Congenital short femur: ndi chiyani, momwe mungazindikirire ndikuchiza

Zamkati

• Momwe mungadziwire
• Zomwe zingayambitse
• Momwe mankhwalawa amachitikira

Chiberekero chachifupi chobadwa ndimafupa omwe amadziwika ndi kuchepa kwa kukula kapena kusapezeka kwa chikazi, chomwe ndi fupa la ntchafu komanso fupa lalikulu kwambiri mthupi. Kusintha kumeneku kumatha kuchitika chifukwa chogwiritsa ntchito mankhwala ena ali ndi pakati kapena matenda opatsirana, komabe zomwe zimayambitsa vutoli sizikudziwika bwino.

Chiberekero chachifupi chachikazi chimatha kudziwika ngakhale mutakhala ndi pakati, kuyambira trimester yachiwiri, kudzera mayeso a ultrasound, ndipo chitha kukhala chisonyezo cha matenda monga Down syndrome, dwarfism kapena achondroplasia, kapena kungofupikitsa fupalo. Kuyambira nthawi yomwe matenda apakhungu achikazi apangidwa, adokotala amatha kukhazikitsa chithandizo chotsatira mwana akabadwa.

Momwe mungadziwire

Mkazi wobadwa mwachidule amatha kudziwika ngakhale atakhala ndi pakati kudzera mu ultrasound yomwe imachitika panthawi yobereka, momwe kuyeza kwa kukula kwa chikazi kumapangidwira, komwe kumasiyana malinga ndi nthawi yobereka.

Mwana wa masabata 24 amakhala ndi avareji ya 42 mm, pomwe sabata la 36 amakhala 69 mm ndipo sabata la 40 la mimba, mamilimita 74. Izi zimayenderana ndipo chifukwa chake, nthawi zina, mwana amatha kukula zoyembekezeredwa ngakhale kukula kwa chikazi chochepa kwambiri msinkhu wake, ndipo ndikofunikira kuti dokotala amayang'anitsitsa kukula kwa mwana.

Atazindikira kuti femur ndi wocheperako kuposa momwe amayenera kukhalira, adotolo amayeneranso kuwona zosintha zomwe mwana ali nazo, zomwe zingakhale:

• Lembani A: Gawo laling'ono lachikazi, pansi pa mutu wa chikazi ndiloperewera kapena kulibe;
• Mtundu B: Mutu wa chikazi umamangiriridwa kumunsi kwa fupa;
• Mtundu C: Mutu wa chikazi ndi acetabulum, womwe ndi malo amchiuno, umakhudzidwanso;
• Lembani D: Zambiri zachikazi, acetabulum ndi gawo la mchiuno mulibe.

Nthawi zambiri kusintha kwakung'ono kumapezeka kumapeto kwa mimba, koma kutalika kwa makolo ndi banja kuyeneranso kukumbukiridwa chifukwa ngati makolo siatali kwambiri, mwana wanu sayenera kutalikiranso ndipo sizikuwonetsa vuto lililonse laumoyo ..

Kuphatikiza apo, nthawi zina kusintha sikudziwika panthawi yapakati, pokhapokha atabadwa kudzera kumayeso omwe adokotala achita, ndipo adotolo amatha kuzindikira kusintha kwa kutalika kwa chikazi chifukwa cha fupa lolakwika m'chiuno mwa fupa la mchiuno, ndikuwonetsa kubadwa m'chiuno. Mvetsetsani zomwe zimakhala zobadwa m'chiuno dysplasia.

Zomwe zingayambitse

Zomwe zimayambitsa kubadwa kwa nthawi yayitali sizimvetsetseka, komabe amakhulupirira kuti mwina zimakhudzana ndi matendawa panthawi yapakati, kugwiritsa ntchito mankhwala osokoneza bongo komanso / kapena kuwonetseredwa kwa radiation poyembekezera.

Kuphatikiza apo, kugwiritsa ntchito thalidomide, mwachitsanzo, kungathandizenso kukulitsa kusintha uku, chifukwa mankhwalawa amakhudzana ndi zovuta za fetus.

Momwe mankhwalawa amachitikira

Chithandizo cha kobadwa nako femur chimatenga nthawi yayitali, cholinga chake ndi kukonza moyo wamwana ndipo ayenera kutsogozedwa ndi dokotala wa ana malinga ndi mtundu wa kufupikitsa.

Kuphatikiza apo, chithandizo chikuwonetsedwa molingana ndi kuyerekezera kwa kukula kwa chikazi muuchikulire, ndipo chitha kuwonetsedwa m'malo opepuka kwambiri, momwe kufupikitsa kumakhala mpaka 2 cm, kugwiritsa ntchito nsapato zokwezeka m'mapazi okhaokha kapena apadera kubwezera kusiyana ndikupewa zovuta monga scoliosis, kupweteka kwa msana ndi kubweza limodzi, mwachitsanzo.

Zina mwazizindikiro zakuchipatala zazifupi ndi izi:

• Pofupikitsa pakati pa 2 ndi 5 cm mwa akulu: kuchitidwa opaleshoni kumatha kudula fupa la mwendo wathanzi kuti akhale ofanana, kuti achite opaleshoni yazimayi kapena tibial kutambasula ndipo podikirira nthawi yabwino ya opaleshoniyi, kulipira kokha ndi nsapato zoyenera kapena mwendo wopangira ndi womwe ungagwiritsidwe ntchito ;
• Kufupikitsa masentimita 20 akuluakulu: kungakhale kofunikira kudula mwendo ndikugwiritsa ntchito manambala kapena ndodo za moyo. Poterepa, opareshoni ndiye mankhwala othandiza kwambiri ndipo cholinga chake ndi kuwonjezera ma prostheseti mufupa kuti munthu apitilizebe kuyenda bwinobwino. Kuchita opaleshoniyi kuyenera kuchitidwa, makamaka, asanakwanitse zaka zitatu.

Mulimonsemo, physiotherapy nthawi zonse imawonetsedwa kuti ichepetse kupweteka, kuthandizira chitukuko ndikupewa kulipira kwa minofu kapena kukonzekera kuchitidwa opaleshoni, mwachitsanzo, koma mulimonsemo ayenera kuwunikiridwa payekha chifukwa chithandizo cha physiotherapeutic chikhala chosiyana ndi munthu aliyense chifukwa zosowa za munthu sangathe khalani inayo.