He aha te Hip Dysplasia? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te hip dysplasia tētahi āhuatanga kei reira te hononga o tō huha e kore e hanga tika ai, e āhei ai te kore pai te noho tahi o te pōro me te peihana. Ka taea te puta mai o tēnei kore tika i te wā o te whanaketanga i roto i te kopu, i te wā o te tamaiti, ā, aha atu rānei i muri mai i te ora.

Whakaarohia tō hononga huha me te pōro e noho ana i roto i te kapu. I roto i te hip dysplasia, kei te tino hohonu te kapu, kāo te noho tika te pōro, kāore rānei ngā wāhanga e rua e rite ana. Ka taea e tēnei te ārai i te kore pumau, te mamae, me te kakā i te hononga i te wā roa.

He aha te Hip Dysplasia?

Ka puta te hip dysplasia ina tino hohonu te peihana huha (acetabulum) kāore rānei te ūtanga o te huha (femoral head) e noho tika ana ki roto i te peihana. Ka hanga tēnei i tētahi hononga kore pumau ka taea te ngāwari te heke, te wehe, kāore rānei te kakā atu i te noa.

Kei te noho te āhuatanga i runga i te whānuitanga mai i te ngawari ki te kino. Kei ētahi tangata ngā huringa tino ngawari ka kore pea e ārai i ngā raruraru kia tae ra ano ki muri mai i te ora, ā, kei ētahi atu ngā nekehanga tino marama e hiahia ana ki te tiaki tonu.

Ka taea e te hip dysplasia te pā ki tētahi kāore rānei ki ngā huha e rua. Ina puta mai i te wā o te whānau, ka karanga ngā tākuta he developmental dysplasia of the hip (DDH). Heoi, kei ētahi atu tangata e whānau ana te hip dysplasia i muri mai nā ētahi atu take.

He aha ngā Tōmhanga o te Hip Dysplasia?

He rerekē rawa ngā tōmhanga o te hip dysplasia i runga i tō tau me te āhua o te āhuatanga. I roto i ngā pēpi me ngā tamariki, ka rerekē pea ngā tohu mai i te mea e pā ana ki ngā pakeke.

Ko ēnei ngā tōmhanga noa ka kitea e koe i roto i ngā pēpi me ngā tamariki iti:

• Ka kitea te waewae kotahi he poto atu i tetahi atu
• Ka kitea ngā kopiko kiri i runga i ngā huha he kore rite, kāore rānei he rite
• Ka puta he oro pāwhiri, kāore rānei he oro pakaru i te huha i te wā o te whakarereke i te kakahu
• Te iti o te nekehanga i te wā e neke ana te huha
• Ka tīmata te tamaiti ki te haere i muri i te wā e tumanakohia ana
• He kore tika te haere i te wā e tīmata ana te haere

Mō ngā tamariki pakeke me ngā tāngata pakeke, ka āta whai whakaaro ngā tohu ki te mamae me ngā raruraru nekehanga. Ka rongo pea koe i te mamae hohonu i tō hope, i tō hope o waho, i tō kokonga rānei e kaha ake ana te mamae me te mahi.

Ko ngā tohu o te pakeke e whakaatuhia ana ko:

• Te mamae o te hope e kino ake ana te haere, te oma, te piki rānei i ngā kaupae
• Te ngoikore o te hononga hope, ina koa i te ata
• Te whakaaro pea ka "tūtaki" tō hope, kaore rānei e tūturu
• Te uaua ki ngā mahi penei i te whakanoho i ngā hu, te eke rānei ki roto, ki waho hoki o ngā waka
• He koretake te hikoi, he rereke rānei te āhua o te hikoi
• Ngā oro pēnei i te pakaru, te wiri rānei i te hope

Ko ētahi o ngā tāngata he dysplasia hope ngawari pea kaore e kite i tetahi tohu tae noa ki o rātou tau 20, 30, aha atu rānei. Ka taea e te āhuatanga te kino haere i te wā, ka arahi ki te mate khớp và te mamae ka kitea.

He aha ngā momo Dysplasia Hope?

Ko te dysplasia hope kei roto i te maha o ngā ahua, ā, ko te mōhiotanga ki te momo ka āwhina i te whakatau i te huarahi rongoā pai. Ko te wehenga matua kei waenga i te dysplasia whanaketanga (kei te noho mai i te whānau) me te dysplasia whiwhi (ka whanake mai i muri mai).

Ko te dysplasia whanaketanga o te hope (DDH) te momo tino noa. Kei roto i ēnei ngā āhuatanga kei reira te kokonga hope he iti rawa te hohonu, kei waho o te kokonga te porowhita o te wheua huha, tetahi wāhanga rānei, te katoa rānei, te hononga rānei he ngawari, he kore tūturu.

I roto i te DDH, ka whakarōpūhia e ngā tākuta te kino ki ngā kāwai rerekē. Ko te tikanga o te hope kua wehea ko te porowhita kua puta katoa mai i te kokonga. Ko te tikanga o te hope kua wehea te wāhanga ko te porowhita kei waho o te waahi, engari kei te pa tonu ki te kokonga. Ko te tikanga o te hope dysplasia ko te kokonga he hohonu, engari kei te noho tonu te porowhita.

Ka whanake te dysplasia hope whiwhi i muri mai i te ora na ētahi atu āhuatanga, ngā whara rānei. Ka taea te puta i muri i ngā mate i roto i te hononga hope, ngā āhuatanga penei i te cerebral palsy e pā ana ki te mana o te uaua, ngā whara rānei e whakarawe ana i ngā papa tipu o te hope i te wā tamariki.

He aha ngā take o te Dysplasia Hope?

He maha ngā take e puta ai te dysplasia o te hip, ā, he maha ngā wā he whakakotahitanga o ngā take, ehara i te kotahi anake te take. Ko te ahua tino noa ka puta i te wā o te whānautanga o te pēpi, ina pā tetahi mea ki te hanga o te hononga o te hip.

He maha ngā take e āhei ana te whakauru ki te dysplasia o te whanaketanga o te hip:

• Ngā take irahiko – he maha ngā wā ka rere i roto i ngā whānau
• Te tū i roto i te kopu, inā te whānautanga o te pēpi
• Ko te tamaiti matamua (he kaha ake te kopu)
• Te iti o te wai amniotic i te wā hapu
• Te takai pēpi e pupuri ana i ngā hip tika
• Ngā take homoni, inā ngā homoni e whakaheke ana i ngā hononga i mua i te whānautanga

He maha ake te mate i ngā kōhine i ngā tama, no te mea he nui ake te pānga o ngā kōhine ki te homoni relaxin, e āhei ana te whakaheke i ngā hononga i te wā whānautanga. Ka taea e tēnei homoni ano te whakaheke i te hononga o te hip.

He iti ake te noa, ka taea te whanake o te dysplasia i muri mai na te mate hauora, te whara rānei. Ka taea e ngā āhuatanga neuromuscular penei i te cerebral palsy te whakauru i ngā koretake o te uaua e whakarereke ana i te ahua o te hononga o te hip.

I ētahi wā onge, ka taea e ngā mate i roto i te hononga o te hip i te wā pēpi te whakarawe i te wheua me te cartilage e tipu ana, ā, ka āhei te arahi ki te dysplasia. Ka taea hoki e ngā whara o te papa tipu i te wā tamariki te whakaroa i te whanaketanga o te hip.

Nōhea te Tiro ki te Taakuta mō te Dysplasia o te Hip?

Me whakapiri atu koe ki tō taakuta ki te kite koe i ētahi tohu o ngā raruraru o te hip i tō tamaiti, i a koe rānei. Ka taea e te kite wawe me te maimoatanga te aukati i ngā raruraru maha, ā, ka āhei te arahi ki ngā hua pai ake.

Mō ngā pēpi me ngā tamariki, whakaritea he hui ki te kite koe i ngā kopiko kiri kore rite i runga i ngā huha, kotahi waewae e puta ana he poto ake, ngā oro pakaru mai i te hip, te uaua rānei ki te hora i ngā waewae i te wā whakarereke i ngā kakahu. Ko ēnei tohu e hiahia ana ki te aromatawai wawe.

Mēnā kei te hikoi tō tamaiti engari he koretake te hēkī, ka ngāwari ki te kore e pēhi i te uaua kotahi, kāore rānei e pai te mamae o te hope, he tohu nui tēnei e hiahia ana ki te tiaki hauora.

Me kite te hunga pakeke i te taakuta mō te mamae o te hope e mau tonu ana, ina koa ki te āwangawanga ki ngā mahi o ia rā, ki te moe rānei. Kaua e tatari mēnā ka pāngia koe e te mamae o te hope me te kirika, ka taea te tohu i te mate.

Me kimi ano koe i te tiaki hauora mēnā ka puta mai te mamae o tō hope i muri i te whara, ki te kore e taea e koe te amo i te uaua e pā ana, ki te kite rānei koe i ngā huringa nui ki tō hēkī.

He aha ngā take morearea mō te Hip Dysplasia?

He maha ngā take ka piki ake te tūponotanga o te whanaketanga o te hip dysplasia, ahakoa te whai i ngā take morearea kāore e whakamana ka whanake koe i te āhuatanga. Ko te mārama ki ēnei take ka āwhina ki te kimi wawe me ngā rautaki aukati.

Ko ngā take morearea tino nui mō te whanaketanga o te hip dysplasia ko:

• Te hītori whānau o te hip dysplasia, te raruraru rānei o te hope
• Ko te wahine (e 4-6 wā te nui o te pānga o ngā kōhine)
• Te whānautanga o te pūkahukahu i te wā hapu
• Ko te tamaiti matamua
• Te iti o te taumaha whānau, te whānau wawe rānei
• Ngā āhuatanga e whakamārama ana i te wāhi i roto i te kopu, pēnei i ngā māhoe, te wai amniotic iti rānei

Ka taea hoki e ngā tikanga ahurea e pā ana ki te tiaki tamariki te whai wāhi. Ka taea e ngā tikanga takotoranga tawhito e pupuri ana i ngā hope me ngā turi tika te piki ake o te morearea, i te wā e whakaiti ana ngā ahurea e kawe ana i ngā pēpi me ngā hope e horapa ana.

Mō te hip dysplasia i whiwhi i muri mai i te ora, ko ngā take morearea ko ngā āhuatanga neuromuscular, ngā whara o mua o te hope, etahi mate, me ngā āhuatanga e pā ana ki te tipu o te wheua i te wā tamariki.

Ka taea hoki e ētahi āhuatanga ira tino onge te piki ake o te morearea, ahakoa ko ēnei anake te iti o te ōrau o ngā take. Ka taea e tō taakuta te awhina i te aromatawai i ō take morearea takitahi i ngā tirotiro noa.

He aha ngā raruraru pea ka puta mai i te dysplasia o te hipi?

Ki te kore e rongoatia te dysplasia o te hipi, ka taea e ia te arahi ki etahi raruraru nui i te wa roa. Ko te wawe o te hopu me te rongoa i te mate, ko te pai ake o te tupono ki te aukati i enei raruraru.

Ko te raruraru roa e tino kitea ana ko te mate pāngia o te hononga i te wa iti. Na te kore o te mahi pai o te hononga hipi, ka tere te pakaru o te cartilage i te mea noa, ka arahi ki te mamae, te ngoikore, me te iti o te nekehanga, i te nuinga o te wa i te tekau tau rua tekau rānei, tekau tau toru rānei.

Koinei ngā raruraru matua ka puta:

• Osteoarthritis o te hipi, i etahi wā ka hiahiatia te whakakapi hononga i te tamariki
• Te mamae roa e āwangawanga ana ki ngā mahi o ia rā
• Te iti o te whānuitanga o te nekehanga me te ngoikore
• Te ngoikore o te uaua me te kore o te taurite i te taha o te hipi
• Nga raruraru ki te hikoi me te toenga
• Te nui ake o te tūpono o te whati o te hipi

I roto i ngā keehi kino, ka taea e te dysplasia o te hipi kaore i te rongoatia te arahi ki te ngoikore nui me te hiahia ki te pokanga nui penei i te whakakapi hipi. Ka puta mai etahi tangata he kopikopiko e kitea ana, he uaua rānei ki ngā mahi penei i te eke i ngā kaupae, te whakatika rānei i ngā tūru.

Ko ngā raruraru onge ka uru atu te kino ki te whakarato toto o te wheua hipi, ka taea te mate o te wheua (avascular necrosis). He tino pea tenei ka puta me etahi maimoatanga, koia te take e ata whakaaro ana ngā tākuta ki ngā kōwhiringa maimoatanga.

Ko te rongo pai, ma te maimoatanga tika, ka taea e te nuinga o te hunga e pangia ana e te dysplasia o te hipi te pupuri i te mahi pai o te hipi me te karo i enei raruraru. Ko te whakauru wawe te matua mō ngā hua pai.

Me pēhea te aukati i te dysplasia o te hipi?

Ahakoa kaore e taea e koe te aukati i ngā take ira e āwhina ana ki te dysplasia o te hipi, he maha ngā mahi ka taea e koe te mahi hei whakaiti i te tūpono, ina koa mō ngā pepeha me ngā tamariki iti.

Ko te rautaki aukati tino nui mō ngā pēpi ko te whakamahi tika i ngā tikanga whakatū me te kawe. I te takai i tō pēpi, kia mōhio koe ka taea e ōna hope te piko me te horapa noa atu, kaua e pupū tonu me te pehi tahi.

Ko ēnei ngā rautaki aukati matua:

• Whakamahia ngā tikanga takai tika e tuku ana i te nekehanga o te hope
• Kawe i ngā pēpi i ngā tūnga e pupuri ana i ngā hope e horapa ana
• Tīpakohia ngā kaiwawae pēpi e tautoko ana i ngā huha me te tuku i te horapa o te hope
• Kaua e whakakī i ngā waewae ki te tika i te whakakapi i ngā nāpī
• Haere ki ngā tirotiro hauora tamariki katoa hei whakamātautau wawe

Mēnā he hītori whānau koe o te dysplasia hope, kia mōhio koe ki te kōrero ki tō tākuta tamariki. Ka taea e rātou te tūtohu i ngā whakamātautau hope ake, i ngā rangahau whakaahua i mua atu rānei.

Mō ngā tamariki pakeke me ngā tāngata pakeke, ko te pupuri i te ngawari o te hope mā te whakatewhatewha ngawari me te noho mahi ka taea te tautoko i te hauora o te hope. Heoi, ko ngā raruraru hanganga o te dysplasia hope ka hiahia noa ki te rongoā hauora, ehara i ngā rautaki aukati anake.

Me pēhea te Whakamātautau i te Dysplasia Hope?

Ko te whakamātautau i te dysplasia hope e whakamahi ana i te whakamātautau tinana me ngā rangahau whakaahua. Ko te huarahi e whakawhirinaki ana ki te pakeke o te manawanui me te kaha o ngā tohu.

Mō ngā pēpi, ka tīmata ngā tākuta me te whakamātautau tinana ata whaiaro i ngā tirotiro noa. Ka tirotirohia e rātou ngā tohu penei i te roa o te waewae kore rite, ngā kopiko kiri kore rite, me te nekehanga hope iti. Ko ngā whakamātautau motuhake penei i ngā mahi a Ortolani me Barlow e āwhina ana ki te kite i te kore pumau o te hope.

Mēnā ka whakaoho te whakamātautau tinana i ngā āwangawanga, ka tono tō tākuta i ngā rangahau whakaahua. Mō ngā pēpi kei raro i te 4-6 marama, ko te ultrasound te tikanga pai na te mea ka taea te whakaatu i te cartilage me ngā kiko ngawari kaore ano i te puta i runga i ngā X-rays.

Mō ngā tamariki pakeke me ngā tāngata pakeke, ko ngā X-rays te rangahau whakaahua tuatahi. Ka taea e ēnei te whakaatu i te hanganga wheua mārama me te āwhina i ngā tākuta ki te ine i ngā koki me ngā hononga i waenga i ngā wheua hope.

I etahi wā, ka hiahiatia ētahi atu whakaahua. Ka taea e ngā CT scan te whakarato i ngā tirohanga 3D taipitopito o te hanganga o te hope, ā, ka taea e ngā MRI scan te whakaatu i ngā kiko ngawari penei i te cartilage me te labrum kia mārama ake.

Ko te tukanga whakamātautau kei roto hoki te kōrero mō ō tohu, te hītori whānau, me te āhua o te āhuatanga ki ō mahi o ia rā. Ka āwhina tēnei mōhiohio i ngā tākua ki te mārama ki te whakaahua katoa me te whakarite i te huarahi maimoatanga pai.

He aha te Maimoatanga mō te Hip Dysplasia?

Ko te maimoatanga mō te hip dysplasia ka whakawhirinaki ki ētahi take, tae atu ki te tau, te kaha o te āhuatanga, me ngā tohu. Ko te whāinga tonu ko te hanga i te hononga hope pumau, mahi pai, me te whakaiti i ngā raruraru.

Mō ngā pēpi i kitea i te tīmatanga, ko te maimoatanga ka whakauru i ngā taputapu e pupuri ana i ngā hope i te tūnga tika i te wā e whanake ana te hononga. Ko te Pavlik harness te mea e whakamahia nuitia ana mō ngā pēpi kei raro i te 6 marama te pakeke, me te pupuri i ngā hope kia piko me te horapa atu.

Ka rerekē ngā huarahi maimoatanga i runga i te rōpū tau:

• Ngā pēpi hou ki te 6 marama: Pavlik harness, rānei ngā taputapu tautoko rite
• 6 marama ki te 2 tau: Tātaritanga kati, rānei tuwhera, te nuinga me te whakakakahu
• 2-8 tau: Ngā mahi pokanga hei hanga hou i te pongaponga hope, rānei te wheua huha
• Ngā tamariki pakeke me ngā pakeke: Ngā whiringa pokanga rerekē kei runga i te kaha

Mō ngā tamariki pakeke me ngā pakeke, ko ngā whiringa pokanga pea ka whakauru i ngā mahi hei whakawhānui i te pongaponga hope (acetabuloplasty), te hanga hou i te wheua huha (femoral osteotomy), rānei i ngā take kino, te pokanga whakakapi hope.

Ka taea e ngā maimoatanga kore-pokanga penei i te rongoā tinana te whakahaere i ngā tohu me te whakapai ake i te mahi, ina koa mō ngā take ngawari. Ko te whakahaere mamae, te whakarerekētanga mahi, me ngā whakakori kaha te nuinga o ngā mahi nui i roto i ngā mahere maimoatanga.

Ka mahi tahi tō kaitātari iwi me koe ki te whakawhanake i te mahere maimoatanga e whakaaro ana ki tō tau, taumata mahi, tohu, me ngā whāinga whaiaro. Ko te whāinga ko te tiaki i tō hope tūturu kia roa rawa te wā e taea ana e te pupuri i te mahi pai.

Te Tikanga Whakaora i te Kāinga mō te Whakaheke Hip?

He tino mahi te tiaki kāinga i te whakahaere i te whakaheke hip, ina koa ka whakakotahitia ki te rongoā. Ko ngā rautaki tiaki kāinga motuhake e whakawhirinaki ana ki tō tau, te momo rongoā, me ngā tohutohu a te taakuta.

Mō ngā pēpi e kakahuria ana ngā pūoko, he mea nui te tiaki tika o te taputapu. Kia ma, kia maroke te kiri, tirohia te whero, te mamae rānei, me whai i ngā tohutohu a tō taakuta mō te wa e taea ai te tango i te taputapu mō te kaukau.

Ko te whakahaere mamae i te kāinga e whakauru pinepine ana i te whakakotahitanga o ngā huarahi:

• Whakamahia ngā putea hukapapa mō te 15-20 meneti hei whakaiti i te mumura
• Whakamahia te rongoā wera i mua i ngā mahi hei whakapai ake i te ngawari
• Tangohia ngā rongoā mamae kore-tuku i runga i ngā tohutohu a tō taakuta
• Ngā mahi whakatete a-taiao hei pupuri i te ngawari o te hip
• Ngā mahi iti-paanga penei i te kaukau, te hikareti rānei

He mea tika te whakarerekētanga mahi hei tiaki i tō hononga hip. I te mea pea tenei ko te karo i ngā mahi nui-paanga, te whakamahi i ngā taputapu awhina mō te hikoi, te whakarerekē rānei i te huarahi e mahi ai koe i ngā mahi o ia rā.

Ka taea te whakahaere tonu i ngā mahi whakaora tinana i te kāinga e whakaritea ana e tō kaiwhakaora. Ko ēnei e arotahi pinepine ana ki te whakapakari i ngā uaua o te hip, te whakapai ake i te ngawari, me te pupuri i ngā tauira nekehanga tika.

He mea nui te whai i tō rōpū hauora i ia wa, me te pūrongo i ngā huringa o ngā tohu, te awangawanga rānei mō tō rongoā. Me whakakotahi te tiaki kāinga, kaua e whakakapi, i te rongoā hauora ngaio.

Me pēhea te Whakamahere mō tō Hui Taakuta?

Ko te whakamahere mō tō hui whakaheke hip ka taea te awhina kia whiwhi koe i te hua nui rawa atu i tō haerenga, me te whakarato i tō taakuta ki ngā korero e hiahia ana rātou ki te awhina i a koe.

I mua i tō whakatau, tuhituhia ngā tohu katoa, tae atu ki te wā i tīmata ai, ngā mea e pai ake ai, ngā mea e kino ake ai, me te āhua o te pānga ki ō mahi o ia rā. Kia tino mōhio ki ngā taumata mamae, te ngohe, me ngā whakatau ā-tinana kua kitea e koe.

Kohikohia ngā mōhiohio nui hei mau atu ki a koe:

• Rārangi o ngā rongoā me ngā taapiri e inuhia ana i tēnei wā
• Hītori whānau o ngā raruraru huha, o ngā āhuatanga ira
• Ngā X-ray, MRI rānei, me ētahi atu rangahau whakaahua o mua
• Ngā rēkōta mai i ētahi atu tākua kua whakaora i tō huha
• Rārangi o ngā pātai e hiahia ana koe ki te ui

Whakaarohia ō whāinga me ō awangawanga i mua. He aha ngā mahi tino nui ki a koe? He aha ngā āwangawanga nui rawa atu mō te āhuatanga? Ka āwhina tenei i tō tākua ki te mārama ki ō ngā whakaritenga, ā, ki te whakarite i ngā tūtohu whakaora.

Mēnā kei te kawe mai koe i tētahi tamaiti mō te aromatawai, kia rite ki te kōrero mō ō rātou tohu whanaketanga, te hītori whānau o ngā raruraru huha, me ngā āwangawanga motuhake kua kitea e koe mō ō rātou nekehanga, o rātou wā māhaki rānei.

Whakaarohia te kawe mai i tētahi mema whānau, hoa rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerohia i te whakatau. Ka tino nui ngā haerenga ki te taote, ā, he āwhina te tautoko.

He aha te mea nui mō te Hip Dysplasia?

He āhuatanga whakaora te hip dysplasia e pā ana ki te hanga me te mahi o te hononga huha. Ahakoa ka ātaahua te ahua i te tīmatanga, ko te mārama ki te āhuatanga me te mahi tahi me ngā kaiwhakarato hauora whai wheako ka ārahi ki ngā hua pai.

Ko te take tino nui mō te whakaora angitu ko te kite wawe me te whakauru. Mō ngā pēpi me ngā tamariki, ko te whakaora wawe te tikanga he ngā tikanga ngāwari ake me ngā hua pai ake mō te wā roa. Āe rawa atu mō ngā pakeke, ka taea e ngā whiringa whakaora maha te whakapai ake i ngā tohu me te mahi.

Kia mahara ko te dysplasia o te hip kei runga i te whānuitanga mai i te ngawari ki te kino. He tokomaha ngā tāngata e whai dysplasia ngawari ana e ora ana i ngā oranga kaha, kore mamae me te whakahaere tika. Āe rawa atu ngā take kino ake ka taea te whakaora pai me ngā tikanga pokanga hou.

He motuhake tō haerenga me te dysplasia o te hip, me whakarite te rongoā ki tō āhuatanga motuhake, tau, taumata mahi, me ngā whāinga. Ko te mahi tata atu ki tō rōpū hauora me te whai i ngā rongoā i tūtohu ai e homai ana ki a koe te tupono pai rawa atu mō te pupuri i te mahi pai o te hip i roto i tō oranga.

Kia tūmanako me te whai wāhi ki tō tiaki. Me te rongoā me te whakahaere tika, ka taea e te nuinga o ngā tāngata e whai dysplasia o te hip ana te whai i ngā oranga kaha, whai hua tonu.

Pātai Ano e Pātaihia Ana Mō te Dysplasia o te Hip

Ka taea te whakaora katoa te dysplasia o te hip?

Ka taea te whakaora pai te dysplasia o te hip, ina koa ka kitea wawe. I ngā pepe, ka taea e ngā taputapu whakatū tika te awhina i te whanaketanga noa o te hip, ā, ko te tikanga, ka 'whakaora' i te āhuatanga. Mō ngā tamariki pakeke me ngā pakeke, ka taea e te pokanga te whakahoki i te mahi pai o te hip, ahakoa pea ehara te hip i te 'noa' katoa. Ko te mea nui ko te kite wawe me te rongoā tika.

Ka taea e taku tamaiti e whai dysplasia o te hip ana te takaro hākinakina?

He tokomaha ngā tamariki e whai dysplasia o te hip kua whakaorahia pai ana e haere tonu ana ki te whai wāhi ki ngā hākinakina me ngā mahi tinana. Ko te kaha ki te takaro hākinakina e whakawhirinaki ana ki te kino o te āhuatanga taketake, te pai o te mahi a te rongoā, me te hākinakina motuhake. Ka taea e tō tākuta te whakarato i te aratohu mō ngā mahi e ora ana me te whai hua. Ka whakatenatenahia ngā hākinakina iti-pānga penei i te kauhoe, i te mea pea ka hiahiatia te whakarereke i ngā mahi nui-pānga.

He mamae te dysplasia o te hip mō ngā pepe?

Ko te dysplasia o te hip e kore e tino mate te peepi me ngā tamariki iti. Koinei te take ka taea te kore kitea me te kore tirotiro tika. Ko te mamae e kore e puta rawa kia tae rawa ki te tamarikitanga, ki te pakehatanga rānei, ina arahina e ngā mahi hip rerekē te kakahu me te pakaru. Heoi, ko ētahi pēpi pea ka ngangau i te wā e whakarerekē ana i te kakahu, ki te iti te nekehanga o to rātou hip.

E hia te roa o te rongoā mō te dysplasia o te hip?

He rerekē te roa o te rongoā, kei runga i te tau me te kaha. Ko ngā pēpi pea ka mau i te here mō ngā marama 2-4, ā, ko ngā rongoā pokanga pea ka hiahia ki ngā marama maha o te ora me te whakaora. Ko ētahi tāngata ka hiahia ki te whakahaere tonu i o rātou oranga katoa. Ka hoatu e tō tākuta tētahi wā tūturu e whai ana ki tō āhuatanga motuhake me te mahere rongoā.

Ka hoki mai te dysplasia o te hip i muri i te rongoā?

Ki te rongoā tika i te wā pēpi, ka rārewa te hoki mai o te dysplasia o te hip. Heoi, ko ētahi tāngata pea ka whanake i te mate huha, i ētahi atu raruraru hip rānei i muri mai o te ora, nā ngā pānga toenga o te dysplasia taketake. Koia te take he mea nui te whai i te wa roa. Mō ngā rongoā pokanga i ngā tamariki pakeke me ngā pakeke, ko te angitu kei runga i ngā mea maha, ā, ka kōrero tō taote pokanga mō te tūponotanga o te angitu roa ki tō rongoā motuhake.