Esinye sezixhobo eziqhelekileyo ekunyangeni i-hip dysplasia yi-Pavlik. Igama lefowuni livela egameni likaGqirha waseCzech uArnold Pavlik, owathi ngo-1946 wazisa entsha kwaye, ngokombono wakhe, "indlela yokulungisa" esebenzayo. Ukuqulunqwa kunexesha elingaphezu kwesigama sekhulu, kwaye ukugqoka iindawo eziqhubekayo zihlala yindlela yokwenza i-dysplasia emhlabeni jikelele.
Kuza kube yimhla, izibhamu ziyi-bandage yesifuba eyenziwe ngamathambo athambileyo kunye namahlombe, ama-popliteal straps straps. Esi sixhobo siqinisekisa indawo efanelekileyo yentloko ye-femur, inceda ukuqinisa i-device ye-ligament ye-joint hip, kwaye iphinda ibeke intloko yesifuba se-hip kwi-acetabulum, ekugqibeleni iholele ekutheni "kuphuluke" kokubambisana. Ngenxa yolu lungiso umntwana angakwazi ukuhambisa, kodwa awanciphisi okanye aqondise imilenze.
Kuchaneka njani ukuba ukhethe i-stirrups yomntwana?
Ekubeni iimbambano zingabelwa umntwana ukusuka ekuzalweni, okanye ngethuba lomnyaka wokuqala wobomi, isixhobo sihluke ngobukhulu.
- Imipuphu kaPavlik 0 - eyabelwe abantwana abaneminyaka eli-1 ukuya kwezi-3, ubude be-50-60 cm;
- ivuselela iPavlik 1 - Kunconywa kubantwana ukusuka kwiinyanga ezintathu ukuya kwezi-6, ukuphakama kwama-60-65 cm;
- ivuselela iPavlik 2 - yabelwe abantwana abaneminyaka engama-6-12, ukuphakama kwe-70-75 cm;
- ivuselela iPavlik 3 - eyenzelwe abantwana abaneminyaka eyi-12 ubudala, ikhule 75-85 cm.
Indlela yokugqoka kakuhle iPavlik?
Kukho iintlobo ezintathu ze-hip dysplasia, kwaye kunye ne-pathology nganye, igqoke iingubo ezahlukeneyo. Inketho efanelekileyo iya kuba ngaba ugqirha onokuzibonela anokunceda ukuba uzibeke kwintsana okokuqala.
- Xa i-hip ingaphambi kweentsuku zokuqala ezingu-2-3, iingubo zigqoke ngokususwa kwe-hip ekuncinci. Emva koko ususe iminqweno ukuya kwinqanaba lika-70-90 ° uze ugcine olu gxinwa de kube sekupheleni kokonyango.
- Ngengqungquthela yentambo, iingubo zambethe ngokukhawuleza okunjalo, oko kunokwenzeka ngaphandle komgudu omkhulu. Emva koko wahlulwa kwi-angle ye-80 ° kwaye wagcinwa kule ndawo kwiinyanga ezili-3-4. Ingqwalasela ngokukodwa ihlawulwa kwiintlungu ezingenzekayo kumntwana ngexesha lokususwa kwamalungu. Ukuba kuyimfuneko, misela ukushisa okomileyo okanye i-rectal analgesic.
- Xa i-hip ishenxisiwe, intloko yesifazane ilala ngaphandle kwedibaniselwano, ngoko okokuqala isilungiso senziwe, kwaye ke iinqunqa zitshintshwe kwi-90 ° kwiinyanga ezi-5-6.
Kufuneka kukhunjulwe ukuba inkqubo yokuhlenga i-hip iyona nto ibaluleke kakhulu kunyango lwe-dysplasia, elivinjelwe yimisipha. Ukupholisa, ukungazinzi, kunye nokuvalelwa yindlala kunokunciphisa ukuxakaniseka kwezihlunu kunye neetoni, kwaye ngenxa yoko, ukuphuhliswa kwezintlu kungaphathiswa nje ngentlungu, kodwa kunye nokuvuvukala kwesithintelo se-tendon-muscle. Emva kokugqitywa kwesigaba sokuhlenga i-hip, ubude beengcambu zibekwe uphawu ngokukhawuleza kumakisha wokubeka iliso rhoqo kwisimo esingatshintshi samathanga.
Indlela yokuphatha iiphambano zikaPavlik?
Isitriti kwi-dysplasia kufuneka ihlale igugile: umntwana kufuneka abe phakathi kwabo ngeenxa zonke, kuquka nokutya nokuhlamba. Lo ngumgaqo obaluleke kakhulu wonyango ophumeleleyo. Ukuqwalasela imimiselo yococeko xa ugqoke iimfesane kubaluleke kakhulu, kuba ulusu lomntwana lubuhlungu kakhulu kwi-stimuli yangaphandle. Ukuze umntwana abe nococeko kwi-stirrups, gcina iliso kwesikhumba, ngakumbi kwiindawo zobunzima kunye neentambo. Umntwana akahlambululi kwiindawo ezivuthayo, kodwa nje kuphela
Ngaphantsi kweemfesane, unxibe umncinci ukusuka kwikotoni kunye neesokisi ukuya kwinqanaba legolo ukukhusela ukuncibilikisa isikhumba. Iidrafers kufuneka zitshintshwe ngaphandle kokususa imivumba, ngenxa yoko akufanele umphakamise umntwana ngemilenze, kodwa kufuneka ubeke isandla sakho phantsi kwamatye. Ngokuxhomekeka kwiqondo lokushisa egumbini, unako ukubeka ingubo okanye i-panties phezu kweengxabano, kodwa kufuneka uqaphele ukuba umntwana akayi kukhulula kwaye akhuphe.
Ekugqibeleni, ndingathanda ukongeza ukuba ukutyelela rhoqo kwi-orthopedist and surgeon kuya kukunceda ukuba uqaphele inkqubo yonyango, kwaye uthando lwakho kunye nokunyamekela kuya kunceda ukukhawuleza ukubuyisela.