Elinye lamadivayisi avamile kakhulu ekuphatheni i-hip dysplasia yi-Pavlik's stirrups. Igama ledivaysi lavela egameni leDokotela waseCzech u-Arnold Pavlik, owathi ngo-1946 wadala entsha futhi, ngokubona kwakhe, indlela yokulungisa "esebenzayo". Ukwakhiwa kwale minyaka engaphezu kwengu-50, futhi ukugqoka okuqhubekayo kuyindlela engokoqobo yokwelapha i-dysplasia emhlabeni jikelele.
Kuze kube yimanje, lezi zibopho ziyi-bandage yesifuba eyenziwe ngezicubu ezithambile namahlombe, ama-strapal strap straps. Idivaysi iqinisekisa isikhundla esifanele senhloko ye-femur, isiza ukuqinisa izimboni ze-ligament ye-hip joint, futhi ibuye ibeke ikhanda lesifuba le-hip ku-acetabulum, ekugcineni eliholela "ekutheni" kuhlangene. Ngenxa yalesi simo ingane ingakwazi ukuhambisa, kodwa ayinciphisi noma iqondise imilenze.
Kanjani kahle ukukhetha ukuqhuma kwengane?
Njengoba lezi zinhlupho zingabelwa ingane kusukela ekuzalweni, noma phakathi nonyaka wokuqala wokuphila, idivayisi ihlukile ngobukhulu.
- Izikhalazo zikaPavlik 0 - zabelwe izingane ezineminyaka engu-1 kuya kwezingu-3, ukuphakama 50-60 cm;
- ivuse iPavlik 1 - Kunconywa izingane kusukela ezinyangeni ezintathu kuya kweziyi-6, ukuphakama kuka-60-65 cm;
- ivuse iPavlik 2 - yabelwe izingane ezineminyaka engu-6-12, ukuphakama kuka 70-75 cm;
- ivuselela iPavlik 3 - eyenzelwe izingane ezineminyaka engu-12, ikhule ngo-75-85 cm.
Indlela yokugqoka kahle izimpikiswano zikaPavlik?
Kunezinhlobo ezintathu ze-hip dysplasia, futhi nge-pathology ngayinye, ivuselela ukugqoka ngokuhlukile. Okukhethwa kukho okuhle kungaba ukuthi uma udokotela onolwazi akusiza ukuthi uzibeke emntwaneni okokuqala.
- Uma isifuba singakapheli izinsuku ezingu-2-3 zokuqala, izigqoko zigqoke ngokususwa okuncane kwe-hip ukuze kusetshenziswe. Bese ususa kancane kancane izinkalo ezinyaweni zika-70-90 ° bese ugcina lesi sikhundla kuze kube sekupheleni kokwelashwa.
- Nge-subluxation yethanga, lezi zimbambo zigqoke ukukhishwa okukodwa, okungenzeka ngaphandle komzamo omkhulu. Wabe esedlulela ekhoneni lika-80 ° futhi agcinwe kule ndawo izinyanga ezingu-3-4. Ukugxila okukhethekile kubhalwa ubuhlungu obungenzeka lapho ingane isuswa. Uma kunesidingo, misela ukushisa okomile noma i-analgesic yangemuva.
- Uma lesi siqhwa sichithwa, ikhanda lezinsikazi lingaphandle kwehlangene, ngakho-ke kuqala ukulungiswa kwenziwa, bese izintambo zihlelwe ku-90 ° ngezinyanga ezingu-5-6.
Kumele kukhunjulwe ukuthi inqubo ye-hip dilution iyisigaba esibaluleke kakhulu ekwelapheni i-dysplasia, evinjelwe imizimba. Ukupholisa, ukungazitholi, nokuzwa indlala kunganciphisa ukuqina kwemisipha namathenda, futhi ngenxa yalokho, ukuthuthukiswa kwezintambo kungahambisane nobuhlungu kuphela, kodwa futhi nokuvuvukala kwe-tendon-muscle complex. Ngemuva kokuqedwa kwesigaba sokukhuphula i-hip, ubude bezintambo zikhonjiswe ngokumaketha ngokumakeka njalo ukuma okungashintshi kwamathanga.
Ungathwala kanjani izinkinga zikaPavlik?
Isitiphu ku-dysplasia kufanele sigqoke njalo: ingane kufanele ibe phakathi nabo iwashi, kuhlanganise nokudla nokugeza. Lona umthetho obaluleke kakhulu wezokwelapha eziphumelelayo. Ukugcinwa kwemithethonqubo yokuhlanzeka lapho ugqoke izibhamu kubaluleke kakhulu, ngoba isikhumba somntwana sibucayi kakhulu kwisimo sangaphandle. Ukuze ingane ikhululeke ezinkingeni, hlala amehlo esikhumbeni, ikakhulukazi ezindaweni zokugwinya kanye nezikhonkwane. Ingane ayifuni ku-stirrups, kodwa kuphela kancane
Ngaphansi kwezingcindezi, ungagqoka ingane encane kusuka ekotini namasokisi ukuya emadolweni ukuvimbela isikhumba. Ama-diapers kufanele ashintshwe ngaphandle kokukhipha izinkinga, ngenxa yalokhu akufanele uphakamise ingane ngemilenze, kodwa udinga ukubeka isandla sakho ngaphansi kwezintambo. Kuye ngokushisa ekamelweni, ungakwazi ukugqoka izingubo noma ama-panties phezu kwezingxabano, kodwa kufanele uqaphele ukuthi ingane ayifuni kakhulu futhi ikhukhumele.
Ekuphetheni, ngingathanda ukungeza ukuthi ukuvakashelwa njalo kumathambo kanye nodokotela ohlinzayo kuzokusiza ukuqapha inqubo yokwelapha, futhi uthando lwakho nokunakekelwa kuzosiza ukusheshisa ukutakula.