlana hiki ke mālama ʻia e pili ana i ke ʻano o ka hui hip a me ka hana. ʻOiai hiki ke manaʻo nui ia i ka wā mua, ʻo ka hoʻomaopopo ʻana i ke kūlana a me ka hana pū ʻana me nā mea lawelawe olakino akamai hiki ke alakaʻi i nā hopena maikaʻi loa.

ʻO ka mea nui loa i ka mālama holomua ka ʻike mua a me ka hoʻoponopono. No nā pēpē a me nā keiki ʻōpio, hoʻohana pinepine ʻia ka mālama mua i nā ala maʻalahi me nā hopena lōʻihi maikaʻi. ʻOiai no nā mākua, hiki i nā koho mālama like ʻole ke hoʻomaikaʻi nui i nā hōʻailona a me ka hana.

E hoʻomanaʻo ʻia aia ka dysplasia hip ma kahi spectrum mai ka māmā a hiki i ka nui. Nui nā kānaka me ka dysplasia māmā e ola ana i nā ola hana, ʻaʻohe ʻeha me ka hoʻokele kūpono. Hiki ke mālama maikaʻi ʻia nā hihia ʻoi aku ka nui me nā ʻenehana ʻoki hou.

He kū hoʻokahi kou huakaʻi me ka dysplasia hip, a pono e hoʻopilikino ʻia ka mālama ʻana i kou kūlana kūikawā, makahiki, pae hana, a me nā pahuhopu. ʻO ka hana pili loa me kāu hui olakino a me ka hahai ʻana i nā mālama i manaʻo ʻia e hāʻawi iā ʻoe i ka manawa maikaʻi loa no ka mālama ʻana i ka hana hip maikaʻi i kou ola.

E noʻonoʻo a komo i kou mālama. Me ka mālama a me ka hoʻokele kūpono, hiki i ka hapa nui o nā kānaka me ka dysplasia hip ke hoʻomau i ka leʻaleʻa i nā ola hana, piha.

Nā Nīnau Pinepine e pili ana i ka Hip Dysplasia

Hiki ke ho'ōla piha ʻia ka dysplasia hip?

Hiki pinepine ke mālama maikaʻi ʻia ka dysplasia hip, ʻoi aku hoʻi i ka wā i loaʻa koke ʻia. I nā pēpē, hiki i nā mea hoʻonohonoho kūpono ke kōkua i ka hip e ulu maʻamau, ʻo ia hoʻi ke

ʻAʻole pinepine ka ʻeha o ka dysplasia hip i nā pēpē a me nā keiki ʻōpio. ʻO kēia kekahi kumu e hiki ai ke ʻike ʻole ʻia me ka ʻole o ka nānā pono. ʻAʻole ulu pinepine ka ʻeha a hiki i ka wā ma hope o ka wā kamaliʻi a i ʻole ka wā makua ke alakaʻi ka hana ʻole o ka hip i ka ʻaʻahu a me ka haehae. Eia naʻe, hiki i kekahi mau pēpē ke hoʻonāukiuki i ka wā o ka hoʻololi ʻana i ka diaper inā palena ʻia ka neʻe ʻana o ko lākou hip.

Pehea ka lōʻihi o ka mālama ʻana no ka dysplasia hip?

Hoʻololi nui ka lōʻihi o ka mālama ʻana ma muli o ka makahiki a me ka nui. Hiki i nā pēpē ke komo i ka harness no 2-4 mahina, ʻoiai hiki i nā mālama ʻoki ke koi i kekahi mau mahina o ka hoʻōla a me ka hoʻōla hou. Pono kekahi poʻe i ka mālama mau i ko lākou ola. E hāʻawi kou kauka iā ʻoe i kahi manawa kūpono ma muli o kou kūlana kūikawā a me ka papahana mālama.

Hiki i ka dysplasia hip ke hoʻi mai ma hope o ka mālama ʻana?

Ke mālama pono ʻia i ka wā kamaliʻi, ʻaʻole pinepine ka hoʻi ʻana o ka dysplasia hip. Eia naʻe, hiki i kekahi poʻe ke loaʻa ka maʻi ʻaʻai a i ʻole nā ​​pilikia hip ʻē aʻe ma hope i ke ola ma muli o nā hopena o ka dysplasia mua. ʻO ia ke kumu e pono ai ka hahai lōʻihi. No nā mālama ʻoki ma nā keiki a me nā mākua kahiko, hilinaʻi ka holomua i nā mea he nui, a e kūkākūkā kāu kauka i ka hiki ke holomua lōʻihi me kāu mālama kūikawā.